Abstract
Additive manufacturing (AM) has rapidly evolved due to its design flexibility, ability to enable personalized fabrication, and reduced material waste. In the medical field, fused filament fabrication (FFF) facilitates the production of individualized anatomical models for surgical preparation, education, medical imaging, and calibration. However, the lack of filaments with X-ray attenuation similar to that of biological hard tissues limits their use in radiological imaging. To address this limitation, a radiopaque filament was developed by incorporating gadolinium oxide (Gd(2)O(3)) into a biodegradable poly(lactic acid) (PLA) matrix at 1, 3, and 5 wt.%. Thermal and rheological properties were characterized using differential scanning calorimetry (DSC), thermogravimetric analysis (TGA), and melt flow index (MFI) analyses, revealing minor variations that did not affect printability under standard FFF conditions (200 °C nozzle, 60 °C build plate, 0.12 mm layer height). Microstructural analysis via field emission scanning electron microscopy (FESEM), energy-dispersive X-ray spectroscopy (EDX), elemental mapping, and micro-computed tomography (micro-CT) confirmed homogeneous Gd(2)O(3) dispersion without nozzle blockage. Radiopacity was evaluated using gyroid infill cubes, and increasing Gd(2)O(3) content enhanced X-ray attenuation, with 3 wt.% Gd(2)O(3) reaching Hounsfield Unit (HU) values comparable to cortical bone. Finally, the L1 vertebra phantom fabricated from the 3 wt.% Gd(2)O(3) filament exhibited mean HU values of approximately +200 to +250 HU at 50% infill density (trabecular bone region) and around +1000 HU at 100% infill density (cortical bone region), demonstrating the filament's potential for producing cost-effective, radiopaque, and biodegradable phantoms for computed tomography (CT) imaging.