• Title/Summary/Keyword: 혈관 조영술

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Usefulness of Three-Dimensional CT Image in Meningioma Using Contrast Method (조영법을 이용한 뇌수막종에서 3차원 CT영상의 유용성)

  • Lee, Jun-Haeng;Baek, Sung-Eun;Lee, Sang-Bock;Kim, Yong-Wan
    • Journal of the Korean Society of Radiology
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    • v.2 no.1
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    • pp.17-21
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    • 2008
  • Because of the reason that the meningioma is enhanced lately, we started the study to maximally enhance the meningioma. we were to know the relation between meningioma and vessels in the skull and compared 3D CT angiography with the conventional angiography. we got the data from 6 patients performed by both 3D CT angiography and there were 5 cases in sphenoidal ridge and 1 case parasagittal sinus. Injecting the contrast media at 3 ml/sec, 120 ml and then the CT number reached 100, we started the study using the medical system Program(smart prep). The scan parameters were HS-Mode(1.25 mm / 7.5 mm) right after being injected all and reconstructed with 0.5 mm interval. We compared the study with the conventional angiography after reconstructing the images required by using 3D-Med software Program(Rapidia). Seeing the consequences, the maximum enhancing time in the menigioma is about 120~180 seconds after injecting the contrast media and we distinguished the relation between vessels and tumors at the time and 1 case showed us the aneurysm with a tumor clearly at the time too. It was very helpful to the operation that the 3D images required by injecting the contrast media to the patients with meningioma distingushed between tumors and vessels dimensionally.

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전산화 감산 혈관조영술(DSA)의 임상적 응용

  • 한만청
    • 전기의세계
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    • v.34 no.9
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    • pp.537-540
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    • 1985
  • 인체에 발생하는 여러 질환을 진단 및 치료하고 예후를 결정하는데 혈관의 분포 및 그 상태를 관찰하는 것은 극히 중요하다. 형관조영술의 진단적 기치 및 그 임상적 응용은 1950년대 부터 널리 인정되고 있다. 다만 조영제 주입에는 동맥의 천자 및 도관(Catheter)삽입이라는 비교적 침습적 방법에 의존하여 왔다. 최근 Computer의 도입으로 대표되는 전자기술의 발전 등으로 혈관 특히 동맥의 저농도 조영상을 전산처리로서 숫자화하여 증강, 가산 또는 감산시키는 기법이 개발되어 1970년대 후반에 이르러 임상적으로 응용되게 되었다. 이러한 전산화 감산 형과조영술(Digital Subtraction Angiography : DAS)은 종래의 혈관조영술의 기본 수기에 전산 시스템을 복합시킨 것으로 그 임상적 효과는 매우 큰 것이다.

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Clinical and Angiographic Features of Secondary Postpartum Hemorrhage and the Outcomes of Transcatheter Arterial Embolization (속발성 분만 후 출혈의 임상 및 혈관 조영술의 특징과 경도관 동맥 색전술의 결과)

  • Baek, Seung Dae;Kang, Ung Rae;Ji, Seung Woo;Kim, Young Hwan;Cha, Jung Guen
    • Journal of the Korean Society of Radiology
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    • v.79 no.6
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    • pp.315-322
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    • 2018
  • Purpose: To analyze the clinical and angiographic features with outcome of transcatheter arterial embolization in patients with secondary postpartum hemorrhage. Materials and Methods: Clinical details and angiographic features with assessment of arterial embolization were reviewed in total 38 patients underwent arterial embolization at single tertiary referral center. Results: Twenty patients (53%) had Cesarean section. The major causes of bleeding were iatrogenic vascular injury, and retained placenta (55%). The patterns of vaginal bleeding were recorded as intermittent (50%), or as persistent (50%). Seven patients (18%) were hemodynamically unstable at presentation. Positive angiographic findings appeared in eighteen patients (47.3%). The frequency of pseudoaneurysm was statistically high in the Cesarean section (p < 0.001). The used embolic agents except gelfoam were N-butyl cyanoacrylate (n = 7), and microcoil (n = 7). Unilateral selective embolization (26.3%) was shown effective in superselective embolization of bleeding focus. Technical and clinical success rate were 100% and 97.4%, respectively with no complication. Sixteen resumed regular menstruation, and one pregnancy were observed in patients with available follow-up of over 6 months. Conclusion: Considerable rate of hemodynamically unstable patients was observed with high rate of positive angiography findings. Given high successful rate and few complications, early angiographic assessment with embolization should be considered.

Comparison of Methods using Radial and Femoral Arteries in Coronary Angiography (심장동맥 조영술 시 노동맥과 넙다리동맥을 이용한 방법 비교)

  • Ahn, Jun-Ho;Lee, Jun-Haeng
    • Journal of the Korean Society of Radiology
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    • v.16 no.2
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    • pp.87-94
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    • 2022
  • In this study, 61 patients who underwent coronary angiography from March 2018 to August 2019 were divided into Group I (Radial, n=34 patients) and Group II (Femoral, n=27 patients), and compared and analyzed methods using radial and femoral arteries when coronary angiography was performed. As a result of comparative analysis, Catheter usage was reduced in the examination using radial artery, and in the abnormal shape of blood vessels, Loops arterial abnormalities were more in the radial artery (20.6% vs, 0%, p<0.05), and it was found that the abnormal shape of the radial vessels increased with age. 60s, 70s, 80s, 90s or older (0%, 18.2%, 25.0%, 100%)

Development of Image Quality Measurement Method of Coronary Angiography Using Image Analysis Program (영상 분석 프로그램을 이용한 관상동맥 혈관 조영상의 화질 측정 방법 고안)

  • Seo, Young-Hyun;Song, Jong-Nam
    • Journal of the Korean Society of Radiology
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    • v.14 no.2
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    • pp.111-120
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    • 2020
  • Research should be actively conducted for the ability of X-ray equipment and Retrospective image analysis of X-ray equipment used in hospitals. Retrospective image analysis of X-ray machines, CT and MRI of radiology and medical equipment has been actively conducted. However, image quality measurement using angiography equipment of angiography room is mostly measured with phantom, and image quality measurement on image after being taken by actual patient is insufficient and researches on accurate image quality measurement method are remarkable. It is in short supply. Therefore, through this study, the researcher devised a method to measure the image quality of the acquired image after coronary angiography, and to provide a high quality image to the operator. The equipment and programs used were angiographic examination equipment (Axiom Artis Zee Ceiling) and Image J program. Subjects were images automatically saved in PACS program after coronary angiography.For image quality measurement, selected the AP Caudal 30° image that show the LCA vessel well and the LAO 30° image that show the RCA vessel well during the coronary angiography. In order to measure the background and ROI of the selected image by selecting an image, a criterion on how to find and measure a section where the overlap of the shadow, such as blood vessel, liver and lung is minimized, is presented. In conclusion, there is no exact standard for analyzing an image quality measurement method of angiography image. Therefore, in order to provide quality images to the practistioners, not only the technicians of the equipment but also the users who actually use them should become researchers and conduct research on image quality measurement in various ways. Thus, it is expected to provide excellent images to patients.

Insertion Path Extraction of Catheter for Coronary Angiography (관상동맥 조영술을 위한 카테터 삽입 경로 추출)

  • Kim, Sung-Hu;Lee, Ju-Won;Kim, Joo-Ho;Lee, Han-Wook;Jung, Won-Geun;Lee, Gun-Ki
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.15 no.4
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    • pp.951-956
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    • 2011
  • Coronary angiography technology is usually used for examining or treating coronary artery stenosis. Especially, when a cardiologist inserts catheter into the heart blood vessel, the catheter path detection system is needed because the cardiologist has difficulty in not damaging vessel. Recently, to reduce this difficulty, many searchers have been working for the various image processing technologies, such as vessel edge detection, optimal threshold method, etc. However the results of these searches are showing different performances depend on the contrast and quality of images. Therefore, this study for the coronary angiography suggests a novel algorithm to avoid these problems. The suggested algorithm consists of multi-sampling, interpolation, threshold method, and fault points elimination. To evaluate the performance of the proposed method, we used several angiographic images in experimentation, and we found that the proposed method is effective for detecting the catheter insertion path.