From Imaging Data to Cranioplasty Implant Designs

Talitha Asmaria; Andi Justike Mahatmala Zain; Arindha Reni Pramesti; Azwien Niezam Hawalie Marzuki; Muhammad Satrio Utomo

doi:10.35882/jeemi.v5i3.300

Talitha Asmaria National Research and Innovation Agency (BRIN)
Andi Justike Mahatmala Zain Department of Physics, University of Indonesia, Depok, Indonesia
Arindha Reni Pramesti Cluster of Medical Technology, Indonesian Medical Education and Research Institute (IMERI), Central Jakarta, Indonesia
Azwien Niezam Hawalie Marzuki Cluster of Medical Technology, Indonesian Medical Education and Research Institute (IMERI), Central Jakarta, Indonesia
Muhammad Satrio Utomo Department of Biomedical Engineering, University of Melbourne, Victoria, Australia

DOI: https://doi.org/10.35882/jeemi.v5i3.300

Keywords: Computed Tomography Image;, Image Processing; Three-Dimensional Printing; Cranioplasty Procedures; Implant Designs;

Abstract

The cranioplasty procedure is starting from removal the skull bone defects and replacing them with any biocompatible material, such as polymer, ceramic, or titanium alloy. The complication of the surgery as well as the high cost from several material selection required a simulation. Besides that, the case of cranial defects sometimes required a customized design. The presence of three-dimensional (3D) printing technology would be a promising tool to improve the success rate. Prior to 3D printing, the model needs to be corrected from the initial patient’s imaging data to the intended implant design. However, previous related literatures were almost not informing the specific image processing steps to gain the models, while not all operators could understand this sophisticated technique. The study aims to design an implant bone for cranioplasty purpose. The data were processed through the very clear step-by-step image processing stages, three-dimensional (3D) printing, and its evaluation through biomechanical simulation. Quantitatively, the designed cranioplasty implant could deal with the load in the actual application. Qualitatively, the prototypes have matched if applied to the host of cranium bone. In conclusion, although image processing and refinements are the most complicated process, the whole explanation indicate that the provided precise methodology could be a major reference to the similar procedure.

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