Phase II Clinical Study of Three-Dimensional Printed Coplanar Template Combined with CT-Guided Percutaneous Core Needle Biopsy of Pulmonary Nodules in Elderly Patients

Background: As the population age structure gradually ages, more and more elderly people were found to have pulmonary nodules during physical examinations. Most elderly people had underlying diseases such as heart, lung, brain and blood vessels and cannot tolerate surgery. Computed tomography (CT)-guided percutaneous core needle biopsy (CNB) was the first choice for pathological diagnosis and subsequent targeted drugs, immune drugs or ablation treatment. CT-guided percutaneous CNB requires clinicians with rich CNB experience to ensure high CNB accuracy, but it was easy to cause complications such as pneumothorax and hemorrhage. Three-dimensional (3D) printing coplanar template (PCT) combined with CT-guided percutaneous pulmonary CNB biopsy has been used in clinical practice, but there was no prospective, randomized controlled study. Methods: Elderly patients with lung nodules admitted to the Department of Oncology of our hospital from January 2019 to January 2023 were selected. A total of 225 elderly patients were screened, and 30 patients were included after screening. They were randomly divided into experimental group (Group A: 30 cases) and control group (Group B: 30 cases). Group A was given 3D-PCT combined with CT-guided percutaneous pulmonary CNB biopsy, Group B underwent CT-guided percutaneous pulmonary CNB. The primary outcome measure of this study was the accuracy of diagnostic CNB, and the secondary outcome measures were CNB time, number of CNB needles, number of pathological tissues and complications. Results: The diagnostic accuracy of group A and group B was 96.67% and 76.67%, respectively (P = 0.026). There were statistical differences between group A and group B in average CNB time (P = 0.001), number of CNB (1 vs more than 1, P = 0.029), and pathological tissue obtained by CNB (3 vs 1, P = 0.040). There was no statistical difference in the incidence of pneumothorax and hemorrhage between the two groups (P > 0.05). Conclusions: 3D-PCT combined with CT-guided percutaneous CNB can improve the puncture accuracy of elderly patients, shorten the puncture time, reduce the number of punctures, and increase the amount of puncture pathological tissue, without increasing pneumothorax and hemorrhage complications. We look forward to verifying this in a phase III randomized controlled clinical study. .

Recent advances in the stereolithographic three-dimensional printing of ceramic cores: Challenges and prospects

The increasing demand for geometrically complex structures—specifically, higher-inlet-temperature turbine blades for the fifth-generation or other high-generation machines of advanced fighter aircrafts—hasmade the development of more complex double-walled three-layer hollow-cavity structures a necessity.However, this requires the preparation of complex ceramic cores and advanced, integrated technologies.Stereolithographic three-dimensional printing (SLA-3DP) technology, with digital control upon materialmorphology, composition, and structure, is a high integration and versatile technique that is superior tothe traditional manufacturing techniques for ceramic cores, including gel casting, injection molding, andhot pressing. The latent capacity of this technique is contingent on the progress of processing routesthat significantly reduce the distortion and defect formation in response to the elimination of the reactedorganic monomer phase during photo-curing. Despite the tremendous progress in the field, multiple challenges remain, such as the preparation of high-solid-content and low-viscosity suspensions, SLA-3DP oflarge double-walled ceramic cores with complex structures, and process optimization and sinter strengthening for the fabrication of ceramic cores. These challenges have prevented the broader applications andreduced the impact of the SLA-3DP technology. This review discusses cutting-edge research on the crucialfactors governing this production method. Specifically, we outline the existing challenges within the fieldand provide our perspective on the upcoming research work and progress.

Three-dimensional structure of the inner core of rice dwarf virus

Rice dwarf virus (RDV) is a double-shelled icosahedral virus. Using electron cryomicro-scopy and computer reconstruction techniques, we have determined a 3.3 nm resolution three-dimensional (3D) structure of the inner shell capsid without the outer shell and viral RNA. The results show that the inner shell is a thin, densely packed, smooth structure, which provides a scaffold for the full virus. A total of 120 copies of the major inner shell capsid protein P3 forms 60 dimers arranged in a T=1 icosahedral lattice. A close examination on the subunit packing of the T=1 inner core P3 with that of the T=13/ outer shell P8 indicated that P8 trimers connect with P3 through completely non-equivalent, yet highly specific, intermolecular interactions.