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Erschienen in: European Radiology 11/2018

22.05.2018 | Interventional

A radiopaque 3D printed, anthropomorphic phantom for simulation of CT-guided procedures

verfasst von: Paul Jahnke, Felix Benjamin Schwarz, Marco Ziegert, Tobias Almasi, Owais Abdelhadi, Maximilian Nunninger, Bernd Hamm, Michael Scheel

Erschienen in: European Radiology | Ausgabe 11/2018

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Abstract

Objectives

To develop an anthropomorphic phantom closely mimicking patient anatomy and to evaluate the phantom for the simulation of computed tomography (CT)-guided procedures.

Methods

Patient CT images were printed with aqueous potassium iodide solution (1 g/mL) on paper. The printed paper sheets were stacked in alternation with 1-mm thick polyethylene foam layers, cut to the patient shape and glued together to create an anthropomorphic abdomen phantom. Ten interventional radiologists performed periradicular infiltration on the phantom and rated the phantom procedure regarding different aspects of suitability for simulating CT-guided procedures.

Results

Radiopaque printing in combination with polyethylene foam layers achieved a phantom with detailed patient anatomy that allowed needle placement. CT-guided periradicular infiltration on the phantom was rated highly realistic for simulation of anatomy, needle navigation and overall course of the procedure. Haptics were rated as intermediately realistic. Participants strongly agreed that the phantom was suitable for training and learning purposes.

Conclusions

A radiopaque 3D printed, anthropomorphic phantom provides a realistic platform for the simulation of CT-guided procedures. Future work will focus on application for training and procedure optimisation.

Key Points

Radiopaque 3D printing combined with polyethylene foam achieves patient phantoms for CT-guided procedures.
Radiopaque 3D printed, anthropomorphic phantoms allow realistic simulation of CT-guided procedures.
Realistic visual guidance is a key aspect in simulation of CT-guided procedures.
Three-dimensional printed phantoms provide a platform for training and optimisation of CT-guided procedures.
Literatur
1.
Zurück zum Zitat Ahlberg G, Enochsson L, Gallagher AG et al (2007) Proficiency-based virtual reality training significantly reduces the error rate for residents during their first 10 laparoscopic cholecystectomies. Am J Surg 193:797–804CrossRef Ahlberg G, Enochsson L, Gallagher AG et al (2007) Proficiency-based virtual reality training significantly reduces the error rate for residents during their first 10 laparoscopic cholecystectomies. Am J Surg 193:797–804CrossRef
2.
Zurück zum Zitat MacDonald J, Ketchum J, Williams RG, Rogers LQ (2003) A lay person versus a trained endoscopist: can the preop endoscopy simulator detect a difference? Surg Endosc 17:896–898CrossRef MacDonald J, Ketchum J, Williams RG, Rogers LQ (2003) A lay person versus a trained endoscopist: can the preop endoscopy simulator detect a difference? Surg Endosc 17:896–898CrossRef
3.
Zurück zum Zitat Waterman BR, Martin KD, Cameron KL, Owens BD, Belmont PJ (2016) Simulation training improves surgical proficiency and safety during diagnostic shoulder arthroscopy performed by residents. Orthopedics 39:e479–e485CrossRef Waterman BR, Martin KD, Cameron KL, Owens BD, Belmont PJ (2016) Simulation training improves surgical proficiency and safety during diagnostic shoulder arthroscopy performed by residents. Orthopedics 39:e479–e485CrossRef
4.
Zurück zum Zitat Thomsen AS, Bach-Holm D, Kjærbo H et al (2017) Operating room performance improves after proficiency-based virtual reality cataract surgery Training. Ophthalmology 124:524–531CrossRef Thomsen AS, Bach-Holm D, Kjærbo H et al (2017) Operating room performance improves after proficiency-based virtual reality cataract surgery Training. Ophthalmology 124:524–531CrossRef
5.
Zurück zum Zitat Draycott TJ, Crofts JF, Ash JP et al (2008) Improving neonatal outcome through practical shoulder dystocia training. Obstet Gynecol 112:14–20CrossRef Draycott TJ, Crofts JF, Ash JP et al (2008) Improving neonatal outcome through practical shoulder dystocia training. Obstet Gynecol 112:14–20CrossRef
6.
Zurück zum Zitat Pannell JS, Santiago-Dieppa DR, Wali AR et al (2016) Simulator-based angiography and endovascular neurosurgery curriculum: a longitudinal evaluation of performance following simulator-based angiography training. Cureus 8:e756PubMedPubMedCentral Pannell JS, Santiago-Dieppa DR, Wali AR et al (2016) Simulator-based angiography and endovascular neurosurgery curriculum: a longitudinal evaluation of performance following simulator-based angiography training. Cureus 8:e756PubMedPubMedCentral
7.
Zurück zum Zitat Barsuk JH, McGaghie WC, Cohen ER, O'Leary KJ, Wayne DB (2009) Simulation-based mastery learning reduces complications during central venous catheter insertion in a medical intensive care unit. Crit Care Med 37:2697–2701PubMed Barsuk JH, McGaghie WC, Cohen ER, O'Leary KJ, Wayne DB (2009) Simulation-based mastery learning reduces complications during central venous catheter insertion in a medical intensive care unit. Crit Care Med 37:2697–2701PubMed
8.
Zurück zum Zitat Zendejas B, Cook DA, Bingener J et al (2011) Simulation-based mastery learning improves patient outcomes in laparoscopic inguinal hernia repair: a randomized controlled trial. Ann Surg 254:502–509 discussion 509-511CrossRef Zendejas B, Cook DA, Bingener J et al (2011) Simulation-based mastery learning improves patient outcomes in laparoscopic inguinal hernia repair: a randomized controlled trial. Ann Surg 254:502–509 discussion 509-511CrossRef
9.
Zurück zum Zitat Cohen ER, Feinglass J, Barsuk JH et al (2010) Cost savings from reduced catheter-related bloodstream infection after simulation-based education for residents in a medical intensive care unit. Simul Healthc 5:98–102CrossRef Cohen ER, Feinglass J, Barsuk JH et al (2010) Cost savings from reduced catheter-related bloodstream infection after simulation-based education for residents in a medical intensive care unit. Simul Healthc 5:98–102CrossRef
10.
Zurück zum Zitat Gomoll AH, O'Toole RV, Czarnecki J, Warner JJ (2007) Surgical experience correlates with performance on a virtual reality simulator for shoulder arthroscopy. Am J Sports Med 35:883–888CrossRef Gomoll AH, O'Toole RV, Czarnecki J, Warner JJ (2007) Surgical experience correlates with performance on a virtual reality simulator for shoulder arthroscopy. Am J Sports Med 35:883–888CrossRef
11.
Zurück zum Zitat Dimmick S, Jones M, Challen J, Iedema J, Wattuhewa U, Coucher J (2007) CT-guided procedures: evaluation of a phantom system to teach accurate needle placement. Clin Radiol 62:166–171CrossRef Dimmick S, Jones M, Challen J, Iedema J, Wattuhewa U, Coucher J (2007) CT-guided procedures: evaluation of a phantom system to teach accurate needle placement. Clin Radiol 62:166–171CrossRef
12.
Zurück zum Zitat Mendiratta-Lala M, Williams TR, Mendiratta V, Ahmed H, Bonnett JW (2015) Simulation center training as a means to improve resident performance in percutaneous noncontinuous CT-guided fluoroscopic procedures with dose reduction. AJR Am J Roentgenol 204:W376–W383CrossRef Mendiratta-Lala M, Williams TR, Mendiratta V, Ahmed H, Bonnett JW (2015) Simulation center training as a means to improve resident performance in percutaneous noncontinuous CT-guided fluoroscopic procedures with dose reduction. AJR Am J Roentgenol 204:W376–W383CrossRef
13.
Zurück zum Zitat Gruber-Rouh T, Lee C, Bolck J et al (2015) Intervention planning using a laser navigation system for ct-guided interventions: a phantom and patient study. Korean J Radiol 16:729–735CrossRef Gruber-Rouh T, Lee C, Bolck J et al (2015) Intervention planning using a laser navigation system for ct-guided interventions: a phantom and patient study. Korean J Radiol 16:729–735CrossRef
14.
Zurück zum Zitat Jacobi V, Thalhammer A, Kirchner J (1999) Value of a laser guidance system for CT interventions: a phantom study. Eur Radiol 9:137–140CrossRef Jacobi V, Thalhammer A, Kirchner J (1999) Value of a laser guidance system for CT interventions: a phantom study. Eur Radiol 9:137–140CrossRef
15.
Zurück zum Zitat Moser C, Becker J, Deli M, Busch M, Boehme M, Groenemeyer DH (2013) A novel Laser Navigation System reduces radiation exposure and improves accuracy and workflow of CT-guided spinal interventions: a prospective, randomized, controlled, clinical trial in comparison to conventional freehand puncture. Eur J Radiol 82:627–632CrossRef Moser C, Becker J, Deli M, Busch M, Boehme M, Groenemeyer DH (2013) A novel Laser Navigation System reduces radiation exposure and improves accuracy and workflow of CT-guided spinal interventions: a prospective, randomized, controlled, clinical trial in comparison to conventional freehand puncture. Eur J Radiol 82:627–632CrossRef
16.
Zurück zum Zitat Nitta N, Takahashi M, Tanaka T et al (2007) Laser-guided computed tomography puncture system: simulation experiments using artificial phantom lesions and preliminary clinical experience. Radiat Med 25:187–193CrossRef Nitta N, Takahashi M, Tanaka T et al (2007) Laser-guided computed tomography puncture system: simulation experiments using artificial phantom lesions and preliminary clinical experience. Radiat Med 25:187–193CrossRef
17.
Zurück zum Zitat Jahnke P, Limberg FR, Gerbl A et al (2017) Radiopaque three-dimensional printing: a method to create realistic CT phantoms. Radiology 282:569–575CrossRef Jahnke P, Limberg FR, Gerbl A et al (2017) Radiopaque three-dimensional printing: a method to create realistic CT phantoms. Radiology 282:569–575CrossRef
18.
Zurück zum Zitat Feigl GC, Dreu M, Kastner M et al (2017) Thermocoagulation of the medial branch of the dorsal branch of the lumbal spinal nerve: flouroscopy versus CT. Pain Med 18:36–40CrossRef Feigl GC, Dreu M, Kastner M et al (2017) Thermocoagulation of the medial branch of the dorsal branch of the lumbal spinal nerve: flouroscopy versus CT. Pain Med 18:36–40CrossRef
19.
Zurück zum Zitat Kroes MW, Busser WM, Fütterer JJ et al (2013) Assessment of needle guidance devices for their potential to reduce fluoroscopy time and operator hand dose during C-arm cone-beam computed tomography-guided needle interventions. J Vasc Interv Radiol 24:901–906CrossRef Kroes MW, Busser WM, Fütterer JJ et al (2013) Assessment of needle guidance devices for their potential to reduce fluoroscopy time and operator hand dose during C-arm cone-beam computed tomography-guided needle interventions. J Vasc Interv Radiol 24:901–906CrossRef
20.
Zurück zum Zitat Schulz B, Eichler K, Siebenhandl P et al (2013) Accuracy and speed of robotic assisted needle interventions using a modern cone beam computed tomography intervention suite: a phantom study. Eur Radiol 23:198–204CrossRef Schulz B, Eichler K, Siebenhandl P et al (2013) Accuracy and speed of robotic assisted needle interventions using a modern cone beam computed tomography intervention suite: a phantom study. Eur Radiol 23:198–204CrossRef
21.
Zurück zum Zitat Won HJ, Kim N, Kim GB, Seo JB, Kim H (2017) Validation of a CT-guided intervention robot for biopsy and radiofrequency ablation: experimental study with an abdominal phantom. Diagn Interv Radiol 23:233–237CrossRef Won HJ, Kim N, Kim GB, Seo JB, Kim H (2017) Validation of a CT-guided intervention robot for biopsy and radiofrequency ablation: experimental study with an abdominal phantom. Diagn Interv Radiol 23:233–237CrossRef
Metadaten
Titel
A radiopaque 3D printed, anthropomorphic phantom for simulation of CT-guided procedures
verfasst von
Paul Jahnke
Felix Benjamin Schwarz
Marco Ziegert
Tobias Almasi
Owais Abdelhadi
Maximilian Nunninger
Bernd Hamm
Michael Scheel
Publikationsdatum
22.05.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
European Radiology / Ausgabe 11/2018
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-018-5481-4

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