Three-Dimensional Printed Modeling of Diffuse Low-Grade Gliomas and Associated White Matter Tract Anatomy

Neurosurgery. 2017 Apr 1;80(4):635-645. doi: 10.1093/neuros/nyx009.

Abstract

Background: Diffuse low-grade gliomas (DLGGs) represent several pathological entities that infiltrate and invade cortical and subcortical structures in the brain.

Objective: To describe methods for rapid prototyping of DLGGs and surgically relevant anatomy.

Methods: Using high-definition imaging data and rapid prototyping technologies, we were able to generate 3 patient DLGGs to scale and represent the associated white matter tracts in 3 dimensions using advanced diffusion tensor imaging techniques.

Results: This report represents a novel application of 3-dimensional (3-D) printing in neurosurgery and a means to model individualized tumors in 3-D space with respect to subcortical white matter tract anatomy. Faculty and resident evaluations of this technology were favorable at our institution.

Conclusion: Developing an understanding of the anatomic relationships existing within individuals is fundamental to successful neurosurgical therapy. Imaging-based rapid prototyping may improve on our ability to plan for and treat complex neuro-oncologic pathology.

Keywords: 3-D printing; Brain tumor modeling; Diffusion tensor imaging.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Brain / diagnostic imaging*
  • Brain / pathology
  • Brain / surgery
  • Brain Neoplasms / diagnostic imaging*
  • Brain Neoplasms / pathology
  • Brain Neoplasms / surgery
  • Diffusion Magnetic Resonance Imaging*
  • Diffusion Tensor Imaging / methods
  • Glioma / diagnostic imaging*
  • Glioma / pathology
  • Glioma / surgery
  • Humans
  • Models, Anatomic*
  • Neurosurgical Procedures
  • Printing, Three-Dimensional*
  • White Matter / diagnostic imaging*
  • White Matter / pathology
  • White Matter / surgery