Clinical situations for which 3D printing is considered an appropriate representation or extension of data contained in a medical imaging examination: adult cardiac conditions

Arafat Ali; David H Ballard; Waleed Althobaity; Andy Christensen; Mariah Geritano; Michelle Ho; Peter Liacouras; Jane Matsumoto; Jonathan Morris; Justin Ryan; Rami Shorti; Nicole Wake; Frank J Rybicki; Adnan Sheikh; RSNA 3D Printing Special Interest Group

doi:10.1186/s41205-020-00078-1

Clinical situations for which 3D printing is considered an appropriate representation or extension of data contained in a medical imaging examination: adult cardiac conditions

3D Print Med. 2020 Sep 23;6(1):24. doi: 10.1186/s41205-020-00078-1.

Authors

Affiliations

¹ Department of Radiology, University of Cincinnati Medical Center, Cincinnati, OH, USA. Alia4@ucmail.uc.edu.
² Mallinckrodt Institute of Radiology, Washington University School of Medicine, Saint Louis, MO, USA.
³ King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
⁴ Department of Radiology and The Ottawa Hospital Research Institute, University of Ottawa, Ottawa, ON, Canada.
⁵ Boston Children's Hospital, Boston, MA, USA.
⁶ Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.
⁷ 3D Medical Applications Center, Walter Reed National Military Medical Center, Washington, DC, USA.
⁸ Department of Radiology, Mayo Clinic, Rochester, MN, USA.
⁹ Rady Children's Hospital, San Diego, CA, USA.
¹⁰ Intermountain Healthcare, South Jordan, UT, USA.
¹¹ Department of Radiology, Montefiore Medical Center, Bronx, NY, USA.
¹² Department of Radiology, University of Cincinnati Medical Center, Cincinnati, OH, USA.

Abstract

Background: Medical 3D printing as a component of care for adults with cardiovascular diseases has expanded dramatically. A writing group composed of the Radiological Society of North America (RSNA) Special Interest Group on 3D Printing (SIG) provides appropriateness criteria for adult cardiac 3D printing indications.

Methods: A structured literature search was conducted to identify all relevant articles using 3D printing technology associated with a number of adult cardiac indications, physiologic, and pathologic processes. Each study was vetted by the authors and graded according to published guidelines.

Results: Evidence-based appropriateness guidelines are provided for the following areas in adult cardiac care; cardiac fundamentals, perioperative and intraoperative care, coronary disease and ischemic heart disease, complications of myocardial infarction, valve disease, cardiac arrhythmias, cardiac neoplasm, cardiac transplant and mechanical circulatory support, heart failure, preventative cardiology, cardiac and pericardial disease and cardiac trauma.

Conclusions: Adoption of common clinical standards regarding appropriate use, information and material management, and quality control are needed to ensure the greatest possible clinical benefit from 3D printing. This consensus guideline document, created by the members of the RSNA 3D printing Special Interest Group, will provide a reference for clinical standards of 3D printing for adult cardiac indications.

Keywords: 3D printing; Additive Manufacturing; Adult Cardiology; Anatomic Model; Appropriateness; Guidelines; Left Atrial Appendage; Quality; Radiology; Transcatheter Aortic Valve Replacement.