• Progress in Medical Physics
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• v.27 no.4
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• pp.196-202
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• 2016

We aim to develop the breast bolus by using a 3D printer to minimize the air-gap, and compare it to commercial bolus used for patients undergoing reconstruction in breast cancer. The bolus-shaped region of interests (ROIs) were contoured at the surface of the intensity-modulated radiation therapy (IMRT) thorax phantom with 5 mm thickness, after which the digital imaging and communications in mdicine (DICOM)-RT structure file was acquired. The intensity-modulated radiation therapy (Tomo-IMRT) and direct mode (Tomo-Direct) using the Tomotherapy were established. The 13 point doses were measured by optically stimulated luminescence (OSLD) dosimetry. The measurement data was analyzed to quantitatively evaluate the applicability of 3D bolus. The percentage change of mean measured dose between the commercial bolus and 3D-bolus was 2.3% and 0.7% for the Tomo-direct and Tomo-IMRT, respectively. For air-gap, range of the commercial bolus was from 0.8 cm to 1.5 cm at the periphery of the right breast. In contrast, the 3D-bolus have occurred the air-gap (i.e., 0 cm). The 3D-bolus for radiation therapy reduces the air-gap on irregular body surface that believed to help in accurate and precise radiation therapy due to better property of adhesion.

• Archives of Plastic Surgery
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• v.46 no.4
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• pp.303-310
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• 2019

Background Prosthetic hands with a myoelectric interface have recently received interest within the broader category of hand prostheses, but their high cost is a major barrier to use. Modern three-dimensional (3D) printing technology has enabled more widespread development and cost-effectiveness in the field of prostheses. The objective of the present study was to evaluate the clinical impact of a low-cost 3D-printed myoelectric-interface prosthetic hand on patients' daily life. Methods A prospective review of all upper-arm transradial amputation amputees who used 3D-printed myoelectric interface prostheses (Mark V) between January 2016 and August 2017 was conducted. The functional outcomes of prosthesis usage over a 3-month follow-up period were measured using a validated method (Orthotics Prosthetics User Survey-Upper Extremity Functional Status [OPUS-UEFS]). In addition, the correlation between the length of the amputated radius and changes in OPUS-UEFS scores was analyzed. Results Ten patients were included in the study. After use of the 3D-printed myoelectric single electromyography channel prosthesis for 3 months, the average OPUS-UEFS score significantly increased from 45.50 to 60.10. The Spearman correlation coefficient (r) of the correlation between radius length and OPUS-UEFS at the 3rd month of prosthetic use was 0.815. Conclusions This low-cost 3D-printed myoelectric-interface prosthetic hand with a single reliable myoelectrical signal shows the potential to positively impact amputees' quality of life through daily usage. The emergence of a low-cost 3D-printed myoelectric prosthesis could lead to new market trends, with such a device gaining popularity via reduced production costs and increased market demand.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.42
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• pp.28.1-28.4
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• 2020

Background: This clinical case presented a novel method of segmental mandible reconstruction using 3D-printed titanium implant with pre-mounted dental implants that was planned to rehabilitate occlusion. Case presentation: A 53-year-old male who suffered osteoradionecrosis due to the radiation after squamous cell carcinoma resection. The 3D-printed titanium implant with pre-mounted dental implant fixtures was simulated and fabricated with selective laser melting method. The implant was successfully inserted, and the discontinuous mandible defect was rehabilitated without postoperative infection or foreign body reaction during follow-ups, until a year. Conclusions: The 3D-printed titanium implant would be the one of the suitable treatment modalities for mandible reconstruction considering all the aspect of mandibular functions.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.42
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• pp.18.1-18.9
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• 2020

Background: Bone grafting has been considered the gold standard for hard tissue reconstructive surgery and is widely used for large mandibular defect reconstruction. However, the midface encompasses delicate structures that are surrounded by a complex bone architecture, which makes bone grafting using traditional methods very challenging. Three-dimensional (3D) bioprinting is a developing technology that is derived from the evolution of additive manufacturing. It enables precise development of a scaffold from different available biomaterials that mimic the shape, size, and dimension of a defect without relying only on the surgeon's skills and capabilities, and subsequently, may enhance surgical outcomes and, in turn, patient satisfaction and quality of life. Review: This review summarizes different biomaterial classes that can be used in 3D bioprinters as bioinks to fabricate bone scaffolds, including polymers, bioceramics, and composites. It also describes the advantages and limitations of the three currently used 3D bioprinting technologies: inkjet bioprinting, micro-extrusion, and laserassisted bioprinting. Conclusions: Although 3D bioprinting technology is still in its infancy and requires further development and optimization both in biomaterials and techniques, it offers great promise and potential for facial reconstruction with improved outcome.

• Journal of the Korean Society of Radiology
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• v.13 no.7
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• pp.1015-1024
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• 2019

In the medical field, X-rays are essential in the diagnosis and treatment of diseases, and the use of X-rays continues to increase with the development of imaging technology, but X-rays have the disadvantage of radiation exposure. Although lead protection tools are used in clinical practice to protect against radiation exposure, lead is classified as a heavy metal and can cause harmful reactions such as lead poisoning. Therefore, the purpose of this study is to investigate the usefulness of the shield fabricated using materials of FDM (Fused Deposition Modeling) 3D printer. In order to confirm the filament's line attenuation factor, phantoms were fabricated using PLA, XT-CF20, Wood, Glow and Brass, and CT scan was performed. And the shielding sheet of 100 × 100 × 2 mm size was modeled, the dose and shielding rate was measured by using a diagnostic X-ray generator and irradiation dose meter, and the shielding rate with lead protection tools. As a result of the experiment, the CT number of the brass was measured to be the highest, and the shielding sheet was manufactured by using the brass. As a result of confirming with the diagnostic X-ray generator, the shielding rate was increased in the shielding sheet having a thickness of 6 mm upon X-ray irradiation under the condition of 100 kV and 40 mAs. It measured by 90% or more, and confirmed that the shielding rate is higher than apron 0.25 mmPb. As a result of this study, it was confirmed that the shield fabricated by 3D printing technology showed high shielding rate in the diagnostic X-ray region. there was.

• Journal of Welding and Joining
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• v.34 no.4
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• pp.9-16
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• 2016

Metal parts are produced by conventional methods such as casting, forging and cutting, extrusion, etc. However, nowadays, with additive manufacturing (AM), it is possible to directly commercialize by means of stacking of equipment to the 3D drawing and use of high precision tools such as laser source. Thus, drawing of materials is an important aspect in delivering good products. AM deals with production of lighter aircraft parts and few more three-dimensional molds, it wish to manufacture special medical parts and want to steadily expand the new market area. The cost of related equipment and materials are still expensive and difficult to obtain on a mass production. However, the ability to make changes and lead the innovation in the paradigm of traditional manufacturing process is still effective. In this paper, we introduce metal AM and the principles of the related devices, metal powder production process, and their application.

• Tribology and Lubricants
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• v.36 no.6
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• pp.365-370
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• 2020

Recently, additive manufacturing (AM) technology has been applied to various industries such as automotive, aviation, medical, and electronics. Most prior studies are limited to the mechanical properties of printed materials, and few studies are being conducted on their tribological characteristics. However, the friction and wear characteristics of the material should be studied in order to utilize the components manufactured using AM technology as mechanical parts. In this study, the friction and wear characteristics of acrylonitrile-butadiene-styrene (ABS)-like resin printed with stereo lithography apparatus (SLA) 3D printing are evaluated according to the viscosity of silicon oil lubricant using a ball-on-disk experiment. Lubricants with a viscosity of 500, 1000, and 2000 cSt are prepared for the experiment. If silicon oil lubricants are used during the ball-on-disk test, the coefficient of friction (COF) and wear rates are significantly reduced, and the higher the viscosity of the lubricant, the lower will be the COF and wear rates. It is also verified that the temperature of the specimen owing to friction also decreases according to the viscosity of the lubricant. This is because of the silicon oil film thickness, and the higher the viscosity of the lubricant, the thicker will be the oil film. More studies on the tribological characteristics of 3D printing materials and suitable lubricants will be required to use 3D printed parts as mechanical elements.

• Journal of the Korean Society of Radiology
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• v.14 no.1
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• pp.45-51
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• 2020

The purpose of this study was to analyze the educational effect of self-directed learning method using 3D printed anatomy on radiological science students. The subjects were 32 students (20 males and 12 females) in the second year of radiological science at university. They were divided two groups as a non-active student group and an active student group. A learning method was self-directed learning using 3D printed anatomical structures, and the effects of quantitative learning improvement were evaluated before and after the learning. The qualitative evaluation of the students was analyzed on the Likert's 5-point scale for the interest, satisfaction, and learning effects (memorization convenience of anatomy name, radiography Interpret ability, understanding on bones structure, and X-ray projection technique). As a result, the enhancement of learning improved 65.4% on average, and all students got scored high on all variables. Especially non-active student groups showed higher correlation coefficients in all variables except interest and radiography interpret than active student groups. These results might suggest that self-directed learning using 3D printed anatomical structures could have a positive educational effect on radiological science students.

• Journal of the Korean Society of Radiology
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• v.17 no.5
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• pp.641-649
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• 2023

This study compares and analyzes the performance of a shield manufactured using 3D printing technology to find out its applicability as a shield in high-energy electron beam therapy. Actual measurement and monte carlo simulations were performed to evaluate the shielding performance of 3D printing materials for high-energy electron beams. First, in order to secure reliability for the simulation, a source term evaluation was conducted by referring to the IAEA's TRS-398 recommendation. Second, to analyze the shielding performance of PLA+W (93%), a specimen was manufactured using a 3D printer, and the shielding rate by thickness according to electron beam energy was evaluated. Third, the shielding thickness required for electron beam treatment was calculated through a comparative analysis of shielding performance between PLA+W (93%) and existing shielding bodies. First, as a result of the evaluation of the source term through actual measurement and simulation, the TRS-398 recommendation was satisfied with an error of less than 1%, thereby securing the reliability of the simulation. Second, as a result of the shielding performance analysis for PLA+W (93%), 6 MeV electron beams showed a shielding rate of more than 95% at 3.12 mm, and 15 MeV electron beams showed a shielding rate of more than 90% at 10 mm thickness. Third, through simulations, comparative analysis between PLA+W (93%) materials and existing shields showed high shielding rates within the same thickness in the order of tungsten, lead, copper, PLA+W (93%), and aluminum. 6 MeV electron beams showed almost similar shielding rates at 5 mm or more and 15 MeV electron beams. Through this study in the future, it is judged that it can be used as basic data for the production and application of shielding bodies using PLA+W (93%) materials in high-energy electron beam treatment.

• Progress in Medical Physics
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• v.30 no.1
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• pp.32-38
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• 2019

Purpose: The objective of this study is to evaluate the geometrical accuracy of a patient-specific bolus based on a three-dimensional (3D) printed mold and casting method. Materials and Methods: Three breast cancer patients undergoing treatment for a superficial region were scanned using computed tomography (CT) and a designed bolus structure through a treatment planning system (TPS). For the fabrication of patient-specific bolus, we cast harmless certified silicone into 3D printed molds. The produced bolus was also imaged using CT under the same conditions as the patient CT to acquire its geometrical shape. We compared the shapes of the produced bolus with the planned bolus structure from the TPS by measuring the average distance between two structures after a surface registration. Results and Conclusions: The result of the average difference in distance was within 1 mm and, as the worst case, the absolute difference did not exceed ${\pm}2mm$. The result of the geometric difference in the cross-section profile of each bolus was approximately 1 mm, which is a similar property of the average difference in distance. This discrepancy was negligible in affecting the dose reduction. The proposed fabrication of patient-specific bolus is useful for radiation therapy in the treatment of superficial regions, particularly those with an irregular shape.