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Three-Dimensional Portable Document Format (3D PDF) in Clinical Communication and Biomedical Sciences: Systematic
Axel Newe1,2, Linda Becker3
1Chair of Medical Informatics, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany.
Three-dimensional (3D) PDF technology offers great potential for biomedical communication but is underutilized. Development of user-friendly tools is needed to increase adoption in clinical and scholarly settings.
Area of Science:
- Biomedical Informatics
- Scientific Publishing
- Data Visualization
Background:
- Portable Document Format (PDF) is standard for biomedical information sharing.
- 3D PDF technology, while capable of embedding 3D objects, sees limited use in science and clinical practice.
- This underutilization hinders the effective communication of complex 3D data.
Purpose of the Study:
- To review existing literature on 3D PDF applications in scholarly contexts.
- To identify protocols and tools for creating 3D PDFs and associated model files.
- To demonstrate the potential and practical uses of 3D PDF technology for scientific dissemination.
Main Methods:
- Systematic literature review of PubMed and Google Scholar.
- Inclusion criteria: English, peer-reviewed, biomedical focus, published post-2005.
- Literature categorized by 3D PDF application, usage guidance, or tool/protocol development.
Main Results:
- 200 relevant publications identified; 13 focused on medical applications.
- Only one article detailed clinical routine use; most were research-focused.
- 19 articles described creation tools/protocols, often requiring advanced skills; only one all-in-one solution existed.
Conclusions:
- 3D PDF for visualization in clinical and biomedical publications is not widespread.
- Despite available technology and benefits, adoption is low.
- Wider dissemination and development of accessible, free tools are crucial for broader implementation.
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