Skip to main content

Advertisement

Log in

3D treatment planning and simulating for craniofacial skeleton

  • Original Article
  • Published:
The International Journal of Advanced Manufacturing Technology Aims and scope Submit manuscript

Abstract

In surgery of the craniofacial skeleton, the current simulation planning systems extrapolate 3D surgical movements and outcomes based on 2D radiographs, which are inadequate for complex surgical movements. This paper presents a 3D treatment-planning system based on computerized tomography (CT) data. Based upon MedGraphics software, a 3D data field is constructed out of the sectional image stack through linear interpolation, and a seeded region-growing algorithm is adopted for the objective tissue segmentation. With the marching cubes algorithm, the triangular mesh model and 3D geometric model of diseased facial skeleton are reconstructed. Then the model is cut, the segments are moved or rotated to their predicted positions, and angles and distances are measured. After the triangular mesh model is decimated, an RP model is manufactured for surgical simulation and a prosthesis is designed. The system has been clinically used for more than 50 cases and technically validated with success.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Vannier MV, Marsh JL, Warren JO (1983) Three-dimensional computer graphics for craniofacial surgical planning and evaluation. Comput Graph 17:263–274

    Google Scholar 

  2. Robb R, Hanson D (1999) The ANALYZE software system for visualization and analysis in surgery simulation. In: Taylor REA (ed) Computer-integrated surgery. MIT Press, Cambridge, MA

  3. Mollard B, Lavallee S, Bettega G (1998) Computer assisted orthognathic surgery. MICCAI (Medical Image Computing and Computer-Assisted Intervention), pp 21–28

  4. Vannier MW, Marsh JL, Warren JD (1984) Three-dimensional CT reconstruction images for craniofacial surgical planning and evaluation. Radiology 150:179–184

    PubMed  Google Scholar 

  5. Levy RA, Edwards WT, Meyer JR, et al (1992) Facial trauma and 3-D reconstructive imaging: insufficiencies and correctives. AJNR 13:885–892

    PubMed  Google Scholar 

  6. Bill JS, Reuther JF, Dittmann et al (1995) Stereolithography in oral and maxillofacial operation planning. Int J Oral Maxillofac Surg 24(1):98–101

    PubMed  Google Scholar 

  7. Ayoub AF, Wray D, et al (1996) Three-dimensional modeling for modern diagnosis and planning maxillofacial surgery. Int J Adult Orthod Orthognath Surg 11(3):225–233

    Google Scholar 

  8. Mahoney DP (1995) Rapid prototyping in medicine. Comput Graph World 18(2):42–48

    Google Scholar 

  9. Liu S (2000) Technology and application of rapidly prototyping manufacturing. New Technol New Process 3:19–21

    Google Scholar 

  10. Lorensen W, Cline H (1987) Marching cubes: a high resolution 3D surface construction algorithm. ACM Comput Graph 21(4):163–169

    Google Scholar 

  11. Everett PC, Seldin EB, Troulis M, et al (2000) A 3-D system for planning and simulating minimally-invasive distraction osteogenesis of the facial skeleton. MICCAI (Medical Image Computing and Computer-Assisted Intervention), pp 1029–1039

  12. Troulis MJ, Everett P, Seldin EB, et al (2002) Development of a three-dimensional treatment planning system based on computed tomegraphic data. Int J Oral Maxillofac Surg 31:349–357

    Article  PubMed  Google Scholar 

  13. Wang Y (1999) Rapid prototyping technology. HUST Press, Wuhan

  14. Schroeder W, Zarge J, Lorenson W (1992) Decimation of triangle meshes. Comput Graph 26(2):65–70

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Zhang, W., Zhang, S., Huang, X. et al. 3D treatment planning and simulating for craniofacial skeleton. Int J Adv Manuf Technol 26, 1043–1047 (2005). https://doi.org/10.1007/s00170-004-2072-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00170-004-2072-0

Keywords

Navigation