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Found 18 results

  1. Hello the Biomedical 3D Printing community, it's Devarsh Vyas here writing after a really long time! This time i'd like to share my personal experience and challenges faced with respect to medical 3D Printing from the MRI data. This can be a knowledge sharing and a debatable topic and I am looking forward to hear and know what other experts here think of this as well with utmost respect. In the Just recently concluded RSNA conference at Chicago had a wave of technology advancements like AI and 3D Printing in radiology. Apart from that the shift of radiologists using more and more MR studies for investigations and the advancements with the MRI technology have forced radiologists and radiology centers (Private or Hospitals) to rely heavily on MRI studies. We are seeing medical 3D Printing becoming mainstream and gaining traction and excitement in the entire medical fraternity, for designers who use the dicom to 3D softwares, whether opensource or FDA approved software know that designing from CT is fairly automated because of the segmentation based on the CT hounsifield units however seldom we see the community discuss designing from MRI, Automation of segmentation from MRI data, Protocols for MRI scan for 3D Printing, Segmentation of soft tissues or organs from MRI data or working on an MRI scan for accurate 3D modeling. Currently designing from MRI is feasible, but implementation is challenging and time consuming. We should also note reading a MRI scan is a lot different than reading a CT scan, MRI requires high level of anatomical knowledge and expertise to be able to read, differentiate and understand the ROI to be 3D Printed. MRI shows a lot more detailed data which maybe unwanted in the model that we design. Although few MRI studies like the contrast MRI of the brain, Heart and MRI angiograms can be automatically segmented but scans like MRI of the spine or MRI of the liver, Kidney or MRI of knee for example would involve a lot of efforts, expertise and manual work to be done in order to reconstruct and 3D Print it just like how the surgeon would want it. Another challenge MRI 3D printing faces is the scan protocols, In CT the demand of high quality thin slices are met quite easily but in MRI if we go for protocols for T1 & T2 weighted isotropic data with equal matrix size and less than 1mm cuts, it would increase the scan time drastically which the patient has to bear in the gantry and the efficiency of the radiology department or center is affected. There is a lot of excitement to create 3D printed anatomical models from the ultrasound data as well and a lot of research is already being carried out in that direction, What i strongly believe is the community also need advancements in terms of MRI segmentation for 3D printing. MRI, in particular, holds great potential for 3D printing, given its excellent tissue characterization and lack of ionizing radiation but model accuracy, manual efforts in segmentation, scan protocols and expertise in reading and understanding the data for engineers have come up as a challenge the biomedical 3D printing community needs to address. These are all my personal views and experiences I've had with 3D Printing from MRI data. I'm open to and welcome any tips, discussions and knowledge sharing from all the other members, experts or enthusiasts who read this. Thank you very much!
  2. Version 1.0.0

    24 downloads

    This model is the left lower extremity bone rendering of a 65-year-old male with left thigh myxoid fibrosarcoma. At the time of diagnosis, the patient had metastases to his lungs. The patient therefore underwent neoadjuvant radiotherapy, surgery, and adjuvant chemotherapy and was found to have an intermediate grade lesion at the time of diagnosis. The patient is still living with the metastatic disease at 2.5 years since diagnosis. This is an STL file created from DICOM images of his CT scan which may be used for 3D printing The lower extremity consists of the femur, tibia, fibula, and foot. The femur has an anterior bow of differing degrees, which is important to understand when fixing a femur fracture with an intramedullary nail to not penetrate the anterior cortex. Distally, the femur includes the medial and lateral femoral condyles, which articulate with the proximal tibia to form the knee joint, as well as the trochlea anteriorly, which articulates with the patella. The proximal tibia includes the medial plateau (which is concave) and the lateral plateau (which is convex). The Proximal tibia has a 7-10 degree posterior slope. On the anterior proximal tibia, the tibial tuberosity, where the patellar tendon attaches. On the anteromedial surface of the tibia is Gerdy's tubercle, where the sartorius, gracilis, and semitendinosus attach. The distal tibia creates the superior and medial (plafond and medial malleolus) of the ankle joint. The proximal fibula is the attachment for the posterolateral corner structures of the knee joint. The peroneal nerve wraps around the fibular neck. The distal fibula is the lateral malleolus and a common site for ankle fractures. This model was created from the file STS_022.

    Free

  3. Version 1.0.0

    12 downloads

    This model is the right knee muscle rendering of a 65-year-old male with left thigh myxoid fibrosarcoma. At the time of diagnosis, the patient had metastases to his lungs. The patient therefore underwent neoadjuvant radiotherapy, surgery, and adjuvant chemotherapy and was found to have an intermediate grade lesion at the time of diagnosis. The patient is still living with the metastatic disease at 2.5 years since diagnosis. This is an STL file created from DICOM images of his CT scan which may be used for 3D printing. The knee is a hinge joint that does not have true bony stabilization, so it requires soft tissue static and dynamic stabilizers to prevent excess motion through the joint. In addition, the knee goes through a “screw home” mechanism in which the tibia rotates externally and “locks” into extension during the last 15-20 degrees of extension. Multiple structures, therefore, are needed to work in concert to prevent excess strain through this joint during these daily motions. On the medial aspect of the knee, the static stabilizers consist of the superficial and deep medial collateral ligaments (MCL) and the posterior oblique ligament (POL). The dynamic stabilizers are the semimembranosus, vastus medialis, medial gastrocnemius, and pes tendons (semitendinosus, gracilis, and sartorius). The lateral stabilizers are best known as the posterolateral corner, and consist of the static stabilizers (lateral collateral ligament (LCL), iliotibial band (ITB), arcuate ligament), and dynamic stabilizers (popliteus, biceps femoris, lateral gastrocnemius). Inside the joint, the anterior cruciate ligament provides resistance to anterior tibial translation varus, and internal rotation, whereas the posterior cruciate ligament provides resistance to posterior tibial translation, varus, valgus, and external rotation. This model was created from the file STS_022.

    Free

  4. Version 1.0.0

    1 download

    This model is the right thigh skin rendering of a 49-year-old male with a right medial thigh undifferentiated pleomorphic malignant fibrous histiocytoma (MFH). The patient underwent neoadjuvant radiotherapy, surgery, and adjuvant chemotherapy treatment and was found to have a high-grade lesion at the time of diagnosis. Metastases to his lungs were also found at diagnosis. The patient is still living with the disease at 2 years since diagnosis. This is an STL file created from DICOM images of his CT scan which may be used for 3D printing. Undifferentiated pleomorphic MFH has more recently been classified as Undifferentiated Pleomorphic Sarcoma. This is the most common soft tissue sarcoma in late adulthood, commonly occurring between 55 to 80 years old and most commonly in Caucasian males. Clinically, it presents as a slowly growing mass in the extremities. Biopsy of the lesion demonstrates, as its name implies, an undifferentiated and pleomorphic appearance. Pleomorphism is the pathologic description of cells and nuclei with variability in size, shape, and staining, which is characteristic of a malignant neoplasm. “Undifferentiated” means that the tissue does not appear like an identifiable tissue structure. Treatment consists of wide resection and radiation. Chemotherapy is added in cases of metastasis, most commonly to the lung. Five-year survival is between 35-60% depending on the grade of tumor and metastases. This model was created from the file STS_021.

    Free

  5. Version 1.0.0

    1 download

    This model is the right thigh muscle rendering of a 49-year-old male with a right medial thigh undifferentiated pleomorphic malignant fibrous histiocytoma (MFH). The patient underwent neoadjuvant radiotherapy, surgery, and adjuvant chemotherapy treatment and was found to have a high grade lesion at the time of diagnosis. Metastases to his lungs were also found at diagnosis. The patient is still living with the disease at 2 years since diagnosis. This is an STL file created from DICOM images of his CT scan which may be used for 3D printing. Undifferentiated pleomorphic MFH has more recently been classified as Undifferentiated Pleomorphic Sarcoma. This is the most common soft tissue sarcoma in late adulthood, commonly occurring between 55 to 80 years old and most commonly in Caucasian males. Clinically, it presents as a slowly growing mass in the extremities. Biopsy of the lesion demonstrates, as its name implies, an undifferentiated and pleomorphic appearance. Pleomorphism is the pathologic description of cells and nuclei with variability in size, shape, and staining, which is characteristic of a malignant neoplasm. “Undifferentiated” means that the tissue does not appear like an identifiable tissue structure. Treatment consists of wide resection and radiation. Chemotherapy is added in cases of metastasis, most commonly to the lung. Five-year survival is between 35-60% depending on the grade of tumor and metastases. This model was created from the file STS_021.

    Free

  6. Version 1.0.0

    12 downloads

    This is the normal right foot and ankle skin model of a 56-year-old male with right anterior thigh pleomorphic leiomyosarcoma. This is an STL file created from DICOM images of his CT scan which may be used for 3D printing. Topographical landmarks of the foot and ankle consist of muscular, tendinous, and bony structures. Proximally, the superficial muscles of the anterior (tibialis anterior), lateral (peroneals) and posterior (gastrocnemius) compartments may be palpated. Anteriorly, the tibialis anterior tendon crosses the ankle joint and is used as a landmark for ankle joint injections and aspirations, where the practitioner will place the needle just lateral to the tendon. Posteriorly, the gastrocnemius and soleus converge to form the Achilles tendon. Ruptures of the tendon, as well as tendinous changes due to Achilles tendinopathy, may be palpated. At the level of the ankle joint, the joint line, medial malleolus (distal tibia) and lateral malleolus (distal fibula) may be palpated. The extensor hallucis longus and extensor digitorum longus tendons are visible on the surface of the dorsal foot. The extensor digitorum brevis muscle belly is seen on the dorsum of the lateral foot. On the plantar foot, the plantar fascia may be palpated. Nodules associated with plantar fascial fibromatosis may be palpated here. Plantar fasciitis is also diagnosed when pain is associated with palpation of the insertion of the plantar fascia on the medial heel. Other common pathologies on the plantar foot are ulcerations associated with diabetic neuropathy and other neuropathic conditions. This model was created from the file STS_014.

    Free

  7. Version 1.0.0

    9 downloads

    This is the normal right foot and ankle skin model of a 56-year-old male with right anterior thigh pleomorphic leiomyosarcoma. This is an STL file created from DICOM images of his CT scan which may be used for 3D printing. Topographical landmarks of the foot and ankle consist of muscular, tendinous, and bony structures. Proximally, the superficial muscles of the anterior (tibialis anterior), lateral (peroneals) and posterior (gastrocnemius) compartments may be palpated. Anteriorly, the tibialis anterior tendon crosses the ankle joint and is used as a landmark for ankle joint injections and aspirations, where the practitioner will place the needle just lateral to the tendon. Posteriorly, the gastrocnemius and soleus converge to form the Achilles tendon. Ruptures of the tendon, as well as tendinous changes due to Achilles tendinopathy, may be palpated. At the level of the ankle joint, the joint line, medial malleolus (distal tibia) and lateral malleolus (distal fibula) may be palpated. The extensor hallucis longus and extensor digitorum longus tendons are visible on the surface of the dorsal foot. The extensor digitorum brevis muscle belly is seen on the dorsum of the lateral foot. On the plantar foot, the plantar fascia may be palpated. Nodules associated with plantar fascial fibromatosis may be palpated here. Plantar fasciitis is also diagnosed when pain is associated with palpation of the insertion of the plantar fascia on the medial heel. Other common pathologies on the plantar foot are ulcerations associated with diabetic neuropathy and other neuropathic conditions. This model was created from the file STS_014.

    Free

  8. Version 1.0.0

    3 downloads

    This is the normal left foot and ankle muscle model of a 56-year-old male with right anterior thigh pleomorphic leiomyosarcoma. This is an STL file created from DICOM images of his CT scan which may be used for 3D printing. The primary motions of the ankle are dorsiflexion, plantarflexion, inversion, and eversion. However, with the addition of midfoot motion (adduction, and abduction), the foot may supinate (inversion and adduction) or pronate (eversion and abduction). In order to accomplish these motions, muscles outside of the foot (extrinsic) and muscles within the foot (intrinsic) attach throughout the foot, crossing one or more joints. Laterally, the peroneus brevis and tertius attach on the proximal fifth metatarsal to evert the foot. The peroneus longus courses under the cuboid to attach on the plantar surface of the first metatarsal, acting as the primary plantarflexor of the first ray and, secondarily, the foot. Together, these muscles also assist in stabilizing the ankle for patients with deficient lateral ankle ligaments from chronic sprains. Medially, the posterior tibialis inserts on the plantar aspect of the navicular cuneiforms and metatarsal bases, acting primarily to invert the foot and secondarily to plantarflex the foot. The flexor hallucis longus inserts on the base of the distal phalanx of the great toe to plantarflex the great toe, and the flexor digitorum inserts on the bases of the distal phalanges of the lesser four toes, acting to plantarflex the toes. The gastrocnemius inserts on the calcaneus as the Achilles tendon and plantarflexes the foot. Anteriorly, the tibialis anterior inserts on the dorsal medial cuneiform and plantar aspect of the first metatarsal base as the primary ankle dorsiflexor and secondary inverter. The Extensor hallucis longus and extensor digitorum longus insert on the dorsal aspect of the base of the distal phalanges to dorsiflex the great toe and lesser toes, respectively. This model was created from the file STS_014.

    Free

  9. Version 1.0.0

    30 downloads

    This is the normal right foot and ankle muscle model of a 56-year-old male with right anterior thigh pleomorphic leiomyosarcoma. This is an STL file created from DICOM images of his CT scan which may be used for 3D printing. The primary motions of the ankle are dorsiflexion, plantarflexion, inversion, and eversion. However, with the addition of midfoot motion (adduction, and abduction), the foot may supinate (inversion and adduction) or pronate (eversion and abduction). In order to accomplish these motions, muscles outside of the foot (extrinsic) and muscles within the foot (intrinsic) attach throughout the foot, crossing one or more joints. Laterally, the peroneus brevis and tertius attach on the proximal fifth metatarsal to evert the foot. The peroneus longus courses under the cuboid to attach on the plantar surface of the first metatarsal, acting as the primary plantarflexor of the first ray and, secondarily, the foot. Together, these muscles also assist in stabilizing the ankle for patients with deficient lateral ankle ligaments from chronic sprains. Medially, the posterior tibialis inserts on the plantar aspect of the navicular cuneiforms and metatarsal bases, acting primarily to invert the foot and secondarily to plantarflex the foot. The flexor hallucis longus inserts on the base of the distal phalanx of the great toe to plantarflex the great toe, and the flexor digitorum inserts on the bases of the distal phalanges of the lesser four toes, acting to plantarflex the toes. The gastrocnemius inserts on the calcaneus as the Achilles tendon and plantarflexes the foot. Anteriorly, the tibialis anterior inserts on the dorsal medial cuneiform and plantar aspect of the first metatarsal base as the primary ankle dorsiflexor and secondary inverter. The Extensor hallucis longus and extensor digitorum longus insert on the dorsal aspect of the base of the distal phalanges to dorsiflex the great toe and lesser toes, respectively. This model was created from the file STS_014.

    Free

  10. Version 1.0.0

    21 downloads

    This is the normal right foot and ankle bone model of a 56 year old male with right anterior thigh pleomorphic leiomyosarcoma. This is an STL file created from DICOM images of his CT scan which may be used for 3D printing. The ankle is a hinge (or ginglymus) joint made of the distal tibia (tibial plafond, medial and posterior malleoli) superiorly and medially, the distal fibula (lateral malleolus) laterally and the talus inferiorly. Together, these structures form the ankle “mortise”, which refers to the bony arch. The normal range of motion is 20 degrees dorsiflexion and 50 degrees plantarflexion. Stability is provided by the anterior talofibular ligament (ATFL), calcaneofibular ligament (CFL), and posterior talofibular ligament (PTFL) laterally, and the superficial and deep deltoid ligaments medially. The ankle is one of my most common sites of musculoskeletal injury, including ankle fractures and ankle sprains, due to the ability of the joint to invert and evert. The most common ligament involved in the ATFL. The foot is commonly divided into three segments: hindfoot, midfoot, and forefoot. These sections are divided by the transverse tarsal joint (between the talus and calcaneus proximally and navicular and cuboid distally), and the tarsometatarsal joint (between the cuboids and cuneiforms proximally and the metatarsals distally). The first tarsometatarsal joint (medially) is termed the “Lisfranc” joint and is the site of the Lisfranc injury seen primarily in athletic injuries. This model was created from the file STS_014.

    Free

  11. Version 1.0.0

    8 downloads

    This is the normal right foot and ankle bone model of a 56 year old male with right anterior thigh pleomorphic leiomyosarcoma. This is an STL file created from DICOM images of his CT scan which may be used for 3D printing. The ankle is a hinge (or ginglymus) joint made of the distal tibia (tibial plafond, medial and posterior malleoli) superiorly and medially, the distal fibula (lateral malleolus) laterally and the talus inferiorly. Together, these structures form the ankle “mortise”, which refers to the bony arch. The normal range of motion is 20 degrees dorsiflexion and 50 degrees plantarflexion. Stability is provided by the anterior talofibular ligament (ATFL), calcaneofibular ligament (CFL), and posterior talofibular ligament (PTFL) laterally, and the superficial and deep deltoid ligaments medially. The ankle is one of my most common sites of musculoskeletal injury, including ankle fractures and ankle sprains, due to the ability of the joint to invert and evert. The most common ligament involved in the ATFL. The foot is commonly divided into three segments: hindfoot, midfoot, and forefoot. These sections are divided by the transverse tarsal joint (between the talus and calcaneus proximally and navicular and cuboid distally), and the tarsometatarsal joint (between the cuboids and cuneiforms proximally and the metatarsals distally). The first tarsometatarsal joint (medially) is termed the “Lisfranc” joint and is the site of the Lisfranc injury seen primarily in athletic injuries. This model was created from the file STS_014.

    Free

  12. Version 1.0.0

    5 downloads

    This is the normal left knee muscle model of a 56 year old male with right anterior thigh pleomorphic leiomyosarcoma. This is an STL file created from DICOM images of his CT scan which may be used for 3D printing. The knee is composed of 3 separate joints: two hinge joints (medial and lateral femorotibial joints), and one sellar, or gliding, joint (the patellofemoral joint). These also compose the three compartments of the knee: medial, lateral, and patellofemoral. Although the knee is thought of as a hinge joint, it actually has 6 degrees of motion: extension/flexion, internal/external rotation, varus/valgus, anterior/posterior translation, medial/lateral translation, and compression/distraction. In order to provide stability to this inherently unstable knee, static and dynamic stabilizers surround the knee, including muscles and ligaments. On the medial aspect of the knee, the static stabilizers consist of the superficial and deep medial collateral ligaments (MCL) and the posterior oblique ligament (POL). The dynamic stabilizers are the semimembranosus, vastus medialis, medial gastrocnemius, and pes tendons (semitendinosus, gracilis, and sartorius). The lateral stabilizers are best known as the posterolateral corner, and consist of the static stabilizers (lateral collateral ligament (LCL), iliotibial band (ITB), arcuate ligament), and dynamic stabilizers (popliteus, biceps femoris, lateral gastrocnemius). Inside the joint, the anterior cruciate ligament provides resistance to anterior tibial translation varus, and internal rotation, whereas the posterior cruciate ligament provides resistance to posterior tibial translation, varus, valgus, and external rotation. This model was created from the file STS_014.

    Free

  13. Version 1.0.0

    39 downloads

    This is the normal left knee bone model of a 56 year old male with right anterior thigh pleomorphic leiomyosarcoma. This is an STL file created from DICOM images of his CT scan which may be used for 3D printing. The knee is composed of 3 separate joints: two hinge joints (medial and lateral femorotibial joints), and one sellar, or gliding, joint (the patellofemoral joint). These also compose the three compartments of the knee: medial, lateral, and patellofemoral. Although the knee is thought of as a hinge joint, it actually has 6 degrees of motion: extension/flexion, internal/external rotation, varus/valgus, anterior/posterior translation, medial/lateral translation, and compression/distraction. In order to provide stability to this inherently unstable knee, static and dynamic stabilizers surround the knee, including muscles and ligaments. The proximal tibia includes the medial plateau (which is concave) and the lateral plateau (which is convex). The Proximal tibia has a 7-10 degree posterior slope. The tibial tuberosity is located on the anterior proximal tibia, which is where the patellar tendon attaches. On the anteromedial surface of the tibia is Gerdy's tubercle, where the sartorius, gracilis, and semitendinosus attach. The proximal fibula is the attachment for the posterolateral corner structures of the knee joint. The peroneal nerve wraps around the fibular neck. This model was created from the file STS_014.

    Free

  14. Version 1.0.0

    19 downloads

    This is the normal right leg muscle model (including foot) of a 56 year old male with right anterior thigh pleomorphic leiomyosarcoma. This is an STL file created from DICOM images of his CT scan which may be used for 3D printing. The lower leg is divided into four muscle compartments: the anterior, lateral, superficial posterior, and deep posterior compartments. The anterior compartment is made from the dorsiflexors, including the tibialis anterior, extensor hallucis longus (EHL), extensor digitorum longus (EDL) and peroneus tertius, which are innervated by the deep peroneal nerve. The lateral compartment includes the peroneus longus and peroneus brevis, which assist in foot eversion and are innervated by the superficial peroneal nerve. The superficial posterior compartment includes the gastrocnemius, soleus, and plantaris, which assist in plantarflexion and are innervated by the tibial nerve. The deep posterior compartment is made up of the popliteus, flexor hallucis longus (FHL), flexor digitorum longus (FDL), and tibialis posterior, which mostly assist in plantarflexion and are innervated similarly by the tibial nerve. This file was created from the file STS_014.

    Free

  15. Version 1.0.0

    4 downloads

    This is the normal right leg bone model (including foot) of a 56 year old male with right anterior thigh pleomorphic leiomyosarcoma. This is an STL file created from DICOM images of his CT scan which may be used for 3D printing. The leg includes the area between the knee and the ankle and houses the tibia and fibula. The proximal tibia includes the medial plateau (which is concave) and the lateral plateau (which is convex). The Proximal tibia has a 7-10 degree posterior slope. The tibial tuberosity is located on the anterior proximal tibia, which is where the patellar tendon attaches. On the anteromedial surface of the tibia is Gerdy's tubercle, where the sartorius, gracilis, and semitendinosus attach. The distal tibia creates the superior and medial (plafond and medial malleolus) of the ankle joint. The proximal fibula is the attachment for the posterolateral corner structures of the knee joint. The peroneal nerve wraps around the fibular neck. The distal fibula is the lateral malleolus and a common site for ankle fractures. This model was created from the file STS_014.

    Free

  16. Version 1.0.0

    2 downloads

    This model is the bilateral thigh muscle rendering of a 56 year old male with a pleomorphic leiomyosarcoma of the anterior compartment of the right thigh. The patient underwent neoadjuvant radiotherapy, surgery, and adjuvant chemotherapy treatment and was found to have an intermediate grade lesion at the time of diagnosis. However, the tumor metastasized to his lungs, and the patient died 2.5 years after diagnosis. This is an STL file created from DICOM images of his CT scan which may be used for 3D printing. Leiomyosarcomas are aggressive soft tissue malignancies that are thought to arise from the smooth muscle cells lining small blood vessels. Pleomorphism is the pathologic description of cells and nuclei with variability in size, shape and staining, which is characteristic of a malignant neoplasm. Pleomorphic leiomyosarcoma is an aggressive form of leiomyosarcoma, accounting for approximately 10% of these tumors. The mean age of occurrence is 58 years old, with a range from 31-89 years. These usually occur in the extremities, but may also present in the retroperitoneum/abdominal cavity, chest/abdominal wall, and, occasionally, the scalp. On biopsy, the definition of pleomorphic leiomyosarcoma is the presence of pleomorphic cells in at last two-thirds of the cut section and at least one section of positive staining for smooth muscle. Treatment is early wide resection of the primary lesion and neo-adjuvant or adjuvant chemotherapy and radiation. Tumors may metastasize to the lung. A large primary tumor and presence in the retroperitoneal cavity are poor predictive factors, and about 65% of patients succumb to the disease. This model was created from the file STS_014.

    Free

  17. Version 1.0.0

    17 downloads

    This image is the left thigh bone rendering of an 82 year old male with a dedifferentiated liposarcoma in the anterior compartment of the left thigh. This is an STL file created from DICOM images of his CT scan which may be used for 3D printing. Liposarcomas are the second most common soft tissue sarcoma in adults, occurring more commonly in males between the ages of 50 and 80 years old. They present as a slow growing, painless mass typically located in the extremities, with the thigh being the most common location. Multiple variants of liposarcomas exist, but the dedifferentiated type is a high-grade sarcoma. Dedifferentiated liposarcomas are typically located adjacent to a well-differentiated lipomatous lesion. The incidence of pulmonary metastasis increases with grade. Therefore, work up of the lesion consists of MRI, biopsy through the area of future resection, CT of the chest, abdomen, and pelvis to rule out metastases. Treatment consists of radiation and wide surgical resection but chemotherapy agents are being developed to target chromosomal abnormalities associated with certain well-differentiated and dedifferentiated liposarcomas. This patient received radiation and resection of the tumor and has not had a metastasis or recurrence in 4.5 years. This image came from the file STS_013.

    Free

  18. Hello, Just found this website today and wanted to mention my related business: http://www.med-mod.com/ I have years of experience in both medical imaging and 3D printing. Check out some projects on my website or contact me directly with any projects you you would like help with. MikeF@med-mod.com Mike
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