• Title/Summary/Keyword: 폐쇄공포증

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Evaluation of the Usefulness of Refraction Glasses to Reduce Claustrophobia During Magnetic Resonance Imaging (자기공명영상검사 시 폐쇄공포증 완화를 위한 굴절안경의 유용성 평가)

  • Jeon, Byeong-cheon;Jeong, Seong-Hun;Lee, Sang-hyeon;Son, Ji-hye
    • Journal of radiological science and technology
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    • v.41 no.5
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    • pp.421-426
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    • 2018
  • Unlike the traditional Radiological examinations, Magnetic Resonance Imaging (MRI) does not cause any harm and high levels of Radiation to the human body. Furthermore, MRI is widely used owing to its ability to adapt to different situations. However, the MRI equipment creates noises from its mechanical parts, and its magnetic bore structure can cause anxiety and claustrophobia in patients. To relieve claustrophobia, commercial refraction glasses were provided to the participants in this study, and the changes in anxiety and claustrophobia were measured. The participants were 30 volunteers with claustrophobia. To measure anxiety, the participants were asked to answer a Visual Analogue Scale (VAS) questionnaire. The physical markers of discomfort included perspiration on the forehead or hands (46.7%), mild frowning (30.3%), and leg shaking (40.1%). The subjective markers of discomfort included dizziness (2.85% in the men and 1.75% in the women). Although fear and anxiety levels were observed to be higher in the men, the difference was not significant. Hence, it was determined that both men and women felt discomfort (p >0.5). The fear coefficient was observed to decrease from 7.67 prior to wearing refraction glasses to 2.42 after wearing refraction glasses (p<0.000). In addition, use of refraction glass decreased MRI aversion from 1.97 to 1.03 (p<0.000). It can be inferred that refraction glasses are beneficial to patients undergoing MRI.

A Study on measurement blood velocity according to variable changing in magnetic resonance phase contrast image (자기공명 위상대조도 기법에서 병렬영상기법 변화에 따른 혈류정량 측정에 관한 연구)

  • Cho, yong-bum;Yang, seon-wook;Son, soon-yong
    • Proceedings of the Korea Contents Association Conference
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    • 2017.05a
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    • pp.107-108
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    • 2017
  • 3차원 위상대조도 기법의 단점인 긴 검사시간으로 인해 임상적 유용성이 떨어진다. 본 논문은 시간매개변수인 병렬영상기법(Grappa) 변경에 따른 혈류정보의 정량적 평가를 통해 차이점을 알아보고 임상적 활용정도를 평가하였다. 자체 제작한 혈류팬텀을 통해 실험하였으며, Grappa을 5번 변경하여 실험하였다. 연구결과, Grappa를 적용하지 않았을 경우 혈류속도는 평균 9.42로 총 4단계를 적용한 혈류속도 차이율은 각각(1.4, 1.5, 0.4, 1.5%)이었으며 flow와 WSS도 각각(1.4, 1.6, 0.8, 25%), (2.1, 1.4, 1.1, 0.8%)이었다. 통계적으로도 유의하지 않아 Grappa를 적용하지 않은 검사법과 혈류정보가 동일하였다.(P>0.05) 긴 검사 시간으로 인해 임상적 활용이 떨어지는 짧은 검사시간을 요하는 소아환자나 중등도 환자 또는 폐쇄공포증 환자에게 시간을 단축한 3차원 위상대조도 기법을 사용하여 단점을 보완한다면 임상적 활용가치가 높아질 것이라 사료된다.

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"Ceteris paribus" laws as genuine causal laws: Does Fodor himself stay away from what he calls "epiphobia" ? (참 인과적 법칙으로서의 "다른 것들이 같으면의 법칙" : 포돌은 "부수현상공포증"을 실제로 벗어났는가?)

  • 이종왕
    • Proceedings of the Korean Society for Cognitive Science Conference
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    • 2002.05a
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    • pp.183-188
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    • 2002
  • 데이비슨에서부터 시작됐다고 해도 과언이 아닌 것으로 보이는 정신적 속성들의 인과적 힘과 관련된 논의 - 정신인과의 문제를 해결하기 위해서 설정하는 - 는 그가 주장한 이론이 맞이하게 되는 심각한 문제에 해결책을 제시하고자 하는 많은 책학자들의 관심을 불러일으킨다. 그 중의 하나인 포돌도 결국 데이비슨이 주장한 세 가지의 원리들 중에서 중요한 한가지 원리, 즉 정신적인 것들의 무법칙성의 원리, 를 거절하면서 자신의 정신인과 이론을 발전시키고자 한다. 즉 정신적 속성들과 물리적 속성들을 연결시키는 "참 인과의 법칙으로서 다른 것들이 같다면의 법칙"을 정신인과의 현상을 설명하는 그의 설명적 모델로 제시하면서 데이비슨의 문제를 해결하려고 시도한다. 그러나 그가 스케치하는 그런 그림은 인과적 배제의 원리를 명백하게 위반하는 것이다. 설상가상으로 이러한 문제를 벗어나기 위해서 그가 의지하는 수반의 개념도 그 효력은 충분하게 강하지 못한 것으로 드러난다. 이것이 틀리지 않다면 여기서 어떤 딜레마가 일어난다. 만약 정신적 속성들이 아직까지 인과적으로 효력을 가지고 있다면 명백하게 물리적 세계의 인과적 폐쇄의 원리의 위반이 일어난다. 만약 정신적 속성들이 인과적 효력을 가지고 있지 않다면 우리는 여기서 명백히 부수현상론을 보게 된다.

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The Evaluation of Cerebral Executive Function Using Functional MRI (기능적 자기공명영상기법을 이용한 대뇌의 집행기능 평가)

  • Eun, Sung Jong;Gook, Jin Seon;Kim, Jeong Jae
    • Journal of the Korean Society of Radiology
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    • v.7 no.5
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    • pp.305-311
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    • 2013
  • This study involves an experiment using functional magnetic resonance imaging(fMRI) to delineate brain activation for execution functional performance. Participates to this experiment of the normal adult (man 4, woman 6) of 10 people, is not inserts the metal all closed phobia and 24.5 year-old average ages which the operating surgeon experience which are not they were. The subject for a functional MRI experiment word -color test prosecuting attorney subject rightly at magnetic pole presentation time of 30 first editions and after presenting, uses SPM 99 programs and the image realignment, after executing a standardization (nomalization), a difference which the signal burglar considers the timely order as lattice does, pixel each image will count there probably is, in order to examine rest and active crossroad dividing independence sample t-test (p<.05). Overlapped in this standard anatomic image and got a brain activation image from level of significance 95%. With functional MRI resultant execution function inside being relation, the prefrontal lobe, anterior cingulate gyrus, parietal lobe, orbitofrontal gyrus, temporal lobe, parietal lobe was activated. The execution function promotes a recovery major role from occupational therapy, understanding about the damage mechanism is important. When confirms the brain active area which accomplishes an execution function brain plasticity develops the cognitive therapeutic method which is effective increases usefully very, will be used.

The Usability Analysis of 3D-CRT, IMRT, Tomotherpy Radiation Therapy on Nasopharyngeal Cancer (NPC의 방사선치료시 3D-CRT, IMRT, Tomotherapy의 유용성 분석)

  • Song, Jong-Nam;Kim, Young-Jae;Hong, Seung-Il
    • Journal of the Korean Society of Radiology
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    • v.6 no.5
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    • pp.365-371
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    • 2012
  • The radiation therapy treatment technique is developed from 3D-CRT, IMRT to Tomotherapy. and these three technique was most widely using methods. We find out a comparison normal tissue doses and tumor dose of 3D-CRT, IMRT(Linac Based), and Tomotherapy on Head and Neck Cancer. We achieved radiological image used the Human model phantom (Anthropomorphic Phantom) and it was taken CT simulation (Slice Thickness : 3mm) and GTV was nasopharngeal region and PTV(including set-up margin) was GTV plus 2mm area. and transfer those images to the radiation planning system (3D-CRT - ADAC-Pinnacle3, Tomotherapy - Tomotherapy Hi-Art System). The prescription dose was 7020 cGy and measuring PTV's dose and nomal tissue (parotid gland, oral cavity, spinal cord). The PTV's doses was Tomotherapy, Linac Based - IMRT, 3D-CRT was 6923 cGy, 6901 cGy and 6718 cGy its dose value was meet TCP because its value was up to the 95% based on 7020 cGy, Nomal tissue (parotid gland, oral cavity, spinal cord) was 1966 cGy(Tomotherapy), 2405 cGy(IMRT), 2468 cGy(3D-CRT)[parotid gland], 2991 cGy(Tomotherapy), 3062 cGy(IMRT), 3684 cGy (3D-CRT)[oral cavity], 1768 cGy(Tomotherapy), 2151 cGy(IMRT), 4031 cGy(3D-CRT)[spinal cord] its value did not exceeded NTCP. All the treatment techniques are equated with tumor and nomal tissue doses. The 3D-CRT was worse than other techniques on dose distribution, but it is reasonable in terms of TCP and NTCP baseline Tomotherapy, IMRT -dose distribution was relatively superior- was hard to therapy to claustrophobic patients and patients with respiratory failure. Particularly, in case on Tomotherapy, it take MVCT before treatment so dose measurement will be unnecessary radiation exposure to patients. Conclusion, Tomotherapy was the best treatment technique and 2nd was IMRT, and 3rd 3D-CRT. But applicable differently depending on the the patient's condition even though dose not matter.