The exponential growth of plastic production in the healthcare sector and the limited capacity of conventional recycling systems have created a global environmental challenge. Latest 3D printing technologies have the potential to solve this problem by enabling on-demand, localized manufacturing. This study aimed to investigate the mechanical properties of 3D-printed ABS composites with Bi₂O₃ fillers after multiple recycling and irradiation cycles to assess their suitability for creating robust, reusable supporting devices for radiotherapy. Filaments of PLA, ABS, and ABS composites enriched with 5 wt% and 10 wt% Bi₂O₃ were extruded, repeatedly recycled through shredding and re-extrusion up to ten times and irradiated to 70 Gy using a 6 MeV photon beam to simulate clinical radiotherapy conditions. In contrast to PLA, ABS demonstrated better recyclability; however, after ten recycling cycles, its tensile strength declined from 25.1 MPa to 20.9 MPa, and its Young’s modulus decreased from 2503.5 MPa to 1410.4 MPa. Incorporation of 5 wt% Bi₂O₃ into ABS significantly improved recyclability and mechanical retention. After ten recycling rounds, an ABS composite containing 5 wt% Bi₂O₃ retained tensile strength of 22.2 MPa, modulus of 1553.9 MPa, and strain at break of 14.4%. In contrast, the composite enforced with 10 wt% Bi₂O₃ showed slightly lower performance, likely due to filler agglomeration. Under irradiation, the ABS–5 wt% Bi₂O₃ composite exhibited minimal additional degradation, maintaining mechanical integrity superior to other materials. These results indicate that ABS–5 wt% Bi₂O₃ is a promising, recyclable material for durable, patient-specific devices in radiotherapy, supporting sustainability in medical manufacturing.

The transition to a carbon-neutral society represents one of the most pressing global challenges of the 21st century, requiring a radical transformation in how energy is produced, consumed, and managed. Digitalization has emerged as a pivotal driver in energy transition, offering innovative Pathways to enhance energy efficiency and penetrate renewable energy that should lead to reduced GHG emissions. The aim of the research was to develop a model for the evaluation of digitalization impact on GHG emissions where energy serves as a mediating factor. The data of 27 European Union Member States was employed for the investigation covering the period 2014–2023. Principal Component Analysis was utilized to calculate the composite indicators of digitalization and energy. A comprehensive and systematic analysis of the complex interactions of digitalization, energy and GHG emissions was performed using a path analysis. The findings emphasized the critical role of the rebound effect of digitalization as the advantages associated with energy efficiency and the integration of renewable energy, facilitated by digitalization, are overweighted by increased energy consumption. The research ultimately contributes to a deeper understanding of how digitalization can be measured, guided, and optimized to support sustainable energy and mitigation of climate change.

Accurate immobilization is critical in head and neck (H&N) radiotherapy to ensure precise dose delivery while minimizing irradiation of surrounding healthy tissues. However, conventional thermoplastic masks cannot secure 100% replicas of the patient’s surface and are often limited by mechanical weakness, patient discomfort, and workflow inefficiencies. Recently, the best replicas of the patient’s face have been obtained by exploring personal CT or MRI scans of patients that are used for manufacturing of immobilization masks. This study aimed to design and evaluate customizable immobilization masks using acrylonitrile butadiene styrene (ABS)-based composites reinforced with bismuth oxide (Bi₂O₃) and to compare their mechanical performance against commercial thermoplastic masks. ABS and ABS/Bi₂O₃ composite filaments (5, 10, and 20 wt%) were fabricated and characterized by tensile testing. A patient-specific virtual mask was modeled and subjected to finite element analysis (FEA) under clinically relevant loading scenarios, including neck flexion and lateral bending. Results were benchmarked against two commercial thermoplastic masks. ABS and ABS-based composites exhibited significantly higher stiffness (1.7–2.5 GPa) and yield strength (20–25 MPa) compared to commercial thermoplastics (0.25–0.3 GPa, ~7 MPa; p < 0.001). FEA simulations revealed markedly reduced displacement in ABS masks (1–5 mm at 2 mm thickness; <1 mm at 4 mm thickness) relative to commercial masks, which exceeded 20 mm under lateral load. Hybrid configurations with reinforced edges further optimized rigidity while limiting material usage. Customized ABS-based immobilization masks outperform conventional thermoplastics in mechanical stability and displacement control, with the potential to reduce planning margins and improve patient comfort. In addition, ABS-based masks can be recycled, and Bi₂O₃-filled composites can be reused for printing new immobilization masks, thus contributing to a reduced amount of plastic waste. These findings support their promise as next-generation immobilization devices for precision radiotherapy, warranting further clinical validation, workflow integration and sustainable implementation within a circular economy.