使用3D打印的外科手术指南进行骨质硬化下巴损伤的计算机引导的活检:一个完全数字化的工作流程
Pierluigi Mariani1, Diana Russo1, Francesco Rullo1
1Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialties, University of Campania, "Luigi Vanvitelli", Naples.
The Journal of craniofacial surgery
|January 30, 2026
概括
使用人工智能和3D打印的新数字工作流程使深病变的精确,最少侵入性的活检成为可能. 这种先进的技术提高了诊断骨内病变的准确性,提高了患者的安全性.
科学领域:
- 口腔和牙面部外科手术
- 数字牙科数字牙科
- 医疗成像医学成像
背景情况:
- 骨质硬化下病变通常在X射线图上偶然发现.
- 由于良性外观和靠近重要结构,活检具有挑战性.
研究的目的:
- 为深骨硬化病变指导活检提供一个完全数字化的工作流程.
- 为了证明人工智能辅助的数字规划和骨内活检的3D打印的精度和安全性.
主要方法:
- 基于人工智能 (AI) 的集成细分,口内扫描和CAD设计.
- 使用3D打印的外科模板,并使用深度控制停止来定位特雷芬孔.
- 在牙根和下管道之间进行了活检.
主要成果:
- 实现了用于组织病理学诊断 (骨瘤) 的精确组织采样.
- 尽量减少对邻近结构的侵入性和风险.
- 手术后的CBCT证实了高准确度:0.6毫米线性,4度角, -0.2毫米深度偏差.
结论:
- 人工智能辅助的数字规划和3D打印为骨内病变活检提供了更高的精度.
- 这种工作流可以在具有挑战性的外科病例中提高安全性和准确性.
- 该技术显示出在口腔外科手术中常规临床应用的巨大潜力.
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