Fresh concrete used in 3D printing should ensure adequate yield stress, otherwise the printed concrete layer may suffer intolerable deformation or collapse during the printing process. In response to this issue, an analytical study was carried out to derive the initial yield stress and hardening coefficient of fresh concrete suitable for 3D printing. The maximum shear stress distribution of fresh concrete was calculated using a stress transformation equation derived from the equilibrium condition of forces. In addition, the elapsed time experienced by fresh concrete during the printing processes was estimated and was then substituted into the elapsed time-yield stress function to calculate the yield stress distribution. Based on these results, an algorithm capable of deriving both the initial yield stress and the hardening coefficient required for printing fresh concrete up to the target height was proposed and computational fluid dynamics (CFD) analyses were performed to verify the accuracy of the proposed model.

BACKGROUND: Spinal cord glioma grade IV is a rare, diffuse midline glioma. H3 K27M-mutant was classified in a different entity in the 2016 World Health Organization (WHO) classification recently. No reports about prognosis of spinal cord glioma grade IV are available yet. OBJECTIVE: To analyze the prognostic factors for spinal cord glioma grade IV. METHODS: Twenty-five patients with spinal cord glioma of grade IV who underwent surgery in a single institute were selected. All grade IV spinal cord glioma histologically confirmed as glioblastoma or “diffuse midline glioma with H3 K27M-mutant” by the 2016 WHO classification of the central nervous system were included. Basic demographics, treatment modalities, and pathological tumor molecular profiles were investigated for prognosis. RESULTS: Mean age was 39.1 yr; male to female ratio was 18 : 7. Tumor was located in thoracic cord (53.3%), cervical cord (40%), and lumbar area (6.7%). Median overall survival was 37.1 mo; median disease-free survival was 18.5 mo. Treatment modality showed no statistical difference. Only K27M profile showed significant prognostic value, 20 patients (80%) showed K27M mutation positive, K27M mutation patients showed longer overall survival (40.07 mo) than K27M negative patients (11.63 mo, P < .0001), and disease-free survival (20.85 vs 8.72 mo, P = .0241). CONCLUSION: This study is the first and largest report of the prognosis of primary spinal cord grade IV glioma using the new WHO classification. This study reported survival analysis and prognostic factors, and revealed that H3.3 K27M mutation is not a major poor prognostic factor. Further studies to explore K27M mutations needed for risk stratification and therapy optimization.

Kim JH, et al. Yonsei Med J. 2015 Jul;56(4):1060-1070. https://doi.org/10.3349/ymj.2015.56.4.1060