Medical 3D Printing and Personalised Medicine

Application of 3D Printing and WebGL-Based 3D Visualisation Technology in Imaging Teaching of Ankle Joints

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  • (1. Department of Radiology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University
    School of Medicine, Shanghai 200011, China; 2. Department of Orthopedics, Tongji Hospital
    Affiliated to Tongji University School of Medicine, Shanghai 200065, China)

Online published: 2021-06-02

Supported by

the Clinical Research Plan of SHDC
(No. SHDC2020CR3083B), the Technology Project
of Shanghai Science and Technology Commission
(Nos. 19441902700, and 18441903100), and the Shanghai
Municipal Education Commission - Gaofeng Clinical
Medicine Grant Support (No. 20152221)

Abstract

 With the rapid development of medical technology, 3D printing technology with realistic representation  can perfectly display static human anatomy, while 3D visualisation technology based on Web Graphics Library  (WebGL) can promote the rigid replication characteristics of traditional teaching models and express the dynamic  spatial relationship between different anatomical structures. Medical students traditionally have less cognition of  ankle ligament sprains. In this study, computed tomography (CT) and magnetic resonance imaging (MRI) data of  the ankle joints of volunteers were used to print models of the ankle bone, tendon, and ligament using 3D printing  technology, and a real-time interactive 3D digital model of the functional ankle joint was designed using 3D  visualisation based on WebGL and 2D image real-time rendering technology for interactive teaching. The utility  of the 3D printing model combined with the WebGL-based 3D digital teaching model was evaluated in comparison  with traditional teaching methods in 24 medical students. The results showed that the total score of students  in the experimental group (mean ± SD, 79.48 ± 12.93) was significantly better than that of the control group  (61.00±14.94) with P <0.05. The practical test scores of the experimental group (18.00±2.70) were significantly  higher than those of the control group (13.67 ± 4.96) with P < 0.05. In the satisfaction survey, the feedback  questionnaire showed that the interactive teaching model of 3D printing technology combined with WebGL-based  3D visualisation technology was recognised by students in terms of quality and overall satisfaction. In addition,  female students who used 3D printing combined with WebGL-based 3D visualisation technology as learning aids  had a greater difference in practical test scores from the control group than male students. This study has  demonstrated that the interactive teaching mode of 3D printing combined with WebGL-based 3D visualisation  technology is beneficial to the teaching of medical imaging, enriching the learning experience of students, and  increasing the interaction between teachers and students.

Cite this article

LI Xiaomin (李小敏), DAI Xiaoqing(戴晓庆), GUO Jiuhong (郭久红), QU Yang (曲扬), WU Bing (吴兵), LIU Siyu (柳思宇), WAN Daqian (万大千), AI Songtao(艾松涛) . Application of 3D Printing and WebGL-Based 3D Visualisation Technology in Imaging Teaching of Ankle Joints[J]. Journal of Shanghai Jiaotong University(Science), 2021 , 26(3) : 319 -324 . DOI: 10.1007/s12204-021-2299-z

References

[1] DIZON J M R, REYES J J B. A systematic review on the effectiveness of external ankle supports in the prevention of inversion ankle sprains among elite and recreational players [J]. Journal of Science and Medicine in Sport, 2010, 13(3): 309-317.

[2] NELSONAJ, COLLINS C L, YARDE E, et al. Ankle injuries among United States high school sports athletes, 2005-2006 [J]. Journal of Athletic Training, 2007, 42(3): 381-387.

[3] NGAI S S, TAFUR M, CHANG E Y, et al. Magnetic resonance imaging of ankle ligaments [J]. Canadian Association of Radiologists Journal, 2016, 67(1): 60-68.

[4] KHAWAJI B, SOAMES R. The anterior talofibular ligament: A detailed morphological study [J]. The Foot, 2015, 25(3): 141-147.

[5] BATTULGA B, KONISHI T, TAMURA Y, et al. The effectiveness of an interactive 3-dimensional computer graphics model for medical education [J]. Interactive Journal of Medical Research, 2012, 1(2): e2.

[6] BERNEY S, B´ ETRANCOURT M, MOLINARI G, et al. How spatial abilities and dynamic visualizations interplay when learning functional anatomy with 3D anatomical models [J]. Anatomical Sciences Education, 2015, 8(5): 452-462.

[7] VENAIL F, DEVEZE A, LALLEMANT B, et al. Enhancement of temporal bone anatomy learning with computer 3D rendered imaging softwares [J]. Medical Teacher, 2010, 32(7): e282-e288.

[8] CAI B H, RAJENDRAN K, BAY B H, et al. The effects of a functional three-dimensional (3D) printed knee joint simulator in improving anatomical spatial knowledge [J]. Anatomical Sciences Education, 2019, 12(6): 610-618.

[9] YI X H, DING C Y, XU H, et al. Three-dimensional printed models in anatomy education of the ventricular system: A randomized controlled study [J]. World Neurosurgery, 2019, 125: e891-e901.

[10] YAMMINE K, VIOLATO C. A meta-analysis of the educational effectiveness of three-dimensional visualization technologies in teaching anatomy [J]. Anatomical Sciences Education, 2015, 8(6): 525-538.

[11] VISWASOM A A, JOBBY A. Effectiveness of video demonstration over conventional methods in teaching osteology in anatomy [J]. Journal of Clinical and Diagnostic Research, 2017, 11(2): JC09-JC11.

[12] EROLIN C, LAMB C, SOAMES R, et al. Does virtual haptic dissection improve student learning? A multiyear comparative study [J]. Studies in Health Technology and Informatics, 2016, 220: 110-117.

[13] TRIEPELS C P R, SMEETS C F A, NOTTEN K J B, et al. Does three-dimensional anatomy improve student understanding? [J]. Clinical Anatomy, 2020, 33(1): 25-33.

[14] XIANG J, YE Q, YUAN X. Design of visualized medical images network and web platform based on MeVis- Lab [J]. Journal of Biomedical Engineering, 2017, 34(2): 233-238 (in Chinese).

[15] JONES D G. Three-dimensional printing in anatomy education: Assessing potential ethical dimensions [J]. Anatomical Sciences Education, 2019, 12(4): 435-443.

[16] HEGARTY M. Dynamic visualizations and learning: Getting to the difficult questions [J]. Learning and Instruction, 2004, 14(3): 343-351.

[17] JURGAITIS J, PASKONISM, PIVORI¯UNAS J, et al. The comparison of 2-dimensional with 3-dimensional hepatic visualization in the clinical hepatic anatomy education [J]. Medicina (Kaunas, Lithuania), 2008, 44(6): 428-438.

[18] MIN Q S, WANG Z F, LIU N. An evaluation of HTML5 and WebGL for medical imaging applications [J]. Journal of Healthcare Engineering, 2018, 2018: 1592821.

[19] GHOSH S K. Cadaveric dissection as an educational tool for anatomical sciences in the 21st century [J]. Anatomical Sciences Education, 2017, 10(3): 286-299.

[20] BIRR S, M¨ONCH J, SOMMERFELD D, et al. The LiverAnatomyExplorer: A WebGL-based surgical teaching tool [J]. IEEE Computer Graphics and Applications, 2013, 33(5): 48-58.

[21] FANG L P, LI G P, HONG W J, et al. 3-D visualization of medical images based on WebGL [J]. Computer Systems and Applications, 2013, 22(9): 25-30 (in Chinese).

[22] MEYER E R, CUI D M. Anatomy visualizations using stereopsis: Assessment and implication of stereoscopic virtual models in anatomical education [M]//REA P M. Biomedical visualisation. Cham: Springer, 2020: 117-130.

[23] KEEDY A W, DURACK J C, SANDHU P, et al. Comparison of traditional methods with 3D computer models in the instruction of hepatobiliary anatomy [J]. Anatomical Sciences Education, 2011, 4(2): 84-91.

[24] NG C L, LIU X, CHEE S C, et al. An innovative 3- dimensional model of the epitympanum for teaching of middle ear anatomy [J]. Otolaryngology-Head and Neck Surgery, 2015, 153(5): 832-837.

[25] TAN S, HU A, WILSON T, et al. Role of a computer generated three-dimensional laryngeal model in anatomy teaching for advanced learners [J]. The Journal of Laryngology and Otology, 2012, 126(4): 395-401.

[26] KHAYRUDDEEN L, LIVINGSTONE D, FERGUSON E. Creating a 3D learning tool for the growth and development of the craniofacial skeleton [M]//REA P M. Biomedical visualisation. Cham: Springer, 2019: 57-70.

[27] KONG X X, NIE L Y, ZHANG H J, et al. Do threedimensional visualization and three-dimensional printing improve hepatic segment anatomy teaching? A randomized controlled study [J]. Journal of Surgical Education, 2016, 73(2): 264-269. 
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