Skip to main content
Top
Published in: Insights into Imaging 4/2010

Open Access 01-09-2010 | Original Article

Reconstruction of fetal and infant anatomy using rapid prototyping of post-mortem MR images

Authors: Silvia Schievano, Neil J. Sebire, Nicola J. Robertson, Andrew M. Taylor, Sudhin Thayyil

Published in: Insights into Imaging | Issue 4/2010

Login to get access

Abstract

Objectives

The recent decline in autopsy rates and lack of human anatomical material donated for research and training has resulted in issues for medical training in the United Kingdom. This study aims to examine the feasibility of making accurate three-dimensional (3D) models of the human body and visceral organs using post-mortem magnetic resonance (MR) imaging and rapid prototyping.

Methods

We performed post-mortem MR imaging using a 3D T2-weighted sequence in 11 fetuses and infants, before autopsy, using either a 1.5-T or 9.4-T MR scanner. Internal organs were reconstructed in silico and 3D models were created by rapid prototyping.

Results

The median gestation of fetuses was 20 (range 19–30) weeks and the median age of infants was 12 (range 8–16) weeks. Models created by rapid prototyping accurately depicted structural abnormalities and allowed clear visualisation of 3D relationships.

Conclusions

Accurate 3D modelling of anatomical features from post-mortem imaging in fetuses and infants is feasible. These models could have a large number of medical applications, including improved parental counselling, invaluable teaching resources and significant medico-legal applications to demonstrate disease or injury, without the need to show actual autopsy photographs.
Literature
4.
go back to reference Brookes JA, Hall-Craggs MA, Sams VR, Lees WRC (1996) Non-invasive perinatal necropsy by magnetic resonance imaging. Lancet 348:1139–1141PubMedCrossRef Brookes JA, Hall-Craggs MA, Sams VR, Lees WRC (1996) Non-invasive perinatal necropsy by magnetic resonance imaging. Lancet 348:1139–1141PubMedCrossRef
5.
go back to reference Cohen M, Whitby EH (2007) The use of magnetic resonance in the hospital and coronial pediatric postmortem examination. Forensic Sci Med 3:289–296CrossRef Cohen M, Whitby EH (2007) The use of magnetic resonance in the hospital and coronial pediatric postmortem examination. Forensic Sci Med 3:289–296CrossRef
6.
go back to reference Griffiths PD, Paley MN, Whitby EH (2005) Post-mortem MRI as an adjunct to fetal or neonatal autopsy. Lancet 365:1271–1273PubMedCrossRef Griffiths PD, Paley MN, Whitby EH (2005) Post-mortem MRI as an adjunct to fetal or neonatal autopsy. Lancet 365:1271–1273PubMedCrossRef
7.
go back to reference Thayyil S, Cleary JO, Sebire NJ, Scott RJ, Chong K, Gunny R, Owens CM, Olsen OE, Offiah AC, Parks HG, Chitty LS, Price AN, Yousry TA, Robertson NJ, Lythgoe MF, Taylor AM (2009) Post-mortem examination of human fetuses: a comparison of whole-body high-field MRI at 9.4 T with conventional MRI and invasive autopsy. Lancet 374:467–475PubMedCrossRef Thayyil S, Cleary JO, Sebire NJ, Scott RJ, Chong K, Gunny R, Owens CM, Olsen OE, Offiah AC, Parks HG, Chitty LS, Price AN, Yousry TA, Robertson NJ, Lythgoe MF, Taylor AM (2009) Post-mortem examination of human fetuses: a comparison of whole-body high-field MRI at 9.4 T with conventional MRI and invasive autopsy. Lancet 374:467–475PubMedCrossRef
8.
go back to reference Thayyil S, Schievano S, Robertson NJ, Jones R, Chitty LS, Sebire NJ, Taylor AM (2009) A semi-automated method for non-invasive internal organ weight estimation by post-mortem magnetic resonance imaging in fetuses, newborns and children. Eur J Radiol 72(2):321–326PubMedCrossRef Thayyil S, Schievano S, Robertson NJ, Jones R, Chitty LS, Sebire NJ, Taylor AM (2009) A semi-automated method for non-invasive internal organ weight estimation by post-mortem magnetic resonance imaging in fetuses, newborns and children. Eur J Radiol 72(2):321–326PubMedCrossRef
9.
go back to reference Schievano S, Migliavacca F, Coats L, Khambadkone S, Carminati M, Wilson N, Deanfield JE, Bonhoeffer P, Taylor AM (2007) Percutaneous pulmonary valve implantation based on rapid prototyping of right ventricular outflow tract and pulmonary trunk from MR data. Radiology 242:490–497PubMedCrossRef Schievano S, Migliavacca F, Coats L, Khambadkone S, Carminati M, Wilson N, Deanfield JE, Bonhoeffer P, Taylor AM (2007) Percutaneous pulmonary valve implantation based on rapid prototyping of right ventricular outflow tract and pulmonary trunk from MR data. Radiology 242:490–497PubMedCrossRef
10.
go back to reference Armillotta A, Bonhoeffer P, Dubini G, Ferragina S, Migliavacca F, Sala G, Schievano S (2007) Use of rapid prototyping models in the planning of percutaneous pulmonary valved stent implantation. Proc Inst Mech Eng H 221(4):407–416PubMedCrossRef Armillotta A, Bonhoeffer P, Dubini G, Ferragina S, Migliavacca F, Sala G, Schievano S (2007) Use of rapid prototyping models in the planning of percutaneous pulmonary valved stent implantation. Proc Inst Mech Eng H 221(4):407–416PubMedCrossRef
11.
go back to reference Hayat T, Jiang S, Allsop J, Hajnal J, Rutherford M (2008) Quantification of human fetal brain development in utero using multislice snapshot MRI with 3D volume reconstruction. Ultrasound Obstet Gynecol 31:597–609CrossRef Hayat T, Jiang S, Allsop J, Hajnal J, Rutherford M (2008) Quantification of human fetal brain development in utero using multislice snapshot MRI with 3D volume reconstruction. Ultrasound Obstet Gynecol 31:597–609CrossRef
12.
go back to reference Christensen AM, Humphries SM, Goh KYC, Swift D (2004) Advanced “tactile” medical imaging for separation surgeries of conjoined twins. Childs Nerv Syst 20:547–553PubMedCrossRef Christensen AM, Humphries SM, Goh KYC, Swift D (2004) Advanced “tactile” medical imaging for separation surgeries of conjoined twins. Childs Nerv Syst 20:547–553PubMedCrossRef
Metadata
Title
Reconstruction of fetal and infant anatomy using rapid prototyping of post-mortem MR images
Authors
Silvia Schievano
Neil J. Sebire
Nicola J. Robertson
Andrew M. Taylor
Sudhin Thayyil
Publication date
01-09-2010
Publisher
Springer Berlin Heidelberg
Published in
Insights into Imaging / Issue 4/2010
Electronic ISSN: 1869-4101
DOI
https://doi.org/10.1007/s13244-010-0028-5

Other articles of this Issue 4/2010

Insights into Imaging 4/2010 Go to the issue