Method to Reproduce Physical and Virtual Biomodel of a Sphenoid Sinus and Nasal Passage Structures with a Sphenoid Tumour

The article describes and presents the process of developing and constructing a virtual and physical three dimensional biomodel of the sphenoid sinus and nasal structures. A patient with a tumour located in the sphenoidal air sinus was identified for this study. Fine slice Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) were performed. These imaging data were then fused by correlating matching anatomical bony landmarks. The resultant fused image series were then used to elucidate the sinuses and the tumour using a drawing tablet. The results were then post-processed with image processing algorithms namely Segmentation and Marching Cube, to generate a three dimensional (3D) construct. This virtual biomodel was then subjected to water-tight and hole-closing algorithms to pre-form a solid structure which can be printed on a powder rapid-prototyping (RP) apparatus. The final physical biomodel was then assessed at a few structural landmarks as a means of a simple validation. The validation of this model has been published elsewhere and supports the feasibility of the methods outlined in this paper. Further validation and ongoing work to reproduce biomodels of patients with similar tumour are currently underway in order to further substantiate the method described here.

[1]  A. K. Rathinam,et al.  The Creation and Verification of Cranial Models Using Three-dimensional Rapid Prototyping Technology in Field of Transnasal Sphenoid Endoscopy , 2012, American journal of rhinology & allergy.

[2]  Chee Kai Chua,et al.  Rapid prototyping assisted surgery planning , 1998 .

[3]  João Rocha,et al.  A surgical training model manufacture using rapid prototyping technology , 2010 .

[4]  Y. Toshev,et al.  MEDICAL RAPID PROTOTYPING APPLICATIONS AND METHODS , 2005 .

[5]  J. Y. Choi,et al.  Analysis of errors in medical rapid prototyping models. , 2002, International journal of oral and maxillofacial surgery.

[6]  M. Citardi Computer-Aided sphenoid sinus surgery , 2003 .

[7]  Armin Kanitsar,et al.  Intra-operative virtual endoscopy for image guided endonasal transsphenoidal pituitary surgery , 2010, International Journal of Computer Assisted Radiology and Surgery.

[8]  Jun-Jie Jing,et al.  Virtual reality surgical anatomy of the sphenoid sinus and adjacent structures by the transnasal approach. , 2012, Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery.

[9]  Timothy M. Barker,et al.  Stereolithographic biomodelling in cranio-maxillofacial surgery: A prospective trial , 1999 .

[10]  J. Bill,et al.  Stereolithography in oral and maxillofacial operation planning. , 1995, International journal of oral and maxillofacial surgery.

[11]  H. Kumagami,et al.  Surgical anatomy of the sphenoid sinus on the CT using multiplanar reconstruction technique , 2008, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[12]  N. Sooraj Hussain,et al.  3-D biomodelling technology for maxillofacial reconstruction , 2008 .

[13]  J. Giannatsis,et al.  Additive fabrication technologies applied to medicine and health care: a review , 2009 .

[14]  Didier A. Rajon,et al.  Rapid fabrication of custom patient biopsy guides , 2009, Journal of applied clinical medical physics.

[15]  H. K. Tan,et al.  A case of metastatic hepatocellular carcinoma of the sphenoid sinus , 1994, The Journal of Laryngology & Otology.

[16]  H. Kärcher,et al.  Intraoperative control of resection margins in advanced head and neck cancer using a 3D-navigation system based on PET/CT image fusion. , 2010, Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery.

[17]  J. Winder,et al.  Medical rapid prototyping technologies: state of the art and current limitations for application in oral and maxillofacial surgery. , 2005, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[18]  R A Harris,et al.  Characterization, quantification, and replication of human sinus bone for surgery simulation phantoms , 2009, Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine.

[19]  P A Webb,et al.  A review of rapid prototyping (RP) techniques in the medical and biomedical sector , 2000, Journal of medical engineering & technology.

[20]  Farzam Farahmand,et al.  APPLICATION OF RAPID PROTOTYPING FOR DEVELOPMENT OF CUSTOM–MADE ORTHOPEDICS PROSTHESES: AN INVESTIGATIVE STUDY , 2010 .

[21]  André Neubauer,et al.  Virtual endoscopy for preoperative planning and training of endonasal transsphenoidal pituitary surgery , 2005 .