• Title/Summary/Keyword: 혈관 조영술

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New Carotid Artery Stenosis Measurement Method Using MRA Images (경동맥 MRA 영상을 이용한 새로운 내경 측정 방법)

  • 김도연;박종원
    • Journal of KIISE:Software and Applications
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    • v.30 no.12
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    • pp.1247-1254
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    • 2003
  • Currently. the north american symptomatic carotid endarterectomy trial, european carotid surgery trial, and common carotid method are used to measure the carotid stenosis for determining candidate for carotid endarterectomy using the projection angiography from different modalities such as digital subtraction angiography. rotational angiography, computed tomography angiography and magnetic resonance angiography. A new computerized carotid stenosis measuring system was developed using MR angiography axial image to overcome the drawbacks of conventional carotid stenosis measuring methods, to reduce the variability of inter-observer and intra-observer. The gray-level thresholding is one of the most popular and efficient method for image segmentation. We segmented the carotid artery and lumen from three-dimensional time-of-flight MRA axial image using gray-level thresholding technique. Using the measured intima-media thickness value of common carotid artery for each cases, we separated carotid artery wall from the segmented carotid artery region. After that, the regions of segmented carotid without artery wall were divided into region of blood flow and plaque. The calculation of carotid stenosis degree was performed as the following; carotid stenosis grading is(area measure of plaque/area measure of blood flow region and plaque) * 100%.

Classification of Deep Inferior Epigastric Perforator Courses Based on Computed Tomography Angiography: Incidences and Clinical Implications (컴퓨터 단층 촬영 혈관 조영술을 이용한 심하복벽 혈관과 천공지의 박리 용이성에 따른 분류)

  • Lee, Yeonhoon;Kim, Sung Chan;Eom, Jin Sup;Kim, Eun Key
    • Archives of Hand and Microsurgery
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    • v.23 no.4
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    • pp.281-289
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    • 2018
  • Purpose: Preoperative surgical planning utilizing computed tomography angiography (CTA) has now become a routine in many practices. We analyzed the course of the deep inferior epigastric artery (DIEA) and its perforators (DIEP) that would either facilitate or hinder flap dissection based on CTA to aid surgical planning. Methods: The 115 consecutive patients who underwent abdominally based free flap breast reconstruction were enrolled in this prospective study. DIEA/P courses were categorized mainly according to their intramuscular courses and their incidences were investigated. Results: A total of 425 perforators were identified preoperatively on the CTA, with an average number of 3.7 distinctly visualized in the entire flap territory. Eighty-nine perforators (20.9%) had a favorable (less than 1 cm intramuscular course) pattern, namely long submuscular (34.8% of the patients), long subfascial (15.6%), and total circummuscular (13.9%). Overall 56.5% of the patients had at least one favorable DIEA/P. On the other hand, absence of DIEA and absence of adequate (>1 mm) DIEP was reported in 3 and 8 hemiabdomen. Conclusion: Preoperative CTA evaluation of DIEA/P can be used to identify favorable as well as unfavorable courses for dissection to aid surgical planning.

Three-Dimensional Digital Subtraction Angiography (디지털 혈관 조영술 영상의 3차원적 해석)

  • 이승지;김희찬
    • Journal of the Korean Institute of Telematics and Electronics
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    • v.20 no.1
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    • pp.63-71
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    • 1983
  • A dye-edge tracking algorithm was used to determine the corresponding points in the two images(anterior-posterior and lateral) of the digital subtraction biplane angiography. This correspondence was used to reconstruct three dimensional images of cerebral artery in a dog experiment. The method was tested by comparing the measured image of oblique view with the computed reconstructed image. For the present study, we have developed three new algorithms. The first algorithm is to determine the corresponding dye-edge points using the fact the dye density at the moving edge avows the same changing pattern in the two projection views. This moving pattern of dye-edge density is computed using a matching method of cross-correlation for the two sequential frames' dye density. The second algorithm is for simplified perspective transformation, and the third one is to identify the specific corresponding points on the small vessels. The present method can be applied to compute the blood velocity using the dye-edge displacement and the three- dimensional distance data.

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The Value of Comparison with Four Dimension Time Resolved Imaging of Contrast Kinetics(TRICKS) MRA by Time of Flight(TOF) MRA (4차원 TRICKS 자기공명혈관조영술과 기존 TOF 자기공명혈관조영술의 비교 및 유용성)

  • Bae, Sung-Jin;Lim, Cheong-Hwan;Park, Byung-Rae;Shin, Woon-Jae;Kim, Jung-Sam
    • The Journal of the Korea Contents Association
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    • v.10 no.3
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    • pp.215-221
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    • 2010
  • To assess the clinical value of time resolved imaging of contrast kinetics(TRICKS) MRA by comparison with conventional time of flight(TOF) MR angiography. Both TOF-MRA and TRICKS-MRA were performed in 17 patients with cerebrovascular disease and in 6 patients with brain tumor. Among 17 cerebraovascular patients, digital subtraction angiography(DSA) data were also obtained in 11 patients. TOF-MRA showed good spatial resolution but short in temporal resolution. Although TRICKS-MRA showed somewhat low spatial resolution, it showed superior temporal resolution by distinguishing vessel and tumor in all patients. Also, from the analysis of vessel-tumor relationship, TRICKS-MRA showed better performance than TOF-MRA. TRICKS-MRA makes it possible to image arterial, capillary and venous phase sequentially with very speedy manner and therefore, the clinical use of this method is highly suggestive for future use.

Popliteal Arterial Compression Caused by Osteochondroma: Usefulness of Doppler Ultrasonography (골연골종에 의한 슬와동맥 압박: 도플러 초음파의 유용성)

  • Jeong, Woong-Kyo;Kim, Ho-Joong;Lee, Soon-Hyuck
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.3 no.2
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    • pp.69-73
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    • 2010
  • Osteochondroma arising around the knee joint may sometimes be associated with vascular complication. Angiography is widely used to demonstrate the vascular complication, but it is invasive. Recently MR angiography is recommended as a non-invasive alternative, but it is very costly. We report a twenty-year-old man with popliteal arterial compression caused by osteochondroma who was diagnosed and assessed the surgical result by Doppler ultrasonography. And we also provide the usefulness of Doppler ultrasonography.

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담췌관계의 자기공명영상의 최근경향

  • 김명진
    • Proceedings of the KSMRM Conference
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    • 1999.11a
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    • pp.17-18
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    • 1999
  • 최근까지 복부 자기공명영상은 간의 국소병변의 특성을 규명하는 데 가장 많이 사용되어 왔다고 할 수 있다. 그러나, 자기공명영상의 기법과 장비의 발달로 인해 그 적응증이 더욱 확대되어 가는 추세에 있고 , 특히 자기공명담췌관촬영술의 도입과 발전은 복부 자기공명영상의 적응증을 한층 넓히는 데 크게 기여하고 있다. 이와 함께, 2차원 또는 3차원 경사에코기법과 조영제를 병용하여 호흡정지 상태에서 자기공명혈관촬영상을 얻을 수 있게 되어 자기공명담췌관촬영술과 혈관촬영술을 복합하여 다양한 담췌관질환을 평가하는 데 이용하는 빈도가 증가하고 있다. 이 강의 에서는 최근에 널리 사용되는 자기공명담췌혈관촬영술 또는 역동적 역상과의 복합적 사용의 유용성을 돌아보고자 한다.

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The Usefulness of Fluorescein Angiography and Alternative Tests for Assessment of Fundus Hemorrhage (안저 출혈 시 형광안저혈관조영술 및 대체 검사의 유용성)

  • Yeon, Je-Jin;Koo, Bon-Kyeong;Park, Sang-Ku
    • Korean Journal of Clinical Laboratory Science
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    • v.53 no.3
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    • pp.266-276
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    • 2021
  • Fundus hemorrhage refers to abnormalities in the retinal tissue and blood vessels. Therefore, when a hemorrhagic change in the fundus occurs, the ophthalmologist orders various ophthalmic tests to evaluate the degree of hemorrhage and determine the progress of the lesion before, during, and after treatment to accordingly establish a treatment plan. Currently, the most useful and universal fundus examination includes optical coherence tomography (OCT), fundus photography (FP), and fluorescein angiography (FAG). Existing fluorescein angiography test methods for establishing a treatment plan for severe fundus bleeding have limitations. The authors propose that peripheral pupil and the 5-quadrant method should be performed using ultra-wide-angle fluorescence fundus angiography (UWFFA). Using this method, it is possible to quickly determine the area to be described, avoid the radius of bleeding as much as possible, and provide the ophthalmologist with a range of damaged tissue and abnormal blood vessels. Nevertheless, there are cases in which ophthalmologists judge that fundus bleeding is so severe that ultra-wide-angle fluorescence fundus angiography is meaningless. In such cases, ophthalmic ultrasound and electroretinogram may be used in that order as alternative methods of examination. Therefore, some clinical situations require the use of ophthalmic ultrasound and electroretinogram and should be performed accurately.

Iatrogenic Subclavian Artery Aneurysm: Report of a Case (의인성 쇄골하 동맥류 수술 치험 1례)

  • 오중환;박승일;원준호
    • Journal of Chest Surgery
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    • v.32 no.8
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    • pp.753-756
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    • 1999
  • Iatrogenic suclavian artery aneurysm is a rare disease which requires surgery because of the dangers of a rupture. We report a case of an aneurysm of the right subclavian artery developed by an iatrogenic trauma in a 43-year-old male. The preoperative diagnosis was made by an angiography and Doppler ultrasonogram. After the resection of a 6${\times}$7 cm sized aneurysm, an end to end anastomosis was done with a 6 mm Gore-Tex vascular graft. The post-operative course was uneventful and has been followed up from 3 months after discharge.

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Extracting Blood Vessels through Similarity Analysis and Intensity Correction (유사도 분석과 명암 보정을 통한 혈관 추출)

  • Jang Seok-Woo
    • Journal of Internet Computing and Services
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    • v.7 no.4
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    • pp.33-43
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    • 2006
  • This paper proposes a method to extract coronary arteries effectively in the angiography, In general. DSA(Digital Subtraction Angiography) is a well-established technique for the visualization of coronary arteries, DSA involves the subtraction of a mask image, an image of a heart before the injection of contrast medium, from a live image, However, this technique is sensitive to the movement of background and can cause wrong detection due to the variance of background intensity between two images. Therefore, this paper solves the structural problem resulted from background movement by selecting an image which has the least difference of movement through the similarity analysis of background texture, and it extracts only the blood vessels effectively through local intensity correction of the selected images, Experimental results show that the proposed method has the lower false-detection rate and higher accuracy rate than existing methods.

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Usefulness of High Resolution MRI in Confirmation of Mechanism:A Case Report (척추동맥폐색의 기전 확인에서 고해상도MRI의 유용성:증례 보고)

  • Hur, Wook;Kang, Hyun Goo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.7
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    • pp.239-244
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    • 2018
  • Both arterial dissection and atherosclerosis are major causes of cerebral infarction and appear to be occlusion or stenosis in magnetic resonance angiography(MRA) and computed tomographic angiography(CTA). But there are differences in treatment because they have different mechanisms. Recently, as high resolution magnetic resonance image(HR-MRI) develops, the image of blood vessel wall can be confirmed non-invasively. Though HR-MRI has become a very useful method for patients with suspected arterial dissection, differential diagnosis of the two diseases has not yet been fully established due to differences in the findings according to stages of arterial dissection and atherosclerosis. We investigated the differences between vertebral artery dissection and atherosclerosis through HR-MRI in two patients and confirmed the diagnosis by CTA follow-up. In addition to the previously established diagnostic criteria, we determined that the long and severe stenosis and recanalization suggest arterial dissection. Characteristics of arterial dissection confirmed by HR-MR and additional studies will be helpful for the treatment.