To report problems found in a patient who has implemented stent implantation and then conducted a perfusion MRI using ASL(Arterial Spin Labeling), in order to suggest a solution to them. The perfusion MRI was conducted, using pCASL among ASL methods. Data from pCASL(Pseudo Continuous Arterial Spin Labeling) was acquired together with the structural image simply by changing position(labeling gap 15 mm, 170 mm) of the labeling pulse to avoid stent. Data was processed through the ASLtbx. When perfusion MRI was acquired using pCASL, it showed that the position of the conventional labeling pulse (labeling gap 24 mm) was overlapped with that of stent, which made signal intensity in right brain tissue appear as if it were void. When the labeling pulse was positioned (labeling gap 15 mm) to avoid stent, high signal intensity images were acquired. In labeling pulse (labeling gap 170 mm), the signal intensity was more reduced due to relaxation before labeled blood arrived at the imaging slice. pCASL can be stably repeated measurements because it does not use a contrast agent. And it should be selected with the appropriate image acquisition parameters for the high quality image.
Because of causing the geometrical transformation of the magnetic field, the patient implementing the fixation using the nonmagnetic metal screw causes the magnetic susceptibility artifact at an image. Thus, in this research, the distortion measure of the image according to the frequency oblique direction conversion tried to be compared in the magnetic susceptibility artifact occurence. First, the itself phantom inserting the nonmagnetic metal screw of the titanium component was made and the region of interest was set up and the frequency oblique direction the anterior - back side was converted to the right-to-left direction in the axial image and a right-to-left was converted to the upper side - bottom side in the coronal plane and the upper - bottom side was converted to the anterior - back side in the sagittal plane and the distortion measure of the region of interest was compared, it observed. In a result, when converting the frequency oblique direction, the distortion difference of the region of interest could be confirmed and it is considered to enhance the diagnostics efficiency changing the oblique direction appropriately.
In MRI, the Ferromagnetic artifact is generated by the metalization within in which the before inspection removal is impossible and the distortion of an image is brought. The distortion measure according to the steel for each sequence of T1 image and magnetic field intensity are analyzed and minimized method is looked into. We used SIEMENS 1.5T and 3.0T MRI for experiment equipment. First, it places within the Phantom making a metalization(Ti+Al, Stainless, Nitinol) on 1.5T, 3.0T MRI and the T1 weighted image for each Sequence is acquired. The distortion of an image and about adjacent portion change of the metal material were compared through the obtained image, we analyzed. In all metalizations, a distortion was generated and a distortion was few in particularly, and Titanium-Aluminium alloy. And the extent of a distortion was worse image in the Turbo spin Echo. The use of the Titanium-Aluminium alloy the inserted in an internal material of the metalization is recommend. and, equipment of 1.5T the patient inserting a metal in an internal is used in an inspection than equipment of 3.0T. Also, the sequence is suitable when it obtains the optimum T1 weighted image of an impersonate to use the Turbo spin Echo.
Park, Ja Ram;Kim, Min Su;Kim, Jeong Mi;Chung, Hyeon Suk;Lee, Chung Hwan;Back, Geum Mun
The Journal of Korean Society for Radiation Therapy
/
v.29
no.2
/
pp.9-17
/
2017
Purpose: The tissue description and electron density indicated by the Computed Tomography(CT) number (also known as Hounsfield Unit) in radiotherapy are important in ensuring the accuracy of CT-based computerized radiotherapy planning. The internal metal implants, however, not only reduce the accuracy of CT number but also introduce uncertainty into tissue description, leading to development of many clinical algorithms for reducing metal artifacts. The purpose of this study was, therefore, to investigate the accuracy and the clinical applicability by analyzing date from SMART MAR (GE) used in our institution. Methode: and material: For assessment of images, the original images were obtained after forming ROIs with identical volumes by using CIRS ED phantom and inserting rods of six tissues and then non-SMART MAR and SMART MAR images were obtained and compared in terms of CT number and SD value. For determination of the difference in dose by the changes in CT number due to metal artifacts, the original images were obtained by forming PTV at two sites of CIRS ED phantom CT images with Computerized Treatment Planning (CTP system), the identical treatment plans were established for non-SMART MAR and SMART MAR images by obtaining unilateral and bilateral titanium insertion images, and mean doses, Homogeneity Index(HI), and Conformity Index(CI) for both PTVs were compared. The absorbed doses at both sites were measured by calculating the dose conversion constant (cCy/nC) from ylinder acrylic phantom, 0.125cc ionchamber, and electrometer and obtaining non-SMART MAR and SMART MAR images from images resulting from insertions of unilateral and bilateral titanium rods, and compared with point doses from CTP. Result: The results of image assessment showed that the CT number of SMART MAR images compared to those of non-SMART MAR images were more close to those of original images, and the SD decreased more in SMART compared to non-SMART ones. The results of dose determinations showed that the mean doses, HI and CI of non-SMART MAR images compared to those of SMART MAR images were more close to those of original images, however the differences did not reach statistical significance. The results of absorbed dose measurement showed that the difference between actual absorbed dose and point dose on CTP in absorbed dose were 2.69 and 3.63 % in non-SMRT MAR images, however decreased to 0.56 and 0.68 %, respectively in SMART MAR images. Conclusion: The application of SMART MAR in CT images from patients with metal implants improved quality of images, being demonstrated by improvement in accuracy of CT number and decrease in SD, therefore it is considered that this method is useful in dose calculation and forming contour between tumor and normal tissues.
Bak, Koang Hum;Ferrara, Lisa;Kim, Kwang Jin;Kim, Jae Min;Kim, Choong Hyun;Benzel, Edward C.
Journal of Korean Neurosurgical Society
/
v.30
no.2
/
pp.131-136
/
2001
Object : The clinical uses of screws are increasing with broader applications in spinal disorders. When screws are inserted repeatedly to achieve optimal position, tips of screw pitch may become damaged during insertion even though there are significant differences in the moduli of elasticity between bone and titanium. The effect of repeated screw insertion on pullout resistance was investigated. Methods : Three different titanium screws(cortical lateral mass screw, cancellous lateral mass screw and cervical vertebral body screw) were inserted into the synthetic cancellous material and then extracted axially at a rate of 2.4mm/min using Instron(Model TT-D, Canton, MA). Each set of screws was inserted and pulled out three times. There were six screws in each group. The insertional torque was measured with a torque wrench during insertion. Pullout strength was recorded with a digital oscilloscope. Results : The mean pullout force measurements for the cortical lateral mass screws($185.66N{\pm}42.60$, $167.10N{\pm}27.01$ and $162.52 N{\pm}23.83$ for first, second and third pullout respectively : p=0.03) and the cervical vertebral body screws($386.0N{\pm}24.1$, $360.2N{\pm}17.5$ and $330.9N{\pm}16.7$ : p=0.0024) showed consecutive decrease in pullout resistance after each pullout, whereas the cancellous lateral mass screws did not($194.00N{\pm}36.47$, $219.24N{\pm}26.58$ and 199.49N(36.63 : p=0.24). The SEM after insertion and pullout three times showed a blunting in the tip of the screw pitch and a smearing of the screw surface. Conclusions : Repetitive screw insertion and pullout resulted in the decrease of pullout resistance in certain screws possibly caused by blunting the screw tip. This means screw tips suffer deformations during either repeated insertion or pullout. Thus, the screws that have been inserted should not be used for the final construct.
Choi, Ji Hun;Park, Jin Hong;Choi, Byung Don;Won, Hui Su;Chang, Nam Jun;Goo, Jang Hyun;Hong, Joo Wan
The Journal of Korean Society for Radiation Therapy
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v.26
no.2
/
pp.191-197
/
2014
Purpose : This study presents the usefulness assessment of metal artifact reduction for orthopedic implants(O-MAR) to decrease metal artifacts from materials with high density when acquired CT images. Materials and Methods : By CT simulator, original CT images were acquired from Gammex and Rando phantom and those phantoms inserted with high density materials were scanned for other CT images with metal artifacts and then O-MAR was applied to those images, respectively. To evaluate CT images using Gammex phantom, 5 regions of interest(ROIs) were placed at 5 organs and 3 ROIs were set up at points affected by artifacts. The averages of standard deviation(SD) and CT numbers were compared with a plan using original image. For assessment of variations in dose of tissue around materials with high density, the volume of a cylindrical shape was designed at 3 places in images acquired from Rando phantom by Eclipse. With 6 MV, 7-fields, $15{\time}15cm2$ and 100 cGy per fraction, treatment planning was created and the mean dose were compared with a plan using original image. Results : In the test with the Gammex phantom, CT numbers had a few difference at established points and especially 3 points affected by artifacts had most of the same figures. In the case of O-MAR image, the more reduction in SD appeared at all of 8 points than non O-MAR image. In the test using the Rando Phantom, the variations in dose of tissue around high density materials had a few difference between original CT image and CT image with O-MAR. Conclusion : The CT images using O-MAR were acquired clearly at the boundary of tissue around high density materials and applying O-MAR was useful for correcting CT numbers.
Park, Ji-Hee;Vang, Mong-Sook;Yang, Hong-So;Park, Sang-Won;Yun, Kwi-Dug;Lim, Hyun-Pil
The Journal of Korean Academy of Prosthodontics
/
v.51
no.2
/
pp.119-124
/
2013
Many of the patients with extensive abrasion need comprehensive restorative treatment. The abrasion is usually caused by attrition, besides of it, there are many reasons for it. The plan of treatment should be started on assessment of the type of attrition and the etiologic analysis. Patient with well-developed masticatory muscle, alveolar process, and high occlusal force and also with little muscle length difference between the stable and the contracted state should be carefully assessed for the vertical dimensional loss and the restoration should be carefully designed. Decrease of tooth length can be compensated by the growth of the alveolar bone height; therefore, consistency of the occlusal vertical dimension is maintained. Accordingly, a careless increase of the vertical dimension can produce muscle fatigue, depressed tooth and pain, and fracture of the restoration. In this case, the patient with multiple tooth abrasion and clenching habit, the edentulous maxillary area is restored with amalgam inserted RPD, and the dentulous area of the maxilla and mandible are treated with fixed restoration accompanying with the increase of vertical dimension. Consequently, we are going to report about the satisfying result in both functional and esthetic aspects.
Kwon, Koo-Ahn;Choi, Man-Yong;Park, Hee-Sang;Park, Jeong-Hak;Huh, Yong-Hak;Choi, Won Jae
Journal of the Korean Society for Nondestructive Testing
/
v.35
no.1
/
pp.25-30
/
2015
A wind turbine blade is an important component in wind-power generation, and is generally exposed to harsh environmental conditions. Ultrasonic inspection is mainly used to inspect such blades, but it has been difficult to quantify defect sizes in complicated composite structures. Recently, active infrared thermography has been widely studied for inspecting composite structures, in which thermal energy is applied to an object, and an infrared camera detects the energy emitted from it. In this paper, a calibration method for active optical lock-in thermography is proposed to quantify the size. Inclusion, debonding and wrinkle defects, created in a wind blade for 100 kW wind power generation, were all successfully detected using this method. In particular, a ${\phi}50.0mm$ debonding defect was sized with 98.0% accuracy.
Kang, To;Lee, Jeong Han;Han, Soon Woo;Park, Jin Ho;Park, Gyuhae;Jeon, Jun Young
Journal of the Korean Society for Nondestructive Testing
/
v.36
no.5
/
pp.370-376
/
2016
Corrosion on the surface of a structure can generate cracks or cause walls to thin. This can lead to fracturing, which can eventually lead to fatalities and property loss. In an effort to prevent this, laser imaging technology has been used over the last ten years to detect thin-plate structure, or relatively thin piping. The most common laser imaging was used to develop a new technology for inspecting and imaging a desired area in order to scan various structures for thin-plate structure and thin piping. However, this method builds images by measuring waves reflected from defects, and subsequently has a considerable time delay of a few milliseconds at each scanning point. In addition, the complexity of the system is high, due to additional required components, such as laser-focusing parts. This paper proposes a laser imaging method with an increased scanning speed, based on excitation and the measurement of standing waves in structures. The wavenumber of standing waves changes at sections with a geometrical discontinuity, such as thickness. Therefore, it is possible to detect defects in a structure by generating standing waves with a single frequency and scanning the waves at each point by with the laser scanning system. The proposed technique is demonstrated on a wall-thinned plate with a linear thickness variation.
Journal of the Korea Academia-Industrial cooperation Society
/
v.7
no.5
/
pp.940-947
/
2006
A variety of actuators fur an implantable artificial heart have been studied. They, all, however, share the disadvantages of a complicated energy conversion mechanism and of the need to use bearings. A ferrofluidic actuator directly drives magnetic fluids by applying a magnetic field to these fluids; it does not require bearings. In this study, the feasibility of a ferrofluidic actuator for an implantable artificial heart was studied. An way of two Poles of ring solenoids was mounted near the acrylic tube $({\phi}\;7.4mm)$. A rubber sack (volume : $2m{\ell}$ was connected to both ends of the acrylic tube. The sack were encased in a rigid chamber that had inlet and outlet ports. The acrylic tube and the rubber sack were filled with water encased in a rigid chamber magnetic fluid and the iron cylinder were immersed in the water. Two experiment method was conducted. 1) distance between stoppers were 72mm and 2) distance between stoppers were 104mm. A stroke volume was stability and $0.96m{\ell}$ was obtained in the experiment 1 and $1.92m{\ell}$ in the experiment 2. The energy efficiency of Experiment method 2 is about five times than Experiment method 2. A magnetic fluid-driven blood pump could be feasible if the magnetic fluid with high magnetization (3 times yester than the current value) is developed.
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