Abed Al Illah Husseini, director of 3-D Middle East, said a body scan similar to an x-ray can now be used to build a model organ. Antonie Robertson / The National
Abed Al Illah Husseini, director of 3-D Middle East, said a body scan similar to an x-ray can now be used to build a model organ. Antonie Robertson / The National

3-D printing revolutionising the medical industry, say experts



One of the biggest areas of impact felt by the rise of 3-D printing is in the medical industry.

Be it in surgical planning by using models of a human structure to help guide surgeons, or using 3-D printed organs and bodies to replace cadavers in the medical classroom - the industry has become more important to the medical field every year.

The technology is helping doctors deliver more precise, faster treatment with better control, while bio-printing of titanium replacement joints is helping delay the need for a second surgery as humans live longer.

Dr Nizar Zein was among the first physicians to recognise the potential for 3-D printing to help reduce the risk of complications during surgery.

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Since 2012, he has led a long-term project at Cleveland Clinic to create 3-D printed replicas of individual patients’ livers, accurate enough to use for detailed surgical planning.

“When we operate on the liver, one of the biggest risks comes from not knowing the exact locations of major blood vessels or bile ducts, and inadvertently cutting through one of them,” said Dr Zein.

“We typically use a CT scan to come up with a surgical plan for the patient, but there is no sense of depth, and even a 3-D scan will still be viewed on a 2-D screen.

“With a 3-D printed replica, we solve that problem, and it has the advantage of being tactile – we can pick the model up and examine it in the real world, and reassess our planning based on what we see.”

The models are printed to be transparent, and components within the organ can be printed as separate pieces – held together by magnets – so surgeons can pull them apart and examine them individually.

Each model is created at actual scale and takes about 48 hours to print, down from around six weeks for the original experimental model in 2012, which was printed at 75 per cent of actual size.

Abedi Al Ilah Husseini, director of 3-D Middle East, said a body scan similar to an x-ray can now be used to build a model organ, almost identical to that on which surgeons can operate.

“On a kidney with a tumour for example, doctors can look at a replicated model to plan the surgery,” he said.

“Dental implants are also now available for 3-D printing, they are custom made and non-toxic.

“Titanium grade 23 powder can be used in 3-D printing of replacement joints. The process helps control the porosity, so the joints can become patient specific and should last longer.”

In 2017, for the Cleveland Clinic’s third face transplant procedure, doctors turned to emerging 3-D printing technology to improve the chances of success.

They first practised with a 3-D printed replica of the face before going ahead with surgery.

“A face transplant involves connecting a number of different types of tissue, including bone, muscle and blood vessels, and we not only have to make these function, we have to create a successful fit between the donated face and the patient’s head and neck – all of which are unique,” said Dr Francis Papay, who was part of the surgical team to perform the United States’ first face transplant in 2008.

“Unlike a transplanted organ, the results are visible as this face will be the first thing anyone will see when they look at the patient.

“The more accurate and complete all these connections can be, the better the results in terms of function and appearance.”

Using 3-D scanning and printing, doctors can plan and practice the procedure using accurate, individualized models, which significantly improves the outcome for the patient.

“I don’t think you can ever totally mimic a cadaver when training students,” Dr Papay said.

“In teaching, virtual reality can help to understand relationships and dynamics between tissue, but cadavers remain very useful.

“Biomodelling will continue, but there is something about the rarity, anomalies and haptics of manipulating tissue that is hard to mimic.”

COMPANY PROFILE

Name: Qyubic
Started: October 2023
Founder: Namrata Raina
Based: Dubai
Sector: E-commerce
Current number of staff: 10
Investment stage: Pre-seed
Initial investment: Undisclosed 

Formula Middle East Calendar (Formula Regional and Formula 4)
Round 1: January 17-19, Yas Marina Circuit – Abu Dhabi
 
Round 2: January 22-23, Yas Marina Circuit – Abu Dhabi
 
Round 3: February 7-9, Dubai Autodrome – Dubai
 
Round 4: February 14-16, Yas Marina Circuit – Abu Dhabi
 
Round 5: February 25-27, Jeddah Corniche Circuit – Saudi Arabia
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Company Profile
Company name: OneOrder

Started: October 2021

Founders: Tamer Amer and Karim Maurice

Based: Cairo, Egypt

Industry: technology, logistics

Investors: A15 and self-funded 

Mercer, the investment consulting arm of US services company Marsh & McLennan, expects its wealth division to at least double its assets under management (AUM) in the Middle East as wealth in the region continues to grow despite economic headwinds, a company official said.

Mercer Wealth, which globally has $160 billion in AUM, plans to boost its AUM in the region to $2-$3bn in the next 2-3 years from the present $1bn, said Yasir AbuShaban, a Dubai-based principal with Mercer Wealth.

Within the next two to three years, we are looking at reaching $2 to $3 billion as a conservative estimate and we do see an opportunity to do so,” said Mr AbuShaban.

Mercer does not directly make investments, but allocates clients’ money they have discretion to, to professional asset managers. They also provide advice to clients.

“We have buying power. We can negotiate on their (client’s) behalf with asset managers to provide them lower fees than they otherwise would have to get on their own,” he added.

Mercer Wealth’s clients include sovereign wealth funds, family offices, and insurance companies among others.

From its office in Dubai, Mercer also looks after Africa, India and Turkey, where they also see opportunity for growth.

Wealth creation in Middle East and Africa (MEA) grew 8.5 per cent to $8.1 trillion last year from $7.5tn in 2015, higher than last year’s global average of 6 per cent and the second-highest growth in a region after Asia-Pacific which grew 9.9 per cent, according to consultancy Boston Consulting Group (BCG). In the region, where wealth grew just 1.9 per cent in 2015 compared with 2014, a pickup in oil prices has helped in wealth generation.

BCG is forecasting MEA wealth will rise to $12tn by 2021, growing at an annual average of 8 per cent.

Drivers of wealth generation in the region will be split evenly between new wealth creation and growth of performance of existing assets, according to BCG.

Another general trend in the region is clients’ looking for a comprehensive approach to investing, according to Mr AbuShaban.

“Institutional investors or some of the families are seeing a slowdown in the available capital they have to invest and in that sense they are looking at optimizing the way they manage their portfolios and making sure they are not investing haphazardly and different parts of their investment are working together,” said Mr AbuShaban.

Some clients also have a higher appetite for risk, given the low interest-rate environment that does not provide enough yield for some institutional investors. These clients are keen to invest in illiquid assets, such as private equity and infrastructure.

“What we have seen is a desire for higher returns in what has been a low-return environment specifically in various fixed income or bonds,” he said.

“In this environment, we have seen a de facto increase in the risk that clients are taking in things like illiquid investments, private equity investments, infrastructure and private debt, those kind of investments were higher illiquidity results in incrementally higher returns.”

The Abu Dhabi Investment Authority, one of the largest sovereign wealth funds, said in its 2016 report that has gradually increased its exposure in direct private equity and private credit transactions, mainly in Asian markets and especially in China and India. The authority’s private equity department focused on structured equities owing to “their defensive characteristics.”

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The flights

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The package

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What is Folia?

Prince Khaled bin Alwaleed bin Talal's new plant-based menu will launch at Four Seasons hotels in Dubai this November. A desire to cater to people looking for clean, healthy meals beyond green salad is what inspired Prince Khaled and American celebrity chef Matthew Kenney to create Folia. The word means "from the leaves" in Latin, and the exclusive menu offers fine plant-based cuisine across Four Seasons properties in Los Angeles, Bahrain and, soon, Dubai.

Kenney specialises in vegan cuisine and is the founder of Plant Food Wine and 20 other restaurants worldwide. "I’ve always appreciated Matthew’s work," says the Saudi royal. "He has a singular culinary talent and his approach to plant-based dining is prescient and unrivalled. I was a fan of his long before we established our professional relationship."

Folia first launched at The Four Seasons Hotel Los Angeles at Beverly Hills in July 2018. It is available at the poolside Cabana Restaurant and for in-room dining across the property, as well as in its private event space. The food is vibrant and colourful, full of fresh dishes such as the hearts of palm ceviche with California fruit, vegetables and edible flowers; green hearb tacos filled with roasted squash and king oyster barbacoa; and a savoury coconut cream pie with macadamia crust.

In March 2019, the Folia menu reached Gulf shores, as it was introduced at the Four Seasons Hotel Bahrain Bay, where it is served at the Bay View Lounge. Next, on Tuesday, November 1 – also known as World Vegan Day – it will come to the UAE, to the Four Seasons Resort Dubai at Jumeirah Beach and the Four Seasons DIFC, both properties Prince Khaled has spent "considerable time at and love". 

There are also plans to take Folia to several more locations throughout the Middle East and Europe.

While health-conscious diners will be attracted to the concept, Prince Khaled is careful to stress Folia is "not meant for a specific subset of customers. It is meant for everyone who wants a culinary experience without the negative impact that eating out so often comes with."

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Terminator: Dark Fate

Director: Tim Miller

Starring: Arnold Schwarzenegger, Linda Hamilton, Mackenzie Davis 

Rating: 3/5

From Zero

Artist: Linkin Park

Label: Warner Records

Number of tracks: 11

Rating: 4/5

Frankenstein in Baghdad
Ahmed Saadawi
​​​​​​​Penguin Press

Election pledges on migration

CDU: "Now is the time to control the German borders and enforce strict border rejections" 

SPD: "Border closures and blanket rejections at internal borders contradict the spirit of a common area of freedom"