Stereolithographic models in the interdisciplinary planning of treatment for complex intracranial aneurysms.

Abstract:

BACKGROUND:Treatment of complex intracranial aneurysms requires strategic pre-interventional or preoperative planning. In addition to modern three-dimensional (3D) rotational angiography, computed tomography angiography (CTA) or magnetic resonance angiogram (MRA), a solid, tangible 3D model may improve anatomical comprehension and treatment planning. A 3D rapid prototyping (RP) technique based on multimodal imaging data was evaluated for use in planning of treatment for complex aneurysmal configurations. METHODS:Six patients with complex aneurysms were selected for 3D RP based on CTA and 3D rotational angiography data. Images were segmented using image-processing software to create virtual 3D models. Three-dimensional rapid prototyping techniques transformed the imaging data into physical 3D models, which were used and evaluated for interdisciplinary treatment planning. RESULTS:In all cases, the model provided a comprehensive 3D representation of relevant anatomical structures and improved understanding of related vessels. Based on the 3D model, primary bypass surgery with subsequent reconstruction of the aneurysm was then considered advantageous in all but one patient after simulation of multiple approaches. CONCLUSIONS:Preoperative prediction of intraoperative anatomy using the 3D model was considered helpful for treatment planning. The use of 3D rapid prototyping may enhance understanding of complex configurations in selected large or giant aneurysms, especially those pretreated with clips or coils.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Andereggen L,Gralla J,Andres RH,Weber S,Schroth G,Beck J,Widmer HR,Reinert M,Raabe A,Peterhans M

doi

10.1007/s00701-016-2892-3

subject

Has Abstract

pub_date

2016-09-01 00:00:00

pages

1711-20

issue

9

eissn

0001-6268

issn

0942-0940

pii

10.1007/s00701-016-2892-3

journal_volume

158

pub_type

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