• Title/Summary/Keyword: 가상환자

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뇌혈관의 혈류예비력 시뮬레이션 연구

  • Ryu, A-Jin;Lee, Gyeong-Eun;Bang, Hyeon-Gi;Lee, Jong-Ho;Park, Seon-Yeol;Sim, Eun-Bo
    • Proceeding of EDISON Challenge
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    • 2017.03a
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    • pp.631-634
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    • 2017
  • 뇌혈관은 평상시 뇌조직의 필요량보다 더 많은 혈류를 수송할 능력을 가지고 있는데 이를 뇌혈관 혈류예비력이라 한다. 뇌혈관이 특정한 요인에 의해 협착이 생기면 뇌관류압이 감소하는데 이를 보상하기 위해 뇌세동맥의 내경을 확장시켜 뇌혈류를 유지하도록 하는 것이다. 따라서 예비력이 낮은 사람일 경우 협착으로 인해 혈관 내경이 좁아져 있다면 운동이나 스트레스 상황에서 뇌졸증 내지 뇌허혈의 위험이 증가된다. 따라서 본 연구팀은 컴퓨터 시뮬레이션을 통해 뇌혈관 협착으로 인한 예비능 감소를 예측하였다. 이를 위해 환자의 MRA 영상 이미지를 영역화하여 3차원 격자를 생성하였으며 생성된 환자 맞춤 모델을 대상으로 전산유체해석을 진행하였다. 그리고 가상 협착을 모델에 적용하여 뇌혈관 협착률과 예비능의 관계를 분석했다.

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Virtual reality-based rehabilitation training program using bio-signals and gyro sensors (생체 신호와 자이로 센서를 이용한 가상현실 기반의 재활 훈련 프로그램)

  • Lee, Jaejun;Kim, Ung Gyu;Nasir, Atiqah Binti Muhammad;Lee, Young Jin
    • Proceedings of the Korea Information Processing Society Conference
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    • 2017.11a
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    • pp.1031-1033
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    • 2017
  • 본 논문에서는 EMG(Electromyogram) 신호 기반의 재활 치료용 VR(Virtual Reality) 플랫폼을 제안한다. EMG 신호는 근육의 움직임을 확인할 수 있는 생체 신호로, EMG 신호를 활용하면 근육에 직접적인 움직임이 없어도 환자의 행동 의도를 확인할 수 있다. 본 논문에서는 EMG 신호를 이용하여 환자의 근육 움직임을 확인하며, 해당 움직임을 나타내는 VR 콘텐츠에 대한 제안과 실제 제작 콘텐츠를 소개한다. 실험 결과는 실제 근육 움직임에 대한 인식률을 확인하였다.

The Clinical Effect and Construction of a Stereotactic Whole Body Immobilization Device (전신 정위 고정장치 제작과 임상효과에 대한 연구)

  • 정진범;정원균;서태석;최경식;진호상;지영훈
    • Progress in Medical Physics
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    • v.15 no.1
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    • pp.30-38
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    • 2004
  • Purpose: To develop a whole body frame for the purpose of reducing patient motion and minimizing setup error for extra-cranial stereotactic radiotherapy, and to evaluate the repositioning setup error of a patient in the frame. Materials and Methods: The developed whole body frame is composed of a base plate, immobilizer, vacuum cushion, ruler and belts. The dimension of the base plate is 130 cm in length, 50 cm in width and 1 cm in thickness. The material used in the base plate of the frame was bakelite and the immobilizer was made of acetal. In addition, Radiopaque angio-catheter wires were engraved on the base plate for a coordinate system to determine the target localization. The measurement for radiation transmission and target localization is peformed in order to test the utilization of the frame. Also, a Matlab program analyzed the patients setup error by using the patient's setup images obtained from a CCTV camera and digital record recorder (DVR). Results: A frame that is useful for CT simulation and radiation treatment was fabricated. The frame structure was designed to minimize collisions from the changes in the rotation angle of the gantry and to maximize the transmission rate of the Incident radiation at the lateral or posterior oblique direction. The lightening belts may be used for the further reduction of the patient motion, and the belts can be adjusted so that they are not in the way of beam direction. The radiation transmission rates of this frame were measured as 95% and 96% at 10 and 21 MV, respectively. The position of a test target on the skin of a volunteer is accurately determined by CT simulation using the coordinate system in the frame. The estimated setup errors by Matlab program are shown 3.69$\pm$1.60, 2.14$\pm$0.78 mm at the lateral and central chest, and 7.11 $\pm$2.10, 6.54$\pm$2.22 mm at lateral and central abdomen, respectively. The setup error due to the lateral motion of breast is shown as 6.33$\pm$ 1.55 mm. Conclusion: The development and test of a whole body frame has proven very useful and practical in the radiosurgery for extra-cranial cancers. It may be used in determining target localization, and it can be used as a patient immobilization tool. More experimental data should be obtained in order to improve and confirm the results of the patient setup error.

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A Study on Priority of Patient's Medicine Task for the Emergency Department in IoT Environment (사물인터넷(IoT) 환경의 응급실에 있어서 진료테스크 선정 지원 알고리즘 개발)

  • Kim, Daebeom
    • Journal of the Korea Society for Simulation
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    • v.25 no.2
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    • pp.51-61
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    • 2016
  • With high interest in the patient satisfaction of emergency medical services, there is a lot of effort into improving the process of Emergency Department(ED) utilizing the technology of Internet of Things(IoT). In this study, the core technologies of smart ED are examined and a decision support algorithm for medicine tasks is proposed. The proposed algorithm minimizes the decision risks such as task selection accountability, patient complaints, care delays and longer stay time. It can reduce the nurses burnout and improve the patient care with kindness and consideration. Ultimately, patient satisfaction, job satisfaction and professional identity of nurses can be increased. The comparative study was carried out by simulation in terms of the average length of patient stay in a simplified hypothetical ED system. In all the cases, the proposed algorithm was shown to perform substantially better than the other rule.

Research and Implementation of An Experiencing Fairy Tale Content for Young Inpatients using Augmented Reality (어린 입원 환자들을 위한 증강현실 체험 동화 콘텐츠 연구 및 개발)

  • Jo, Min-hwa;Jung, Jun-young;Choi, Kyu-ri;Cho, Sae-Hong
    • Journal of Advanced Navigation Technology
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    • v.25 no.1
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    • pp.102-107
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    • 2021
  • In the case of long-term hospitalization for young patients, 'Hospital Schools' are operated to pursue school classes and to develop social and emotional abilities for them. However, face-to-face classes at hospital schools have been completely prohibited, and the untact or limited contact environment has been strengthened even for young patients due to the COVID-19 in recent years. Augmented Reality(AR) technology enables the development of experiential content with virtual environments, objects and characters similar to real life. The developed contents should revitalize the imagination of young patients living only in hospitals and allow them to experience, not only acquiring knowledge, but also improving interpersonal skills and sociality. This study is intended to provide diverse adventures and in-depth choice experiences to young patients who are struggling in an environment of untact and limited contact by creating experiential fairy tale contents using AR technology. In addition, long-term hospitalized children will be able to cultivate the will to overcome illness with positive emotions through the augmented reality experience fairy tale content studied and implemented in this study.

A Simulation Technique for RFID Adoption in Hospital (의료기관 RFID 도입을 위한 시뮬레이션 기법)

  • Ryu, Woo-Seok
    • The Journal of the Korea institute of electronic communication sciences
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    • v.9 no.1
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    • pp.61-66
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    • 2014
  • As a key technology of U-health, RFID can be applied to the hospitals in a variety of cases such as patient tracking, medical instrument management, and so on. However, adoption of RFID in healthcare does not reach expectations because of huge cost. Exact estimation of cost and effectiveness will boost adoption of RFID in healthcare. This study proposes a novel simulation technique to evaluate cost and effectiveness of RFID in hospital environment. To do this, this study proposes a technique for modeling patients' movements in a hospital. Based on the model, this study provides how to obtain tag event dataset by means of simulating identifications of RFID tags that are attached to patients.

The Study of Promoting Method for VR Contents to Reduce Pain of Child Patient - Focusing on The Case Studies of VR Contents at Home and Abroad (아동의 통증 감소를 위한 VR 콘텐츠 활성화 방안 연구 - 국내·외 VR 콘텐츠의 사례 연구를 중심으로)

  • Kim, Ho-Da;Joo, Ae-Ran
    • The Journal of the Korea Contents Association
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    • v.20 no.6
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    • pp.167-176
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    • 2020
  • Meanwhile the service of public health are being improved and the patient-friendly medical environment is constructed due to the development of the medical industry, we need to take more concern for child patient's pain undergoing this change of the medical environment. Currently, pain of child patient is treated by both pharmacologic and non-pharmacologic method. The application of virtual reality(VR) is emerging as a kind of attention-conversion therapy among non-pharmacologic method both at home and abroad. This study has examined and analyzed the development cases and related studies of VR among the world. And derived 'Presence', 'Interactivity', 'Social Interaction', 'Customization', 'Embodiment' as characteristics to be considered in the clinical application of VR for children. Based on this, six measures are proposed to promote VR contents to reduce pain of child patient.

Efficient Graph Construction and User Movement Path for Fast Inspection of Virus and Stable Management System

  • Kim, Jong-Hyun
    • Journal of the Korea Society of Computer and Information
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    • v.27 no.8
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    • pp.135-142
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    • 2022
  • In this paper, we propose a graph-based user route control for rapidly conducting virus inspections in emergency situations (eg, COVID-19) and a framework that can simulate this on a city map. A* and navigation mesh data structures, which are widely used pathfinding algorithms in virtual environments, are effective when applied to CS(Computer science) problems that control Agents in virtual environments because they guide only a fixed static movement path. However, it is not enough to solve the problem by applying it to the real COVID-19 environment. In particular, there are many situations to consider, such as the actual road traffic situation, the size of the hospital, the number of patients moved, and the patient processing time, rather than using only a short distance to receive a fast virus inspection.

3-D Conformal Radiotherapy for CNS Using CT Simulation (입체조준장치를 이용한 중추신경계의 방사선 입체조형치료 계획)

  • 추성실;조광환;이창걸
    • Progress in Medical Physics
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    • v.14 no.2
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    • pp.90-98
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    • 2003
  • Purpose : A new virtual simulation technique for craniospinal irradiation (CSI) that uses a CT-simulator was developed to improve the accuracy of field and shielding placement as well as patient positioning. Materials and Methods : A CT simulator (CT-SIM) and a 3-D conformal radiation treatment planning system (3D-CRT) were used to develop CSI. The head and neck were immobilized with a thermoplastic mask while the rest of the body was immobilized with a Vac-Loc. A volumetric image was then obtained with the CT simulator. In order to improve the reproducibility of the setup, datum lines and points were marked on the head and body. Virtual fluoroscopy was performed with the removal of visual obstacles, such as the treatment table or immobilization devices. After virtual simulation, the treatment isocenters of each field were marked on the body and on the immobilization devices at the conventional simulation room. Each treatment fields was confirmed by comparing the fluoroscopy images with the digitally reconstructed radiography (DRR) and digitally composited radiography (DCR) images from virtual simulation. Port verification films from the first treatment were also compared with the DRR/DCR images for geometric verification. Results : We successfully performed virtual simulations on 11 CSI patients by CT-SIM. It took less than 20 minutes to affix the immobilization devices and to obtain the volumetric images of the entire body. In the absence of the patient, virtual simulation of all fields took 20 min. The DRRs were in agreement with simulation films to within 5 mm. This not only reducee inconveniences to the patients, but also eliminated position-shift variables attendant during the long conventional simulation process. In addition, by obtaining CT volumetric image, critical organs, such as the eyes and the spinal cord, were better defined, and the accuracy of the port designs and shielding was improved. Differences between the DRRs and the portal films were less than 3 m in the vertebral contour. Conclusion : Our analysis showed that CT simulation of craniospinal fields was accurate. In addition, CT simulation reduced the duration of the patient's immobility. During the planning process. This technique can improve accuracy in field placement and shielding by using three-dimensional CT-aided localization of critical and target structures. Overall, it has improved staff efficiency and resource utilization by standard protocol for craniospinal irradiation.

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Diagnosis and Treatment of Malocclusions using the Invisalign System (인비절라인 시스템을 이용한 부정교합의 진단 및 치료)

  • Kim, Hyungsoo;Ahn, Jae-Hyun;Boyd, Robert L.
    • The korean journal of orthodontics
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    • v.33 no.1 s.96
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    • pp.21-29
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    • 2003
  • Recent developments in software technology have made it possible to create a virtual three-dimensional model of the dental arches from digitally scanned casts of a patient's dentition. This modelmay then be manipulated with software to produce stages of tooth movement from the initial malocclusion to the final desired occlusion. A sterolithograghic model is made for each stage of tooth movement which is the basis for construction of a series of clear and thin overlay appliances. These appliances are worn full time by the patient to move the teeth according to the programmed stages of movement. Malocclusions involving mild to moderate crowding and space closure have been proven to be successfully treated with this appliance. Experience with this appliance has demonstrated excellent patient compliance with less discomfort, improved esthetics and oral hygiene control, when compared with fixed orthodontic appliances. Orthodontic treatment with this appliance is a potentially useful alternative approach to fixed appliances for treatment of a variety of malocclusions in patients with fully erupted permanent teeth.