• The Journal of the Korea Contents Association
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• v.14 no.11
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• pp.370-377
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• 2014

At present trend 3D Printing technology has been using more efficiently than conventional subtractive manufacturing method in various medical fields, in particular this technology superior in saving production time, cost and process than conventional. Especially in orthopedics, an attractive attention has been paid by adopting this technology because of improving operation, operation accuracy, and reducing the patient's pain. Though 3D printing technology has enormous applications still in some hospitals have not been using due to having the problem of technical utilization of hardware, software & chiefly financial availability and etc. In order to solve these problems by reducing the cost and time, we have used CT images in pre-operative planning by directly making the pelvic fracture model with open source DICOM viewer and STL file conversion program, assembly 3D printer of FDM wire additive manufacturing. After having the customized bone model of six patients who underwent unstable pelvic fracture surgery, we have operated our system in orthopedic section of University Hospital through the clinician. Later, we have received better reviews and comments on utilization availability, results, and precision and now our system considered to be useful in surgical planning.

• Journal of the Korean Society of Radiology
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• v.11 no.5
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• pp.371-377
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• 2017

General phantom for practical X-ray photography Practical phantom is an indispensable textbook for radiology, but it is difficult for existing commercially available phantom to be equipped with various kinds of phantom because it is an expensive import. Using 3D printing technology, I would like to make the general phantom for practical X-ray photography less expensive and easier. We would like to use a skeleton model that was produced based on CT image data using a 3D printer of FDM (Fused Deposition Modeling) method as a phantom for general X-ray imaging. 3D slicer 4.7.0 program is used to convert CT DICOM image data into STL file, convert it to G-code conversion process, output it to 3D printer, and create skeleton model. The phantom of the completed phantom was photographed by X - ray and CT, and compared with actual medical images and phantoms on the market, there was a detailed difference between actual medical images and bone density, but it could be utilized as a practical phantom. 3D phonemes that can be used for general X-ray practice can be manufactured at low cost by utilizing 3D printers which are low cost and distributed and free 3D slicer program for research. According to the future diversification and research of 3D printing technology, it will be possible to apply to various fields such as health education and medical service.

• Journal of the Korean Society of Radiology
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• v.12 no.7
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• pp.879-886
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• 2018

A 3-dimensional (D) printer is a device capable of outputting a three-dimensional solid object based on data modeled in a computer. These features are utilized in the bone model X - ray phantom production etc using CT data by fusing with the radiation science field. A bone model phantom was made using data obtained by CT scan of an existing Pelvis phantom, using PLA, Wood, XT-CF20, Glow fill, Steel filaments which are materials of Fused Filament Fabrication (FFF) 3D printer.Measure Hounsfield Unit (HU) with images obtained by CT scan of the existing Pelvis phantom and five material phantoms made with 3D printer under the same conditions,SI and SNR were measured using a diagnostic X-ray generator, and each phantom was compared and analyzed.As a result, the X - ray phantom in the X - ray examination condition of the limb was found to be most suitable for the glow fill filament.The characteristics of the filament can be known to the base of this research and the practicality of X - ray phantom fabrication was confirmed.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.41
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• pp.43.1-43.5
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• 2019

Background: Reconstructive surgery is often required for tumors of the oral and maxillofacial region, irrespective of whether they are benign or malignant, the area involved, and the tumor size. Recently, three-dimensional (3D) models are increasingly used in reconstructive surgery. However, these models have rarely been adapted for the fabrication of custom-made reconstruction materials. In this report, we present a case of maxillary reconstruction using a laboratory-engineered, custom-made mesh plate from a 3D model. Case presentation: The patient was a 56-year-old female, who had undergone maxillary resection in 2011 for intraoral squamous cell carcinoma that presented as a swelling of the anterior maxillary gingiva. Five years later, there was no recurrence of the malignant tumor and a maxillary reconstruction was planned. Computed tomography (CT) revealed a large bony defect in the dental-alveolar area of the anterior maxilla. Using the CT data, a 3D model of the maxilla was prepared, and the site of reconstruction determined. A custom-made mesh plate was fabricated using the 3D model (Okada Medical Supply, Tokyo, Japan). We performed the reconstruction using the custom-made titanium mesh plate and the particulate cancellous bone and marrow graft from her iliac bone. We employed the tunneling flap technique without alveolar crest incision, to prevent surgical wound dehiscence, mesh exposure, and alveolar bone loss. Ten months later, three dental implants were inserted in the graft. Before the final crown setting, we performed a gingivoplasty with palate mucosal graft. The patient has expressed total satisfaction with both the functional and esthetic outcomes of the procedure. Conclusion: We have successfully performed a maxillary and dental reconstruction using a custom-made, pre-bent titanium mesh plate.

• Journal of the Korean Society of Radiology
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• v.13 no.2
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• pp.185-192
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• 2019

DXA is the most commonly used BMD examination equipment with the best performance on reflecting the biological alteration with tiny change of bone density. In spite of the importance of the quality control to maintain the accuracy and precision of the examination, considerable number of hospitals are not conducting QC due to the difficulty and high cost of the phantom product. This study develops the cross revision phantom with 3D printer and the change of the degree of infilling filaments which can be readily secured, and provides the usefulness assessment of the developed phantom by comparing with existing products. The Hounsfield Units of ABS, TPU, PLA, 30% Cu-PLA, and 30% Al-PLA are assessed. The Hounsfield Units result at infilling rate 100% was $-149.74{\pm}2.36$, $-55.62{\pm}7.14$, $-7.68{\pm}3.82$, $87.53{\pm}1.07$, and $1795.20{\pm}16.15$. The L1, L2, L3 BMD of 3D printing phantom with linear regression model were $0.620{\pm}0.010g/cm^2$, $1.092{\pm}0.025g/cm^2$, $1.554{\pm}0.026g/cm^2$ which are statistically relevant to the existing phantom products. This result provides the base line data for various medical phantom produce and capability of proper quality control of DXA equipment.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.45 no.5
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• pp.276-284
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• 2019

Objectives: This study sought to compare efficiency results between the use of a customized implant (CI) and a reconstruction plate (RP) in mandibular defect reconstruction in an animal model. Materials and Methods: Fifteen rabbits underwent surgery to create a defect in the right side of the mandible and were randomly divided into two groups. For reconstruction of the mandibular defect, the RP group (n=5) received five-hole mini-plates without bone grafting and the CI group (n=10) received fabricated CIs based on the cone-beam computed tomography (CBCT) data taken preoperatively. The CI group was further divided into two subgroups depending on the time of CBCT performance preoperatively, as follows: a six-week CI (6WCI) group (n=5) and a one-week CI (1WCI) group (n=5). Daily food intake amount (DFIA) was measured to assess the recovery rate. Radiographic images were acquired to evaluate screw quantity. CBCT and histological examination were performed in the CI subgroup after sacrifice. Results: The 1WCI group showed the highest value in peak average recovery rate and the fastest average recovery rate. In terms of reaching a 50% recovery rate, the 1WCI group required the least number of days as compared with the other groups ($2.6{\pm}1.3days$), while the RP group required the least number of days to reach an 80% recovery rate ($7.8{\pm}2.2days$). The 1WCI group showed the highest percentage of intact screws (94.3%). New bone formation was observed in the CI group during histological examination. Conclusion: Rabbits with mandibular defects treated with CI showed higher and faster recovery rates and more favorable screw status as compared with those treated with a five-hole mini-plate without bone graft.