Evaluation of skin cancer resection guide using hyper-realistic in-vitro phantom fabricated by 3D printing

Abstract Skin cancer usually occurs in the facial area relatively exposed to sunlight. Medical imaging can confirm the invasiveness and metastasis of skin cancer, which is used to establish a surgical plan. However, there is no method of directly marking this information on the patient's skin i...

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Autores principales:	Junhyeok Ock, Teahun Kim, Sangwook Lee, Tae Seong Yang, Minji kim, Wooshik Jeong, Jongwoo Choi, Namkug Kim
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/91144e322c224ad8ad0c5106d100b215
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spelling	oai:doaj.org-article:91144e322c224ad8ad0c5106d100b2152021-12-02T16:55:34ZEvaluation of skin cancer resection guide using hyper-realistic in-vitro phantom fabricated by 3D printing10.1038/s41598-021-88287-42045-2322https://doaj.org/article/91144e322c224ad8ad0c5106d100b2152021-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-88287-4https://doaj.org/toc/2045-2322Abstract Skin cancer usually occurs in the facial area relatively exposed to sunlight. Medical imaging can confirm the invasiveness and metastasis of skin cancer, which is used to establish a surgical plan. However, there is no method of directly marking this information on the patient's skin in the operating room. We evaluated a skin cancer resection guide that marks resection areas including safety margins on the patient's skin based on medical images and in-vitro phantom fabricated via 3D printing. The in-vitro phantom, which includes the skull, skin, and five different cancer locations was designed and fabricated based on a CT image of a patient. Skin cancer resection guides were designed using a CT image of an in-vitro phantom, with a safety margin, and four injection points at each cancer. The guide was used to insert 16 cc intravenous catheters into each cancer of the phantom, which was rescanned by CT. The catheter insertion point and angle were evaluated. The accuracy of the insertion points was 2.09 ± 1.06 mm and cosine similarities was 0.980 ± 0.020. In conclusion, skin cancer resection guides were fabricated to mark surgical plans on the patient's skin in the operating room. They demonstrated reasonable accuracies in actual clinical settings.Junhyeok OckTeahun KimSangwook LeeTae Seong YangMinji kimWooshik JeongJongwoo ChoiNamkug KimNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Junhyeok Ock Teahun Kim Sangwook Lee Tae Seong Yang Minji kim Wooshik Jeong Jongwoo Choi Namkug Kim Evaluation of skin cancer resection guide using hyper-realistic in-vitro phantom fabricated by 3D printing
description	Abstract Skin cancer usually occurs in the facial area relatively exposed to sunlight. Medical imaging can confirm the invasiveness and metastasis of skin cancer, which is used to establish a surgical plan. However, there is no method of directly marking this information on the patient's skin in the operating room. We evaluated a skin cancer resection guide that marks resection areas including safety margins on the patient's skin based on medical images and in-vitro phantom fabricated via 3D printing. The in-vitro phantom, which includes the skull, skin, and five different cancer locations was designed and fabricated based on a CT image of a patient. Skin cancer resection guides were designed using a CT image of an in-vitro phantom, with a safety margin, and four injection points at each cancer. The guide was used to insert 16 cc intravenous catheters into each cancer of the phantom, which was rescanned by CT. The catheter insertion point and angle were evaluated. The accuracy of the insertion points was 2.09 ± 1.06 mm and cosine similarities was 0.980 ± 0.020. In conclusion, skin cancer resection guides were fabricated to mark surgical plans on the patient's skin in the operating room. They demonstrated reasonable accuracies in actual clinical settings.
format	article
author	Junhyeok Ock Teahun Kim Sangwook Lee Tae Seong Yang Minji kim Wooshik Jeong Jongwoo Choi Namkug Kim
author_facet	Junhyeok Ock Teahun Kim Sangwook Lee Tae Seong Yang Minji kim Wooshik Jeong Jongwoo Choi Namkug Kim
author_sort	Junhyeok Ock
title	Evaluation of skin cancer resection guide using hyper-realistic in-vitro phantom fabricated by 3D printing
title_short	Evaluation of skin cancer resection guide using hyper-realistic in-vitro phantom fabricated by 3D printing
title_full	Evaluation of skin cancer resection guide using hyper-realistic in-vitro phantom fabricated by 3D printing
title_fullStr	Evaluation of skin cancer resection guide using hyper-realistic in-vitro phantom fabricated by 3D printing
title_full_unstemmed	Evaluation of skin cancer resection guide using hyper-realistic in-vitro phantom fabricated by 3D printing
title_sort	evaluation of skin cancer resection guide using hyper-realistic in-vitro phantom fabricated by 3d printing
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/91144e322c224ad8ad0c5106d100b215
work_keys_str_mv	AT junhyeokock evaluationofskincancerresectionguideusinghyperrealisticinvitrophantomfabricatedby3dprinting AT teahunkim evaluationofskincancerresectionguideusinghyperrealisticinvitrophantomfabricatedby3dprinting AT sangwooklee evaluationofskincancerresectionguideusinghyperrealisticinvitrophantomfabricatedby3dprinting AT taeseongyang evaluationofskincancerresectionguideusinghyperrealisticinvitrophantomfabricatedby3dprinting AT minjikim evaluationofskincancerresectionguideusinghyperrealisticinvitrophantomfabricatedby3dprinting AT wooshikjeong evaluationofskincancerresectionguideusinghyperrealisticinvitrophantomfabricatedby3dprinting AT jongwoochoi evaluationofskincancerresectionguideusinghyperrealisticinvitrophantomfabricatedby3dprinting AT namkugkim evaluationofskincancerresectionguideusinghyperrealisticinvitrophantomfabricatedby3dprinting
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Evaluation of skin cancer resection guide using hyper-realistic in-vitro phantom fabricated by 3D printing

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