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자료유형
학술저널
저자정보
윤홍규 (한양대학교) Yong Ko (Hanyang University) Young Soo Kim (Hanyang University) Koang Hum Bak (Hanyang University) Hyoung-Joon Chun (Hanyang University) Min-Kyun Na (Hanyang University) Sook Yang (CUSMEDI Co. Ltd) Hyeong Joong Yi (Hanyang University) Kyu-Sun Choi (Hanyang University)
저널정보
대한신경손상학회 Korean Journal of Neurotrauma Korean Journal of Neurotrauma Vol.17 No.2
발행연도
2021.10
수록면
91 - 99 (9page)
DOI
https://doi.org/10.13004/kjnt.2021.17.e25

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Objective Autologous bone grafting for cranioplasty is associated with a high infection rate and bone absorption. Synthetic implant materials for cranioplasty have been developed. In this study, we evaluated the efficacy of titanium mesh-type patient-specific implants (PSIs) for patients with skull defects using the dice similarity coefficient (DSC), clinical outcomes, and artifacts caused by implants. Methods This retrospective study included 40 patients who underwent cranioplasty with a titanium mesh PSI at our institution. Based on preoperative and postoperative computed tomography scans, we calculated DSC and artifacts. Results The calculated DSC of 40 patients was 0.75, and the noise was 13.89% higher in the region of interest (ROI) near the implanted side (average, 7.64 hounsfield unit [HU]±2.62) than in the normal bone (average, 6.72 HU±2.35). However, the image signal-to-noise ratio did not significantly differ between the ROI near the implanted side (4.77±1.78) and normal bone (4.97±1.88). The patients showed no significant perioperative complications that required a secondary operation. Conclusion Titanium mesh-type PSIs for cranioplasty have excellent DSC values with lower artifacts and complication rates.

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