Utilization of a 3D printed dental splint for registration during electromagnetically navigated mandibular surgery
Purpose A dental splint was developed for non-invasive rigid point-based registration in electromagnetically (EM) navigated mandibular surgery. Navigational accuracies of the dental splint were compared with the common approach, that is, using screws as landmarks. Methods A dental splint that includ...
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| Veröffentlicht in: | International journal for computer assisted radiology and surgery 2020-12, Vol.15 (12), p.1997-2003 |
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| container_issue | 12 |
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| container_title | International journal for computer assisted radiology and surgery |
| container_volume | 15 |
| creator | Brouwer de Koning, S. G. Riksen, J. J. M. ter Braak, T. P. van Alphen, M. J. A. van der Heijden, F. Schreuder, W. H. Karssemakers, L. H. E. Karakullukcu, M. B. van Veen, R. L. P. |
| description | Purpose
A dental splint was developed for non-invasive rigid point-based registration in electromagnetically (EM) navigated mandibular surgery. Navigational accuracies of the dental splint were compared with the common approach, that is, using screws as landmarks.
Methods
A dental splint that includes reference registration notches was 3D printed. Different sets of three points were used for rigid point-based registration on a mandibular phantom: notches on the dental splint only, screws on the mandible, contralateral screws (the side of the mandible where the sensor is not fixated) and a combination of screws on the mandible and notches on the dental splint. The accuracy of each registration method was calculated using 45 notches at one side of the mandible and expressed as the target registration error (TRE).
Results
Average TREs of 0.83 mm (range 0.7–1.39 mm), 1.28 mm (1.03–1.7 mm), 2.62 mm (1.91–4.0 mm), and 1.34 mm (1.30–1.39 mm) were found, respectively, for point-based registration based on the splint only, screws on the mandible, screws on the contralateral side only, and screws combined with the splint.
Conclusion
For dentate patients, rigid point-based registration performs best utilizing a dental splint with notches. The dental splint is easy to implement in the surgical, and navigational, workflow, and the notches can be pinpointed and designated on the CT scan with high accuracy. For edentate patients, screws can be used for rigid point-based registration. However, a new design of the screws is recommended to improve the accuracy of designation on the CT scan. |
| doi_str_mv | 10.1007/s11548-020-02271-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2451862029</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2451862029</sourcerecordid><originalsourceid>FETCH-LOGICAL-c391t-2ddd57215b196d4011553a36b60fc26c17ebc0c4089f5d93a9e0b87c25394abc3</originalsourceid><addsrcrecordid>eNp9kD1PwzAURS0EoqXwBxiQR5aAP-I4GVH5lCqx0NlybCdy5STFdpDKr8clpSPDk5-l8650DwDXGN1hhPh9wJjlZYYISkM4zugJmOOywFmRk-r0uGM0AxchbBDKGafsHMwoRQXnjM-BX0fr7LeMdujh0EAJ6SPcettHo6E2fZQOhq1Lf9gMHnrT2hD9hOsxcS00zqjoh062vYlWSed2sJdftpX7jE722tajkx6G0bfG7y7BWSNdMFeHdwHWz08fy9ds9f7ytnxYZYpWOGZEa804wazGVaFzlMoyKmlRF6hRpFCYm1ohlaOyapiuqKwMqkuuCKNVLmtFF-B2yt364XM0IYrOBmWck70ZxiBIzpIggkiVUDKhyg8heNOIpKCTficwEnvXYnItkmvx61rQdHRzyB_rzujjyZ_cBNAJCHuhqbrYDKPvU-f_Yn8ACNqL-Q</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2451862029</pqid></control><display><type>article</type><title>Utilization of a 3D printed dental splint for registration during electromagnetically navigated mandibular surgery</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Brouwer de Koning, S. G. ; Riksen, J. J. M. ; ter Braak, T. P. ; van Alphen, M. J. A. ; van der Heijden, F. ; Schreuder, W. H. ; Karssemakers, L. H. E. ; Karakullukcu, M. B. ; van Veen, R. L. P.</creator><creatorcontrib>Brouwer de Koning, S. G. ; Riksen, J. J. M. ; ter Braak, T. P. ; van Alphen, M. J. A. ; van der Heijden, F. ; Schreuder, W. H. ; Karssemakers, L. H. E. ; Karakullukcu, M. B. ; van Veen, R. L. P.</creatorcontrib><description>Purpose
A dental splint was developed for non-invasive rigid point-based registration in electromagnetically (EM) navigated mandibular surgery. Navigational accuracies of the dental splint were compared with the common approach, that is, using screws as landmarks.
Methods
A dental splint that includes reference registration notches was 3D printed. Different sets of three points were used for rigid point-based registration on a mandibular phantom: notches on the dental splint only, screws on the mandible, contralateral screws (the side of the mandible where the sensor is not fixated) and a combination of screws on the mandible and notches on the dental splint. The accuracy of each registration method was calculated using 45 notches at one side of the mandible and expressed as the target registration error (TRE).
Results
Average TREs of 0.83 mm (range 0.7–1.39 mm), 1.28 mm (1.03–1.7 mm), 2.62 mm (1.91–4.0 mm), and 1.34 mm (1.30–1.39 mm) were found, respectively, for point-based registration based on the splint only, screws on the mandible, screws on the contralateral side only, and screws combined with the splint.
Conclusion
For dentate patients, rigid point-based registration performs best utilizing a dental splint with notches. The dental splint is easy to implement in the surgical, and navigational, workflow, and the notches can be pinpointed and designated on the CT scan with high accuracy. For edentate patients, screws can be used for rigid point-based registration. However, a new design of the screws is recommended to improve the accuracy of designation on the CT scan.</description><identifier>ISSN: 1861-6410</identifier><identifier>EISSN: 1861-6429</identifier><identifier>DOI: 10.1007/s11548-020-02271-3</identifier><identifier>PMID: 33067757</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Computer Imaging ; Computer Science ; Electromagnetic Phenomena ; Health Informatics ; Humans ; Imaging ; Imaging, Three-Dimensional - methods ; Mandible - surgery ; Medicine ; Medicine & Public Health ; Models, Anatomic ; Original Article ; Orthognathic Surgical Procedures - methods ; Pattern Recognition and Graphics ; Phantoms, Imaging ; Printing, Three-Dimensional ; Radiology ; Splints ; Surgery ; Surgery, Computer-Assisted - methods ; Tomography, X-Ray Computed - methods ; Vision</subject><ispartof>International journal for computer assisted radiology and surgery, 2020-12, Vol.15 (12), p.1997-2003</ispartof><rights>CARS 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c391t-2ddd57215b196d4011553a36b60fc26c17ebc0c4089f5d93a9e0b87c25394abc3</citedby><cites>FETCH-LOGICAL-c391t-2ddd57215b196d4011553a36b60fc26c17ebc0c4089f5d93a9e0b87c25394abc3</cites><orcidid>0000-0003-0171-6759</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11548-020-02271-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11548-020-02271-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33067757$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Brouwer de Koning, S. G.</creatorcontrib><creatorcontrib>Riksen, J. J. M.</creatorcontrib><creatorcontrib>ter Braak, T. P.</creatorcontrib><creatorcontrib>van Alphen, M. J. A.</creatorcontrib><creatorcontrib>van der Heijden, F.</creatorcontrib><creatorcontrib>Schreuder, W. H.</creatorcontrib><creatorcontrib>Karssemakers, L. H. E.</creatorcontrib><creatorcontrib>Karakullukcu, M. B.</creatorcontrib><creatorcontrib>van Veen, R. L. P.</creatorcontrib><title>Utilization of a 3D printed dental splint for registration during electromagnetically navigated mandibular surgery</title><title>International journal for computer assisted radiology and surgery</title><addtitle>Int J CARS</addtitle><addtitle>Int J Comput Assist Radiol Surg</addtitle><description>Purpose
A dental splint was developed for non-invasive rigid point-based registration in electromagnetically (EM) navigated mandibular surgery. Navigational accuracies of the dental splint were compared with the common approach, that is, using screws as landmarks.
Methods
A dental splint that includes reference registration notches was 3D printed. Different sets of three points were used for rigid point-based registration on a mandibular phantom: notches on the dental splint only, screws on the mandible, contralateral screws (the side of the mandible where the sensor is not fixated) and a combination of screws on the mandible and notches on the dental splint. The accuracy of each registration method was calculated using 45 notches at one side of the mandible and expressed as the target registration error (TRE).
Results
Average TREs of 0.83 mm (range 0.7–1.39 mm), 1.28 mm (1.03–1.7 mm), 2.62 mm (1.91–4.0 mm), and 1.34 mm (1.30–1.39 mm) were found, respectively, for point-based registration based on the splint only, screws on the mandible, screws on the contralateral side only, and screws combined with the splint.
Conclusion
For dentate patients, rigid point-based registration performs best utilizing a dental splint with notches. The dental splint is easy to implement in the surgical, and navigational, workflow, and the notches can be pinpointed and designated on the CT scan with high accuracy. For edentate patients, screws can be used for rigid point-based registration. However, a new design of the screws is recommended to improve the accuracy of designation on the CT scan.</description><subject>Computer Imaging</subject><subject>Computer Science</subject><subject>Electromagnetic Phenomena</subject><subject>Health Informatics</subject><subject>Humans</subject><subject>Imaging</subject><subject>Imaging, Three-Dimensional - methods</subject><subject>Mandible - surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Models, Anatomic</subject><subject>Original Article</subject><subject>Orthognathic Surgical Procedures - methods</subject><subject>Pattern Recognition and Graphics</subject><subject>Phantoms, Imaging</subject><subject>Printing, Three-Dimensional</subject><subject>Radiology</subject><subject>Splints</subject><subject>Surgery</subject><subject>Surgery, Computer-Assisted - methods</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Vision</subject><issn>1861-6410</issn><issn>1861-6429</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kD1PwzAURS0EoqXwBxiQR5aAP-I4GVH5lCqx0NlybCdy5STFdpDKr8clpSPDk5-l8650DwDXGN1hhPh9wJjlZYYISkM4zugJmOOywFmRk-r0uGM0AxchbBDKGafsHMwoRQXnjM-BX0fr7LeMdujh0EAJ6SPcettHo6E2fZQOhq1Lf9gMHnrT2hD9hOsxcS00zqjoh062vYlWSed2sJdftpX7jE722tajkx6G0bfG7y7BWSNdMFeHdwHWz08fy9ds9f7ytnxYZYpWOGZEa804wazGVaFzlMoyKmlRF6hRpFCYm1ohlaOyapiuqKwMqkuuCKNVLmtFF-B2yt364XM0IYrOBmWck70ZxiBIzpIggkiVUDKhyg8heNOIpKCTficwEnvXYnItkmvx61rQdHRzyB_rzujjyZ_cBNAJCHuhqbrYDKPvU-f_Yn8ACNqL-Q</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>Brouwer de Koning, S. G.</creator><creator>Riksen, J. J. M.</creator><creator>ter Braak, T. P.</creator><creator>van Alphen, M. J. A.</creator><creator>van der Heijden, F.</creator><creator>Schreuder, W. H.</creator><creator>Karssemakers, L. H. E.</creator><creator>Karakullukcu, M. B.</creator><creator>van Veen, R. L. P.</creator><general>Springer International Publishing</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0171-6759</orcidid></search><sort><creationdate>20201201</creationdate><title>Utilization of a 3D printed dental splint for registration during electromagnetically navigated mandibular surgery</title><author>Brouwer de Koning, S. G. ; Riksen, J. J. M. ; ter Braak, T. P. ; van Alphen, M. J. A. ; van der Heijden, F. ; Schreuder, W. H. ; Karssemakers, L. H. E. ; Karakullukcu, M. B. ; van Veen, R. L. P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c391t-2ddd57215b196d4011553a36b60fc26c17ebc0c4089f5d93a9e0b87c25394abc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Computer Imaging</topic><topic>Computer Science</topic><topic>Electromagnetic Phenomena</topic><topic>Health Informatics</topic><topic>Humans</topic><topic>Imaging</topic><topic>Imaging, Three-Dimensional - methods</topic><topic>Mandible - surgery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Models, Anatomic</topic><topic>Original Article</topic><topic>Orthognathic Surgical Procedures - methods</topic><topic>Pattern Recognition and Graphics</topic><topic>Phantoms, Imaging</topic><topic>Printing, Three-Dimensional</topic><topic>Radiology</topic><topic>Splints</topic><topic>Surgery</topic><topic>Surgery, Computer-Assisted - methods</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Vision</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Brouwer de Koning, S. G.</creatorcontrib><creatorcontrib>Riksen, J. J. M.</creatorcontrib><creatorcontrib>ter Braak, T. P.</creatorcontrib><creatorcontrib>van Alphen, M. J. A.</creatorcontrib><creatorcontrib>van der Heijden, F.</creatorcontrib><creatorcontrib>Schreuder, W. H.</creatorcontrib><creatorcontrib>Karssemakers, L. H. E.</creatorcontrib><creatorcontrib>Karakullukcu, M. B.</creatorcontrib><creatorcontrib>van Veen, R. L. P.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal for computer assisted radiology and surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Brouwer de Koning, S. G.</au><au>Riksen, J. J. M.</au><au>ter Braak, T. P.</au><au>van Alphen, M. J. A.</au><au>van der Heijden, F.</au><au>Schreuder, W. H.</au><au>Karssemakers, L. H. E.</au><au>Karakullukcu, M. B.</au><au>van Veen, R. L. P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Utilization of a 3D printed dental splint for registration during electromagnetically navigated mandibular surgery</atitle><jtitle>International journal for computer assisted radiology and surgery</jtitle><stitle>Int J CARS</stitle><addtitle>Int J Comput Assist Radiol Surg</addtitle><date>2020-12-01</date><risdate>2020</risdate><volume>15</volume><issue>12</issue><spage>1997</spage><epage>2003</epage><pages>1997-2003</pages><issn>1861-6410</issn><eissn>1861-6429</eissn><abstract>Purpose
A dental splint was developed for non-invasive rigid point-based registration in electromagnetically (EM) navigated mandibular surgery. Navigational accuracies of the dental splint were compared with the common approach, that is, using screws as landmarks.
Methods
A dental splint that includes reference registration notches was 3D printed. Different sets of three points were used for rigid point-based registration on a mandibular phantom: notches on the dental splint only, screws on the mandible, contralateral screws (the side of the mandible where the sensor is not fixated) and a combination of screws on the mandible and notches on the dental splint. The accuracy of each registration method was calculated using 45 notches at one side of the mandible and expressed as the target registration error (TRE).
Results
Average TREs of 0.83 mm (range 0.7–1.39 mm), 1.28 mm (1.03–1.7 mm), 2.62 mm (1.91–4.0 mm), and 1.34 mm (1.30–1.39 mm) were found, respectively, for point-based registration based on the splint only, screws on the mandible, screws on the contralateral side only, and screws combined with the splint.
Conclusion
For dentate patients, rigid point-based registration performs best utilizing a dental splint with notches. The dental splint is easy to implement in the surgical, and navigational, workflow, and the notches can be pinpointed and designated on the CT scan with high accuracy. For edentate patients, screws can be used for rigid point-based registration. However, a new design of the screws is recommended to improve the accuracy of designation on the CT scan.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>33067757</pmid><doi>10.1007/s11548-020-02271-3</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-0171-6759</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Computer Imaging Computer Science Electromagnetic Phenomena Health Informatics Humans Imaging Imaging, Three-Dimensional - methods Mandible - surgery Medicine Medicine & Public Health Models, Anatomic Original Article Orthognathic Surgical Procedures - methods Pattern Recognition and Graphics Phantoms, Imaging Printing, Three-Dimensional Radiology Splints Surgery Surgery, Computer-Assisted - methods Tomography, X-Ray Computed - methods Vision |
| title | Utilization of a 3D printed dental splint for registration during electromagnetically navigated mandibular surgery |
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