• Archives of Hand and Microsurgery
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• v.23 no.4
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• pp.281-289
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• 2018

Purpose: Preoperative surgical planning utilizing computed tomography angiography (CTA) has now become a routine in many practices. We analyzed the course of the deep inferior epigastric artery (DIEA) and its perforators (DIEP) that would either facilitate or hinder flap dissection based on CTA to aid surgical planning. Methods: The 115 consecutive patients who underwent abdominally based free flap breast reconstruction were enrolled in this prospective study. DIEA/P courses were categorized mainly according to their intramuscular courses and their incidences were investigated. Results: A total of 425 perforators were identified preoperatively on the CTA, with an average number of 3.7 distinctly visualized in the entire flap territory. Eighty-nine perforators (20.9%) had a favorable (less than 1 cm intramuscular course) pattern, namely long submuscular (34.8% of the patients), long subfascial (15.6%), and total circummuscular (13.9%). Overall 56.5% of the patients had at least one favorable DIEA/P. On the other hand, absence of DIEA and absence of adequate (>1 mm) DIEP was reported in 3 and 8 hemiabdomen. Conclusion: Preoperative CTA evaluation of DIEA/P can be used to identify favorable as well as unfavorable courses for dissection to aid surgical planning.

• Journal of the Korean Society of Radiology
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• v.79 no.6
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• pp.315-322
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• 2018

Purpose: To analyze the clinical and angiographic features with outcome of transcatheter arterial embolization in patients with secondary postpartum hemorrhage. Materials and Methods: Clinical details and angiographic features with assessment of arterial embolization were reviewed in total 38 patients underwent arterial embolization at single tertiary referral center. Results: Twenty patients (53%) had Cesarean section. The major causes of bleeding were iatrogenic vascular injury, and retained placenta (55%). The patterns of vaginal bleeding were recorded as intermittent (50%), or as persistent (50%). Seven patients (18%) were hemodynamically unstable at presentation. Positive angiographic findings appeared in eighteen patients (47.3%). The frequency of pseudoaneurysm was statistically high in the Cesarean section (p < 0.001). The used embolic agents except gelfoam were N-butyl cyanoacrylate (n = 7), and microcoil (n = 7). Unilateral selective embolization (26.3%) was shown effective in superselective embolization of bleeding focus. Technical and clinical success rate were 100% and 97.4%, respectively with no complication. Sixteen resumed regular menstruation, and one pregnancy were observed in patients with available follow-up of over 6 months. Conclusion: Considerable rate of hemodynamically unstable patients was observed with high rate of positive angiography findings. Given high successful rate and few complications, early angiographic assessment with embolization should be considered.

• School Mathematics
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• v.7 no.1
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• pp.33-54
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• 2005

One of the major results of National Assessment of Educational Achievement in 2003 is that the final test results were reported by four levels such as Advanced, Proficient, Basic, and Below Basic. We used it to investigate into the characteristics of students according to achievement levels, and finally we listed them. We think that these results will be a help to instructions according to achievement levels.

• Investigative Magnetic Resonance Imaging
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• v.17 no.1
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• pp.33-40
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• 2013

Purpose : To evaluate late gadolinium enhancement (LGE) pattern of left ventricular (LV) myocardium and presence or absence of LGE in other regions of the heart on cardiac magnetic resonance (CMR) imaging in patients diagnosed with cardiac amyloidosis. Materials and Methods: From 2009 to 2011, 9 patients who were suspected cardiac amyloidosis underwent CMR. We retrospectively analyzed the presence or absence of LGE and enhancement pattern in LV myocardium, and the presence or absence of LGE in other chambers as well. Also we measured interatrial septal thickness (IST), relative signal intensities of atrial septum and epicardial fat over the left atrial (LA) cavity on delayed enhanced images. MRI parameters in these patients were compared to those of control group of patients with ischemic heart disease by Wilcoxon rank sum test. Results: Of nine patients, LGE were found in 8; subendocardial circumferential pattern in 4 and diffuse pattern in 4. LGE in right ventricle was observed in 7. IST was significantly increased in patients with cardiac amyloidosis (P = 0.02). Ratio of atrial septum to LA cavity and ratio of epicardial fat to LA cavity showed a significant difference (P = 0.0002 and P = 0.0006, respectively). Conclusion: In LGE CMR, subendocardial or diffuse enhancement pattern is a typical finding for patients with cardiac amyloidosis. Atrial septum and epicardial fat show relatively increased signal intensities over LA blood cavity.

• Journal of the Korean Institute of Traditional Landscape Architecture
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• v.28 no.2
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• pp.9-22
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• 2010

This research is attempted to investigate Dongcheon-rock inscription- to understand symbolic meanings from inscribed texts and to find its construction purpose. For the investigation, 25 target areas were selected for field exploration and literature review regarding Dongcheon were also performed. Several design characteristics of Dongcheon are as follows: First, Dongcheon has four criteria according to creation purpose: residential type(家居地型), hermitage type(隱棲地型), nature excursion type(山水遊覽型), aesthetic scenery type(勝景型), moral training type(修身型) and spiritual discipline type(修道地型). This category shows that Dongcheon is constructed at residential area, shelters, and place for leisure, mortal training and spiritual discipline. Second, Dongcheon is also classified by its location: location on village entrance in a deep forest(深山同口型) and location on near stream(溪流隣接型); location on near stream has also two types(連繫型, 單一領域型): location on an independent territory and location horizontal ground(平地型). Through garden creators' managing their garden in forest, valley and scenic spots, they pursue utopia. Third, naming is a way to create new landscape places. By naming a certain natural landscape as Dongcheon, the landscape is symbolized as utopia, appearing fairyland. Designer's desire and thoughts are saturated in Dongcheon.

• Journal of the Korean Society of Radiology
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• v.82 no.4
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• pp.1018-1023
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• 2021

A meandering pulmonary vein (MPV) is a rare pulmonary vascular anomaly characterized by an abnormal course of the pulmonary vein draining into the left atrium. We report the case of a 55-year-old female who was diagnosed with a right MPV on pulmonary angiography. Enhanced chest CT revealed a vascular structure with an abnormal course that drained into the right superior pulmonary vein in the right upper lobe, which resembled a pulmonary arteriovenous malformation (AVM). Pulmonary angiography performed to discriminate between an MPV and pulmonary AVM showed no feeding artery, normal parenchymal staining, and drainage to the left atrium via the culprit vessel. Thus, the patient was diagnosed with MPV. When an MPV is difficult to differentiate from other vascular anomalies on enhanced chest CT, pulmonary angiography can be helpful. By recognizing the angiographic findings of an MPV, unnecessary treatment can be prevented.

• The Journal of the Korea Contents Association
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• v.12 no.9
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• pp.270-279
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• 2012

This paper explores CT findings of a rabbit brain infection model injected with Escherichia coli and investigates the changes in Hounsfield unit (HU) of arterial blood over time. The brain infection model was produced by injecting E. coli $1{\times}10^7$ CFU/ml, 0.1 ml through the burr hole in the calvarium; 2~3 mm in depth from the dura mater, and contrast-enhanced CT, dynamic CT and arterial blood CT images were gained. It was found that various brain infections such as brain abscess, ventriculitis and meningitis. The CT image of brain abscess showed a typical pattern which the peripheral area was strongly contrast-enhanced while the center was weakly contrast-enhanced. The CT image of ventriculitis showed a strong contrast-enhancement along the lateral ventricle wall, and the CT image of meningitis showed a strong contrast-enhancement in the area between the telencephalon and the diencephalon. In dynamic CT images, the HU value of the infection core before injecting contrast medium was $31.01{\pm}3.55$. By 10 minutes after the injection, the value increased gradually to $40.36{\pm}3.76$. The HU value in the areas of the marginal rim where was hyper-enhanced showed $47.23{\pm}3.12$ before contrast injection, and it increased to $63.59{\pm}3.31$ about 45 seconds after the injection. In addition, the HU value of the normal brain tissue opposite to the E. coli. injected brain was $39.01{\pm}3.24$ before the injection, but after the contrast injection, the value increased to $49.01{\pm}4.29$ in about 30 seconds, and then it showed a gradual decline. In the arterial blood CT, the HU value before the contrast injection was $87.78{\pm}6.88$, and it increased dramatically between 10 to 30 seconds until it reached a maximum value of $749.13{\pm}98.48$. Then it fell sharply to $467.85{\pm}62.98$ between 30 seconds to 45 seconds and reached a plateau by 60 seconds. Later, the value showed a steady decrease and indicated $188.28{\pm}25.03$ at 20 minutes. Through this experiment, it was demonstrated that the brain infection model can be produced by injecting E. coli., and the characteristic of the infection model can be well observed with contrast-enhanced CT scan. The dynamic CT scan showed that the center of the infection was gradually contrast-enhanced, whereases the peripheral area was rapidly contrast-enhanced and then slowly decreased. As for arterial blood, it increased significantly between 10 seconds to 30 seconds after the contrast medium injection and decreased gradually after reaching a plateau.

• The Korean Journal of Nuclear Medicine
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• v.22 no.2
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• pp.205-207
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• 1988

이제까지 슬관절 파열의 진단에는 관절조영술이나 관절경검사가 주로 이용되어 왔다. 저자들은 골스캔을 이응해서 슬관절 반월판 파열의 진단을 시도하였다. 슬관절 조영술이나 관절경검사로 확진된 반월판 파열 환자 7명에 대해 $^{99m}Tc-MDP$와 $^{99m}Tc-PYP$, 20mCi를 주사해서 동적, 정적영상 및 바늘구명 조준기를 이용한 영상을 얻었다. 그 소견은 1) 동적영상에서 반월판 손상부위의 혈류가 국소적으로 증가되었고, 2) 정적영상 및 바늘구멍 조준기를 이용한 영상에서 손상 부위의 경골과(tibial plateau)를 따라 특징적으로 얇은판 모양의 방사능 집적을 관찰할 수 있었다. 슬관절의 골신티그래피는 반월판 파열의 유용한 진단 방법으로 사료된다.

• Proceedings of the Korea Contents Association Conference
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• 2015.05a
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• pp.115-116
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• 2015

원림은 조영가의 사상과 가치관이 반영되어 조영방식, 구성 등이 표출된다. 본 연구는 백거이의 창작작품을 통해 백거이의 원림의 특징을 파악하고 그의 원림이 중국원림에 끼친 영향을 분석하였다. 연구결과 백거이는 자신의 유교적체득과 심미의식을 반영하여 원림의 의미를 변화시켰고 후대 문인원림 형성에 영향을 주었다. 또한 태호석의 독특한 미를 발견하고 원림에 도입하였으며 원림 내 경관을 풍부하기 위해 산체와 수체를 융합하고 돌을 이용해 가산을 쌓는 등 원림을 치밀하게 조성하였다.

• Proceedings of the Korea Information Processing Society Conference
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• 2012.04a
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• pp.414-416
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• 2012

본 논문에서는 X-선 혈관 조영 영상 내 심혈관의 추출 방법을 제안한다. 본 방법은 불균일 조명 보정 필터를 사용함으로써 X-선 영상 내에서 나타나는 일정하지 않은 contrast, 낮은 명암도 및 불균일 조명 문제를 해결한다. 또한 영상의 지역적인 밝기 값의 변화의 특징을 고려하면서 분할 대상영역의 각 픽셀들의 2 차 미분((second partial derivation)을 행렬의 요소(element)로 갖는 Hessian 행렬의 고유치 (eigenvalue)를 영역확장의 문턱치 결정에 이용하여 전역적인 밝기값(intensity)만을 사용하는 분할의 단점을보완하였다.