Verifying Three-Dimensional Skull Model Reconstruction Using Cranial Index of Symmetry

文化大學機構典藏 CCUR > 體育運動健康學院 > 運動與健康促進學系 > 期刊論文 > Item 987654321/26673

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題名:	Verifying Three-Dimensional Skull Model Reconstruction Using Cranial Index of Symmetry
作者:	Kung, WM (Kung, Woon-Man) Chen, ST (Chen, Shuo-Tsung) Lin, CH (Lin, Chung-Hsiang) Lu, YM (Lu, Yu-Mei) Chen, TH (Chen, Tzu-Hsuan) Lin, MS (Lin, Muh-Shi)
貢獻者:	Coll Educ, Dept Exercise & Hlth Promot
關鍵詞:	DECOMPRESSIVE CRANIECTOMY TITANIUM MESH CRANIOPLASTY DEFECTS TECHNOLOGIES IMPLANTS CONTOUR
日期:	2013-10-25
上傳時間:	2014-02-24 11:27:54 (UTC+8)
摘要:	Background: Difficulty exists in scalp adaptation for cranioplasty with customized computer-assisted design/manufacturing (CAD/CAM) implant in situations of excessive wound tension and sub-cranioplasty dead space. To solve this clinical problem, the CAD/CAM technique should include algorithms to reconstruct a depressed contour to cover the skull defect. Satisfactory CAM-derived alloplastic implants are based on highly accurate three-dimensional (3-D) CAD modeling. Thus, it is quite important to establish a symmetrically regular CAD/CAM reconstruction prior to depressing the contour. The purpose of this study is to verify the aesthetic outcomes of CAD models with regular contours using cranial index of symmetry (CIS). Materials and methods: From January 2011 to June 2012, decompressive craniectomy (DC) was performed for 15 consecutive patients in our institute. 3-D CAD models of skull defects were reconstructed using commercial software. These models were checked in terms of symmetry by CIS scores. Results: CIS scores of CAD reconstructions were 99.24+/-0.004% (range 98.47-99.84). CIS scores of these CAD models were statistically significantly greater than 95%, identical to 99.5%, but lower than 99.6% (p<0.001, p = 0.064, p = 0.021 respectively, Wilcoxon matched pairs signed rank test). These data evidenced the highly accurate symmetry of these CAD models with regular contours. Conclusions: CIS calculation is beneficial to assess aesthetic outcomes of CAD-reconstructed skulls in terms of cranial symmetry. This enables further accurate CAD models and CAM cranial implants with depressed contours, which are essential in patients with difficult scalp adaptation.
關聯:	PLOS ONE Volume: 8 Issue: 10 Article Number: e74267
顯示於類別:	[運動與健康促進學系] 期刊論文

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