• Title/Summary/Keyword: 움직임 감소 장치

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A Study on the Reduction of Organ Motion from Respiration (호흡 운동에 의한 내부 장기의 움직임 감소에 관한 연구)

  • Kim Jae-Gyoun;Lee Dong-Han;Lee Dong-Hoon;Kim Mi-Sook;Cho Chul-Koo;Yoo Seong-Yul;Yang Kwang-Mo;Oh Won-Yong;Ji Young-Hoon
    • Progress in Medical Physics
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    • v.15 no.4
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    • pp.179-185
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    • 2004
  • To deal with tumor motion from respiration is one of the important issues for the advanced treatment techniques, such as the intensity modulated radiation therapy (IMRT), the image guided radiation therapy (IGRT), the three dimensional conformal therapy (3D-CRT) and the Cyber Knife. Studies including the active breath control (ABC) and the gated radiation therapy have been reported. Authors have developed the device for reducing the respiration effects and the diaphragm motions with this device were observed to determined the effectiveness of the device. The device consists of four belts to immobilize diaphragm motion and the vacuum cushion. Diaphragm motions without and with device were monitored fluoroscopically. Diaphragm motion ranges were found to be 1.14 ~ 3.14 cm (average 2.14 cm) without the device and 0.72~1.95 cm (average 1.16 cm) with the device. The motion ranges were decreased 20 ~ 68.4% (average 44.9%.) However, the respiration cycle was increased from 4.4 seconds to 3.7 seconds. The CTV-PTV margin could be decreased significantly with the device developed in this study, which may be applied to the treatments of the tumor sited diaphragm region.

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구동 팬톰 시스템을 통한 내부 장기 움직임의 선량 평가

  • Kim, Jae-Gyun;Kim, Yun-Jong;Lee, Dong-Han;Lee, Dong-Hun;Kim, Mi-Suk;Jo, Cheol-Gu;Ryu, Seong-Ryeol;Yang, Gwang-Mo;Yu, Hyeong-Jun;Ji, Yeong-Hun
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2005.04a
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    • pp.64-67
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    • 2005
  • 본 연구의 목적은 호흡 운동에 영향을 받는 내부 장기의 움직임을 정량적으로 분석하고, 그 결과를 토대로 움직이는 내부 장기의 선량 분포를 측정하고 평가하는 것이다. 그리고 이전에 보고된 논문에서 개발된 움직임 감소 장치의 사용 유무에 따른 내부 장기의 선량 분포 또한 분석하는 것이다. 이를 위하여 1차원적으로 움직이는 구동 팬톰 시스템을 개발하였고, 6MV X-ray에서 Kodak X-omat V 필름을 사용하여 움직이는 내부 장기의 선량분포를 실험적으로 측정하였다. 이 결과로부터 호흡 운동으로 인한 움직이는 내부 장기 및 종양에 조사되는 선량의 부정확도를 평가할 수 있었고, 움직임 감소 장치를 사용했을 때 선량의 부정확도가 감소함을 확인할 수 있었다.

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Physiological Signal Analyses for Designing Knitted Fabric Sound (편성물의 소리디자인을 위한 생리신호분석)

  • 김춘정;조자영;하지영;조길수
    • Proceedings of the Korean Society for Emotion and Sensibility Conference
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    • 2003.05a
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    • pp.1-4
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    • 2003
  • 본 연구는 경편성물의 특성에 영향을 미치는 중요한 구조변수인 조직, 편환의 계폐여부, 가이드바의 상호 움직임 방향에 따른 소리특성과 생리적 반응 사이의 관계를 파악함으로써 총합적 감성소재 설계를 위한 기초 자료를 제공하고자 하였다. 직물소리발생장치를 이용하여 7가지의 경편성물에 대한 마찰음을 녹음한 후, 이를 마찰음이 유발하는 생리반응을 측정하여 slow alpha파, fast beta파, ECG R-R, RESP, HF/LF, SCL, PV등을 분석하였다. 조직에 따라서는 LPT, Loundness(Z), Roughness(Z)와 Fluctuation strength(Z) 가장 큰 Sharkskin에서 fast beta파, ECG R-R, RESP는 증가하였으며 slow alpha파, PV, HF/LF는 감소하였다. 편환의 개폐여부에서는 폐환보다는 개환에서 Loudness(Z), Sharpness(Z), Fluctuation strength(Z)가 증가하였으며 RESP는 증가하고 HF/LF는 감소하여 개환이 더 불쾌한 감성을 유발하였다. 가이드바의 상호 움직임 방향은 counter보다는 parallel에서 slow alpha의 변화량이 감소하고 fast beta의 변화량이 증가하여 counter보다는 parallel이 더 불쾌한 감성을 유발하는 것으로 보인다. 또한 편성물의 음향특성 중 ΔL, Δf 와 Roughness(Z), Fluctuation Strength(Z)가 생리반응을 예측하는 중요한 요인으로써 나타났다.

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Use of Respiratory Motion Reduction Device (RRD) in Treatment of Hepatoma (간암의 방사선치료 시 호흡운동 감소장치(respiratory motion reduction device, RRD)의 유용성에 관한 연구)

  • Lee Suk;Seong Jinsil;Kim Yong Bae;Cho Kwang Hwan;Kim Joo Ho;Jang Sae Kyung;Kwon Soo Il;Chu Sung Sil;Suh Chang Ok
    • Radiation Oncology Journal
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    • v.19 no.4
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    • pp.319-326
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    • 2001
  • Purpose : Planning target volume (PTV) for tumors in abdomen or thorax includes enough margin for breathing-related movement of tumor volumes during treatment. Depending on the location of the tumor, the magnitude of PTV margin extends from 10 mm to 30 mm, which increases substantial volume of the irradiated normal tissue hence, resulting in increase of normal tissue complication probability (NTCP). We developed a simple and handy method which can reduce PTV margins in patients with liver tumors, respiratory motion reduction device (RRD). Materials and methods : For 10 liver cancer patients, the data of internal organ motion were obtained by examining the diaphragm motion under fluoroscope. It was tested for both supine and prone position. A RRD was made using MeV-Green and Styrofoam panels and then applied to the patients. By analyzing the diaphragm movement from patients with RRD, the magnitude of PTV margin was determined and dose volume histogram (DVH) was computed using AcQ-Plan, a treatment planning software. Dose to normal tissue between patients with RRD and without RRD was analyzed by comparing the fraction of the normal liver receiving to $50\%$ of the isocenter dose. DVH and NTCP for normal liver and adjacent organs were also evaluated. Results : When patients breathed freely, average movement of diaphragm was $12{\pm}1.9\;mm$ in prone position in contrast to $16{\pm}1.9\;mm$ in supine position. In prone position, difference in diaphragm movement with and without RRD was $3{\pm}0.9\;mm$ and 12 mm, respectively, showing that PTV margins could be reduced to as much as 9 mm. With RRD, volume of the irradiated normal liver reduced up to $22.7\%$ in DVH analysis. Conclusion : Internal organ motion due to breathing can be reduced using RRD, which is simple and easy to use in clinical setting. It can reduce the organ motion-related PTV margin, thereby decrease volume of the irradiated normal tissue.

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Design of A Portable Device for Measuring Heart Rate Using Harmonic Signal and Adaptive Filter (하모닉 신호와 적응 필터를 이용한 휴대형 심박수 측정 장치 설계)

  • Lee, Ju-Won
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.14 no.3
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    • pp.723-728
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    • 2010
  • This study proposed a design of a portable device for measuring heart rate using photoplethysmograph signal to minimize load of a nurse increased from insufficiency of an internal hospital nurse, and algorithm to measure reliable heart rate in PPG signals despite the existence of patient's motion artifacts. The proposed method for measuring heart rate is the method to minimize the motion interference by using the adaptive filter based on harmonic characteristic of PPG signal. To evaluate the performances of the a portable device implemented by the proposed method, we used several motion artifacts including finger and wrist movements; we then compared out results with the performance of the moving average filter. In this results, the proposed method showed a better performance than that of the moving average filter. Therefore, when nurses use the a portable device for measuring heart rate proposed in this study, it will enable to improve nurse work and to measure the reliable heart rate.

3T 자기공명영상장치 내에서 측정한 뇌파로부터의 심장박동 제거를 위한 신호처리 방법

  • 김경환;윤효운;박현욱
    • Proceedings of the KSMRM Conference
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    • 2003.10a
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    • pp.76-76
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    • 2003
  • 목적: fMRI와 뇌파의 동시측정 방법은 높은 시간적-공간적 해상도를 동시에 달성할 수 있는 뇌기능 측정을 가능케 하고, 각각의 방법이 제공하는 정보를 상호보완적으로 동시에 이용할 수 있도록 하는 유용한 방법이다. 그러나 자기공명영상을 얻기 위한 경사자계가 유발하는 잡음과 높은 자기장 내에서의 심장박동으로 인한 미세한 움직임 때문에 생기는 잡음이 뇌파신호의 질을 크게 저하하는 요소로 작용하여 이를 해결하기 위한 계측시스템의 최적화와 신호처리 방법의 개발이 요구된다. 본 논문에서는 평균차감법과 recursive least square 적응 필터링 방법에 기반한 심장 박동잡음의 감소를 위한 신호처리 방법의 개발 결과에 대한 연구 결과를 제시한다.

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Development of Artificial Pulmonary Nodule for Evaluation of Motion on Diagnostic Imaging and Radiotherapy (움직임 기반 진단 및 치료 평가를 위한 인공폐결절 개발)

  • Woo, Sang-Keun;Park, Nohwon;Park, Seungwoo;Yu, Jung Woo;Han, Suchul;Lee, Seungjun;Kim, Kyeong Min;Kang, Joo Hyun;Ji, Young Hoon;Eom, Kidong
    • Progress in Medical Physics
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    • v.24 no.1
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    • pp.76-83
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    • 2013
  • Previous studies about effect of respiratory motion on diagnostic imaging and radiation therapy have been performed by monitoring external motions but these can not reflect internal organ motion well. The aim of this study was to develope the artificial pulmonary nodule able to perform non-invasive implantation to dogs in the thorax and to evaluate applicability of the model to respiratory motion studies on PET image acquisition and radiation delivery by phantom studies. Artificial pulmonary nodule was developed on the basis of 8 Fr disposable gastric feeding tube. Four anesthetized dogs underwent implantation of the models via trachea and implanted locations of the models were confirmed by fluoroscopic images. Artificial pulmonary nodule models for PET injected $^{18}F$-FDG and mounted on the respiratory motion phantom. PET images of those acquired under static, 10-rpm- and 15-rpm-longitudinal round motion status. Artificial pulmonary nodule models for radiation delivery inserted glass dosemeter and mounted on the respiratory motion phantom. Radiation delivery was performed at 1 Gy under static, 10-rpm- and 15-rpm-longitudinal round motion status. Fluoroscpic images showed that all models implanted in the proximal caudal bronchiole and location of models changed as respiratory cycle. Artificial pulmonary nodule model showed motion artifact as respiratory motion on PET images. SNR of respiratory gated images was 7.21. which was decreased when compared with that of reference images 10.15. However, counts of respiratory images on profiles showed similar pattern with those of reference images when compared with those of static images, and it is assured that reconstruction of images using by respiratory gating improved image quality. Delivery dose to glass dosemeter inserted in the models were same under static and 10-rpm-longitudinal motion status with 0.91 Gy, but dose delivered under 15-rpm-longitudinal motion status was decreased with 0.90 Gy. Mild decrease of delivered radiation dose confirmed by electrometer. The model implanted in the proximal caudal bronchiole with high feasibility and reflected pulmonary internal motion on fluoroscopic images. Motion artifact could show on PET images and respiratory motion resulted in mild blurring during radiation delivery. So, the artificial pulmonary nodule model will be useful tools for study about evaluation of motion on diagnostic imaging and radiation therapy using laboratory animals.

Natural Hazard Research in Geography (지리학 측면에서의 자연재해연구)

  • 김욱중
    • Water for future
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    • v.22 no.4
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    • pp.415-415
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    • 1989
  • 자연재해연구는 인간.자연환경 관계를 연구하는 학문이다. 금세기초 환경결정론, 환경가능주의, 그리고 인지에 의한 행동과학주의로 연구 Paradigm이 변화.발전되어 오며서 지리학에서도 이러한 이론적 방법론의 바탕위에 인간-자연환경 관계를 설명하려고 노력했다. 1920년대 초 Barrow가 인간생태학 개념을 발표, 1950, 1960년대 이에 영향받은 White, Kate와 Burton 같은 미국의 자연재해지리학자들은 미국에서 홍수재해문제를 인간적응, 특히 "인식"의 역할에 중점을 두어 재해지역에서 자원이용과 이의 관리문제를 연구하였다. 1970년대 들어오면서 재해의 양상, 적응방법등이 연구되고, 또한 적응의 여러 비교연구가 있었으며, 사회성과 관련 사회학적 연구 접근과 다양한 레벨의 케이스 Study 또한 이루어졌다. 오늘날의 자연재해연구는 일반재해연구로 발전하여 핵반응, 각종산업.교통재해, 화학물질 및 환경오염문제, 각종 소음공해, 폭발물 사고 등 참으로 여러 종류의 사회문제가 재해연구의 대상이 되었고, 근래에는 약물중독, 성폭행, 그리고 복잡한 현대사회에서 제기되는 정신질환까지 일종의 재해문제로 다루어 지리학내에서 연구되고 있다. 이와같이 연구의 많은 변환.발전과 함께 처음 Academic한 연구로 시작된 재해문제 연구가 이에 관심을 같는 여러분야 즉, 경제.사회, 심리학자, 토지이용개발자, 보험, 은행, 부동산업자 재해와 관련있는 민간단체, 정부기관, 정책실행기관등이 참여하는 공동연구가 활발히 행하여지고 있다. 최근에는 "세계 자연재해 감소 10개년 계획"이라는 Program을 미국이 주동이 되어 국제적인 기구로 만들어 관심있는 여러국가의 과학자, 재해연구가, Engineer, 정부관계자들이 참여 서로 정보와 지식의 교환, 세계의 개발.재개발에 대한 계획, 재해감소의 교육훈련등 다채로운 Project을 가지고 세계 자연재해 감소를 위하여 공동연구의 노력을 하려는 움직임이다. 세계의 권위있는 재해통계에 의하면 한국이 매년 자연재해로 인하여 100만명당 1,000명이 희생되는 나라로 방글라대시, 이란, 중남미와 페루, 과태말라, 동남아시아의 뉴기니와 나란히 중진개발도상국으로 몇안되는 나라의 하나로 들어있는 것을 볼 때 유감이 아닐수 없다. 우리나라는 하루빨리 이러한 자연재해로부터 아까운 생명과 재산을 잃어버리고 있는 고통과 문제를 해결하려는 민간.정부차원에서 관심을 기울이고 우선 기본적인 연구의 기틀을 마련하는 제도적 장치와 분위기가 아쉽다고 않을 수 없다.와 분위기가 아쉽다고 않을 수 없다.

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An Explorative Study on the Internalization of External Costs and the Strategic Reaction of the European Logistics Service Providers (외부비용의 내부화를 위한 유럽에서의 정책 환경 변화와 유럽물류산업의 대응전략)

  • Nam, Sang-Min;Kim, Chung-Yul
    • Journal of Korea Port Economic Association
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    • v.26 no.1
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    • pp.172-194
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    • 2010
  • External costs emerge as a consequence of negative external effects. The EU commission and national government in Europe made themselves the internalization of external costs and began to make various measures. The traffic sector plays an important role. At the same time, it affects as financial loads to logistics service providers and carriers in Europe. This study examines current development in european logistic market conditions. It describes the reaction of different market players and stakeholders in the logistic value chain in EU, Switzerland and Germany. A portfolio of different strategic answers to the changing market environment is being developed. Therefore, different options for the internalization of external costs are proposed. This study finally derives propositions for future research.

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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