Three-Dimensional Digital Reconstruction versus Cadaveric Dissection in Anatomy Education: A Narrative Review
DOI:
https://doi.org/10.59675/M413Keywords:
Cadaveric dissection, Three-dimensional (3D) digital reconstruction, Surgical anatomy education, Spatial cognition, 3D Slicer.Abstract
Cadaveric dissection had been the main teaching aid in anatomy, it gave students’ knowledge of the morphology of the human body, variability and relationships of the tissues. Learning the complex anatomy of cross-sections can still be difficult to master, however, as conventional dissection can make it difficult to maintain a spatial sense of deep anatomical structures, two-dimensional learning materials will take a great deal of mental visualization. Three-dimensional (3D) digital reconstruction has given rise to interactive patient-specific anatomical models that allow one to explore complicated configurations from a variety of viewpoints without changing their spatial relations.
This narrative review included an analysis of the role that 3D digital reconstructions can play in educational settings related to surgical anatomy as well as their value to educational methods in comparison with cadaveric dissection. Existing reports indicate that interactive, 3D visualization helps to improve spatial cognition and interpretation of cross-sectional imaging, has a beneficial effect on extraneous cognitive load and helps to maximize anatomical understanding, especially in anatomically challenging areas like the mediastinum, retroperitoneum and deep pelvis. The review also describes the process of image processing for the creation of individual 3D models obtained from Digital Imaging and Communications in Medicine (DICOM) databases, using a popular open-source software package called 3D Slicer, and presents recent advances in artificial intelligence-driven segmentation, extended reality technologies and 3D printing.
The creation and use of digital reconstructions have some great teaching benefits; however it cannot give the same tactile feel, handling of tissues and understanding of variation that would be experienced during cadaver dissection. Current findings thus suggest a mixed teaching model combining cadaveric dissection with interactive 3D visualization to enhance the acquisition of anatomical knowledge, spatial sense and equip future surgical professionals with the knowledge needed in current clinical practices.
References
1. Albanesi G, Giannini A, Carbone M, Russo E, Mannella P, Ferrari V, Simoncini T. Computed-tomography image segmentation and 3D-reconstruction of the female pelvis for the preoperative planning of sacrocolpopexy: preliminary data. International UROGYNECOLOGY journal. 2019 May 1;30(5):725-31.
2. Allen LK, Eagleson R, de Ribaupierre S. Evaluation of an online three‐dimensional interactive resource for undergraduate neuroanatomy education. Anatomical sciences education. 2016 Oct;9(5):431-9
3. Anastakis DJ, Hamstra SJ, Matsumoto ED. Visual-spatial abilities in surgical training. The American journal of surgery. 2000 Jun 1;179(6):469-71.
4. Bogomolova K, van der Ham IJ, Dankbaar ME, van den Broek WW, Hovius SE, van der Hage JA, Hierck BP. The effect of stereoscopic augmented reality visualization on learning anatomy and the modifying effect of visual‐spatial abilities: A double‐center randomized controlled trial. Anatomical sciences education. 2020 Sep;13(5):558-67.
5. Estai M, Bunt S. Best teaching practices in anatomy education: A critical review. Annals of Anatomy-Anatomischer Anzeiger. 2016 Nov 1; 208:151-7.
6. Evans DJ, Pawlina W. The future of anatomy education: learning from Covid‐19 disruption. Anatomical Sciences Education. 2022 Jul;15(4):643-9.
7. García‐Robles P, Cortés‐Pérez I, Nieto‐Escámez FA, García‐López H, Obrero‐Gaitán E, Osuna‐Pérez MC. Immersive virtual reality and augmented reality in anatomy education: a systematic review and Meta‐Analysis. Anatomical Sciences Education. 2024 Apr;17(3):514-28.
8. Ghanbari S, Haghani F, Barekatain M, Jamali A. A systematized review of cognitive load theory in health sciences education and a perspective from cognitive neuroscience. Journal of Education and Health Promotion. 2020 Jan 1;9(1):176.
9. Giraudet G, Patrouix L, Fontaine C, Demondion X, Cosson M, Rubod C. Three-dimensional model of the female perineum and pelvic floor muscles. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2018 Jul 1; 226:1-6.
10. Hortsch M, Girão‐Carmona VC, Leite AC, Nikas IP, Gatumu MK, Koney NK, Arko‐Boham B, Yohannan DG, Oommen AM, Li Y, Yang J. A global overview of anatomical science education and its present and future role in biomedical curricula. Anatomical Sciences Education. 2026 Jan;19(1):5-45.
11. Mohammed RH. Comparison Between Two Dehydration Methods for Polyester P40 Plastination Using Human Brain Slices. Kulliyyah of Medicine, International Islamic University Malaysia; 2016 Jan.
12. Moro C, Štromberga Z, Raikos A, Stirling A. The effectiveness of virtual and augmented reality in health sciences and medical anatomy. Anatomical sciences education. 2017 Nov;10(6):549-59.
13. Nicholson DT, Chalk C, Funnell WR, Daniel SJ. Can virtual reality improve anatomy education? A randomised controlled study of a computer‐generated three‐dimensional anatomical ear model. Medical education. 2006 Nov;40(11):1081-7.
14. Ogaili RH, Almanseekanaa LH, Abass AA. Using of plastinated sheet specimens in medical courses-A review article. International Journal of Research in Informative Science Application & Techniques (IJRISAT). 2019 May 25;3(5):21-8.
15. Ogaili RH, Almanseekanaa LH, Baker SS. ANATOMICAL CHARACTERIZATION OF PLASTINATED AND MRI IMAGE OF HUMAN BRAIN SECTION. Biochemical & Cellular Archives. 2020 Apr 1;20(1).
16. Otton JM, Birbara NS, Hussain T, Greil G, Foley TA, Pather N. 3D printing from cardiovascular CT: a practical guide and review. Cardiovascular diagnosis and therapy. 2017 Oct;7(5):507.
17. Pinter C, Lasso A, Choueib S, Asselin M, Fillion-Robin JC, Vimort JB, Martin K, Jolley MA, Fichtinger G. SlicerVR for medical intervention training and planning in immersive virtual reality. IEEE transactions on medical robotics and bionics. 2020 Mar 26;2(2):108-17
18. Preece D, Williams SB, Lam R, Weller R. “Let's get physical”: advantages of a physical model over 3D computer models and textbooks in learning imaging anatomy. Anatomical sciences education. 2013 Jul;6(4):216-24.
19. Raed H. Ogaili, Lames H. Almansee. The Applications of Rapid Prototyping (Article Review). Int. J. Med. Sci. 2023;3(01):1-11.
20. Reid S, Shapiro L, Louw G. How haptics and drawing enhance the learning of anatomy. Anatomical sciences education. 2019 Mar;12(2):164-72.
21. Sadler TJ, Zhang T, Taylor HL, Brassett C. The role of radiology in anatomy teaching in UK medical schools: a national survey. Clinical radiology. 2018 Feb 1;73(2):185-90.
22. Suzuki M, Vyskocil E, Ogi K, Matoba K, Nakamaru Y, Homma A, Wormald PJ, Psaltis AJ. Remote training of functional endoscopic sinus surgery with advanced manufactured 3D sinus models and a telemedicine system. Frontiers in surgery. 2021 Oct 1; 8:746837.
23. Sweller J, Van Merriënboer JJ, Paas F. Cognitive architecture and instructional design: 20 years later. Educational psychology review. 2019 Jun 15;31(2):261-92.
24. Van Merriënboer JJ, Sweller J. Cognitive load theory in health professional education: design principles and strategies. Medical education. 2010 Jan;44(1):85-93.
25. Venkatesan M, Mohan H, Ryan JR, Schürch CM, Nolan GP, Frakes DH, Coskun AF. Virtual and augmented reality for biomedical applications. Cell reports medicine. 2021 Jul 20;2(7).
26. Yammine K, Violato C. A meta‐analysis of the educational effectiveness of three‐dimensional visualization technologies in teaching anatomy. Anatomical sciences education. 2015 Nov 12;8(6):525-38.
27. Yuen J. What is the role of 3D printing in undergraduate anatomy education? A scoping review of current literature and recommendations. Medical Science Educator. 2020 Sep;30(3):1321-9.
28. Zhang Y, Feng H, Zhao Y, Zhang S. Exploring the application of the artificial-intelligence-integrated platform 3D slicer in medical imaging education. Diagnostics. 2024 Jan 8;14(2):146.
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