• Journal of the Korean Society of Radiology
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• v.15 no.4
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• pp.481-490
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• 2021

There is no qualification system for sonographers in Korea. But the MEDICAL SERVICE TECHNOLOGISTS, ETC. ACT stipulates that radiological technologists can handle ultrasound equipment. However, there is controversy about the scope of the work allowed for radiological technologists to perform ultrasound examinations. Accordingly, the authoritative interpretation of the Ministry of Health and Welfare of Korea, the adjudication of administrative judgment, and the judgment of the courts were analyzed. As a result, the authoritative interpretation expresses that when a radiological technologist performs an ultrasound examination, a diagnosis and specific guidance should be made in real time while the doctor simultaneously watches the radiological technologist's images. In the adjudication of administrative judgment, it was decided that the handling of ultrasound-related equipment was the work of the radiological technologist. The court ruled that it was illegal for a radiological technologist to make a medical judgment on ultrasound examination. In the United States, Canada, etc., the sonographer independently conducts ultrasound examination according to the doctor's prescription, prepares a summary of what they saw and this is passed on to the doctor. Therefore, in Korea, there is a need for institutional improvement so that radiological technologists can perform ultrasound examinations according to doctors' prescriptions without real-time guidance.

• Progress in Medical Physics
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• v.24 no.1
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• pp.1-24
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• 2013

As image-guided radiation therapy (IGRT) has been commonly used for more accurate patient setup and monitoring tumor movement during radiation therapy, the necessity for management of imaging dose is increased. However, it has not been an interest issue to radiation therapy communities because the imaging dose is much lower than the therapeutic dose. However, since the cumulative dose from 4DCT and repeated imaging for daily setup verificationin would not be ignorable, appropriate dose management based on ALARA (As Low As Reasonably Achievable) principle is required. In this study, we aimed that (1) survey on imaging equipments and modalities used for IGRT, (2) estimation of IGRT imaging dose depending on treatment types and equipments, (3) collecting data of effective dose on treatment sites from each equipment and imaging protocol, and thus finally provide guideline for imaging dose reduction and optimization.

• The Korean Journal of Nuclear Medicine Technology
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• v.17 no.2
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• pp.84-89
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• 2013

Purpose: Patients' movement during long image acquisition time for the fusion image of PET-CT (Positron Emission Tomography-Computed Tomography) results in unconformity, and greatly affects the quality of the image and diagnosis. The arm support fixtures provided by medical device companies are not manufactured considering the convenience and safety of the patients; the arm and head movements (horizontal and vertical) during PET/CT scan cause defects in the brain fundus images and often require retaking. Therefore, this study aims to develop patient-compensation device that would minimize the head and arm movements during PET/CT scan, providing comfort and safety, and to reduce retaking. Materials and Methods: From June to July 2012, 20 patients who had no movement-related problems and another 20 patients who had difficulties in raising arms due to shoulder pain were recruited among the ones who visited nuclear medicine department for PET Torso scan. By using Patient Holding System (PHS), different range of motion (ROM) in the arm ($25^{\circ}$, $27^{\circ}$, $29^{\circ}$, $31^{\circ}$, $33^{\circ}$, $35^{\circ}$) was applied to find the most comfortable angle and posture. The manufacturing company was investigated for the permeability of the support material, and the comfort level of applying bands (velcro type) to fix the patient's head and arms was evaluated. To find out the retake frequency due to movements, the amount of retake cases pre/post patient-compensation were analyzed using the PET Torso scan data collected between January to December 2012. Results: Among the patients without movement disorder, 18 answered that PHS and $29^{\circ}$ arm ROM were the most comfortable, and 2 answered $27^{\circ}$ and $31^{\circ}$, respectively. Among the patients with shoulder pain, 15 picked $31^{\circ}$ as the most comfortable angle, 2 picked $33^{\circ}$, and 3 picked $35^{\circ}$. For this study, the handle was manufactured to be adjustable for vertical movements. The material permeability of the patient-compensation device has been verified, and PHS and the compensation device were band-fixed (velcro type) to prevent device movements. A furrow was cut for head fixation to minimize the head and neck movements, fixing bands were attached for the head, wrist, forearm, and upper arm to limit movements. The retake frequency of PET Torso scan due to patient movements was 11.06% (191 cases/1,808 patients) before using the movement control device, and 2.65% (48 cases/1,732 patients) after using the device; 8.41% of the frequency was reduced. Conclusion: Recent change and innovation in the medical environment are making expensive medical image scans, and providing differentiated services for the customers is essential. To secure patient comfort and safety during PET/CT scans, ergonomic patient-compensation devices need to be provided. Therefore, this study manufactured a patientcompensation device with vertically adjustable ergonomic ROM according to the patient's body shape and condition during PET Torso scan. The defects in the basal ganglia images due to arm movements were reduced, and retaking was decreased.

• The Korean Journal of Nuclear Medicine Technology
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• v.25 no.2
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• pp.15-24
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• 2021

Purpose SPECT/CT was noted for its excellent correction method and qualitative functions based on fusion images in the early stages of dissemination, and interest in and utilization of quantitative functions has been increasing with the recent introduction of companion diagnostic therapy(Theranostics). Unlike PET/CT, various conditions like the type of collimator and detector rotation are a challenging factor for image acquisition and reconstruction methods at absolute quantification of SPECT/CT. Therefore, in this study, We want to find out the effect on the radioactivity concentration estimate by the increase or decrease of the total acquisition time according to the number of projections and the acquisition time per projection among SPECT/CT imaging conditions. Materials and Methods After filling the 9,293 ml cylindrical phantom with sterile water and diluting 99mTc 91.76 MBq, the standard image was taken with a total acquisition time of 600 sec (10 sec/frame × 120 frames, matrix size 128 × 128) and also volume sensitivity and the calibration factor was verified. Based on the standard image, the comparative images were obtained by increasing or decreasing the total acquisition time. namely 60 (-90%), 150 (-75%), 300 (-50%), 450 (-25%), 900 (+50%), and 1200 (+100%) sec. For each image detail, the acquisition time(sec/frame) per projection was set to 1.0, 2.5, 5.0, 7.5, 15.0 and 20.0 sec (fixed number of projections: 120 frame) and the number of projection images was set to 12, 30, 60, 90, 180 and 240 frames(fixed time per projection:10 sec). Based on the coefficients measured through the volume of interest in each acquired image, the percentage of variation about the contrast to noise ratio (CNR) was determined as a qualitative assessment, and the quantitative assessment was conducted through the percentage of variation of the radioactivity concentration estimate. At this time, the relationship between the radioactivity concentration estimate (cps/ml) and the actual radioactivity concentration (Bq/ml) was compared and analyzed using the recovery coefficient (RC_Recovery Coefficients) as an indicator. Results The results [CNR, radioactivity Concentration, RC] by the change in the number of projections for each increase or decrease rate (-90%, -75%, -50%, -25%, +50%, +100%) of total acquisition time are as follows. [-89.5%, +3.90%, 1.04] at -90%, [-77.9%, +2.71%, 1.03] at -75%, [-55.6%, +1.85%, 1.02] at -50%, [-33.6%, +1.37%, 1.01] at -25%, [-33.7%, +0.71%, 1.01] at +50%, [+93.2%, +0.32%, 1.00] at +100%. and also The results [CNR, radioactivity Concentration, RC] by the acquisition time change for each increase or decrease rate (-90%, -75%, -50%, -25%, +50%, +100%) of total acquisition time are as follows. [-89.3%, -3.55%, 0.96] at - 90%, [-73.4%, -0.17%, 1.00] at -75%, [-49.6%, -0.34%, 1.00] at -50%, [-24.9%, 0.03%, 1.00] at -25%, [+49.3%, -0.04%, 1.00] at +50%, [+99.0%, +0.11%, 1.00] at +100%. Conclusion In SPECT/CT, the total coefficient obtained according to the increase or decrease of the total acquisition time and the resulting image quality (CNR) showed a pattern that changed proportionally. On the other hand, quantitative evaluations through absolute quantification showed a change of less than 5% (-3.55 to +3.90%) under all experimental conditions, maintaining quantitative accuracy (RC 0.96 to 1.04). Considering the reduction of the total acquisition time rather than the increasing of the image acquiring time, The reduction in total acquisition time is applicable to quantitative analysis without significant loss and is judged to be clinically effective. This study shows that when increasing or decreasing of total acquisition time, changes in acquisition time per projection have fewer fluctuations that occur in qualitative and quantitative condition changes than the change in the number of projections under the same scanning time conditions.

• The Journal of the Korea institute of electronic communication sciences
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• v.3 no.2
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• pp.112-117
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• 2008

HL7 is well-Known standard protocol for text data generated in hospital information systems. Vital sign information web viewer systems is also the standard protocol for medical image and transfer. In order to embrace new technologies as telemedicine service, it is important to develope the standard protocol between different systems in the hospital, as well as the communication with external hospital systems. In this paper, we proposed integration method between vital sign web viewr systems and hospital information systems. Through the proper data exchange and modification of information management, HIS will offer better work flow to all hospital employee.

• Proceedings of the Korean Information Science Society Conference
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• 2012.06d
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• pp.55-57
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• 2012

최근의 정보통신 기술의 발달은 의료의 중심을 기존의 진단 및 치료에서 예방으로 이동하게 하였다. 이에 따라 환자 뿐 아니라 건강에 관심이 많은 일반인들이 병원 밖에서도 스스로 건강 증진을 위해 질병 예방을 수행할 수 있도록 지원하는 셀프케어 시스템들이 개발되어지고 있다. 그러나 현재 개발되어지고 있는 셀프케어 시스템들은 대부분 회원 등록의 과정이 필수적이며, 또한 회원 등록 과정에서 자가진단을 위해 성별과 같은 기본적인 정보를 수동적으로 입력해야 하는 번거로움이 있다. 따라서 본 논문에서는 사용자의 음성과 영상을 이용한 성별 인식을 통해 비 등록 사용자에 대한 기본정보를 자동으로 인식하고 온톨로지를 이용한 자가진단 서비스에 적용함으로써 회원 등록을 원치 않는 비 등록 사용자에 대한 편의성을 고려하였다. 또한 온톨로지를 이용한 자가진단 서비스의 진단 결과로 질환에 대한 정의 및 증상, 치료 방법을 설명하고 증상의 경중에 따라 방문 치료할 진료과에 대한 정보를 제공함으로써 사용자가 스스로 건강을 진단하고 진단결과에 따라 간단한 치료를 할 수 있으며, 증상의 악화를 예방할 수 있도록 도와준다.

• 한국정보통신설비학회:학술대회논문집
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• 2002.08a
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• pp.85-104
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• 2002

최근 정부(정보통신부)는 사이버 아파트를 포함하여 초고속 정보통신망을 2005년까지 구축하여 각 가정당 10Mbps의 고속 정보통신서비스를 실현한다는 계획을 발표하고, 초고속 정보통신을 활성화하므로 정보통신 선진국 진입을 위하여 "초고속 정보통신 건물 인증제도"를 발표, 현재 시행하고 있다. (1999.7 제정발표) 그러나 시행 과정에서 아파트 중앙 관리실에 있는 MDF 이후의 광케이블과 기타 공사는 건설회사에서 시공하고 중앙 관리실 MDF 이전의 광케이블 공사와 중앙관리실 LAN시설 등의 공사는 통신 전문업체로 하여금, 입주자 별도 부담금으로 시공하고 있다. (컨소시엄구성) 최근 아파트 분양열기 고조로 건설회사 마다 "초고속 정보통신아파트"인증 1등급이라고 선전 및 분양광고 중인데 실제는 "1등급"이 아니고 "2등급" 또는 "3등급"인 경우가 있어, 정부가 목표하는 각 가정당 10Mbps, 개인당 2Mbps 고속정보통신 서비스는 실현성 문제점이 있다. 정부의 인증심사 기준에 중앙관리실 장비 등에 대한 것은 심사기준에 누락되어 있고 또 사생활 정보보호를 위한 대응기술, 시스템 준비 정도까지 포함하여 종합적으로 평가한 뒤 인증을 부여하여야 한다는 것이 본인의 연구 초점이다. 사이버 아파트란 광통신을 주축으로 영상과 음성, 데이터를 자유 자재로 전송 처리하는 초고속 정보통신망을 이용하는 것으로 LAN 장비를 이용하여 각 세대간 통신은 물론 누구나 인터넷을 사용할 수 있는 기능이 있는 설계된 아파트를 말한다. 사이버 아파트의 네트워크에는 금융, 홈쇼핑, 예약, 지역정보, 관공서, 의료서비스, 레저 생활정보 등 차별화된 콘텐츠 확보가 필요하다. 본 연구의 핵심은 사이버 아파트의 현 실태와 문제점, 정부의 인증심사 기준의 미비점과 문제점, 사이버 아파트의 기능, 구성요소, 시스템 구축, 서버활용도, 장비들에 관한 것과 그리고 정부의 사이버 아파트 육성정책, 정보보호 대책과 관련업체들의 동향 등을 연구하여 요약 정리하였다.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2015.10a
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• pp.900-902
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• 2015

In the modern society, according to the advancement in digital image processing technology, edge detection is being utilized in various application sectors such as smart device and medical, etc. In existing edge detection methods, there are Sobel, Prewitt, Roberts and Laplacian, etc, which uses the mask. These previous methods are easy to implement but shows somewhat insufficient results. Therefore, in order to compensate the problems of existing methods, in this paper, an algorithm that detects the edge using the local mask and morphological operation was proposed and the detection performance was compared against the previous methods.

• The Journal of the Korea institute of electronic communication sciences
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• v.2 no.2
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• pp.123-128
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• 2007

HL7 is well-Known standard protocol for text data generated in hospital information systems. Vital sign information web viewer systems is also the standard protocol for medical image and transfer. In order to embrace new technologies as telemedicine service, it is important to develope the standard protocol between different systems in the hospital, as well as the communication with external hospital systems. In this paper, we proposed integration method between vital sign web viewr systems and hospital information systems. Through the proper data exchange and modification of information management, HIS will offer better workflow to all hospital employee.

• Proceedings of the Optical Society of Korea Conference
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• 2000.08a
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• pp.118-120
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• 2000

Currently, x-ray is mostly used for the diagnosis of dental cavity and osteoporosis. The osteoporosis is broadly defined as a decrease in the amount of bone mass per unit volume of the bone. Clinically the manifestation of low bone mass presents a clinical problem to the general population as an increase in fracture risk and especially in aging population[1]. Although the amount of the irradiated x-ray to the human body for the clinical diagnosis is relatively small, the exposition of the x-ray to the human body should be minimized as much as possible, since the x-ray is an ionizing radiation. To investigate other possible systems replacing X-ray, ultrasonic imaging and MRI(Magneto-Resonance-Imaging) systems were studied. Unfortunately, an effective and safe diagnosis tool for detecting the dental cavity and the osteoporosis is currently lacking. (omitted)