Development of a patient-specific immobilisation facemask for radiation therapy using additive manufacturing, pressure sensors and topology optimisation

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Amirhossein Asfia ◽  
James I. Novak ◽  
Bernard Rolfe ◽  
Tomas Kron

Purpose Radiotherapy relies on the delivery of radiation to cancer cells with millimetre accuracy, and immobilisation of patients is essential to minimise unwanted damage to surrounding healthy cells due to patient movement. Traditional thermoformed face masks can be uncomfortable and stressful for patients and may not be accurately fitted. The purpose of this study was to use 3D scanning and additive manufacturing to digitise this workflow and improve patient comfort and treatment outcomes. Design/methodology/approach The head of a volunteer was scanned using an Artec Leo optical scanner (Artec, Luxembourg) and ANSYS (Ansys, Canonsburg, USA) software was used to make two 3D models of the mask: one with a nose bridge and one open as would be used with optical surface guidance. Data based on measurements from ten pressure sensors around the face was used to perform topology optimisation, with the best designs 3D printed using fused deposition modelling (FDM) and tested on the volunteer with embedded pressure sensors. Findings The two facemasks proved to be significantly different in terms of restricting head movement inside the masks. The optimised mask with a nose bridge effectively restricted head movement in roll and yaw orientations and exhibited minimal deformation as compared to the open mask design and the thermoformed mask. Originality/value The proposed workflow allows customisation of masks for radiotherapy immobilisation using additive manufacturing and topology optimisation based on collected pressure sensor data. In the future, sensors could be embedded in masks to provide real-time feedback to clinicians during treatment.

2015 ◽  
Vol 21 (6) ◽  
pp. 705-715 ◽  
Author(s):  
M. Fantini ◽  
F. De Crescenzio ◽  
L. Ciocca ◽  
F. Persiani

Purpose – The purpose of this paper is to describe two different approaches for manufacturing pre-formed titanium meshes to assist prosthetically guided bone regeneration of atrophic maxillary arches. Both methods are based on the use of additive manufacturing (AM) technologies and aim to limit at the minimal intervention the bone reconstructive surgery by virtual planning the surgical intervention for dental implants placement. Design/methodology/approach – Two patients with atrophic maxillary arches were scheduled for bone augmentation using pre-formed titanium mesh with particulate autogenous bone graft and alloplastic material. The complete workflow consists of four steps: three-dimensional (3D) acquisition of medical images and virtual planning, 3D modelling and design of the bone augmentation volume, manufacturing of biomodels and pre-formed meshes, clinical procedure and follow up. For what concerns the AM, fused deposition modelling (FDM) and direct metal laser sintering (DMLS) were used. Findings – For both patients, a post-operative control CT examination was scheduled to evaluate the progression of the regenerative process and verify the availability of an adequate amount of bone before the surgical intervention for dental implants placement. In both cases, the regenerated bone was sufficient to fix the implants in the planned position, improving the intervention quality and reducing the intervention time during surgery. Originality/value – A comparison between two novel methods, involving AM technologies are presented as viable and reproducible methods to assist the correct bone augmentation of atrophic patients, prior to implant placement for the final implant supported prosthetic rehabilitation.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Wiktoria Maria Wojnarowska ◽  
Jakub Najowicz ◽  
Tomasz Piecuch ◽  
Michał Sochacki ◽  
Dawid Pijanka ◽  
...  

Purpose Chicken orthoses that cover the ankle joint area are not commercially available. Therefore, the main purpose of this study is to fabricate a customised temporary Ankle–Foot Orthosis (AFO) for a chicken with a twisted ankle using computer-aided design (CAD) and three-dimensional (3D) printing. The secondary objective of the paper is to present the specific application of Additive Manufacturing (AM) in veterinary medicine. Design/methodology/approach The design process was based on multiple sketches, photos and measurements that were provided by the owner of the animal. The 3D model of the orthosis was made with Autodesk Fusion 360, while the prototype was fabricated using fused deposition modelling (FDM). Evaluation of the AFO was performed using the finite element method. Findings The work resulted in a functional 3D printed AFO for chicken. It was found that the orthosis made with AM provides satisfactory stiffen and a good fit. It was concluded that AM is suitable for custom bird AFO fabrication and, in some respects, is superior to traditional manufacturing methods. It was also concluded that the presented procedure can be applied in other veterinary cases and to other animal species and other parts of their body. AM provides veterinary with a powerful tool for the production of well-fitted and durable orthoses for animals. Research limitations/implications The study does not include the chicken's opinion on the comfort or fit of the manufactured AFO due to communication issues. Evaluation of the final prototype was done by the researchers and the animal owner. Originality/value No evidence was found in the literature on the use of AM for chicken orthosis, so this study is the first to describe such an application of AM. In addition, the study demonstrates the value of AM in veterinary medicine, especially in the production of devices such as orthoses.


2019 ◽  
Vol 25 (3) ◽  
pp. 462-472 ◽  
Author(s):  
Oluwakayode Bamiduro ◽  
Gbadebo Owolabi ◽  
Mulugeta A. Haile ◽  
Jaret C. Riddick

Purpose The continual growth of additive manufacturing has increased tremendously because of its versatility, flexibility and high customization of geometric structures. However, design hurdles are presented in understanding the relationship between the fabrication process and materials microstructure as it relates to the mechanical performance. The purpose of this paper is to investigate the role of build architecture and microstructure and the effects of load direction on the static response and mechanical properties of acrylonitrile butadiene styrene (ABS) specimens obtained via the fused deposition modeling (FDM) processing technique. Design/methodology/approach Among additive manufacturing processes, FDM is a prolific technology for manufacturing ABS. The blend of ABS combines strength, rigidity and toughness, all of which are desirable for the production of structural materials in rapid manufacturing applications. However, reported literature has varied widely on the mechanical performance due to the proprietary nature of the ABS material ratio, ultimately creating a design hurdle. While prior experimental studies have studied the mechanical response via uniaxial tension testing, this study has aimed to understand the mechanical response of ABS from the materials’ microstructural point of view. First, ABS specimen was fabricated via FDM using a defined build architecture. Next, the specimens were mechanically tested until failure. Then finally, the failure structures were microstructurally investigated. In this paper, the effects of microstructural evolution on the static mechanical response of various build architecture of ABS aimed at FDM manufacturing technique was analyzed. Findings The results show that the rastering orientation of 0/90 exhibited the highest tensile strength followed by fracture at its maximum load. However, the “45” bead direction of the ABS fibers displayed a cold-drawing behavior before rupture. The morphology analyses before and after tensile failure were characterized by a scanning electron microscopy (SEM) which highlighted the effects of bead geometry (layers) and areas of stress concentration such as interstitial voids in the material during build, ultimately compromising the structural integrity of the specimens. Research limitations/implications The ability to control the constituents and microstructure of a material during fabrication is significant to improving and predicting the mechanical performance of structural additive manufacturing components. In this report, the effects of microstructure on the mechanical performance of FDM-fabricated ABS materials was discussed. Further investigations are planned in understanding the effects of ambient environmental conditions (such as moisture) on the ABS material pre- and post-fabrication. Originality/value The study provides valuable experimental data for the purpose of understanding the inter-dependency between build parameters and microstructure as it relates to the specimens exemplified strength. The results highlighted in this study are fundamental to the development of optimal design of strength and complex ultra-lightweight structure efficiency.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mattia Mele ◽  
Michele Ricciarelli ◽  
Giampaolo Campana

Purpose Powder bed additive manufacturing processes are widespread due to their many technical and economic advantages. Nevertheless, the disposal of leftover powder poses a problem in terms of process sustainability. The purpose of this paper is to provide an alternative solution to recycle waste PA12 powder from HP multi jet fusion. In particular, the opportunity to use this material as a dispersion in three-dimensional (3D) printed clay is investigated. Design/methodology/approach A commercial fused deposition modelling printer was re-adapted to extrude a viscous paste composed of clay, PA12 and water. Once printed, parts were dried and then put in an oven to melt the polymer fraction. Four compositions with different PA12 concentration were studied. First, the extrudability of the paste was observed by testing different extrusion lengths. Then, the surface porosities were evaluated through microscopical observations of the manufactured parts. Finally, benchmarks with different geometries were digitalised via 3D scanning to analyse the dimensional alterations arising at each stage of the process. Findings Overall, the feasibility of the process is demonstrated. Extrusion tests revealed that the composition of the paste has a minor influence on the volumetric flow rate, exhibiting a better consistency in the case of long extrusions. The percentage of surface cavities was proportional to the polymer fraction contained in the mix. From dimensional analyses, it was possible to conclude that PA12 reduced the degree of shrinkage during the drying phase, while it increased dimensional alterations occurring in the melting phase. The results showed that the dimensional error measured on the z-axis was always higher than that of the XY plane. Practical implications The method proposed in this paper provides an alternative approach to reuse leftover powders from powder bed fusion processes via another additive manufacturing process. This offers an affordable and open-source solution to companies dealing with polymer powder bed fusion, allowing them to reduce their environmental impacts while expanding their production. Originality/value The paper presents an innovative additive manufacturing solution for powder reuse. Unlike the recycling methods in the body of literature, this solution does not require any intermediate transformation process, such as filament fabrication. Also, the cold material deposition enables the adoption of very inexpensive extrusion equipment. This preliminary study demonstrates the feasibility and the benefits of this process, paving the way for numerous future studies.


2020 ◽  
Vol 26 (4) ◽  
pp. 669-687 ◽  
Author(s):  
Sathies T. ◽  
Senthil P. ◽  
Anoop M.S.

Purpose Fabrication of customized products in low volume through conventional manufacturing incurs a high cost, longer processing time and huge material waste. Hence, the concept of additive manufacturing (AM) comes into existence and fused deposition modelling (FDM), is at the forefront of researches related to polymer-based additive manufacturing. The purpose of this paper is to summarize the research works carried on the applications of FDM. Design/methodology/approach In the present paper, an extensive review has been performed related to major application areas (such as a sensor, shielding, scaffolding, drug delivery devices, microfluidic devices, rapid tooling, four-dimensional printing, automotive and aerospace, prosthetics and orthosis, fashion and architecture) where FDM has been tested. Finally, a roadmap for future research work in the FDM application has been discussed. As an example for future research scope, a case study on the usage of FDM printed ABS-carbon black composite for solvent sensing is demonstrated. Findings The printability of composite filament through FDM enhanced its application range. Sensors developed using FDM incurs a low cost and produces a result comparable to those conventional techniques. EMI shielding manufactured by FDM is light and non-oxidative. Biodegradable and biocompatible scaffolds of complex shapes are possible to manufacture by FDM. Further, FDM enables the fabrication of on-demand and customized prosthetics and orthosis. Tooling time and cost involved in the manufacturing of low volume customized products are reduced by FDM based rapid tooling technique. Results of the solvent sensing case study indicate that three-dimensional printed conductive polymer composites can sense different solvents. The sensors with a lower thickness (0.6 mm) exhibit better sensitivity. Originality/value This paper outlines the capabilities of FDM and provides information to the user about the different applications possible with FDM.


Sensor Review ◽  
2016 ◽  
Vol 36 (4) ◽  
pp. 405-413 ◽  
Author(s):  
Semih Dalgin ◽  
Ahmet Özgür Dogru

Purpose The purpose of this study is to investigate the effect of internal and external factors on the accuracy and consistency of the data provided by mobile-embedded micro-electromechanical system (MEMS) pressure sensors based on smartphones currently in use. Design/methodology/approach For this purpose, sensor type and smartphone model have been regarded as internal factors, whereas temperature, location and usage habits have been considered as external factors. These factors have been investigated by examining data sets provided by sensors from 14 different smartphones. In this context, internal factors have been analyzed by implementing accuracy assessment processes for three different smartphone models, whereas external factors have been evaluated by analyzing the line charts which present timely pressure changes. Findings The study outlined that the sensor data at different sources have different characteristics due to the affecting parameters. Even if the pressure sensors are used under similar circumstances, data of these sensors have inconsistencies because of the sensor drift originated by internal factors. This study concluded that it was not applicable to provide a common correction coefficient for pressure sensor data of each smartphone model. Therefore, relative data (pressure differences) should be taken into consideration rather than absolute data (pressure values) when developing mobile applications using sensor data. Research limitations/implications Results of this study can be used as the guideline for developing mobile applications using MEMS pressure sensors. One of the main finding of this paper is promoting the use of relative data (pressure differences) rather than absolute data (pressure values) when developing mobile applications using smartphone-embedded sensor data. This significant result was proved by examinations applied with in the study and can be applied by future research studies. Originality/value Existing studies mostly evaluate the use of MEMS pressure sensor data obtained from limited number of smartphone models. As each smartphone model has a specific technology, factors affecting the sensor performances should be identified and analyzed precisely in terms of smartphone models for providing extensive results. In this study, five smartphone models were used fractionally. In this context, they were used for examining the common effects of the factors, and detailed accuracy assessments were applied by using two high-tech smartphones in the market.


2020 ◽  
Vol 26 (9) ◽  
pp. 1593-1602
Author(s):  
Jorge Villacres ◽  
David Nobes ◽  
Cagri Ayranci

Purpose The purpose of this paper is to study the shape memory properties of SMP samples produced through a MEAM process. Fused deposition modeling or, as it will be referred to in this paper, material extrusion additive manufacturing (MEAM) is a technique in which polymeric materials are extruded though a nozzle creating parts via accumulation and joining of different layers. These layers are fused together to build three-dimensional objects. Shape memory polymers (SMP) are stimulus responsive materials, which have the ability to recover their pre-programmed form after being exposed to a large strain. To induce its shape memory recovery movement, an external stimulus such as heat needs to be applied. Design/methodology/approach This project investigates and characterizes the influence of print orientation and infill percentage on shape recovery properties. The analyzed shape recovery properties are shape recovery force, shape recovery speed and time elapsed before activation. To determine whether the analyzed factors produce a significant variation on shape recovery properties, t-tests were performed with a 95% confidence factor between each analyzed level. Findings Results proved that print angle and infill percentage do have a significant impact on recovery properties of the manufactured specimens. Originality/value The manufacturing of SMP objects through a MEAM process has a vast potential for different applications; however, the shape recovery properties of these objects need to be analyzed before any practical use can be developed. These have not been studied as a function of print parameters, which is the focus of this study.


2015 ◽  
Vol 21 (3) ◽  
pp. 250-261 ◽  
Author(s):  
Brian N. Turner ◽  
Scott A Gold

Purpose – The purpose of this paper is to critically review the literature related to dimensional accuracy and surface roughness for fused deposition modeling and similar extrusion-based additive manufacturing or rapid prototyping processes. Design/methodology/approach – A systematic review of the literature was carried out by focusing on the relationship between process and product design parameters and the dimensional and surface properties of finished parts. Methods for evaluating these performance parameters are also reviewed. Findings – Fused deposition modeling® and related processes are the most widely used polymer rapid prototyping processes. For many applications, resolution, dimensional accuracy and surface roughness are among the most important properties in final parts. The influence of feedstock properties and system design on dimensional accuracy and resolution is reviewed. Thermal warping and shrinkage are often major sources of dimensional error in finished parts. This phenomenon is explored along with various approaches for evaluating dimensional accuracy. Product design parameters, in particular, slice height, strongly impact surface roughness. A geometric model for surface roughness is also reviewed. Originality/value – This represents the first review of extrusion AM processes focusing on dimensional accuracy and surface roughness. Understanding and improving relationships between materials, design parameters and the ultimate properties of finished parts will be key to improving extrusion AM processes and expanding their applications.


2018 ◽  
Vol 24 (4) ◽  
pp. 698-708 ◽  
Author(s):  
Abdurahman Mushabab Al-Ahmari ◽  
Osama Abdulhameed ◽  
Awais Ahmad Khan

Purpose In additive manufacturing processes such as stereolithography and fused deposition modeling, optimal part orientation is pivotal in improving the quality of the part. This paper aims to propose an automatic and optimal part orientation system to improve part quality/accuracy in additive manufacturing, which minimizes the production time and hence reduces the cost of product. Design/methodology/approach The developed system reads STEP AP 203 E2 file from CATIA V5 and generates data extraction output file by extracting the relevant geometrical and topological data using an object-oriented approach. Afterwards, the algorithms and rules are developed to extract and recognize feature faces along with their geometric properties such as face type, face area, parallelism and perpendicularity. The feature data obtained that are used to develop feasible part orientations depend on the maximization of G&DT for all part faces. The automatic slicing is then achieved by creating slicing file using CATVBA editor inside CATIA V5. Findings After slicing, output data are exported in Excel data sheet to calculate the total additive volume of the part. The building time of the part is then calculated on the basis of machine parameters, part geometry, part height, layer thickness and amount of support volume needed to build the part. The optimal orientation of the part is achieved by maximization of G&DT value and minimization of production time. The proposed methodology is tested using an illustrative example. Originality/value Although lot of approaches have been discussed in the literature, automation of setup planning/orientation of the part in additive manufacturing is not fully attained. Therefore, the article focuses on the automation of setup planning by adding automatic feature extraction and recognition module along with the automatic slicing during setup planning. Moreover, the significance of adding feature extraction and recognition module is to achieve best accuracy for form feature faces and hence reduction in post processing machining/finishing operations.


2018 ◽  
Vol 24 (2) ◽  
pp. 261-269 ◽  
Author(s):  
Rong Wang ◽  
Jianzhong Shang ◽  
Xin Li ◽  
Zhuo Wang ◽  
Zirong Luo

Purpose This paper aims to present a new topology method in designing the lightweight and complex structures for 3D printing. Design/methodology/approach Computer-aided design (CAD) and topology design are the two main approaches for 3D truss lattices designing in 3D printing. Though these two ways have their own advantages and have been used by the researchers in different engineering situations, these two methods seem to be incompatible. A novel topology method is presented in this paper which can combine the merits of both CAD and topology design. It is generally based on adding materials to insufficient parts in a given structure so the resulting topology evolves toward an optimum. Findings By using the topology method, an optimized-Kagome structure is designed and both 3D original-Kagome structure and 3D optimized-Kagome structure are manufactured by fused deposition modeling (FDM) 3D printer with ABS and the compression tests results show that the 3D optimized-Kagome has a higher specific stiffness and strength than the original one. Originality/value The presented topology method is the first work that using the original structure-based topology algorithm other than a boundary condition-based topology algorithm for 3D printing lattice and it can be considered as general way to optimize a commonly used light-weight lattice structure in strength and stiffness.


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