RadboudUMC 3D LAB Nijmegen

Short History

The 3DLAB originated in the department of Oral and Maxillofacial Surgery in 2006. It has developed and has since grown into a key element for patient care in the Radboudumc.

The complete integration of the 3D Lab within the clinic is the foundation for a close collaboration between the 3D Lab’s technicians , physicians and patients. This way, physicians can easily implement state of the art technologies into their clinical practice and patients can benefit from them.

Since the 3DLAB is fully integrated into the clinical environment: a close collaboration between the 3DLAB's clinical engineers, physicians and patients has been established. This collaboration has ensured that state of the art 3D technologies can easily be implemented by the physician.

The main question in the 3DLAB is how we can improve individual patient care with use of 3D-technology. With solutions like patient-specific virtual surgery planning and 3D printed anatomical models, an optimal personalized treatment plan can be created.

Since the foundation of the 3DLAB, major advancements have been achieved. More and more departments and hospitals are associated with the 3DLAB, creating a large impact on the four main stages of patient care: diagnostics, planning, treatment and evaluation.

Involvement patient care

The 3D LAB is involved into the four main stages of patient care:

image-diagnostics

To help achieve a complete and adequate diagnosis, several imaging techniques can be combined to create a virtual patient which reflects the clinical and anatomical reality as good as possible. One of the unique aspects is the addition of 3D Photography, in which a lot of expertise is gained over the years. Measurements for objectification and quantification can be done on these virtual patients which would be impossible on the physical patient.

Meanwhile large quantities of 3D data have been collected, which are used as input for ‘BIG DATA’ analyses. In these analyses, a database of relevant information from a large amount of patient data is created, which can be used in diagnosis and treatment planning for other patients (i.e. reconstruction after facial trauma).

image-diagnostics

The virtual patient (3D patient) model is not only used for diagnosis, but is essential in the planning stage as well. An initial virtual surgery can be performed on the 3D patient model and a 3D simulation of the post-surgical outcome can be generated. Different surgical plans can be simulated and their outcomes can be compared, to achieve the outcome most desirable. This planning ensures a better preparation and a clearer pre-surgical treatment protocol, leading to faster and more predictable surgery. The patient can be actively involved in his/her individual 3D planning. The personal wishes can be included to create a treatment plan with the optimal balance between the considerations of the physician and the patient. The surgery plan helps the physician to inform the patient and manage the expectations of the patient.

image-diagnostics

The virtual patient (3D patient) model is not only used for diagnosis, but is essential in the planning stage as well. An initial virtual surgery can be performed on the 3D patient model and a 3D simulation of the post-surgical outcome can be generated. Different surgical plans can be simulated and their outcomes can be compared, to achieve the outcome most desirable. This planning ensures a better preparation and a clearer pre-surgical treatment protocol, leading to faster and more predictable surgery. The patient can be actively involved in his/her individual 3D planning. The personal wishes can be included to create a treatment plan with the optimal balance between the considerations of the physician and the patient. The surgery plan helps the physician to inform the patient and manage the expectations of the patient.

image-diagnostics

Equally important as the optimal treatment of the patient of today, is being able to help the patient of the future even better. Evaluation and research are the key elements to this. Every surgery which involved 3D planning is evaluated afterwards: did the pre-operative planning suffice? What problems did arise and how can we prevent these? Is there room for improvement?

The numerous PhD’s students affiliated with the 3DLAB indicate that evaluation is the catalysator for improvement of patient care in many patient groups. Research does not only focus on helping the next patient with current techniques, but also lays the foundation for helping patient care benefit from future technology.

collaberation