• Title/Summary/Keyword: 3-dimensional computer tomography

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Use of 3D Printing Model for the Management of Fibrous Dysplasia: Preliminary Case Study

  • Choi, Jong-Woo;Jeong, Woo Shik
    • Journal of International Society for Simulation Surgery
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    • v.3 no.1
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    • pp.36-38
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    • 2016
  • Fibrous dysplasia is a relatively rare disease but the management would be quite challenging. Because this is not a malignant tumor, the preservation of the facial contour and the various functions seems to be important in treatment planning. Until now the facial bone reconstruction with autogenous bone would be the standard. Although the autogenous bone would be the ideal one for facial bone reconstruction, donor site morbidity would be the inevitable problem in many cases. Meanwhile, various types of allogenic and alloplastic materials have been also used. However, facial bone reconstruction with many alloplastic material have produced no less complications including infection, exposure, and delayed wound healing. Because the 3D printing technique evolved so fast that 3D printed titanium implant were possible recently. The aim of this trial is to try to restore the original maxillary anatomy as possible using the 3D printing model, based on the mirrored three dimensional CT images based on the computer simulation. Preoperative computed tomography (CT) data were processed for the patient and a rapid prototyping (RP) model was produced. At the same time, the uninjured side was mirrored and superimposed onto the traumatized side, to create a mirror-image of the RP model. And we molded Titanium mesh to reconstruct three-dimensional maxillary structure during the operation. This prefabricated Titanium-mesh implant was then inserted onto the defected maxilla and fixed. Three dimensional printing technique of titanium material based on the computer simulation turned out to be successful in this patient. Individualized approach for each patient could be an ideal way to restore the facial bone.

3D Printed Titanium Implant for the Skull Reconstruction: A Preliminary Case Study

  • Choi, Jong-Woo;Ahn, Jae-Sung
    • Journal of International Society for Simulation Surgery
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    • v.1 no.2
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    • pp.99-102
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    • 2014
  • The skull defect can be made after the trauma, oncologic problems or neurosurgery. The skull reconstruction has been the challenging issue in craniofacial fields for a long time. So far the skull reconstruction with autogenous bone would be the standard. Although the autogenous bone would be the ideal one for skull reconstruction, donor site morbidity would be the inevitable problem in many cases. Meanwhile various types of allogenic and alloplastic materials have been also used. However, skull reconstruction with many alloplastic material have produced no less complications including infection, exposure, and delayed wound healing. Because the 3D printing technique evolved so fast that 3D printed titanium implant were possible recently. The aim of this trial is to try to restore the original skull anatomy as possible using the 3D printed titanium implant, based on the mirrored three dimensional CT images based on the computer simulation. Preoperative computed tomography (CT) data were processed for the patient and a rapid prototyping (RP) model was produced. At the same time, the uninjured side was mirrored and superimposed onto the traumatized side, to create a mirror-image of the RP model. And we fabricated Titanium implant to reconstruct three-dimensional orbital structure in advance, using the 3D printer. This prefabricated Titanium-implant was then inserted onto the defected skull and fixed. Three dimensional printing technique of titanium material based on the computer simulation turned out to be very successful in this patient. Individualized approach for each patient could be an ideal way to manage the traumatic patients in near future.

THE DIAGNOSIS OF IMPACTED MAXILLARY MESIODENS USING 3-DIMENSIONAL COMPUTED TOMOGRAPHY : A CASE REPORT (3차원 전산화 단층촬영을 이용한 상악 정중 과잉치의 진단)

  • Hong, Young-Woo;Kim, Seong-Oh;Sohn, Hyung-Kyu;Lee, Jong-Gap
    • Journal of the korean academy of Pediatric Dentistry
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    • v.25 no.3
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    • pp.549-554
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    • 1998
  • The prevalence of the supernumerary tooth is $1{\sim}4%$. It usually occurs in the permanent dentition. It frequently occurs in the maxillary mid palatal area. The presence of the supernumerary tooth causes the following problems ; (1) interfering the eruption of successional tooth, (2) displacing the neighboring teeth, (3) resulting large diastema, (4) forming cystic change. So the supernumerary tooth should be removed as soon as possible. To extract the supernumerary tooth, the exact position must be noticed first. Radiographic techniques that were used in the past are tube shift technique, right angle technique, sterioradiography, using radiopaque contrast media and conventional tomography. But these methods include the subjective opinion of the operator. So, a technique eliminating the operator's opinion and showing the position 3-dimentionally can be used. 3-dimentional computed tomography equipped with dental softwares can show the position of the impacted supernumerally tooth in 3-dimentional position. It has an advantage to eliminate the subjective opinion of the operator. With a fast computer this techenique is done in a relatively short period of time. The rationale of this methods is relatively simple. After tacking X-ray and reconstructing the data 3-dimentionally, sequential removal of the soft tissue and hard tissue(bone) CT number leaves the teeth alone in 3-dimentional position. The image can be seen from anywhere, so the operator can see the image in front, rear, upper, and lower positions. In both cases 1 and 2, the position of the impacted supernumerary tooth is viewed by the 3-dimensional computed tomography. And it made the operator easy to figureout the exact position.

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Accuracy of computer-aided template-guided oral implant placement: a prospective clinical study

  • Beretta, Mario;Poli, Pier Paolo;Maiorana, Carlo
    • Journal of Periodontal and Implant Science
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    • v.44 no.4
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    • pp.184-193
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    • 2014
  • Purpose: The aim of the present study was to evaluate the in vivo accuracy of flapless, computer-aided implant placement by comparing the three-dimensional (3D) position of planned and placed implants through an analysis of linear and angular deviations. Methods: Implant position was virtually planned using 3D planning software based on the functional and aesthetic requirements of the final restorations. Computer-aided design/computer-assisted manufacture technology was used to transfer the virtual plan to the surgical environment. The 3D position of the planned and placed implants, in terms of the linear deviations of the implant head and apex and the angular deviations of the implant axis, was compared by overlapping the pre- and postoperative computed tomography scans using dedicated software. Results: The comparison of 14 implants showed a mean linear deviation of the implant head of 0.56 mm (standard deviation [SD], 0.23), a mean linear deviation of the implant apex of 0.64 mm (SD, 0.29), and a mean angular deviation of the long axis of $2.42^{\circ}$ (SD, 1.02). Conclusions: In the present study, computer-aided flapless implant surgery seemed to provide several advantages to the clinicians as compared to the standard procedure; however, linear and angular deviations are to be expected. Therefore, accurate presurgical planning taking into account anatomical limitations and prosthetic demands is mandatory to ensure a predictable treatment, without incurring possible intra- and postoperative complications.

Review of Soil Structure Quantification from Soil Images

  • Chun, Hyen-Chung;Gimenez, Daniel;Yoon, Sung-Won;Park, Chan-Won;Moon, Yong-Hee;Sonn, Yeon-Kyu;Hyun, Byung-Keun
    • Korean Journal of Soil Science and Fertilizer
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    • v.44 no.3
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    • pp.517-526
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    • 2011
  • Soil structure plays an important role in ecological system, since it controls transport and storage of air, gas, nutrients and solutions. The study of soil structure requires an understanding of the interrelations and interactions between the diverse soil components at various levels of organization. Investigations of the spatial distribution of pore/particle arrangements and the geometry of soil pore space can provide important information regarding ecological or crop system. Because of conveniences in image analyses and accuracy, these investigations have been thrived for a long time. Image analyses from soil sections through impregnated blocks of undisturbed soil (2 dimensional image analyses) or from 3 dimensional scanned soils by computer tomography allow quantitative assessment of the pore space. Image analysis techniques can be used to classify pore types and quantify pore structure without inaccurate or hard labor in laboratory. In this paper, the last 50 years of the soil image analyses have been presented and measurements on various soil scales were introduced, as well. In addition to history of image analyses, a couple of examples for soil image analyses were displayed. The discussion was made on the applications of image analyses and techniques to quantify pore/soil structure.

Measurement of Prostate Phantom Volume Using Three-Dimensional Medical Imaging Modalities (3차원 의료영상진단기기를 이용한 가상 전립선 용적 측정)

  • Seoung, Youl-Hun;Joo, Yong-Hyun;Choe, Bo-Young
    • Journal of Biomedical Engineering Research
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    • v.31 no.4
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    • pp.285-291
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    • 2010
  • Recently, advance on various modalities of diagnosing, prostate volume estimation became possible not only by the existing two-dimension medical images data but also by the three-dimensional medical images data. In this study, magnetic resonance image (MRI), computer tomography (CT) and ultrasound (US) were employed to evaluate prostate phantom volume measurements for estimation, comparison and analysis. For the prostate phantoms aimed at estimating the volume, total of 17 models were developed by using devils-tongue jelly and changing each of the 5ml of capacity from 20ml to 100ml. For the volume estimation through 2D US, the calculation of the diameter with C9-5Mhz transducer was conducted by ellipsoid formula. For the volume estimation through 3D US, the Qlab software (Philips Medical) was used to calculate the volume data estimated by 3D9-3Mhz transducer. Moreover, the images by 16 channels CT and 1.5 Tesla MRI were added by the method of continuous cross-section addition and each of imaginary prostate model's volume was yielded. In the statistical analysis for comparing the availability of volume estimation, the correlation coefficient (r) was more than 0.9 for all indicating that there were highly correlated, and there were not statistically significant difference between each of the correlation coefficient (p=0.001). Therefore, the estimation of prostate phantom volume using three-dimensional modalities of diagnosing was quite closed to the actual estimation.

Computer Tomography as a Tool for Physical Analysis in an Anthropogenic Soil

  • Chun, Hyen Chung;Park, Chan Won;Sonn, Yeon Kyu;Cho, Hyun Joon;Hyun, Byung Keun;Song, Kwan Cheol;Zhang, Yong Seon
    • Korean Journal of Soil Science and Fertilizer
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    • v.46 no.6
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    • pp.549-555
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    • 2013
  • Human influence on soil formation has dramatically increased as the development of human civilization and industry. Increase of anthropogenic soils induced research of those soils; classification, chemical and physical characteristics and plant growth of anthropogenic soils. However there have been no reports on soil pore properties from the anthropogenic soils so far. Therefore the objectives of this study were to test computer tomography (CT) to characterize physical properties of an anthropogenic paddy field soil and to find differences between natural and anthropogenic paddy field soils. Soil samples of a natural paddy field were taken from Ansung, Gyeonggi-do (Ansung site), and samples of an anthropogenic paddy field were from Gumi in Gyeongsangnam-do (Gasan) where paddy fields were remodeled in 2011-2012. Samples were taken at three different depths and analyzed for routine physical properties and CT scans. CT scan provided 3 dimensional images to calculate pore size, length and tortuosity of soil pores. Fractal analysis was applied to quantify pore structure within soil images. The results of measured physical properties (bulk density, porosity) did not show differences across depths and sites, but hardness and water content had differences. These differences repeated within the results of pore morphology. Top soil samples from both sites had greater pore numbers and sizes than others. Fractal analyses showed that top soils had more heterogeneous pore structures than others. The bottom layer of the Gasan site showed more degradation of pore properties than ploughpan and bottom layers from the Ansung site. These results concluded that anthropogenic soils may have more degraded pore properties as depth increases. The remodeled paddy fields may need more fundamental remediation to improve physical conditions. This study suggests that pore analyses using CT can provide important information of physical conditions from anthropogenic soils.

Minimizing the extra-oral time in autogeneous tooth transplantation: use of computer-aided rapid prototyping (CARP) as a duplicate model tooth

  • Lee, Seung-Jong;Kim, Eui-Seong
    • Restorative Dentistry and Endodontics
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    • v.37 no.3
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    • pp.136-141
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    • 2012
  • Objectives: The maintenance of the healthy periodontal ligament cells of the root surface of donor tooth and intimate surface contact between the donor tooth and the recipient bone are the key factors for successful tooth transplantation. In order to achieve these purposes, a duplicated donor tooth model can be utilized to reduce the extra-oral time using the computer-aided rapid prototyping (CARP) technique. Materials and Methods: Briefly, a three-dimensional digital imaging and communication in medicine (DICOM) image with the real dimensions of the donor tooth was obtained from a computed tomography (CT), and a life-sized resin tooth model was fabricated. Dimensional errors between real tooth, 3D CT image model and CARP model were calculated. And extra-oral time was recorded during the autotransplantation of the teeth. Results: The average extra-oral time was 7 min 25 sec with the range of immediate to 25 min in cases which extra-oral root canal treatments were not performed while it was 9 min 15 sec when extra-oral root canal treatments were performed. The average radiographic distance between the root surface and the alveolar bone was 1.17 mm and 1.35 mm at mesial cervix and apex; they were 0.98 mm and 1.26 mm at the distal cervix and apex. When the dimensional errors between real tooth, 3D CT image model and CARP model were measured in cadavers, the average of absolute error was 0.291 mm between real teeth and CARP model. Conclusions: These data indicate that CARP may be of value in minimizing the extra-oral time and the gap between the donor tooth and the recipient alveolar bone in tooth transplantation.

Three Dimensional Reconstruction and Display of CT Images Via Linear Octree (선형 Octree에 의한 CT영상의 3차원 재구성 및 표현)

  • Yoo, Sun-Kook;Kim, Nam-Hyun;Kim, Won-Ky;Kim, Sun-Ho;Park, Sang-Hui
    • Journal of the Korean Institute of Telematics and Electronics
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    • v.26 no.6
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    • pp.79-88
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    • 1989
  • In this paper, linear octree is used to reconstruct and to modify the 3-dimensional image from 2-dimensional cross sections provided by computed tomography. Linear octree introduces a considerable data saving of the memory storage required by small computer system. This structure allows the hidden surface removal utilizing the spatial presortedness of hierarchical octree structure and implementation of graphical operations that include viewing transform and shading. An actual human organ is used to illustrate this technique and its implications for theraphy and surgical planning.

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The elimination of the linear artifacts by the metal restorations in the three dimensional computed tomographic images using the personal computer and software (개인용 컴퓨터와 소프트웨어를 이용한 3차원 전산화단층영상에서의 금속 수복물에 의한 선상 오류의 제거)

  • Park Hyok;Lee Hee-Cheol;Kim Kee-Deog;Park Chang-Seo
    • Imaging Science in Dentistry
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    • v.33 no.3
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    • pp.151-159
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    • 2003
  • Purpose: The purpose of this study is to evaluate the effectiveness and usefulness of newly developed personal computer-based software to eliminate the linear artifacts by the metal restorations. Materials and Methods: A 3D CT image was conventionally reconstructed using ADVANTAGE WINDOWS 2.0 3D Analysis software (GE Medical System, Milwaukee, USA) and eliminated the linear artifacts manually. Next, a 3D CT image was reconstructed using V-works 4.0/sup TM/(Cybermed Inc., Seoul, Korea) and the linear artifacts eliminated manually in the axial images by a skillful operator using a personal computer. A 3D CT image was reconstructed using V-works 4.0/sup TM/(Cybermed Inc., Seoul, Korea) and the linear artifacts were removed using a simplified algorithm program to eliminate the linear artifacts automatically in the axial images using a personal computer, abbreviating the manual editing procedure. Finally, the automatically edited reconstructed 3D images were compared to the manually edited images. Results and Conclusion: We effectively eliminated the linear artifacts automatically by this algorithm, not by the manual editing procedures, in some degree. But programs based on more complicated and accurate algorithms may lead to a nearly flawless elimination of these linear artifacts automatically.

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