3D printing in the teaching of anatomy of cerebrovascular diseases
DOI:
https://doi.org/10.33448/rsd-v11i15.35837Keywords:
Aneurysm; Bioprinting; Medical education; Innovation; Technology.Abstract
The production of models from 3D printing is an extremely innovative technique to be used in teaching practices. In addition to replicating the pieces already existing in the anatomy laboratory, it can produce other pieces based on clinical cases recorded from image exams, in a detailed way. Thus, the present study reports the technical applications of three-dimensional printing in teaching the anatomy of cerebrovascular diseases. This is a descriptive study, based on an integrative literature review, using articles that addressed the topic, found by searching for studies with the MeSH terms “three-dimensional printing” and “cerebrovascular diseases”. In universities of health sciences, the use of three-dimensional models has been increasingly common. The construction of 3D parts can be used as a tool for a greater understanding of the patient regarding their condition, to improve preoperative planning and even the teaching of highly complex surgical techniques, such as in therapeutic procedures for arteriovenous malformations and brain aneurysms. In addition to the use of 3D printing in the teaching-learning process of residents and academics, models have become a very effective tool in increasing patients' understanding of cerebrovascular diseases.
References
Araujo, M. C. E., Duarte, M. M. S., Louredo, L. M., Louredo, J. M., & Arruda, J. T. (2021). Contribuições da engenharia reversa e produção de modelos 3D para o ensino médico. Research, Society and Development, 10(11), e385101119692. https://doi.org/10.33448/rsd-v10i11.19692
Bartikian, M., Ferreira, A., Gonçalves-Ferreira, A., & Neto, L. L. (2019). 3D printing anatomical models of head bones. Surgical and radiologic anatomy: SRA, 41(10), 1205–1209. https://doi.org/10.1007/s00276-018-2148-4
Daou, B. J., Koduri, S., Thompson, B. G., Chaudhary, N., & Pandey, A. S. (2019). Clinical and experimental aspects of aneurysmal subarachnoid hemorrhage. CNS neuroscience & therapeutics, 25(10), 1096–1112. https://doi.org/10.1111/cns.13222
Diagbouga, M. R., Morel, S., Bijlenga, P., & Kwak, B. R. (2018). Role of hemodynamics in initiation/growth of intracranial aneurysms. European journal of clinical investigation, 48(9), e12992. https://doi.org/10.1111/eci.12992
Dong, M., Chen, G., Li, J., Qin, K., Ding, X., Peng, C., Zhou, D., & Lin, X. (2018). Three-dimensional brain arteriovenous malformation models for clinical use and resident training. Medicine, 97(3), e9516. https://doi.org/10.1097/MD.0000000000009516
Duarte, M. M. S., Araujo, M. C. E., Louredo, L. M., Louredo, J. M., & Arruda, J. T. (2021). Aplicabilidades da técnica de fotogrametria no ensino de Anatomia Humana. Research, Society and Development, 10(11), e51101119328. https://doi.org/10.33448/rsd-v10i11.19328
El Sabbagh, A., Eleid, M. F., Al-Hijji, M., Anavekar, N. S., Holmes, D. R., Nkomo, V. T., Oderich, G. S., Cassivi, S. D., Said, S. M., Rihal, C. S., Matsumoto, J. M., & Foley, T. A. (2018). The Various Applications of 3D Printing in Cardiovascular Diseases. Current cardiology reports, 20(6), 47. https://doi.org/10.1007/s11886-018-0992-9
Garcia, T. R., Macedo, R. M., Vaz, M. H. V., Borges, G. H. I., Zendron, I. M., & Arruda, J. T. (2022). Impressão 3D de peças anatômicas como ferramentas de educação e auxílio na prática clínica. Research, Society and Development, 11(13), e248111335234. https://doi.org/10.33448/rsd-v11i13.35234
Gardin, C., Ferroni, L., Latremouille, C., Chachques, J. C., Mitrečić, D., & Zavan, B. (2020). Recent Applications of Three Dimensional Printing in Cardiovascular Medicine. Cells, 9(3), 742. https://doi.org/10.3390/cells9030742
Koche, J. C. (2011). Fundamentos de metodologia científica. Petrópolis: Vozes.
Li, S. J., Wang, F., Chen, W., & Su, Y. (2020). Application of three dimensional (3D) curved multi-planar reconstruction images in 3D printing mold assisted eyebrow arch keyhole microsurgery. Brain and behavior, 10(10), e01785. https://doi.org/10.1002/brb3.1785
Louredo, L. M., Duarte, M. M. S., Araújo, M. C. E., Louredo, J. M., & Arruda, J. T. (2021). Uso de prototipagem rápida ou manufatura aditiva para estudos de casos clínicos e planejamento de técnica cirúrgica utilizando modelos 3D. Research, Society and Development, 10(12), e336101220403. https://doi.org/10.33448/rsd-v10i12.20403
Matozinhos, I. P., Madureira, A. A. C., Silva, G. F., Madeira, G. C. C., Oliveira, I. F. A., & Corrêa C. R. (2017). Impressão 3d: inovações no campo da medicina. Revista Interdisciplinar Ciências Médicas, 1(1), 143-162.
Mendonça, C. R., Souza, K. T. O., Arruda, J. T., Noll, M., & Guimarães, N. N. (2021), Human Anatomy: Teaching–Learning Experience of a Support Teacher and a Student with Low Vision and Blindness. Anatomical sciences education. https://doi.org/10.1002/ase.2058
Muniz, A. L., & Moraes, S. G. (2018). Utilização de modelos 3D como recurso didático no ensino de embriologia do sistema nervoso central. Anais Congresso internacional de educação e tecnologias, CIET:EnPED:2018. Disponível em: https://cietenped.ufscar.br/submissao/index.php/2018/article/view/783
Nagassa, R. G., McMenamin, P. G., Adams, J. W., Quayle, M. R., & Rosenfeld, J. V. (2019). Advanced 3D printed model of middle cerebral artery aneurysms for neurosurgery simulation. 3D printing in medicine, 5(1), 11. https://doi.org/10.1186/s41205-019-0048-9
Navratil, O., Duris, K., Juran, V., Neuman, E., Svoboda, K., & Smrcka, M. (2017). Middle cerebral artery aneurysms with intracerebral hematoma-the impact of side and volume on final outcome. Acta neurochirurgica, 159(3), 543–547. https://doi.org/10.1007/s00701-016-3070-3
Neifert, S. N., Chapman, E. K., Martini, M. L., Shuman, W. H., Schupper, A. J., Oermann, E. K., Mocco, J., & Macdonald, R. L. (2021). Aneurysmal Subarachnoid Hemorrhage: the Last Decade. Translational stroke research, 12(3), 428–446. https://doi.org/10.1007/s12975-020-00867-0
Rocha, D. P., Silva, K. G. A., Montenegro, I. H. P. de M., & Schwingel, P. A. (2021). Métodos alternativos para o ensino da anatomia humana: revisão sistematizada. Research, Society and Development, 10(16), e370101623641. https://doi.org/10.33448/rsd-v10i16.23641
Salaris, F., & Rosa, A. (2019). Construction of 3D in vitro models by bioprinting human pluripotent stem cells: Challenges and opportunities. Brain research, 1723, 146393. https://doi.org/10.1016/j.brainres.2019.146393
Salbego, C., Oliveira, E. M. D., Silva, M. A. R., & Bugança, P. R. (2015). Percepções Acadêmicas sobre o Ensino e a Aprendizagem em Anatomia Humana. Revista Brasileira de Educação Médica, 39(1), 23-31. https://doi.org/10.1590/1981-52712015v39n1e00732014.
Soares Neto, J., Pinho, F. V. A., Matos, H. L., Lopes, A. R. O., Cerqueira, G. S., & Souza, E. P. (2021). Tecnologias de ensino utilizadas na Educação na pandemia COVID-19: uma revisão integrativa. Research, Society and Development, 10(1), e51710111974. https://doi.org/10.33448/rsd-v10i1.11974
Soares Neto, J., Santos, M. J. C., Cerqueira, G. S., & Souza, E. P. (2020). A Sequência Fedathi e o uso de tecnologias digitais 3D como recursos metodológicos para o ensino de anatomia humana: uma revisão integrativa. Research, Society and Development, 9(10), e3559108141. https://doi.org/10.33448/rsd-v9i10.8141
Soldozy, S., Norat, P., Elsarrag, M., Chatrath, A., Costello, J. S., Sokolowski, J. D., ... & Park, M. S. (2019). The biophysical role of hemodynamics in the pathogenesis of cerebral aneurysm formation and rupture. Neurosurgical focus, 47(1), E11.
Sullivan, S., Aguilar-Salinas, P., Santos, R., Beier, A. D., & Hanel, R. A. (2018). Three-dimensional printing and neuroendovascular simulation for the treatment of a pediatric intracranial aneurysm: case report. Journal of neurosurgery. Pediatrics, 22(6), 672–677. https://doi.org/10.3171/2018.6.PEDS17696
Sun, Z., & Lee, S. Y. (2017). A systematic review of 3-D printing in cardiovascular and cerebrovascular diseases. Anatolian journal of cardiology, 17(6), 423–435. https://doi.org/10.14744/AnatolJCardiol.2017.7464
Utiyama, B., Hernandes, C., Senra, T., Gospos, M., Sá, R., Leme, J., Fonseca, J., Drigo, E., Leão, T., Pinto, I., & Andrade, A. (2014). Construção de biomodelos por impressão 3D para uso na prática clínica: experiencia do Instituto Dante Pazzanese de Cardiologia. XXIV Congresso Brasileiro de Engenharia Biomédica – CBEB. Disponível em: https://www.canal6.com.br/cbeb/2014/artigos/cbeb2014_submission_095.pdf
Vukicevic, M., Mosadegh, B., Min, J. K., & Little, S. H. (2017). Cardiac 3D Printing and its Future Directions. JACC. Cardiovascular imaging, 10(2), 171–184. https://doi.org/10.1016/j.jcmg.2016.12.001
Wang, J. L., Yuan, Z. G., Qian, G. L., Bao, W. Q., & Jin, G. L. (2018). 3D printing of intracranial aneurysm based on intracranial digital subtraction angiography and its clinical application. Medicine, 97(24), e11103. https://doi.org/10.1097/MD.0000000000011103
Weinstock, P., Prabhu, S. P., Flynn, K., Orbach, D. B., & Smith, E. (2015). Optimizing cerebrovascular surgical and endovascular procedures in children via personalized 3D printing. Journal of neurosurgery. Pediatrics, 16(5), 584–589. https://doi.org/10.3171/2015.3.PEDS14677
Wu, A. M., Wang, K., Wang, J. S., Chen, C. H., Yang, X. D., Ni, W. F., & Hu, Y. Z. (2018). The addition of 3D printed models to enhance the teaching and learning of bone spatial anatomy and fractures for undergraduate students: a randomized controlled study. Annals of Translational Medicine, 6(20), 403. doi: 10.21037/atm.2018.09.59
Ye, Z., Dun, A., Jiang, H., Nie, C., Zhao, S., Wang, T., & Zhai, J. (2020). The role of 3D printed models in the teaching of human anatomy: a systematic review and meta-analysis. BMC medical education, 20(1), 335. https://doi.org/10.1186/s12909-020-02242-x
Yi, X., Ding, C., Xu, H., Huang, T., Kang, D., & Wang, D. (2019). Three-Dimensional Printed Models in Anatomy Education of the Ventricular System: A Randomized Controlled Study. World neurosurgery, 125, e891–e901. https://doi.org/10.1016/j.wneu.2019.01.204
Zhang, J., Cheng, H., Zhou, S., Huang, L., Lv, J., Wang, P., Chen, J., Jin, T., Zheng, G., Ye, H., Wang, X., Meng, B., Lu, D. & Li, Y. (2020). 3D-printed model-guided endoscopic evacuation for basal ganglia hemorrhage. Scientific Reports, 10, 5196. https://doi.org/10.1038/s41598-020-62232-3
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Copyright (c) 2022 Igor Mundim Zendron; Guilherme Henrique Iaccino Borges; Matheus Hernandes Vieira Vaz; Thaís Ribeiro Garcia; Rafaela Melo Macedo; Caroline Almeida Resplande; Larissa Schults Teixeira; Guilherme Martins Tolini; Anna Laura Silva Oliveira; Jackellyne Alves Peres Gomes; Marina Angélica Magalhães de Brito; Jalsi Tacon Arruda
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