• Title/Summary/Keyword: 3차원 컴퓨터 단층촬영

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The Usefulness of Three-Dimensional Imaging with Spiral CT for Evaluation of the Upper Airway Lesions (상부기도병변의 평가에 있어 나선식컴퓨터단층촬영술을 이용한 3차원적 영상의 유용성)

  • 김진환;김현웅;소상훈;노영수;임현준;윤대영
    • Korean Journal of Bronchoesophagology
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    • v.4 no.1
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    • pp.43-51
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    • 1998
  • Background: Three-dementional imaging with spiral CT(3D spiral CT) is a well established imaging modality which has been investigated in various clinical settings. However the 3D spiral CT in upper airway disease is rarely reported and its results are still obscure. Objectives: To access the usefulness of 3D spiral CT imaging in patients with upper airway diseases. Materials and Methods We performed 3D spiral CT in fourteen patients In whom upper airway diseases were clinically suspected. Nine of these patients had upper airway stenosis, two had laryngeal cartilage fracture, and three had laryngo-hypopharyngeal cancer. For evaluation of location and extent of the lesions, we compared the findings of 3D imaging with those of air tracheogram, conventional 2D CT images, endoscopic and operative findings. Results: In case of stenosis, 3D spiral CT provide significant useful information, particularly the site and length of the stenotic segment. But, it was difficult to define the fracture of the laryngeal framework and to detect the cartilagenous invasion by head and neck cancer using the 3D imaging. Conclusion : The 3D spiral CT was an useful adjunctive method to assess some kind of upper airway disease but not in others. So, we should compare the findings of 3D images with those of other diagnostic tools for accurate diagnosis of the upper airway disease.

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Developmental Study of Korean Frontal Sinus by using 3D CT Scan (3차원 컴퓨터단층촬영 영상을 이용한 전두동 발달의 연구)

  • Yun, In Sik;Rah, Dong Kyun
    • Archives of Craniofacial Surgery
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    • v.10 no.2
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    • pp.103-108
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    • 2009
  • Purpose: Although there are many reports on the development of paranasal sinuses, few studies were performed with respect to the frontal sinus with 3D CT, especially in Korean children. In this study, we evaluated the normal development of frontal sinus in Korean children with 3D CT imaging. Methods: A total of 301 patients under the age of 20 were reviewed retrospectively. Maximal AP (anteroposterior) length, height and width were measured with the aid of computer device. The volume of frontal sinus was also evaluated. Results: At the age of more than 4, the pneumatization of frontal sinus was detected. Frontal sinus developed continuously and was observed in almost every children at the age of more than 17. The AP length, height, width and volume of frontal sinus were enlarged continuously until the age of 20. And the maximal growth of frontal sinus was observed at puberty. The width and volume of frontal sinus showed high correlation coefficient (r=0.8) relative to height or AP distance. Conclusion: The results of this study may be helpful in the comprehension of normal development of frontal sinus in Korean children.

Geometry of Resident's ridge with Multidetector-Row Computed Tomograph Image (다중검출기 컴퓨터 단층 영상 분석을 이용한 Resident's ridge의 형태학적 연구)

  • Roh, Jeong-Ho;Min, Byoung-Hyun;Park, Jeong-Wook;Ahn, Byung-Moon
    • Journal of the Korean Arthroscopy Society
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    • v.12 no.1
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    • pp.40-44
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    • 2008
  • Purpose: The purpose of this study was to report the real geometry of Resident's ridge doing in anterior cruciate ligament reconstruction Materials and Methods: From Jan 2007 to Aug 2007, 48 cases which had normal distal femoral condyle analyzed with Multidetector-Row Computed Tomography. Resident's ridge was defined as change of height above 1 mm in lateral wall of intercondylar notch. Anterior-posterior length of intercondylar notch, length and height of Resident's ridge, distance of Resident's ridge from posterior cortex were estimated with 3-D reconstruction using $Lucion^{(R)}$ program. Results: Cases were $59{\pm}16$ years olds and male was 16 cases, female was 32 cases. 9 cases had no Resident's ridge, anterior-posterior length of intercondylar notch was $25.4{\pm}3.5$ mm, average of length and height of the Resident's ridge was $8.2{\pm}2.6,\;3.5{\pm}1.5$ mm. Distance of the Resident's ridge from posterior cortex was $7.6{\pm}2.6$ mm. Conclusion: Resident's ridge was used as landmark in anterior cruciate ligament reconstruction, which presented in many cases and which had distinct length and height.

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Comparison of personal computer with CT workstation in the evaluation of 3-dimensional CT image of the skull (전산화단층촬영 단말장치와 개인용 컴퓨터에서 재구성한 두부 3차원 전산화단층영상의 비교)

  • Kang Bok-Hee;Kim Kee-Deog;Park Chang-Seo
    • Imaging Science in Dentistry
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    • v.31 no.1
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    • pp.1-7
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    • 2001
  • Purpose : To evaluate the usefulness of the reconstructed 3-dimensional image on the personal computer in comparison with that of the CT workstation by quantitative comparison and analysis. Materials and Methods : The spiral CT data obtained from 27 persons were transferred from the CT workstation to a personal computer, and they were reconstructed as 3-dimensional image on the personal computer using V-works 2.0/sup TM/. One observer obtained the 14 measurements on the reconstructed 3-dimensional image on both the CT workstation and the personal computer. Paired Nest was used to evaluate the intraobserver difference and the mean value of the each measurement on the CT workstation and the personal computer. Pearson correlation analysis and % incongruence were also performed. Results: I-Gn, N-Gn, N-A, N-Ns, B-A, and G-Op did not show any statistically significant difference (p>0.05), B-O, B-N, Eu-Eu, Zy-Zy, Biw, D-D, Orbrd R, and L had statistically significant difference (p<0.05), but the mean values of the differences of all measurements were below 2 mm, except for D-D. The value of correlation coefficient y was greater than 0.95 at I-Gn, N-Gn, N-A, N-Ns, B-A, B-N, G-Op, Eu-Eu, Zy-Zy, and Biw, and it was 0.75 at B-O, 0.78 at D-D, and 0.82 at both Orbrd Rand L. The % incongruence was below 4% at I-Gn, N-Gn, N-A, N-Ns, B-A, B-N, G-Op, Eu-Eu, Zy-Zy, and Biw, and 7.18%, 10.78%, 4.97%, 5.89% at B-O, D-D, Orbrd Rand L respectively. Conclusion : It can be considered that the utilization of the personal computer has great usefulness in reconstruction of the 3-dimensional image when it comes to the economics, accessibility and convenience, except for thin bones and the landmarks which are difficult to be located.

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Development of Physical Human Bronchial Tree Models from X-ray CT Images (X선 CT영상으로부터 인체의 기관지 모델의 개발)

  • Won, Chul-Ho;Ro, Chul-Kyun
    • Journal of Sensor Science and Technology
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    • v.11 no.5
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    • pp.263-272
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    • 2002
  • In this paper, we investigate the potential for retrieval of morphometric data from three dimensional images of conducting bronchus obtained by X-ray Computerized Tomography (CT) and to explore the potential for the use of rapid prototype machine to produce physical hollow bronchus casts for mathematical modeling and experimental verification of particle deposition models. We segment the bronchus of lung by mathematical morphology method from obtained images by CT. The surface data representing volumetric bronchus data in three dimensions are converted to STL(streolithography) file and three dimensional solid model is created by using input STL file and rapid prototype machine. Two physical hollow cast models are created from the CT images of bronchial tree phantom and living human bronchus. We evaluate the usefulness of the rapid prototype model of bronchial tree by comparing diameters of the cross sectional area bronchus segments of the original CT images and the rapid prototyping-derived models imaged by X-ray CT.

Evaluation and Comparison of Myocardial Perfusion Defects in Patients with Early Breast Cancer Subjected to Different Radiation Simulation Techniques (조기유방암 환자에서 방사선 모의치료 방법의 차이에 따른 심근관류결손의 비교 평가)

  • Nam, Ji-Ho;Ki, Yong-Kan;Kim, Dong-Won;Kim, Won-Taek
    • Radiation Oncology Journal
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    • v.25 no.1
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    • pp.26-33
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    • 2007
  • [ $\underline{Purpose}$ ]: The aim of this study is to evaluate and compare the incidence and aspects of myocardial perfusion defects in patients who were subjected to either two-dimensional or three-dimensional simulation techniques for early left-sided breast cancer. The myocardial perfusion defects were determined from using single photon emitted computerized tomography (SPECT) myocardial perfusion images. $\underline{Materials\;and\;Methods}$: Between January 2002 and August 2003, 32 patients were enrolled in this study. The patients were diagnosed as having early (AJCC stage T1-T2N0M0) left-sided breast cancer and were treated with tangential irradiation after breast-conserving surgery and systemic chemotherapy. The patients were divided into two groups according to the type of simulation received: two-dimensional simulation using an X-ray fluoroscope simulator or three-dimensional simulation with a CT simulator. All patients underwent technetium-99m-sestamibi gated perfusion SPECT at least 3 years after radiotherapy. The incidence and area of myocardial perfusion defects were evaluated and were compared in the two groups, and at the same time left ventricular ejection fraction and cardiac wall motion were also analyzed. The cardiac volume included in the radiation fields was calculated and evaluated to check for a correlation between the amount of irradiated cardiac volume and aspects of myocardial perfusion defects. $\underline{Results}$: A myocardial perfusion defect was detected in 11 of 32 patients (34.4%). There were 7 (46.7%) perfusion defect cases in 15 patients who underwent the two-dimensional simulation technique and 4 (23.5%) patients with perfusion defects in the three-dimensional simulation group (p=0.0312). In 10 of 11 patients who had myocardial perfusion changes, the perfusion defects were observed in the cardiac apex. The left ventricular ejection fraction was within the normal range and cardiac wall motion was normal in all patients. The irradiated cardiac volume of patients in the three-dimensional simulation group was less than that of patients who received the two-dimensional simulation technique, but there was no statistical significance as compared to the incidence of perfusion defects. $\underline{Conclusion}$: Radiotherapy with a CT simulator (three-dimensional simulation technique) for early left-sided breast cancer may reduce the size of the irradiated cardiac volume and the incidence of myocardial perfusion defects. Further investigation and a longer follow-up duration are needed to analyze the relationship between myocardial perfusion defects and clinical ischemic heart disease.

Development of Hip Joint Mechanical Stem for Minimally Invasive Surgery (최소침습술을 위한 고관절 메커니컬 스템의 개발)

  • Lee, Sunghyun;Bae, Ji-Yong;Jeon, Insu
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.37 no.7
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    • pp.703-708
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    • 2013
  • Conventional total hip joint replacement(THR) surgery requires a long incision and long rehabilitation time. The stem used in THR is inserted into the cancellous bone of the femur where it plays the role of the artificial joint. Minimally invasive surgery(MIS) has been devised to reduce muscle damage to patients. In this study, a mechanical stem was developed on the basis of MISto reduce the incision length through the principle of the gear. The mechanical stem consists of six components. A prototypical model for a mechanical stem was fabricated using an acryl-based polymer, and its workability was confirmed. To actualize the mechanical stem, a three-dimensional Bio-CAD modeling technique was applied. The hip joint area based on computed tomography(CT) was reconstructed. The safety of the mechanical stem by applying more load than the weight of a man under virtual surgery environment conditions was confirmed by finite element analysis.

Acute Lower Limb Ischemia Associated with COVID-19 (코로나바이러스감염증-19 이후 발생한 급성 하지허혈증)

  • Kim, Hyung Suh;Suh, Jin Soo;Choi, Jun Young
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.5
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    • pp.450-454
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    • 2021
  • A 75-year-old male patient without any significant medical and habitual risk factors for acute atherosclerosis obliterans except for hypertension was diagnosed with coronavirus disease 2019 with dyspnea, coughing, and mild fever. After a week of hospitalization, he complained of right foot pain and numbness. The symptoms were aggravated during the next week, resulting in a complete toe color change and loss of dorsalis artery pulse. Enhanced 3-dimensional computed tomography angiography revealed thrombus formation in the right common iliac artery and a loss of blood flow below the popliteal artery on both sides. The patient underwent percutaneous balloon angioplasty with stent insertion followed by medical therapy for anticoagulation. The clinical symptoms immediately were improved after the intervention, but the great toe necrosis was not recovered. Finally, amputation of the great toe was performed.

Evaluation of Micro-defects and Air Tightness of Al Die-casting by Impregnation of Organic Solvent (유기용제 함침법을 통한 알루미늄 다이캐스팅의 미세결함 및 기밀성 평가)

  • Lee, Jin-Wook;Cho, Chang-hyun;Kim, Sung-Gye;Ko, Young-Gun;Kim, Dong-Ju
    • Journal of Korea Foundry Society
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    • v.42 no.4
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    • pp.218-225
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    • 2022
  • For hydrogen-vehicle applications (air pressure control valve housing, APCVH), an investigation was conducted to determine how micro-defects in a high- pressure die-casted Al alloy (industrial code: ALDC12) could be controlled by means of a post-treatment using an organic-based impregnation solution in order to improve the air- tightness of the die-casted Al sample. Two different impregnation solutions were proposed and its test results were compared to a imported product from Japan with respect to the processing variables used. A structural investigation of the components under study was conducted by means of computer tomography and 3D X-ray micro-CT. These observations revealed that the use of the impregnation treatment to seal micro-defects led to highly significant and beneficial changes which were attributed mainly to interconnections among inherent micro-pores. A leak test after impregnation revealed that the performance improvement rate of the die-casted Al sample was ~70% for INNO-01. Therefore, the developed impregnation solutions offer an effective strategy to control the micro-defects found in various vehicle parts via die-casting.

Calculating of 3-Dimensional Temperature Distribution for High-Temperature Exhaust Gas Using CT-TDLAS (CT-TDLAS를 이용한 고온 배기가스의 3차원 온도분포 측정)

  • YOON, DONGIK;KIM, JOONHO;JEON, MINGYU;CHOI, DOOWON;CHO, GYEONGRAE;DOH, DEOGHEE
    • Transactions of the Korean hydrogen and new energy society
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    • v.29 no.1
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    • pp.97-104
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    • 2018
  • 3-dimensional temperature distribution of the exhaust gas of a fire flame of LPG have been measured by the constructed CT-TDLAS system. 3-Dimensional temperature distributions are measured by 2 layers of CT-TDLAS. Each layer has $8{\times}8$ laser beams implying the temperatures of 64 meshes are measured. SMART algorithm has been adopted for reconstructing the absorption coefficients on the meshes. The line strengths at 6 representative wave lengths of $H_2O$ have been used for obtaining the absorption spectra of the exhaust gas. The temperature distributions measured by the constructed CT-TDLAS have been compared with those by the thermocouples. The relative errors measured between by thermocouple and CT-TDLAS were 13% in average and 33% at maximum. The similarity of temperature distribution between by thermocouples and by CT-TDLAS has been shown at the lower layer than the upper layer implying an unstability of combustions.