• Title/Summary/Keyword: 진단방사선학

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The Effect of Occlusal Splint on the Masseteric Silent Period in Patients with TM disorders (교합안전장치가 측두하악장애 환자의 교근의 휴지기에 미치는 영향)

  • Do, Young Hwan;Kim, Chin Soo;Choi, Jae Kap
    • Journal of Oral Medicine and Pain
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    • v.12 no.1
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    • pp.95-103
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    • 1987
  • The purpose of this study was to evaluate the effect of occlusal splint on the electromyographic silent period duration of masseter muscle in patients with TM disorders. The author measured the Helkimo dysfunction index and masseteric silent period duration before and after 4 weeks splint therapy in 15 patients with TM disorders. The results were as follow: Before splint therapy, the mean durations of masseteric silent period in 15 patients with TM disorders were 50.7msec in left and 50.5msec in right. After 4 weeks splint therapy, the mean durations of masseteric silent period were 25.4msec in left and 26.5msec in right. In the correlation between Helkimo dysfunction index and masseteric silent period duration in before treatment, correlation coefficient is 0.675, p.<0.01. There is statistically significant correlation between Helkimo dysfunction index and masseteric silent period duration. Helkimo dysfunction index was significantly decreased after 4 weeks splint therapy (P<0.01) The masseteric silent period duration was significantly decreased after 4 weeks splint therapy (p<0.01).

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A comparison of conventional intraoral radiography and computer imaging techniques for the detection of proximal surface calculus (구내방사선사진과 컴퓨터영상의 치아 인접면 치석 진단능의 비교)

  • Kang Byung-Cheol
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.24 no.1
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    • pp.23-28
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    • 1994
  • 전남대학교 치과대학 학생을 대상으로 평행촬영법으로 촬영한 168장의 구내방사선사진을 디지털 영상으로 변환하여, 필름상의 치석 유무 판독 결과와 모니터상의 판독 결과를 비교하였다. 3명의 구강악안면방사선학 전공 치과의사가 판독을 하되 필름상의 판독 결과를 판정의 기준으로 하였다. 디지털 영상은 상업용 필름-비디오 변환장치, 486DX PC, 그리고 PcVision과 frame grabber을 이용하여 얻었다. 모니터상의 개개 구내방사선사진상은 700×480 pixel로 나타내었다. 디지털 영상의 치석진단의 sensitivity는 0.79-0.90(평균 0.86) 이었고, specificity는 0.03-0.43(평균 0.17) 이었다.

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Diagnostic Radiology and Conservative Management of L1 Lumbar Spine with Compression Fracture (L1 요추 압박골절에 대한 진단방사선학 및 보존적 치료)

  • 김재웅
    • The Korean Journal of Food And Nutrition
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    • v.11 no.2
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    • pp.165-170
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    • 1998
  • Diagnostic radiology and conservative management for S75 patient with L1 lumbar fracture by traffic accidents were discussed with references, and then the obtained results were as follows ; 1. Wedging compression fractures with 10% deformity was confirmed at anterior vertebral body of L1 lumbar spine through lateral plain X-ray film. 2. Irregular bony fractures were observed at anterior vertebral body of L1 lumbar spine by CT scans, anatomically T12-L1 sites showed highly frequency of injuries, Denis's fracture type was classified as multiple compression fracture at anterior column without abnormal middle and posterior column, also no Cobb's angle, and then Frankel's neurological classification was E grade. 3. Orthopaedic treatments were performed with conservative methods. With rest on the bed, anti-in-flammatory medication, electrolyte and nutritional solution, the pain diminished. 4. After 3 weeks, rehabilitation was worked with putting on polyethylene back corset, although pains remained slightly until after 8 weeks, thereafter the spine showed gradually stability.

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A Case of Broncholithiasis (기관지결석증 치험 1례)

  • 배홍갑;이웅렬;조태환;성창섭
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1983.05a
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    • pp.9.1-9
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    • 1983
  • By the technological improvement of bronchoscopy, radiology, and biochemical analysis, the broncholithiasis can be easily diagnosed. But because of its low incidence it has been frequently overlooked in the differential diagnosis of bronchial obstruction, thereby losing the opportunity of early detection and causing complications which are mandatory to surgical intervention. The authors had a case of broncholithiasis which was diagnosed by radiological study of chest and fiberoptic bronchoscopy, and was removed under rigid bronchoscopy.

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A comparison of periapical radiographs and their digital images for the detection of dental caries (인접면 치아우식증의 진단의 치근단 X선사진과 디지털영상의 비교)

  • Kang Byung-Cheol
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.24 no.1
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    • pp.31-35
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    • 1994
  • 전남대학교 치과진료처에 내원한 환자의 구내방사선사진중 1단계 (Cl: 30개 병소)또는 2단계(C2: 213.8병소)의 인접면 치아우식을 가진 방사선사진 168장을 연구대상으로 하였다. 이들 방사선사진은 코닥사의 Ektaspeed(E group) 필름을 사용하여 평행촬영법으로 촬영하였다. 168장의 방사선사진에 대하여 1단계 및 2단계 치아우식증을 4명의 구강악안면방사선학을 전공한 치과의사들이 같이 판독하여 그 결과를 기록하였다. 또한 168장의 방사선사진을 필름-비디오 변환장치를 이용하여 디지털 영상으로 전환하였다. 이때 486 DX PC에 PCVision과 frame grabber를 이용하였다. 각각의 구내방사선사 진영상은 17"크기의 1280×768픽셀의 해상도를 갖는 모니터상에서 256단계 흑화도를 갖는 700×480픽셀로 제시되었다. 모니터상에서의 치아우식 판독 결과를 구내방사선사진 판독 결과와 비교하였다. 그 결과 sensitivity는 0.98이었다. 1단계 치아우식은 0.87, 2단계 치아우식 은 1.00의 sensitivity를 나타내었다.

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Comparison of cephalometric norms between Mongolian and Korean adults with normal occlusions and well-balanced profiles (조화로운 측모를 가진 몽골인과 한국인 성인 정상교합자의 측모두부계측방사선학적 비교 연구)

  • Kim, Ji-Hwan;Gansukh, Odontuya;Amarsaikhan, Bazar;Lee, Sin-Jae;Kim, Tae-Woo
    • The korean journal of orthodontics
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    • v.41 no.1
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    • pp.42-50
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    • 2011
  • Objective: The purposes of this study were to establish cephalometric norms of Mongolian adults, which have not previously been reported in orthodontic journals, and to compare them with cephalometric norms of Korean adults. Methods: Lateral cephalometric radiographs of 74 Mongolian adults (35 men, 39 women) and 95 Korean adults (52 men, 43 women) with normal occlusions and well-balanced lateral profiles were obtained. The subjects were chosen by orthodontists of the same ethnic background. Forty craniofacial variables were measured, and groups were compared by analysis of covariance. Results: The cephalometric norms for male and female Mongolian and Korean adults with normal occlusions and well-balanced lateral profiles were established. Sexual dimorphism was found in linear skeletal measurements and vertical skeletal relationships. Compared with Korean adults, Mongolian adults had shorter anterior facial height, more prominent chins, and more upright upper incisors. There were few differences in soft tissue measurements. The differences were statistically significant, but their clinical importance may be limited. Conclusions: Cephalometric differences can be considered, but little difference may exist in the orthodontic diagnosis and treatment planning of Mongolian and Korean adults.

Investigation of organ dose difference of age phantoms for medical X-ray examinations (X선 촬영 시 연령별 장기선량 차이 연구)

  • Park, Sang-Hyun;Lee, Choon-Sik;Kim, Woo-Ran;Lee, Jai-Ki
    • Journal of Radiation Protection and Research
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    • v.28 no.1
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    • pp.35-42
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    • 2003
  • Methodology for calculating the organ equivalent doses and the effective doses of pediatric and adult patients undergoing medical X-ray examinations were established. The MIRD-type mathematical phantoms of 4 age groups were constructed with addition of the esophagus to the same phantoms. Two typical examination procedures, chest PA and abdomen AP, were simulated for the pediatric patients as well as the adult as illustrative examples. The results confirmed that patients pick up approximate 0.03 mSv of effective dose from a single chest PA examination, and 0.4 to 1.7 mSv from an abdomen AP examination depending on the ages. For dose calculations where irradiation is made with a limited field, the details of the position, size and shape of the organs and the organ depth from the entrance surface considerably affect the resulting doses. Therefore, it is important to optimize radiation protection by control of X-ray properties and beam examination field. The calculation result, provided in this study, can be used to implement optimization for medical radiation protection.

A Case of Acute Pancreatitis without Abdominal Pain (복통이 없었던 급성 췌장염)

  • Kim, Jae Hui;Goo, Min Ji;Cho, Jae Min;Park, Eun Sil;Seo, Ji Hyun;Lim, Jae Young;Park, Chan Hoo;Woo, Hyang Ok;Youn, Hee Shang
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.8 no.2
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    • pp.275-278
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    • 2005
  • We report a boy with acute pancreatitis without abdominal pain accompanied by hepatic hematoma and massive ascites due to unperceived trauma. The case was difficult to diagnose with image study and the level of amylase. Strong suspicion of pancreatic injury based on mechanism of injury and clinical evaluation would be required to avoid a delay in diagnosis.

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구내 방사선 촬영에 있어서 Film과 Digital sensor에 따른 피폭선량의 차이에 대한 비교

  • Kim, Ju-Yeong
    • Korean Journal of Digital Imaging in Medicine
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    • v.7 no.1
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    • pp.45-49
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    • 2005
  • 목적 : 기존 구내 방사선 촬영에서 사용되었던 Film에서의 노출선량과 Digital Sensor를 이용한 구내 디지털 촬영에서의 노출선량을 비교하여 현재 광범위 하게 사용 되어지고 있는 Digital Sensor가 환자의 피폭선량을 감소하는데 기여하는 정도를 알아본다. 대상 및 방법 : 치아 우식증이 없는 5개의 구치부 치아를 선택하여 석고 블럭에 매식한 후 교합면과 인접면에 우식병소들을 형성하였다. 이를 필름(Kodak Insight; IS, Kodak Co, USA)과 Digital Sensor(Kodak RVG 6000; Kodak Co, USA)에 XCP Instrument(Rinn Co, USA)를 사용하고, 전면에는 조직등가물질인 Acrylic Resin Block 20mm를 설치하였다. Acrylic Resin Block의 관구 측면 에서는 조사선량계를 부착하여 단계별로 변화시키는 노출조건에 대한 조사선량을 측정하였다. 그리고 이렇게 얻어진 영상을 3명의 방사선학 전공의와 1명 의 보존과 전공의가 평가를 하였다. 결과 : Film과 Digital Sensor를 가지고 촬영한 영상을 분석한 결과 노출선량에서도 Digital Sensor는 Film 노출선량과 비슷한 결과를 도출해 낼 수 있었다. 그러나 Digital Sensor로 촬영된 영상의 경우에는 Film 경우보다 좀더 효과적으로 조사선량을 판단 할 수 있었으며, 또한 영상 판독시 필름보다 폭 넓게 응용 할 수 있었다. 결론 : 본 연구에서는 선량 변화에만 의존하는 것이 아니라 Digital Sensor로 촬영시 영상 조절을 병행한다면 좀더 정확하고 효과적인 진단 활동에 도움이 될 수 있을 것으로 사료된다.

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