Zeitschrift für Medizinische Physik (May 2023)

Additively manufactured test phantoms for mimicking soft tissue radiation attenuation in CBCT using Polyjet technology

  • Sepideh Hatamikia,
  • Gunpreet Oberoi,
  • Anna Zacher,
  • Gernot Kronreif,
  • Wolfgang Birkfellner,
  • Joachim Kettenbach,
  • Stefanie Ponti,
  • Andrea Lorenz,
  • Martin Buschmann,
  • Laszlo Jaksa,
  • Nikolaus Irnstorfer,
  • Ewald Unger

Journal volume & issue
Vol. 33, no. 2
pp. 168 – 181

Abstract

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Objectives: To develop and validate a simple approach for building cost-effective imaging phantoms for Cone Beam Computed Tomography (CBCT) using a modified Polyjet additive manufacturing technology where a single material can mimic a range of human soft-tissue radiation attenuation. Materials and Methods: Single material test phantoms using a cubic lattice were designed in 3-Matic 15.0 software . Keeping the individual cubic lattice volume constant, eight different percentage ratio (R) of air: material from 0% to 70% with a 10% increment were assigned to each sample. The phantoms were printed in three materials, namely Vero PureWhite, VeroClear and TangoPlus using Polyjet technology. The CT value analysis, non-contact profile measurement and microCT-based volumetric analysis was performed for all the samples. Results: The printed test phantoms produced a grey value spectrum equivalent to the radiation attenuation of human soft tissues in the range of −757 to +286 HU on CT. The results from dimensional comparison analysis of the printed phantoms with the digital test phantoms using non-contact profile measurement showed a mean accuracy of 99.07 % and that of micro-CT volumetric analysis showed mean volumetric accuracy of 84.80–94.91%. The material and printing costs of developing 24 test phantoms was 83.00 Euro. Conclusions: The study shows that additive manufacturing-guided macrostructure manipulation modifies successfully the radiographic visibility of a material in CBCT imaging with 1 mm3 resolution, helping customization of imaging phantoms.

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