Diagnostic challenges in pediatric radiology: how 3D planning and printing could improve the management

Congress:

ECR 2020

Poster Number:

C-12437

Type:

Educational Exhibit

Keywords:

Developmental disease, Perception image, Computer Applications-Virtual imaging, Computer Applications-3D, MR, Experimental, CT, Paediatric, Computer applications, Anatomy, Not applicable, Observational, Performed at one institution

Authors:

J. Munuera¹, I. Barber², M. Ayats¹, S. ZABALA¹, F. Zuccarino¹, M. Rebollo¹, E. Gratacós¹, L. Krauel¹, A. Valls¹; ¹Barcelona/ES, ²Esplugues de Llobregat (Barcelona)/ES

DOI:

10.26044/ecr2020/C-12437

DOI-Link:

https://dx.doi.org/10.26044/ecr2020/C-12437

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Learning objectives

To analyze the role of 3D planning (3DP) in complex cases in pediatric radiology. To outline key technical tips and tricks, advantages and limitations of 3DPP to perform a proper diagnosis. How to improve the diagnosis with 3DPP in order to establish an optimal therapeutic approach.

Background

A new technology with medical application has exploded: 3Dplanning and printing. 1. The medical image can be treated as an object. This advantage allows that by means of editing programs similar to those used in architecture or engineering. The possibilities are endless in medicine: design of cutting guides, scaffolds, creation of ad-hoc models, evaluation of symmetries, ... 2. The use of virtual technology and additive manufacturing (3D printing). Having models with which you can interact both on the screen itself, and at the virtual level...

Findings and procedure details

In this work we review the added value of 3D imaging (STL files, as a virtualmodel orfor 3D printing) in pediatric cases. The radiological challenges that we are going to analyze are the following: 1.Can I theoretically simulate the end result of surgery? 2.Can I practice with a model that is true to reality? 3.Can I understand the distribution of different structures that are in different planes of space at the same time? 4.Can I have a comprehensive view of different imaging techniques in a...

Conclusion

3DP allow defining complex cases, suggesting a future pivotal role for pediatric diagnosis. In pediatric radiology the most advanced challenges that we can highlight are: The possibility of using different imaging techniques and combining them with each other. Bring the spatial resolution to the limit insome cases. Radiologistsshould be familiar with this technique, knowing the advantages and limitations of these techniques in order to establish an optimal therapeutic approach and management.

Personal information and conflict of interest

J. Munuera; Barcelona/ES - nothing to disclose M. Ayats; Barcelona/ES - nothing to disclose A. Valls; Barcelona/ES - nothing to disclose I. Barber Martinez; Esplugues de Llobregat (Barcelona)/ES - nothing to disclose M. Rebollo; Barcelona/ES - nothing to disclose E. Gratacós; Barcelona/ES - nothing to disclose L. Krauel; Barcelona/ES - nothing to disclose S. Zabala; Barcelona/ES - nothing to disclose F. Zuccarino; Barcelona/ES - nothing to disclose

References

3-D printing: Revolutionizing preoperative planning, resident training, and the future of surgical care. Fox M, Peregrin T. Bull Am Coll Surg. 2016 Jul;101(7):9-18. PMID: 28941443 (https://www.ncbi.nlm.nih.gov/pubmed/28941443) Krauel L, Fenollosa F, Riaza L, Perez M, Tarrado X, Morales A, Goma J MoJ. Use of 3D Prototypes for Complex Surgical Oncologic Cases. World J Surg. 2015; 40: 889-894. Steinbacher DM. Three-Dimensional Analysis and Surgical Planning in Craniomaxillofacial Surgery. J Oral Maxillofac Surg 2015;73(12):S40–56. 3D Printing Unit at the SJD Barcelona Children’s hospital. (2017). Retrieved from URL: https://www.sjdhospitalbarcelona.org/en/3d-unit...