Copyright © 2007 by ASME 1
INTRODUCTION
Abdominal aortic aneurysm (AAA) is a local, permanent,
irreversible dilation of the infrarenal section of the aorta that
risks rupture until treated. AAA is defined as an infrarenal
diameter 1.5 times the normal diameter. Currently, surgeons
intervene when the aneurysm reaches a maximum diameter of
50mm [1]. 200,000 new cases are diagnosed each year in the
US, with 500,000 new cases diagnosed worldwide [2]. This
results in 15,000 deaths each year from AAA rupture in the US
alone [3], with 8,000 deaths per year in the UK [4]. Literature
supports the theory that small aneurysms may be as likely to
rupture as larger aneurysms [5-7], and therefore, the need for a
more reliable predictor of AAA rupture may have clinical
importance.
Geometrically correct 3D reconstruction of AAAs has
become commonplace in the stress analysis of these
aneurysms. The purpose of this paper is to show the creation
process from patient-specific computed tomography (CT) scans
to a patient-specific silicone model. These patient-specific AAA
models can then be utilised with various experimental
techniques, such as, stress analyses using the photoelastic
method [8], fluid dynamic studies, post-operative stent graft
distraction testing, and also experimental rupture studies.
MATERIALS AND METHODS
Three-dimensional models were reconstructed from patient-
specific CT scans, using the commercially available software,
Mimics (Materialise, Belgium). These geometrically accurate
3D reconstructions allow the creation of polylines, which are
then exported to ProEngineer (Parametric Technology
Corporation) for mould designs to be used in the lost-wax
process manufacturing technique. Designs are converted to
numerical code using AlphaCAM, before being machined from
solid aluminium block using a three-axis milling machine. This
process (see Figure 1) allows the manufacture of patient-
tailored AAA moulds.
Figure 1. Creation process of patient-specific AAA moulds.
Two mould sets are machined for each AAA. One set is used to
make the wax cast, using Castylene B851, which is then placed
into the larger outer mould. Liquid silicone is then injected into
this outer cast and cured in an oven at 40ºC. Once cured, the
wax is melted from the silicone model, leaving a silicone replica
of the patient-specific AAA.
Proceedings of the ASME 2007 Summer Bioengineering Conference (SBC2007)
June 20-24, Keystone Resort & Conference Center, Keystone, Colorado, USA
SBC2007-176375
3D RECONSTRUCTION OF PATIENT-SPECIFIC ABDOMINAL AORTIC ANEURYSMS:
FROM CT SCAN TO SILICONE MODEL
Barry J. Doyle (1), Liam G. Morris (1), Anthony Callanan (1), Eamon Kavanagh (1), Pat Kelly (1),
David A. Vorp (2) and Tim M. McGloughlin (1)
(1) Centre for Applied Biomedical Engineering
Research, Materials and Surface Science
Institute, University of Limerick, Ireland.
(2) Vascular Bioengineering Laboratory,
McGowan Institute for Regenerative Medicine,
University of Pittsburgh.
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