As the complexity and scale of software applications increase, the challenges associated with testing these systems grow correspondingly, necessitating innovative and sustainable testing strategies. This paper explores a multifaceted approach aimed at addressing the intricate challenges inherent in testing large-scale software applications. Through a comprehensive examination of current industry practices and emerging trends, this study introduces a novel framework that integrates advanced testing techniques with state-of-the-art tools. This framework not only mitigates the challenges posed by the complexity and size of modern applications but also enhances the efficiency and effectiveness of the testing process. Key aspects of this research include a detailed exploration of test methodologies suited for large-scale applications, an evaluation of advanced tools designed for complex test scenarios, and an analysis of the impact of the test environment on sustainability. The findings offer valuable insights and actionable strategies for software development and testing professionals aiming to optimize testing processes and improve the quality and sustainability of their software in a rapidly evolving technological landscape.

Background: Traditional education in neurosurgery primarily relies on observation, giving residents and interns limited opportunities for clinical practice. However, the development of 3D printing has the potential to improve this situation. Based on bibliometrics, we analyze the application of 3D printing technology in neurosurgery medical education and surgical training. Methods: We searched the publications in this field in Web of Science core collection database from September 2000 to September 2023. VOS viewer, Citespace and Microsoft Office Excel were used to visually analyze and draw knowledge graphs. Results: A total of 231 articles and reviews were included. The United States is the country with the largest volume of articles and Mayo Clinic is the leading organization in this field. Partnership between countries, authors and institutions is also presented. World Neurosurgery is the journal with the highest number of publications. The top three key words by occurrence rate are “3D printing”, “surgery” and “simulation”. Conclusions: In recent years, more and more attention has been paid to the research in this field. According to bibliometric analysis, “accuracy” and “surgery simulation” are the research focuses in this field, while “augment reality” is the potential research target.