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Author Spotlight: Developing Cost-Effective and Durable Ultrasound-Guided 3D-Printed Nerve Block Trainers
Published on: February 9, 2024
Bernhard Tins1, Jan Herman Kuiper2,3
11 Department of Radiology, Robert Jones and Agnes Hunt Orthopaedic Hospital , Oswestry , UK.
Researchers developed a low-cost, portable, and durable phantom to test how well CT scanners visualize bone lesions near metal implants. This tool helps hospitals compare scanner performance during equipment purchasing and optimize clinical imaging protocols.
Area of Science:
Background:
No standardized, affordable tool currently exists to evaluate how different computed tomography systems manage metal-induced image distortion near orthopedic hardware. Clinicians often struggle to compare scanner capabilities when assessing bone health around implants. Prior research has shown that metal artifacts significantly degrade image quality, obscuring critical diagnostic details. That uncertainty drove the need for a portable, cost-effective testing device. Existing commercial phantoms are often expensive, bulky, and difficult to transport between clinical sites. This gap motivated the creation of a DIY alternative using readily available materials. Previous studies focused on complex, high-cost phantoms that do not reflect the practical needs of procurement teams. No prior work had resolved the challenge of creating a stable, reproducible, and inexpensive testing model for orthopedic hardware.
Purpose Of The Study:
The primary aim of this study was to develop an affordable and portable testing device for evaluating computed tomography scanner performance. Researchers sought to address the lack of accessible tools for assessing metal artifact reduction in orthopedic contexts. The project focused on creating a model that is easy to build using common materials. The team intended to provide a solution that is stable over time and resistant to biological decay. This effort was motivated by the need to compare scanner capabilities during the procurement process. The study also aimed to support quality assurance and the optimization of scan parameters in clinical settings. By creating a standardized phantom, the authors hoped to facilitate objective assessments of imaging protocols. The research addresses the practical challenges of transporting and maintaining testing equipment in clinical environments.
Main Methods:
The design approach utilized spare knee replacement components to simulate anatomical structures within a controlled environment. Investigators integrated wall filler and polystyrene to represent surrounding bone tissue. To simulate bone lesions, the team embedded various plastic strips and cylinders between the metal implant and the synthetic bone. The entire assembly was secured inside a watertight acrylic box using epoxy resin for structural integrity. Reviewing the assembly process, the team completed fabrication in under three hours of total labor. The strategy prioritized portability, allowing the box to be filled with water only when needed for testing. This method ensures consistent attenuation across different clinical sites. The researchers validated the stability of the device by ensuring it remained unaffected by the decay processes typical of biological materials.
Main Results:
The strongest finding indicates that a functional testing device can be produced for a total cost of less than fifty pounds. The manufacturing process requires fewer than three hours of total time. The resulting model successfully mimics a femur and tibia with a total knee replacement. It provides a stable, reproducible environment for evaluating metal artifact reduction. The phantom remains easily transportable when empty, as the water-filling step occurs only at the destination. The researchers confirmed that the device effectively allows for the visualization of artificial bone lesions. It supports direct comparisons of technical factors and software performance between different scanners. The study highlights that common DIY materials are sufficient to create a robust tool for diagnostic quality assurance.
Conclusions:
The authors demonstrate that a functional testing device can be assembled using minimal resources and common hardware store supplies. This model provides an objective way to evaluate scanner performance regarding metal artifact reduction. It serves as a practical tool for comparing different imaging systems during the procurement process. The device remains stable over time, avoiding the degradation issues common with biological tissue models. Researchers propose that this phantom facilitates the optimization of scan parameters for clinical practice. It allows for consistent assessment of bone lesion visibility near metallic components. The study confirms that building such a tool requires less than three hours of labor. These findings suggest that low-cost solutions can effectively support quality assurance in diagnostic radiology.
The researchers propose that the phantom allows for objective comparisons of scanner performance. By using standardized components, it enables direct assessment of how different systems handle metal artifacts when visualizing bone lesions near implants.
The device incorporates spare knee replacement parts, wall filler, and polystyrene to mimic anatomical structures. Plastic strips and cylinders are embedded within the assembly to serve as artificial bone lesions for testing purposes.
A watertight acrylic box is necessary to house the assembly. Filling this container with water on-site ensures consistent attenuation, which is vital for achieving reproducible imaging results across different testing environments.
The phantom serves as a physical model for quality assurance and protocol optimization. It acts as a standardized test object that allows users to assess how software and hardware settings influence image quality.
The researchers measured the total manufacturing time to be under three hours. This duration was spread across several days to allow for the proper setting of materials like epoxy resin and wall filler.
The authors suggest that this tool supports the procurement process by providing a low-cost, portable method for comparing scanner capabilities. It enables facilities to make informed decisions without relying on expensive, proprietary testing equipment.