[Michael Balzer] shows us that you are your own best advocate when it comes to medical care – having the ability to print models of your own tumors is a bonus. [Michael’s] wife, Pamela, had been recovering from a thyroidectomy when she started getting headaches. She sought a second opinion after the first radiologist dismissed the MRI scans of her head – and learned she had a 3 cm tumor, a meningioma, behind her left eye.  [Michael], host of All Things 3D, asked for the DICOM files (standard medical image format) from her MRI.  When Pamela went for a follow-up, it looked like the tumor had grown aggressively; this was a false alarm. When [Michael] compared the two sets of DICOM images in Photoshop, the second MRI did not truly show the tumor had grown. It had only looked that way because the radiologist had taken the scan at a different angle! Needless to say, the couple was not pleased with this misdiagnosis.

However, the meningioma was still causing serious problems for Pamela. She was at risk of losing her sight, so she started researching the surgery required to remove the tumor. The most common surgery is a craniotomy: the skull is sawed open and the brain physically lifted in order to access the tumor below it. Not surprisingly, this carries a high risk of permanent damage to any nerves leading to loss of smell, taste, or sight if the brain is moved the wrong way. Pamela decided to look for an alternative surgery that was less invasive. [Michael] created a 3D print of her skull and meningioma from her MRIs. He used InVesalius, free software designed to convert the 2D DICOM files into 3D images. He then uploaded the 3D rendered skull to Sketchfab, sharing it with potential neurologists. Once a neurologist was found that was willing to consider an alternative surgery, [Michael] printed the skull and sent it to the doctor. The print was integral in planning out the novel procedure, in which a micro drill was inserted through the left eyelid to access the tumor. In the end, 95% of the tumor was removed with minimal scarring, and her eyesight was spared.

If you want to print your own MRI or CT scans, whether for medical use or to make a cool mug with your own mug, there are quite a few programs out there that can help. Besides the aforementioned InVesalius, there is DeVIDE, Seg3D, ImageVis3D, and MeshLab or MeshMixer.