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Now, 3D prints to help treat tongue cancer patients – Times of India

by • August 18, 2016 • No Comments

BENGALURU: When Ravi S (name changed), 53, of Indore, walked into a Bengaluru hospital with mouth ulcer, doctors decided to do an MRI since it was recurring frequently. The report showed a much additional extensive tumour than anticipated. It was a challenge for the doctors to plan clear margins of the tumour, which in addition intended a worthwhile part of the tongue may have to be removed. It was and so which the team decided to bank on a Make-in-India device.
The cost-effective innovation via 3D printing assisted the surgeons visualize the tumour and plan its removal in a advantageous way, all thanks to surgical oncologist Dr Vishal Rao US whose motto is not to depend much on the West for medical solutions. He’s understandn for his invention – a voice box costing only Rs 50 for throat cancer patients who have lost their speech.
“A Mumbai-based company, Anatomiz 3D, assisted us with a customized solution. They took a print out of the tongue and tumour, creating a effortless colour demarcation to assist the team plan the surgery to return it into the tongue. The team headed by Dr Prashanth Puranik recreated an precise replica of the tongue via the template version of the thigh muscles,” said Rao, chief of the head and neck surgical oncology department at HCG Cancer Hospital.
3D printing is an additive making system in which a Computer Aided Design (CAD) is sliced into multiple layers and printed one layer after the other by a 3D Printer. To extract patient information, Anatomiz 3D LLP utilizes an FDA and CE approved software which allows for us to edit on DICOM data of a CT/MRI scan. A 3D desktop version is and so created and 3D print is done in required materials and colours.
“In this case, an MRI was utilized for designing. The tongue and tumour were segmented as two various parts and printed in two various colours for effortless identification. The 3D printed version assists understand the 3-dimensional anatomy of the part in question, and the depth, position and dimensions of the tumour with respect to the tongue,” he introduced.
3D printing in cancer surgery is a new innovation, mostly utilized for bone reconstruction or orthopaedic surgery, said oncologists. Soft tissue 3D printing has been attempted in cardiology to understand congenital defects. “This is the initially time globally, to the most of our understandledge, which such a procedure has been performed via flexible material variousial 3D printing for soft tissues of the tongue,” he introduced.
How it assists

It assists surgical oncologists convert the 2D picture of MRI/PET/CT scan into a 3D visible version, which can aid advantageous planning of tumour removal. Generally, surgeons use palpation technique with 2D image to turn it into a mental picture of the tumour, which they may not see fully. The 3D version in addition assists plastic surgeons understand the extent of the defect and simultaneously turn it into a plan for the type and amount of tissues they may require to reconstruct. This is crucial as tongue assists leadingly in swallow and speech. This assists in pre-operative counseling for the patient. Usually, it is complex to explain the problem to the patient through the MRI movie due to lack of medical interpretation. This is where the 3D version comes handy. and thus preparing them advantageous to accept the result and its rehab plans
Procedure at a glance

Computer Aided Design (CAD) is sliced into multiple layers and printed one layer after the other by a 3D printerDevice utilizes a Food and Drug Administration (FDA) and CE-approved software which allows for doctors to edit on Digital Imaging and Communications in Medicine (DICOM) data of a CT/MRI scan for analysis of the patient’s conditionA 3D desktop version is and so created and 3D print out is taken in required materials and colours
Must set benchmark for the world

We are the oral cancer capital of the world; mouth or tongue cancers are pretty common in our country due to habits like chewing tobacco. Whilst it is our duty to appear at preventive measures, we require to constantly innovate and assist improve treatment paradigms and the high end of life. We must turn it into a benchmark for the world to follow pretty than wait for the West to solve our problems.

-Dr Vishal Rao US, head and neck surgeon, HCG Cancer Hospital

Times View

India fights high prevalence of oral cancer mainly due to common form of tobacco consumption, chewing. Contrary to common perception, use of smokeless tobacco affects users as alarmingly as cigarettes. Keeping tobacco in the mouth, frequently considered harmless one of the rural populace, is one of the main causes of tongue cancer. In a country where 4 in 10 of all cancers are oral cancers, affordable medical experiments like this can be of excellent assist. In most cases, in the absence of a clear view of the tumour, doctors are left with no version but to remove a leading part of the tongue. The 3D printing innovation addresses this challenge. Such new methods must be created widely on the market so which additional folks benefit of it.


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