title: Impact of Three-Dimensional Printed Pelvicaliceal System Models on Residents' Understanding of Pelvicaliceal System Anatomy Before Percutaneous Nephrolithotripsy Surgery: A Pilot Study.
abstract: To investigate the impact of three-dimensional (3D) printed pelvicaliceal system models on residents' understanding of pelvicaliceal system anatomy before percutaneous nephrolithotripsy (PCNL).
  
  
  
  Patients with unilateral complex renal stones indicating PCNL were selected. Usable data of patients were obtained from CT-scans in Digital Imaging and Communications in Medicine (DICOM) format. Mimics software version 16.0 (Materialise, Belgium) was used for segmentation and extraction of pelvicaliceal systems (PCSs). All DICOM-formatted files were converted to the stereolithography file format. Finally, fused deposition modeling was used to create plasticine 3D models of PCSs. A questionnaire was designed so that residents could assess the 3D models' effects on their understanding of the anatomy of the pelvicaliceal system before PCNL (Fig. 3).
  
  
  
  Five patients' anatomically accurate models of the human renal collecting system were effectively generated (Figs. 1 and 2). After presentation of the 3D models, residents were 86% and 88% better at determining the number of anterior and posterior calices, respectively, 60% better at understanding stone location, and 64% better at determining optimal entry calix into the collecting system (Fig. 5).
  
  
  
  Generating kidney models of PCSs using 3D printing technology is feasible, and the models were accepted by residents as aids in surgical planning and understanding of pelvicaliceal system anatomy before PCNL.
authors: 1 Department of Urology, Okmeydanı Training and Research Hospital , Sisli-Istanbul, Turkey .
authors: Hasan Anıl
authors: HA
authors: Atalay
authors: 1 Department of Urology, Okmeydanı Training and Research Hospital , Sisli-Istanbul, Turkey .
authors: Volkan
authors: V
authors: Ülker
authors: 1 Department of Urology, Okmeydanı Training and Research Hospital , Sisli-Istanbul, Turkey .
authors: İlter
authors: İ
authors: Alkan
authors: 1 Department of Urology, Okmeydanı Training and Research Hospital , Sisli-Istanbul, Turkey .
authors: Halil Lütfi
authors: HL
authors: Canat
authors: 2 Department of Urology, Istanbul Medical School , Çapa- Istanbul, Turkey .
authors: Ünsal
authors: Ü
authors: Özkuvancı
authors: 1 Department of Urology, Okmeydanı Training and Research Hospital , Sisli-Istanbul, Turkey .
authors: Fatih
authors: F
authors: Altunrende
mesh_terms: D000328:Adult; D006801:Humans; D007396:Internship and Residency; D007668:Kidney; D007669:Kidney Calculi / Q000000981:diagnostic imaging / Q000601:surgery*; D007670:Kidney Calices / Q000033:anatomy & histology* / Q000601:surgery*; D008096:Lithotripsy / Q000379:methods*; D008953:Models, Anatomic; D010820:Physicians; D010865:Pilot Projects; D066330:Printing, Three-Dimensional; D011468:Prostatectomy; D014057:Tomography, X-Ray Computed; D014572:Urology / Q000193:education*
keywords: education; percutaneous nephrolithotomy; percutaneous renal surgery; renal stone