• The Journal of the Korea Contents Association
• /
• v.11 no.1
• /
• pp.236-244
• /
• 2011

Recently, the number of interventional procedures has increased dramatically as an alternative of invasive surgical procedure. The need for the quality control program of the angiographic units has also increased, because of concerns about the increased patient dose and the importance of image quality of angiographic units for the successful procedures. The purpose of this study was to propose an optimal guideline for the quality control program of the angiographic units. We reviewed domestic and international standards about medical imaging system and we evaluated the quality of 61 angiographic units in Korea with the use of NEMA 21 phantom. According to the results of our study, we propose a guideline for the quality control program of the angiographic units. Quality control program includes tube voltage test, tube current test, HVL test, image-field geometry test, spatial resolution test, low-contrast iodine detectability test, wire resolution test, phantom entrance dose test. Proposed reference levels are as follows: PAE < $\pm$ 10% in tube voltage test, PAE < $\pm$ 15% in tube current test, minimum 2.3 mmAl at 80 kVp in HVL test, minimum 'acceptable' level at image-field geometry test, 0.8 lp/mm for detector size of 34-40cm, 1.0 lp/mm for detector size of 28-33cm, 1.2 lp/mm for detector size of 22-27cm in spatial resolution test, minimum 200mg/cc in low contrast iodine detectability test, phantom entrance dose should be under 10R/min, 0.012 inch wire should be seen at static wire resolution test, and 0.022 inch wire should be seen at moving wire resolution test.

• 제어로봇시스템학회:학술대회논문집
• /
• 2004.08a
• /
• pp.101-106
• /
• 2004

In this paper, a blood vessel in an angiographic image, which plays an importance role in the diagnose diseases including in the eyes, brain and heart, is enhanced by using a directed diffusion technique. A fundamental component of the angiographic analysis is vessel segmentation that the proposed method provides a preprocessing of the image into a form suitable for human analysis, or more importantly, for machine analysis such the segmentation. Vessel enhancement is a challenging problem due to the complex nature of vascular trees and to imaging imperfections. Some parts of the inherent imperfections in angiography are the intensity inhomogeneity between the larger and smaller vessels, and another imperfection is the leakage of contrast agent into the background tissue that provides to low contrast between vessels and tissue. In the proposed scheme, the directed diffusion solves the problem by formulating a local geometric structure, which consists of direction and scale of the blood vessels. The diffusion process uses the local structure to enhance by a diffusivity tensor. The proposed algorithm can be applied to maintain sharpness and coherence-smooth the intra-regions into homogeneity better than traditional diffusion methods, which are Gaussian regulation and coherence enhancing diffusion.

• Journal of Biomedical Engineering Research
• /
• v.17 no.1
• /
• pp.109-120
• /
• 1996

Cardiac function is evaluated quantitatively using angiographic images via the analysis of the shape change or the heart wall boundaries. To kin with, boundary defection or ESLV(End Systolic Lert Ventricular) and EDLV(End Diastolic Left Ventricular) is essential for the quantitative analysis of cardiac function. The boundary detection methods proposed in the past were almost semi-automatic. Intervention by a knowledgeable human operator was still required Of con, manual tracing of the boundaries is currently used for subsequent analysis and diagnosis. This method would not cut excessive time, labor, and subjectivity associated with manual intervention by a human operator. EDLV images have noncontiguous and ambiguous edge signal on some boundary regions. In this paper, we propose a new method for automated detection of boundaries in noncontiguous and ambiguous EDLV images. The boundary detection scheme which based on a priori knowledge information is divided into two steps. The first step is to detect the candidate edge points of EDLV using ESLV boundaries. The second step is to correct detected boundaries of EDLV using the LV shape. We developed the algorithm of modifying EDLV boundaries defined adaptive modifier. We experimented the method proposed in this paper and compared our proposed method with the manual method in detecting boundaries of EDLV. In the areas within estimated boundaries of EDLV, the percentage of error was about 1.4%. We verified the useflilness and obtained the satisfying results througll the experiments of the proposed method.

• Journal of Biomedical Engineering Research
• /
• v.2 no.2
• /
• pp.109-116
• /
• 1981

The objective of this research is to develop the hardware and software systenls of the digital intravenous angiographic system. The system will be used in clinical diagnosis of cardiovascular and cerebrovascular diseases. By utilizing computer image processing technique and digital subtraction method, the system can decrease the patient's harzard and expenses in performing intravenous angiography, as compared with conventional angiograms of the arterial injection.

• Proceedings of the KOSOMBE Conference
• /
• v.1997 no.05
• /
• pp.414-417
• /
• 1997

This paper presents vessel contour for extracting features and segmentating narrow blood vessels down to a diameter of two pixels in digital subtraction angiographic image. We present a new tracking algorithm for contour, mainly blood vessels in DSA image, and extracting properties such as their intensities, diameters, and center lines by exploiting spatial continuity. The proposed algorithm comes to detect blood vessel's boundary using difference edge detector one of homogeneity operator and find a next centerline position by direction vector of edge information. This algorithm enhanced variation of vessel's diameter compared to Sun's tracking algorithm and lessoned to compute as direction vector decide adaptively entire vessel's direction field. The processed images are intended to support radiologists in diagnosis, radiation therapy planning, and surgical planning. The algorithm should be useful for automating angiographic analyses of blood vessels.

• The Transactions of the Korean Institute of Electrical Engineers
• /
• v.40 no.4
• /
• pp.374-381
• /
• 1991

As a diagnostic image of hospitl, the utilization of digital image is steadily increasing. Image coding is indispensable for storing and compressing an enormous amount of diagnostic images economically and effectively. In this paper adaptive two stage vector quantization based on Kohonen's neural network for the compression of cardioangiography among typical angiography of radiographic image sequences is presented and the performance of the coding scheme is compare and gone over. In an attempt to exploit the known characteristics of changes in cardioangiography, relatively large blocks of image are quantized in the first stage and in the next stage the bloks subdivided by the threshold of quantization error are vector quantized employing the neural network of frequency sensitive competitive learning. The scheme is employed because the change produced in cardioangiography is due to such two types of motion as a heart itself and body motion, and a contrast dye material injected. Computer simulation shows that the good reproduction of images can be obtained at a bit rate of 0.78 bits/pixel.

• Journal of the Institute of Electronics Engineers of Korea SC
• /
• v.41 no.6
• /
• pp.61-66
• /
• 2004

To make a guide line of property control of angiography equipments, we made standard evaluation sheet forms of facility and management of angiography suite, physical properties of angiography equipments, and image quality of film and then surveyed them at 29 hospital nationwide. Survey and development of standard evaluation sheet form of physical properties of angiography equipments. By using resolution & radiation dose, physical properties of angiography equipments of 49 in number nationwide were evaluated. Most of them (91%) had good performance.

• Investigative Magnetic Resonance Imaging
• /
• v.11 no.1
• /
• pp.33-38
• /
• 2007

Purpose : To investigate the applicability of the new three-dimensional overlapped reconstruction MR angiography (3-D ORMRA) technique in patients with hemifacial spasm and to compare the new 3-D reconstruction images with conventional MRA source images. Materials and Methods : The study group comprised 27 patients with surgically proven hemifacial spasm. In all patients, conventional MRA source images and 3-D fast imaging employing steady-state acquisition (FIESTA) images were obtained prospectively. After 3-D MR angiographic images were obtained, the 3-D MRA and FIESTA images were overlapped at the workstation by using GE A/W 4.2 add/sub software. We analyzed the relationship between the offending vessels and root exit zone of the facial nerve using both 3-D ORMRA images and conventional MRA source images. Results : In 25 of 27 patients, the offending vessel at the REZ of the facial nerve could be correctly identified on conventional MRA source images. In all patients, the presumed offending vessels depicted by the overlapped 3-D reconstruction MRA image corresponded well with the intraoperative findings. The 3-D reconstruction image showed more clear visualization of the spatial relationship between the offending vessels and the root exit zone of the facial nerve. Conclusion : The overlapped 3-D reconstruction MR angiography technique is very useful and informative in patients with hemifacial spasm, as compared with conventional MRA angiography technique.

• Journal of Korean Neurosurgical Society
• /
• v.64 no.5
• /
• pp.818-826
• /
• 2021

Objective : The widely accepted treatment option of a traumatic carotid cavernous fistula (TCCF) has been detachable balloon or coils based fistula occlusion. Recently, covered stent implantation has been proving an excellent results. The purpose of this study is to investigate our experiences with first line choice of covered stent implantation for TCCF at level 1 regional trauma center. Methods : From November 2004 to February 2020, 19 covered stents were used for treatment of 19 TCCF patients. Among them, 15 cases were first line treatment using covered stents. Clinical and angiographic data were retrospectively reviewed. Results : Procedures were technically successful in all 15 cases (100%). Immediate angiographic results after procedure were total occlusion in 12 patients (80%). All patients except two expired patients had image follow-up (mean 15 months). Recurred symptomatic three patients underwent additional treatments and achieved complete occlusion. Mean clinical follow-up duration was 32 months and results were modified Rankin Scale 1-2 in five, 3-4 in five, and 5 in three patients. Conclusion : The covered stent could be considered as fist line treatment option for treating TCCF patients especially in unstable vital sign. Larger samples and expanded follow-up are required to further develop their specifications and indications.

• Journal of the Korean Society of Radiology
• /
• v.14 no.2
• /
• pp.111-120
• /
• 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.