Articles - Collective Minds Radiology

Converting DICOM to STL: A Comprehensive Guide to Methods and Libraries

Written by Pär Kragsterman | August 27, 2024

In the world of medical imaging and 3D printing, converting DICOM (Digital Imaging and Communications in Medicine) files to STL (Standard Tessellation Language) format is a crucial step. This process allows medical professionals and researchers to transform 2D medical scans into 3D printable models. In this article, we'll explore various methods and libraries available for converting DICOM to STL, discussing their strengths and key features.

"Although the shape of the STL model differs slightly depending on the software, our results indicate that shape error in 3D printing for clinical use in oral and maxillofacial surgery remains within acceptable limits."

Research findings from a comprehensive software comparison study

 

Understanding DICOM and STL

The conversion process from DICOM to STL involves several steps, primarily focusing on image segmentation and 3D model generation. According to recent research published in the Journal of Clinical Medicine,

"When using these software packages, it is necessary to understand the characteristics of each" highlighting the importance of selecting the right tools for your specific needs.

Before diving into the conversion methods, it's essential to understand the difference between DICOM and STL files:

  • DICOM: A standard format for storing and transmitting medical images. It contains detailed information about the internal structure of the scanned object.
  • STL: A file format commonly used in 3D printing that represents the surface geometry of a 3D object.

As noted by Imageworks Corporation,

"The DICOM file tends to provide more information about what's inside the volume, while the STL file tends to provide more information about the surface of the volume."

Also Read: The Ultimate Guide to Preprocessing Medical Images: Techniques, Tools, and Best Practices for Enhanced Diagnosis

Methods and Libraries for DICOM to STL Conversion

1. democratiz3D by embodi3D

democratiz3D is a free, user-friendly online tool that simplifies the DICOM to STL conversion process.

Key Features:

  • Easy to use, requiring no expertise in medical imaging or segmentation software
  • Fast processing, with models typically ready in under 20 minutes
  • Batch processing and simultaneous uploads
  • High-quality output with up to 2.5 million polygons
  • Automatic removal of extraneous objects

Process:

  1. Anonymize the scan by converting DICOM to NRRD format
  2. Upload the NRRD file to democratiz3D
  3. Download the resulting STL file

2. 3D Slicer

3D Slicer is an open-source software platform for medical image informatics, image processing, and three-dimensional visualization.

Key Features:

  • Free and open-source
  • Extensive set of tools for image analysis and visualization
  • Cross-platform compatibility (Windows, Mac, Linux)
  • Active community and regular updates

Process:

  1. Load DICOM data into 3D Slicer
  2. Use segmentation tools to isolate the desired anatomy
  3. Export the segmented model as an STL file

3. InVesalius

InVesalius is another open-source software for reconstruction of computed tomography and magnetic resonance images.

Key Features:

  • User-friendly interface
  • Supports various image formats, including DICOM
  • Offers advanced segmentation tools
  • Free and cross-platform

Process:

  1. Import DICOM files into InVesalius
  2. Create a 3D surface using thresholding or region growing
  3. Export the 3D model as an STL file

4. RadiAnt DICOM Viewer

RadiAnt DICOM Viewer is a DICOM viewer that also offers 3D volume rendering and STL export capabilities.

Key Features:

  • User-friendly interface
  • Fast and efficient DICOM viewing
  • 3D volume rendering with STL export

Process:

  1. Load DICOM files into RadiAnt
  2. Use 3D volume rendering to visualize the data
  3. Adjust window parameters and remove unwanted elements
  4. Export the 3D model as an STL file

5. Python Libraries

For those comfortable with programming, several Python libraries can be used for DICOM to STL conversion:

  • PyDICOM: For reading DICOM files
  • VTK  (Visualization Toolkit): For 3D visualization and mesh creation
  • NumPy: For numerical operations on image data

Key Features:

  • Flexibility and customization
  • Automation potential
  • Integration with other data processing pipelines

Process:

  1. Read DICOM files using PyDICOM
  2. Process the image data with NumPy
  3. Create a 3D mesh using VTK
  4. Export the mesh as an STL file

Quality Control and Validation

Research has demonstrated that reducing the number of triangles in STL models doesn't significantly affect morphological accuracy, suggesting that optimization is possible without compromising quality.

"The quality of the 3D model is directly related to the quality of the STL data. This study focuses and reports on conversion performance for optimal results in clinical applications."

- Published findings in medical imaging research

Recent studies have shown that while the data size and number of triangles in STL models may vary across different software packages, the mean shape error typically remains around 0.11 mm, which is acceptable for most clinical applications. As noted in clinical research,

"The quality of the STL data is directly related to the quality of the 3D model."

Also Read: DICOM Modalities: A Comprehensive Guide to Medical Imaging Technologies

 

FAQ

  1. Q: Can all DICOM files be converted to STL? A: While most DICOM files can be converted to STL, the quality and accuracy of the conversion depend on the original scan's resolution and the specific anatomy being modeled.

  2. Q: Are there any online converters available? A: Yes, services like democratiz3D offer online DICOM to STL conversion. However, be cautious about uploading sensitive medical data to third-party services.

  3. Q: What resolution should I choose when exporting to STL? A: The optimal resolution depends on your specific needs. Higher resolutions provide more detail but result in larger file sizes. For most medical applications, a resolution that captures the necessary anatomical details without creating excessively large files is ideal.

  4. Q: Is special hardware required for DICOM to STL conversion? A: While not strictly necessary, a computer with a good amount of RAM and a decent graphics card can significantly speed up the conversion process, especially for large or complex DICOM datasets.

  5. Q: Are there any legal considerations when converting patient DICOM files to STL? A: Yes, patient privacy and data protection laws (such as HIPAA in the United States) must be considered. Always ensure that patient data is anonymized and that you have the necessary permissions to use and convert the DICOM files.

Also Read: The Ultimate Guide to DICOM Conversion Tools: Everything You Need to Know in 2024

Summary

Converting DICOM files to STL format is a crucial step in medical 3D printing and visualization. Various methods and tools are available, ranging from user-friendly online services like democratiz3D to powerful open-source software like 3D Slicer and InVesalius. For those with programming skills, Python libraries offer flexible and customizable solutions. The choice of method depends on factors such as ease of use, required features, and the specific needs of your project.

As medical imaging and 3D printing technologies continue to advance, we can expect even more efficient and accurate methods for DICOM to STL conversion in the future. What potential applications of 3D-printed medical models are you most excited about?

At Collective Minds Radiology, we're committed to advancing medical imaging technology and improving patient outcomes. Our cloud-based solutions connect healthcare professionals worldwide, facilitating faster diagnostics and enhancing clinical research and education. Whether you're working on converting DICOM files to STL for 3D printing or exploring other innovative uses of medical imaging data, our platform can support your efforts while ensuring GDPR-compliant data privacy and security.

 

Pär Kragsterman, CTO and Co-Founder of Collective Minds Radiology

 

 

Reviewed by: Mathias Engström on October 30, 2024