Desktop 3D Printing: Key for Surgical Navigation in Acral Tumors?

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dc.contributor.author Moreta Martínez, Rafael
dc.contributor.author Calvo Haro, José Antonio
dc.contributor.author Pérez-Mañanes, Rubén
dc.contributor.author García Sevilla, Mónica
dc.contributor.author Mediavilla-Santos, Lydia
dc.contributor.author Pascau González-Garzón, Javier
dc.date.accessioned 2021-05-17T09:56:40Z
dc.date.available 2021-05-17T09:56:40Z
dc.date.issued 2020-12-02
dc.identifier.bibliographicCitation Applied Sciences, (2020), 10(24), 8984.
dc.identifier.issn 2076-3417
dc.identifier.uri http://hdl.handle.net/10016/32649
dc.description.abstract Surgical navigation techniques have shown potential benefits in orthopedic oncologic surgery. However, the translation of these results to acral tumor resection surgeries is challenging due to the large number of joints with complex movements of the affected areas (located in distal extremities). This study proposes a surgical workflow that combines an intraoperative open-source navigation software, based on a multi-camera tracking, with desktop three-dimensional (3D) printing for accurate navigation of these tumors. Desktop 3D printing was used to fabricate patient-specific 3D printed molds to ensure that the distal extremity is in the same position both in preoperative images and during image-guided surgery (IGS). The feasibility of the proposed workflow was evaluated in two clinical cases (soft-tissue sarcomas in hand and foot). The validation involved deformation analysis of the 3D-printed mold after sterilization, accuracy of the system in patient-specific 3D-printed phantoms, and feasibility of the workflow during the surgical intervention. The sterilization process did not lead to significant deformations of the mold (mean error below 0.20 mm). The overall accuracy of the system was 1.88 mm evaluated on the phantoms. IGS guidance was feasible during both surgeries, allowing surgeons to verify enough margin during tumor resection. The results obtained have demonstrated the viability of combining open-source navigation and desktop 3D printing for acral tumor surgeries. The suggested framework can be easily personalized to any patient and could be adapted to other surgical scenarios.
dc.description.sponsorship This work was supported by projects TEC2013-48251-C2-1-R (Ministerio de Economía y Competitividad); PI18/01625 and PI15/02121 (Ministerio de Ciencia, Innovación y Universidades, Instituto de Salud Carlos III and European Regional Development Fund “Una manera de hacer Europa”) and IND2018/TIC-9753 (Comunidad de Madrid).
dc.format.extent 3
dc.language.iso eng
dc.publisher MDPI
dc.rights © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
dc.rights Atribución-NoComercial-SinDerivadas 3.0 España
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/3.0/es/
dc.subject.other Surgical navigation
dc.subject.other Image-guided surgery
dc.subject.other Acral tumors
dc.subject.other 3d printing
dc.title Desktop 3D Printing: Key for Surgical Navigation in Acral Tumors?
dc.type article
dc.description.status Publicado
dc.subject.eciencia Biología y Biomedicina
dc.identifier.doi https://doi.org/10.3390/app10248984
dc.rights.accessRights openAccess
dc.relation.projectID Gobierno de España. TEC2013-48251-C2-1-R
dc.relation.projectID Gobierno de España. PI18/01625
dc.relation.projectID Gobierno de España. PI15/02121
dc.relation.projectID Comunidad de Madrid. IND2018/TIC-9753
dc.type.version publishedVersion
dc.identifier.publicationfirstpage 1
dc.identifier.publicationissue 24(8984)
dc.identifier.publicationlastpage 13
dc.identifier.publicationtitle Applied Sciences
dc.identifier.publicationvolume 10
dc.identifier.uxxi AR/0000027434
dc.contributor.funder Ministerio de Economía y Competitividad (España)
dc.contributor.funder Ministerio de Ciencia e Innovación (España)
dc.contributor.funder Comunidad de Madrid
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