Utilizing 3D printing to assist pre-procedure planning of transjugular intrahepatic portosystemic shunt (TIPS) procedures: a pilot study
Abstract Background 3D (three-dimensional) printing has been adopted by the medical community in several ways, procedure planning being one example. This application of technology has been adopted by several subspecialties including interventional radiology, however the planning of transjugular intr...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-04-01
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| Series: | 3D Printing in Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s41205-023-00176-w |
| _version_ | 1797846080657817600 |
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| author | Lucas Richards Shiv Dalla Sharon Fitzgerald Carissa Walter Ryan Ash Kirk Miller Adam Alli Aaron Rohr |
| author_facet | Lucas Richards Shiv Dalla Sharon Fitzgerald Carissa Walter Ryan Ash Kirk Miller Adam Alli Aaron Rohr |
| author_sort | Lucas Richards |
| collection | DOAJ |
| description | Abstract Background 3D (three-dimensional) printing has been adopted by the medical community in several ways, procedure planning being one example. This application of technology has been adopted by several subspecialties including interventional radiology, however the planning of transjugular intrahepatic portosystemic shunt (TIPS) placement has not yet been described. The impact of a 3D printed model on procedural measures such as procedure time, radiation exposure, intravascular contrast dosage, fluoroscopy time, and provider confidence has also not been reported. Methods This pilot study utilized a quasi-experimental design including patients who underwent TIPS. For the control group, retrospective data was collected on patients who received a TIPS prior to Oct 1, 2020. For the experimental group, patient-specific 3D printed models were integrated in the care of patients that received TIPS between Oct 1, 2020 and April 15, 2021. Data was collected on patient demographics and procedural measures. The interventionalists were surveyed on their confidence level and model usage following each procedure in the experimental group. Results 3D printed models were created for six TIPS. Procedure time (p = 0.93), fluoroscopy time (p = 0.26), and intravascular contrast dosage (p = 0.75) did not have significant difference between groups. Mean radiation exposure was 808.8 mGy in the group with a model compared to 1731.7 mGy without, however this was also not statistically significant (p = 0.09). Out of 11 survey responses from interventionists, 10 reported “increased” or “significantly increased” confidence after reviewing the 3D printed model and all responded that the models were a valuable tool for trainees. Conclusions 3D printed models of patient anatomy can consistently be made using consumer-level, desktop 3D printing technology. This study was not adequately powered to measure the impact that including 3D printed models in the planning of TIPS procedures may have on procedural measures. The majority of interventionists reported that patient-specific models were valuable tools for teaching trainees and that confidence levels increased as a result of model inclusion in procedure planning. |
| first_indexed | 2024-04-09T17:49:11Z |
| format | Article |
| id | doaj.art-575cbee604274bb49c3fa0a1c6548e39 |
| institution | Directory Open Access Journal |
| issn | 2365-6271 |
| language | English |
| last_indexed | 2024-04-09T17:49:11Z |
| publishDate | 2023-04-01 |
| publisher | BMC |
| record_format | Article |
| series | 3D Printing in Medicine |
| spelling | doaj.art-575cbee604274bb49c3fa0a1c6548e392023-04-16T11:07:15ZengBMC3D Printing in Medicine2365-62712023-04-01911910.1186/s41205-023-00176-wUtilizing 3D printing to assist pre-procedure planning of transjugular intrahepatic portosystemic shunt (TIPS) procedures: a pilot studyLucas Richards0Shiv Dalla1Sharon Fitzgerald2Carissa Walter3Ryan Ash4Kirk Miller5Adam Alli6Aaron Rohr7University of Kansas School of MedicineUniversity of Kansas School of MedicineDepartment of Population Health, University of Kansas Medical CenterDepartment of Radiology, University of Kansas Medical CenterDepartment of Radiology, University of Kansas Medical CenterDepartment of Radiology, University of Kansas Medical CenterDepartment of Radiology, University of Kansas Medical CenterDepartment of Radiology, University of Kansas Medical CenterAbstract Background 3D (three-dimensional) printing has been adopted by the medical community in several ways, procedure planning being one example. This application of technology has been adopted by several subspecialties including interventional radiology, however the planning of transjugular intrahepatic portosystemic shunt (TIPS) placement has not yet been described. The impact of a 3D printed model on procedural measures such as procedure time, radiation exposure, intravascular contrast dosage, fluoroscopy time, and provider confidence has also not been reported. Methods This pilot study utilized a quasi-experimental design including patients who underwent TIPS. For the control group, retrospective data was collected on patients who received a TIPS prior to Oct 1, 2020. For the experimental group, patient-specific 3D printed models were integrated in the care of patients that received TIPS between Oct 1, 2020 and April 15, 2021. Data was collected on patient demographics and procedural measures. The interventionalists were surveyed on their confidence level and model usage following each procedure in the experimental group. Results 3D printed models were created for six TIPS. Procedure time (p = 0.93), fluoroscopy time (p = 0.26), and intravascular contrast dosage (p = 0.75) did not have significant difference between groups. Mean radiation exposure was 808.8 mGy in the group with a model compared to 1731.7 mGy without, however this was also not statistically significant (p = 0.09). Out of 11 survey responses from interventionists, 10 reported “increased” or “significantly increased” confidence after reviewing the 3D printed model and all responded that the models were a valuable tool for trainees. Conclusions 3D printed models of patient anatomy can consistently be made using consumer-level, desktop 3D printing technology. This study was not adequately powered to measure the impact that including 3D printed models in the planning of TIPS procedures may have on procedural measures. The majority of interventionists reported that patient-specific models were valuable tools for teaching trainees and that confidence levels increased as a result of model inclusion in procedure planning.https://doi.org/10.1186/s41205-023-00176-w3D printingTIPSProcedure planningAnatomic segmentationPilot study. |
| spellingShingle | Lucas Richards Shiv Dalla Sharon Fitzgerald Carissa Walter Ryan Ash Kirk Miller Adam Alli Aaron Rohr Utilizing 3D printing to assist pre-procedure planning of transjugular intrahepatic portosystemic shunt (TIPS) procedures: a pilot study 3D Printing in Medicine 3D printing TIPS Procedure planning Anatomic segmentation Pilot study. |
| title | Utilizing 3D printing to assist pre-procedure planning of transjugular intrahepatic portosystemic shunt (TIPS) procedures: a pilot study |
| title_full | Utilizing 3D printing to assist pre-procedure planning of transjugular intrahepatic portosystemic shunt (TIPS) procedures: a pilot study |
| title_fullStr | Utilizing 3D printing to assist pre-procedure planning of transjugular intrahepatic portosystemic shunt (TIPS) procedures: a pilot study |
| title_full_unstemmed | Utilizing 3D printing to assist pre-procedure planning of transjugular intrahepatic portosystemic shunt (TIPS) procedures: a pilot study |
| title_short | Utilizing 3D printing to assist pre-procedure planning of transjugular intrahepatic portosystemic shunt (TIPS) procedures: a pilot study |
| title_sort | utilizing 3d printing to assist pre procedure planning of transjugular intrahepatic portosystemic shunt tips procedures a pilot study |
| topic | 3D printing TIPS Procedure planning Anatomic segmentation Pilot study. |
| url | https://doi.org/10.1186/s41205-023-00176-w |
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