This section briefly describes some selected contributions developed so far regarding measuring the accuracy of 3D-printed objects.
Carew et al. [
8] studied the accuracy of 3D modeling and 3D printing in forensic anthropology evidence reconstruction. They found that complex parts exhibit lower accuracy no matter the additive manufacturing processes used during printing. The printing layer resolution may not affect the accuracy because, in most cases, the resolution of modeling data is more than that of the printing layer. Other authors found similar results (e.g., Edwards et al., [
9]). Lee et al. [
10] used two different additive manufacturing processes to create the replica of a tooth. They found that a replica shrinks or enlarges, and its surface becomes rough, depending on the additive manufacturing process. They also found that the replica can be used in real-life applications despite accuracy problems because the accuracy remains within the stipulated tolerance limits. Leng et al. [
11] developed a quality assurance framework to systematize the accuracy assessment of 3D-printed anatomic models. They found that three main areas cause inaccuracy: 1) image data acquisition, 2) segmentation and processing, and 3) 3D printing and cleaning. They found that both qualitative inspection and quantitative measurement are needed to assess the accuracy. The images of the 3D printed model, obtained by a high-resolution CT scanner, can be compared with the original images to facilitate the quantitative measurement. George et al. [
12] found that if the validated workflows are used, the existing 3D printing technologies produce replica within stipulated accuracy limits. Nevertheless, their study showed that reproducibility is a concern due to the performances of the software used in the workflows; the review and manual adjustment of the STL datasets may cause inaccuracy which is unpredictable. If a modification in the workflows is needed, it (modification) must be carried out in a stepwise fashion aided by the STL dataset comparison metrics. The authors emphasized that comprehensive accuracy evaluation of 3D-printed medical models has been evolving, and new measurement methods must be adopted to achieve better results. Bortolotto et al. [
13] employed a low-budget workflow consisting of 64-slice computed tomography (CT), three free and open-source software, and a commercially available 3D printer. They measured 3D-printed replicas and original objects using high precision digital calipers and found that the dimensional inaccuracy is about 0.23 mm (0.055%), which is acceptable for medical applications. Herpel et al. [
14] fabricated try-in dentures using milling (a subtractive manufacturing process) and 3D printing (additive manufacturing process). The 3D printing was carried out at five facilities. They found that though the 3D-printed try-in dentures qualify for real-life application, they were less accurate than those produced by milling. Cai et al. [
15] introduced the concept of residual STL volume as a metric to evaluate the accuracy and reproducibility of 3D printed anatomic models. They applied the evaluation to maxillofacial bone and enhanced the accuracy of the 3D printed structure. Kim et al. [
16] studied the accuracy of a simplified 3D-printed implant for surgical guide. They printed the same implant using three different additive manufacturing processes, namely, photopolymer jetting (PolyJet), stereolithography apparatus (SLA), and multi-jet printing (MJP). They found that PolyJet and SLA can meet the required accuracy for clinical applications. Kwon et al. [
17] studied the accuracy of a 3D-printed patient-specific implant. The shape datasets are extracted from CT images. The implants were fabricated using a 3D printer that uses photo-resin (curable under ultraviolet rays) with 0.032 mm resolution. In order to evaluate the accuracy, the implants were scanned using a micro-CT scanner and the length and depth of the press-compressed and decompressed implants were compared using Bland-Altman plot. The average differences in length were 0.67 mm ± 0.38 mm, 0.63 mm ± 0.28 mm and 0.10 mm ± 0.10 mm. The average differences in depth were 0.64 mm ± 0.37 mm, 1.22 mm ± 0.56 mm and 0.57 mm ± 0.23 mm, respectively. Yuan et al. [
18] also obtained a similar degree of accuracy for the 3D-printed dental implants. Borgue et al. [
19] considered that imperfections in material properties can lead to errors in 3D printing. They developed a fuzzy logic-based approach for design-for-AM to manage uncertainties in material properties while meeting the quality standards of 3D printed objects. Holzmond and Li [
20] developed a system that detects two common 3D printing errors: filament blockages and low flow. They use a digital image correlation system to compare the point cloud captured from the printer-head movement program (g-code) and the point cloud of a printed surface in real-time. Li et al. [
21] considered that machine structure is the main cause of the error and developed an analytical model of the structure of a given 3D printer to elucidate the printing error. Yu et al. [
22] developed an image processing-based approach to enhance the accuracy of 3D printed micro channels. They successfully modulated the optical proximity effect or curing light transmission and eliminated the channel blockage or shape distortion while printing small-diameter channels using laser curing technology. They used local greyscale of the projection image as the 3D printing continues. Montgomery et al. [
23] studied pixel-level grayscale manipulation to improve digital light processing-based 3D printing accuracy. They first printed an object according to the 2D binary image of the object. The grayscale image of the printed object is processed to create printing data (a relatively smooth contour). The processed information is used to print the same object with high accuracy. The method developed by the authors provided pixel-level grayscale control to create round features from sharp pixels. Ma et al. [
24] developed an image processing-based method for measuring layer-wise 3D food printing accuracy and identified the bottleneck of food printing (under- or over-extrusion). They first took a top-view image of the printed object (cookie). This image was projected on a vertical plane and cropped before being segmented from its background using Ostu’s automatic thresholding method [
25]. They also convert a layer’s printer-head paths (denoted as G-code) into a binary image. The image produced from printer-head paths and the image of the printed object processed as mentioned above are compared to quantify the accuracy. Vidakis et al. [
26] developed a method that uses Micro-Computed Tomography (micro-CT) images of 3D-printed objects to elucidate the dimensional and shape accuracies. They, however, did not show how the images are processed and compared with the treatment images. Eltes et al. [
27] developed an image processing-based accuracy checking method for 3D-printed biomedical object. The created surface meshes of the 3D-printed object using 3D scanning and compared it with the targeted surface meshes from CT scan images. The comparison was conducted by using Hausdorff Distance (HD). Nguyen et al. [
28] and other, e.g., see reference [
29], developed a method to generate a model of a biomedical object processing the sliced images from CT-scan data. The model was fabricated using 3D printers, and the CT-scan data of the printed object was obtained to check the accuracy. The details of the comparison mechanism that quantifies the accuracy were not presented. Xia et al. [
30] developed an image acquisition and processing technique using a flatbed scanner for shape accuracy evaluation of 3D-printed objects. The algorithms were formulated to extract useful shape information from the scanned images without human intervention. Centroid distance function and a root mean square error color map were used to visualize the inaccuracy effectively.