• Proceedings of the Korean Society of Precision Engineering Conference
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• 2005.10a
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• pp.131-134
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• 2005

This paper presents a computer-aided simulation and robotic-assisted execution technology of external fixation method to achieve fracture reduction and deformity correction in long bones. Combining the kinematic analysis with a graphic model of the tibia and the fixator allowed 3D simulation and visualization of the adjustments required to reduce fracture or correct bone deformity as a pre-operative planning tool. The developed robot model provided accurate deformity correction with small residual deformity based on the results of the planning. By incorporating the robot model with image-guided system and computer-aided planning, the integrated system could be useful for computer-aided pre-operative planning and robotic-assisted execution in fracture treatment and bone deformity surgery.

• Proceedings of the Korean Information Science Society Conference
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• 1998.10c
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• pp.612-614
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• 1998

뇌정위 수술(Stereotactic Surgery)은 컴퓨터 단층영상과 자기공명 영상 같은 3차원 영상을 이용하여 뇌병변의 위치를 입체적으로 정확히 파악하여 정상 뇌에 대한 손상을 최소화하며 병변을 수술하는 기법이다. 본 논문에서는 수술 받을 환자의 컴퓨터 단층영상과 자기공명 영상 등 다양한 종류의 3차원 볼륨 데이터를 전처리한 다음 동일한 3차원 공간 내에서 정렬시켜 선택적 또는 동시적으로 3차원 영상을 가시화 하는 기법을 제안한다. 또한 3차원 영상에서 뇌정위 수술의 삽입점과 목표점을 지정할 수 있는 기능을 지원하며 수술 경로에 따른 가상 수술의 시뮬레이션을 통하여 수술 경로의 안전성을 검증할 수 있게 하였다.

• Proceedings of the Korean Society of Computer Information Conference
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• 2024.01a
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• pp.35-36
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• 2024

전신 마취 수술 중 저혈압의 발생은 다양한 합병증을 유발하며 이를 사전에 예측하여 대응하는 것은 매우 중요한 일이다. 따라서 본 연구에서는 SHAP 모델을 통해 변수 선택을 진행하고, Transformer 모델을 이용해 저혈압 발생 여부를 예측함으로써 임상적 의사결정을 지원한다. 또한 기존 연구들과는 달리, 수술실에서 수집되는 데이터를 기반으로 하여 높은 범용성을 가진다. 비침습적 혈압 예측에서 RMSE 9.46, MAPE 4.4%를 달성하였고, 저혈압 여부를 예측에서는 저혈압 기준 F1-Score 0.75로 우수한 결과를 얻었다.

• Progress in Medical Physics
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• v.8 no.2
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• pp.19-26
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• 1997

3-dimensional Neuronavigator, Viewing Wand(ISG Technologies, Toronto, Cannda) is the surgery aid equipment for real time image (CT or MRI) guided surgery. The assurance of spatial accuracy of this system is important for clinical application. In this study, we have designed the acrylic brain phantom and measured the spatial error with that phantom. The phantom has designed to have capability to simulate image guided surgery. The phantom has 22 vertical rods whose diameters are 5mm and each rods has different length. CT scans were performed by 2.0mm slice and reconstructed for 3-Dimensional analysis. End point of rods can be obtained using reconstructed 3- Dimensional images and they are compared to actual position data. Average deviation was less than 2mm for various situations. Spatial error of Viewing Wand is acceptable in the clinical points of view, while cosmetics of the software needs to be modified to more user friend. Better accuracy can be expected when we apply the mixed fiducial fit registration and surface fit registration method. And even better results can be obtained if registration points distributed even and symetric around the target.

• Journal of Biomedical Engineering Research
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• v.22 no.6
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• pp.527-534
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• 2001

Conventional stereo image acquisition uses a pair of frame grabbers in the CAS(Computer Assisted Surgery) system. In this Paper, we developed a synchronized stereo image acquisition method with only one frame grabber Two images from left and right camera each other. were merged with different color space without time delay and thus only one frame grabber was enough toy stereo image. Due to this synchronous Property of image acquisition, we can improve spatial revolution on the computation of 3D Position. Furthermore the overall costs for 3D navigator can be down and the extraction time of stereo Position tan be shortened.

• The Journal of Korean Academy of Prosthodontics
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• v.57 no.2
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• pp.150-159
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• 2019

Nowadays, dental implant is one of the widely used treatment options for edentulous patients. Recently, a method of improving the accuracy of implant surgery using an implant surgical guide has been introduced and widely used in order to accurately place the implant in a proper position. Full-guided and half-guided implant surgery can be distinguished according to the level of surgical guide application during the implant surgery. It is true that full-guided implant surgery exhibits higher accuracy, but half- guided implant surgery is often performed in a clinical situation due to the factors such as the circumstances of the operation. A partially edentulous patient who lost teeth due to tooth fracture and periodontal disease was treated using implant and fixed prosthesis. Half-guided implant surgery was performed using an implant surgical guide during implant surgery, the accuracy of implant placement was analyzed.

• Progress in Medical Physics
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• v.8 no.1
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• pp.17-24
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• 1997

We developed PC-based planning system for linear accelerator based stereotactic radiosurgery. The system was developed under Windows 95 on Pentium Pro$\^$(R) 200 ㎒ IBM PC with 128 MB RAM. It was programed using IDL$\^$(R)/ of Research Systems, Inc. as a programing tool. CT image data obtained with BRW stereotactic frame is transferred to PC through magnetoptical disk. As loading the image, the system automatically recognizes the location of rods and establishes stereotactic coordinates. It accurately calculates and corrects the coordinates, degree of tilting, and magnification rate of axial images. After the coordinates is defined we can delineate and edit the contours of target and organs of interest on axial images. Upon delineating contours of target, isocenter is determined automatically and we can set up the beam configuration for radiosurgery. The system provides beam's eye view and room's eye view for efficient confuguring of beams. The system calculates dose distribution 3-dimensionally. It takes 1 to 2 minutes to calculate dose distribution for 5 arcs. We can verify the dose distribution on serial axial images. We can analyze the dose distribution quantitatively by evaluation of dose-volume histogram of target and organ of interest. This system, PC-based radiosurgery planning system, includes the basic features for radiosurgery planning and calculates dose distribution within reasonable time for clinical application.

• The Korean Society of Law and Medicine
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• v.24 no.2
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• pp.147-196
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• 2023

Advances in brain science have made it possible to stimulate the brain to treat brain disorder or to connect directly between the neuron activity and an external devices. Non-invasive neurotechnologies already exist, but invasive neurotechnologies can provide more precise stimulation or measure brainwaves more precisely. Nowadays deep brain stimulation (DBS) is recognized as an accepted treatment for Parkinson's disease and essential tremor. In addition DBS has shown a certain positive effect in patients with Alzheimer's disease and depression. Brain-computer interfaces (BCI) are in the clinical stage but help patients in vegetative state can communicate or support rehabilitation for nerve-damaged people. The issue is that the people who need these invasive neurotechnologies are those whose capacity to consent is impaired or who are unable to communicate due to disease or nerve damage, while DBS and BCI operations are highly invasive and require informed consent of patients. Especially in areas where neurotechnology is still in clinical trials, the risks are greater and the benefits are uncertain, so more explanation should be provided to let patients make an informed decision. If the patient is under guardianship, the guardian is able to substitute for the patient's consent, if necessary with the authorization of court. If the patient is not under guardianship and the patient's capacity to consent is impaired or he is unable to express the consent, korean healthcare institution tend to rely on the patient's near relative guardian(de facto guardian) to give consent. But the concept of a de facto guardian is not provided by our civil law system. In the long run, it would be more appropriate to provide that a patient's spouse or next of kin may be authorized to give consent for the patient, if he or she is neither under guardianship nor appointed enduring power of attorney. If the patient was not properly informed of the risks involved in the neurosurgery, he or she may be entitled to compensation of intangible damages. If there is a causal relation between the malpractice and the side effects, the patient may also be able to recover damages for those side effects. In addition, both BCI and DBS involve the implantation of electrodes or microchips in the brain, which are controlled by an external devices. Since implantable medical devices are subject to product liability laws, the patient may be able to sue the manufacturer for damages if the defect caused the adverse effects. Recently, Korea's medical device regulation mandated liability insurance system for implantable medical devices to strengthen consumer protection.

• Journal of the Korean Orthopaedic Association
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• v.55 no.5
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• pp.405-410
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• 2020

Purpose: Pedicle screw insertion has been traditionally used as a surgical treatment for degenerative lumbar spine disease. As an alternative, the cortical-bone trajectory screw allows less invasive posterior lumbar fixation and excellent mechanical stability, as reported in several biomechanical studies. This study evaluated the clinical and radiological results of a case of early failure of cortical-bone screw fixation in posterior fixation and union after posterior decompression. Materials and Methods: This study examined 311 patients who underwent surgical treatment from 2013 to 2018 using cortical orbital screws as an alternative to traditional pedicle screw fixation for degenerative spinal stenosis and anterior spine dislocation of the lumbar spine. Early fixation failure after surgery was defined as fixation failure, such as loosening, pull-out, and breakage of the screw on computed tomography (CT) and radiographs at a follow-up of six months. Results: Early fixation failure occurred in 46 out of 311 cases (14.8%), screw loosening in 46 cases (14.8%), pull-out in 12 cases (3.9%), and breakage in four cases (1.3%). An analysis of the site where the fixation failure occurred revealed the following, L1 in seven cases (15.2%), L2 in three cases (6.5%), L3 in four cases (8.7%), L4 in four cases (8.7%), L5 in four cases (8.7%), and S1 in 24 cases (52.2%). Among the distal cortical bone screws, fixation failures such as loosening, pull-out, and breakage occurred mainly in the S1 screws. Conclusion: Cortical-bone trajectory screw fixation may be an alternative with comparable clinical outcomes or fewer complications compared to conventional pedicle screw fixation. On the other hand, in case with osteoporosis and no anterior support structure particularly at L5-S1 fusion sites were observed to have result of premature fixation failures such as relaxation, pull-out, and breakage.

• Proceedings of the Korea Water Resources Association Conference
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• 2005.05b
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• pp.1430-1434
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• 2005

금강 유역과 같이 복잡한 하천유역 시스템의 관리를 위해서는 시스템 요소들을 통합적으로 분석할 수 있는 효과적인 의사결정지원 도구가 필요하다. K-MODSIM 모형은 단기 물관리, 장기 운영계획, 가뭄 대비계획 및 물관련 분쟁 해결을 위해 보다 개선된 유역관리 전략을 수립하기 위한 컴퓨터 기반 도구로 개발되었으며, 본 연구에서는 K-MODSIM 모형에 저수지 운영률을 반영하여 유역의 용수배분을 평가하였다. 유역 저수지군 운영 환경 및 제약조건을 반영한 네트워크를 구성한 후, 두 단계의 모형 검정을 수행하였다. 먼저 물리적 검정을 통해서 전체 대상 수계의 상하류 물수지를 검토하고, 다음 단계인 운영 측면의 검정에서 물리적으로 나타나는 상황이 댐 운영이나 제약 조건 등에 부합하는지의 여부를 검토하였다. 대청댐과 용담댐의 통합 운영을 위한 최적 운영률의 개발은 동적계획법 소프트웨어인 CSUDP를 이용하여 수행하였으며, 여기서 사유한 접근법은 음해 추계학적 동적계획법이다. 이 접근방법은 유입량 시계열을 추계학적으로 모의발생시키고, CSUDP 모형은 모의발생시킨 유입량 시계열에 대한 최적운영률을 찾기 위해 사용하며, CSUDP의 최적화 결과에 대한 통계적인 분석을 통해 월단위 운영률을 도출하였다. K-MODSIM 모형에 저수지 운영률을 반영하여 유역의 용수배분을 평가하였다. 유역 저수지군 운영 환경 및 제약조건을 반영한 네트워크를 구성하고, 대청댐과 용담댐의 통합 운영을 위한 최적연계 운영를을 개발하여 다음과 같은 운영 시나리오들을 개발하고 평가하였다. $\cdot$ 금강수계에 대한 용당댐의 영향 평가 $\cdot$ 댐 연계운영시 수요량 변화에 따른 영향 평가 $\cdot$ 하도추적을 고려한 일별모형의 검증 개발된 운영률과 하도추적방법을 K-MODSIM 모형에서 검증하기 위해서 vb.net 스크립트 파일을 개발하여 적용하였다.L이하로 이를 유등천 상류부에 공급할 경우 유등천의 수질은 BOD 6.7mg/L, TN 9.80mg/L, TP 0.90mg/L를 나타낼 것으로 예측된다. 고도처리시설의 도입 후 금강 합류점에서 갑천의 예측 BOD는 7.4mg/L로 현재 9.0mg/L에 비하여 개선되지만 이는 금강수계 오염총량 관리계획의 시$\cdot$도 경계지점 목표수질인 5.9mg/L를 만족시키지 못하므로, 이를 만족시키기 위해서는 방류수 BOD 7.2mg/L이하로 처리해야 할 것으로 판단된다.which support only concepts or image features.방하는 것이 선계기준에 적합한 것으로 나타났다. 밸브 개폐에 따른 수압 변화를 모의한 결과 밸브 개폐도를 적절히 유지하여 필요수량의 확보 및 누수방지대책에 활용할 수 있을 것으로 판단된다.8R(mm)(r^2=0.84)$로 지수적으로 증가하는 경향을 나타내었다. 유거수량은 토성별로 양토를 1.0으로 기준할 때 사양토가 0.86으로 가장 작았고, 식양토 1.09, 식토 1.15로 평가되어 침투수에 비해 토성별 차이가 크게 나타났다. 이는 토성이 세립질일 수록 유거수의 저항이 작기 때문으로 생각된다. 경사에 따라서는 경사도가 증가할수록 증가하였으며 $10\% 경사일 때를 기준으로 $Ro(mm)=Ro_{10}{\times}0.797{\times}e^{-0.021s(\%)}$로 나타났다.천성 승모판 폐쇄 부전등을 초래하는 심각한 선천성 심질환이다. 그러나 진단 즉시 직접 좌관상동맥-대동맥 이식술로 수술적 교정을 해줌으로써 좋은 성적을 기대할 수 있음을 보여주었다.특히 교사들이 중요하게 인식하는 해방적 행동에 대한 목표를 강조하여 적용할 필요가 있음을 시사하고 있다.교하여 유의한 차이가 관찰되지 않았다. 또한 HSP 환자군에서도 $IL1RN^{*}2$ allele 빈도와