骨科和口腔颌面外科3D打印模型的精度验证和可靠性分析

doi:10.13481/j.1671-587x.20170526

Abstract

Abstract: Objective: To discuss the accuracy of stereolithography (SLA) -3D printing model in orthopedics and maxillofacial surgery, and to clarify the reliability of its clinical application. Methods: A total of 33 cases of SLA-3D printing models were randomly included(10 long bones, 13 irregular bones and 10 prostheses), and the CT scanning and three-dimensional reconstruction were performed. According to the clinical application characteristics of the models, the max height (MH), max length (ML), max width (MW), width of the trochlear (WT), length of the trochlear (LT), length of the glenoid cavity (LGC), width of the glenoid cavity (WGC), distance of pubic tubercle-anterior superior iliac spine (DPI), diameter of the acetabulum (DA), diameter of the marrow cavity (DMC), anterior height of right ramus (AHRR) and posterior height of right ramus (PHRR) were selected to measure the original data and model data, respectively. The absolute/relative errors were calculated. Intraclass correlation coefficient (ICC) was used to evaluate the consistency of the data.The three-dimensional error analysis of the prosthesis model was carried out. Results: There were no significant differences in the anatomical parameters except MW of irregular bone (P>0.05) in 33 cases of SLA-3D printing model.The values of ICC were all greater than 0.950; the maximum values of absolute/relative errors were -0.58 mm and -1.37%, respectively; the maximum 3D error of prosthesis model was 0.237 mm, and the average value was 0.132 mm. Conclusion: The CT data of SLA-3D model is highly consistent with the original data, and it is accurate and reliable in the diagnosis and treatment of the diseases in orthopedics and maxillofacial surgery.

Key words: reliability, three dimensional printing, stereolithographic model, accuracy

CLC Number:

R687.3

ZOU Yun, HAN Qing, XU Xiaolin, YANG Yingying, ZHANG Kesong, YANG Kerong, QIN Yanguo, ZOU Yongwei, WANG Jincheng, ZHANG Shouyi. Accuracy verification and reliability analysis of three-dimensional printing model in orthopedics and maxillofacial surgery[J].Journal of Jilin University Medicine Edition, 2017, 43(05): 996-1001.

References

[1] Rengier F,Mehndiratta A, von Tengg-Kobligk H, et al. 3D printing based on imaging data:review of medical applications[J]. Int J Comput Assist Radiol Surg,2010, 5(4):335-341.
[2] Haverman TM, Karagozoglu KH, Prins HJ,et al. Rapid prototyping:a very promising method[J]. Ned Tijdschr Tandheelkd, 2013,120(3):136-141.
[3] Webb PA. A review of rapid prototyping (RP) techniques in the medical and biomedical sector[J].J Med Eng Technol,2000,24(4):149-153.
[4] Ibrahim D, Broilo TL, Heitz C, et al. Dimensional error of selective laser sintering, three-dimensional printing and PolyJet^TM models in the reproduction of mandibular anatomy[J]. J Craniomaxillofac Surg,2009,37(3):167-173.
[5] Bagaria V, Deshpande S, Rasalkar DD,et al. Use of rapid prototyping and three-dimensional reconstruction modeling in the management of complex fractures[J]. Eur J Radiol,2011,80(3):814-820.
[6] Starosolski ZA, Kan JH, Rosenfeld SD, et al.Application of 3-D printing (rapid prototyping) for creating physical models of pediatric orthopedic disorders[J]. Pediatr Radiol,2014,44(2):216-221.
[7] Chen Y, Niu F, Yu B, et al.Three-dimensional preoperative design of distraction osteogenesis for hemifacial microsomia[J]. J Craniofac Surg,2014,25(1):184-188.
[8] Klammert U, Gbureck U, Vorndran E, et al. 3D powder printed calcium phosphate implants for reconstruction of cranial and maxillofacial defects[J].J Craniomaxillofac Surg,2010, 38(8):565-570.
[9] Chung KJ, Hong DY, Kim YT, et al.Preshaping plates for minimally invasive fixation of calcaneal fractures using a real-size 3D-printed model as a preoperative and intraoperative tool[J].Foot Ankle Int,2014,35(11):1231-1236.
[10] Kim HN, Liu XN, Noh KC. Use of a real-size 3D-printed model as a preoperative and intraoperative tool for minimally invasive plating of comminuted midshaft clavicle fractures[J]. J Orthop Surg Res,2015, 10(10):91.
[11] Wu XB, Wang JQ,Zhao CP, et al.Printed three-dimensional anatomic templates for virtual preoperative planning before reconstruction of old pelvic injuries:initial results[J]. Chin Med J (Engl),2015128(4):477-482.
[12] Wang D, Wang Y, Wang J, et al. Design and fabrication of a precision template for spine surgery using selective laser melting (SLM)[J]. Materials,2016,9:608.
[13] Zeng CJ, Xing WR, Wu ZL, et al.A combination of three-dimensional printing and computer-assisted virtual surgical procedure for preoperative planning of acetabular fracture reduction[J].Injury, 2016,47(10):2223-2227.
[14] Park JH, Lee Y, Shon OJ, et al. Surgical tips of intramedullary nailing in severely bowed femurs in atypical femur fractures:Simulation with 3D printed model[J]. Injury,2016,47(6):1318-1324.
[15] Bizzotto N, Tami I, Tami A, et al. 3D Printed models of distal radius fractures[J]. Injury,2016,47(4):976-978.
[16] 邹运, 韩青, 徐晓麟,等. 3D打印光固化树脂模型在精确评估膝关节损伤及其个体化治疗方案制定中的应用[J]. 吉林大学学报:医学版, 2017, 43(1):141-146.
[17] Yang MY, Li C, Li YM, et al. Application of 3D rapid prototyping technology in posterior corrective surgery for lenke1 adolescent idiopathic scoliosis patients[J]. Medicine(Baltmore), 2015,94(8):e582.
[18] Tan H, Yang K, Wei P, et al. A novel preoperative planning technique using a combination of CT angiography and three-dimensional printing for complex toe-to-hand reconstruction[J]. Reconstr Microsurg,2015,31(5):369-377.
[19] Hurson C, Tansey A, O'Donnchadha B, et al. Rapid prototyping in the assessment, classification and preoperative planning of acetabular fractures[J]. Injury,2007,38(10):1158-1162.
[20] Li H, Wang L, Mao Y, et al. Revision of complex acetabular defects using cages with the aid of Rapid prototyping[J]. J Arthroplasty,2013,28(10):1770-1775.
[21] Winder J, Bibb R. Medical rapid prototyping technologies:state of the art and current limitations for applications in oral and maxillofacial surgery[J]. J Oral Maxillofac Surg,2005,63(7):1006-1015.
[22] Otawa N, Sumida T, Kitagaki H, et al. Custom-made titanium devices as membranes for bone augmentation in implant treatment:Modeling accuracy of titanium products constructed with selective laser melting[J]. J Cranio-maxillo-facial Surg,2015,43(7):1289-1295.
[23] Wu AM, Shao ZX, Wang JS, et al. The accuracy of a method for printing three-dimensional spinal models[J].PLoS One,2015,10(4):e0124291.
[24] Chae MP, Lin F, Spychal RT, et al. 3D-printed haptic "reverse" models for preoperative planning in soft tissue reconstruction:a case report[J]. Microsurgery,2015, 35(2):148-153.
[25] 鲍跃,姚青山,阎龙,等.3D-CTA与3D-DSA在测量颅内动脉瘤方面的对比研究[J]. 中国实验诊断学,2015,19(7):1141-1143.
[26] 李佳乐,夏轶超,澈力格尔,等.三维打印双相磷酸钙陶瓷支架在骨组织工程中的应用[J].中国实验诊断学,2017,21(5):878-881.

Accuracy verification and reliability analysis of three-dimensional printing model in orthopedics and maxillofacial surgery

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