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Background: The current study presents the development of a magnetic resonance imaging (MRI)-compatible silicone-based 3D printer capable of producing patient-specific implants within MRI scanners. Methods: The printing device incorporates 3 piezoelectrically-actuated linear motion stages assigned for navigating a custom-made silicone extruder to develop the desired 3D model based on preoperative MRI scans of the damaged anatomy. The structural components were manufactured on a rapid prototyping machine with thermoplastic and compactly assembled utilizing non-magnetic materials to ensure fit and safe functioning of the system within the MRI bore. Results: The printing system was successfully integrated with a high-field MRI scanner and operated safely while maintaining sufficient imaging quality. The robotic motion mechanism exhibited excellent repeatability and achieved submillimeter accuracy, demonstrating its capability for precise positioning of the extruder. Conclusion: The proposed 3D printer may hold promise as valuable tool for personalized tissue reconstruction by real-time printing with biocompatible silicone on the MRI table. However, challenges such as prolonged processing times and related high costs will possibly hinder its adoption in clinical practice.
Antoniou et al. (Sun,) studied this question.
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