Individualized Intracranial Tumor Models Created with 3D Printer, an Early Clinical Experience

Yıl 2020, Cilt: 2 Sayı: 1, 97 - 102, 15.06.2020

Orhan Kalemci Ceren Kızmazoğlu Ege Coşkun R. Bugra Husemoglu Murat Atar Gündüz Kadir İstan Bilal Kılıçarslan Beyza Alkış Hasan Aydın

Öz

Intracranial tumors located at an eloquent cortical site have challenges during a radical resection and may cause serious morbidity. Several techniques are used to prevent such morbidity and recently addition of 3D printer technology provides the surgeon to plan the surgery on a model preoperatively, thus helps lowering morbidity. 9 patients with cortically located tumors were operated in our institutions planned preoperatively on a 3D printed model. Individualized 3D printed models for preoperative planning in patients with cortically located tumors were created successfully throughout this study. Most of the previous studies regarding utilization of 3D printers in neurosurgery focused on cranial deformities and intracranial aneurysm models. Tumors invading normal glial tissue set a challenge for creating 3D printed models for the disease. Future prospective studies are essential to prove the efficiency of the model in terms of reduced morbidity and better surgical outcome.

Anahtar Kelimeler

Intracranial tumor, 3D printer, Neurosurgery education

3 Boyutlu Yazıcı ile Kişiye Özel Beyin Tümörü Modelleri, Erken Klinik Deneyim

Öz

Değerli ve fonksiyonel kortikal bölgelerde yer alan intrakranial tümörlerin radikal rezeksiyonu esnasında çeşitli güçlüklerle karşılaşılabilir ve bu ciddi morbiditeye sebep olabilir. Bu tarz bir morbiditenin önüne geçmek için farklı yöntemler kullanılabilir. Yakın bir geçmişte 3 boyutlu yazıcı teknolojisinin eklenmesi ile cerrah, preoperatif olarak model üzerinde planlama yapabilir. Böylece morbiditenin azaltılmasına yardımcı olunabilir. Kliniklerimizde kortikal yerleşimli tümörleri olan 9 hasta, 3 boyutlu (3B) model üzerinde preoperatif hazırlık yapılarak opere edildiler. Nöroşirurjide 3B yazıcılarla ilgili bundan önceki çalışmaların birçoğunda kranial deformite cerrahileri ve anevrizmal modelleri üzerinde durulmuştu. Normal glial dokulara invazyon gösteren tümörlerin modellenmesi görece zor olup, bu tarz modellemelerin daha iyi cerrahi sonuçlar sağlayabileceğinin değerlendirilmesi açısından prospektif çalışmalara ihtiyaç duyulmaktadır.

Anahtar Kelimeler

İntrakranial tümör, 3 boyutlu yazıcı, Nöroşirurji eğitimi

Kaynakça

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