Patient-specific pediatric silicone heart valve models based on 3D ultrasound

Anna Ilina, Andras Lasso, Matthew A. Jolley, Brittany Wohler, Alex Nguyen, Adam Scanlan, Zachary Bauma, Frank McGowan, Gabor Fichtinger

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

PURPOSE: Patient-specific heart and valve models have shown promise as training and planning tools for heart surgery, but physically realistic valve models remain elusive. Available proprietary, simulation-focused heart valve models are generic adult mitral valves and do not allow for patient-specific modeling as may be needed for rare diseases such as congenitally abnormal valves. We propose creating silicone valve models from a 3D-printed plastic mold as a solution that can be adapted to any individual patient and heart valve at a fraction of the cost of direct 3D-printing using soft materials. METHODS: Leaflets of a pediatric mitral valve, a tricuspid valve in a patient with hypoplastic left heart syndrome, and a complete atrioventricular canal valve were segmented from ultrasound images. A custom software was developed to automatically generate molds for each valve based on the segmentation. These molds were 3D-printed and used to make silicone valve models. The models were designed with cylindrical rims of different sizes surrounding the leaflets, to show the outline of the valve and add rigidity. Pediatric cardiac surgeons practiced suturing on the models and evaluated them for use as surgical planning and training tools. RESULTS: Five out of six surgeons reported that the valve models would be very useful as training tools for cardiac surgery. In this first iteration of valve models, leaflets were felt to be unrealistically thick or stiff compared to real pediatric leaflets. A thin tube rim was preferred for valve flexibility. CONCLUSION: The valve models were well received and considered to be valuable and accessible tools for heart valve surgery training. Further improvements will be made based on surgeons' feedback.

Original languageEnglish (US)
Title of host publicationMedical Imaging 2017
Subtitle of host publicationImage-Guided Procedures, Robotic Interventions, and Modeling
PublisherSPIE
Volume10135
ISBN (Electronic)9781510607156
DOIs
StatePublished - 2017
Externally publishedYes
EventMedical Imaging 2017: Image-Guided Procedures, Robotic Interventions, and Modeling - Orlando, United States
Duration: Feb 14 2017Feb 16 2017

Other

OtherMedical Imaging 2017: Image-Guided Procedures, Robotic Interventions, and Modeling
CountryUnited States
CityOrlando
Period2/14/172/16/17

Fingerprint

heart valves
Pediatrics
Heart Valves
silicones
Silicones
Ultrasonics
Thoracic Surgery
Mitral Valve
Fungi
Hypoplastic Left Heart Syndrome
Tricuspid Valve
Surgery
Rare Diseases
surgeons
Plastics
Molds
education
Software
surgery
Costs and Cost Analysis

Keywords

  • 3D-printing
  • Complete atrioventricular canal defect
  • Congenital heart disease
  • Heart valve models
  • Mitral valve
  • Patient-specific
  • Pediatric
  • Surgery
  • Training
  • Tricuspid valve
  • Ultrasound

ASJC Scopus subject areas

  • Atomic and Molecular Physics, and Optics
  • Electronic, Optical and Magnetic Materials
  • Biomaterials
  • Radiology Nuclear Medicine and imaging

Cite this

Ilina, A., Lasso, A., Jolley, M. A., Wohler, B., Nguyen, A., Scanlan, A., ... Fichtinger, G. (2017). Patient-specific pediatric silicone heart valve models based on 3D ultrasound. In Medical Imaging 2017: Image-Guided Procedures, Robotic Interventions, and Modeling (Vol. 10135). [1013516] SPIE. https://doi.org/10.1117/12.2255849

Patient-specific pediatric silicone heart valve models based on 3D ultrasound. / Ilina, Anna; Lasso, Andras; Jolley, Matthew A.; Wohler, Brittany; Nguyen, Alex; Scanlan, Adam; Bauma, Zachary; McGowan, Frank; Fichtinger, Gabor.

Medical Imaging 2017: Image-Guided Procedures, Robotic Interventions, and Modeling. Vol. 10135 SPIE, 2017. 1013516.

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Ilina, A, Lasso, A, Jolley, MA, Wohler, B, Nguyen, A, Scanlan, A, Bauma, Z, McGowan, F & Fichtinger, G 2017, Patient-specific pediatric silicone heart valve models based on 3D ultrasound. in Medical Imaging 2017: Image-Guided Procedures, Robotic Interventions, and Modeling. vol. 10135, 1013516, SPIE, Medical Imaging 2017: Image-Guided Procedures, Robotic Interventions, and Modeling, Orlando, United States, 2/14/17. https://doi.org/10.1117/12.2255849
Ilina A, Lasso A, Jolley MA, Wohler B, Nguyen A, Scanlan A et al. Patient-specific pediatric silicone heart valve models based on 3D ultrasound. In Medical Imaging 2017: Image-Guided Procedures, Robotic Interventions, and Modeling. Vol. 10135. SPIE. 2017. 1013516 https://doi.org/10.1117/12.2255849
Ilina, Anna ; Lasso, Andras ; Jolley, Matthew A. ; Wohler, Brittany ; Nguyen, Alex ; Scanlan, Adam ; Bauma, Zachary ; McGowan, Frank ; Fichtinger, Gabor. / Patient-specific pediatric silicone heart valve models based on 3D ultrasound. Medical Imaging 2017: Image-Guided Procedures, Robotic Interventions, and Modeling. Vol. 10135 SPIE, 2017.
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abstract = "PURPOSE: Patient-specific heart and valve models have shown promise as training and planning tools for heart surgery, but physically realistic valve models remain elusive. Available proprietary, simulation-focused heart valve models are generic adult mitral valves and do not allow for patient-specific modeling as may be needed for rare diseases such as congenitally abnormal valves. We propose creating silicone valve models from a 3D-printed plastic mold as a solution that can be adapted to any individual patient and heart valve at a fraction of the cost of direct 3D-printing using soft materials. METHODS: Leaflets of a pediatric mitral valve, a tricuspid valve in a patient with hypoplastic left heart syndrome, and a complete atrioventricular canal valve were segmented from ultrasound images. A custom software was developed to automatically generate molds for each valve based on the segmentation. These molds were 3D-printed and used to make silicone valve models. The models were designed with cylindrical rims of different sizes surrounding the leaflets, to show the outline of the valve and add rigidity. Pediatric cardiac surgeons practiced suturing on the models and evaluated them for use as surgical planning and training tools. RESULTS: Five out of six surgeons reported that the valve models would be very useful as training tools for cardiac surgery. In this first iteration of valve models, leaflets were felt to be unrealistically thick or stiff compared to real pediatric leaflets. A thin tube rim was preferred for valve flexibility. CONCLUSION: The valve models were well received and considered to be valuable and accessible tools for heart valve surgery training. Further improvements will be made based on surgeons' feedback.",
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AB - PURPOSE: Patient-specific heart and valve models have shown promise as training and planning tools for heart surgery, but physically realistic valve models remain elusive. Available proprietary, simulation-focused heart valve models are generic adult mitral valves and do not allow for patient-specific modeling as may be needed for rare diseases such as congenitally abnormal valves. We propose creating silicone valve models from a 3D-printed plastic mold as a solution that can be adapted to any individual patient and heart valve at a fraction of the cost of direct 3D-printing using soft materials. METHODS: Leaflets of a pediatric mitral valve, a tricuspid valve in a patient with hypoplastic left heart syndrome, and a complete atrioventricular canal valve were segmented from ultrasound images. A custom software was developed to automatically generate molds for each valve based on the segmentation. These molds were 3D-printed and used to make silicone valve models. The models were designed with cylindrical rims of different sizes surrounding the leaflets, to show the outline of the valve and add rigidity. Pediatric cardiac surgeons practiced suturing on the models and evaluated them for use as surgical planning and training tools. RESULTS: Five out of six surgeons reported that the valve models would be very useful as training tools for cardiac surgery. In this first iteration of valve models, leaflets were felt to be unrealistically thick or stiff compared to real pediatric leaflets. A thin tube rim was preferred for valve flexibility. CONCLUSION: The valve models were well received and considered to be valuable and accessible tools for heart valve surgery training. Further improvements will be made based on surgeons' feedback.

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