Korean J Neurotrauma.  2021 Oct;17(2):91-99. 10.13004/kjnt.2021.17.e25.

Efficacy of 3D-Printed Titanium Mesh-Type Patient-Specific Implant for Cranioplasty

• Yoon HG
• Ko Y
• Kim YS
• Bak KH
• Chun HJ
• Na MK
• Yang S
• Yi HJ
• Choi KS

• KMID: 2523218
• DOI: http://doi.org/10.13004/kjnt.2021.17.e25

Abstract

Objective
Autologous bone grafting for cranioplasty is associated with a high infection rate and bone absorption. Synthetic implant materials for cranioplasty have been developed. In this study, we evaluated the efficacy of titanium mesh-type patient-specific implants (PSIs) for patients with skull defects using the dice similarity coefficient (DSC), clinical outcomes, and artifacts caused by implants.
Methods
This retrospective study included 40 patients who underwent cranioplasty with a titanium mesh PSI at our institution. Based on preoperative and postoperative computed tomography scans, we calculated DSC and artifacts.
Results
The calculated DSC of 40 patients was 0.75, and the noise was 13.89% higher in the region of interest (ROI) near the implanted side (average, 7.64 hounsfield unit [HU]±2.62) than in the normal bone (average, 6.72 HU±2.35). However, the image signal-to-noise ratio did not significantly differ between the ROI near the implanted side (4.77±1.78) and normal bone (4.97±1.88). The patients showed no significant perioperative complications that required a secondary operation.
Conclusion
Titanium mesh-type PSIs for cranioplasty have excellent DSC values with lower artifacts and complication rates.

Keyword

Titanium; Printing; three-dimensional; Artifact