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Personalized 3D printed model of kidney and tumor anatomy: a useful tool for patient education

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World Journal of Urology Aims and scope Submit manuscript

Abstract

Purpose

To assess the impact of 3D printed models of renal tumor on patient’s understanding of their conditions. Patient understanding of their medical condition and treatment satisfaction has gained increasing attention in medicine. Novel technologies such as additive manufacturing [also termed three-dimensional (3D) printing] may play a role in patient education.

Methods

A prospective pilot study was conducted, and seven patients with a primary diagnosis of kidney tumor who were being considered for partial nephrectomy were included after informed consent. All patients underwent four-phase multi-detector computerized tomography (MDCT) scanning from which renal volume data were extracted to create life-size patient-specific 3D printed models. Patient knowledge and understanding were evaluated before and after 3D model presentation. Patients’ satisfaction with their specific 3D printed model was also assessed through a visual scale.

Results

After viewing their personal 3D kidney model, patients demonstrated an improvement in understanding of basic kidney physiology by 16.7 % (p = 0.018), kidney anatomy by 50 % (p = 0.026), tumor characteristics by 39.3 % (p = 0.068) and the planned surgical procedure by 44.6 % (p = 0.026).

Conclusion

Presented herein is the initial clinical experience with 3D printing to facilitate patient’s pre-surgical understanding of their kidney tumor and surgery.

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References

  1. Jayson M, Sanders H (1998) Increased incidence of serendipitously discovered renal cell carcinoma. Urology 51(2):203–205

    Article  CAS  PubMed  Google Scholar 

  2. Jones N (2012) Science in three dimensions: the print revolution. Nature 487:22–23

    Article  CAS  PubMed  Google Scholar 

  3. Cohen A, Laviv A, Berman P, Nashef R, Abu-Tair J (2009) Mandibular reconstruction using stereolithographic 3-dimensional printing modeling technology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 108:661–666

    Article  PubMed  Google Scholar 

  4. Duncan JM, Daurka J, Akhtar K (2014) Use of 3D printing in orthopaedic surgery. BMJ 348:g2963

    Article  Google Scholar 

  5. Silberstein JL, Maddox MM, Dorsey P, Feibus A, Thomas R, Lee BR (2014) Physical models of renal malignancies using standard cross-sectional imaging and 3-dimensional printers: a pilot study. Urology 84:268–272

    Article  PubMed  Google Scholar 

  6. Eltorai AE, Sharma P, Wang J, Daniels AH (2015) Most American Academy of Orthopaedic Surgeons’ online patient education material exceeds average patient reading level. Clin Orthop Relat Res 473(4):1181–1186

  7. Kennedy GD, Tevis SE, Kent KC (2014) Is there a relationship between patient satisfaction and favorable outcomes? Ann Surg 260:592–598

    Article  PubMed Central  PubMed  Google Scholar 

  8. Watson RA (2014) A low-cost surgical application of additive fabrication. J Surg Educ 17:14–17

    Article  Google Scholar 

  9. A factory on your desk. Manufacturing: producing solid objects, even quite complex ones, with 3D printers is gradually becoming easier and cheaper. The Economist 3, September 2009. Accessed 15 Mar 2015

  10. 3D printing scales up. The Economist 3, September 2013. Accessed 15 Mar 2015

  11. Kutikov A, Uzzo RG (2009) The RENAL nephrometry score: a comprehensive standardized system for quantitating renal tumor size, location and depth. J Urol 182:844–853

    Article  PubMed  Google Scholar 

  12. Ficarra V, Novara G, Secco S et al (2009) Preoperative aspects and dimensions used for an anatomical (PADUA) classification of renal tumours in patients who are candidates for nephron-sparing surgery. Eur Urol 56:786–793

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

Fondation ARC pour la Recherche sur le Cancer (SAE20131200704) : Dr Jean-Christophe Bernhard; Association Française d'Urologie (AFU) (AFU-2013) : Dr Jean-Christophe Bernhard; The Glenn & Wendy Miller/Inderbir Gill Kidney Cancer Program : Inderbir S Gill.

Author information

Authors and Affiliations

  1. The Glenn & Wendy Miller/Inderbir Gill Kidney Cancer Program, USC Institute of Urology, University of Southern California, Los Angeles, CA, USA

    Jean-Christophe Bernhard, Toru Matsugasumi, Andrew J. Hung, Evren Suer, Eduard Baco, Raj Satkunasivam, Hooman Djaladat, Charles Metcalfe, Brian Hu, Kelvin Wong, Daniel Park, Mike Nguyen, Soroush T. Bazargani, Andre Luis de Castro Abreu, Monish Aron, Osamu Ukimura & Inderbir S. Gill

  2. Department of Urology, CHU of Bordeaux – University of Bordeaux, Place Amélie Raba Léon, 33076, Bordeaux Cedex, France

    Jean-Christophe Bernhard

  3. French Research network on Kidney Cancer (UroCCR), Bordeaux, France

    Jean-Christophe Bernhard

  4. Department of Urology, Teikyo University, Tokyo, Japan

    Shuji Isotani

  5. Department of Radiology, University of Southern California, Los Angeles, CA, USA

    Vinay Duddalwar & Darryl Hwang

Authors
  1. Jean-Christophe Bernhard
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  2. Shuji Isotani
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  3. Toru Matsugasumi
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  4. Vinay Duddalwar
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  5. Andrew J. Hung
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  6. Evren Suer
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  7. Eduard Baco
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  8. Raj Satkunasivam
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  9. Hooman Djaladat
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  10. Charles Metcalfe
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  11. Brian Hu
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  12. Kelvin Wong
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  13. Daniel Park
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  14. Mike Nguyen
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  15. Darryl Hwang
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  16. Soroush T. Bazargani
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  17. Andre Luis de Castro Abreu
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  18. Monish Aron
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  19. Osamu Ukimura
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  20. Inderbir S. Gill
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Corresponding author

Correspondence to Jean-Christophe Bernhard.

Ethics declarations

Conflict of interest

The authors declare that they have no competing interests.

Ethical standard

The study was IRB approved. All patients received oral information about the objectives and methodology of the study, and informed written consent was obtained from all participants before inclusion. All CT images were anonymized before use for 3D modeling.

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Bernhard, JC., Isotani, S., Matsugasumi, T. et al. Personalized 3D printed model of kidney and tumor anatomy: a useful tool for patient education. World J Urol 34, 337–345 (2016). https://doi.org/10.1007/s00345-015-1632-2

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  • DOI: https://doi.org/10.1007/s00345-015-1632-2

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