Skip to main content
Erschienen in: Acta Neurochirurgica 9/2017

15.05.2017 | Original Article - Neurosurgery Training

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

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

Erschienen in: Acta Neurochirurgica | Ausgabe 9/2017

Einloggen, um Zugang zu erhalten

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.
Literatur
1.
Zurück zum Zitat Choi JY, Choi JH, Kim NK, Kim Y, Lee JK, Kim MK, Lee JH, Kim MJ (2002) Analysis of errors in medical rapid prototyping models. Int J Oral Maxillofac Surg 31:23–32CrossRefPubMed Choi JY, Choi JH, Kim NK, Kim Y, Lee JK, Kim MK, Lee JH, Kim MJ (2002) Analysis of errors in medical rapid prototyping models. Int J Oral Maxillofac Surg 31:23–32CrossRefPubMed
2.
Zurück zum Zitat Csókay A, Papp A, Imreh D, Czabajszky M, Valálik I, Antalfi B (2013) Modelling pathology from autolog fresh cadaver organs as a novel concept in neurosurgical training. Acta Neurochir (Wien) 155:1993–1995CrossRef Csókay A, Papp A, Imreh D, Czabajszky M, Valálik I, Antalfi B (2013) Modelling pathology from autolog fresh cadaver organs as a novel concept in neurosurgical training. Acta Neurochir (Wien) 155:1993–1995CrossRef
3.
Zurück zum Zitat Dagtekin A, Avci E, Uzmansel D, Kurtoglu Z, Kara E, Uluc K, Akture E, Baskaya MK (2014) Microsurgical anatomy and variations of the anterior clinoid process. Turk Neurosurg 24:484–493PubMed Dagtekin A, Avci E, Uzmansel D, Kurtoglu Z, Kara E, Uluc K, Akture E, Baskaya MK (2014) Microsurgical anatomy and variations of the anterior clinoid process. Turk Neurosurg 24:484–493PubMed
4.
Zurück zum Zitat Dolenc VV (1985) A combined epi- and subdural direct approach to carotid-ophthalmic artery aneurysms. J Neurosurg 62:667–672CrossRefPubMed Dolenc VV (1985) A combined epi- and subdural direct approach to carotid-ophthalmic artery aneurysms. J Neurosurg 62:667–672CrossRefPubMed
5.
Zurück zum Zitat Harada N, Kondo K, Miyazaki C, Nomoto J, Kitajima S, Nemoto M, Uekusa H, Harada M, Sugo N (2011) Modified three-dimensional brain model for study of the trans-sylvian approach. Neurol Med Chir (Tokyo) 51:567–571CrossRef Harada N, Kondo K, Miyazaki C, Nomoto J, Kitajima S, Nemoto M, Uekusa H, Harada M, Sugo N (2011) Modified three-dimensional brain model for study of the trans-sylvian approach. Neurol Med Chir (Tokyo) 51:567–571CrossRef
6.
Zurück zum Zitat Huotilainen E, Jaanimets R, Valášek J, Marcián P, Salmi M, Tuomi J, Mäkitie A, Wolff J (2014) Inaccuracies in additive manufactured medical skull models caused by the DICOM to STL conversion process. J Craniomaxillofac Surg 42:259–265CrossRef Huotilainen E, Jaanimets R, Valášek J, Marcián P, Salmi M, Tuomi J, Mäkitie A, Wolff J (2014) Inaccuracies in additive manufactured medical skull models caused by the DICOM to STL conversion process. J Craniomaxillofac Surg 42:259–265CrossRef
7.
Zurück zum Zitat Kondo K, Nemoto M, Masuda H, Okonogi S, Nomoto J, Harada N, Sugo N, Miyazaki C (2015) Anatomical reproducibility of a head model molded by a three-dimensional printer. Neurol Med Chir (Tokyo) 55:592–598CrossRef Kondo K, Nemoto M, Masuda H, Okonogi S, Nomoto J, Harada N, Sugo N, Miyazaki C (2015) Anatomical reproducibility of a head model molded by a three-dimensional printer. Neurol Med Chir (Tokyo) 55:592–598CrossRef
8.
Zurück zum Zitat Kondo K, Harada N, Masuda H, Sugo N, Terazono S, Okonogi S, Sakaeyama Y, Fuchinoue Y, Ando S, Fukushima D, Nomoto J, Nemoto M (2016) A neurosurgical simulation of skull base tumors using a 3D printed rapid prototyping model containing mesh structures. Acta Neurochir (Wien) 158:1213–1219CrossRef Kondo K, Harada N, Masuda H, Sugo N, Terazono S, Okonogi S, Sakaeyama Y, Fuchinoue Y, Ando S, Fukushima D, Nomoto J, Nemoto M (2016) A neurosurgical simulation of skull base tumors using a 3D printed rapid prototyping model containing mesh structures. Acta Neurochir (Wien) 158:1213–1219CrossRef
9.
Zurück zum Zitat Konno T, Mashiko T, Oguma H, Kaneko N, Otani K, Watanabe E (2016) Rapid 3-dimensional models of cerebral aneurysm for emergency surgical clipping. No Shinkei Geka 44:651–660PubMed Konno T, Mashiko T, Oguma H, Kaneko N, Otani K, Watanabe E (2016) Rapid 3-dimensional models of cerebral aneurysm for emergency surgical clipping. No Shinkei Geka 44:651–660PubMed
10.
Zurück zum Zitat Kulwin C, Tubbs RS, Cohen-Gadol AA (2011) Anterior clinoidectomy: description of an alternative hybrid method and a review of the current techniques with an emphasis on complication avoidance. Surg Neurol Int 2:140CrossRefPubMedPubMedCentral Kulwin C, Tubbs RS, Cohen-Gadol AA (2011) Anterior clinoidectomy: description of an alternative hybrid method and a review of the current techniques with an emphasis on complication avoidance. Surg Neurol Int 2:140CrossRefPubMedPubMedCentral
11.
Zurück zum Zitat Lehmberg J, Krieg SM, Meyer B (2014) Anterior clinoidectomy. Acta Neurochir (Wien) 156:415–419CrossRef Lehmberg J, Krieg SM, Meyer B (2014) Anterior clinoidectomy. Acta Neurochir (Wien) 156:415–419CrossRef
12.
Zurück zum Zitat Mashiko T, Otani K, Kawano R, Konno T, Kaneko N, Ito Y, Watanabe E (2015) Development of three-dimensional hollow elastic model for cerebral aneurysm clipping simulation enabling rapid and low cost prototyping. World Neurosurg 83:351–361CrossRefPubMed Mashiko T, Otani K, Kawano R, Konno T, Kaneko N, Ito Y, Watanabe E (2015) Development of three-dimensional hollow elastic model for cerebral aneurysm clipping simulation enabling rapid and low cost prototyping. World Neurosurg 83:351–361CrossRefPubMed
13.
Zurück zum Zitat Matsushima T, Kawashima M, Matsushima K, Wanibuchi M (2015) Japanese neurosurgeons and microsurgical anatomy: a historical review. Neurol Med Chir (Tokyo) 55:276–285CrossRef Matsushima T, Kawashima M, Matsushima K, Wanibuchi M (2015) Japanese neurosurgeons and microsurgical anatomy: a historical review. Neurol Med Chir (Tokyo) 55:276–285CrossRef
14.
Zurück zum Zitat Oishi M, Fukuda M, Yajima N, Yoshida K, Takahashi M, Hiraishi T, Takao T, Saito A, Fujii Y (2013) Interactive presurgical simulation applying advanced 3D imaging and modeling techniques for skull base and deep tumors. J Neurosurg 119:94–105CrossRefPubMed Oishi M, Fukuda M, Yajima N, Yoshida K, Takahashi M, Hiraishi T, Takao T, Saito A, Fujii Y (2013) Interactive presurgical simulation applying advanced 3D imaging and modeling techniques for skull base and deep tumors. J Neurosurg 119:94–105CrossRefPubMed
15.
Zurück zum Zitat Olszewski R, Szymor P, Kozakiewicz M (2014) Accuracy of three-dimensional, paper-based models generated using a low-cost, three-dimensional printer. J Craniomaxillofac Surg 42:1847–1852CrossRefPubMed Olszewski R, Szymor P, Kozakiewicz M (2014) Accuracy of three-dimensional, paper-based models generated using a low-cost, three-dimensional printer. J Craniomaxillofac Surg 42:1847–1852CrossRefPubMed
16.
Zurück zum Zitat Pluim JP, Maintz JB, Viergever MA (2000) Image registration by maximization of combined mutual information and gradient information. IEEE Trans Med Imaging 19:809–814CrossRefPubMed Pluim JP, Maintz JB, Viergever MA (2000) Image registration by maximization of combined mutual information and gradient information. IEEE Trans Med Imaging 19:809–814CrossRefPubMed
17.
Zurück zum Zitat Sai Kiran NA, Furtado SV, Hegde AS (2013) How I do it: anterior clinoidectomy and optic canal unroofing for microneurosurgical management of ophthalmic segment aneurysms. Acta Neurochir (Wien) 155:1025–1029CrossRef Sai Kiran NA, Furtado SV, Hegde AS (2013) How I do it: anterior clinoidectomy and optic canal unroofing for microneurosurgical management of ophthalmic segment aneurysms. Acta Neurochir (Wien) 155:1025–1029CrossRef
18.
Zurück zum Zitat Son HE, Park MS, Kim SM, Jung SS, Park KS, Chung SY (2010) The avoidance of microsurgical complications in the extradural anterior clinoidectomy to paraclinoid aneurysms. J Korean Neurosurg Soc 48:199–206CrossRefPubMedPubMedCentral Son HE, Park MS, Kim SM, Jung SS, Park KS, Chung SY (2010) The avoidance of microsurgical complications in the extradural anterior clinoidectomy to paraclinoid aneurysms. J Korean Neurosurg Soc 48:199–206CrossRefPubMedPubMedCentral
19.
Zurück zum Zitat Spektor S, Dotan S, Mizrahi CJ (2013) Safety of drilling for clinoidectomy and optic canal unroofing in anterior skull base surgery. Acta Neurochir (Wien). 155:1017–1024CrossRefPubMed Spektor S, Dotan S, Mizrahi CJ (2013) Safety of drilling for clinoidectomy and optic canal unroofing in anterior skull base surgery. Acta Neurochir (Wien). 155:1017–1024CrossRefPubMed
20.
Zurück zum Zitat Sumida M, Arita K, Migita K, Iida K, Kurisu K, Uozumi T (1998) Demonstration of the optic pathway in sellar/juxtasellar tumours with visual disturbance on MR imaging. Acta Neurochir (Wien) 140:541–548CrossRef Sumida M, Arita K, Migita K, Iida K, Kurisu K, Uozumi T (1998) Demonstration of the optic pathway in sellar/juxtasellar tumours with visual disturbance on MR imaging. Acta Neurochir (Wien) 140:541–548CrossRef
21.
Zurück zum Zitat Suri A, Patra DP, Meena RK (2016) Simulation in neurosurgery: past, present, and future. Neurol India 64:387–395CrossRefPubMed Suri A, Patra DP, Meena RK (2016) Simulation in neurosurgery: past, present, and future. Neurol India 64:387–395CrossRefPubMed
22.
Zurück zum Zitat Tai BL, Rooney D, Stephenson F, Liao PS, Sagher O, Shih AJ, Savastano LE (2015) Development of a 3D-printed external ventricular drain placement simulator: technical note. J Neurosurg 123:1070–1076CrossRefPubMed Tai BL, Rooney D, Stephenson F, Liao PS, Sagher O, Shih AJ, Savastano LE (2015) Development of a 3D-printed external ventricular drain placement simulator: technical note. J Neurosurg 123:1070–1076CrossRefPubMed
23.
Zurück zum Zitat Vakharia VN, Vakharia NN, Hill CS (2016) Review of 3-dimensional printing on cranial neurosurgery simulation training. World Neurosurg 88:188–198CrossRefPubMed Vakharia VN, Vakharia NN, Hill CS (2016) Review of 3-dimensional printing on cranial neurosurgery simulation training. World Neurosurg 88:188–198CrossRefPubMed
24.
Zurück zum Zitat Watanabe K, Kakeda S, Yamamoto J, Watanabe R, Nishimura J, Ohnari N, Nishizawa S, Korogi Y (2012) Delineation of optic nerves and chiasm in close proximity to large suprasellar tumors with contrast-enhanced FIESTA MR imaging. Radiology 264:852–858CrossRefPubMed Watanabe K, Kakeda S, Yamamoto J, Watanabe R, Nishimura J, Ohnari N, Nishizawa S, Korogi Y (2012) Delineation of optic nerves and chiasm in close proximity to large suprasellar tumors with contrast-enhanced FIESTA MR imaging. Radiology 264:852–858CrossRefPubMed
25.
Zurück zum Zitat Yokoi T, Soma T, Shinohara H, Matsuda H (2004) Accuracy and reproducibility of co-registration techniques based on mutual information and normalized mutual information for MRI and SPECT brain images. Ann Nucl Med 18:659–667CrossRefPubMed Yokoi T, Soma T, Shinohara H, Matsuda H (2004) Accuracy and reproducibility of co-registration techniques based on mutual information and normalized mutual information for MRI and SPECT brain images. Ann Nucl Med 18:659–667CrossRefPubMed
26.
Zurück zum Zitat Yonekawa Y, Ogata N, Imhof HG, Olivecrona M, Strommer K, Kwak TE, Roth P, Groscurth P (1997) Selective extradural anterior clinoidectomy for supra- and parasellar processes. J Neurosurg 87:636–642CrossRefPubMed Yonekawa Y, Ogata N, Imhof HG, Olivecrona M, Strommer K, Kwak TE, Roth P, Groscurth P (1997) Selective extradural anterior clinoidectomy for supra- and parasellar processes. J Neurosurg 87:636–642CrossRefPubMed
Metadaten
Titel
Operative simulation of anterior clinoidectomy using a rapid prototyping model molded by a three-dimensional printer
verfasst von
Shinichi Okonogi
Kosuke Kondo
Naoyuki Harada
Hiroyuki Masuda
Masaaki Nemoto
Nobuo Sugo
Publikationsdatum
15.05.2017
Verlag
Springer Vienna
Erschienen in
Acta Neurochirurgica / Ausgabe 9/2017
Print ISSN: 0001-6268
Elektronische ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-017-3202-4

Weitere Artikel der Ausgabe 9/2017

Acta Neurochirurgica 9/2017 Zur Ausgabe

Leitlinien kompakt für die Neurologie

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Neu im Fachgebiet Neurologie

Update Neurologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.