3D printing X-Ray Quality Control Phantoms. A Low Contrast Paradigm

Current 3D printing technology products may be usable in various biomedical applications. Such an application is the creation of X-ray quality control phantoms. In this work a self-assembled 3D printer (geeetech i3) was used for the design of a simple low contrast phantom. The printing material was Polylactic Acid (PLA) (100% printing density). Low contrast scheme was achieved by creating air-holes with different diameters and thicknesses, ranging from 1 mm to 9 mm. The phantom was irradiated at a Philips Diagnost 93 fluoroscopic installation at 40kV-70kV with the semi-automatic mode. The images were recorded with an Agfa cr30-x CR system and assessed with ImageJ software. The best contrast value observed was approximately 33%. In low contrast detectability check it was found that the 1mm diameter hole was always visible, for thickness larger or equal to 4 mm. A reason for not being able to distinguish 1 mm in smaller thicknesses might be the presence of printing patterns on the final image, which increased the structure noise. In conclusion the construction of a contrast resolution phantom with a 3D printer is feasible. The quality of the final product depends upon the printer accuracy and the material characteristics.