• Title/Summary/Keyword: 폐 영상

Search Result 427, Processing Time 0.026 seconds

Correlation between Expiratory Increase of Lung Attenuation and Age and Smoking in the Subjects with Normal Inspiratory Low Dose CT and Pulmonary Function Test (저선량 흉부전산화단층촬영의 흡기 영상과 폐기능이 정상인 성인에서 호기 말 폐 감쇄도 증가 정도와 연령 및 흡연과의 연관성)

  • Kwon, Sung-Youn;Hwang, Yong-Il;Yoon, Ho-Il;Lee, Jae-Ho;Lee, Choon-Taek;Lee, Kyung Won
    • Tuberculosis and Respiratory Diseases
    • /
    • v.65 no.6
    • /
    • pp.457-463
    • /
    • 2008
  • Background: The attenuation of the lung parenchyma increases on expiration as a consequence of decreased air in the lung. Expiratory CT scans have been used to show air trapping in patients with chronic airway disease and diffuse parenchymal disease and also in asymptomatic smokers. Although there have been several reports investigating the regional air trapping on a expiratory CT scan, there have been only a few reports evaluating the changes of whole lung attenuation with considering its clinical significance, and especially in healthy subjects. The purpose of this study was to evaluate the correlation of an expiratory increase of lung attenuation with age and smoking in healthy subjects. Methods: Asymptomatic subjects who underwent a low dose chest CT scan as part of a routine check-up and who showed normal spirometry and a normal inspiratory CT scan were recruited for this study. We excluded the subjects with significant regional air trapping seen on their expiratory CT scan. Lung attenuation was measured at 24 points of both the inspiratory and expiratory CT scans, respectively, for 100 subjects. The correlations between an expiratory increase of the lung attenuation and the amount of smoking, the patient's age and the results of spirometric test were assessed. Results: There were 87 men and 13 women included in this study. Their median age was 49.0 years old (range:25~71). Sixty current smokers, 24 ex-smokers and 16 non-smokers were included. As age increased, the expiratory increase of lung attenuation was reduced at every measuring points (r=-0.297~-0.487, Pearson correlation). The statistical significance was maintained after controlling for the effect of smoking. Smoking was associated with a reduction of the expiratory increase of lung attenuation. But the significance was reduced after controlling for the patient's age. The $FEV_1$, FVC, $FEV_1/FVC$ and $FEF_{25{\sim}75%}$ were not associated with an expiratory increase of lung attenuation. Conclusion: The expiratory increase of lung attenuation in subjects with a normal inspiratory CT scan was negatively correlated with age. It was also reduced in heavy smokers. It may reflect aging and the smoking related changes.

The Objective Measurement of the Lung Parenchyma Motion for Planning Target Volume Delineation (폐 부위 Planning Target Volume(PTV)설정시 폐 움직임의 객관적 측정)

  • Chung, Weon-Kyu;Cho, Jeong-Gill
    • Radiation Oncology Journal
    • /
    • v.15 no.4
    • /
    • pp.387-392
    • /
    • 1997
  • Purpose : To quantify the movement of lung Parenchyma for ICRU 50 Planning Target Volume (PTV) delineation of the lung region. Materials and Method : Fluoroscopic observations and measurements are Performed on 10 patients with chest region cancer who have normal putmonary functions We have divided the lung region into 12 parts for the right lung, 10 parts for the left lung and four to five Points of lung parenchyma were selected for anatomical analysis Points, Fluoroscopic images are sent to a computer and then movements are measured. Results : Both lowe lobes showed the longest longitudinal movements because of breathing (average 14.1mm, maximum 22.1mm), while anteroposterior displacement showed the smallest value. Lateral movements of the lung parenchyma averaged 6.6mm, and the maximum value was 9.1mm, (both hilar regions showed maximum values because of cardiac motion) Conclusion : We could quantify the lung movements by measuring parenchyma displacements. The movements of both upper lobes were less than those of the middle and upper lobes in longitudinal and transverse movements. Optimal margins can be selected for PTV delineation using these results.

  • PDF

Observation of the Ground Subsidence in the Abandoned Gaeun Coal Mining Area using JERS-1 SAR (JERS-1 SAR를 이용한 가은 폐탄광 지역 지반침하 관측)

  • Jung Hahn Chul;Kim Sang-Wan;Kim Bok Chul;Min Kyung Duck;Won Joong-Sun
    • Economic and Environmental Geology
    • /
    • v.37 no.5
    • /
    • pp.509-519
    • /
    • 2004
  • The ground subsidence that occurred in the abandoned coal mining area, Gaeun, Korea, was observed using 25 JERS-1 SAR interferograms from November 1992 to October 1998. We carried out measurements on a subset of image pixels corresponding to point-wise stable reflectors(PS: permanent scatterer) by exploiting a long temporal series of interferometric phases and compared it with the distribution map of in situ examined crack level. PSs could be identified by means of amplitude dispersion index and coherence of the interferograms and the density of PS was much higher in an urban area than in a mountainous region. The measured subsidence rate represented the average velocity in a period of image acquisition and excluded complex nonlinear displacements such as an abrupt collapse. The mean line-of-sight velocity in the study area is 0.19cm/yr and the estimation error is 0.18cm/yr. The center of the abandoned Gaeun coal mine(0.49cm/yr) and the area opposite Gaeun station(1.66cm/yr) were observed as the most highly subsiding areas.

A comparative study for resolution and density of chest imaging using film/screen, CR and DR (X-ray 흉부영상 FIlm/Screen, CR, DR Resolution과 Density 비교평가)

  • An, Byeong-Ju
    • Journal of the Korean Society of Radiology
    • /
    • v.4 no.1
    • /
    • pp.25-30
    • /
    • 2010
  • The objective of this study was to compare the resolution and density appropriate to diagnosis in chest PA radiography. In comparing the resolution, we radiographed with conventional radiography, computed radiography(CR) and digital radiography(DR) using the linear resolution phantom(Nuclear Associates-Carle Place. N.Y.). 2 radiologists and 3 radiological technologists read the resolution value by the blind test. DR, conventional radiography and CR measured 3.95, 3.58, 3.48 resolution value respectively. In analysing the density, we chose the fifty normal chest CR and DR and conventional film. We estimated the density using by densitometer(X-rite company-Model 301) in seven regions(lung field, lung field margine, mediastinum I, mediastinum II, heart shadow I, heart shadow II, diaphragm) of chest film. We adapted to analysis the Japanese chest X-ray evaluating method and table. It was scored 0(farthest density value) to 2(nearest density value). DR scored 2 at mediastinum I, mediastinum II, heart shadow I, heart shadow II and diaphragm. On the contrary with, CR scored 2 at lung field and lung field margine. Consequently, DR superior than CR and conventional radiography film compairing density and resolution. It was due to small pixel size and post processing algorithm with digital radiography.

Compton Scatter Distribution Function in Non-uniform Attenuation Media in SPECT (SPECT 영상에서 불균등 감약물질의 콤프톤 산란 분포함수)

  • Lee, Man-Koo
    • Journal of radiological science and technology
    • /
    • v.14 no.2
    • /
    • pp.45-53
    • /
    • 1991
  • SPECT 영상에서 콤프톤 산란 광자는 공간분해능의 감소와 그 양을 측정하는데 있어 정확성과 정밀성을 감소시킨다. 이와같은 콤프톤 산란의 영향을 감소시키기 위하여 사용하는 대부분의 보정방법은 선원의 위치로부터 거리의 단일지수함수로 대칭인 산란분포함수를 고려하게 된다. 본 연구는 균등 및 불균등 산란에 대한 산란분포함수를 얻기 위하여 보다 현실적인 접근방법을 시도하였다. 산란 및 비산란광자의 공간분포와 에너지분포를 얻기 위하여 뼈, 폐, 물의 균등 및 불균등 분포로 된 원통형의 팬톰 속에 $^{99m}Tc$의 선선원 및 점선원을 놓고 Monte Carlo Simulation을 하였으며, 깊이의 함수, media의 접촉영역으로부터 선원거리 및 산란체의 밀도의 변화로 표현한 산란분포함수(SDF)를 얻었다. 산란분포함수는 균등한 뼈, 폐, 물에서는 선원위치로부터 거리의 단일지수함수(single exponential functions)로 대칭으로 나타났으며, 두 물체의 조합에서는 2중지수함수(dual exponential functions)로 비대칭으로 나타났다. 산란분율은 20% window photopeak에서 총 계수의 8%에서 53%까지 다양한 변화가 있었으며, 지수함수의 기울기는 $0.1{\sim}0.9\;cm^{-1}$의 범위로 나타났다. 불균등 산란체에서 얻은 산란분포함수는 SPECT 영상에 있어 콤프톤 산란의 감소에 대한 보다 정확한 보정방법의 개발에 필요한 정보를 제공할 것이다.

  • PDF

Feature Points Selection Using Block-Based Watershed Segmentation and Polygon Approximation (블록기반 워터쉐드 영역분할과 다각형 근사화를 이용한 특징점 추출)

  • 김영덕;백중환
    • Proceedings of the Korea Institute of Convergence Signal Processing
    • /
    • 2000.12a
    • /
    • pp.93-96
    • /
    • 2000
  • In this paper, we suggest a feature points selection method using block-based watershed segmentation and polygon approximation for preprocessing of MPEG-4 mesh generation. 2D natural image is segmented by 8$\times$8 or 4$\times$4 block classification method and watershed algorithm. As this result, pixels on the watershed lines represent scene's interior feature and this lines are shapes of closed contour. Continuous pixels on the watershed lines are selected out feature points using Polygon approximation and post processing.

  • PDF

Radiological Measurements of Lung Field Size in Normal Korean using Digital Chest Posteroanterior Radiography (디지털 흉부 후·전 방향 방사선영상을 이용한 정상 한국인 폐 크기의 영상의학적 계측)

  • Park, Yeo-Jin;Joo, Young-Cheol;Lee, Il-Soo
    • Journal of radiological science and technology
    • /
    • v.41 no.1
    • /
    • pp.1-6
    • /
    • 2018
  • The purpose of this study is to provide baseline data on lung field size measured radiological method by chest PA image in normal Korean. The subject of this study is 496 normal persons who performed chest PA examination using x-ray digital radiography system. The measurement method is from the apex of right and left lung to the costophrenic angle of both lung, from the top of the image to the lowest costophrenic angle of both lung and transverse line of the largest lung area. As a result of this study, the following conclusions were obtained. A lung field size of male is larger than the female(p<0.05). The younger the age, the longer both lung length and total lung height statistically significant. As a increase height and length, A lung field size was increased(p<0.05). But, BMI is not associated with a lung field size. This study will be data of reference data when radiological technologists perform chest PA examination.

A Novel Method for Automated Honeycomb Segmentation in HRCT Using Pathology-specific Morphological Analysis (병리특이적 형태분석 기법을 이용한 HRCT 영상에서의 새로운 봉와양폐 자동 분할 방법)

  • Kim, Young Jae;Kim, Tae Yun;Lee, Seung Hyun;Kim, Kwang Gi;Kim, Jong Hyo
    • KIPS Transactions on Software and Data Engineering
    • /
    • v.1 no.2
    • /
    • pp.109-114
    • /
    • 2012
  • Honeycombs are dense structures that small cysts, which generally have about 2~10 mm in diameter, are surrounded by the wall of fibrosis. When honeycomb is found in the patients, the incidence of acute exacerbation is generally very high. Thus, the observation and quantitative measurement of honeycomb are considered as a significant marker for clinical diagnosis. In this point of view, we propose an automatic segmentation method using morphological image processing and assessment of the degree of clustering techniques. Firstly, image noises were removed by the Gaussian filtering and then a morphological dilation method was applied to segment lung regions. Secondly, honeycomb cyst candidates were detected through the 8-neighborhood pixel exploration, and then non-cyst regions were removed using the region growing method and wall pattern testing. Lastly, final honeycomb regions were segmented through the extraction of dense regions which are consisted of two or more cysts using cluster analysis. The proposed method applied to 80 High resolution computed tomography (HRCT) images and achieved a sensitivity of 89.4% and PPV (Positive Predictive Value) of 72.2%.

Direct Percutaneous Needle Puncture and Intrapulmonary Lymphatic Embolization for Treatment of Chylothorax in a Patient with Lymphoma (림프종 환자의 비외상성 유미흉에서 폐림프종의 피부경유 직접천자를 통한 색전술)

  • Lee Hwangbo;Hoon Kwon;Chang Ho Jeon;Chang Won Kim
    • Journal of the Korean Society of Radiology
    • /
    • v.81 no.5
    • /
    • pp.1222-1226
    • /
    • 2020
  • Lymphoma is a common cause of nontraumatic chylothorax. Clinical success rates of thoracic duct embolization are lower in patients with nontraumatic chylothorax compared to patients with traumatic chylothorax. Herein, we report a case of nontraumatic chylothorax and lymphoma in a 77-year-old man managed with thoracic duct embolization. The chest tube drainage decreased but not was sufficient to enable removal of the chest tube. Therefore, a second embolization was performed through a direct puncture of the lymphatic mass in the lung, following which the chyle leakage ceased, and the chest tube was removed. The treatment strategy discussed in this report may be an effective therapeutic option for select patients with nontraumatic chylothorax.