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

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          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.

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          Most cited references126

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          Cardiac 3D Printing and its Future Directions.

          Three-dimensional (3D) printing is at the crossroads of printer and materials engineering, noninvasive diagnostic imaging, computer-aided design, and structural heart intervention. Cardiovascular applications of this technology development include the use of patient-specific 3D models for medical teaching, exploration of valve and vessel function, surgical and catheter-based procedural planning, and early work in designing and refining the latest innovations in percutaneous structural devices. In this review, we discuss the methods and materials being used for 3D printing today. We discuss the basic principles of clinical image segmentation, including coregistration of multiple imaging datasets to create an anatomic model of interest. With applications in congenital heart disease, coronary artery disease, and surgical and catheter-based structural disease, 3D printing is a new tool that is challenging how we image, plan, and carry out cardiovascular interventions.
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            Left Atrial Appendage Closure as an Alternative to Warfarin for Stroke Prevention in Atrial Fibrillation: A Patient-Level Meta-Analysis.

            The risk-benefit ratio of left atrial appendage closure (LAAC) versus systemic therapy (warfarin) for prevention of stroke, systemic embolism, and cardiovascular death in nonvalvular atrial fibrillation (NVAF) requires continued evaluation.
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              Is Open Access

              Radiological Society of North America (RSNA) 3D printing Special Interest Group (SIG): guidelines for medical 3D printing and appropriateness for clinical scenarios

              Medical three-dimensional (3D) printing has expanded dramatically over the past three decades with growth in both facility adoption and the variety of medical applications. Consideration for each step required to create accurate 3D printed models from medical imaging data impacts patient care and management. In this paper, a writing group representing the Radiological Society of North America Special Interest Group on 3D Printing (SIG) provides recommendations that have been vetted and voted on by the SIG active membership. This body of work includes appropriate clinical use of anatomic models 3D printed for diagnostic use in the care of patients with specific medical conditions. The recommendations provide guidance for approaches and tools in medical 3D printing, from image acquisition, segmentation of the desired anatomy intended for 3D printing, creation of a 3D-printable model, and post-processing of 3D printed anatomic models for patient care.
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                Author and article information

                Contributors
                Alia4@ucmail.uc.edu
                Journal
                3D Print Med
                3D Print Med
                3D Printing in Medicine
                Springer International Publishing (Cham )
                2365-6271
                23 September 2020
                23 September 2020
                December 2020
                : 6
                : 24
                Affiliations
                [1 ]GRID grid.413561.4, ISNI 0000 0000 9881 9161, Department of Radiology, , University of Cincinnati Medical Center, ; Cincinnati, OH USA
                [2 ]GRID grid.4367.6, ISNI 0000 0001 2355 7002, Mallinckrodt Institute of Radiology, Washington University School of Medicine, ; Saint Louis, MO USA
                [3 ]GRID grid.415310.2, ISNI 0000 0001 2191 4301, King Faisal Specialist Hospital and Research Centre, ; Riyadh, Saudi Arabia
                [4 ]GRID grid.28046.38, ISNI 0000 0001 2182 2255, Department of Radiology and The Ottawa Hospital Research Institute, , University of Ottawa, ; Ottawa, ON Canada
                [5 ]GRID grid.2515.3, ISNI 0000 0004 0378 8438, Boston Children’s Hospital, ; Boston, MA USA
                [6 ]GRID grid.265008.9, ISNI 0000 0001 2166 5843, Sidney Kimmel Medical College, , Thomas Jefferson University, ; Philadelphia, PA USA
                [7 ]GRID grid.414467.4, ISNI 0000 0001 0560 6544, 3D Medical Applications Center, , Walter Reed National Military Medical Center, ; Washington, DC USA
                [8 ]GRID grid.66875.3a, ISNI 0000 0004 0459 167X, Department of Radiology, , Mayo Clinic, ; Rochester, MN USA
                [9 ]GRID grid.286440.c, ISNI 0000 0004 0383 2910, Rady Children’s Hospital, ; San Diego, CA USA
                [10 ]GRID grid.420884.2, ISNI 0000 0004 0460 774X, Intermountain Healthcare, ; South Jordan, UT USA
                [11 ]GRID grid.240283.f, ISNI 0000 0001 2152 0791, Department of Radiology, , Montefiore Medical Center, ; Bronx, NY USA
                Author information
                http://orcid.org/0000-0001-6541-8991
                Article
                78
                10.1186/s41205-020-00078-1
                7510265
                32965536
                e9d3a08c-b6e7-4741-8d95-9038442fadd0
                © The Author(s) 2020

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 13 January 2020
                : 4 September 2020
                Categories
                Research
                Custom metadata
                © The Author(s) 2020

                3d printing,appropriateness,guidelines,quality,radiology,additive manufacturing,anatomic model,adult cardiology,left atrial appendage,transcatheter aortic valve replacement

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