Journal of radiological science and technology (대한방사선기술학회지:방사선기술과학)

Korean Society of Radiological Science (대한방사선과학회)
권호 표지
DOI QR코드

DOI QR Code

Evaluation of Usefulness and Fabrication of Femur Phantom on Quality Control of Bone Mineral Density Using 3D Printing Technology

3D 프린팅기술을 이용한 골밀도 정도관리 대퇴골 팬텀 제작 및 유용성 평가

  • Da-Yeong, Hong (Department of Radiological Science, Dongnam Health University) ;
  • Jeong, Lee (Department of Radiological Science, Dongnam Health University) ;
  • Jun-Ho, Lee (Department of Radiological Science, Dongnam Health University) ;
  • Jae-Won, Mun (Department of Radiological Science, Dongnam Health University) ;
  • Han-Saem, Oh (Department of Radiological Science, Dongnam Health University) ;
  • Yu-Won, Jeong (Department of Radiological Science, Dongnam Health University) ;
  • Seong-Hyun, Jin (Department of Radiological Science, Dongnam Health University) ;
  • Jong-Min, Hong (Department of Radiological Science, Dongnam Health University) ;
  • In-Ja, Lee (Department of Radiological Science, Dongnam Health University)
  • 홍다영 (동남보건대학교 방사선학과) ;
  • 이정 (동남보건대학교 방사선학과) ;
  • 이준호 (동남보건대학교 방사선학과) ;
  • 문재원 (동남보건대학교 방사선학과) ;
  • 오한샘 (동남보건대학교 방사선학과) ;
  • 정유원 (동남보건대학교 방사선학과) ;
  • 진성현 (동남보건대학교 방사선학과) ;
  • 홍종민 (동남보건대학교 방사선학과) ;
  • 이인자 (동남보건대학교 방사선학과)
  • Received : 2022.11.16
  • Accepted : 2023.01.30
  • Published : 2023.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

As the demand for bone mineral density testing increases in Korea, which is close to an aging society, it is necessary to evaluate the repeatability of equipment such as femur phantom other than l-spine for more accurate diagnosis. However, in clinical practice, it is often not possible to proceed such evaluation due to insufficient quality control conditions. Therefore, this study is to evaluate the usefulness of the femur phantom after fabricating the same using 3D printing technology. The femur phantom was output using GlowFill filament and FDM 3D printing type. Each phantom was repeatedly scaned 20 times to compare whether the existing l-spine phantom and the fabricated femur phantom were suitable as a phantom for quality control. Each time the seven researchers took three times, the location of the femur phantom was readjusted, and then scanned to confirm the error between the researchers. As a result of conducting repeatability evaluation using femur phantom, the coefficient of variation rate was 2%, which was within the minimum precision tolerance of 2.5%. The reproducibility between the researcher was also found to be suitable as the average coefficient of variation was 0.031 and the coefficient of variation rate was 3.1%, which was within the minimum precision error range of 5%. In conclusion, it is considered that the prospective attitude and usefulness of the femur phantom fabricated by 3D printing in clinical practice will be sufficient.

Keywords

References

  1. Lee SJ, Koo JW, Seo JS, Ahn JC. Measurement of bone density in Korean adults using dual energy X-ray absorptiometry (DEXA). Journal of the Korean Society for Bone Metabolism. 1994;1(2):201-8.
  2. Kim HS, Kim TH, Kim SH. Management of bone density test using dual energy X-ray absorptiometry. Radiation Technology and Science.
  3. Yang SO, Ham SY. Function run. Follow-up of osteoporosis treatment using bone densitometry. Journal of the Korean Endocrinology Society. 2001; 16(4):5.
  4. Yang JY, Kim YM. Correlation analysis of proximal femur and lumbar bone density tests. Journal of the Korean Fracture Society. 2003;16(4):570-6. https://doi.org/10.12671/jksf.2003.16.4.570
  5. Baek KH, Kang MI. ISCD Official Views on Bone Density Measurement and Clinical Application. Journal of the Korean Endocrinology Society. 2005; 20(1).
  6. Kang YE, Kim EH, Kim HS, Choi JS, Choi WJ. The Clinical Usefulness Measurement of the Whole Body Percent Fat Calculated by the Part Bone Mineral Density Measurement. The Korean Journal of Nuclear Medicine Technology. 2011;15(1):3-9.
  7. Ku YM, Jee WH, Choe BY, Park SH, Na SE, Mun KM, et al. Relationship between bone mineral density of lumbar spine and fatty replacement of lumbar paraspinal muscles by Quantitative computed tomography. Journal of the Korean Radiological Society. 1998;38(1):163-7. https://doi.org/10.3348/jkrs.1998.38.1.163
  8. Kim JS, Noh YH, Lee IJ, Kim SS, Kim KA, Kim JM. Quality control status of dual energy radiation absorption bone density device. Radiation Technology Science. 2016;39(4):527-34.
  9. Yoon M, Hong SM, Heo YC, Han DK. A study on the fabrication and comparison of the phantom for computed tomography image quality measurements using three-dimensions printing technology. Journal of Radiological Science and Technology. 2018; 41(6):595-602. https://doi.org/10.17946/JRST.2018.41.6.595
  10. Hwang SW. Characteristics of bone density in the lumbar spine and femur in healthy adult males at one hospital. Journal of the Korean Society for Clinical Health Promotion. 2009;9(3):199-206.
  11. Park HM, Song MS, Huh M. Comparative study of whole and partial bone density in the diagnosis of osteoporosis. Journal of the Korean Menopause Society. 2003;9(1):25-35.
  12. Choi JS, An KC, Lee CS, Choi JM, Shin DR. DEXA T-score concordance and discordance between hip and lumbar spine. Journal of Korean Society of Spine Surgery. 2003;10(2):75-81. https://doi.org/10.4184/jkss.2003.10.2.75
  13. Shahrubudin N, Lee TC, Ramlan R. An overview on 3D printing technology: Technological, materials, and applications. Procedia Manufacturing. 2019;35:1286-96. https://doi.org/10.1016/j.promfg.2019.06.089
  14. Lee JH, Choi KY, Hong SY. Bone density phantom development using 3D printing. Journal of the Korean Radiological Society. 2019;13(2):185-92.
  15. Yoon MS, Han DK, Kim YM, Yoon J. A study on the fabrication of bone model X-ray phantoms using CT data and 3D printing technology. Journal of the Korean Radiological Society. 2018;12(7): 879-86.
  16. Kim HS, Dong GR, Ryu YH. Accurate quality control method of bone density measurement-Focused on dual energy radiation absorption method. Radiation Technology and Science. 2009;32(4):361-70.
  17. Kim HS, Yang SO. Understanding Dual Energy Radiation Absorption Method, Department of Nuclear Medicine, Seoul Central Hospital, Ulsan University of Medicine. Korean Journal of Bone Metabolism. 1996;3(2):128-35.
  18. Jeong JY. Kim DH, Kim KY, Ryu SY, Lee SY, Park YS. Self-reported height, weight, and body mass index accuracy of the Community Health Survey. Journal of Health Information and Statistics. 2017;42(3):241-9. https://doi.org/10.21032/jhis.2017.42.3.241
  19. Kim JM, Kim SC, Lee IJ. Innovation Radiation Imaging Informatics Experiment. Shinkwang Publisher; 2021:121-4.
  20. Korea Disease Control and Prevention Agency, Catholic Kwandong University. Education and Quality Control of Bone Mineral Density Test in the Fourth National Health and Nutrition Examination Survey. 2008.
  21. Kim EH, Kim IJ, Jeon YK. The Practical Bone Density Test: Focusing on Dual-Energy X-ray Absorptiometry (DXA). Korean Journal of Medicine (former Journal of Internal Medicine). 2019;94(3): 268-72. https://doi.org/10.3904/kjm.2019.94.3.268
  22. Dong GR, Kim HS, Jung WR. Clinical application and interpretation according to correct quality management of bone density test-Focused on dual energy radiation absorption method. Radiation Technology and Science. 2008;31(1):17-23.
  23. Lee YH, Lee IJ, Yang HG. A study on the error of the bone density measurement value according to the change of the examiner's ROI when measuring the bone density using DEXA. Radiation Technology and Science. 2012;35(1):1-7.
  24. Kim DY. Clinical application of bone mineral density measurement. The Korean Journal of Nuclear Medicine. 2004;38(4):275-81.
  25. Jung SP, Lee SH, Lee GM. Factors that affect bone density in postmenopausal women. Yeongnam Medical University. 1996;13(2):261-71. https://doi.org/10.12701/yujm.1996.13.2.261
  26. Jeong MY, Ji YS, Kim CB, Dong KR, Ryu JK, Choi JW. Correlation between lumbar and femoral neck bone density tests using DXA in rehabilitation patients. Journal of Radiation Industry. 2018; 12(4):311-6. https://doi.org/10.23042/RADIN.2018.12.4.311
  27. Hong SB. Diagnosis and treatment of osteoporosis. Journal of the Korean Neuroscience Society. 2017; 35(4):20-4. https://doi.org/10.17340/jkna.2017.4.27
  28. Choplin RH, Lenchik L, Wuertzer S. A Practical Approach to interpretation of Dual- Energy X-ray absorptiometry for Assessment of Bone Density. Curr Radiol Rep. 2014;2:48.
  29. Yoo JS, Kim EH, Kim HS, Shin SK, Cho SM. The Precision Test Based on States of Bone Mineral Density. The Korean Journal of Nuclear Medicine Technology. 2009;13(1):67-72.
  30. Kim HS, Kim TH, Kim SH. Management Methods of Bone Mineral Density Examination Using Dual Energy X-ray Absorptiometry. Journal of Radiological Science and Technology. 2018;41(4):351-60.  https://doi.org/10.17946/JRST.2018.41.4.351