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研究生: 楊昇叡
Sheng-rui Yang
論文名稱: 快速製作顱顏顎面模型之改善與應用
Improvement of Rapidly Generating Craniofacial & Maxillofacial Models and its Applications
指導教授: 鄭逸琳
Yih-Lin Cheng
口試委員: 許維君
Wei-Chun Hsu
李曉屏
none
學位類別: 碩士
Master
系所名稱: 工程學院 - 機械工程系
Department of Mechanical Engineering
論文出版年: 2013
畢業學年度: 101
語文別: 中文
論文頁數: 113
中文關鍵詞: 電腦斷層掃描快速原型顱顏顎面咬合板
外文關鍵詞: Computed Tomography, rapid prototyping, Craniofacial and Maxillofacial, occlusal splints
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本實驗室過去的研究中,經由快速編輯CT影像並配合快速原型技術建立出生物模型,且讓整體精度維持在一定範圍內。在非逐張編輯的研究中,發現可以藉由減少編輯CT影像的張數來達到快速編輯的目的,且平均誤差都在容許範圍內,並能滿足臨床上的需求,雖然模型整體的誤差很小,但牙齒細節卻無法完整呈現在模型上。因此本研究之主旨為解決上述問題,並使用更好的影像編輯方式,以及應用於其他醫療領域。
探討齒型圓滑原因之過程中,發現CT影像在掃描過程中為了更好觀測腫瘤及癌細胞,都會將CT影像作平滑處理,此外在醫療影像處理軟體中也會因為演算法的不同,使產生出來的3D Model也會發生圓滑的現象,而且如果再配合非逐張編輯的方式處理CT影像,會使模型之牙齒細節更不明顯。因此,建議告知CT影像之技術人員另外進行設定,以取得未經平滑之CT影像;在編輯CT影像的軟體上採用Avizo,此套軟體可以將CT影像未經平滑的產生出3D Model,使牙齒細節清晰的呈現,且使用Avizo內3D Segmentation的功能可以快速的將3D Model所要的部分分割完成,且此功能不必使用非逐張編輯就能快速的將3D Model建立完成。在Avizo之編輯過程中,由於過去的閥值不適用於本研究之編輯環境,故本研究將髁狀突、上下顎骨、上下顎齒、鼻竇薄膜等閥值重新挑選,並經由上述方法研究出快速製作出可呈現細節之顱顏面顎骨模型。此外我們將此研究延伸應用至咬合板、關節盤、並建立人工顳顎關節資料庫。


In the previous researches in our laboratory, 3D physical craniofacial and maxillofacial models can be rapidly generated by Rapid Prototyping (RP) technology from Computed Tomography (CT) images with acceptable overall accuracy. Skip-images strategy was also studied to significantly decrease editing time with limited penalty in average errors. Although the geometry errors of the models were small and could meet strict clinical demands, the teeth details were not well-revealed in the models. Therefore, this research intended to improve this issue and to adopt the better models to other medical application.
The reasons to cause round-out teeth features were investigated, and found that the previous CT images were smoothed during scanning for better observation of tumors and cancer cells. Besides, the built-in algorithms of the medical image processing software, Mimics, we used previously would smooth the data when it generates 3D models. Moreover, if the skip-images strategy was adopted at the same time, resolutions of teeth would become worse. Therefore, it is recommended to notify technicians first to obtain CT images without smoothing. When processing the CT images, another commercial software, Avizo, which would not automatically smooth the data in generating 3D models, was used instead. In Avizo, the function of “3D Segmentation” can rapidly select or remove the portions for editing and can save editing time effectively without taking the skip-images strategy. Suitable threshold values for editing for condyle and mandible, maxillary sinus membrane, and lower teeth were also found accordingly in Avizo. The improved approaches were able to rapidly generate craniofacial and maxillofacial 3D models with better details. Furthermore, our preliminary studies have extended the applications to occlusal splints, articular discs, and building up artificial temporomandibular joint databases.

摘要 2 第一章 緒論 13 1.1前言 13 1.2 研究動機及目的 14 1.3 研究方法 15 第二章 文獻探討 16 2.1 顱顏顎面之構造 16 2.1.1 上顎骨構造 18 2.1.2 下顎骨構造 19 2.1.3 牙齒結構 20 2.1.4顏面神經 22 2.2 放射技術 23 2.2.1 3D(立體式)影像 24 2.2.2 CT影像於醫學工程的應用 25 2.2.3 醫療影像處理軟體 30 2.3 快速原型技術 38 2.4快速成型之應用 44 2.4.1 人工植牙 44 2.4.2手術模板 44 2.4.3 教學模擬應用 45 2.4.4 咬合板應用 46 第三章 圓滑造成之影響及改善方法 48 3.1平滑造成之影響 48 3.1.1平滑對於咬合面之影響 48 3.1.2平滑對於影像破損之影響 49 3.2 改善圓滑之方法 50 3.2.1 CT影像之拍攝 51 3.2.2 醫療影像軟體 51 3.2.3 改善編輯方式 52 3.3 閥值選取分析 54 3.3.1 下顎齒閥值選取 54 3.3.2 下顎骨及髁狀突之閥值選取 59 3.3.3 上顎鼻竇之閥值選取 60 第四章 CT影像編輯處理方式 62 4.1 逐張編輯與非逐張編輯之缺點 62 4.1.1 逐張編輯之優缺點 62 4.1.2 非逐張編輯之優缺點 67 4.2 3D Segmentation 68 4.2.1 Avizo之標準編輯流程 69 4.2.2 顱顏顎面骨之模型製作 77 4.2.2.1 OBJET EDEN 330快速原型系統規格 77 4.2.2.2 OBJET EDEN 330快速原型機製作過程流程 78 4.2.3 編輯時間之比較 82 4.2.3 較佳編輯方式 85 第五章 顱顏顎面模型之應用 87 5.1下顎模型常見編輯類型 87 5.1.1 上下顎齒黏結 87 5.1.2 金屬散射 89 5.1.3 金屬散射與髁狀突黏結 93 5.1.4 神經孔道與鼻竇薄膜建立之模型 94 5.3 咬合板的製作 96 5.4 完整開合模型之製作 101 5.5 建立人工顳顎關節資料庫 103 第六章 結論與未來方向 107 6.1 結論 107 6.2 未來展望 108

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