Uso da impressão tridimensional no ensino e na aprendizagem da Anatomia Humana: Uma revisão integrativa de literatura

Autores

DOI:

https://doi.org/10.33448/rsd-v12i9.43270

Palavras-chave:

Impressão tridimensional; Educação Médica; Ensino; Anatomia.

Resumo

O estudo da Anatomia Humana tem passado por inúmeras mudanças ao longo do tempo. Os métodos tradicionais de ensino, como o estudo em cadáveres, ao apresentarem limitações, encontraram na produção de modelos anatômicos a partir da impressão tridimensional (3D) uma solução inovadora para ser utilizada nas práticas de ensino. Assim, o objetivo do presente estudo foi analisar a possibilidade da aplicação da impressão tridimensional nas áreas de ensino e aprendizagem da Anatomia Humana nas escolas médicas. Realizou-se uma análise descritiva, baseada em revisão integrativa da literatura, em estudos publicados entre 2013 e 2022, utilizando os termos (DeCS/MeSH): “Three-Dimensional Printing”, “Medical Education” e “Anatomy”, aplicado em Inglês e seus correspondentes em Espanhol e Português. A impressão 3D mostrou-se uma importante ferramenta para o estudo da Anatomia Humana, de forma a permitir melhor identificação das estruturas anatômicas nos diferentes Sistemas, propiciando maior retenção, a longo prazo, das informações estudadas e potencializando o aprendizado anatômico, em conjunto com outros materiais impressos e virtuais, peças cadavéricas e realidade virtual aumentada. Ressalta-se a importância de investimento no uso da impressão 3D em abordagens educacionais e exploração das possíveis melhorias na educação médica.

Referências

AbouHashem, Y., Dayal, M., Savanah, S. & Štrkalj G. (2015). The application of 3D printing in anatomy education. Medical Education Online. 20:29847. 10.3402/meo.v20.29847.

Asghar, A., Naaz, S., Patra, A., Ravi K.S. & Khanal, L. (2022). Effectiveness of 3D-printed models prepared from radiological data for anatomy education: A meta-analysis and trial sequential analysis of 22 randomized, controlled, crossover trials. Journal of Education and Health Promotion. 11:353. 10.4103/jehp.jehp_199_22.

Baskaran, V., Štrkalj, G., Štrkalj, M. & Di Ieva, A. (2016). Current Applications and Future Perspectives of the Use of 3D Printing in Anatomical Training and Neurosurgery. Frontiers in Neuroanatomy. 10:69. 10.3389/fnana.2016.00069.

Bati, A. H., Guler, E., Ozer, M. A., Govsa, F., Erozkan, K., Vatansever, S., Ersin, M. S., Elmas, Z. N. & Harman, M. (2020) Surgical planning with patient-specific three-dimensional printed pancreaticobiliary disease models - Cross-sectional study. International Journal of Surgery. 80:175-183. 10.1016/j.ijsu.2020.06.017.

Bohl, M. A., Zhou, J. J., Mooney, M.A., Repp, G. J., Cavallo, C., Nakaji, P., Chang, S. W., Turner, J. D. & Kakarla, U. K. (2019). The Barrow Biomimetic Spine: effect of a 3-dimensional-printed spinal osteotomy model on performance of spinal osteotomies by medical students and interns. Journal of Spine Surgery. 5(1):58-65. 10.21037/jss.2019.01.05.

Cai, S., He, Y., Cui, H., Zhou, X., Zhou, D., Wang, F. & Tian, Y. (2020). Effectiveness of three-dimensional printed and virtual reality models in learning the morphology of craniovertebral junction deformities: a multicentre, randomised controlled study. BMJ Open. 10(9):e036853. 10.1136/bmjopen-2020- 036853.

Cercenelli, L., De Stefano, A., Billi, A.M., Ruggeri, A., Marcelli, E., Marchetti, C., Manzoli, L., Ratti, S. & Badiali, G. (2022). AEducaAR, Anatomical Education in Augmented Reality: A Pilot Experience of an Innovative Educational Tool Combining AR Technology and 3D Printing. International Journal of Environmental Research and Public Health. 19(3):1024. https://doi.org/10.3390/ijerph19031024.

Chen, S., Pan, Z., Wu, Y., Gu, Z., Li, M., Liang, Z., Zhu, H., Yao, Y., Shui, W., Shen, Z., Zhao, J. & Pan, H. (2017). The role of three-dimensional printed models of skull in anatomy education: a randomized controlled trail. Scientific Reports. 7(1):575. 10.1038/s41598-017-00647-1.

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 (Baltimore). 97(3):e9516. 10.1097/MD.0000000000009516.

Goudie, C., Kinnin, J., Bartellas, M., Gullipalli, R. & Dubrowski, A. (2019). The Use of 3D Printed Vasculature for Simulation-based Medical Education Within Interventional Radiology. Cureus. 11(4):e4381. 10.7759/cureus.4381.

Guliev, B., Komyakov, B. & Talyshinskii, A. (2019). The use of the three-dimensional printed segmented collapsible model of the pelvicalyceal system to improve residents' learning curve. Turkish Journal of Urology. 46(3):226-230. 10.5152/tud.2019.19161.

Haleem, A., Javaid, M. & Saxena, A. (2018). Additive manufacturing applications in cardiology: A review. Egyptian Heart Journal. 70(4):433-441. 10.1016/j.ehj.2018.09.008.

Hu, P., Sun, J., Wei, F. & Liu, HX. (2022). Patient-Tailored 3D-Printing Models in the Subspecialty Training of Spinal Tumors: A Comparative Study and Questionnaire Survey. World Neurosurg. 161:e488-e494. 10.1016/j.wneu.2022.02.042.

Iwanaga, J., Loukas, M., Dumont, A.S. & Tubbs, R.S. (2021). A review of anatomy education during and after the COVID‐19 pandemic: Revisiting traditional and modern methods to achieve future innovation. Clinical Anatomy, 34(1), 108-114. 10.1002/ca.23655.

Javaid, M. & Haleem, A. (2018). Additive manufacturing applications in orthopaedics: A review. Journal of Clinical Orthopaedics and Trauma. 9(3):202-206. 10.1016/j.jcot.2018.04.008.

Karsenty, C., Guitarte, A., Dulac, Y., Briot, J., Hascoet, S., Vincent, R., Delepaul, B., Vignaud, P., Djeddai, C., Hadeed, K. & Acar, P. (2021). The usefulness of 3D printed heart models for medical student education in congenital heart disease. BMC Medical Education. 21:480. 10.1186/s12909-021-02917-z.

Kiesel, M., Beyers, I., Kalisz, A., Wöckel, A., Quenzer, A., Schlaiß, T., Wulff, C. & Diessner, J. (2022). Evaluating the value of a 3D printed model for hands- on training of gynecological pelvic examination. 3D Printing in Medicine. 8, 20. https://doi.org/10.1186/s41205-022-00149-5.

Krishnasamy, S., Mokhtar, R. A. R., Singh, R., Sivallingam, S., Aziz, Y. F. A. & Mathaneswaran, V. (2021). 3D Rapid Prototyping Heart Model Validation for Teaching and Training - A Pilot Project in a Teaching Institution. Brazilian Society of Cardiovascular Surgery. 36(5):707-716. 10.21470/1678-9741-2020-0433.

Lau, I. & Sun, Z. (2018). Three-dimensional printing in congenital heart disease: A systematic review. Journal of Medical Radiation Sciences. 65(3):226-236. 10.1002/jmrs.268.

Lau, I. & Sun, Z. (2022). The role of 3D printed heart models in immediate and long-term knowledge acquisition in medical education. Reviews in Cardiovascular Medicine. 23(1):22. 10.31083/j.rcm2301022.

Lau, I.W.W., Liu, D., Xu, L., Fan, Z. & Sun, Z. (2018). Clinical value of patient-specific three-dimensional printing of congenital heart disease: Quantitative and qualitative assessments. PLOS ONE. 13(3):e0194333. 10.1371/journal.pone.0194333.

Li, Z., Li, Z., Xu, R., Li, M., Li, J., Liu, Y., Sui, D., Zhang, W. & Chen, Z. (2015). Three-dimensional printing models improve understanding of spinal fracture-

-A randomized controlled study in China. Scientific Reports. 5:11570. 10.1038/srep11570.

Loke, Y.H., Harahsheh, A.S., Krieger, A. & Olivieri, L.J. (2017). Usage of 3D models of tetralogy of Fallot for medical education: impact on learning congenital heart disease. BMC Medical Education. 17:54. https://doi.org/10.1186/s12909-017-0889-0.

Meyer-Szary, J., Luis, M.S., Mikulski, S., Patel, A., Schulz, F., Tretiakow, D., Fercho, J., Jaguszewska, K., Frankiewicz, M., Pawłowska, E., Targoński, R., Szarpak, Ł., Dądela, K., Sabiniewicz, R. & Kwiatkowska, J. (2022). The role of 3D printing in planning complex medical procedures and training of medical professionals—cross-sectional multispecialty review. International Journal of Environmental Research and Public Health, 19(6), 3331. 10.3390/ijerph19063331.

Noël, G. P. J. C., Ding, W. & Steinmetz, P. (2021). 3D Printed Heart Models Illustrating Myocardial Perfusion Territories to Augment Echocardiography and Electrocardiography Interpretation. Medical Science Educator. 31(2):439-446. 10.1007/s40670-020-01177-8.

Nusem, E., Bray, L., Lillia, J., Schofield, L., Scott, K. M., Gunasekera, H. & Cheng, T. L. (2022). Utility of 3D Printed Models Versus Cadaveric Pathology for Learning: Challenging Stated Preferences. Medical Science Educator. 32(6):1513-1520. 10.1007/s40670-022-01684-w.

O’Brien, C., Souza, C.A., Sheikh, A., Miguel, O. & Wood, T. (2021). Use of tracheobronchial tree 3-dimensional printed model: does it improve trainees’

understanding of segmentation anatomy? A prospective study. 3D Printing in Medicine. 7:2. https://doi.org/10.1186/s41205-020-00092-3.

Osorio-Toro, S. (2020). Práctica Experimental de Disección y Modelación 3D de Oído Medio e Interno para la Construcción Significativa de Conocimiento en el Área de Anatomía Humana. International Journal of Morphology, 38(4), 997-1002. https://dx.doi.org/10.4067/S0717-95022020000400997.

Radzi, S., Tan, H. K. J., Tan, G. J. S., Yeong, W. Y., Ferenczi, M. A., Low-Beer, N. & Mogali, S. R. (2020). Development of a three-dimensional printed heart from computed tomography images of a plastinated specimen for learning anatomy. Anatomy and Cell Biology. 53(1):48-57. 10.5115/acb.19.153.

Radzi, S., Chandrasekaran, R., Peh, Z. K., Rajalingam, P., Yeong, W. Y. & Mogali, S. R. (2022). Students' learning experiences of three-dimensional printed models and plastinated specimens: a qualitative analysis. BMC Medical Education. 22(1):695. 10.1186/s12909-022-03756-2.

Shelmerdine, S. C., Simcock, I. C., Hutchinson, J. C., Aughwane, R., Melbourne, A., Nikitichev, D. I., Ong, J. L., Borghi, A., Cole, G., Kingham, E., Calder, A. D., Capelli, C., Akhtar, A., Cook, A. C., Schievano, S., David, A., Ourselin, S., Sebire, N. J. & Arthurs, O. J. (2018). 3D printing from microfocus computed tomography (micro-CT) in human specimens: education and future implications. The British journal of radiology, 91(1088), 20180306. https://doi.org/10.1259/bjr.20180306.

Shen, Z., Yao, Y., Xie, Y., Guo, C., Shang, X., Dong, X., Li, Y., Pan, Z., Chen, S., Xiong, G., Wang, F.Y. & Pan, H. (2019). The process of 3D printed skull models for anatomy education. Computer Assisted Surgery (Abingdon). 24(sup1):121-130. 10.1080/24699322.2018.1560101.

Silver, A. (2019). Five innovative ways to use 3D printing in the laboratory. Nature, 565(7737), 123-124. 10.1038/d41586-018-07853-5.

Su, W., Xiao, Y., He, S., Huang, P. & Deng, X. (2018). Three-dimensional printing models in congenital heart disease education for medical students: a controlled comparative study. BMC Medical Education. 18(1):178. 10.1186/s12909-018-1293-0.

Tatar, I., Selçuk, I. & Huri, E. (2020). Evaluation of a 3D Printed Female Anatomical Model for the Hands on Training of Trans-Obturator Tape (TOT) and Tension Free Vaginal Tape (TVT) Sling Procedures. International Journal of Morphology, 38(2), 292-298. https://dx.doi.org/10.4067/S0717- 95022020000200292.

Tripodi, N., Kelly, K., Husaric, M., Wospil, R., Fleischmann, M., Johnston, S. & Harkin, K. (2020). The Impact of Three-Dimensional Printed Anatomical Models on First-Year Student Engagement in a Block Mode Delivery. Anatomical Sciences Education. 13(6):769-777. 10.1002/ase.1958.

Vatankhah, R., Emadzadeh, A., Nekooei, S., Yousefi B.T., Rezaiyan, M.K., Moonaghi, H.K. & Razavi, M.E. (2021). 3D Printed Models for Teaching Orbital Anatomy, Anomalies and Fractures. Journal of Ophthalmic and Vision Research. 16(4):611-619. 10.18502/jovr.v16i4.9751.

Vatankhah, R., Razavi, M.E., Nekooei, S., Rezaiyan, M.K., Yousefi, B.T., Moonaghi, H.K. & Emadzadeh, A. (2022). Three-dimensional (3D) Visualization Educational Modeling for Ophthalmology Residents' Training: Viewpoints. Medical Journal of the Islamic Republic of Iran. 36:115. 10.47176/mjiri.36.115.

Whittemore, R. & Knafl, K. (2005). The integrative review: updated methodology. Journal of Advanced Nursing, 52(5), 546–553. https://doi.org/10.1111/j.1365- 2648.2005.03621.x.

Wickramasinghe, N., Thompson, B. R. & Xiao, J. (2022). The opportunities and challenges of digital anatomy for medical sciences: Narrative review. JMIR Medical Education, v. 8, n. 2, p. e34687. 10.2196/34687.

Wilk, R., Likus, W., Hudecki, A., Syguła, M., Różycka-Nechoritis, A. & Nechoritis, K. (2020). What would you like to print? Students' opinions on the use of 3D printing technology in medicine. PLOS ONE. 15(4):e0230851. 10.1371/journal.pone.0230851.

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. 10.21037/atm.2018.09.59.

Yao, R., Xu, G., Mao, S.S., Yang, H.Y., Sang, X.T., Sun, W. & Mao, Y.L. (2016). Three-dimensional printing: review of application in medicine and hepatic surgery. Cancer Biology & Medicine. 13(4):443-451. 10.20892/j.issn.2095-3941.2016.0075.

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. 10.1186/s12909-020-02242-x.

Yuen, J. (2020). What Is the Role of 3D Printing in Undergraduate Anatomy Education? A Scoping Review of Current Literature and Recommendations. Medical Science Educator. 30(3):1321-1329. 10.1007/s40670-020-00990-5.

Zhang, H., He, Y., Chen, Y., Liu, J., Jin, Q., Xu, S., Fu, X., Qiao, J., Yu, B. & Niu, F. (2021). Virtual Reality and Three-Dimensional Printed Models Improve the Morphological Understanding in Learning Mandibular Sagittal Split Ramus Osteotomy: A Randomized Controlled Study. Frontiers in Surgery. 8:705532. 10.3389/fsurg.2021.705532.

Downloads

Publicado

25/09/2023

Como Citar

NASCIMENTO, E. A. N. do; MENDONÇA, F. S.; HENRIQUES, A. M. da S.; OLIVEIRA, R. R. de; ALVES, S. de M.; DIAS, L. G.; SOSTHENES, M. C. K. Uso da impressão tridimensional no ensino e na aprendizagem da Anatomia Humana: Uma revisão integrativa de literatura. Research, Society and Development, [S. l.], v. 12, n. 9, p. e12712943270, 2023. DOI: 10.33448/rsd-v12i9.43270. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/43270. Acesso em: 1 jun. 2024.

Edição

Seção

Ciências da Saúde