3D printing might save your life one day. It's transforming medicine and health care.
What can 3D printing do for medicine? The "sky is the limit," says Northwell Health researcher Dr. Todd Goldstein.
- Medical professionals are currently using 3D printers to create prosthetics and patient-specific organ models that doctors can use to prepare for surgery.
- Eventually, scientists hope to print patient-specific organs that can be transplanted safely into the human body.
- Northwell Health, New York State's largest health care provider, is pioneering 3D printing in medicine in three key ways.
Imagine that a health emergency strikes and you need an organ transplant – say, a heart. You get your name on a transplant list, but you find out there's a waiting period of six months. Tens of thousands of people find themselves in this dire situation every year. But 3D printing has the potential to change that forever.
The technology could usher in a future where transplantable organs can be printed not only cheaply, but also to the exact anatomical specifications of each individual patient.
What other innovations could 3D printing bring to medicine and health care? The sky is the limit, according to Dr. Todd Goldstein, a researcher with the corporate venturing arm of Northwell Health, New York State's largest health care provider and an industry leader in 3D-printing research and development.
"It comes down to what people can think up and dream up what they want to use 3D printing for," Goldstein says. "Ideally, you would hope that 50 years from now you'd have on-demand, 3D printing of organs."
While that's still on the horizon for researchers, 3D printing is already improving lives by revolutionizing medicine in three key areas.
Printing realistic, customized organ models
3D printers can take images from MRI, PET, sonography or other technologies and convert them into life-size, three-dimensional models of patients' organs. These models serve as hands-on visualization tools that help surgeons plan the best approaches for complex procedures.
They also allow doctors to customize patient-specific models prior to surgery. For example, Northwell employs 3D printing in several clinical applications:
- Tumor resection models clearly highlight the tumor and surrounding tissue
- Orthopedic models are useful for pre-surgery measuring and medical device adjustments
- Vascular models identify malformations in organs, tumors, sliced chambers, blood flow, valves, muscle tissue, and calcifications
- Dentistry oral implants and appliances can be created in just one day, significantly reducing wait periods for Northwell dentists and their patients
Using realistic models not only delivers better health results but also shortens operating times. That gives patients less time under anesthesia, and hospitals potential savings of millions of dollars over just a few years.
Being able to visualize procedures before they occur also helps to comfort patients and their families. Take, for instance, the case of Barnaby Goberdhan, a man who discovered that his young son, Isaiah, had an aggressive tumor in his palate. Goberdhan met with Neha A. Patel, MD, a pediatric otolaryngologist at Cohen Children's Medical Center, a Northwell Health hospital, to discuss the procedure and learn about it with help from a 3D-printed model.
"Having a 3D printed depiction of my son was really helpful when talking with the doctor about his surgery," said Mr. Goberdhan. "The doctor was able to do more than talk me through what they were going to do – Dr. Patel showed me. There is almost nothing more frightening and stressful than having your child go through surgery. There were several options Dr. Patel walked us through for the best way to preserve Isaiah's teeth and prevent additional cuts within his mouth. I wanted all of my questions answered so I could be less fearful and more prepared to talk my son through what he was about to face. I wanted Isaiah to feel prepared. With the 3D model, we both felt more at ease."
For years, 3D printing surgical models was prohibitively expensive. Now, more affordable systems such as Formlabs' Form Cell give more hospitals across the country access to the technology in order to produce realistic, patient-specific models, usually within one day.
Credit: Northwell Health
While 3D-printed organs are a long way in the future, today's technology is well suited for manufacturing prosthetics. 3D-printed prosthetics are often remarkably more affordable and personalized than their traditional counterparts. That's a big deal for many families, especially those with children who outgrow prosthetics and are forced to buy new ones.
One recent breakthrough in 3D-printed prosthetics came when Dan Lasko, a former Marine who lost the lower part of his left leg in Afghanistan, wanted the ability to swim with his prosthetic leg. Wearing prosthetics in water has been possible for years, but they typically slow swimmers down. No device had been able to go seamlessly from land to water or to help propel its wearer through the water.
To fix that, Northwell Health recently funded a project that developed The Fin – the world's first truly amphibious prosthetic. With The Fin, Lasko and his family can go straight into the pool from the locker room – or the diving board.
"I got back in the pool with my two young sons and for the first time was able to dive into the pool with them," Lasko said.
3D-printed prosthetics will help improve the daily lives of the nearly 2 million Americans who've lost a limb. That's promising because the increasing prevalence of Type 2 diabetes is expected to greatly increase the number of amputees in the U.S., according to a study published in the Archives of Physical Medicine and Rehabilitation.
For years, 3D printers have manufactured various products: phone cases, toys, and even operational guns. To produce these objects, the machines heat a raw material, typically plastic, and build the object layer-by-layer according to a particular design.
3D bioprinting, a young field developed by researchers with Northwell Health, may someday perform the same process but instead with living cells in a raw material called bioink.
Daniel A. Grande, director at the Orthopedic Research Laboratory in the Feinstein Institute for Medical Research, an arm of Northwell Health, said he and his team first pursued 3D bioprinting by modifying 3D printers so they'd accept living cells.
"My initial concept of 3D printing was early studies that looked at modifying ink-jet printers, where we incorporate a bioink that includes cells within a delivery vehicle," Grande says. "That hydrogel can then be polymerized, or hardened, upon heat or UV-light stimulation, so that we can actually make a complex structure, three-dimensionally, that incorporates living cells. The hardened hydro-gel is then able to keep the cells alive and viable. It's also biocompatible, so it can be safely implanted in humans."
It's a promising enterprise, and it can radically change how we experience medical care.
"3D bioprinting's potential is almost limitless and has the potential to replace many different parts of the human body," says Michael Dowling, president and CEO at Northwell Health, and author of Health Care Reboot. "Researchers envision a future with 3D printers in every emergency room, where doctors are able to print emergency implants of organs and bones on demand and revolutionize the way medicine is practiced."
Dr. Todd Goldstein explains more about 3D bioprinting below:
Researchers detect a large lake and several ponds deep under the ice of the Martian South Pole.
- Italian scientists release findings of a large underground lake and three ponds below the South Pole of Mars.
- The lake might contain water, with salt preventing them from freezing.
- The presence of water may indicate the existence of microbial and other life forms on the planet.
Mars colony: Humanity's greatest quest | Michio Kaku, Bill Nye, & more | Big Think<span style="display:block;position:relative;padding-top:56.25%;" class="rm-shortcode" data-rm-shortcode-id="aa931ba0f8c1152a7c32c5e09c55d138"><iframe type="lazy-iframe" data-runner-src="https://www.youtube.com/embed/KfKr5Jll88o?rel=0" width="100%" height="auto" frameborder="0" scrolling="no" style="position:absolute;top:0;left:0;width:100%;height:100%;"></iframe></span>
"Nothing but naked people: fat ones, thin ones, old, young…"
"The Yellow Sands", 1888, John Reinhard Weguelin; source: Wikimedia Commons<h3>Naked revolution</h3><p>Yet long before anyone knew about beach fashion, naturism was trendy. Bathing naked in the sea was going on in England as early as 1840. However, during the reign of Queen Victoria, this pleasure was outlawed. But it popped up again among the conservative Germans. In 1898, the first Naturist Club was founded in Essen and in 1900 the Wandering Birds group (<em>Wandervögel</em>) was scouring the country for uninhabited places and naked sunbathing. In the same year, Heinrich Pudor wrote <em>The C</em><em>ult of </em><em>the </em><em>Nud</em><em>e</em>, winning the hearts of contemporary supporters of naturism.</p><p>In the 1920s, on the back of this, members of the Movement for Natural Healing (<em>Naturheilbewegung</em>) organized naked sunbathing for the improvement of health. Persuaded by Pudor's theory of the healing properties of the sun and wind, which could be absorbed through the skin, they launched the naked revolution.</p><p>Pudor's book became the naturists' manifesto and soon after, not far from Hamburg, the Free Body Culture (<em>Freikörperkultur</em>, or FKK) movement was founded. This spread through other German centres and brought together thousands of people. The FKK still operates under the same name today.</p><p>The cult of the naked body even wrote itself into the ideology of fascist Germany, which advocated a pure, Aryan race. But in 1933, Hermann Göring issued an order that defined nudity as "the greatest threat to the German soul" and, with that, criminalized naturist organizations. But this wasn't the end of the movement. The naturists went underground, continuing their activities under the guise of improving physical fitness.</p><p>In 1936, the idea was even floated of having a naturist display to open the Berlin Olympic Games. It was quickly dropped. Despite this, in 1939 the naturists managed to organize their own Games in the Swiss village of Thielle.</p>
The microbes that eventually produced the planet's oxygen had to breathe something, after all.
- We owe the Earth's oxygen to ancient microbes that photosynthesized and released it into the world's oceans.
- A long-standing question has been "before oxygen, what did they breathe?"
- The discovery of microbes living in a hostile early-Earth-like environment may provide the answer.
Unassuming but remarkable microbial mats<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNDQ0NzE3Ny9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYzMjk0MzE4Nn0.FhrDr5RTfRIBdf5uhnmzSPNYz-CwNiPbVYgam5eNaoY/img.jpg?width=980" id="d5e1c" class="rm-shortcode" data-rm-shortcode-id="c2e5e1b019d0bb1987ee730f91b550cc" data-rm-shortcode-name="rebelmouse-image" />
Credit: Razzu Engen/Flickr<p> Photosynthesis chiefly requires sunlight, water, and CO<sup>2</sup>. The CO<sup>2</sup> gets broken down into carbon and oxygen — the plant uses some of this oxygen and releases the rest. Without CO<sup>2</sup>'s oxygen molecules, though, how did this work? </p><p> There are known microbial mats today that live in oxygen-free environments, but they're not thought to be sufficiently like their ancestors to explain ancient photosynthesis in an oxygen-free environment. </p><p> There have been a few oxygen stand-ins proposed. Photosynthesis can work with iron molecules, but fossil-record evidence doesn't support that idea. Hydrogen and sulphur have also been proposed, though evidence for them is also lacking. </p><p> The spotlight began to shift to arsenic in the first decade of the millennium when arsenic-breathing microbial mats were discovered in two hypersaline California lakes, <a href="https://science.sciencemag.org/content/308/5726/1305.abstract" target="_blank">Searles Lake</a> and <a href="https://www.discovermagazine.com/planet-earth/mono-lake-bacteria-build-their-dna-using-arsenic-and-no-this-isnt-about-aliens" target="_blank" rel="noopener noreferrer">Mono Lake</a>. In 2014, Visscher and colleagues <a href="https://www.nature.com/articles/ngeo2276" target="_blank">unearthed indications</a> of arsenic-based photosynthesis, or ""arsenotrophic," microbial mats deep in the fossil record of the Tumbiana Formation of Western Australia. </p><p> Still, given the ever-shifting geology of the planets, the fractured ancient fossil record makes definitive study of ancient arsenotrophic photosynthesis difficult. The fossil record can't identify the role of the arsenic it reveals: was it involved in photosynthesis or just a toxic chemical that happened to be there? </p><p>Then, last year, arsenic-breathing microorganisms <a href="https://www.washington.edu/news/2019/05/01/arsenic-breathing-life-discovered-in-the-tropical-pacific-ocean/" target="_blank" rel="noopener noreferrer">were discovered</a> in the Pacific Ocean. A sulphur bacterium, <em>Ectothiorhodospira sp.</em> was also recently found to be metablozing arsenic into <a href="https://en.wikipedia.org/wiki/Arsenite" target="_blank">arsenite</a> in <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5064118/" target="_blank" rel="noopener noreferrer">Big Soda Lake</a> in Nevada. </p>
An ancient Earth environment, today<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNDQ0NzIxMC9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTY1OTQwOTYyN30.v96ZRXpIAf4yzDwcvXzVV3Fa4qULtUMxanXguPHD2wI/img.jpg?width=980" id="9eec4" class="rm-shortcode" data-rm-shortcode-id="a23585c057ee50ed500b96125e4a6b05" data-rm-shortcode-name="rebelmouse-image" />
a Map of Northern Chile; b Detail of frame showing Laguna La Brava in the southern Atacama; c The channel showing the mats in purple; d Hand sample, cross-section; e Microscopic image of bacteria.
Credit: Visscher, et al./communications earth & environment<p>The study reports on Visscher's discovery of a living microbial mat thriving in an arsenic environment in Laguna La Brava in the Atacama Desert in Chile. "We started working in Chile," Visscher tells <a href="https://today.uconn.edu/2020/09/without-oxygen-earths-early-microbes-relied-arsenic-sustain-life/" target="_blank"><em>UConn Today</em></a>, "where I found a blood-red river. The red sediments are made up by <a href="https://en.wikipedia.org/wiki/Anoxygenic_photosynthesis" target="_blank">anoxogenic</a> photosynthetic bacteria. The water is very high in arsenic as well. The water that flows over the mats contains hydrogen sulfide that is volcanic in origin and it flows very rapidly over these mats. There is absolutely no oxygen."</p><p>The mats have not previously been studied, and the conditions in which they live are tantalizingly similar to those of early Earth. It's a high-altitude, permanently oxygen-free state with extreme temperature swings and lots of UV exposure. </p><p>The mats that somewhat resemble Nevada's purple <em>Ectothiorhodospira sp.</em> are going about their business of making carbonate deposits, forming new stromatolites. Most excitingly, those deposits contain evidence that the mats are metabolizing arsenic. The rushing waters surrounding the mats are also rich in hydrogen sulphide and arsenic.</p><p>Says Visscher, "I have been working with microbial mats for about 35 years or so. This is the only system on Earth where I could find a microbial mat that worked absolutely in the absence of oxygen."</p><p>Not that Earth is the only place where this could happen. Visscher notes that the equipment they used for studying the Laguna La Brava mats is not unlike the system aboard the Mars Perseverance Rover. He says, "In looking for evidence of life on Mars, they will be looking at iron, and probably they should be looking at arsenic also."</p>
SMARTER FASTER trademarks owned by Freethink Media, Inc. All rights reserved.