• The Journal of Korean Society for Radiation Therapy
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• v.22 no.2
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• pp.145-153
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• 2010

Purpose: To accurately define internal target volume (ITV) for treatment of moving target considering tumor size and respiratory motion, we quantitatively investigated volume of target volume delineated on CT images from helical CT and 4D CT scans. Materials and Methods: CT images for a 1D moving phantom with diameters of 1.5, 3, and 6 cm, acryl spheres were acquired using a LightSpeed $RT^{16}CT$ simulator. To analyze effect of tumor motion on target delineation, the CT image of the phantoms with various moving distances of 1~4 cm, and respiratory periods of 3~6 seconds, were acquired. For investigating the accuracy of the target trajectory, volume ratio of the target volumes delineated on CT images to expected volumes calculated with diameters of spherical phantom and moving distance were compared. Results: Ratio$_{helical}$ for the diameter of 1, 5, 3, and 6 cm targets were $32{\pm}14%$, $45{\pm}14%$, and $58{\pm}13%$, respectively, in the all cases. As to 4DCT, RatioMIP were $98{\pm}8%$, $97{\pm}5%$, and $95{\pm}1%$, respectively. Conclusion: The target volumes delineated on MIP images well represented the target trajectory, in comparison to those from helical CT. Target volume delineation on MIP images might be reasonable especially for treatment of early stage lung cancer, with meticulous attention to small size target, large respiratory motion, and fast breathing.

• Journal of the Korea Society of Computer and Information
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• v.19 no.11
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• pp.33-41
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• 2014

In this paper, we implemented a system to measure respiration rate with nonrestraint sensors comfortable for people to do their everyday life. The proposed system consists of a pad covered with a Piezoelectric sensor, a respiration measuring device able to send the signal data after amplifying and filtering the source signals to the viewer, a viewer providing sensor data visualization and implementing the respiration measuring algorithm. The algorithm is based on a breathing cycle with the local peak points extracted from threshold on sensor data. Respiration measurements on 3 subjects were performed by changing moving averages and thresholds. The proposed system showed less than 5% error rate when proper moving averages are N=50~60 and a range of thresholds is 800~1300. The system will contribute to preventing suffocation during sleep for infants and the elderly living alone.

• Proceedings of the Korean Society of Medical Physics Conference
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• 2005.04a
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• pp.64-67
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• 2005

본 연구의 목적은 호흡 운동에 영향을 받는 내부 장기의 움직임을 정량적으로 분석하고, 그 결과를 토대로 움직이는 내부 장기의 선량 분포를 측정하고 평가하는 것이다. 그리고 이전에 보고된 논문에서 개발된 움직임 감소 장치의 사용 유무에 따른 내부 장기의 선량 분포 또한 분석하는 것이다. 이를 위하여 1차원적으로 움직이는 구동 팬톰 시스템을 개발하였고, 6MV X-ray에서 Kodak X-omat V 필름을 사용하여 움직이는 내부 장기의 선량분포를 실험적으로 측정하였다. 이 결과로부터 호흡 운동으로 인한 움직이는 내부 장기 및 종양에 조사되는 선량의 부정확도를 평가할 수 있었고, 움직임 감소 장치를 사용했을 때 선량의 부정확도가 감소함을 확인할 수 있었다.

• Journal of Chest Surgery
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• v.32 no.8
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• pp.761-764
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• 1999

The glomus tumor is a distinctive benign neoplasm with a small painful nodule, occurs most commonly in extremities but may be found elsewhere in the body. Its occurrence in the trachea or lung parenchyme has been recognized with extreme rarity and there has not been any report, to our knowledge, of its occurrence in the main bronchial glomus tumor. We report a case of a glomus tumor in the left main bronchus in a 67-year-old man who was presented with blood-tinged sputum and dyspnea, which was completely relieved by surgical resection.

• Journal of Chest Surgery
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• v.36 no.1
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• pp.35-38
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• 2003

Glomus tumors are uncommon lesions of glomus cell origin with structural and immunohistochemical features of smooth muscles. Primary glomus tumors of the lung and bronchus are extremely rare and only several cases have been reported. A 16-year-old woman was admitted for the complaint of productive cough, fever, and dyspnea. Imaging studies revealed a protruding mass in the left main bronchus and the mass was completely resected via a left thoracotomy incision. We report this case with literature review.

• The Journal of the Convergence on Culture Technology
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• v.7 no.1
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• pp.576-581
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• 2021

In the post-epidemic era, COVID-19 has not yet been fully controlled. Wearing masks is still the main means of epidemic prevention, and the negative effects brought by masks continue to continue. Wearing a mask for a long time can cause two problems. The first problem is hypoxia, and the other is an increase in psychological stress. To reduce the negative impact of masks, this paper proposes a new breathing mode. It is the "Umm~" vocal breathing mode, which simultaneously solves the two problems of hypoxia and increased stress. This paper explores the reasons why new breathing patterns can relieve stress. Explains the relationship between HRV and stress index and uses SDNN as an indicator to detect stress index to confirm the effectiveness of this breathing pattern. Experimental results prove that the "Umm~" vocal breathing mode can not only relieve the stress induced by wearing a mask. And when not wearing a mask, it can also be used to relieve daily stress. This method that anyone can easily implement should be more popularized.

• Proceedings of the KSME Conference
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• 2005.11a
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• pp.60.1-60.1
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• 2005

• The korean journal of orthodontics
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• v.36 no.3 s.116
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• pp.228-236
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• 2006

To evaluate the cephalometric and dental characteristics of obstructive sleep apnea (OSA) patients, 23 OSA patients and 15 control, non-OSA, patients who visited the Sleep Disorder Clinic Center, Keimyung University were investigated. Patients who suffered from apnea-hypopnea episodes over 10times per hour were diagnosed as having OSA after polysomnograph testing, Impressions were taken with alginate. Cephalometric radiographs were taken at maximum intercuspation. The dental cast measurements, including transpalatal width, intercanine width, intermolar width and palatal depth did not differ between the control and OAS groups and did not have a positive correlation with the apnea-hypopnea index (AHI). Upper airway width was statistically narrower than the control group. Upper airway width had a low negative correlation with AHI, but, lower airway width had a low positive correlation, and, the higher the AHI score, the longer the mandibular border to hyoid distance.

• Progress in Medical Physics
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• v.22 no.3
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• pp.107-116
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• 2011

Respiratory gated radiation therapy and stereotactic body radiation therapy require identical tumor motions during each treatment with the motion detected in treatment planning CT. Therefore, this study developed a tumor motion monitoring and analysis system during the treatments employing RPM data, gated setup OBI images and a data analysis software. A respiratory training and guiding program which improves the regularity of breathing was used to patients. The breathing signal was obtained by RPM and the recorded data in the 4D console was read after treatment. The setup OBI images obtained gated at 0% and 50% of breathing phases were used to detect the tumor motion range in crenio-caudal direction. By matching the RPM data recorded at the OBI imaging time, a factor which converts the RPM motion to the tumor motion was computed. RPM data was entered to the institute developed data analysis software and the maximum, minimum, average of the breathing motion as well as the standard deviation of motion amplitude and period was computed. The computed result is exported in an excel file. The conversion factor was applied to the analyzed data to estimate the tumor motion. The accuracy of the developed method was tested by using a moving phantom, and the efficacy was evaluated for 10 stereotactic body radiation therapy patients. For the sine wave motion of the phantom with 4 sec of period and 2 cm of peak-to-peak amplitude, the measurement was slightly larger (4.052 sec) and the amplitude was smaller (1.952 cm). For patient treatment, one patient was evaluated not to qualified to SBRT due to the usability of the breathing, and in one patient case, the treatment was changed to respiratory gated treatment due the larger motion range of the tumor than treatment planed motion. The developed method and data analysis program was useful to estimate the tumor motion during treatment.

• Progress in Medical Physics
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• v.25 no.2
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• pp.72-78
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• 2014

The aim of the study is to test a hypothesis that quasi-breath-hold (QBH) biofeedback improves the residual respiratory motion management in gated 3D thoracic MR imaging, reducing respiratory motion artifacts with insignificant acquisition time alteration. To test the hypothesis five healthy human subjects underwent two gated MR imaging studies based on a T2 weighted SPACE MR pulse sequence using a respiratory navigator of a 3T Siemens MRI: one under free breathing and the other under QBH biofeedback breathing. The QBH biofeedback system utilized the external marker position on the abdomen obtained with an RPM system (Real-time Position Management, Varian) to audio-visually guide a human subject for 2s breath-hold at 90% exhalation position in each respiratory cycle. The improvement in the upper liver breath-hold motion reproducibility within the gating window using the QBH biofeedback system has been assessed for a group of volunteers. We assessed the residual respiratory motion management within the gating window and respiratory motion artifacts in 3D thoracic MRI both with/without QBH biofeedback. In addition, the RMSE (root mean square error) of abdominal displacement has been investigated. The QBH biofeedback reduced the residual upper liver motion within the gating window during MR acquisitions (~6 minutes) compared to that for free breathing, resulting in the reduction of respiratory motion artifacts in lung and liver of gated 3D thoracic MR images. The abdominal motion reduction in the gated window was consistent with the residual motion reduction of the diaphragm with QBH biofeedback. Consequently, average RMSE (root mean square error) of abdominal displacement obtained from the RPM has been also reduced from 2.0 mm of free breathing to 0.7 mm of QBH biofeedback breathing over the entire cycle (67% reduction, p-value=0.02) and from 1.7 mm of free breathing to 0.7 mm of QBH biofeedback breathing in the gated window (58% reduction, p-value=0.14). The average baseline drift obtained using a linear fit was reduced from 5.5 mm/min with free breathing to 0.6 mm/min (89% reduction, p-value=0.017) with QBH biofeedback. The study demonstrated that the QBH biofeedback improved the upper liver breath-hold motion reproducibility during the gated 3D thoracic MR imaging. This system can provide clinically applicable motion management of the internal anatomy for gated medical imaging as well as gated radiotherapy.