Clinical and anatomy teaching application and advancement of medical illustrations and its new visualization model
Jing Haiyang1, Lu Yang2,3, Jing Bowen4, Zhang Weijia5
1Department of Painting, Academy of Arts and Design, Tsinghua University, Beijing 100084, China; 2Department of Neurosurgery, Tsinghua University, Beijing Tsinghua Changgung Hospital, Beijing 102218, China; 3School of Clinical Medicine, Tsinghua University, Beijing 100084, China; 4Department of Rehabilitation, Huantai County People's Hospital, Shandong 256400, China; 5Department of Art History, Xi'an Academy of Fine Arts, Xi'an 710065, China
Abstract：Objective This work aims to summarize the history of medical illustrations and the application of new visualization models in anatomy and clinical practice.Methods “Medical illustration” “anatomical illustration” “medical illustration and three-dimensional” and “medical illustration and virtual reality” were searched as keywords in Chinese and English databases such as China National Knowledge Internet, Wanfang Data, and PubMed. A total of 634 documents related to the history, current status, and new visualization models of medical illustrations published before January 2020 were retrieved. Documents with inconsistent content, no access to full text, repeated research or design defects were excluded, and 32 articles were finally included. The related results were summarized and analyzed.Results Medical illustrations range from hand-drawn illustrations to gross anatomy visualizations and finally to advanced 3D virtual models, 3D printed models, and virtual reality. These technologies have promoted anatomical presentations, provided an avenue for medical professionals to conveniently learn anatomical structures, and transformed the teaching method of anatomy and the training mode of surgery.Conclusions The new visualization model of medical illustrations has good application prospect in anatomy teaching and clinical training. The use of these new models to create efficient teaching tools and improve the surgical training model requires further exploration.
荆海洋, 陆洋, 荆波雯, 张唯佳. 医学插画及其新可视化模式在解剖教学和临床中的应用进展[J]. 中华解剖与临床杂志, 2020, 25(4): 448-451.
Jing Haiyang, Lu Yang, Jing Bowen, Zhang Weijia. Clinical and anatomy teaching application and advancement of medical illustrations and its new visualization model. Chinese Journal of Anatomy and Clinics, 2020, 25(4): 448-451.
Marx FJ. Galen of Pergamum (129-216/217 AD) and his contribution to urology: part I: life, work and medical system[J]. Urologe A, 2013, 52(4): 570-575. DOI:10.1007/s00120-012-3064-6.
[4]
Di Ieva A, Tschabitscher M, Prada F, et al. The neuroanatomical plates of Guido da Vigevano[J]. Neurosurg Focus, 2007, 23(1): E15. DOI:10.3171/foc.2007.23.1.15.
[5]
Rengachary SS, Colen C, Dass K, et al. Development of anatomic science in the late middle ages: the roles played by Mondino de Liuzzi and Guido da Vigevano[J]. Neurosurgery, 2009, 65(4): 787-793; discussion 793-794. DOI:10.1227/01.NEU.0000324991.45949.E4.
[6]
Perloff JK. Human dissection and the science and art of Leonardo da Vinci[J]. Am J Cardiol, 2013, 111(5): 775-777. DOI:10.1016/j.amjcard.2012.12.031.
[7]
Kaufman MH. John Bell (1763-1820), the “father” of surgical anatomy[J]. J Med Biogr, 2005, 13(2): 73-81. DOI:10.1177/096777200501300204.
[8]
Kemp M. Style and non-style in anatomical illustration: from renaissance humanism to Henry Gray[J]. J Anat, 2010, 216(2): 192-208. DOI:10.1111/j.1469-7580.2009.01181.x.
[9]
Patel SK, Couldwell WT, Liu JK. Max Brödel: his art, legacy, and contributions to neurosurgery through medical illustration[J]. J Neurosurg, 2011, 115(1): 182-190. DOI:10.3171/2011.1.JNS101094.
[10]
Robertson JH, Sorenson JM. The visual dimensions of future neurosurgical education[J]. World Neurosurg, 2011, 76(6): 492-496. DOI:10.1016/j.wneu.2011.10.027.
[11]
Schultheiss D, Jonas U. Max Brödel (1870-1941) and Howard A. Kelly (1858-1943)—urogynecology and the birth of modern medical illustration[J]. Eur J Obstet Gynecol Reprod Biol, 1999, 86(1): 113-115. DOI:10.1016/s0301-2115(99)00028-7.
[12]
Spitzer VM, Whitlock DG. The visible human dataset: the anatomical platform for human simulation[J]. Anat Rec, 1998, 253(2): 49-57. DOI:10.1002/(SICI)1097-0185(199804)253:2<49::AID-AR8>3.0.CO;2-9.
[13]
Nowinski WL. Toward the holistic, reference, and extendable atlas of the human brain, head, and neck[J]. Brain Inform, 2015, 2(2): 65-76. DOI:10.1007/s40708-015-0012-4.
[14]
Nowinski WL, Chua BC, Qian GY, et al. The human brain in 1700 pieces: design and development of a three-dimensional, interactive and reference atlas[J]. J Neurosci Methods, 2012, 204(1): 44-60. DOI:10.1016/j.jneumeth.2011.10.021.
[15]
Morone PJ, Shah KJ, Hendricks BK, et al. Virtual, 3-dimensional temporal bone model and its educational value for neurosurgical trainees[J]. World Neurosurg, 2019, 122: e1412-e1415. DOI:10.1016/j.wneu.2018.11.074.
[16]
Mise Y, Hasegawa K, Satou S, et al. How has virtual hepatectomy changed the practice of liver surgery? Experience of 1194 virtual hepatectomy before liver resection and living donor liver transplantation[J]. Ann Surg, 2018, 268(1): 127-133. DOI:10.1097/SLA.0000000000002213.
[17]
Olivieri LJ, Krieger A, Loke YH, et al. Three-dimensional printing of intracardiac defects from three-dimensional echocardiographic images: feasibility and relative accuracy[J]. J Am Soc Echocardiogr, 2015, 28(4): 392-397. DOI:10.1016/j.echo.2014.12.016.
[18]
Schievano S, Migliavacca F, Coats L, et al. Percutaneous pulmonary valve implantation based on rapid prototyping of right ventricular outflow tract and pulmonary trunk from MR data[J]. Radiology, 2007, 242(2): 490-497. DOI:10.1148/radiol.2422051994.
[19]
Maragiannis D, Jackson MS, Igo SR, et al. Replicating patient-specific severe aortic valve stenosis with functional 3D modeling[J]. Circ Cardiovasc Imaging, 2015, 8(10): e003626. DOI:10.1161/CIRCIMAGING.115.003626.
[20]
Biglino G, Capelli C, Wray J, et al. 3D-manufactured patient-specific models of congenital heart defects for communication in clinical practice: feasibility and acceptability[J]. BMJ Open, 2015, 5(4): e007165. DOI:10.1136/bmjopen-2014-007165.
[21]
Tanner JA, Jethwa B, Jackson J, et al. A three-dimensional print model of the pterygopalatine fossa significantly enhances the learning experience[J]. Anat Sci Educ, 2020, DOI:10.1002/ase.1942.
[22]
Clifton W, Damon A, Stein R, et al. Biomimetic 3D-printed posterior cervical laminectomy and fusion simulation: advancements in education tools for trainee instruction[J]. World Neurosurgery, 2020, 135: 308. DOI:10.1016/j.wneu.2019.12.134.
[23]
Namba K, Higaki A, Kaneko N, et al. Microcatheter shaping for intracranial aneurysm coiling using the 3-dimensional printing rapid prototyping technology: preliminary result in the first 10 consecutive cases[J]. World Neurosurg, 2015, 84(1): 178-186. DOI:10.1016/j.wneu.2015.03.006.
[24]
Sun Z, Lee SY. A systematic review of 3-D printing in cardiovascular and cerebrovascular diseases[J]. Anatol J Cardiol, 2017, 17(6): 423-435. DOI:10.14744/AnatolJCardiol.2017.7464.
[25]
钱增辉, 梁径山, 汤可, 等. 虚拟现实技术在微创化乙状窦前入路显露颈静脉结节的解剖研究中的应用[J]. 中华解剖与临床杂志, 2017, 22(3):197-200. DOI:10.3760/cma.j.issn.2095-7041.2017.03.005.Qian ZH, Liang JS, Tang K, et al. Anatomic research of minimally invasive surgical route for presigmoidal approach exposing jugular tubercle by virtual reality skill[J]. Chin J Anat Clin, 2017, 22(3): 197-200. DOI: 10.3760/cma.j.issn.2095-7041.2017.03.005.
[26]
钱增辉, 汤可, 刘爱华. 经枕髁和经颈静脉突方向远外侧入路手术路径的虚拟现实解剖研究比较[J]. 中华解剖与临床杂志, 2016, 21(4): 311-314. DOI:10.3760/cma.j.issn.2095-7041.2016.04.007.Qian ZH, Tang K, Liu AH. Anatomic comparison of trans-condyle versus trans-jugular process route in the far lateral approach by virtual reality technique[J]. Chin J Anat Clin, 2016, 21(4): 311-314. DOI: 10.3760/cma.j.issn.2095-7041.2016.04.007.
[27]
Banerjee PP, Luciano CJ, Lemole GM Jr, et al. Accuracy of ventriculostomy catheter placement using a head- and hand-tracked high-resolution virtual reality simulator with haptic feedback[J]. J Neurosurg, 2007, 107(3): 515-521. DOI:10.3171/JNS-07/09/0515.
[28]
Gmeiner M, Dirnberger J, Fenz W, et al. Virtual cerebral aneurysm clipping with real-time haptic force feedback in neurosurgical education[J]. World Neurosurg, 2018, 112:e313-e323. DOI:10.1016/j.wneu.2018.01.042.
[29]
Locketz GD, Lui JT, Chan S, et al. Anatomy-specific virtual reality simulation in temporal bone dissection: perceived utility and impact on surgeon confidence[J]. Otolaryngol Head Neck Surg, 2017, 156(6): 1142-1149. DOI:10.1177/0194599817691474.
[30]
Cohen AR, Lohani S, Manjila S, et al. Virtual reality simulation: basic concepts and use in endoscopic neurosurgery training[J]. Childs Nerv Syst, 2013, 29(8): 1235-1244. DOI:10.1007/s00381-013-2139-z.
[31]
Xin B, Chen G, Wang Y, et al. The Efficacy of immersive virtual reality surgical simulator training for pedicle screw placement: a randomized double-blind controlled trial[J]. World Neurosurgery, 2018, S1878-8750(18): 32913-32919. DOI:10.1016/j.wneu.2018.12.090.
2020, Vol. 25 
