• Title/Summary/Keyword: 전산화단층촬영 영상

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상부기도 협착의 나선식 CT를 이용한 3차원 영상의 진단적 의의

  • 김승현;김현웅;노영수;임현준;윤대영
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1997.04a
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    • pp.119-119
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    • 1997
  • 상부기도 협착의 원인은 장기간의 기관 삽관, 외상, 감염, 종양, 및 선천적인 결함등에 의해 존재하며, 이에 대한 진단은 단순 촬영이나 전산화 단층 촬영술 등으로 쉽게 진단은 가능하나, 적절한 치료 계획을 세우기 위해서는 그 범위 및 정도를 정확히 파악하는 일이 중요하다 최근 방사선 촬영기술의 발달로 현재의 2차원적 단면 영상에서 3차원적 영상으로 발전해왔으며 상부기도 협착 또한 3차원적 영상으로 진단하려는 노력이 시도되고 있다. 이에 저자들은 최근에 경험한 기관 협착증 7례에서 3D CT를 시행하여 협착 부위의 상태를 기존의 단순 촬영 영상 및 2D CT 영상과 비교하였고, 7례의 기관 협착증 중 4례에서 기관 단단 문합술 및 후두 기관 문합술을 시행한 바 수술시 확인된 협착 상태를 3D CT 영상과 비교하였다.

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LIPOMA OF THE PAROTID GLAND (이하선에 발생한 지방종)

  • Kim, Joon-Bae;Bae, Jung-Soo;Jang, Dong-Soo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.16 no.4
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    • pp.473-476
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    • 1994
  • This is a case report on the lipoma of the parotid gland. Lipomas are common soft tissue neoplasms found only rarely in the region of the parotid gland, and therefore often not considered in the initial differential diagnosis of a mass presenting in this region. Clinically they can be confused with other being lesions and there was no reliable methods to make a preoperative diagnosis of the lipoma until 1980's; however, CT allows a specific diagnosis to be made in virtually all case. We experienced that CT imaging permit the preoperative diagnosis of the lipoma, so could remove it preserving the parotid gland.

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Extravasation Injury of Contrast Media in the Neck and Thorax During MDCT Scanning with 3D Image Reformation Findings (CT검사에서 조영제의 혈관외유출에 의한 목 및 흉부 손상의 3차원 재구성 영상)

  • Kweon, Dae-Cheol;Jang, Keun-Jo;Yoo, Beong-Gyu;Lee, Jong-Seok
    • Journal of radiological science and technology
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    • v.30 no.3
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    • pp.281-287
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    • 2007
  • Contrast media may cause tissue injury by extravasation during intravenous automated injection during CT examination. Here, we present a study in which contrast media extravasation was detected and localized in the neck and thorax by three-dimensional(3D) CT data reformation. The CT studies of the extavasation site were performed using a 3D software program with four different display techniques axial, multi planar reformation(MPR), maximum intensity projection(MIP), and volume rendering displays are currently available for reconstructing MDCT data. 3D image reconstructions provide accurate views of high-resolution imaging. This paper introduces extravasation with the MDCT and 3D reformation findings of contrast media extravasation in neck ant thorax. The followed injection of the external jugular vein into an existing intravenous catheter and a large volume of extravasation was demonstrated on by 3D MDCT.

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Incidental Breast Lesions on Chest CT: Clinical Significance and Differential Features Requiring Referral (흉부 전산화단층촬영에서 우연히 발견된 유방 병변: 임상적 중요성 및 진료 의뢰가 필요한 특징적 영상 소견)

  • Choi, Yun Jung;Kim, Tae Hoon;Cha, Yoon Jin;Son, Eun Ju;Gweon, Hye Mi;Park, Chul Hwan
    • Journal of the Korean Society of Radiology
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    • v.79 no.6
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    • pp.303-310
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    • 2018
  • Purpose: To evaluate the CT features of incidental breast lesions on chest CT and to suggest useful criteria for referral to a specialized breast unit. Materials and Methods: Between May 2009 and April 2014, enhanced chest CT examination reports containing the key word 'breast' were reviewed retrospectively. Patients who had incidental breast lesion and were referred to a specialized breast unit and then underwent pathological confirmation or follow-up over a 1-year period were included. Finally, 86 patients (all female, mean age, $48.9{\pm}12.6years$) were enrolled. Two radiologists evaluated lesion characteristics, including size, shape, margins, and enhancement. The correlations between the CT features and pathologies were evaluated, and the diagnostic accuracy of CT features in various combinations was assessed. Results: Among the CT features, irregular shape, non-circumscribed margin, and high contrast enhancement were different between malignant and benign lesions (p < 0.05). The combination of non-circumscribed margin and high contrast enhancement had the highest accuracy (97.7%). Conclusion: Reliable CT features for incidental malignant breast masses are irregular shape, non-circumscribed margin, and high contrast enhancement. The combination of non-circumscribed margin and high contrast enhancement could help distinguish incidental malignant breast lesions and indicate referral to a specialized breast unit.

Emergency angioembolization performed in a hemodynamically unstable patient with grade V liver injury: The benefit of emergency angioembolization without computed tomography (혈역학적으로 불안정한 grade V 간손상에서 시행한 응급 혈관색전술: 전산화단층 촬영 없이 시행한 응급 혈관색전술의 이점)

  • Kang, Wu Seong;Park, Chan Yong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.2
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    • pp.235-239
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    • 2019
  • High-grade liver injury is associated with high morbidity and mortality rates. We report successful emergency angioembolization and early interventional radiology support to manage a high-grade liver injury in a 29-year-old man who presented following a fall during parachute training. Upon arrival, his blood pressure was 80/40 mmHg, and emergency ultrasonography showed a liver injury with perihepatic fluid collection. The patient's blood pressure reduced to 60/40 mmHg, and emergency angiography was performed without computed tomography (CT) (door to puncture time 36 min). After angioembolization, his blood pressure returned to 120/77 mmHg. Subsequent CT revealed no additional bleeding or hollow viscus injury. He was admitted to the Intensive Care Unit and discharged without complications 30 days after admission. In this case, emergency angioembolization (without performing CT) could successfully and safely treat a hemodynamically unstable patient with a high-grade liver injury.

Development of Tomographic Scan Method for Industrial Plants (산업공정반응기의 감마선 전산 단층촬영기술 개발)

  • Kim, Jong-Bum;Jung, Sung-Hee;Moon, Jin-Ho;Kwon, Taek-Yong;Cho, Gyu-Seong
    • Journal of the Korean Society for Nondestructive Testing
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    • v.30 no.1
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    • pp.20-30
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    • 2010
  • In this paper, a new tomographic scan method with fixed installed detectors and rotating source from gamma projector was presented to diagnose the industrial plants which were impossible to be examined by conventional tomographic systems. Weight matrix calculation method which was suitable for volumetric detector and statistical iterative reconstruction method were applied for reconstructing the simulation and experimental data. Monte Carlo simulations had been performed for two kinds of phantoms. Lab scale experiment with a same condition as one of phantoms, had been carried out. Simulation results showed that reconstruction from photopeak counting measurement gave the better results than from the gross counting measurement although photopeak counting measurement had large statistical errors. Experimental data showed the similar result as Monte Carlo simulation. Those results appeared to be promising for industrial tomographic applications, especially for petrochemical industries.

Evaluation of alveolar bone density by intraoral periapical radiography (구강 내 치근단 방사선 영상을 이용한 치조골 골밀도 측정의 유용성 평가)

  • Park, Eun-Jin;Kim, David-Hyungjin;Kim, Eun-Suk
    • The Journal of Korean Academy of Prosthodontics
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    • v.52 no.3
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    • pp.233-238
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    • 2014
  • Purpose: A method detecting change of jaw or alveolar bone density may be helpful in periodontal care, implant dentistry and evaluation of bone density of whole body. Materials and methods: In this study, bone density of intraoral periapical radiography using phantom-integrated XCP is compared with that of quantitative computed tomography (QCT). Results: Bone density of intraoral periapical radiography and the one measured by QCT showed high correlation (correlation coefficient = 0.92, P<.001) in alveolar bone, and relatively high correlation (0.73, P<.001) in cancellous bone. Conclusion: This study revealed possibility of scoring of bone density by intraoral periapical radiography.

자기 공명 영상술의 원리와 최근 연구 현황

  • 조장희;김영근
    • 전기의세계
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    • v.38 no.8
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    • pp.19-25
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    • 1989
  • 현재 전세계적으로 퍼져있는 NMR-CT 시스템의 수를 살펴보면 약 370여기가 설치.운영되고 있으며 앞으로 계속 늘어날 전망이다. 국내에서는 1988 한국과학기술원과 금성통신에 의해 자체 개발된 2.0 Tesla 강자장 시스템이 최초로 서울대학병원에 설치 가동된 이래 여러병원에서 시스템들이 설치중에 있다. 첨단의로 진단장치로서의 핵자기 공명 영상법은 그 영상을 통하여 기존의 진단 장치보다 우월함을 증명하고 있으며 초음파 검사나 동위원소 검사 및 X선 전산화 단층 촬영술들을 장점을 두루 지니면서 그 영상법의 다양성 때문에 앞으로의 연구 및 발전에 대한 전망은 아주 밝다고 할 수 있다. 따라서 앞으로의 종합 영상 의료 진단 장치는 이 NMR-CT가 중심이 되어 발전할 것이라고 단언해도 무리한 생각은 아닐 것이다.

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A Deep Learning Model for Judging Presence or Absence of Lesions in the Chest X-ray Images (흉부 디지털 영상의 병변 유무 판단을 위한 딥러닝 모델)

  • Lee, Jong-Keun;Kim, Seon-Jin;Kwak, Nae-Joung;Kim, Dong-Woo;Ahn, Jae-Hyeong
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.24 no.2
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    • pp.212-218
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    • 2020
  • There are dozens of different types of lesions that can be diagnosed through chest X-ray images, including Atelectasis, Cardiomegaly, Mass, Pneumothorax, and Effusion. Computed tomography(CT) test is generally necessary to determine the exact diagnosis and location and size of thoracic lesions, however computed tomography has disadvantages such as expensive cost and a lot of radiation exposure. Therefore, in this paper, we propose a deep learning algorithm for judging the presence or absence of lesions in chest X-ray images as the primary screening tool for the diagnosis of thoracic lesions. The proposed algorithm was designed by comparing various configuration methods to optimize the judgment of presence of lesions from chest X-ray. As a result, the evaluation rate of lesion presence of the proposed algorithm is about 1% better than the existing algorithm.

Benign Tumor-Like Developmental Salivary Gland Defect (양성 종양과 유사한 형태를 가진 발육성 타액선 골결손)

  • An, Seo-Young;Kim, Yong-Gun;Jung, Jae-Kwang
    • Journal of Dental Rehabilitation and Applied Science
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    • v.28 no.3
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    • pp.301-307
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    • 2012
  • 50-year-old female and 50-year-old male were referred to the department of the oral and maxillofacial surgery of Kyungpook national university dental hospital with asymptomatic lesions on their posterior mandibular body areas. They were discovered incidentally on panoramic radiographs during routine dental examination. Physical examination revealed no remarkable findings. Each panoramic radiograph showed well defined radiolucent lesions without hyperostotic border on their posterior mandibular body area. At first they were diagnosed as benign tumors because they looked like multilocular pattern and one of the patient showed discontinuity of mandibular canal within the lesion. CT scans demonstrated well demarcated and irregular lingual depression filled with fat tissue and they were diagnosed as developmental salivary gland defects. One of the lesion showed no change on follow-up panoramic radiograph after 4 months. Developmental salivary gland defects resembling benign tumor are atypical cases and it is suggested that confirmatory imaging using CT or MRI should be taken.