Top

The International Journal of Cardiovascular Imaging

Published in:

01-08-2020 | Computed Tomography | Review Paper

Moving beyond two-dimensional screens to interactive three-dimensional visualization in congenital heart disease

Authors: John L. Byl, Rebecca Sholler, Jordan M. Gosnell, Bennett P. Samuel, Joseph J. Vettukattil

Published in: The International Journal of Cardiovascular Imaging | Issue 8/2020

Abstract

Beginning with the discovery of X-rays to the development of three-dimensional (3D) imaging, improvements in acquisition, post-processing, and visualization have provided clinicians with detailed information for increasingly accurate medical diagnosis and clinical management. This paper highlights advances in imaging technologies for congenital heart disease (CHD), medical adoption, and future developments required to improve pre-procedural and intra-procedural guidance.

Available only for authorised users

Bradley WG (2008) History of medical imaging. Proc Am Philos Soc 152:349–361PubMed

Sundaram M, McGuire MH, Herbold DR (1988) Magnetic resonance imaging of soft tissue masses: an evaluation of fifty-three histologically proven tumors. Magn Reson Imaging 6:237–248CrossRef

Goitein O, Salem Y, Jacobson J, Goitein D, Mishali D, Hamdan A, Kuperstein R, Di Segni E, Konen E (2014) The role of cardiac computed tomography in infants with congenital heart disease. Isr Med Assoc J 16:147–152PubMed

Luijnenburg SE, Robbers-Visser D, Moelker A, Vliegen HW, Mulder BJ, Helbing WA (2010) Intra-observer and interobserver variability of biventricular function, volumes and mass in patients with congenital heart disease measured by CMR imaging. Int J Cardiovasc Imaging 26:57–64. https://doi.org/10.1007/s10554-009-9501-y CrossRefPubMed

Black D, Vettukattil J (2013) Advanced echocardiographic imaging of the congenitally malformed heart. Curr Cardiol Rev 9:241–252CrossRef

Samuel BP, Pinto C, Pietila T, Vettukattil JJ (2015) Ultrasound-derived three-dimensional printing in congenital heart disease. J Digit Imaging 28:459–461. https://doi.org/10.1007/s10278-014-9761-5 CrossRefPubMed

Gosnell J, Pietila T, Samuel BP, Kurup HK, Haw MP, Vettukattil JJ (2016) Integration of computed tomography and three-dimensional echocardiography for hybrid three-dimensional printing in congenital heart disease. J Digit Imaging 29:665–669. https://doi.org/10.1007/s10278-016-9879-8 CrossRefPubMedPubMedCentral

Kurup HK, Samuel BP, Vettukattil JJ (2015) Hybrid 3D printing: a game-changer in personalized cardiac medicine? Expert Rev Cardiovasc Ther 13:1281–1284. https://doi.org/10.1586/14779072.2015.1100076 CrossRefPubMed

Wang KC, Filice RW, Philbin JF, Siegel EL, Nagy PG (2011) Five levels of PACS modularity: integrating 3D and other advanced visualization tools. J Digit Imaging 24:1096–1102. https://doi.org/10.1007/s10278-011-9366-1 CrossRefPubMedPubMedCentral

10.

Bruckheimer E, Rotschild C, Dagan T, Amir G, Kaufman A, Gelman S, Birk E (2016) Computer-generated real-time digital holography: first time use in clinical medical imaging. Eur Heart J Cardiovasc Imaging 17:845–849. https://doi.org/10.1093/ehjci/jew087 CrossRefPubMed

11.

Glatz AC, Purrington KS, Klinger A, King AR, Hellinger J, Zhu X, Gruber SB, Gruber PJ (2014) Cumulative exposure to medical radiation for children requiring surgery for congenital heart disease. J Pediatr 164:789–794.e710. https://doi.org/10.1016/j.jpeds.2013.10.074 CrossRefPubMed

12.

Hoffmann A, Engelfriet P, Mulder B (2007) Radiation exposure during follow-up of adults with congenital heart disease. Int J Cardiol 118:151–153. https://doi.org/10.1016/j.ijcard.2006.07.012 CrossRefPubMed

13.

Farooqi KM, Sengupta PP (2015) Echocardiography and three-dimensional printing: sound ideas to touch a heart. J Am Soc Echocardiogr 28:398–403. https://doi.org/10.1016/j.echo.2015.02.005 CrossRefPubMed

14.

Vettukattil JJ, Samuel BP, Gosnell J, Harikrishnan KN (2017) Creation of a 3D printed model: from virtual to physical. In: Farooqi KM (ed) Rapid prototyping in cardiac disease, 1st edn. Springer. https://doi.org/10.1007/978-3-319-53523-4_2

15.

Chepelev L, Wake N, Ryan J, Althobaity W, Gupta A, Arribas E, Santiago L, Ballard DH, Wang KC, Weadock W, Ionita CN, Mitsouras D, Morris J, Matsumoto J, Christensen A, Liacouras P, Rybicki FJ, Sheikh A, Printing RSIGfD (2018) Radiological Society of North America (RSNA) 3D printing Special Interest Group (SIG): guidelines for medical 3D printing and appropriateness for clinical scenarios. 3D Print Med 4:11. https://doi.org/10.1186/s41205-018-0030-y CrossRefPubMedPubMedCentral

16.

Costello JP, Olivieri LJ, Su L, Krieger A, Alfares F, Thabit O, Marshall MB, Yoo SJ, Kim PC, Jonas RA, Nath DS (2015) Incorporating three-dimensional printing into a simulation-based congenital heart disease and critical care training curriculum for resident physicians. Congenit Heart Dis 10:185–190. https://doi.org/10.1111/chd.12238 CrossRefPubMed

17.

Kim MS, Hansgen AR, Wink O, Quaife RA, Carroll JD (2008) Rapid prototyping: a new tool in understanding and treating structural heart disease. Circulation 117:2388–2394. https://doi.org/10.1161/CIRCULATIONAHA.107.740977 CrossRefPubMed

18.

Olivieri L, Krieger A, Chen MY, Kim P, Kanter JP (2014) 3D heart model guides complex stent angioplasty of pulmonary venous baffle obstruction in a Mustard repair of D-TGA. Int J Cardiol 172:e297–e298. https://doi.org/10.1016/j.ijcard.2013.12.192 CrossRefPubMed

19.

Schmauss D, Gerber N, Sodian R (2013) Three-dimensional printing of models for surgical planning in patients with primary cardiac tumors. J Thorac Cardiovasc Surg 145:1407–1408. https://doi.org/10.1016/j.jtcvs.2012.12.030 CrossRefPubMed

20.

Schmauss D, Schmitz C, Bigdeli AK, Weber S, Gerber N, Beiras-Fernandez A, Schwarz F, Becker C, Kupatt C, Sodian R (2012) Three-dimensional printing of models for preoperative planning and simulation of transcatheter valve replacement. Ann Thorac Surg 93:e31–e33. https://doi.org/10.1016/j.athoracsur.2011.09.031 CrossRefPubMed

21.

Sodian R, Weber S, Markert M, Loeff M, Lueth T, Weis FC, Daebritz S, Malec E, Schmitz C, Reichart B (2008) Pediatric cardiac transplantation: three-dimensional printing of anatomic models for surgical planning of heart transplantation in patients with univentricular heart. J Thorac Cardiovasc Surg 136:1098–1099. https://doi.org/10.1016/j.jtcvs.2008.03.055 CrossRefPubMed

22.

Vettukattil JJ, Mohammad Nijres B, Gosnell JM, Samuel BP, Haw MP (2019) Three-dimensional printing for surgical planning in complex congenital heart disease. J Card Surg 34:1363–1369. https://doi.org/10.1111/jocs.14180 CrossRefPubMed

23.

Sun Z, Lau I, Wong YH, Yeong CH (2019) Personalized three-dimensional printed models in congenital heart disease. J Clin Med. https://doi.org/10.3390/jcm8040522 CrossRefPubMedPubMedCentral

24.

Arafati A, Hu P, Finn JP, Rickers C, Cheng AL, Jafarkhani H, Kheradvar A (2019) Artificial intelligence in pediatric and adult congenital cardiac MRI: an unmet clinical need. Cardiovasc Diagn Ther 9:S310–S325. https://doi.org/10.21037/cdt.2019.06.09 CrossRefPubMedPubMedCentral

25.

O’Neill B, Wang DD, Pantelic M, Song T, Guerrero M, Greenbaum A, O’Neill WW (2015) Reply: the role of 3D printing in structural heart disease: all that glitters is not gold. JACC Cardiovasc Imaging 8:988–989. https://doi.org/10.1016/j.jcmg.2015.04.011 CrossRefPubMed

26.

Anwar S, Singh GK, Miller J, Sharma M, Manning P, Billadello JJ, Eghtesady P, Woodard PK (2018) 3D printing is a transformative technology in congenital heart disease. JACC Basic Transl Sci 3:294–312. https://doi.org/10.1016/j.jacbts.2017.10.003 CrossRefPubMedPubMedCentral

27.

Li RA, Keung W, Cashman TJ, Backeris PC, Johnson BV, Bardot ES, Wong AOT, Chan PKW, Chan CWY, Costa KD (2018) Bioengineering an electro-mechanically functional miniature ventricular heart chamber from human pluripotent stem cells. Biomaterials 163:116–127. https://doi.org/10.1016/j.biomaterials.2018.02.024 CrossRefPubMedPubMedCentral

28.

Lee A, Hudson AR, Shiwarski DJ, Tashman JW, Hinton TJ, Yerneni S, Bliley JM, Campbell PG, Feinberg AW (2019) 3D bioprinting of collagen to rebuild components of the human heart. Science (New York NY) 365:482–487. https://doi.org/10.1126/science.aav9051 CrossRef

29.

Simpson JM (2016) Three-dimensional echocardiography in congenital heart disease: the next steps. Arch Cardiovasc Dis 109:81–83. https://doi.org/10.1016/j.acvd.2015.09.010 CrossRefPubMed

30.

Ballocca F, Meier LM, Ladha K, Qua Hiansen J, Horlick EM, Meineri M (2019) Validation of quantitative 3-dimensional transesophageal echocardiography mitral valve analysis using stereoscopic display. J Cardiothorac Vasc Anesth 33:732–741. https://doi.org/10.1053/j.jvca.2018.08.013 CrossRefPubMed

31.

EchoPixel, Inc. (2018) True 3D Viewer User Manual, L edn. EchoPixel, Inc., Santa Clara

32.

Imaging Technology News, ITN (2018) EchoPixel showcases next-generation surgical planning with True 3-D interactive mixed reality software. Latest version of True 3-D expands supported modalities beyond CT and MR to include ultrasound with Doppler and C-arm views. Imaging Technology News (ITN), Park Ridge

33.

Imaging Technology News, ITN (2017) EchoPixel announces True 3-D print support. Suite of software tools built on EchoPixel’s interactive virtual reality technology aim to provide fast, accurate, 3-D models for a wide range of medical procedures. Imaging Technology News (ITN), Park Ridge

34.

Lu J, Ensing G, Ohye R, Romano J, Sassalos P (2019) Virtual reality three-dimensional modeling for congenital heart surgery planning. American Society of Echocardiography (ASE)

35.

Haw M, Baliulis G, Hillman N, Samuel B, Gosnell J, Byl J, Vettukattil J (2019) 3D printing and interactive visualization for surgical planning in complex congenital heart disease. Congenital Heart Surgeons’ Society (CHSS)

36.

Kaminsky I, Adix M, Choi I (2016) E-010 vessel length spline measurement with EchoPixel True 3D Viewer. J Neurointerv Surg 8:A49.2–A50CrossRef

37.

Mishra S (2017) Hologram the future of medicine—From Star Wars to clinical imaging. Indian Heart J 69:566–567. https://doi.org/10.1016/j.ihj.2017.07.017 CrossRefPubMedPubMedCentral

38.

FDA US (2018) 510(k) Premarket Approval

39.

Pace DF, Dalca AV, Geva T, Powell AJ, Moghari MH, Golland P (2015) Interactive whole-heart segmentation in congenital heart disease. Med Image Comput Comput Assist Interv 9351:80–88. https://doi.org/10.1007/978-3-319-24574-4_10 CrossRefPubMedPubMedCentral

40.

Pouch AM, Wang H, Takabe M, Jackson BM, Gorman JH, Gorman RC, Yushkevich PA, Sehgal CM (2014) Fully automatic segmentation of the mitral leaflets in 3D transesophageal echocardiographic images using multi-atlas joint label fusion and deformable medial modeling. Med Image Anal 18:118–129. https://doi.org/10.1016/j.media.2013.10.001 CrossRefPubMed

41.

Dilsizian SE, Siegel EL (2014) Artificial intelligence in medicine and cardiac imaging: harnessing big data and advanced computing to provide personalized medical diagnosis and treatment. Curr Cardiol Rep 16:441. https://doi.org/10.1007/s11886-013-0441-8 CrossRefPubMed

42.

Fazal MI, Patel ME, Tye J, Gupta Y (2018) The past, present and future role of artificial intelligence in imaging. Eur J Radiol 105:246–250. https://doi.org/10.1016/j.ejrad.2018.06.020 CrossRefPubMed

Title: Moving beyond two-dimensional screens to interactive three-dimensional visualization in congenital heart disease
Authors: John L. Byl
Rebecca Sholler
Jordan M. Gosnell
Bennett P. Samuel
Joseph J. Vettukattil
Publication date: 01-08-2020
Publisher: Springer Netherlands
Keywords: Computed Tomography
Computed Tomography
Artificial Intelligence
Published in: The International Journal of Cardiovascular Imaging / Issue 8/2020
Print ISSN: 1569-5794
Electronic ISSN: 1875-8312
DOI: https://doi.org/10.1007/s10554-020-01853-1

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.

Watch now

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Moving beyond two-dimensional screens to interactive three-dimensional visualization in congenital heart disease

Abstract

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 8/2020

MDCT planning of trans catheter aortic valve implantation (TAVI): determination of optimal c-arm angulation

The association of mechanical dyssynchrony and resynchronization therapy with survival in heart failure with a wide QRS complex: a two-world study

Grading of aortic regurgitation by cardiovascular magnetic resonance and pulsed Doppler of the left subclavian artery: harmonizing grading scales between imaging modalities

Atherosclerotic plaque detected by transesophageal echocardiography is an independent predictor for all-cause mortality

Reliability of non-contrast magnetic resonance angiography-derived aortic diameters in Marfan patients: comparison of inner vs. outer vessel wall measurements

Periaortic adipose tissue volume is associated with sclerotic changes in the adjacent aortic valve

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page