Evidence map›Paper›PMID 38780288›Full record

ArticleActa obstetricia et gynecologica Scandinavica2024

Advancement of 3D printing technology for the development of a training model in US-guided vesicoamniotic shunting for early LUTO therapy.

Florian Recker, Tobias Schremmer, Christoph Berg, Valentin Sebastian Schäfer, Brigitte Strizek, Jorge Jimenez-Cruz

Abstract read
In one paragraph

Article in Acta obstetricia et gynecologica Scandinavica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Florian ReckerDepartment of Obstetrics and Prenatal Medicine, University Hospital Bonn, Bonn, Germany.ORCID 0000-0001-9135-4338
Tobias SchremmerDepartment of Medicine III - Oncology, Hematology, Clinical Immunology and Rheumatology, University Hospital Bonn, Bonn, Germany.
Christoph BergDepartment of Obstetrics and Prenatal Medicine, University Hospital Bonn, Bonn, Germany.
Valentin Sebastian SchäferDepartment of Medicine III - Oncology, Hematology, Clinical Immunology and Rheumatology, University Hospital Bonn, Bonn, Germany.
Brigitte StrizekDepartment of Obstetrics and Prenatal Medicine, University Hospital Bonn, Bonn, Germany.ORCID 0000-0003-3625-7097
Jorge Jimenez-CruzDepartment of Obstetrics and Prenatal Medicine, University Hospital Bonn, Bonn, Germany.ORCID 0000-0002-1892-790X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPrenatal lower urinary tract obstruction (LUTO) is a rare and challenging condition with potential severe morbidity and mortality. Prenatal shunting methods, specifically vesicoamniotic shunting (VAS) and fetal cystoscopy, aim to manage this condition. However, comprehensive education and training are hindered by the rarity of LUTO. To address this gap, we present a low-cost 3D-printed ultrasound training model for VAS in LUTO fetuses. The aim of the study was to evaluate ultrasound and haptic fidelity of the model. MATERIAL AND

methodsUltrasound images of three LUTO fetuses at 12-14 weeks were utilized to create detailed 3D-printed models. Fusion360TM software generated stereo-lithography files, and the Formlabs Form3® printer, using Flexible 80A resin, produced the models. A simulation box mimicking uterine conditions and fetal anatomy was developed for testing. Ultrasound assessments determined model accuracy, and expert evaluations gauged fidelity for VAS placement.

resultsThe 3D-printed model accurately replicated LUTO fetal anatomy, demonstrating structural integrity and realistic sonographic and haptic feedback during 20 punctures. Macroscopic visualization confirmed the model's durability and authenticity. DISCUSSION: This innovative 3D-printed model addresses the scarcity of LUTO cases and the lack of realistic training tools. Simulation models enhance skills, providing a controlled learning environment that bridges theoretical knowledge and clinical application, potentially improving patient outcomes.

conclusionsThe 3D-printed training model for VAS in LUTO represents a significant advancement in surgical education, offering realistic anatomical simulation and tactile feedback. Future studies should assess its effectiveness in enhancing surgical skills and impacting patient outcomes in clinical practice.

Indexed as

Models, AnatomicPrinting, Three-DimensionalUltrasonography, PrenatalFemaleHumansPregnancySimulation TrainingUltrasonography, InterventionalUrethral Obstruction3D printingfetal surgeryfetal therapyLUTOmedical education

Identifiers

PMID38780288
PMCPMC11266640

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.