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<v Speaker 1>Here's your Channel nine first winy weather forecast. Got a

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<v Speaker 1>nice day to day, a partly to mostly sunny high

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<v Speaker 1>on fifty six, forty six overnight with some clowns. It'll

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<v Speaker 1>be gradually cloudy, cloud building throughout the day. Tomorrow windy

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<v Speaker 1>as well, but dry seventy eight until seven PM when

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<v Speaker 1>severe weather hits the area. It's gonna last for several

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<v Speaker 1>days apparently, including a floodwatch all the way through Sunday

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<v Speaker 1>sixty one high over or low overnight in a highest

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<v Speaker 1>sixty six tomorrow with that rain and storms. Right now,

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<v Speaker 1>it's forty degrees in type for traffic.

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<v Speaker 2>From the u SEL Traffic Center. Don't let injury slow

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<v Speaker 2>you down, but you see Health orthhopedic Sandsports medicine experts

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<v Speaker 2>can help keep you moving. Schedule the same day apployment

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<v Speaker 2>at you see health dot Com. Highway traffic continues to improve.

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<v Speaker 2>The heaviest southbound seventy five from Sheppard through the Lock

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<v Speaker 2>one split, good for an extra eight minutes. In northbound

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<v Speaker 2>seventy five break lights out of Erwine Gore into downtown

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<v Speaker 2>for an extra seven Chuck Ingram on fifty five, Kara

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<v Speaker 2>seen the talk station.

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<v Speaker 1>You say forty five if if you have KCD talk station,

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<v Speaker 1>are very happy Tuesday to you and looking forward to

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<v Speaker 1>this all morning. It sounds absolutely fascinating, an amazing development

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<v Speaker 1>of the field of medicine. Joining me doctor Prashawn Robbie.

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<v Speaker 1>He is the CEO of a company called Medior, a

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<v Speaker 1>three D and faculty member in the Department of Radiology

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<v Speaker 1>at the University of Cincinnati College of Medicine, and he

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<v Speaker 1>heart to talk about the use of three D printing

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<v Speaker 1>in connection with surgery. Doctor Robbie, it's a pleasure having

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<v Speaker 1>in the program.

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<v Speaker 3>Today, likewise glad to be here.

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<v Speaker 1>Now. I guess the gist of this is, you know,

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<v Speaker 1>there are CT scans out there, and there are MRIs,

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<v Speaker 1>and I know before going into surgery, like for heart surgery,

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<v Speaker 1>you rely on those to figure out what is wrong,

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<v Speaker 1>I say, with like a microvalve prolapse or there's you

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<v Speaker 1>know what cardiac valve repair. That's the surgery you're planning

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<v Speaker 1>on doing. But I guess those scans have limitations. But

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<v Speaker 1>by using three D technology, you're actually recreating, for example,

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<v Speaker 1>a model of the heart so you can see all

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<v Speaker 1>elements and aspects of it. Is that is my understanding

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<v Speaker 1>correct in that on some minimalist level.

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<v Speaker 3>Absolutely, So what we're doing is essentially describing what the

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<v Speaker 3>information in the CP scan in the form of a

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<v Speaker 3>three D model, which is much more intuitive for the

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<v Speaker 3>surgeon to understand and grasp.

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<v Speaker 1>And so when you build one of these, let's say

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<v Speaker 1>let's stick with the heart for example, you build one

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<v Speaker 1>of these, it is a mirror image of your patient's heart.

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<v Speaker 1>Can you then sort of take it apart and find

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<v Speaker 1>out where the anomalies and the problems are. Is you know,

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<v Speaker 1>multi piece three dimensional image is like a puzzle kind

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<v Speaker 1>of thing.

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<v Speaker 2>Yeah.

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<v Speaker 3>Absolutely, This would have to be planned in a step

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<v Speaker 3>called computer ared design. So you would take the information

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<v Speaker 3>in the CP scan and kind of segment the anatomy

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<v Speaker 3>so the structures that are of interest with the surgeon,

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<v Speaker 3>and then yes, there is a way to put it

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<v Speaker 3>in the form of puzzle pieces and actually print those pieces,

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<v Speaker 3>so the surgeon can have a physical kind of puzzle piece,

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<v Speaker 3>you know, to put together and get a better understanding

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<v Speaker 3>of that particular patient's anatomy.

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<v Speaker 1>That's just that's absolutely fascinating. Now you've been involved in

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<v Speaker 1>three D printing for a long time. Judging from your

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<v Speaker 1>CV here that I have in front of me. Has

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<v Speaker 1>three D printing gotten to the point where there is that?

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<v Speaker 1>I mean, is it? Is it exactly accurate replica? I

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<v Speaker 1>just I think you think of pre printing from what

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<v Speaker 1>I've seen is sort of rudimentary, and that you know,

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<v Speaker 1>this human body is so very complicated and there's all

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<v Speaker 1>kinds of things going on in there that are beyond

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<v Speaker 1>my comprehension. But is it that precise that you really

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<v Speaker 1>literally are looking at what the patient's heart looks like?

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<v Speaker 3>Yeah, the technology has come quite a ways, and yeah,

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<v Speaker 3>so if the information is captured in the CD scan

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<v Speaker 3>atom to be precise, Yes, the three D printant model

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<v Speaker 3>that results from it is very accurate compared to the

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<v Speaker 3>CD scan and the patient's anatomy.

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<v Speaker 1>Now can this be in the heart? I understand your

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<v Speaker 1>valves and everything goes on. Can this technology be used

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<v Speaker 1>in other forms of surgery? I mean, is it is

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<v Speaker 1>it sort of limited an application to a heart?

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<v Speaker 3>No, not at all. There's actually a multitude of surgeries

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<v Speaker 3>where this technology is now being applied to help surgeons

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<v Speaker 3>plan that approach better. This can include liver lacerations, trauma

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<v Speaker 3>of the pelvis, jaw fractures, kidney transplants and a bunch

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<v Speaker 3>of other procedures where this is having a real impact

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<v Speaker 3>in how the surgeries are being planned.

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<v Speaker 1>Now, is it possible at some day to use this

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<v Speaker 1>as a diagnostic tool because I guess a CT scan

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<v Speaker 1>and an MRI and these images are as good as

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<v Speaker 1>the radiologist report comes out. And is it possible that

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<v Speaker 1>a radiologist might miss something that could be revealed with

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<v Speaker 1>a three D model.

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<v Speaker 3>Absolutely, and it happens all the time. And think of

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<v Speaker 3>it this way. So when a surgeon actually looks through

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<v Speaker 3>a CT scan, he has to scroll through hundreds of

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<v Speaker 3>these slices to mentally map the anatomy in his mind,

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<v Speaker 3>and this can take thirty to sixty minutes of his time.

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<v Speaker 3>But the same information can be presented in the form

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<v Speaker 3>of a three D printed model and can convey that

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<v Speaker 3>information in under five minutes because of the intuitiveness. That's

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<v Speaker 3>not to say that this will completely replace a radiologist report,

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<v Speaker 3>but it's a great adjunct and it just makes it

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<v Speaker 3>so much more intuitive and easy to understand. And I've

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<v Speaker 3>seen this, you know, with cardiothoracic surgeons where they look

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<v Speaker 3>at a model and they know exactly what to do

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<v Speaker 3>in two minutes compared to being confused, you know, looking

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<v Speaker 3>at the CD scan and not knowing exactly how to

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<v Speaker 3>approach that relation.

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<v Speaker 1>How about that? Now, correct me if I'm wrong. But

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<v Speaker 1>when you're removing a cancer tumor, is it the most

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<v Speaker 1>procedure that they keep scraping away and scraping away until

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<v Speaker 1>they find no more evidence of the cancer in the

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<v Speaker 1>in the in the scan or in the in the analysis.

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<v Speaker 3>Yes, exactly. And then how a three D printed model

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<v Speaker 3>can help in this case is if there's any vasculature

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<v Speaker 3>of blood vessels that are involved. Yeah, it can help

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<v Speaker 3>the surgeon carefully delineate and understand how those vessels actually

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<v Speaker 3>course through and around the tumor, so they can preserve

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<v Speaker 3>those vessels while taking away the tumor.

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<v Speaker 1>Oh wow, that's kind of what I was thinking it

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<v Speaker 1>could be used for. That's amazing. Now, how long does

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<v Speaker 1>it take if you're thinking about a heart procedure of

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<v Speaker 1>out procedure, how long does it take to build one

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<v Speaker 1>of these three dimensional organs?

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<v Speaker 3>So it can take several last two days with current

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<v Speaker 3>technology typically on the order of days. If you want

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<v Speaker 3>life size and atomic models, you would have to scale

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<v Speaker 3>them down at present to achieve a model on time,

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<v Speaker 3>you know, for some of the urgent cases. And that's

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<v Speaker 3>where VTRR three d's technology is really kind of changing

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<v Speaker 3>the game and enabling same day models for surgeries.

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<v Speaker 1>Fascinating now is are the three D models multi colored?

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<v Speaker 1>So for example, if you're talking about a tumor or

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<v Speaker 1>a mitro valve, that it would be enhanced with a

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<v Speaker 1>different color three D print medium.

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<v Speaker 3>Yes, that is correct, that is three printed capability that

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<v Speaker 3>can actually color code different anatomical structures for better visualization

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<v Speaker 3>and identification.

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<v Speaker 1>So your company, a Media or three D, did you

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<v Speaker 1>invent the technology to convert a CT scan, for example,

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<v Speaker 1>into the computer coding to create the three D model,

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<v Speaker 1>because that obviously involves some sort of complex process that

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<v Speaker 1>again is beyond my understanding.

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<v Speaker 3>Well, Media three technology, my co founder and I invented

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<v Speaker 3>a technology that can considerably speed up the process of

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<v Speaker 3>actually the printing side, because the actual printing of the

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<v Speaker 3>model is the slowest step in the process. I'm going

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<v Speaker 3>from a CT scan to a final three dimensional model.

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<v Speaker 3>So that's where our intellectual property actually lies. We are

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<v Speaker 3>not dealing with the upstream side, the digital side, where

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<v Speaker 3>you actually take a CT scan and make a digital

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<v Speaker 3>three D model that eventually gets printed. We are dealing

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<v Speaker 3>with the downstream, the printing side, which is the slowest

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<v Speaker 3>step currently in the workflow.

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<v Speaker 1>If that makes sense, It does make sense. Well, doctor Robbie,

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<v Speaker 1>can you just give my listeners an illustration of how

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<v Speaker 1>you've employed the three D modeling and you know which

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<v Speaker 1>which resulted in you choosing or a doctor choosing a

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<v Speaker 1>different surgical outcome or process than they would have done

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<v Speaker 1>had they been not had they not had a three

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<v Speaker 1>D model.

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<v Speaker 3>Yeah. Absolutely. My mind goes back to a recent case

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<v Speaker 3>which involved the chess CT scan up a patient and

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<v Speaker 3>the surgeon specifically in this case was an endoscopic surgeon

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<v Speaker 3>who wanted to operate on the mitral valve of the patients.

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<v Speaker 3>This is the valve that sits between the left upper

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<v Speaker 3>and lower chamber of the heart, and in order to

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<v Speaker 3>operate on that valve, the surgeon needs to enter the

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<v Speaker 3>chest on the right side through a small incision. But

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<v Speaker 3>due to the shape of the chest in this particular patient,

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<v Speaker 3>you know, and the surgeon termed this as a barrel

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<v Speaker 3>chested patient, so because of that, he had a hard

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<v Speaker 3>time visualizing how he would actually access the mithrol valve

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<v Speaker 3>through that entry, and so he requested a model from

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<v Speaker 3>me for this particular case, and when he actually saw

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<v Speaker 3>the model, he decided to not operate on the patient

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<v Speaker 3>because the access would be much harder than here anticipated

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<v Speaker 3>originally from the scan. And so, yeah, it was a

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<v Speaker 3>gift to the patient because it avoided a lot of

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<v Speaker 3>complications and are potentially a surgical failure.

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<v Speaker 1>Oh wow, doctor Prashaw, Robbie, it's been a real pleasure

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<v Speaker 1>talking with you. Congratulations on your involvement in this amazing

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<v Speaker 1>technology life saving. It certainly will be, and I imagine

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<v Speaker 1>it's going to be sort of widely used very soon

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<v Speaker 1>in modern medicine. Modern surgery is just right around the

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<v Speaker 1>corner three D printing. Doctor rob just thanks again for

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<v Speaker 1>being on the program and taking care of your patients

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<v Speaker 1>and coming up with this insanely cool technology. It's been

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<v Speaker 1>a pleasure having you on the show.

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<v Speaker 3>Yeah, thank you so much.

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<v Speaker 1>My pleasure A forty five or eight fifty five if

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<v Speaker 1>you five Kresty talk station Future medicine right there, I

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<v Speaker 1>guess Folks inside scoop right Bart News Curtains and Delka

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<v Speaker 1>joined us. Gave us a little down to the French

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<v Speaker 1>election Shenanigans and law fair and it sounds a lot

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<v Speaker 1>like in France. What's going on here, most notably the

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<v Speaker 1>European Union collectively when it comes to illegal immigration and

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<v Speaker 1>people's perceptions of it. Daniel Davis Deep Dive, of course,

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<v Speaker 1>with the latest on Russia Ukraine. You can find this

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<v Speaker 1>podcast fifty five KRC dot com. Tune tomorrow Judge and

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<v Speaker 1>Napolitano every Wednesday at eight thirty. I hope you have

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<v Speaker 1>a wonderful day, folks. Thank you Joe Strecker for keeping

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<v Speaker 1>things glued together today and the Canadian Bumper music folks,

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<v Speaker 1>hope you have a wonderful day. Stick around Glen Bax

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<v Speaker 1>coming right out a full rundown and the biggest headlines

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<v Speaker 1>just minutes away. At the top of the hour.

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<v Speaker 3>I'm giving you a fact now the Americans should know.

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<v Speaker 1>Fifty five KRS the talk station. This report is