Page 266 - IJB-9-1

International Journal of Bioprinting

RESEARCH ARTICLE
Domain expert evaluation of advanced visual

computing solutions and 3D printing for the
planning of the left atrial appendage occluder

interventions

1
1
Jordi Mill , Helena Montoliu , Abdel H. Moustafa , Andy L. Olivares ,
2
1
1
1
Carlos Albors , Ainhoa M. Aguado , Elodie Medina , Mario Ceresa ,
1
1
2
Xavier Freixa , Dabit Arzamendi , Hubert Cochet , Oscar Camara *
4
1
3
1 Physense, BCN Medtech, Department of Information and Communication Technologies, Universitat
Pompeu Fabra, Barcelona, 08018 Spain
2 Department of Cardiology, Hospital de la Santa Creu i Sant Pau, Barcelona, 08025, Spain
3 Department of Cardiology, Hospital Clinic de Barcelona, 08036, Spain
4 IHU Liryc, CHU Bordeaux, Université Bordeaux, Inserm 1045, Pessac, France
Abstract
Advanced visual computing solutions and three-dimensional (3D) printing are
moving from engineering to clinical pipelines for training, planning, and guidance
of complex interventions. 3D imaging and rendering, virtual reality (VR), and in-silico
*Corresponding author: simulations, as well as 3D printing technologies provide complementary information
Oscar Camara to better understand the structure and function of the organs, thereby improving
(oscar.camara@upf.edu) and personalizing clinical decisions. In this study, we evaluated several advanced
Citation: Mill J, Montoliu H, visual computing solutions, such as web-based 3D imaging visualization, VR, and
Moustafa AH, et al., 2023, Domain computational fluid simulations, together with 3D printing, for the planning of the
expert evaluation of advanced left atrial appendage occluder (LAAO) device implantations. Six cardiologists tested
visual computing solutions and
3D printing for the planning of the different technologies in pre-operative data of five patients to identify the usability,
left atrial appendage occluder limitations, and requirements for the clinical translation of each technology through
interventions. Int J Bioprint, a qualitative questionnaire. The obtained results demonstrate the potential impact
9(1): 640.
https://doi.org/10.18063/ijb.v9i1.640 of advanced visual computing solutions and 3D printing to improve the planning of
LAAO interventions as well as the need for their integration into a single workflow to
Received: May 4, 2022
be used in a clinical environment.
Accepted: July 30, 2022
Published Online: November 14, Keywords: 3D printing; In silico simulations; Left atrial appendage occlusion; Pre-
2022
interventional planning; Virtual reality
Copyright: © 2022 Author(s).
This is an Open Access article
distributed under the terms of the
Creative Commons Attribution
License, permitting distribution, 1. Introduction
and reproduction in any medium,
provided the original work is Computing solutions, such as three-dimensional (3D) imaging and visualization, virtual/
properly cited. augmented reality (VR/AR), in silico simulations, and visual analytics, among others,
Publisher’s Note: Whioce have seen an outstanding progress in recent years. Advances and improved access to big
Publishing remains neutral with and high-resolution data, hardware infrastructure (e.g., high-performance computing
regard to jurisdictional claims in
published maps and institutional clusters and graphical processing units), affordable devices (e.g., VR/AR headsets), and
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Volume 9 Issue 1 (2023) 258 https://doi.org/10.18063/ijb.v9i1.640