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Acta Neurochirurgica

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01-09-2017 | Original Article - Neurosurgery Training

Operative simulation of anterior clinoidectomy using a rapid prototyping model molded by a three-dimensional printer

Authors: Shinichi Okonogi, Kosuke Kondo, Naoyuki Harada, Hiroyuki Masuda, Masaaki Nemoto, Nobuo Sugo

Published in: Acta Neurochirurgica | Issue 9/2017

Abstract

Background

As the anatomical three-dimensional (3D) positional relationship around the anterior clinoid process (ACP) is complex, experience of many surgeries is necessary to understand anterior clinoidectomy (AC). We prepared a 3D synthetic image from computed tomographic angiography (CTA) and magnetic resonance imaging (MRI) data and a rapid prototyping (RP) model from the imaging data using a 3D printer. The objective of this study was to evaluate anatomical reproduction of the 3D synthetic image and intraosseous region after AC in the RP model. In addition, the usefulness of the RP model for operative simulation was investigated.

Methods

The subjects were 51 patients who were examined by CTA and MRI before surgery. The size of the ACP, thickness and length of the optic nerve and artery, and intraosseous length after AC were measured in the 3D synthetic image and RP model, and reproducibility in the RP model was evaluated. In addition, 10 neurosurgeons performed AC in the completed RP models to investigate their usefulness for operative simulation.

Results

The RP model reproduced the region in the vicinity of the ACP in the 3D synthetic image, including the intraosseous region, at a high accuracy. In addition, drilling of the RP model was a useful operative simulation method of AC.

Conclusions

The RP model of the vicinity of ACP, prepared using a 3D printer, showed favorable anatomical reproducibility, including reproduction of the intraosseous region. In addition, it was concluded that this RP model is useful as a surgical education tool for drilling.

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Title: Operative simulation of anterior clinoidectomy using a rapid prototyping model molded by a three-dimensional printer
Authors: Shinichi Okonogi
Kosuke Kondo
Naoyuki Harada
Hiroyuki Masuda
Masaaki Nemoto
Nobuo Sugo
Publication date: 01-09-2017
Publisher: Springer Vienna
Published in: Acta Neurochirurgica / Issue 9/2017
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-017-3202-4

ACC 2024 Congress

Springer Medicine

Operative simulation of anterior clinoidectomy using a rapid prototyping model molded by a three-dimensional printer

Abstract

Background

Methods

Results

Conclusions

ACC 2024 Congress

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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