Dental Corps, United States Navy, USA.
J Prosthet Dent. 2011 Dec;106(6):399-408. doi: 10.1016/S0022-3913(11)60154-6.
Rapid prototype (RP) models are used in craniofacial reconstructions; however, there are no standards or acceptable limits to ensure accuracy of the fabricated models.
The purpose of this study was to assess the accuracy of RP models by validating the accuracy of SLA skull models with a coordinate measurement device.
Stainless steel spheres were located on a dry cadaver skull as fiducial markers, scanned with Multi Detector Computer Tomography (MDCT), and interpreted with software for rapid prototyping. Seven stereolithographic (SLA) models were fabricated and measured with a coordinate measurement device. An Euler rotation transformation calculation was applied to standardize the coordinate system between the control and the models. A paired standard t test (α=.05) was used to compare fiducial marker locations on SLA models with the control.
A significant difference was found between the control and each of the SLA models (P<.001) in the Z axis additive build. Significant dimensional differences were not consistently detected in the X and Y axes. Dimensional deviations fell within the size of the MDCT scans voxel dimensions.
The greatest discrepancies of medical model fabrication correspond to the largest dimension of the orthotropic voxel volume of the MDCT scan, which is related to the slice thickness of the scan and the Z axis of the RP model. However, the absolute magnitude of the error was small, well within the generally accepted tolerance for patient treatment.
快速原型(RP)模型用于颅面重建;然而,目前还没有标准或可接受的限制来确保制造模型的准确性。
本研究的目的是通过使用坐标测量设备验证 SLA 颅骨模型的准确性来评估 RP 模型的准确性。
将不锈钢球体作为基准标记定位在干燥的尸体颅骨上,使用多探测器计算机断层扫描(MDCT)进行扫描,并使用快速原型制作软件进行解释。制作了七个立体光固化(SLA)模型,并使用坐标测量设备进行测量。应用欧拉旋转变换计算将坐标系标准化到控制和模型之间。使用配对标准 t 检验(α=.05)比较 SLA 模型和对照之间的基准标记位置。
在 Z 轴附加构建中,发现对照和每个 SLA 模型之间存在显著差异(P<.001)。在 X 和 Y 轴上未一致检测到明显的尺寸差异。尺寸偏差落在 MDCT 扫描体素尺寸的尺寸范围内。
医学模型制造的最大差异对应于 MDCT 扫描各向异性体素体积的最大尺寸,这与扫描的切片厚度和 RP 模型的 Z 轴有关。然而,误差的绝对值很小,完全在患者治疗的可接受公差范围内。