• Journal of the Korean Orthopaedic Association
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• v.56 no.3
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• pp.200-207
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• 2021

Periprosthetic femoral fractures remain as one of the most challenging complications following total hip arthroplasty. A thorough clinical and radiographic evaluation, precise classification, and understanding of modern management principles are essential to obtain optimal results for these fractures. The Vancouver classification system is a simple, effective, and reproducible method for the planning treatments of these injuries. The fractures associated with a stable femoral stem can be treated effectively with osteosynthesis, but periprosthetic femoral fractures associated with a loose stem require revision arthroplasty. This paper describes the principle of the treatment of patients with periprosthetic femoral fractures and how to assess the stability of the femoral stem.

• The Korean Journal of Nuclear Medicine
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• v.27 no.2
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• pp.256-260
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• 1993

Thirteen patients received a coralline hydroxyapatite sphere as a buried integrated ocular implant after enucleation surgery. The implant was modified by multiple drillings, 1 mm in diameter, to the center of the sphere to allow more rapid host tissue ingrowth. $^{99m}Tc$-MDP planar and tomographic bone scintigraphies were performed at various intervals after implantation (from 100 to 742 days after operation) to assess vascularization of the implant. All patients showed hot uptakes in the implants. These patients underwent a secondary drilling for the final motility peg application. The confirmation of vascular ingrowth was done by inspection of bleeding at the time of bleeding at the time of drilling from the center of the implant. Bleeding from the drilled implant was noted in all patients. In cnclusion, hot uptake in the implanted ocular hydroxyapatite implant accurately reflect vascular ingrowth into the implant.

• Journal of the Korean Society of Radiology
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• v.14 no.7
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• pp.1003-1011
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• 2020

This study aims to compare and evaluate the image differences between single and dual sources in applying a technique to reduce metal artifacts using dual energy CT. Discovery CT 256 (GE, USA) as a single source device and Somatom Definition Flash (Siemens Health Care, Forchheim, Germany) as a dual source device. The self-made phantom (pigs with medical titanium screws inserted) was quantitative and qualitatively evaluated under the same conditions by varying the dose under the same conditions using a dual energy CT. The evaluation method was compared by measuring SNR for metal artifacts (scattering, stripe) generated by metal inserts, divided around bones and around tissues. There was a difference in images in the method of reducing metal artifacts between single-source and dual-source devices. In a single source device, the linearized prosthesis by metal implantation showed a greater decrease than the image obtained from a double source device, and the surrounding tissue was well observed without interference from the artifact. In dual-source devices, scattering and stripe artifacts caused by metal inserts decreased more than on a single source device, and signals from adjacent tissues surrounding the metal implant were well observed without diminishing. If the examination is conducted separately between single source and dual source devices depending on whether the area to which the patient is intended to be viewed during the examination is adjacent to the metal insert or the total tissue surrounding the metal insert, it is believed that diagnostic helpful images can be obtained.

• Proceedings of the International Microelectronics And Packaging Society Conference
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• 2003.11a
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• pp.157-160
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• 2003

mesocarbon microbeads (MCMB) 카본 분말에 제2상 첨가물로서 소량의 주석산화물$(SnO_2)$을 균일하게 분산 첨가시킴으로서 리튬이차전지의 부극재료로 사용되는 카본 분말의 전지 성능을 개선하였다. 주석산화물 첨가 방법는 전하적정법을 사용하여 Sn을 MCMB 분말에 삽입시키고, 다시 삽입된 Sn이 산화되도록 대기 중에서 $250^{\circ}C$로 1시간동안 후열처리를 하였다. 주석산화물이 첨가된 MCMB 카본분말로 Li/MCMB 전지 cell을 만들어 충방전시험을 수행한 결과, raw MCMB로 만든 전극보다 더 우수한 충방전 용량과 싸이클 특성을 나타내었다. 즉, 주석산화물 삽입에 의해 표면개질된 MCMB 카본 분말은 기존의 MCMB에 비해 높은 초기 방전용량과 충전용량을 나타내었고, 또한 높은 가역 특성과 좋은 cycleability를 보였다. 삽입된 $SnO_2$의 양이 증가할수록 높은 가역용량을 나타내었고 비가역용량 역시 높은 값을 나타내었다.

• Journal of the Korean Society of Radiology
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• v.16 no.6
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• pp.709-718
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• 2022

We evaluated the effect of high-density aluminum, titanium, and steel metal inserts on computed tomography (CT) numbers and radiation treatment plans for Tomotherapy. CT images were obtained using a cylindrical TomoPhantom comprising cylindrical rods of various densities and metal inserts. Three CT image sets were evaluated for image quality as the mean CT number and standard deviation. Dose evaluation also performed. The reference values did not significantly differ between the CT image sets with the corrected metal inserts. The higher-density material exhibited the largest difference in the mean CT number and standard deviation. The conformity index at Iterative-Metal Artifact Reduction (iMAR) was approximately 20% better than that of non-iMAR. No significant target or organ at risk dose difference was observed between non-iMAR and iMAR. Therefore, iMAR is helpful for target or organ at risk delineation and for reducing uncertainty for three-dimensional conformal radiation therapy in Tomotherapy.

• The Journal of Korean Academy of Prosthodontics
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• v.49 no.2
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• pp.106-113
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• 2011

The object of this clinical study was to evaluate the short-term outcome of modified resin-bonded fixed partial dentures which utilizes the original tooth undercuts and different path of insertion of components. Materials and methods: 71 units of modified RBFPDs that were used in 21 patients at the Department of Prosthodontics, College of Dentistry, Yonsei University were evaluated. The follow-up period was up to 25 months, the mean being 7 months. Survival rate, mobility, percussion, probing depth, bleeding on probing, plaque index was recorded and radiographs were taken to monitor alveolar bone loss. Results & Conclusion: Within the limits of this short term retrospective study, it was concluded that: 1. No mechanical failure such as debonding or fracture of the framework was found during the follow-up period. 2. The periodontal apparatus was stable and no clinical change was observed after prosthetic treatment. 3. No significant marginal bone loss was found in the radiographic evaluation.

• The Korean Journal of Nuclear Medicine Technology
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• v.16 no.2
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• pp.35-43
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• 2012

Purpose : PET/CT performed CT-based attenuation correction generates the beam hardening artifact by metallic implant. The attenuation correction causes over or underestimate of the area adjacent to metallic hip prosthetic material and change of $^{18}F$-FDG uptake. Also, the image quality and the diagnosability on genitourinary disease are reduced. Therefore, this study will evaluate the usefulness of MAR (Metal Artifact Reduction) algorithm method to improve the image quality on PET/CT. Materials and Methods : PET/CT was performed by fixing hip prosthesis in SPECT/PET phantom. In PET images with and Without MAR algorithm, the Bright streak, Dark streak, Metal region and Background area that appeared on CT were confirmed, and the change of each SUV (standardized uptake value) was analyzed. Also, in 15 patients who underwent total hip arthroplasty, each MAR algorithm and Without MAR algorithm and non attenuation correction was evaluated. Results : In PET image Without MAR algorithm, SUV of Bright streak region was $0.98{\pm}0.48$ g/ml; Dark streak region was $0.88{\pm}0.02$ g/ml; Metal region was $0.24{\pm}0.16$ g/ml, Background area was $0.91{\pm}0.18$ g/ml. In SUV of PET image with MAR algorithm, Bright streak region was $0.88{\pm}0.49$ g/ml, Dark streak region was $0.63{\pm}0.21$ g/ml, Metal region was $0.06{\pm}0.07$ g/ml, Background was $0.90{\pm}0.02$ g/ml. SUV generally decreased when applying MAR algorithm. In PET image Without MAR algorithm, SUVs of Bright region were higher than those measured in the Background, and it was false positive uptake. But, in PET image with MAR algorithm, SUVs of Bright region were similar to the Background, and false positive uptake disappeared. Conclusion : MAR algorithm could reduce an increase of $^{18}F$-FDG uptake due to attenuation correction in the hip surrounding tissue. However, decrease of SUV in Dark streak region should be considered in the future. Therefore, this study propose that the diagnostic accuracy can be improved in genitourinary diseases adjacent to metallic hip prosthesis, if provided PET images with and Without MAR algorithm, and non attenuation correction images at the same time.

• The Academic Congress of Korean Shoulder and Elbow Society
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• 1997.05a
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• pp.134-134
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• 1997

• Proceedings of the Korean Society of Precision Engineering Conference
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• 2003.10a
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• pp.18-18
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• 2003

• Korean Journal of Air-Conditioning and Refrigeration Engineering
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• v.16 no.3
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• pp.211-217
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• 2004

Effect of a solid insert on thermal stratification in the natural convection enclosure is numerically investigated. The enclosure consists of two differently heated vertical walls and two adiabatic horizontal walls. A solid insert is located in the middle of the enclosure. The non-dimensional governing equations are solved by using the SIMPLER algorithm. The computations are carried out with the variations of thermal conductivity, width and height of the solid insert. The Prandtl number of the fluid in an enclosure is fixed at Pr=0.71, Two cases of Rayleigh number are considered in the present study, i.e., Ra:10$^3$ and 10$^{6}$ . The thermal stratification attenuates as thermal conductivity, width, and height of the solid insert are increased. As the thermal conductivity ratio of a solid insert to fluid increases beyond (equation omitted)10$^3$, the thermal stratification ratio shows an asymptotic value.