• Title/Summary/Keyword: 간 초음파 영상

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Clinical Outcomes of Ultrasound-Guided Subacromial Bursal Steroid Injection in Shoulder Impingement Syndrome (견관절 충돌 증후군에서 초음파하 견봉하 점액낭내 스테로이드 국소 주사의 임상적 결과)

  • Kim, Jung-Man;Nam, Ho-Jin;Ra, Ki-Hang;Park, Bum-Suk
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.2 no.2
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    • pp.68-73
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    • 2009
  • Purpose: We retrospectively studied the outcomes of the shoulder impingement syndrome for the treatment of the ultrasound-guided subacromial bursal steroid injection. Materials and Methods: Sixty-six shoulders of sixty-two patients with shoulder impingement syndrome treated from March, 2006 to April, 2009 were involved in this study. All cases underwent standardized, nonoperative treatment protocol consisting of 5~12 MHz high resolution ultrasound-guided local steroid injection into the subacromial bursa in modified Crass position. The shoulder range of motion, VAS score and impingement signs were evaluated during the initial and 1year visits. After injection, shoulder elevation exercise was encouraged. Statistical analysis with ANOVA model and Tukey's post-hoc test with the significance level at 5% were performed using SAS program. Results: All cases showed improved range of motion without limitation of shoulder function at immediate post-injection, 6-week, 3-month and 1year visits. The average VAS score at one year follow-up decreased to 2.85 from 6.47 before injection. In all cases the impingement signs became negative immediate after injection. However, 6 cases showed positive impingement signs after 6-week, which became negative after reinjection. The range of motion and VAS score were improved at one-year follow-up compared to initial visit (p<0.0001). No complication was noted at all follow-up period. Conclusion: Ultrasound-guided subacromial steroid injection alleviated the need of surgery, because it was successful in all our cases to improve pain and function of the shoulders until one year follow-up period.

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A Study on the Quality Control of Transvaginal Ultrasound Transducer using ATS-539 Ultrasound Phantom (ATS-539 초음파 팬텀을 이용한 경질 초음파 검사용 탐촉자의 정도관리에 대한 연구)

  • Park, Ji Hye;Heo, Yeong Cheol;Kim, Yon min;Han, Dong Kyoon
    • Journal of the Korean Society of Radiology
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    • v.15 no.4
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    • pp.463-472
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    • 2021
  • Demand for examinations using transvaginal transducer with high frequencies is increasing to observe pelvic organs in gynecological ultrasound tests. However, the quality control of the replacement probe in clinical trials is not properly implemented and the evaluation criteria have not been established. Therefore, 58 transvaginal transducers and 20 convex transducers were applied to the ATS-539 ultrasound phantom for 20 ultrasound devices currently in clinical use to obtain their respective images and measure them quantitatively and qualitatively. For quantitative measurements, vertical measurement, horizontal measurement, and focal zone and qualitative measurements, dead zone, axial·lateral resolution, sensitivity, functional resolution, gray scale·dynamic range were performed. Quantitative statistical analysis showed significant differences between the two transducers in the lateral measurement and local area (p<0.05). qualitative comparative analysis showed differences in sensitivity and functional resolution. This occurs due to the difference in frequency between transducers and the transducer's injection geometry. Based on the above experiments, the tolerance for horizontal measurement is raised to 10% (±8 mm), the tolerance for sensitivity is observed up to 6 cm deep, which is 12 cm deep,which is the level of the third quartile (75%). The permissible range of functional resolution is up to 6 (12 cm), 6 (12 cm), 11 (11 cm), 9 (9 cm), 6 (6 cm) target, which is the level of the third quartile (75%). It is considered reasonable to adjust the depth of targets in gray scale·dynamic range to measure at a depth of 2 cm, which is 50% of the depth of 4 cm. As above, the criteria for evaluating the quality of transvaginal transducer for use in the past have been proposed and it is expected that this study will be used as a basic data for the production of phantom exclusively for transvaginal transducer in the future.

Ciliated Foregut Cyst and Accessory Spleen in the Pancreas: A Case Report and Literature Review (췌장에서 발생한 부비장과 동반된 섬모성 전장낭: 증례 보고와 문헌고찰)

  • Hyun Jin Kim;Heejin Kwon;Kyungjae Lim;Jinhan Cho;Min Gyoung Pak;Kwan Woo Kim
    • Journal of the Korean Society of Radiology
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    • v.84 no.1
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    • pp.263-269
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    • 2023
  • Ciliated foregut cyst is a relatively rare disease; thus, most reports are in the form of case studies. This benign cyst is usually found in the mediastinum and account for approximately 20% of all mediastinal masses. However, it is rarely found in the hepatobiliary and peripancreatic regions. Approximately 20 cases of ciliated foregut cysts involving the pancreas have been reported in the Enlgish literature. Here, we present a case of ciliated foregut cyst that occurred in the tail of the pancreas in a 29-year-old female. The patient's ultrasonography, CT, and MRI findings are presented, along with a review of the literature.

Medial Gastrocnemius Ultrasound Imaging of Delayed Onset Muscle Soreness over time (시간경과에 따른 지연성근통증 내측 비복근의 초음파 영상)

  • Lee, Wan-Hee;Cho, Ki-Hun;Lee, Kyoung-Suk;Kim, Mi-Hwa
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.6
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    • pp.2632-2640
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    • 2012
  • The purpose of this study was to investigate whether medial gastrocnemius ultrasound imaging of the Delayed Onset Muscle Soreness (DOMS) has the possibilities as a measurement method. This study was conducted from April 21th 2011 to April 30th 2011. Thirty-five healthy subjects were included based on the absence of regular physical activity, and no history of recent trauma, musculoskeletal pathology, cardiovascular disease or drug intake. All subjects induced DOMS through climbing for 5 hours and we measured the visual analogue scale (VAS), creatine kinase (CK) and maximal voluntary isometric contraction (MVlC) of ankle plantar flexor prior to DOMS and at 24, 48 and 72 hours post DOMS and these measurements were compared with pennation angle of medial gastrocnemius measured by ultrasound imaging. Results of this study were as following. VAS, CK, and MVIC of ankle plantar flexor were found significant difference related measurement period (p<0.05) and pennation angle of medial gastrocnemius were found significant difference related measurement period (p<0.05). Furthermore, we confirmed that the flow of change between variables related measurment period was consistent. Through this study, we think that measuring the changes in pennation angle of medial gastrocnemius over time using ultrasound imaging will be able to be used as a new method measuring DOMS.

A Study on the Implementation of the Multi-Process Structured ISDN Terminal Adaptor for Sending the Ultra Sound Medical Images (다중처리 구조를 갖는 초음파 의료영상 전송용 ISDN(Integrated Services Digital Network) TA(Terminal Adaptor) 구현에 관한 연구)

  • 남상규;이영후
    • Journal of Biomedical Engineering Research
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    • v.15 no.3
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    • pp.317-324
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    • 1994
  • This paper proposed a new method in the implementation of ISDN (integrated services digital network) LAPD (link access procedure on the D-channel) and LAPB (link access procedure on the B-channel) protocols. The proposed method in this paper implement ISDW LAPD protocol through multi-tasking operating system and adopt a kernel part that is changed operating system to target board. The features of implemented system are (1) the para.llel processing of the events generated at each layer, as follows (2) the supporting necessary timers for the implementation of ISDW LAPD protocol from the kernel part by using software, (3) the recommanded SAP (Service Access Point) from CCITT was composed by using port function in the operating system. With the proposed method, the protocols of ISDH layerl, layer2 and layer3 (call control) were implemented by using the kernel part and related tests were carried out by connecting the ISDH terminal simulator to ISDN S-interface system using the ISDN LAPD protocol The results showed that ISDW S-interface terminals could be discriminated by TEI (Terminal Equipment Identifier) assignment in layer 2 (LAPD) and the message transmission of layer 3 was verified by establishing the multi-frame transmission and then through the path established by the LAPD protocol, a user data was tranfered and received on B-channel with LAPB protocol Thererfore, as new efficient ISDN S-interface environment was implemented in the thesis, it was verified that the implemented system can be utilized by connecting ISDW in the future to transfer a medical image data.

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A Study of Technical Approach Methods to Transabdominal Ultrasonography of the Extrahepatic Bile Ducts and of Following Effects from the Scan Training (간외담관 초음파검사의 주사방법 개선과 교육 후 주사 습득효과에 관한 연구)

  • Lee, In-Ja;Kang, Dae-Hyun;Kim, Bo-Young
    • Journal of radiological science and technology
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    • v.31 no.2
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    • pp.149-159
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    • 2008
  • The purposes of this study are to analyze abnormal dilatation of the extrahepatic bile ducts by using transabdominal ultrasound, to confirm the existence of bile ducts diseases and their interrelationship, and for it to give a new theoretical basis for the technical access to extrahepatic bile ducts, upon which to analyze the ripple effects of the scan training. After teaching technical access process based on the new theory about extrahepatic bile duct to the thirty students who are studying ultrasonography, we allocated three hours per one student (30 mins ${\times}$ 6 times) to focus on the training of scanning skill. Training has been performed by one-to-one method. For evaluation, all the students have to perform the scans on (1) confluence of the right and left hepatic ducts (extrahepatic bile ducts and cystic duct), (2) the suprapancreatic bile duct, (3) the intrapancreatic bile duct, (4) intrapapilla Duct, based on the clearly divided concept. The existing training and methods have had low confidency about transabdominal ultrasonography of the extrahepatic bile duct and had limitation with which they could image only the suprapancreatic bile duct. The evaluation after finishing the train based on the new theory, however, all the students (30students) can access to (1) confluence of the right and left hepatic ducts(extrahepatic bile ducts and cystic duct), (2) the suprapancreatic bile duct objectively. 24 students can access to (3) the intrapancreatic bile duct and only one student can even make an image for (4) the intrapapilla Duct Though the evaluation on extrahepatic bile duct has to be performed with multi-sided method considering intrahepatic cause, bile duct cause and pathophysiological cause, only if we can image the extrahepatic bile duct to ampular of Vater objectively and confidently, we can greatly reduce invasive procedure such as ERCP, which is for the purpose of simple differential diagnosis and painful to the patients. Therefore if we concentrate on the scanning train based on the new theory to raise the confidency about ultrasonography, the effect will be doubled.

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Implementation of Prevention and Eradication System for Harmful Wild Animals Based on YOLO (YOLO에 기반한 유해 야생동물 피해방지 및 퇴치 시스템 구현)

  • Min-Uk Chae;Choong-Ho Lee
    • Journal of the Institute of Convergence Signal Processing
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    • v.23 no.3
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    • pp.137-142
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    • 2022
  • Every year, the number of wild animals appearing in human settlements increases, resulting in increased damage to property and human life. In particular, the damage is more severe when wild animals appear on highways or farmhouses. To solve this problem, ecological pathways and guide fences are being installed on highways. In addition, in order to solve the problem in farms, horn repelling using sensors, installing a net, and repelling by smell of excrement are being used. However, these methods are expensive and their effectiveness is not high. In this paper, we used YOLO (You Only Look Once), an AI-based image analysis method, to analyze harmful animals in real time to reduce malfunctions, and high-brightness LEDs and ultrasonic frequency speakers were used as extermination devices. The speaker outputs an audible frequency that only animals can hear, increasing the efficiency to only exterminate wild animals. The proposed system is designed using a general-purpose board so that it can be installed economically, and the detection performance is higher than that of the devices using the existing sensor.

A Framework of Recognition and Tracking for Underwater Objects based on Sonar Images : Part 1. Design and Recognition of Artificial Landmark considering Characteristics of Sonar Images (소나 영상 기반의 수중 물체 인식과 추종을 위한 구조 : Part 1. 소나 영상의 특성을 고려한 인공 표식물 설계 및 인식)

  • Lee, Yeongjun;Lee, Jihong;Choi, Hyun-Taek
    • Journal of the Institute of Electronics and Information Engineers
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    • v.51 no.2
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    • pp.182-189
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    • 2014
  • This paper proposed a framework of recognition and tracking for underwater objects using sonar images as an alternative of underwater optical camera which has the limitation of usage due to turbidity. In Part 1, a design and recognition method for 2D artificial landmark was proposed considering the practical performance of current imaging sonars. In particular, its materials are selected in order to maximize detectability based on characteristics of imaging sonar and ultrasonic waves. It has a simple and omni-directional shape which allows an easy modeling of object, and it includes region based features as identifications. Also, we proposed a real-time recognition algorithm including edge detector, Hough circle transforms, and shape matrix based recognition algorithm. The proposed methods are verified by basin tests using DIDSON.

Diagnostic Performance of Rectal CT for Staging Rectal Cancer: Comparison with Rectal MRI and Histopathology (직장암 병기결정에서 직장 CT의 진단능: 직장 MRI 및 병리결과와의 비교분석)

  • Seok Yoon Son;Yun Seok Seo;Jeong Hee Yoon;Bo Yun Hur;Jae Seok Bae;Se Hyung Kim
    • Journal of the Korean Society of Radiology
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    • v.84 no.6
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    • pp.1290-1308
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    • 2023
  • Purpose To compare the diagnostic performance of rectal CT with that of high-resolution rectal MRI and histopathology in assessing rectal cancer. Materials and Methods Sixty-seven patients with rectal cancer who underwent rectal CT with rectal distension using sonographic gel and high-resolution MRI were enrolled in this study. The distance from the anal verge/anorectal junction, distance to the mesorectal fascia (MRF), extramural depth (EMD), extramesorectal lymph node (LN) involvement, extramural venous invasion (EMVI), and T/N stages in rectal CT/MRI were analyzed by two gastrointestinal radiologists. The CT findings of 20 patients who underwent radical surgery without concurrent chemoradiotherapy were compared using histopathology. Interclass correlations and kappa statistics were used. Results The distance from the anal verge/anorectal junction showed an excellent intraclass correlation between CT and MRI for both reviewers. For EMD, the distance to the MRF, presence of LNs, extramesorectal LN metastasis, EMVI, T stage, and intermodality kappa or weighted kappa values between CT and MRI showed excellent agreement. Among the 20 patients who underwent radical surgery, T staging, circumferential resection margin involvement, EMVI, and LN metastasis on rectal CT showed acceptable concordance rates with histopathology. Conclusion Dedicated rectal CT may be on par with rectal MRI in providing critical information to patients with rectal cancer.

Development of the Automated Ultrasonic Testing System for Inspection of the flaw in the Socket Weldment (소켓 용접부 결함 검사용 초음파 자동 검사 장비 개발)

  • Lee, Jeong-Ki;Park, Moon-Ho;Park, Ki-Sung;Lee, Jae-Ho;Lim, Sung-Jin
    • Journal of the Korean Society for Nondestructive Testing
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    • v.24 no.3
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    • pp.275-281
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    • 2004
  • Socket weldment used to change the flow direction of fluid nay have flaws such as lack of fusion and cracks. Liquid penetrant testing or Radiography testing have been applied as NDT methods for flaw detection of the socket weldment. But it is difficult to detect the flaw inside of the socket weldment with these methods. In order to inspect the flaws inside the socket weldment, a ultrasonic testing method is established and a ultrasonic transducer and automated ultrasonic testing system are developed for the inspection. The automated ultrasonic testing system is based on the portable personal computer and operated by the program based Windows 98 or 2000. The system has a pulser/receiver, 100MHz high speed A/D board, and basic functions of ultrasonic flaw detector using the program. For the automated testing, motion controller board of ISA interface type is developed to control the 4-axis scanner and a real time iC-scan image of the automated testing is displayed on the monitor. A flaws with the size of less than 1mm in depth are evaluated smaller than its actual site in the testing, but the flaws larger than 1mm appear larger than its actual size on the contrary. This tendency is shown to be increasing as the flaw size increases. h reliable and objective testing results are obtained with the developed system, so that it is expected that it can contribute to safety management and detection of repair position of pipe lines of nuclear power plants and chemical plants.