Framework for verification of positional tolerances with a 3D non-contact measurement method

New methods of data acquisition such as 3D scanners have become increasingly necessary for the verification of the geometric dimensioning and tolerancing (GD&T) specifications in the manufacture of industrial parts. This paper proposes a method for the verification of a positional tolerance in two cylindrical features in an industrial part digitized using a 3D non-contact scanner. Apart from enabling an adequate quantification of the obtained results, this method also permits the displaying of different ways of visualizing the results. The tolerance zone within which the used scanner carries out the analysis was measured and quantified. Some aspects taken into consideration were the geometric quality of the piece and the repeatability, the reproducibility and the uncertainty of the digital process, which comprises the acquisition and processing of the data. This research work concludes that the digital method presented hereby, with its corresponding virtual inspection, is valid for the verification of positional tolerances, even when it is required to maintain the GD&T specification regardless of the feature size. In addition, this article raises the discussion over the best way to compute the traditional datum referencing rules to the new data acquisition methods.     

Evaluation of Swallowing Using 320-Detector-Row Multislice CT. Part I: Single- and Multiphase Volume Scanning for Three-dimensional Morphological and Kinematic Analysis

A 320-detector-row multislice computed tomography (320-MSCT) scanner can acquire a volume data set covering a maximum range of 16 cm and can generate axial images 0.5-mm thick at 0.5-mm intervals. Three-dimensional (3D) images reconstructed from the thin axial slices include multiplanar reconstruction and 3D-CT. Single-phase 3D images are reconstructed from 0.175-s data, and multiphase 3D images are created in 29 phases at intervals of 0.1 s. Continuous replay of these 3D images produces four-dimensional moving images. In order to determine the feasibility of the morphologic and kinematic analyses of swallowing using 320-MSCT, single-phase volume scanning was performed on three patients and multiphase volume scanning was performed on one healthy volunteer. The single-phase 3D images clearly and accurately showed the structures involved in swallowing, and the multiphase 3D images were able to show the oral stage to the early esophageal stage of swallowing, allowing a kinematic analysis of swallowing. We developed a reclining chair that allows scanning to be performed with the subject in a semisitting position, which makes swallowing evaluation by 320-MSCT applicable not only to research on healthy swallowing but also to the clinical examination of dysphagia patients.     

Interactive design of dental implant placements through CAD-CAM technologies: from 3D imaging to additive manufacturing

In the field of oral rehabilitation, the combined use of 3D imaging technologies and computer-guided approaches allows the development of reliable tools to be used in preoperative assessment of implant placement. In particular, the accurate transfer of the virtual planning into the operative field through surgical guides represents the main challenge of modern dental implantology. Guided implant positioning allows surgical and prosthetic approaches with minimal trauma by reducing treatment time and decreasing patient’s discomfort. This paper aims at defining a CAD/CAM framework for the accurate planning of flapless dental implant surgery. The system embraces three major applications: (1) freeform modelling, including 3D tissue reconstruction and 2D/3D anatomy visualization, (2) computer-aided surgical planning and customised template modelling, (3) additive manufacturing of guided surgery template. The tissue modelling approach is based on the integration of two maxillofacial imaging techniques: tomographic scanning and surface optical scanning. A 3D virtual maxillofacial model is created by matching radiographic data, captured by a CBCT scanner, and surface anatomical data, acquired by a structured light scanner. The pre-surgical planning process is carried out and controlled within the CAD application by referring to the integrated anatomical model. A surgical guide is then created by solid modelling and manufactured by additive techniques. Two different clinical cases have been approached by inserting 11 different implants. CAD-based planned fixture placements have been transferred into the clinical field by customised surgical guides, made of a biocompatible resin and equipped with drilling sleeves.     

Investigations of Model Multilayer Ceramic Casting Molds in a Raw State by Nondestructive Methods

This article presents the results of research on the use of modern nondestructive methods such as 3D scanning, thermography and computed tomography (CT) to assess the quality of multilayer ceramic molds. Tests were performed on spherical samples of multilayer ceramic molds in the raw state. Samples were made of molding sands composed of quartz and molochite powders, the alcoholic binder hydrolyzed ethyl silicate (ZKE) and an aqueous binder based on colloidal silica. Thickness measurements of spherical forms were made using a 3D scanner. Porosity measurements were made using CT. Additionally, thermography observations of the mold cooling process were made with controlled temperature and humidity. The results of temperature measurements of samples were compared with measurements of thickness and porosity. The practical goal was to determine the possibility of using thermography, 3D scanning and CT as a quick method for detecting mold defects by varying their thickness, porosity and cracks and for final verification of the ceramic molds’ condition before casting.     

Three-dimensional echocardiography: research toy or clinical tool?

Conventional 2D echocardiography is an excellent qualitative imaging method, but its use for quantitation is limited by test-retest reproducibility of image planes. The increasing sophistication of medical treatments for left ventricular dysfunction, hypertension and valvular heart disease has created the need for accurate and reproducible measurements of chamber dimensions. Similarly, improvements in valve repair and catheter-based interventions for valve lesions and septal defects have created the need for better visualisation of cardiac structures. The use of 31) echocardiography may decrease variability both in the quality and interpretation of complex pathology among investigators. Three-dimensional echocardiography is achieved by using a 3D spatial registration device with a conventional 21) scanner, or by using a high-speed, phased-array real-time scanner. The latter are still developmental, so that the technique currently requires use of a 21) scanner, combined with a 31) spatial coordinate system, which may be external or internal to the scanning transducer. An external system permits data acquired from several cardiac windows to be integrated and reconstructed. Image reconstruction is performed using a wire-frame model or surface rendering. Wire-frame models are formed by manual or automatic connection of boundary data points; this approach uses fewer data points than rendering, can be rapidly processed and is sufficient for quantitative analysis. Surface-rendering uses lighting and shading applied to a wire-frame model to produce a realistic 31) display, which may be useful for surgical planning and increasing understanding of anatomic relations. Three-dimensional echocardiography yields more accurate measurements of ventricular volume and function, as well as new measurements such as infarct area. With increased reproducibility and reliability, 3D echocardiography may well prove to be the essential tool required for the serial follow up of left ventricular mass and volume.     

基于CT精细扫描构建人体胸腰段脊柱三维有限元模型的方法及意义

目的探讨基于CT精细扫描构建人体胸腰段脊柱三维有限元模型的方法及临床意义。方法将以各向同性分辨率0．625mm薄层扫描所得的层厚0．65mm人体胸腰段连续断层210层Dicom格式CT图像,直接读入Mimics后界定骨组织阈值、提取各层面轮廓线、图像边缘分割、选择性编辑及补洞处理,去除冗余数据,三维化处理后获得胸腰段三维几何面网格模型,将其保存为后缀名．1is的Ansys文件,直接导入Ansys有限元分析软件进行体网格划分,再将体网格转入Mimics,根据CT值赋值,再次导入Ansys添加韧带、关节约束后生成三维有限元模型。结果快捷建立了外形逼真、计算精确的人体胸腰段脊柱三维有限元模型。结论应用精细CT扫描技术,图像Dicom标准,Mimics软件能直接与Ansys软件进行对接,并能根据CT值直接赋值使胸腰段脊柱三维有限元模型的建立更加快捷、精确。     

The process of designing a rotating platform artificial knee prosthesis with posterior stabilizers by finite element analysis

The purpose of this paper is to design a rotating platform knee prosthesis with posterior stabilizers. This design is based on reverse engineering and interactive acquisition and reconstruction of 3D models combined with the finite element method. A 3D geometric model of a healthy knee joint was created from an anatomical knee model by using an active acquisition system based on a 3D scanner. This healthy model comprises a portion of the long bones (femur, tibia and fibula), as well as the transverse ligament, medial collateral ligament, posterior cruciate ligament, anterior cruciate ligament, medial meniscus and cartilage. The digital model that was obtained was repaired and converted to an engineering drawing format by use of CATIA© software. Also, based on the foregoing format, a rotating platform knee prosthesis was designed and assembled by this software. Once the healthy and artificial models were repaired, the Mentat Marc© software was used to develop the healthy and artificial knee FE models. From the anthropometry of the human body, a combination of loads and positions were obtained by use of 3D Static Strength Prediction software. The normal stresses, Von Mises stresses and all relative displacements of the healthy and artificial knee FE model were determined. The Von Mises stresses on both the cortical and the trabecular bone of the artificial and healthy knee FE model were analyzed and compared. The prosthesis was designed for the knee of a male patient of height and body weight of 190 cm and 120 kg, respectively.     

Ultra-high performance,solid-state,autoradiographic image digitization and analysis system

We developed a Macintosh II-based, charge-coupled device (CCD), image digitization and analysis system for high-speed, high-resolution quantification of autoradiographic image data. A linear CCD array with 3500 elements was attached to a precision drive assembly and mounted behind a high-uniformity lens. The drive assembly was used to sweep the array perpendicularly to its axis so that an entire 20 × 25-cm autoradiographic image-containing film could be digitized into 256 gray levels at 50-m resolution in less than 30 sec. The scanner was interfaced to a Macintosh II computer through a specially constructed NuBus circuit board and software was developed for autoradiographic data analysis. The system was evaluated by scanning individual films multiple times, then measuring the variability of the digital data between the different scans. Image data were found to be virtually noise free. The coefficient of variation averaged less then 1%, a value significantly exceeding the accuracy of both high-speed, low-resolution, video camera (VC) systems and low-speed, high-resolution, rotating drum densitometers (RDD). Thus, the CCD scanner-Macintosh computer analysis system offers the advantage over VC systems of the ability to digitize entire films containing many autoradiograms, but with much greater speed and accuracy than achievable with RDD scanners.     

Accuracy of Proximal and Occlusal Contacts of Single Implant Crowns Fabricated Using Different Digital Scan Methods: An In Vitro Study

The purpose of this in vitro study was to compare the accuracy of the proximal and occlusal contacts of single implant crowns fabricated with four data capture methods. The resin models were mounted on an articulator, digitized using a laboratory scanner, and saved as a standard tessellation language (STL) file to serve as the master reference model (MRM). Two different intraoral scan body (ISB) systems were evaluated: polyetheretherketone (PEEK) short scan body (SSB) and PEEK long scan body (LSB) (n = 12). The digital impressions (SSB and LSB) were acquired using an intraoral scanner with ISB. Two different conventional techniques were also evaluated: PEEK short scan body with coping plastic cap (CPC) and pick-up coping (PUC) (n = 12). The implant impressions (CPC and PUC) were recorded using a conventional impression technique. The crown and abutment were fabricated with a milling machine and then placed on the resin model and scanned using a laboratory scanner. The scanned files were saved as STL files to serve as test datasets. The MRM and test datasets were superimposed, and the mesial, distal, and occlusal distances were calculated using a 3D inspection software and statistically analyzed using the Kruskal–Wallis H test (α = 0.05). The direct data capture group had more accurate contact points on the three surfaces, with mesial contact of 64.7 (12.8) µm followed by distal contact of 65.4 (15) µm and occlusal contact of 147 (35.8) µm in the SSB group, and mesial contact of 84.9 (22.6) µm followed by distal contact of 69.5 (19.2) µm and occlusal contact of 115.9 (27.7) µm in the LSB group (p < 0.001). The direct data capture groups are closer to the ideal proximal and occlusal contacts for single implant crowns than the indirect data capture groups. There was no difference in the accuracy between the two types of scan body (SSB and LSB).     

Nanofunctionalization of Additively Manufactured Titanium Substrates for Surface-Enhanced Raman Spectroscopy Measurements

Powder bed fusion using a laser beam (PBF-LB) is a commonly used additive manufacturing (3D printing) process for the fabrication of various parts from pure metals and their alloys. This work shows for the first time the possibility of using PBF-LB technology for the production of 3D titanium substrates (Ti 3D) for surface-enhanced Raman scattering (SERS) measurements. Thanks to the specific development of the 3D titanium surface and its nanoscale modification by the formation of TiO₂ nanotubes with a diameter of ~80 nm by the anodic oxidation process, very efficient SERS substrates were obtained after deposition of silver nanoparticles (0.02 mg/cm², magnetron sputtering). The average SERS enhancement factor equal to 1.26 × 10⁶ was determined for pyridine (0.05 M + 0.1 M KCl), as a model adsorbate. The estimated enhancement factor is comparable with the data in the literature, and the substrate produced in this way is characterized by the high stability and repeatability of SERS measurements. The combination of the use of a printed metal substrate with nanofunctionalization opens a new path in the design of SERS substrates for applications in analytical chemistry. Methods such as SEM scanning microscopy, photoelectron spectroscopy (XPS) and X-ray diffraction analysis (XRD) were used to determine the morphology, structure and chemical composition of the fabricated materials.     

Whole-body three-dimensional photonic scanning: a new technique for obesity research and clinical practice

Information on body shape has long been used in categorizing and monitoring obesity. Alongside abdominal circumferences, recent studies further emphasize the value of indices such as sagittal diameter adjusted for thigh girth in categorizing cardiovascular risk. Whole-body three-dimensional photonic scanning has rapidly emerged as a new technology for digital anthropometric measurement. Photonic scanners capture sophisticated raw data on body surface topography in a few seconds, from which extensive body shape information can be extracted using computer algorithms. Photonic scanning now has the potential to play a key role in (1) categorizing obesity (including childhood screening), (2) ranking abdominal size and shape in large-scale epidemiological studies, (3) monitoring individual patients to evaluate treatment efficacy and (4) estimating surface area for drug dosage calculations. New statistical modeling techniques offer the opportunity to develop novel parameters of body shape for linking with biological health outcomes. The low cost, accuracy, ease of use and high acceptability of the technique make it highly suitable for both research and clinical applications.     

Rise of the machines: will heart failure become the first cyber-specialty?

Digital healthcare is being introduced to the management of heart failure as a consequence of innovations in information technology. Advancement in technology enables remote symptom and device monitoring, and facilitates early detection and treatment of heart failure exacerbation, potentially improving patient outcomes and quality of life. It also provides the potential to redesign our heart failure healthcare system to one with greater efficacy through resource-sparing, computer-aided decision-making systems. Although promising, there is, as yet, insufficient evidence to support the widespread implementation of digital healthcare. Patient-related barriers include user characteristics and health status; privacy and security concerns; financial costs and lack of accessibility of digital resources. Physician-related barriers include the lack of infrastructure, incentive, knowledge and training. There are also a multitude of technical challenges in maintaining system efficiency and data quality. Furthermore, the lack of regulation and legislation regarding digital healthcare also prevents its large-scale deployment. Further education and support and a comprehensive workable evaluation framework are needed to facilitate confident and widespread use of digital healthcare in managing patients with heart failure.Key words: digital healthcare, heart failure     

Fluctuating asymmetry and preferences for sex-typical bodily characteristics

Body size and shape seem to have been sexually selected in a variety of species, including humans, but little is known about what attractive bodies signal about underlying genotypic or phenotypic quality. A widely used indicator of phenotypic quality in evolutionary analyses is degree of symmetry (i.e., fluctuating asymmetry, FA) because it is a marker of developmental stability, which is defined as an organism's ability to develop toward an adaptive end-point despite perturbations during its ontogeny. Here we sought to establish whether attractive bodies signal low FA to observers, and, if so, which aspects of attractive bodies are most predictive of lower FA. We used a 3D optical body scanner to measure FA and to isolate size and shape characteristics in a sample of 77 individuals (40 males and 37 females). From the 3D body scan data, 360° videos were created that separated body shape from other aspects of visual appearance (e.g., skin color and facial features). These videos then were presented to 87 evaluators for attractiveness ratings. We found strong negative correlations between FA and bodily attractiveness in both sexes. Further, sex-typical body size and shape characteristics were rated as attractive and correlated negatively with FA. Finally, geometric morphometric analysis of joint configurations revealed that sex-typical joint configurations were associated with both perceived attractiveness and lower FA for male but not for female bodies. In sum, body size and shape seem to show evidence of sexual selection and indicate important information about the phenotypic quality of individuals.     

A new dynamic three-dimensional digital color doppler method for quantification of pulmonary regurgitation: validation study in an animal model

OBJECTIVES: The purpose of the present study was to validate a newly developed three-dimensional (3D) digital color Doppler method for quantifying pulmonary regurgitation (PR), using an animal model of chronic PR. BACKGROUND: Spectral Doppler methods cannot reliably be used to assess pulmonary regurgitation. METHODS: In eight sheep with surgically created PR, 27 different hemodynamic states were studied. Pulmonary and aortic electromagnetic (EM) probes and meters were used to provide reference right ventricular (RV) forward and pulmonary regurgitant stroke volumes. A multiplane transesophageal probe was placed directly on the RV and aimed at the RV outflow tract. Electrocardiogram-gated and rotational 3D scans were performed for acquiring dynamic 3D digital velocity data. After 3D digital Doppler data were transferred to a computer workstation, the RV forward and pulmonary regurgitant flow volumes were obtained by a program that computes the velocity vectors over a spherical surface perpendicular to the direction of scanning. RESULTS: Pulmonary regurgitant volumes and RV forward stroke volumes computed by the 3D method correlated well with those by the EM method (r = 0.95, mean difference = 0.51 +/- 1.89 ml/beat for the pulmonary regurgitant volume; and r = 0.91, mean difference = -0.22 +/- 3.44 ml/beat for the RV stroke volume). As a result of these measurements, the regurgitant fractions derived by the 3D method agreed well with the reference data (r = 0.94, mean difference = 2.06 +/- 6.11%). CONCLUSIONS: The 3D digital color Doppler technique is a promising method for determining pulmonary regurgitant volumes and regurgitant fractions. It should have an important application in clinical settings.     

Developing secure Web-based medical applications

The EUROMED-ETS pilot system offers a number of security functionalities using off-the-shelf available products, in order to protect Web-based medical applications. The basic concept used by the proposed security architecture is the Trusted Third Party (TTP). A TTP is used in order to generate, distribute and revoke digital certificates to medical practitioners and healthcare organizations that wish to communicate securely. Digital certificates and digital signatures are used to provide peer and data origin authentication and access control. The paper demonstrates how TTPs can be used effectively in order to develop medical applications that run securely over the World Wide Web.     

An integrated architecture for deploying a virtual private medical network over the web

In this paper we describe a pilot architecture aiming at protecting Web-based medical applications through the development of a virtual private medical network. The basic technology, which is utilized by this integrated architecture, is the Trusted Third Party (TTP). In specific, a TTP is used to generate, distribute, and revoke digital certificates to/from medical practitioners and healthcare organizations wishing to communicate in a secure way. Digital certificates and digital signatures are, in particular, used to provide peer and data origin authentication and access control functionalities. We also propose a logical Public Key Infrastructure (PKI) architecture, which is robust, scalable, and based on standards. This architecture aims at supporting large-scale healthcare applications. It supports openness, scalability, flexibility and extensibility, and can be integrated with existing TTP schemes and infrastructures offering transparency and adequate security. Finally, it is demonstrated that the proposed architecture enjoys all desirable usability characteristics, and meets the set of criteria, which constitutes an applicable framework for the development of trusted medical services over the Web.     

Artificial intelligence assisted display in thoracic surgery: development and possibilities

In this golden age of rapid development of artificial intelligence (AI), researchers and surgeons realized that AI could contribute to healthcare in all aspects, especially in surgery. The popularity of low-dose computed tomography (LDCT) and the improvement of the video-assisted thoracoscopic surgery (VATS) not only bring opportunities for thoracic surgery but also bring challenges on the way forward. Preoperatively localizing lung nodules precisely, intraoperatively identifying anatomical structures accurately, and avoiding complications requires a visual display of individuals’ specific anatomy for surgical simulation and assistance. With the advance of AI-assisted display technologies, including 3D reconstruction/3D printing, virtual reality (VR), augmented reality (AR), and mixed reality (MR), computer tomography (CT) imaging in thoracic surgery has been fully utilized for transforming 2D images to 3D model, which facilitates surgical teaching, planning, and simulation. AI-assisted display based on surgical videos is a new surgical application, which is still in its infancy. Notably, it has potential applications in thoracic surgery education, surgical quality evaluation, intraoperative assistance, and postoperative analysis. In this review, we illustrated the current AI-assisted display applications based on CT in thoracic surgery; focused on the emerging AI applications in thoracic surgery based on surgical videos by reviewing its relevant researches in other surgical fields and anticipate its potential development in thoracic surgery.     

解剖结构完整的踝关节有限元模型构建及意义

目的构建包含踝关节各骨与韧带等完整解剖结构的三维有限元模型,为踝关节生物力学研究提供数字化平台。方法对1例正常青壮年男性的右足行螺旋CT扫描,获取其CT图像,利用Mimics软件重建足踝部骨骼及外围软组织的三维结构,分别通过FreeForm和SolidWorks处理后导入ANSYS及Workebench模块,建立踝关节三维有限元模型,并对其进行有限元网格划分。通过解剖和文献数据模拟建立踝关节软骨、韧带、跖筋膜、小腿骨间膜,对模型进行加载与验证。结果建立了2个包含骨与软组织结构的正常人体右踝关节三维有限元模型,模型加载结果与相应数据对比具有一致性。结论成功建立了解剖结构完整的踝关节三维有限元模型,该模型较客观地反映了踝关节的解剖结构和力学特性。     

Dimensional Accuracy of Dental Models for Three-Unit Prostheses Fabricated by Various 3D Printing Technologies

Previous studies on accuracy of three-dimensional (3D) printed model focused on full arch measurements at few points. The aim of this study was to examine the dimensional accuracy of 3D-printed models which were teeth-prepped for three-unit fixed prostheses, especially at margin and proximal contact areas. The prepped dental model was scanned with a desktop scanner. Using this reference file, test models were fabricated by digital light processing (DLP), Multi-Jet printing (MJP), and stereo-lithography apparatus (SLA) techniques. We calculated the accuracy (trueness and precision) of 3D-printed models on 3D planes, and deviations of each measured points at buccolingual and mesiodistal planes. We also analyzed the surface roughness of resin printed models. For overall 3D analysis, MJP showed significantly higher accuracy (trueness) than DLP and SLA techniques; however, there was not any statistically significant difference on precision. For deviations on margins of molar tooth and distance to proximal contact, MJP showed significantly accurate results; however, for a premolar tooth, there was no significant difference between the groups. 3D color maps of printed models showed contraction buccolingually, and surface roughness of the models fabricated by MJP technique was observed as the lowest. The accuracy of the 3D-printed resin models by DLP, MJP, and SLA techniques showed a clinically acceptable range to use as a working model for manufacturing dental prostheses     

Influence of Scanning-Aid Materials on the Accuracy and Time Efficiency of Intraoral Scanners for Full-Arch Digital Scanning: An In Vitro Study

This study was performed to verify the influence of scanning-aid materials on the accuracy and time efficiency of full-arch scanning with intraoral scanners. The full-arch reference model was constructed by a 3D printer and scanned with a model scanner to obtain the reference dataset. Four experimental groups (application of ScanCure (SC-80, ODS Co, Incheon, Korea), IP Scan Spray (IP-Division, Haimhausen, Germany) and Vita Powder Scan Spray (Vita Zahnfabrik, Stuttgart, Germany), and no treatment) were designed, and the scans were executed (trueness, n = 5) using two intraoral scanners: I500 (Medit Co., Seoul, Korea) and TRIOS (3shape, Copenhagen, Denmark). All acquired scan data were compared with the reference datasets using the 3D superimposition method and 2D linear measurements. In the 3D analysis, intragroup data were compared with each other (precision, n = 10). Time efficiency was also verified by comparing the scan times of the four experimental groups. In the 3D analysis, the root mean square (RMS) value of the precision of the scanned image was statistically significantly more accurate in the scanning-aid agent-treated groups than in the no-treatment group (p < 0.05). However, the RMS values of trueness and the types of scanning-aid materials were not significantly different. In the 2D measurements, the increased scan distance generated a greater distance deviation. The working time was significantly shorter in the scanning-aid agent groups than in the no-treatment group, with statistical significance (p < 0.05). Therefore, in clinical situations, the application of scanning-aid materials is recommended to reduce scanning time and more efficiently obtain the full-arch scanned image.