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Ventriculostomy Simulation Using Patient-Specific Ventricular Anatomy, 3D Printing, and Hydrogel Casting.

Publication ,  Journal Article
Ryan, JR; Chen, T; Nakaji, P; Frakes, DH; Gonzalez, LF
Published in: World Neurosurg
November 2015

BACKGROUND: Educational simulators provide a means for students and experts to learn and refine surgical skills. Educators can leverage the strengths of medical simulators to effectively teach complex and high-risk surgical procedures, such as placement of an external ventricular drain. OBJECTIVE: Our objective was to develop a cost-effective, patient-derived medical simulacrum for cerebral lateral ventriculostomy. METHODS: A cost-effective, patient-derived medical simulacrum was developed for placement of an external lateral ventriculostomy. Elastomeric and gel casting techniques were used to achieve realistic brain geometry and material properties. 3D printing technology was leveraged to develop accurate cranial properties and dimensions. An economical, gravity-driven pump was developed to provide normal and abnormal ventricular pressures. A small pilot study was performed to gauge simulation efficacy using a technology acceptance model. RESULTS: An accurate geometric representation of the brain was developed with independent lateral cerebral ventricular chambers. A gravity-driven pump pressurized the ventricular cavities to physiologic values. A qualitative study illustrated that the simulation has potential as an educational tool to train medical professionals in the ventriculostomy procedure. CONCLUSION: The ventricular simulacrum can improve learning in a medical education environment. Rapid prototyping and multi-material casting techniques can produce patient-derived models for cost-effective and realistic surgical training scenarios.

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Published In

World Neurosurg

DOI

EISSN

1878-8769

Publication Date

November 2015

Volume

84

Issue

5

Start / End Page

1333 / 1339

Location

United States

Related Subject Headings

  • Ventriculostomy
  • Tomography, X-Ray Computed
  • Students, Medical
  • Printing, Three-Dimensional
  • Pilot Projects
  • Neurosurgery
  • Models, Anatomic
  • Magnetic Resonance Imaging
  • Lateral Ventricles
  • Hydrogels
 

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Ryan, J. R., Chen, T., Nakaji, P., Frakes, D. H., & Gonzalez, L. F. (2015). Ventriculostomy Simulation Using Patient-Specific Ventricular Anatomy, 3D Printing, and Hydrogel Casting. World Neurosurg, 84(5), 1333–1339. https://doi.org/10.1016/j.wneu.2015.06.016
Ryan, Justin R., Tsinsue Chen, Peter Nakaji, David H. Frakes, and L Fernando Gonzalez. “Ventriculostomy Simulation Using Patient-Specific Ventricular Anatomy, 3D Printing, and Hydrogel Casting.World Neurosurg 84, no. 5 (November 2015): 1333–39. https://doi.org/10.1016/j.wneu.2015.06.016.
Ryan JR, Chen T, Nakaji P, Frakes DH, Gonzalez LF. Ventriculostomy Simulation Using Patient-Specific Ventricular Anatomy, 3D Printing, and Hydrogel Casting. World Neurosurg. 2015 Nov;84(5):1333–9.
Ryan, Justin R., et al. “Ventriculostomy Simulation Using Patient-Specific Ventricular Anatomy, 3D Printing, and Hydrogel Casting.World Neurosurg, vol. 84, no. 5, Nov. 2015, pp. 1333–39. Pubmed, doi:10.1016/j.wneu.2015.06.016.
Ryan JR, Chen T, Nakaji P, Frakes DH, Gonzalez LF. Ventriculostomy Simulation Using Patient-Specific Ventricular Anatomy, 3D Printing, and Hydrogel Casting. World Neurosurg. 2015 Nov;84(5):1333–1339.
Journal cover image

Published In

World Neurosurg

DOI

EISSN

1878-8769

Publication Date

November 2015

Volume

84

Issue

5

Start / End Page

1333 / 1339

Location

United States

Related Subject Headings

  • Ventriculostomy
  • Tomography, X-Ray Computed
  • Students, Medical
  • Printing, Three-Dimensional
  • Pilot Projects
  • Neurosurgery
  • Models, Anatomic
  • Magnetic Resonance Imaging
  • Lateral Ventricles
  • Hydrogels