Pre-surgical Visualisation Made Easy by 3D Printed Patient-Specific Heart Models

  • Guruprasad Kuppu RaoEmail author
  • Battula Kalyana Chakravarthy
  • Ravi Bhallamudi
Conference paper
Part of the Smart Innovation, Systems and Technologies book series (SIST, volume 134)


3D printed models for health care are inching to become mainstream. Many success stories are reported in the literature. The medical imaging has become a keystone along with 3D printing to make it possible. Their capability to faithfully reproduce anatomical model is well demonstrated. Many diagnostic and treatment decisions are taken based on the model. Thus these models are used as qualitative reference collateral. While hard tissue based anatomy is lot easier to process, the soft tissue pose challenges due to overlapping contrast values. Heart, Lungs, Kidneys, liver, spleen, etc., are all soft tissue based anatomies that are difficult to process. Our focus is based upon infant Heart. Neonates suffer from Congenital Heart Diseases (CHD). Their occurrence is put at 8 in 1000 live births. Focus of our present research study is to investigate the usefulness of the 3D printed models in CHD treatment management. We worked with three tertiary medical research centres specialising in CHD cases. The study included random 16 live cases of different verity, from neonatal infants and up to 13 years of age, from simple defects to very complex cases. The CT (Computed Tomography) scan data of each case were processed using Mimics software to build the digital model. Each case was analysed for quality of input data/3D printed model quality and its role in clinical management. The results show that, 3D printed models are useful, particularly in combination defects such as Tetralogy of Fallot & Double Outlet Right Ventricle. The study also reemphasizes the need for such models.


3D printing Models Visualisation Congenital Heart Surgical Pre-plan 



This research is supported by Imaginarium India Pvt. Ltd. and authors are very thankful to the resources used. We also wish to thank the tertiary care centres: Kokilaben Dhirubhai Ambani Hospital, Fortis Healthcare Ltd. both from Mumbai and Narayana Institute of Cardiac Sciences, Bengaluru for their support in live cases data and their expert clinicians for quality interactions.


  1. 1.
    Nicolson, M.: The art of diagnosis: medicine and the five senses. Companion Encycl. Hist. Med. 2, 801–825 (2000)Google Scholar
  2. 2.
    Rosenthal, T.L., Downs, A.: Cognitive aids in teaching and treating. Adv. Behav. Res. Ther. 7(1–2), 1–53 (1985)CrossRefGoogle Scholar
  3. 3.
    Hascoët, S., Warin-Fresse, K., Baruteau, A.E., Hadeed, K., Karsenty, C., Petit, J., Guérin, P., Fraisse, A., Acar, P.: Cardiac imaging of congenital heart diseases during interventional procedures continues to evolve: pros and cons of the main techniques. Arch. Cardiovasc. Dis. 109(2), 128–142 (2016)CrossRefGoogle Scholar
  4. 4.
    Rao, G., Mohanty, S.R., Muskawad, S.D., Chakvarthi, B.K., Ravi, B.: 3D printing patient specific anatomical model of complex congenital heart disease for enhancing surgical decision making. In: 6th Int’t and 27th All India Manufacturing Technology, Design and Research (AIMTDR) Conference, December (2016)Google Scholar
  5. 5.
    Gibson, I., Rosen, D.W., Stucker, B.: Additive Manufacturing Technologies: rapid Prototyping to Direct Digital Manufacturing. Springer, Berlin, Germany (2010)CrossRefGoogle Scholar
  6. 6.
    Mottl-Link, S., Hübler, M., Kühne, T., Rietdorf, U., Krueger, J.J., Schnackenburg, B., De Simone, R., Berger, F., Juraszek, A., Meinzer, H.P., Karck, M.: Physical models aiding in complex congenital heart surgery. Ann. Thorac. Surg. 86(1), 273–277 (2008)CrossRefGoogle Scholar
  7. 7.
    Dolk, H., Loane, M., Garne, E.: A European Surveillance of Congenital Anomalies (EUROCAT) Working Group, congenital heart defects in Europe: prevalence and perinatal mortality, 2000 to 2005. Circulation 123(8), 841–849 (2011)CrossRefGoogle Scholar
  8. 8.
    Jorgensen, M., McPherson, E., Zaleski, C., Shivaram, P., Cold, C.: Stillbirth: the heart of the matter. Am. J. Med. Genet. Part A 164(3), 691–699 (2014)CrossRefGoogle Scholar
  9. 9.
    Abu-Harb, M., Hey, E., Wren, C.: Death in infancy from unrecognised congenital heart disease. Arch. Dis. Child. 71(1), 3–7 (1994)CrossRefGoogle Scholar
  10. 10.
    Vukicevic, M., Mosadegh, B., Min, J.K., Little, S.H.: Cardiac 3D printing and its future directions. JACC: Cardiovas. Imag. 10(2), 171–184 (2017)Google Scholar
  11. 11.
    Sanghera, B., Naique, S., Papaharilaou, Y., Amis, A.: Preliminary study of rapid prototype medical models. Rapid Prototyping J. 7(5), 275–284 (2001)CrossRefGoogle Scholar
  12. 12.
    Grant, E.K., Olivieri, L.J.: The role of 3-D heart models in planning and executing interventional procedures. Can. J. Cardiol. 33(9), 1074–1108 (2017)CrossRefGoogle Scholar
  13. 13.
    Pham, D.L., Xu, C., Prince, J.L.: Current methods in medical image segmentation. Annu. Rev. Biomed. Eng. 2(1), 315–337 (2000)CrossRefGoogle Scholar
  14. 14.
    Saffarzadeh, M., Gillispie, G.J., Brown, P.: Selective Laser Sintering (SLS) Rapid Prototyping Technology: A Review of Medical ApplicationsGoogle Scholar
  15. 15.
    Malik, H.H., Darwood, A.R., Shaunak, S., Kulatilake, P., Abdulrahman, A., Mulki, O., Baskaradas, A.: Three-dimensional printing in surgery: a review of current surgical applications. J. Surg. Res. 199(2), 512–522 (2015)CrossRefGoogle Scholar
  16. 16.
    Biglino, G., Capelli, C., Wray, J., Schievano, S., Leaver, L.K., Khambadkone, S., Giardini, A., Derrick, G., Jones, A., Taylor, A.M.: 3D-manufactured patient-specific models of congenital heart defects for communication in clinical practice: feasibility and acceptability. BMJ Open 5(4), 007165 (2015)CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Guruprasad Kuppu Rao
    • 1
    Email author
  • Battula Kalyana Chakravarthy
    • 2
  • Ravi Bhallamudi
    • 2
  1. 1.Imaginarium India Pvt. Ltd.MumbaiIndia
  2. 2.Indian Institute of TechnologyBombay, MumbaiIndia

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