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计算机辅助个体化模板设计软件在颅颌面外科 3D 打印中的研发。

The development of computer-aided patient-specific template design software for 3D printing in cranio-maxillofacial surgery.

机构信息

School of Mechanical Engineering, Shanghai Jiao Tong University, Shanghai, China.

Institute of Medical Robotics, Shanghai Jiao Tong University, Shanghai, China.

出版信息

Int J Med Robot. 2021 Jun;17(3):e2243. doi: 10.1002/rcs.2243. Epub 2021 Feb 27.

Abstract

BACKGROUND

The patient-specific templates for osteotomy often have complex surface features. Using current commercial software to design such templates is quite complicated, tedious and unrepeatable.

AIMS

In this study, a novel surgical planning system for oral and maxillofacial surgery named EasyTemplate is developed, aiming to help doctors shorten the modelling time and assure the reliability in template design.

MATERIALS & METHODS: In the simplified design process of an osteotomy guide, the main template can be formed efficiently using a surface offsetting algorithm, which is based on isosurface extraction and oriented bounding box. Thereafter, the cutting grooves can be generated automatically.

RESULTS

A complicated surgical guide could be built accurately in about 10 min. Clinical orthognathic cases were conducted successfully using osteotomy and repositioning templates designed by EasyTemplate.

DISCUSSION

Compared with commercially available softwares, higher efficiency and simpler design process were achieved, moreover, the time cost is one-third or even less.

CONCLUSION

EasyTemplate can be a useful alternative to traditional softwares. This software allows the auto-generation algorithm which helps avoid a tedious modeling process while providing basic shapes for designers.

摘要

背景

骨切开术患者专用模板的表面特征通常较为复杂。使用当前的商业软件设计此类模板非常复杂、繁琐且不可重复。

目的

本研究开发了一种名为 EasyTemplate 的新型口腔颌面外科手术规划系统,旨在帮助医生缩短建模时间并确保模板设计的可靠性。

材料与方法

在简化骨切开引导模板的设计过程中,主要模板可通过基于等表面提取和有向包围盒的表面偏移算法高效形成。然后,可以自动生成切割槽。

结果

大约 10 分钟即可精确构建复杂的手术引导器。使用 EasyTemplate 设计的骨切开和重新定位模板成功进行了临床正颌病例。

讨论

与市售软件相比,该方法效率更高,设计过程更简单,时间成本更是降低到其三分之一甚至更低。

结论

EasyTemplate 可以作为传统软件的一种替代方案。该软件允许自动生成算法,避免繁琐的建模过程,同时为设计者提供基本形状。

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