Three-Dimensional Radiobiologic Dosimetry: Application of Radiobiologic Modeling to Patient-Specific 3-Dimensional Imaging-Based Internal Dosimetry

Abstract Recent strides have allowed the consolidation of routine imaging modalities with highly accurate reconstruction software to aid the operating surgeon generate patient-specific three-dimensional models. In this preliminary report, we describe our initial experience using a patient-specific reconstruction software to guide surgical resection for 2 patients with non-small-cell lung cancer. Digital imaging and communications in medicine data from patient chest CT scans was configured into IQQA BodyImaging Lung software to generate highly accurate maps of airways, vessels and segments as well as estimates of lung volumes. Models generated aided us in planning appropriate lung cancer resection procedures.

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Silicone models of the aortic root to plan and simulate interventions

Interactive Cardiovascular and Thoracic Surgery ◽

10.1093/icvts/ivaa068 ◽

2020 ◽

Vol 31 (2) ◽

pp. 204-209

Author(s):

Alexander A Lezhnev ◽

Dmitriy V Ryabtsev ◽

Dmitriy B Hamanturov ◽

Vladimir I Barskiy ◽

Sergeiy P Yatsyk

Keyword(s):

Aortic Root ◽

Heart Valves ◽

Three Dimensional ◽

Minimum Size ◽

Patient Specific ◽

3 Dimensional ◽

Surface Areas ◽

Endovascular Interventions ◽

Dimensional Models ◽

Available Technology

Abstract OBJECTIVES The objective of this work was to develop technology to create ‘soft’ patient-specific models of semilunar heart valves, the aortic valve in particular, suitable for training and simulation of surgical and endovascular interventions. METHODS Data obtained during routine cardiac contrast-enhanced multislice computed tomography were used to create 3-dimensional models of the aortic root. Three-dimensional models were used to create soft silicone models of the aortic root made by casting silicone into a negative mould printed with stereolithography. A comparison between the constructed models and the size of the aortic root was performed. We quantified how much time was needed for production of each model. RESULTS Four patient-specific soft models of the aortic root were produced. Data from patients of different ages and body surface areas were used as prototypes. All models had minimum size errors. During development of this technology, production time per model was reduced from 63 to 39 h. CONCLUSIONS We have demonstrated the feasibility of making soft patient-specific 3-dimensional aortic root models using currently available technology. These models can be used both for training physicians in a variety of open surgical and endovascular interventions and for the study of complex aortic root geometry.

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Three-Dimensional Reconstruction Using Stereo Pairs from Serial Thick Sections

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100080249 ◽

1977 ◽

Vol 35 ◽

pp. 562-563

Author(s):

Robert Glaeser ◽

Thomas Bauer ◽

David Grano

Keyword(s):

Three Dimensional ◽

Dimensional Structure ◽

Serial Sections ◽

Thin Sections ◽

3 Dimensional ◽

Transmission Electron ◽

Freeze Dried ◽

Dimensional Reconstruction ◽

Stereo Imagery ◽

Whole Mounts

In transmission electron microscopy, the 3-dimensional structure of an object is usually obtained in one of two ways. For objects which can be included in one specimen, as for example with elements included in freeze- dried whole mounts and examined with a high voltage microscope, stereo pairs can be obtained which exhibit the 3-D structure of the element. For objects which can not be included in one specimen, the 3-D shape is obtained by reconstruction from serial sections. However, without stereo imagery, only detail which remains constant within the thickness of the section can be used in the reconstruction; consequently, the choice is between a low resolution reconstruction using a few thick sections and a better resolution reconstruction using many thin sections, generally a tedious chore. This paper describes an approach to 3-D reconstruction which uses stereo images of serial thick sections to reconstruct an object including detail which changes within the depth of an individual thick section.

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Design and calibration of an IVEM for general 3-dimensional imaging of non-diffracting materials

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100129838 ◽

1992 ◽

Vol 50 (2) ◽

pp. 1040-1041

Author(s):

Neil Rowlands ◽

Jeff Price ◽

Michael Kersker ◽

Seichi Suzuki ◽

Steve Young ◽

...

Keyword(s):

3D Imaging ◽

Tomographic Reconstruction ◽

Three Dimensional ◽

3 Dimensional ◽

3D Microstructure ◽

Image Translation ◽

Digital Correlation ◽

On Line ◽

Mechanical Stage ◽

Projection Angle

Three-dimensional (3D) microstructure visualization on the electron microscope requires that the sample be tilted to different positions to collect a series of projections. This tilting should be performed rapidly for on-line stereo viewing and precisely for off-line tomographic reconstruction. Usually a projection series is collected using mechanical stage tilt alone. The stereo pairs must be viewed off-line and the 60 to 120 tomographic projections must be aligned with fiduciary markers or digital correlation methods. The delay in viewing stereo pairs and the alignment problems in tomographic reconstruction could be eliminated or improved by tilting the beam if such tilt could be accomplished without image translation.A microscope capable of beam tilt with simultaneous image shift to eliminate tilt-induced translation has been investigated for 3D imaging of thick (1 μm) biologic specimens. By tilting the beam above and through the specimen and bringing it back below the specimen, a brightfield image with a projection angle corresponding to the beam tilt angle can be recorded (Fig. 1a).

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Numerical computation of blood flow for a patient-specific hemodialysis shunt model

Japan Journal of Industrial and Applied Mathematics ◽

10.1007/s13160-021-00469-9 ◽

2021 ◽

Author(s):

Surabhi Rathore ◽

Tomoki Uda ◽

Viet Q. H. Huynh ◽

Hiroshi Suito ◽

Toshitaka Watanabe ◽

...

Keyword(s):

Stokes Equations ◽

Three Dimensional ◽

Arteriovenous Shunt ◽

Navier Stokes ◽

Patient Specific ◽

Stabilized Finite Element ◽

Computed Tomography Scanning ◽

Outflow Boundary ◽

Stage Renal Disease ◽

End Stage

AbstractHemodialysis procedure is usually advisable for end-stage renal disease patients. This study is aimed at computational investigation of hemodynamical characteristics in three-dimensional arteriovenous shunt for hemodialysis, for which computed tomography scanning and phase-contrast magnetic resonance imaging are used. Several hemodynamical characteristics are presented and discussed depending on the patient-specific morphology and flow conditions including regurgitating flow from the distal artery caused by the construction of the arteriovenous shunt. A simple backflow prevention technique at an outflow boundary is presented, with stabilized finite element approaches for incompressible Navier–Stokes equations.

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Application of subject-specific adaptive mechanical loading for bone healing in a mouse tail vertebral defect

Scientific Reports ◽

10.1038/s41598-021-81132-8 ◽

2021 ◽

Vol 11 (1) ◽

Cited By ~ 1

Author(s):

Angad Malhotra ◽

Matthias Walle ◽

Graeme R. Paul ◽

Gisela A. Kuhn ◽

Ralph Müller

Keyword(s):

Mechanical Loading ◽

Bone Defect ◽

Bone Healing ◽

Three Dimensional ◽

Patient Specific ◽

Dependent Manner ◽

Micro Computed Tomography ◽

Computed Tomography Images ◽

Bone Defect Healing ◽

Subject Specific

AbstractMethods to repair bone defects arising from trauma, resection, or disease, continue to be sought after. Cyclic mechanical loading is well established to influence bone (re)modelling activity, in which bone formation and resorption are correlated to micro-scale strain. Based on this, the application of mechanical stimulation across a bone defect could improve healing. However, if ignoring the mechanical integrity of defected bone, loading regimes have a high potential to either cause damage or be ineffective. This study explores real-time finite element (rtFE) methods that use three-dimensional structural analyses from micro-computed tomography images to estimate effective peak cyclic loads in a subject-specific and time-dependent manner. It demonstrates the concept in a cyclically loaded mouse caudal vertebral bone defect model. Using rtFE analysis combined with adaptive mechanical loading, mouse bone healing was significantly improved over non-loaded controls, with no incidence of vertebral fractures. Such rtFE-driven adaptive loading regimes demonstrated here could be relevant to clinical bone defect healing scenarios, where mechanical loading can become patient-specific and more efficacious. This is achieved by accounting for initial bone defect conditions and spatio-temporal healing, both being factors that are always unique to the patient.

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Comparative Study of Silk Fibroin-Based Hydrogels and Their Potential as Material for 3-Dimensional (3D) Printing

Molecules ◽

10.3390/molecules26133887 ◽

2021 ◽

Vol 26 (13) ◽

pp. 3887

Author(s):

Watcharapong Pudkon ◽

Chavee Laomeephol ◽

Siriporn Damrongsakkul ◽

Sorada Kanokpanont ◽

Juthamas Ratanavaraporn

Keyword(s):

3D Printing ◽

Silk Fibroin ◽

Biomedical Applications ◽

Mechanical Stability ◽

Three Dimensional ◽

Structure Stability ◽

3 Dimensional ◽

Critical Technology ◽

Box Structure ◽

High Degree

Three-dimensional (3D) printing is regarded as a critical technology in material engineering for biomedical applications. From a previous report, silk fibroin (SF) has been used as a biomaterial for tissue engineering due to its biocompatibility, biodegradability, non-toxicity and robust mechanical properties which provide a potential as material for 3D-printing. In this study, SF-based hydrogels with different formulations and SF concentrations (1–3%wt) were prepared by natural gelation (SF/self-gelled), sodium tetradecyl sulfate-induced (SF/STS) and dimyristoyl glycerophosphorylglycerol-induced (SF/DMPG). From the results, 2%wt SF-based (2SF) hydrogels showed suitable properties for extrusion, such as storage modulus, shear-thinning behavior and degree of structure recovery. The 4-layer box structure of all 2SF-based hydrogel formulations could be printed without structural collapse. In addition, the mechanical stability of printed structures after three-step post-treatment was investigated. The printed structure of 2SF/STS and 2SF/DMPG hydrogels exhibited high stability with high degree of structure recovery as 70.4% and 53.7%, respectively, compared to 2SF/self-gelled construct as 38.9%. The 2SF/STS and 2SF/DMPG hydrogels showed a great potential to use as material for 3D-printing due to its rheological properties, printability and structure stability.

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Effects of intracorneal ring segments implementation technique and design on corneal biomechanics and keratometry in a personalized computational analysis

Scientific Reports ◽

10.1038/s41598-021-93821-5 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Niksa Mohammadi Bagheri ◽

Mahmoud Kadkhodaei ◽

Shiva Pirhadi ◽

Peiman Mosaddegh

Keyword(s):

Clinical Data ◽

Three Dimensional ◽

Element Model ◽

Von Mises Stress ◽

Patient Specific ◽

Average Error ◽

Constant Thickness ◽

Arc Length ◽

Implementation Techniques ◽

Von Mises

AbstractThe implementation of intracorneal ring segments (ICRS) is one of the successfully applied refractive operations for the treatment of keratoconus (kc) progression. The different selection of ICRS types along with the surgical implementation techniques can significantly affect surgical outcomes. Thus, this study aimed to investigate the influence of ICRS implementation techniques and design on the postoperative biomechanical state and keratometry results. The clinical data of three patients with different stages and patterns of keratoconus were assessed to develop a three-dimensional (3D) patient-specific finite-element model (FEM) of the keratoconic cornea. For each patient, the exact surgery procedure definitions were interpreted in the step-by-step FEM. Then, seven surgical scenarios, including different ICRS designs (complete and incomplete segment), with two surgical implementation methods (tunnel incision and lamellar pocket cut), were simulated. The pre- and postoperative predicted results of FEM were validated with the corresponding clinical data. For the pre- and postoperative results, the average error of 0.4% and 3.7% for the mean keratometry value ($$\text {K}_{\text{mean}}$$ K mean ) were predicted. Furthermore, the difference in induced flattening effects was negligible for three ICRS types (KeraRing segment with arc-length of 355, 320, and two separate 160) of equal thickness. In contrast, the single and double progressive thickness of KeraRing 160 caused a significantly lower flattening effect compared to the same type with constant thickness. The observations indicated that the greater the segment thickness and arc-length, the lower the induced mean keratometry values. While the application of the tunnel incision method resulted in a lower $$\text {K}_{\text{mean}}$$ K mean value for moderate and advanced KC, the induced maximum Von Mises stress on the postoperative cornea exceeded the induced maximum stress on the cornea more than two to five times compared to the pocket incision and the preoperative state of the cornea. In particular, an asymmetric regional Von Mises stress on the corneal surface was generated with a progressive ICRS thickness. These findings could be an early biomechanical sign for a later corneal instability and ICRS migration. The developed methodology provided a platform to personalize ICRS refractive surgery with regard to the patient’s keratoconus stage in order to facilitate the efficiency and biomechanical stability of the surgery.

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Clinical Utility of an Exoskeleton Robot Using 3-Dimensional Scanner Modeling in Burn Patient: A Case Report

Journal of Burn Care & Research ◽

10.1093/jbcr/irab060 ◽

2021 ◽

Author(s):

So Young Joo ◽

Seung Yeol Lee ◽

Yoon Soo Cho ◽

Sangho Yi ◽

Cheong Hoon Seo

Keyword(s):

Burn Injury ◽

Hand Function ◽

Three Dimensional ◽

The Body ◽

3D Technology ◽

Early Management ◽

3 Dimensional ◽

Exoskeleton Robot ◽

Physical Abilities ◽

Upper Limb Dysfunction

Abstract Hands are the part of the body that are most commonly involved in burns, and the main complications are finger joint contractures and nerve injuries. Hypertrophic scarring cannot be avoided despite early management of acute hand burn injuries, and some patients may need application of an exoskeleton robot to restore hand function. To do this, it is essential to individualize the customization of the robot for each patient. Three-dimensional (3D) technology, which is widely used in the field of implants, anatomical models, and tissue fabrication, makes this goal achievable. Therefore, this report is a study on the usefulness of an exoskeleton robot using 3D technology for patients who lost bilateral hand function due to burn injury. Our subject was a 45-year-old man with upper limb dysfunction of 560 days after a flame and chemical burn injury, with resultant impairment of manual physical abilities. After wearing an exoskeleton robot made using 3D printing technology, he could handle objects effectively and satisfactorily. This innovative approach provided considerable advantages in terms of customization of size and reduction in manufacturing time and costs, thereby showing great potential for use in patients with hand dysfunction after burn injury.

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