• Journal of Chest Surgery
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• v.32 no.8
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• pp.693-701
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• 1999

Recently non-invasive diagnostic imaging replaced the invasive catheter angiography in the diagnosis of vascular disease. Catheter methods are now almost confined to the purpose of intervention. Coronary artery or coronary artery bypass graft still needs catheter technique because of small diameter and the cardiac motion. The last challenge for radiologists in this domain is to obtain a non-invasive imaging. Electron beam tomography(EBT) for high temporal resolution is able to obtain a coronary arteriogram or coronary artery bypass graft (CABG), of which CABG imaging is quite useful for the evaluation of patency. In our experience as well as others, the accuracy of EBT angiogram in evaluating CABG patency revealed that the accuracy of patency of saphenous vein grafts(SVG) is high due to relatively wide lumen, short and straight course and less influence from cardiac motion. The sensitivity and specificity of patency of SVGs were 92%, 97% respectively in the prospective evaluat on and 100% each in the retrospective evaluation. A false positive and a false negative case are rudimentary errors in the initial learing period. In contrast the analysis of left internal mammary artery(LIMA) graft was difficult due to the inherent small size and the adjacent surgical clips provoking beam-hardening artifact; therefore, the method of combining 3 dimensional reconstruction and flow mode study was important in improving the accuracy of LIMA patency. The sensitivity and specificity of LIMA patency were 100% and 80% in both prospective and retrospective evaluation. Therefore, EBT angiography is an accurate non-invasive diagnostic modality for evaluating the patency of CABG, particularly in SVGs. The accuracy can be improved with the improvement of the EBT and the development of the image reconstruction software.

• KIPE Magazine
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• v.4 no.4
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• pp.28-31
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• 1999

• Proceedings of the KTCVS Conference
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• 1998.10a
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• pp.65-65
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• 1998

• Proceedings of the KTCVS Conference
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• 1998.10a
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• pp.25-25
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• 1998

• Proceedings of the KTCVS Conference
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• 1998.10a
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• pp.179-179
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• 1998

• Electronics and Telecommunications Trends
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• v.25 no.4
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• pp.60-68
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• 2010

CT는 종래의 엑스선 촬영 기법으로 얻은 인체 내부의 투영 데이터를 컴퓨터로 재구성하여 단층영상을 만들어 내는 기술이다. 1972년 최초의 상용화 CT가 개발된 이후로 촬영 속도 개선의 측면에서 비약적인 발전을 이루었다. 겐트리 구동 방식의 발전과 Spiral CT, MDCT 기술의 도입이 스캔 시간 단축에 큰 역할을 하였다. 특히 MDCT의 개발로 다양한 임상적 활용이 가능해졌다. 한편 O-arm CT 기술은 CT를 공간적 제약에서 벗어나게 하였다. 이는 CT가 수술실 현장에서 활용될 수 있다는 임상적 의미를 가진다. O-arm CT는 즉석에서 활용되어야 하므로 촬영과 동시에 영상이 실시간으로 재구성되는 것도 중요하다. 최근에 도입되기 시작한 GPU 프로그래밍 기술은 고성능 GPU 하드웨어의 발전을 등에 업고 실시간 CT 재구성을 가능하게 할 것으로 보인다.

• Journal of Chest Surgery
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• v.36 no.2
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• pp.79-85
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• 2003

Diagnosing and determining the stage of lung cancer by means of positron emission tomography (PET) ha.. been proven valuable because of the limitations of diagnosis by computed tomography (CT). We compared the efficacy of PET with that of CT in diagnosing pulmonary tumor and staging of lung cancer Material and Method: We performed F-18 FDG PET to determine the malignancy and the staging on patients who have been suspicious or were diagnosed as lung cancer by chest X-ray and CT. The findings of PET and of CT of 41 patients (male, 29: female, 12: mean age, 59) were compared with pathologic findings obtained from a mediastinoscopy and thoracotomy. Result: Out of 41 patients, 35 patients had malignant lesions (squamous cell carcinonla 19 cases, adenocarcinoma 14 cases, adenosquamous cell carcinoma 2 cases) and 6 patients had benign lesions. Diagnosing of lung cancer, the sensitivity, specificity and accuracy of CT and PET were the same for two method and the numbers were 100%, 50%, and 92.7% respectively. Eighteen LN groups out of 108 mediastinal LN groups who recieved histologic examination proved to be malignant. Pathologic lymph node (LN) stage was N0-Nl 31 cases, N2 8 cases, N3 2 cases. The correct identification of the nodal staging with CT, PET scans were 31 cases (75.6%), 28 cases (68.3%) respectively. The LN group was underestimated in each 6 cases of CT and PET. In 4 cases of CT and 7 cases of PET, they were overestimated in compare to histologic diagnosis. In the detection of mediastinal LN groups invasion, the sensitivity, specificity and accuracy of CT were 39.8 %, 93.3 %, and 84.3 % respectively. For PET, they were 61.1 %, 90.0 %, and 85.2 %. When two methods considered together (CT+PET), they were increased to 77.8 %, 93.3 %, and 90.7 % respectively. Conclusion: PET appears to be similar to CT in the diagnosis and the nodal taging of pulmonary tumor. Two tests may stage patients with lung cancer more accurately than CT alone.

• Journal of the Korean Society of Radiology
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• v.85 no.2
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• pp.327-344
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• 2024

Parathyroid glands are small endocrine glands that regulate calcium metabolism by producing parathyroid hormone (PTH). These are located at the back of the thyroid gland. Typically, four glands comprise the parathyroid glands, although their numbers may vary among individuals. Parathyroid diseases are related to parathyroid gland dysfunction and can be caused by problems with the parathyroid gland itself or abnormal serum calcium levels arising from renal disease. In recent years, as comprehensive health checkups have become more common, abnormal serum calcium levels are often found incidentally in blood tests, after which several additional tests, including a PTH test, ultrasonography (US), technetium-99m sestamibi parathyroid scan, single-photon-emission CT (SPECT)/CT, four-dimensional CT (4D-CT), and PET/CT, are performed for further evaluation. However, the parathyroid gland remains an organ less familiar to radiologists. Therefore, the normal anatomy, pathophysiology, imaging, and clinical findings of the parathyroid gland and its associated diseases are discussed here.

• Journal of the Korean Society of Radiology
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• v.15 no.1
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• pp.1-7
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• 2021

In order to acquire an image in a positron emission tomography, it is necessary to draw the position coordinates of the scintillation pixels of the detector module measured at the same time. To this end, in a detector module using a plurality of scintillation pixels and a small number of photosensors, it is necessary to obtain a flood image and divide a region of each scintillation pixel to obtain a position of a scintillation pixel interacting with a gamma ray. Alternatively, when the number of scintillation pixels and the number of photosensors to be used are the same, the position coordinates for the position of the scintillation pixels can be directly acquired as digital signal coordinates. A method of using a plurality of scintillation pixels and a small number of photosensors requires a process of obtaining digital signal coordinates requires a plurality of photosensors and a signal processing system. This complicates the signal processing process and raises the cost. To solve this problem, in this study, we developed a method of obtaining digital signal coordinates without performing the process of separating the planar image and region using a plurality of flash pixels and a small number of optical sensors. This is a method of obtaining the position coordinate values of the flash pixels interacting with the gamma ray as a digital signal through a look-up table created through the signals acquired from each flash pixel using the maximum likelihood function. Simulation was performed using DETECT2000, and verification was performed on the proposed method. As a result, accurate digital signal coordinates could be obtained from all the flash pixels, and if this is applied to the existing system, it is considered that faster image acquisition is possible by simplifying the signal processing process.

• Journal of the Korean Society of Radiology
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• v.16 no.6
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• pp.703-708
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• 2022

A detector module measuring the depth of interaction(DOI) was designed to improve the spatial resolution of positron emission tomography(PET). The scintillation pixel array consists of two layers, and a light guide is inserted between the layers to make the light generated through the gamma-ray event different for each layer. There are four light guides, and one light guide is designed to be coupled to a 2 × 2 array of scintillation pixels. The light generated from the top layer is moved to the photosensor with a wider distribution through the light guide, and the light generated from the bottom layer is incident on the photosensor with a narrower distribution than the top layer. When a flood image is reconstructed based on the signals obtained from the photosensor by different distributions, scintillation pixels are imaged at different positions for each layer. To verify this, a DETECT2000 simulation tool that simulates the behavior of light in a scintillator was used. By designing a scintillation pixel array, a detector consisting of a light guide and a photosensor, a gamma ray event was generated in all scintillation pixels to obtain a flood imgae. As a result, it was confirmed that the top and bottom layers were imaged at different positions and completely separated. When this detector is applied to PET, it is considered that image quality can be improved through imporved spatial resolution.