• Title/Summary/Keyword: 피부확대경

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Role of dermoscopy and biopsy in the diagnosis of skin cancer: it takes two to tango (피부암 진단에서 피부확대경 및 조직검사의 역할: 상호보완적 관계)

  • Li, Kapsok
    • Journal of the Korean Medical Association
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    • v.61 no.11
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    • pp.649-654
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    • 2018
  • Although the dermoscopy had very long history since its introduction in 17th century, only recently it has been possible to see the widespread application of dermoscopy in the dermatology clinic. One of the most promising areas where the dermoscopy can be applied is the diagnosis of skin cancer, especially malignant melanoma. Due to its inherent limitation to obtain in-depth information-literally, from more than skin-deep and more importantly, from microscopic structures-of skin cancers, dermoscopy cannot replace the present gold-standard 'biopsy' in the diagnosis of skin cancer. However, several advantages of dermoscopy over biopsy merit further considerations. For example, as a non-invasive tool, dermoscopy is best suited for the follow-up of suspicious skin lesions, and as an all-at-a-glance tool, dermoscopy can aid the selection of the best biopsy-site to obtain the most meaningful pathological information from the minimal tissue specimen. There goes a saying that 'it takes two to tango,' similarly, we might need the two (biopsy and dermoscopy) to cope rhythmically with the varying tempos of everprogressing skin tumorigenesis and to reveal the true face of skin cancers usually hidden in various disguises.

Improving Over-segmentation of Skin Wrinkle Detection by Watershed Algorithm (Watershed 알고리즘의 피부 주름 과분할 개선에 관한 연구)

  • Lee, Kyung-Seung;Choi, Young-Hwan;Hwang, Eenjun
    • Proceedings of the Korea Information Processing Society Conference
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    • 2010.11a
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    • pp.697-700
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    • 2010
  • 피부 이미지의 여러 가지 특징들 중 주름은 피부의 상태를 판단하는 중요한 요소이다. 따라서 주름을 추적하기 위해 확대경으로 촬영된 원본 이미지에서 질감 대비 증가, 노이즈 제거 등의 전처리 과정을 수행한 후 Watershed 알고리즘을 이용하여 주름을 선분으로 표현하였다. 이렇게 생성된 주름의 깊이, 너비, 길이 등은 피부 분석 시 특징 정보로 이용할 수 있다. 또한 주름과 주름이 연결되어 이루는 다각형을 논문에서는 셀(Cell)이라고 정의하는데 그것의 크기나 개수 같은 정보도 추출할 수 있게 된다. 그러나 주름으로 만들어진 셀들은 실제와 다르게 과분할 되는 경향을 보인다. 과분할 된 셀들은 잘못된 정보를 제공하기 때문에 피부 상태를 판단하는 결과의 정확도를 떨어뜨린다. 본 논문에서는 이러한 문제점을 인지하고 차후 정확한 셀 정보를 획득하기 위한 확장성 측면에서 각 셀들을 개체화시키고 과분할 된 셀을 검출하는 방법을 제안한다.

Cutaneous melanoma (피부흑색종)

  • Lee, Seok-Jong;Lee, Soo Jung
    • Journal of the Korean Medical Association
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    • v.61 no.11
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    • pp.662-669
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    • 2018
  • The cutaneous melanoma has been regarded as rare disease entity in Korea for long time but it shows a silent growth recently. Furthermore the management of cutaneous melanoma including staging system, surgical principle, sentinel lymph node biopsy and subsequent complete node dissection and, most importantly, immunotherapy and target therapy against cutaneous melanoma recently. The incidence of cutaneous melanoma is steadily increasing in Korea but its increase is rapid recent 2 decades to 4.3 times and should be greater soon according to the steeper increase of life expectancy. New staging system proposed by American Joint Committee on Cancer (2017) includes changes in individual TNM category and stage groups, particularly from a prognostic viewpoint. Dermoscopy has been successfully introduced in the differential diagnosis of pigmented skin lesion focusing on cutaneous melanoma by non-invasive simple diagnostic tool. Sentinel lymph node biopsy was a issue of long debate whether survival benefit is real or not. Temporary conclusion about this question is reached after two large scale studies and immediate complete node dissection should be performed in a certain situations. Most important change is drug therapy focusing on immunotherapy and target therapy. Braf- and MEK-inhibitor, immune checkpoint inhibitor and PD-1 blocker has been proved to be effective as a sole or combination regimen against advanced and/or high-risk adjuvant setting of cutaneous melanoma. In conclusion, these remarkable changes will be reviewed shortly here.

Skin Wrinkle Detection Using Dermatologic Magnifier Based on Variable Polarization and Optical Magnification (가변편광과 광학배율을 기반으로 한 피부 확대경을 이용한 피부주름 측정)

  • Bae, Young-Woo;Jung, Byung-Jo
    • Proceedings of the KIEE Conference
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    • 2006.10c
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    • pp.190-192
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    • 2006
  • The clinical characteristics of photodamaged skin, such as coarse and fine wrinkle are not accurately evaluable with previous methods. Public awareness for wrinkle treatment and prevention which rely on proper assessment and evaluation of the underlying skin changes has been increased as the population ages. In this paper, we suggest an in-vivo method and instrument that allow us to acquire a wrinkle-enhanced image to improve the accuracy of quantitative and qualitative analysis for skin wrinkle. The method used involved white LED illumination and photography through polarizing filters. Finally, the polarized light photography yields an accurate and evaluable parameter of photodamaged skin, especially fine and coarse wrinkle.

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