• Journal of the Korea Computer Graphics Society
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• v.24 no.4
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• pp.29-38
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• 2018

In this paper, we propose an automatic segmentation method of meniscus in knee MR images by automatic meniscus localization, multi-atlas-based locally-weighted voting, and patch-based edge feature classification. First, after segmenting the bone and knee articular cartilage, the volume of interest of the meniscus is automatically localized. Second, the meniscus is segmented by multi-atlas-based locally-weighted voting taking into account the weights of shape and intensity distribution in the volume of interest of the meniscus. Finally, to remove leakage to the collateral ligaments with similar intensity, meniscus is refined using patch-based edge feature classification considering shape and distance weights. Dice similarity coefficient between proposed method and manual segmentation were 80.13% of medial meniscus and 80.81 % for lateral meniscus, and showed better results of 7.25% for medial meniscus and 1.31% for lateral meniscus compared to the multi-atlas-based locally-weighted voting.

• Journal of KIISE:Computing Practices and Letters
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• v.16 no.11
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• pp.1096-1100
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• 2010

In this paper, we propose an automatic segmentation of the meniscus based on active shape model using interpolated shape information in MR images. First, the statistical shape model of meniscus is constructed to reflect the shape variation in the training set. Second, the generation technique of interpolated shape information by using the weight according to shape similarity is proposed to robustly segment the meniscus with large variation. Finally, the automatic meniscus segmentation is performed through the active shape model fitting. For the evaluation of our method, we performed the visual inspection, accuracy measure and processing time. For accuracy evaluation, the average distance difference between automatic segmentation and semi-automatic segmentation are calculated and visualized by color-coded mapping. Experimental results show that the average distance difference was $0.54{\pm}0.16mm$ in medial meniscus and $0.73{\pm}0.39mm$ in lateral meniscus. The total processing time was 4.87 seconds on average.

• Journal of the Korean Arthroscopy Society
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• v.3 no.1
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• pp.24-29
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• 1999

Purpose : The purpose of this paper is to analyze the clinical results after meniscal repair using meniscal arrow. Materials and Methods : Between May 1997 and Aug 1998, we repaired 22 tom menisci in 22 patients using meniscal arrows. There were nineteen males and three females with an average age of 27 years. There were longitudinal tear in 14 cases, Bucket-handle tear were 7 cases and horizontal tear was in 1 case. In 22 meniscus tears, 16 cases were associated with anterior cruciate ligament tear. Average number of meniscal arrow that was used were 2.5(ranged 1 to 4). Average follow-up period was 14.7 months(ranged 6 to 22 months). We evaluated the clinical results by the Tapper and Hoover's grading system. Results : There were excellent in 16 cases, good in 4 cases and fair in 2 cases on the clinical results. At the last follow up, the range of the motion of the knee joint were average 135 degrees(ranged 125 to 140 degrees). Mean time elapsed for meniscal repair were 25 minutes(ranged 15 to 40 minutes). Conclusion : Meniscal arrow has many advantages such as short operative time, easy fixation technique, and less neurovascular injury. We think that arthroscopic meniscal repair using meniscal arrow is effective treatment method in selected patient who have longitudinal, bucket-handle tear at the posterior hom associated with anterior cruciate ligament tear.

• Journal of Korean Orthopaedic Sports Medicine
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• v.11 no.1
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• pp.30-36
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• 2012

Purpose: We compared the clinical and radiological results of meniscectomy with HTO or without HTO for degenerative medial meniscus posterior horn with varus deformity. Materials and Methods: Forty-two patients who had medial meniscus degenerative root tear with varus deformity more than 3 degrees were included for this study. Among them, 30 patients were performed meniscectomy combined with open wedge HTO and 12 patients were performed only meniscectomy without HTO. The mean follow-up period was 52.5 months. The clinical results were evaluated based on symptom improvement, patients' subjective satisfaction for surgery and HSS score. We also compared the osteoarthritic progression between the group on preoperative and at the final follow up radiographs. Results: Symptom improvement was achieved in 83.3% (25 cases) with HTO group and 66.7% (8 cases) without HTO group at final follow up with a significant difference. Patients' satisfaction was achieved in 83.3% (25 cases) with HTO group and 58.3% (7 cases) without HTO group which has a significant difference. The HSS score was improved in both group (90.8: with HTO group, 89.0: without HTO group) at the final follow up without significant difference. WOMAC score was improved in both groups at the final follow up without significant difference. There were no significant differences in the osteoarthritic progression between two groups. Conclusion: The good clinical result for treatment of patient who have medial meniscus degenerative root tear with varus deformity, proximal high tibial osteotomy is considered absolutely necessary. However, the progression of degenerative arthritis, its effect on long term follow up will be needed.

• Journal of architectural history
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• v.29 no.2
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• pp.19-30
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• 2020

In the early of Joseon Dynasty, Royal Tomb developed from stone chamber tomb to lime chamber tomb through precedents. The lime chamber tomb consists of main-chamber(JeongGwang) and sub-chamber(ToeGwang). This separation makes character to construct tumulus of the Royal Tomb half and half. By this character, the Royal Tomb are not constructed by separate structure but constructed by coadjustment. The underground structure and tumulus of the Royal Tomb affect each other in the size and method of construction. The selecting type of Royal Tomb is generally made decision through terrain and politics. This study prove the architectural structure is also one of the major cause the that select type of Royal Tomb.

• Journal of the Korean Arthroscopy Society
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• v.4 no.1
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• pp.19-24
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• 2000

Purpose : To clinically analyze 62 patients who had meniscal repair and compare the results according to methods of repair. Materials and Methods : Between May 1997 and June 1998, we repaired 68 torn menisci in 68 patients. There were 52 male and 10 female with an average age of 26.9 years(ranging from 6 to 51 years). We used Linvatec suture in 46 knees(group A)and meniscal arrow in 16 knees(B group). In six knees we used Linvatec and meniscal arrow both. These 6 knees were excluded and 62 of 68 repaired meniscus were analyzed in this study. Average follow-up period was 18.5 months(ranging 12 to 26 months). We evaluated clinical results by Tapper and Hoover's grading system and subjective symptoms of the patients. Results : There were excellent in 47 cases$(76\%)$, good in 12$(19\%)$ and fair in 3$(5\%)$. In group A, there were excellent in 35 cases$(76\%)$, good in 9$(20\%)$ and fair in 2$(4\%)$. In group B, there were excellent in 12 cases$(75\%)$, good in 3$(19\%)$ and fair in 1$(6\%)$. There was no significant differences in clinical results between two groups. But mean operative time taken for meniscus repair was 40 minutes in group A and 25 minutes in group B. Conclusion : We can obtain good clinical results with short operation time in meniscal repair by proper selection of methods of repair according to the type, location, and size of meniscal tear and associated lesions.

• Proceedings of the Korean Information Science Society Conference
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• 2010.06a
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• pp.244-245
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• 2010

• Journal of the Korean Arthroscopy Society
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• v.9 no.1
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• pp.56-59
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• 2005

Trans-posterior septal posterior arthroscopic portals are useful in performing arthroscopic diagnosis and treatment of the lesions located in posterior aspect of knee joints. Except inferior surface of posterior horn of lateral meniscus, we easily observed entire lateral compartment, especially inferior surface of anterior horn and lateral tibial condyle by figure of 4 position through posteromedial trans-posterior septal arthroscopic portal. And it was possible to obtain visual field from posterior aspect and we could use anteromedial and anterolateral portals for instrumentation without clouding. So, this procedure may be useful in performing surgery of lateral compartment especially, anterior aspect in the knee joints.

• Journal of the Korean Arthroscopy Society
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• v.16 no.2
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• pp.114-120
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• 2012

Purpose: The purpose of the study was to evaluate the usefulness and the stability of the superficial medial collateral ligament (MCL) release in posterior medial meniscus root repair. Materials and Methods: We compared 20 patients who underwent posterior medial meniscus root repair with superficial MCL preserved (PM) and 32 patients who underwent posterior medial meniscus root repair combined with superficial MCL release (RM) from April 2006 to September 2010. We excluded the patients combined with other surgery. To evaluate the postoperative valgus instability in RM group, we examined direct tenderness on MCL insertion, the subjective feeling of instability and valgus stress test at 3 months and 1 year follow-up. We compared the tourniquet time between PM group and RM group, and the clinical results were assessed by Lysholm score and International Knee Documentation Committee (IKDC) for the usefulness. Results: All patients had no clinically significant complication related to the superficial MCL release. Three months and 1 year follow-up, there were no positive tenderness test, no subjective symptoms and no significant increase of valgus instability although 5 patients examined grade I valgus instability. The mean tourniquet time was $41.3{\pm}12.7$ minutes in RM group and $53.5{\pm}13.6$ minutes in PM group. There was a significant difference in the tourniquet time between the two groups (P<0.05). Average Lysholm score was $56.8{\pm}5.5$ (range, 44-70) preoperatively and $85.1{\pm}5.8$ (range, 77-94) postoperatively in PM group, and was $56.2{\pm}5.4$ (range, 45-67) preoperatively and $87.4{\pm}3.9$ (range, 82-95) postoperatively in RM group (P<0.001). No significant difference of Lysholm score was found in both groups (P<0.05). Average IKDC scores was $42.6{\pm}3.9$ (range, 30-53) preoperatively and $77.2{\pm}6.3$ (range, 68-92) postoperatively in PM group, and was $42.7{\pm}5.7$ (range, 30-53) preoperatively and $89.6{\pm}2.9$ (range, 84-95) postoperatively in RM group (P<0.05). There was also no significant difference of IKDC score in both groups (P<0.05). Conclusion: The superficial MCL release in posterior medial meniscus root repair is useful to gain a wide surgical field and reduces the tourniquet time and does not lead to postoperative valgus instability. It can be considered clinically useful and safe procedure in medial meniscus posterior root repair.

• Journal of Wetlands Research
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• v.15 no.3
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• pp.347-356
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• 2013

To provide the information for the wetland management considering the water treatment ability of macrophytes, the growth characteristics and primary production by reed (Phragmites australis) and cattail (Typha angustifolia), and the decomposition rate of organic matter produced were investigated in two sub-wetlands (Banweol and Donhwa wetlands) of the Sihwa Constructed Wetland (CW) with different chemistry of inflows. The shoot height of P. australis and Typha angustifolia began to increase in March, and reached its peaks in July and August (340cm and 320cm, respectively). The shoot density of P. australis ranging $100{\sim}170EA/m^2$ was higher than that of T. angustifolia (max. $78EA/m^2$). Standing biomass of P. australis ranged from $1,350{\sim}1,980gDM/m^2$, with maximal biomass in Banwol Upper Wetland. And it was larger in upper wetlands than lower wetlands. On the other hand standing biomass of T. angustifolia ($1,940gDM/m^2$) was similar to that of P. australis in Banwol Upper Wetland. Primary productivity of P. australis was in the order of Banwol Upper Wetland ($2,050gDM/m^2/yr$) > Donghwa Lower Wetland ($1,840gDM/m^2/yr$) > Banwol Lowerr Wetland ($1,570gDM/m^2/yr$) ${\fallingdotseq}$ Donghwa Lower Wetland ($1,540gDM/m^2/yr$), and that of T. angustifolia ($2,210gDM/m^2/yr$) was higher than P. australis. Annual production of organic matter produced by P. australis and T. angustifolia was 845 ton DM/yr (423 ton C/yr), and about 90% was comprised of that by P. australis. From the litter decomposition rate (k) (P. australis: leaf 0.0062/day, stem 0.0018/day; T. angustifolia: leaf 0.0031/day, stem 0.0018/day), leaf was rapid degraded compare to stem in both P. australis and T. angustifolia. The litter decomposition rate of leaf was two times rapid P. australis than T. angustifolia, whereas that of stem was same in both. Annual litter decomposition amount of P. australis than T. angustifolia was 285 ton C/yr(67.3% of organic matter produced by macrophytes), indicating that 32.7% of organic matter produced by macrophytes is accumulated in the Sihwa CW.