Gerardo E. Borunda-Escudero, Servicio de Cirugía Plástica y Reconstructiva, Unidad Médica de Alta Especialidad, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social (IMSS), Guadalajara, Jalisco, México
Nadia A. Chávez-Ponce, Departamento de Cardiología, Mayo Clinic, Rochester, Minnesota, Estados Unidos de América
Fernanda S. Borunda-Escudero, Facultad de Medicina, Universidad Autónoma de Chihuahua, Chihuahua, México
María L. Velasco-Villaseñor, Servicio de Cirugía Plástica y Reconstructiva, Unidad Médica de Alta Especialidad, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social (IMSS), Guadalajara, Jalisco, México
María G. Castillo-Cardiel, Servicio de Cirugía Maxilofacial, Unidad Médica de Alta Especialidad, Hospital de Especialidades del Centro Médico Nacional de Occidente, IMSS, Guadalajara, Jalisco, México
Objective: To share our experience in creating precise anatomical models using available open-source software. Methods: An affordable method is presented, where from a DICOM format of a computed tomography, a segmentation of the region of interest is achieved. The image is then processed for surface improvement and the DICOM format is converted to STL. Error correction is achieved and the model is optimized to be printed by stereolithography with a desktop 3D printer. Results: Precise measurements of the dimensions of the DICOM file (CT), the STL file, and the printed model (3D) were carried out. For the C6 vertebra, the dimensions of the horizontal axis were 55.3 mm (CT), 55.337 mm (STL), and 55.3183 mm (3D). The dimensions of the vertebral body were 14.2 mm (CT), 14.551 mm (STL), and 14.8159 mm (3D). The length of the spinous process was 18.2 mm (CT), 18.283 mm (STL), and 18.2266 mm (3D), while its width was 8.5 mm (CT), 8.3644 mm (STL), and 8.3226 mm (3D). For the C7 vertebra, the dimensions of the horizontal axis were 58.6 mm (CT), 58.739 mm (STL), and 58.7144 mm (3D). The dimensions of the vertebral body were 14 mm (CT), 14.0255 mm (STL), and 14.2312 mm (3D). The length of the spinous process was 18.7 mm (CT), 18.79 mm (STL), and 18.6458 mm (3D), and its width was 8.9 mm (CT), 8.988 mm (STL), and 8.9760 mm (3D). Conclusion: The printing of a 3D model of bone tissue using this algorithm is a viable, useful option with high precision.
Keywords: 3D printing. Virtual planning. Surgical planning. Mandibular reconstruction. Stereolithography.