{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:21:06Z","timestamp":1762867266799,"version":"3.37.3"},"reference-count":20,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2017,10,25]],"date-time":"2017-10-25T00:00:00Z","timestamp":1508889600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Key Projects of Tianjin Medical and Health Industry","award":["14KG125"],"award-info":[{"award-number":["14KG125"]}]},{"name":"Science and Technology Fund of Tianjin Health Bureau","award":["No.2015KY31&No.2012KY26"],"award-info":[{"award-number":["No.2015KY31&No.2012KY26"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2017,12]]},"abstract":"Objective<\/jats:title>To investigate the feasibility and diagnostic value of a preoperative transthoracic echocardiography\u2010guided three\u2010dimensional printed model (TTE<\/jats:styled-content>\u2010guided 3DPM<\/jats:styled-content>) for the assessment of structural heart disease (SHD<\/jats:styled-content>).<\/jats:p><\/jats:sec>Methods<\/jats:title>Fourty\u2010four patients underwent cardiac surgery at Tianjin Chest Hospital. The patients were preoperatively assessed using TTE<\/jats:styled-content>\u2010guided 3DPM<\/jats:styled-content>, which was compared to conventional three\u2010dimensional transthoracic echocardiography (3DTTE<\/jats:styled-content>) along with direct intraoperative findings, which were considered the \u201cgold standard.\u201d Twelve patients had SHD<\/jats:styled-content>, including four with mitral prolapse, two with partial endocardial cushion defects, two with secondary atrial septal defects, two with rheumatic mitral stenosis, one with tetralogy of Fallot, and one with a ventricular septal defect (VSD<\/jats:styled-content>). Thirty\u2010two patients who did not have SHD<\/jats:styled-content>s were designated as the negative control group.<\/jats:p><\/jats:sec>Results<\/jats:title>The sensitivity and specificity of the TTE<\/jats:styled-content>\u2010guided 3DPM<\/jats:styled-content> were greater than or equal to those of the 3DTTE<\/jats:styled-content>. The P<\/jats:italic>\u2010value of the McNemar test of 3DTTE<\/jats:styled-content> was >.05, which indicates that the difference was not statistically significant (Kappa\u00a0=\u00a00.745, P\u00a0<\/jats:italic><\u00a0.001). The P<\/jats:italic>\u2010value of the McNemar test of TTE<\/jats:styled-content>\u2010guided 3DPM<\/jats:styled-content> was >.05, which indicates that the difference was not statistically significant (Kappa\u00a0=\u00a00.955, P\u00a0<\/jats:italic><\u00a0.001). A comparison of 3DTTE<\/jats:styled-content> and TTE<\/jats:styled-content>\u2010guided 3DPM<\/jats:styled-content> resulted in a P<\/jats:italic>\u2010value >.05, which indicates that the difference was not statistically significant (Kappa\u00a0=\u00a00.879, P\u00a0<\/jats:italic><\u00a0.001). TTE<\/jats:styled-content>\u2010guided 3DPM<\/jats:styled-content> displayed the 3D structure of SHD<\/jats:styled-content>s and cardiac lesions clearly and was consistent with the intra\u2010operative findings.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Transthoracic echocardiography\u2010guided three\u2010dimensional printed model (TTE<\/jats:styled-content>\u2010guided 3DPM<\/jats:styled-content>) provides essential information for preoperative evaluation and decision making for patients with SHD<\/jats:styled-content>s.<\/jats:p><\/jats:sec>","DOI":"10.1111\/echo.13715","type":"journal-article","created":{"date-parts":[[2017,10,25]],"date-time":"2017-10-25T05:13:00Z","timestamp":1508908380000},"page":"1903-1908","source":"Crossref","is-referenced-by-count":8,"title":["Preliminary study of the application of transthoracic echocardiography\u2010guided three\u2010dimensional printing for the assessment of structural heart disease"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2582-8237","authenticated-orcid":false,"given":"Yanbo","family":"Zhu","sequence":"first","affiliation":[{"name":"Graduate School of Tianjin Medical University Tianjin China"},{"name":"Department of Ultrasound Tianjin Chest Hospital Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianshi","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery Tianjin Chest Hospital Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lianqun","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery Tianjin Chest Hospital Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xin","family":"Guan","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Tianjin Chest Hospital Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yongjuan","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Tianjin Chest Hospital Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jie","family":"Geng","sequence":"additional","affiliation":[{"name":"Cardiac Intensive Care Unit Tianjin Chest Hospital Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qingguo","family":"Geng","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Tianjin Chest Hospital Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yunjia","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Tianjin Chest Hospital Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lixia","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Tianjin Chest Hospital Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xixue","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Tianjin Chest Hospital Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yaping","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Tianjin Chest Hospital Tianjin 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