• Journal of International Society for Simulation Surgery
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• v.1 no.2
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• pp.80-82
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• 2014

Purpose Microtia is congenital anomaly of external ear and the reconstruction method for the external ear of microtia patient was based on autogenous costal cartilage framework. The application of 3D printing technique in medical science has made more possibility of human tissue restoration, and we tried to apply this technique in auricular reconstruction field. Materials and Methods As for unilateral microtia patient, the contralateral side ear is normal and reconstructive surgeon tried to mimic it for reconstruction of affected ear. So, we obtained facial CT scan of microtia patient and made mirror image of normal side ear. Moreover, to make the 3D scaffold based on the mirror image of normal ear and to apply this scaffold for the auricular reconstruction surgery, we included auriculocephalic sulcus and anterior fixation part. Results We could successfully obtain mirror image of normal ear, auriculocephalic sulcus and anterior fixation part for 3D scaffold printing. Conclusions Using this CT image processing and 3D printing technique, we will be able to make the scaffold for auricular reconstruction of unilateral microtia patient, and perform auricular reconstruction in near future.

• Korean Journal of Radiology
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• v.22 no.7
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• pp.1054-1065
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• 2021

Objective: We implemented a novel resectable myocardial model for mock myectomy using a hybrid method of three-dimensional (3D) printing and silicone molding for patients with apical hypertrophic cardiomyopathy (ApHCM). Materials and Methods: From January 2019 through May 2020, 3D models from three patients with ApHCM were generated using the end-diastolic cardiac CT phase image. After computer-aided designing of measures to prevent structural deformation during silicone injection into molding, 3D printing was performed to reproduce anatomic details and molds for the left ventricular (LV) myocardial mass. We compared the myocardial thickness of each cardiac segment and the LV myocardial mass and cavity volumes between the myocardial model images and cardiac CT images. The surgeon performed mock surgery, and we compared the volume and weight of the resected silicone and myocardium. Results: During the mock surgery, the surgeon could determine an ideal site for the incision and the optimal extent of myocardial resection. The mean differences in the measured myocardial thickness of the model (0.3, 1.0, 6.9, and 7.3 mm in the basal, midventricular, apical segments, and apex, respectively) and volume of the LV myocardial mass and chamber (36.9 mL and 14.8 mL, 2.9 mL and -9.4 mL, and 6.0 mL and -3.0 mL in basal, mid-ventricular and apical segments, respectively) were consistent with cardiac CT. The volume and weight of the resected silicone were similar to those of the resected myocardium (6 mL [6.2 g] of silicone and 5 mL [5.3 g] of the myocardium in patient 2; 12 mL [12.5 g] of silicone and 11.2 mL [11.8 g] of the myocardium in patient 3). Conclusion: Our 3D model created using hybrid 3D printing and silicone molding may be useful for determining the extent of surgery and planning surgery guided by a rehearsal platform for ApHCM.

• 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.

• Journal of the Korean Society of Manufacturing Process Engineers
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• v.17 no.2
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• pp.47-53
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• 2018

Nowadays, additive manufacturing (AM) technology is a promising process to fabricate complex shaped devices applied in medical and dental services. Among the AM processes, a DLP (digital light processing) type 3D printing process has some advantages, such as high precision, relatively low cost, etc. In this work, we propose a simple method to fabricate precise dental models using a DLP 3D printer. After 3D printing, a part is commonly post-cured using secondary UV-curing equipment for complete polymerization. However, some shrinkage occurs during the post-curing process, so we adaptively control the UV-exposure time on each layer for over- or under-curing to change the local shape-size of a part in the DLP process. From the results, the shrinkage amounts in the post-curing process vary due to the UV-dose in 3D printing. We believe that the proposed method can be utilized to fabricate dental models precisely, even with a change of the 3D CAD model.

• Journal of Korean Neurosurgical Society
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• v.65 no.4
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• pp.489-498
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• 2022

Spatial insight into intracranial pathology and structure is important for neurosurgeons to perform safe and successful surgeries. Three-dimensional (3D) printing technology in the medical field has made it possible to produce intuitive models that can help with spatial perception. Recent advances in 3D-printed disease models have removed barriers to entering the clinical field and medical market, such as precision and texture reality, speed of production, and cost. The 3D-printed disease model is now ready to be actively applied to daily clinical practice in neurosurgical planning, simulation, and training. In this review, the development of 3D-printed neurosurgical disease models and their application are summarized and discussed.

• Journal of radiological science and technology
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• v.43 no.3
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• pp.187-194
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• 2020

Bone mineral density is a examination to measure the amount of bone in patients with metabolic bone disease. It is a low dose, but may cause unnecessary exposure to the gonads and other organs located in the periphery when examining the lumbar and proximal femurs. Therefore, the purpose of this study was to evaluated the exposure dose for each organ exposed during the bone mineral density through simulation, and analyzed the applicability of the subject to radiation shielding devices using 3D printing materials. As a result, the highest dose was shown at 11.47 uSv in the breast during lumbar examination and 8.98 uSv in the testis during proximal femur examination. Also, the farther away from the examination site, the lower the effect of the scattering-ray. The shielding effect of using 3D printing shielding device showed high results in proportion to the effective atomic number and specific gravity of the printing material. Among the printing materials, ABS + W showed an effect of at least 78.72 to 96.3 9% compared to the existing lead material.

• Journal of radiological science and technology
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• v.40 no.3
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• pp.433-441
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• 2017

The 3D printing selective laser sintering (SLS) and stereo lithography apparatus (SLA) method used for bone model production has good precision and resolution, but the printers are expensive and need professional knowledge for operation. The program that converts computed tomography digital imaging and communications in medicine (DICOM) file into STL (stereolithography) file is also expensive so requesting 3D printing companies takes a lot of time and cost, which is why they are not generally utilized in surgery. To produce bone models of fractured patients, the use of 3D imaging conversion program and 3D printing system should be convenient, and the cost of device and operation should be low. Besides, they should be able to produce big size bone models for application to surgery. Therefore, by using an fused deposition modeling (FDM) method 3D printer that uses thermoplastic materials such as DICOM Viewer OsiriX and plastic wires, this study developed 3D printing system for Fracture surgery Patients customized bone model production for many clinics to use for surgery of fracture patients by universalizing with no limit in printing sizes and low maintenance and production cost. It is expected to be widely applied to the overall areas of orthopedics' education, research and clinic. It is also expected to be conveniently used in not only university hospitals but also regular general hospitals.

• Archives of Craniofacial Surgery
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• v.23 no.6
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• pp.278-281
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• 2022

The face is one of the most important parts of the body. Untreated facial fractures can result in deformities that can be harmful to patients. Three-dimensional (3D) printing is a rapidly evolving technology that has recently been widely applied in the medical field as it can potentially improve patient treatment. Although 3D printing technology is mostly used for craniofacial surgery, some studies have proved that it can be used to treat nasoethmoid orbital fractures. In this study, a patient-customized plate was constructed using a 3D printer and applied in a simulated surgery for the treatment of nasoethmoid orbital fracture.

• Journal of the Korean Society of Radiology
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• v.12 no.7
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• pp.909-917
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• 2018

3D printing technology is expected to be an innovative technology of the manufacturing industry during the 4th industrial revolution, and it is being used in various fields including biotechnology and medical field. In this study, we verified the printing materials through Monte Carlo simulation to evaluate the radiation shielding ability of the raw material using this 3D printing technology. In this paper, the printing materials were selected from the raw materials available in a general-purpose FDM-based 3D printer. Simulation of the ICRU phantom and the shielding system was carried out to evaluate the shielding effect by evaluating the particle fluence according to the type and energy of radiation. As a result, the shielding effect tended to decrease gradually with increasing energy in the case of photon beam, and the shielding effect of TPU, PLA, PVA, Nylon and ABS gradually decreased in order of materials. In the case of the neutron beam, the neutron intensity increases at a low thickness of 5 ~ 10 mm. However, the effective shielding effect is shown above a certain thickness. The shielding effect of printing material is gradually increased in the order of Nylon, PVA, ABS, PLA and TPU Respectively.

• Journal of radiological science and technology
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• v.41 no.1
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• pp.53-60
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• 2018

The purpose of this study was investigating the effect of 3D printing technology that changes the speed of sound (SOS) and the broadband ultrasound attenuation (BUA) by controlling the density of the media phantom. We used 3D printers which called additive manufacturing (AM) by using material with polylactic acid (PLA). The inside of the medium phantom was filled crossly with 100%, 90%, 80%, 70%, 60%, and 50% of the material. The ultrasonic instrument measured the SOS and the BUA using a 0.55 MHz ultrasound output in opposing mode with a pair of transducers. As a result, the density of the medium phantoms with the SOS showed very high correlation (r = 0.944), but the SOS showed very low correlation (r = 0.500). It is expecting that the manufacturing and measurement method of the medium phantom using 3D printing technology will be used as basic data for ultrasonic bone mineral density.