The construction of the scoliosis 3D finite element model and the biomechanical analysis of PVCR orthopaedy

ObjectiveThe objective is to investigate the biomechanical conditions of the Posterior Vertebral Column Resection (PVCR) of the constructed scoliosis 3D finite element model.MethodsA patient with scoliosis was selected; before the PVCR orthopaedy, the patient was submitted to the radiography of normal and lateral full-length vertebral column scans and the total magnetic resonance imaging (MRI) scans; then, the idiopathic scoliosis model was constructed by the 3D finite element method, and the 3D finite element software utilized in the process of model construction included Mimics software, Geomagic Studio 12 software, and Unigraphic 8.0 (UG 8.0) software; in addition, PVCR orthopaedy was utilized to correct the scoliosis of the patient, and the biomechanical parameters, such as orthodontic force, vertebral body displacement, orthopedic rod stress, stress on the pin-bone interface of the vertebral body surface, and the stress on the intervertebral disc, were studied.ResultsThe 3D effective finite element model of scoliosis was successfully constructed by the Mimics software, the Geomagic Studio 12 software, and the UG 8.0 software, and the effectiveness was tested. PVCR orthopaedy could effectively solve the problem of scoliosis. The magnitude of the orthodontic force that a patient needed depended on the physical conditions and the personal orthodontic requirements of the patient. The maximum vertebral body displacement on the X-axis was the vertebral body L1, the maximum displacement on the Y-axis was the vertebral body T3, the maximum displacement on the Z-axis was the vertebral body T1, and the rang of orthopedic rod stress was 0.0050214e⁷ MPa to 0.045217e⁷ MPa, in which the maximum stress of 2 vertebral bodies in, above, and below the osteotomy area reached 0.045217e⁷ MPa, the stress on the pin-bone interface of the T10 vertebral body surface reached 11.83 MPa, and the stress of T8/T9 intervertebral disc reached 13.84 MPa.ConclusionThe 3D finite element model based on 3D finite element software was highly efficient, and its numerical simulation was accurate, which was important for the subsequent biomechanical analysis of PVCR orthopaedy. In addition, the vertebral stress of PVCR orthopaedy was different in each body part, which was mainly affected by the applied orthodontic force and the sites of the orthodontic area.     

3D打印技术在脊柱侧凸矫形术中的应用研究

目的:通过3D打印技术建立患者脊柱的立体实物模型,并探讨其在脊柱侧凸矫形手术中的临床应用价值。方法:2013年9月～2017年8月的15例脊柱侧凸畸形患者,采集患者的薄层CT扫描数据,利用3D打印技术建立实物模型,术前模拟置钉、模拟截骨,完善术前规划,并按照术前计划进行手术。结果:所有患者均按照根据术前3D打印模型制定的手术方案完成手术,术中置钉顺利,置钉准确率为93.6%。所有患者术中、术后无神经、血管、内脏损伤等并发症。结论:3D打印技术为术者提供了更加直观、立体、即时的影像资料,能够完善术前规划,提高置钉准确率,降低手术风险,在脊柱矫形手术中应用前景广泛。     

女性尿道阴道瘘数字化三维重建在临床治疗中的初步应用

目的:基于CT扫描图象建立精确的女性尿道阴道瘘数字化模型,探讨其在临床诊断及治疗中的应用。方法:选择1例女性尿道阴道瘘病例,进行尿道CT连续断层扫描,扫描结果导入Mimics软件中进行三维重建,利用三维重建模型指导临床。结果:建立女性尿道阴道瘘及周围结构的三维立体模型,可以方便地从任意角度和方向观察瘘管情况,测量有关的数据;还可以在数字化模型上进行手术设计。结论:女性尿道阴道瘘的数字化三维模型能够更直观、准确地反映病变部位的三维立体结构。对女性尿道阴道瘘的诊断、手术规划等有较大帮助。     

3 种不同弹性模量钛合金股骨假体在羊股骨置换模型中应力分布的三维 有限元分析

目的:通过三维有限元分析方法来观察并比较3种不同弹性模量钛合金股骨假体在羊股骨置换模型中von-Mises应力分布的情况。方法:采用64排螺旋CT对一健康成年羊的下肢股骨进行全长的CT扫描,扫描层厚为0.5 mm,扫描所得的数据存储为DICOM文件。将得到的DICOM文件导入到CT图像分析软件Mimics 10.0,然后利用Mimics 10.0软件来生成股骨的骨质点云数据,再将生成的骨质点云数据导入到Simpleware分析软件,通过机械加工反求中的复杂曲面造型技术建立起精确的三维实体模型。对三维实体模型进行网格划分,确定了髓腔的形状,并根据羊下肢股骨髓腔的形状设计了作者实验用的羊股骨假体模型,然后在ANSYS 12.1软件中进行网格划分。给予加载缓慢行走载荷以及扭转载荷,分析并比较羊股骨以及3种不同弹性模量钛合金股骨假体在股骨置换模型中von-Mises应力分布的情况。结果:在缓慢行走载荷以及扭转载荷条件下,3种不同弹性模量钛合金股骨假体von-Mises应力分布变化趋势一致,假体的柄颈结合部以及假体柄上1/3为应力集中区域。3种不同弹性模量的最大应力集中点均位于柄颈结合部,60 GPa弹性模量的股骨假体植入后假体的最大应力最小(37.8 MPa、29.1 MPa),股骨的最大应力最大(12.6 MPa、24.5 MPa);80 GPa的次之,假体的最大应力(38.4 MPa、33.4 MPa),股骨的最大应力(12.5 MPa、24.5 MPa);110 GPa的股骨假体植入后假体的最大应力最大(38.9 MPa、38.1 MPa),股骨的最大应力最小(12.3 MPa、24.5 MPa)。60 GPa弹性模量的股骨假体植入后的假体最大位移和相对位移均最小(缓慢行走载荷下假体最大位移为0.551 mm、相对位移为0.008 mm,扭转载荷下假体最大位移为0.730 mm、相对位移为0.011 mm)。结论:较低弹性模量的钛合金股骨假体(60 GPa)由于其弹性模量更接近于骨组织的弹性模量,股骨假体与股骨间的"应力遮挡"效应较小,更有利于应力在股骨假体及股骨间的传递,增加了股骨假体的早期稳定性,延长了其临床寿命。     

New Design for Rapid Prototyping of Digital Master Casts for Multiple Dental Implant Restorations

Aim

This study proposes the replacement of all the physical devices used in the manufacturing of conventional prostheses through the use of digital tools, such as 3D scanners, CAD design software, 3D implants files, rapid prototyping machines or reverse engineering software, in order to develop laboratory work models from which to finish coatings for dental prostheses. Different types of dental prosthetic structures are used, which were adjusted by a non-rotatory threaded fixing system.

Method

From a digital process, the relative positions of dental implants, soft tissue and adjacent teeth of edentulous or partially edentulous patients has been captured, and a maser working model which accurately replicates data relating to the patients oral cavity has been through treatment of three-dimensional digital data.

Results

Compared with the conventional master cast, the results show a significant cost savings in attachments, as well as an increase in the quality of reproduction and accuracy of the master cast, with the consequent reduction in the number of patient consultation visits. The combination of software and hardware three-dimensional tools allows the optimization of the planning of dental implant-supported rehabilitations protocol, improving the predictability of clinical treatments and the production cost savings of master casts for restorations upon implants.     

肱骨有限元模型建立及生物力学分析

目的:以成人肱骨为例,将医学图像三维重建技术和有限元方法结合应用于正骨手法研究,建立正常肱骨有限元模型,验证模型的有效性并进行生物力学分析。方法:选择一位青年男性志愿者,对其上肢自尺桡骨上端至肱骨头进行连续断层扫描,得到CT图像,将CT数据导入MIMICS软件中,通过图像分割、三维重建和材料属性赋值,构建正常肱骨有限元模型,利用ANSYS软件进行力学分析,与文献中肱骨的生物力学数据相比较,以此验证模型的有效性。结果:建立了正常肱骨三维几何模型和有限元模型。利用ANSYS软件,对模型进行了有效性验证。所建模型物理特性与真实骨骼相近,能很好地反映骨骼的力学变化,实现手法的定量分析。结论:所建立的肱骨模型外形逼真、在不同载荷下的应力值与相关文献一致,可用作中医仿真系统中的虚拟骨折模型。     

应用三维有限元分析髋臼骨结核软骨下骨塌陷的风险

目的建立人体髋臼骨结核三维有限元模型,探讨不同部位髋臼骨结核软骨下骨塌陷的风险。方法通过正常髋关节CT数据,利用Mimics软件和ANSYS有限元软件,建立正常髋关节三维有限元模型（模型A）、髋臼顶部骨结核（模型B）、髋臼中心部骨结核（模型C）、髋臼前部骨结核（模型D）、髋臼后部骨结核（模型E）三维有限元模型,模拟人体单脚站立进行加载,分析髋臼软骨下骨峰值Von Mises应力和初始微动值。结果建立了正常髋关节和不同部位髋臼骨结核三维有限元模型,各模型含节点269284,三维四面体单元184786个。通过加载分析结果显示：与正常髋关节相比,峰值Von Mises应力,依次增加84%、3%、21%、67%;髋臼软骨下骨初始微动值依次增加66%、11%、17%、29%。结论髋臼顶部结核软骨下骨峰值Von Mises应力和初始微动值最大,塌陷的风险最大。     

半月板三维有限元模型的建立

目的：建立膝关节半月板三维有限元模型。方法：拍摄健康成人膝关节CT图像,使用Materialise Interactive Medical ImageControl System 10.0（Mimics10.0）、Freeform Modeling System 10（FMS10）、ANSYS12.0等软件建立半月板三维有限元模型并进行初步生物力学分析验证模型的有效性。结果：建立的半月板三维有限元模型几何形态与实体解剖标本相似性高。初步生物力学分析结果显示模型能准确反映半月板的生物力学特性。结论：采用CT扫描图像建立膝关节半月板三维有限元模型是切实可行的。     

Airway Segmentation and Centerline Extraction from Thoracic CT – Comparison of a New Method to State of the Art Commercialized Methods

Introduction

Our motivation is increased bronchoscopic diagnostic yield and optimized preparation, for navigated bronchoscopy. In navigated bronchoscopy, virtual 3D airway visualization is often used to guide a bronchoscopic tool to peripheral lesions, synchronized with the real time video bronchoscopy. Visualization during navigated bronchoscopy, the segmentation time and methods, differs. Time consumption and logistics are two essential aspects that need to be optimized when integrating such technologies in the interventional room. We compared three different approaches to obtain airway centerlines and surface.

Method

CT lung dataset of 17 patients were processed in Mimics (Materialize, Leuven, Belgium), which provides a Basic module and a Pulmonology module (beta version) (MPM), OsiriX (Pixmeo, Geneva, Switzerland) and our Tube Segmentation Framework (TSF) method. Both MPM and TSF were evaluated with reference segmentation. Automatic and manual settings allowed us to segment the airways and obtain 3D models as well as the centrelines in all datasets. We compared the different procedures by user interactions such as number of clicks needed to process the data and quantitative measures concerning the quality of the segmentation and centrelines such as total length of the branches, number of branches, number of generations, and volume of the 3D model.

Results

The TSF method was the most automatic, while the Mimics Pulmonology Module (MPM) and the Mimics Basic Module (MBM) resulted in the highest number of branches. MPM is the software which demands the least number of clicks to process the data. We found that the freely available OsiriX was less accurate compared to the other methods regarding segmentation results. However, the TSF method provided results fastest regarding number of clicks. The MPM was able to find the highest number of branches and generations. On the other hand, the TSF is fully automatic and it provides the user with both segmentation of the airways and the centerlines. Reference segmentation comparison averages and standard deviations for MPM and TSF correspond to literature.

Conclusion

The TSF is able to segment the airways and extract the centerlines in one single step. The number of branches found is lower for the TSF method than in Mimics. OsiriX demands the highest number of clicks to process the data, the segmentation is often sparse and extracting the centerline requires the use of another software system. Two of the software systems performed satisfactory with respect to be used in preprocessing CT images for navigated bronchoscopy, i.e. the TSF method and the MPM. According to reference segmentation both TSF and MPM are comparable with other segmentation methods. The level of automaticity and the resulting high number of branches plus the fact that both centerline and the surface of the airways were extracted, are requirements we considered particularly important. The in house method has the advantage of being an integrated part of a navigation platform for bronchoscopy, whilst the other methods can be considered preprocessing tools to a navigation system.     

基于CTA的在体女性盆腔静脉血管网数字化三维模型构建的方法及意义

目的:探讨利用CTA原始数据集构建在体女性盆腔静脉血管网数字化三维模型的方法及意义。方法:基于双源CTA技术,获取1例宫颈癌患者的Dicom 3.0原始二维断层图像数据集。利用Mimics 10.01软件分别对骨盆、盆腔动脉血管网以及盆腔静脉血管网进行三维重建并配准融合。结果:构建的盆腔静脉血管网数字化三维模型可以清楚地显示下腔静脉、髂总静脉、髂外静脉、髂内静脉及其初级属支,以及双侧卵巢静脉等。与重建的骨盆、盆腔动脉血管网配准融合后,各支静脉血管的解剖走形及引流区域变得更加清晰明确。结论:基于CTA的计算机三维重建技术是一种研究女性盆腔静脉血管网的好方法,具有较大的运用价值。     

基于CT薄层扫描的骨盆数字化三维模型的分色构建

目的：探讨利用CT原始数据集对骨盆进行数字化三维分色构建的方法及意义。方法：选择1例因宫颈癌行盆腔CT薄层扫描患者的Dicom3．0原始二维断层数据集,利用Mimics10．01软件行骨盆三维分色重建。结果：构建的数字化三维分色模型形态规则、清晰逼真、立体感强、解剖清晰,不仅可以对构成骨盆的髂骨、骶骨及尾骨进行单独的三维分色显示,而且可以进行任意角度、距离的融合分离显示,更有利于对骨盆进行精细地全面立体观察分析。结论：基于CT薄层扫描数据集构建骨盆三维分色模型的方法简单、可行,是指导临床及教学的好工具。     

The Accuracy of a Method for Printing Three-Dimensional Spinal Models

Background

To study the morphology of the human spine and new spinal fixation methods, scientists require cadaveric specimens, which are dependent on donation. However, in most countries, the number of people willing to donate their body is low. A 3D printed model could be an alternative method for morphology research, but the accuracy of the morphology of a 3D printed model has not been determined.

Methods

Forty-five computed tomography (CT) scans of cervical, thoracic and lumbar spines were obtained, and 44 parameters of the cervical spine, 120 parameters of the thoracic spine, and 50 parameters of the lumbar spine were measured. The CT scan data in DICOM format were imported into Mimics software v10.01 for 3D reconstruction, and the data were saved in .STL format and imported to Cura software. After a 3D digital model was formed, it was saved in Gcode format and exported to a 3D printer for printing. After the 3D printed models were obtained, the above-referenced parameters were measured again.

Results

Paired t-tests were used to determine the significance, set to P<0.05, of all parameter data from the radiographic images and 3D printed models. Furthermore, 88.6% of all parameters of the cervical spine, 90% of all parameters of the thoracic spine, and 94% of all parameters of the lumbar spine had Intraclass Correlation Coefficient (ICC) values >0.800. The other ICC values were <0.800 and >0.600; none were <0.600.

Conclusion

In this study, we provide a protocol for printing accurate 3D spinal models for surgeons and researchers. The resulting 3D printed model is inexpensive and easily obtained for spinal fixation research.     

园林植物三维数字模型的构建与应用探索

利用三维数字模型进行辅助设计、效果展示、施工指导和后期管护等已经成为风景园林行业发展趋势。植物是风景园林的关键组成要素,通过探讨园林植物三维数字模型构建与应用的必要性,以栾树（Koelreuteria paniculata）为例,利用三维植物建模软件PlantFactory对其进行三维数字模型构建探索,构建一个包含15种典型园林树种的小型三维数字模型库。最后,通过对园林植物三维数字模型在植物形态认知、植物景观设计表现和构建风景园林信息模型（LIM）3方面的应用,探索其适用性和有效性。     

Analytical and multibody modeling for the power analysis of standing jumps

Two methods for the power analysis of standing jumps are proposed and compared in this article. The first method is based on a simple analytical formulation which requires as input the coordinates of the center of gravity in three specified instants of the jump. The second method is based on a multibody model that simulates the jumps processing the data obtained by a three-dimensional (3D) motion capture system and the dynamometric measurements obtained by the force platforms. The multibody model is developed with OpenSim, an open-source software which provides tools for the kinematic and dynamic analyses of 3D human body models. The study is focused on two of the typical tests used to evaluate the muscular activity of lower limbs, which are the counter movement jump and the standing long jump. The comparison between the results obtained by the two methods confirms that the proposed analytical formulation is correct and represents a simple tool suitable for a preliminary analysis of total mechanical work and the mean power exerted in standing jumps.     

3D finite element analysis of porous Ti-based alloy prostheses

In this paper, novel designs of porous acetabular cups are created and tested with 3D finite element analysis (FEA). The aim is to develop a porous acetabular cup with low effective radial stiffness of the structure, which will be near to the architectural and mechanical behavior of the natural bone. For the realization of this research, a 3D-scanner technology was used for obtaining a 3D-CAD model of the pelvis bone, a 3D-CAD software for creating a porous acetabular cup, and a 3D-FEA software for virtual testing of a novel design of the porous acetabular cup. The results obtained from this research reveal that a porous acetabular cup from Ti-based alloys with 60 ± 5% porosity has the mechanical behavior and effective radial stiffness (Young’s modulus in radial direction) that meet and exceed the required properties of the natural bone. The virtual testing with 3D-FEA of a novel design with porous structure during the very early stage of the design and the development of orthopedic implants, enables obtaining a new or improved biomedical implant for a relatively short time and reduced price.     

多视角三维重建技术在石制品研究中的应用

三维重建技术已广泛应用于考古发掘、研究、展示等各个领域。通过对石制品的三维重建,可以帮助我们获取更加精准的数据信息,一些过去只能估算的测量指标得以精准化,由此催生出许多新的研究方法。本文回顾了十几年来三维重建方法在石器分析研究中的实例,如石制品的表面积、体积测量,台面、砾石面/人工面、片疤的精确数值获取,以及三维空间中打击方向、角度的判定等等,有效推动了石制品的深入研究。不同的三维重建技术各有优劣,多视角三维重建技术不受设备、场地、人员技术要求的限制,能够快速、准确地建立石制品的三维模型,并且获取如面积、体积、角度等通常难以准确测量的数据信息,其生成的点云、数字高程模型、正射影像图等还可以导入其他软件拓展使用。该技术的诸多优点,使其可以成为旧石器考古发掘、研究的日常工具。     

Musculoskeletal modeling of user groups for virtual product and process development

Abstract

Although biomechanical digital human models find their way into virtual engineering processes, biomechanical considerations are currently still unrecognized to a large extent. One major obstacle lies in the fact that even though subject-specific modeling procedures are developed, virtual user groups or populations are still missing. The objective of this contribution is to create such groups of musculoskeletal models. Therefore, a modeling procedure based upon population data is described. First of all, two generic three-dimensional models, one with female and one with male average anthropometric dimensions, were obtained. These models constitute the starting point for the following model adjustment phases. Evenly distributed dimensionless values for gender, age, height, mass, range of motion and strength are sampled and translated into more expressive parameters for the mentioned modeling domains serving as input data for the creation of each individual model of the desired population or user group. The most sophisticated step of the adaption is the strength mapping aiming to create models matching arbitrary target joint torques. Finally, the models’ maximal strength is assessed in a manual material handling task and compared to empirical strength data. The approach is shown using the example of the German population.     

Palaeontology in the third dimension: a comprehensive guide for the integration of three-dimensional content in publications

During the last decade, three-dimensional, digital models have become increasingly important in geosciences and in particular in palaeontological research. Although significant advances in hard- and software technology have facilitated the acquisition and creation of such models, the presentation of three-dimensional data is still greatly handicapped by the traditionally two-dimensional means of publication. The ability to integrate three-dimensional (3D) models, which can be interactively manipulated, into portable document format (PDF) documents not only considerably improves their accessibility, but also represents an innovative, but so far neglected, approach for the presentation and communication of digital data. This article introduces and illustrates a comprehensive workflow for the creation of 3D PDFs, incorporating different techniques and methodological steps, and using both commercial and freely available software resources. Advantages and disadvantages of each method are discussed, and are accompanied by selected examples of digital models. These examples encompass different methods of data acquisition (computed tomography, synchrotron radiation X-ray tomographic microscopy, photogrammetry) and span a wide range of sizes and taxonomic groups. To the best of the author’s knowledge, this article represents the first application of 3D PDF technology fully integrated into a scientific publication in palaeontology or even geosciences, and not restricted to supplementary material. It provides the reader with extended visual information and facilitates the dissemination of data. As both authors and readers benefit greatly from their usage, it is argued that 3D PDFs should become an accepted standard in palaeontological publications of three-dimensional models.     

Parakeet: a digital twin software pipeline to assess the impact of experimental parameters on tomographic reconstructions for cryo-electron tomography

In cryo-electron tomography (cryo-ET) of biological samples, the quality of tomographic reconstructions can vary depending on the transmission electron microscope (TEM) instrument and data acquisition parameters. In this paper, we present Parakeet, a ‘digital twin’ software pipeline for the assessment of the impact of various TEM experiment parameters on the quality of three-dimensional tomographic reconstructions. The Parakeet digital twin is a digital model that can be used to optimize the performance and utilization of a physical instrument to enable in silico optimization of sample geometries, data acquisition schemes and instrument parameters. The digital twin performs virtual sample generation, TEM image simulation, and tilt series reconstruction and analysis within a convenient software framework. As well as being able to produce physically realistic simulated cryo-ET datasets to aid the development of tomographic reconstruction and subtomogram averaging programs, Parakeet aims to enable convenient assessment of the effects of different microscope parameters and data acquisition parameters on reconstruction quality. To illustrate the use of the software, we present the example of a quantitative analysis of missing wedge artefacts on simulated planar and cylindrical biological samples and discuss how data collection parameters can be modified for cylindrical samples where a full 180° tilt range might be measured.     

A Digital Model for the Venous Junctions

The venous network in the lower limbs is composed of a considerable number of confluent junctions. Each of these singularities introduces some blood flow disturbances. Each physiological junction is unique, in terms of its geometry as well as the blood flow rate. In order to account for this great variability, we developed a numerical model based on the use of the N3S code (a software package for solving Navier-Stokes equations). To test the validity of the model, one of the numerical simulations is compared with the data obtained in the corresponding experimental configuration. The velocity measurements were carried out with an ultrasonic pulsed Doppler velocimeter. We also measured pressure differences using differential sensors. The numerical computations were then used to obtain the values of the flow variables at any point, with various geometrical and flow configurations. As far as the velocity field is concerned, a very marked three-dimensional pattern with swirls was observed. The pressure evolution was also strongly disturbed, with a non-linear decrease. All these data indicate that confluence effects cannot be neglected when evaluating pressure decreases. With a tool of this kind, it is possible to accurately predict the disturbances associated with any geometrical configuration or any flow rate.