• The Korean Journal of Nuclear Medicine
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• v.31 no.1
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• pp.108-115
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• 1997

$^{131}I-6{\beta}$-iodomethyl-19-norcholesterol(NP-59) has an advantage to assess adrenal dysfunction caused by adrenal cortical disorders. The aim of this study is to evaluate the clinical usefulness of NP-59 scintigraphy in each adrenal disease. Ten patients who did eleven NP-59 adrenal scintigraphies at Dong-A University Hospital from March 1990 to December 1996 were selected as the subject. Among the subject there were 5 cases of Cushing's syndrome, 2 cases of incidentaloma, 1 case of metastatic adrenal tumor, liver cirrhosis with hirsutism and hypertension respectively. Among 5 cases of Cushing's syndrome, there were 2 cases of Cushing's disease, 2 cases of adrenal adenoma and 1 case of adrenal carcinoma. There are no disagreement between clinical diagnosis and scan finding in Cushing's syndrome. In 2 incidentaloma cases, even though one is interpretated as a functioning tumor, both of 2 cases could avoid unnecessary biopsy according to scintigraphy result. One case of hirsutism, clinically adrenal originated, revealed the normal scintigraphic finding after dexamethasone suppression scan. It could suggest that the etiology of hirsutism was extra-adrenal origin. One case of hypertension took the study to exclude the possibility of primary aldosteronism. Normal suppression scan finding revealed that primary aldosteronism did not exist in this case. In conclusion, NP-59 scintigraphy was very useful in diagnosis and differential diagnosis of Cushing's syndrome and it could avoid unnecessary biopsy in the incidental adrenal tumor.

• Radiation Oncology Journal
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• v.15 no.4
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• pp.387-392
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• 1997

Purpose : To quantify the movement of lung Parenchyma for ICRU 50 Planning Target Volume (PTV) delineation of the lung region. Materials and Method : Fluoroscopic observations and measurements are Performed on 10 patients with chest region cancer who have normal putmonary functions We have divided the lung region into 12 parts for the right lung, 10 parts for the left lung and four to five Points of lung parenchyma were selected for anatomical analysis Points, Fluoroscopic images are sent to a computer and then movements are measured. Results : Both lowe lobes showed the longest longitudinal movements because of breathing (average 14.1mm, maximum 22.1mm), while anteroposterior displacement showed the smallest value. Lateral movements of the lung parenchyma averaged 6.6mm, and the maximum value was 9.1mm, (both hilar regions showed maximum values because of cardiac motion) Conclusion : We could quantify the lung movements by measuring parenchyma displacements. The movements of both upper lobes were less than those of the middle and upper lobes in longitudinal and transverse movements. Optimal margins can be selected for PTV delineation using these results.

• Proceedings of the Korea Water Resources Association Conference
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• 2007.05a
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• pp.698-701
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• 2007

지하수 개발가능량 산정을 위한 함양량의 평가는 수문계의 물리적인 형태나 함수층의 수리성 분석 및 수직인 지질분포를 파악하여 어떤 조건하에서 물이 유입 유출되는가를 파악한 후에만 가능하다. 또한 지하수계의 물리적인 형태를 이해함으로써 조사지역의 지표수계나 지하수계의 양계를 통해서 흐르는 물의 양을 결정짓는 물수지 분석이 수행되어야 한다. 이에 따라 강수량, 증발산량, 지하수 유출량, 지표유출량 그리고 하천유출량 등을 수문학적으로 고려해야만 한다. 본 연구는 지표수-지하수 결합모형을 도입하여 분포형 지하수 함양량의 시공간적인 변동성을 파악하는 데 그 목적이 있다. 이를 위해 지표수-지하수 결합모형인 SWAT-K모형을 미호천 유역에 적용하였으며, 지표수의 총유출량과 지하수위의 공간분포자료를 이용하여 검정과 검증을 수행하였다. 전체유역에 대한 연평균 함양량은 수문총량의 약 19%인 것으로 나타났다. 1999년${\sim}$2004년까지의 소유역별 연간 함양량 결과를 월별로 나타냈으며, HRU(Hydrologic Response Unit)별 함양량의 공간분포를 통해 월별, 계절별 특성을 살펴볼 수 있었다. 소유역 모두 강수가 집중하는 7-9월에 걸쳐 많은 함양이 이루어지며 $1{\sim}3$월에는 상대적으로 함양이 적은 것을 볼 수 있다. 월함양량의 경우 최대 약200mm범위내에서 유역의 토지이용 및 토양특성, 경사등에 따라 매우 비균질하게 분포하는 것을 확인할 수 있었다. 이와같은 함양량의 시공간적 불균일성으로 인해 지하수 관리방안은 소유역별 함양특성을 반영해야 할 것으로 판단된다.의 종분산지수가 일반적인 자연대수층에 비해 9.1배 정도 높다는 것을 의미한다. 이는 시험대수층의 투수성이 매우 높아 염소이온의 용질이송이 매우 빠르게 발생되었기 때문이다. 본 연구에서 추정된 종분산지수를 Gelhar et al.(1992)의 연구 결과와 비교 분석한 결과에서도 시험규모에 비해 매우 높은 수리분산이 발생된 것으로 나타났다. 그리고 염소이온의 확산면적을 추정하기 위해, 수렴흐름 추적자시험에 의한 종분산지수와 시험대수층의 평균선형유속을 이용하여 종분산계수를 구하였다. 현장에서 수행된 양수시험에 의한 평균선형유속 22.44 m/day와 평균 종분산지수 0.4155 m를 적용하여 산정된 종분산계수는 $9.32\;m^2/day$이었다. 따라서, 시험부지 내 충적층에서 일정한 양수율$(2,500\;m^3/day)$로 지하수를 개발할 시에 양수정 주변지역으로 유입되는 염소이온의 확산면적은 1일 $9.32\;m^2$ 정도일 것으로 나타났다.적인 $OH{\cdot}$ 의 생성은 ascorbate가 조직손상에 관여할 가능성을 시사하였다.었다. 정확한 예측치를 얻기 위하여 불균질 조직이 조사야에 포함되는 경우 보정이 요구되며, 골반의 경우 골 조직의 보정이 중요한 요인임을 알 수 있었다. 이를 위하여 불균질 조직에 대한 정확한 정보가 요구되며, 이는 CT 영상을 이용하는 것이 크게 도움이 되리라 생각된다.전시 슬러지층과 상등액의 온도차를 측정하여 대사열량의 발생량을 측정하고 슬러지의 활성을 측정할 수 있는 방법을 개발하였다.enin과 Rhaponticin

• Proceedings of the Korea Water Resources Association Conference
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• 2007.05a
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• pp.2079-2083
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• 2007

하구둑은 해수의 역류에 의한 염수침입을 방지하고 유역에 필요한 담수를 확보하기위하여 건설되며, 하구둑에 의하여 하천의 하구에 담수호가 생성된다. 하구담수호에 의해 기존에 염해로 취수할 수 없었던 하천구간에서의 취수가 가능하게 되며, 하구담수호를 일정한 수위로 관리함으로써 상당량의 농업용수를 확보할 수 있다. 이와 관련하여 하구담수호에 의하여 확보되는 수자원량에 대해 설계 당시의 분석 자료들이 있기는 하지만, 대부분 연 총량의 형태로 나타나 있으며, 수리권과 관련하여 하구둑에 의하여 추가적으로 확보되는 수리권 가용수량이 얼마인지에 대한 분석은 거의 없다. 그것은 하구둑의 방류량이 댐의 방류량과는 달라서 조석의 영향을 매우 크게 받기 때문에 단순한 물수지 분석으로 이를 모의하기 힘들기 때문이다. 게다가 1일 2회의 조석이 발생하므로 1일단위의 물수지 분석은 어려운 현실이다. 그럼에도 불구하고 하구둑에서 많은 양의 농업용수 취수가 이루어지고 있다. 과연 얼마정도의 양이 수리권으로서의 역할을 할 수 있는지 모르고 임의적인 허가가 계속 부여될 경우, 갈수 시 용수공급의 안정성을 확보할 수 없게 될 것이다. 따라서 안정적인 용수의 공급을 위한 적절한 수리권 가용수량에 대한 추정 필요하다. 이에 본 연구에서는 영산강하구둑의 실시간 운영을 위하여 고 등(2004)이 개발한 "영산강하구 둑 물관리 프로그램"의 기본적인 조위의 예측과 배수갑문의 방류량 산정기법 등과 수자원장기종 합계획(2006) 수립 시에 사용된 장기간의 일자연유량을 이용하여 하구둑의 수리권 가용수량 추정 모형을 개발하고, 이를 영산강 하구둑에 의해 생성된 영산호에 적용함으로써 영산호에 의해 증가되는 수리권 가용수량에 대해 고찰하여 보았다., 그리고 T-P $77.7{\sim}96.6%$(평균 94.3%)로 산정되었다. 이러한 결과는 대청호로 유입하는 유기물과 영양염류 연간 부하량의 80% 이상이 강우-유출과 함께 유입하는 것을 의미하며, 저수지 수질관리를 위해서는 유역차원의 비점오염원 관리가 시급함을 시사한다.하기 위해, 수렴흐름 추적자시험에 의한 종분산지수와 시험대수층의 평균선형유속을 이용하여 종분산계수를 구하였다. 현장에서 수행된 양수시험에 의한 평균선형유속 22.44 m/day와 평균 종분산지수 0.4155 m를 적용하여 산정된 종분산계수는 $9.32\;m^2/day$이었다. 따라서, 시험부지 내 충적층에서 일정한 양수율$(2,500\;m^3/day)$로 지하수를 개발할 시에 양수정 주변지역으로 유입되는 염소이온의 확산면적은 1일 $9.32\;m^2$ 정도일 것으로 나타났다.적인 $OH{\cdot}$ 의 생성은 ascorbate가 조직손상에 관여할 가능성을 시사하였다.었다. 정확한 예측치를 얻기 위하여 불균질 조직이 조사야에 포함되는 경우 보정이 요구되며, 골반의 경우 골 조직의 보정이 중요한 요인임을 알 수 있었다. 이를 위하여 불균질 조직에 대한 정확한 정보가 요구되며, 이는 CT 영상을 이용하는 것이 크게 도움이 되리라 생각된다.전시 슬러지층과 상등액의 온도차를 측정하여 대사열량의 발생량을 측정하고 슬러지의 활성을 측정할 수 있는 방법을 개발하였다.enin과 Rhaponticin의 작용(作用)에 의(依)한 것이며, 이는 한의학(韓醫學) 방제(方劑) 원리(原理)인 군신좌사(君臣佐使) 이론(理論)에서 군약(君藥)이 주증(主症)에 주(

• Imaging Science in Dentistry
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• v.38 no.3
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• pp.169-176
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• 2008

Purpose : To assess the diagnostic accuracy and value in an imaging technique field through the comparison of cone beam computed tomography and conventional panoramic radiography in assessing the topographic relationship between the mandibular canal and impacted third molars. Materials and Methods : Participants consisted of 100 patients offered the images through cone beam computed tomography and panoramic radiography. PSR-$9000^{TM}$ Dental CT system (Asahi Roentgen Ind. Co., Ltd, Japan) was used as the unit of cone beam computed tomography. CE-II (Asahi Roentgen Ind. Co., Ltd, Japan) and Pro Max (Planmeca Oy, Finland) were used as the unit of panoramic radiography. The images obtained through panoramic radiography were classified into 3 types according to the distance between mandibular canal and root of mandibular third molar. And they were classified into 4 types according to the proximity of radiographic feature. The images obtained through cone beam computed tomography based on the classification above were classified into 4 types according to the location between the mandibular canal and the root and were analyzed. And they were classified into buccal, inferior, lingual, and between roots, according to the location between mandibular canal and root. The data were statistically analyzed and estimated by $X^2$-test. Results : 1. There was no statistical significance according to 3 types (type I, type II, type III) through CBCT. 2. The results of 4 types (type A, type B, type C, type D) through CBCT were as high prevalence of CBCT 1 in type A, CBCT 2 in type B, CBCT 3 in type C, and CBCT1 in type D and those of which showed statistical significance (P value=0.03). 3. The results according to location between mandibular canal and root through CBCT recorded each 49, 25, 17, 9 as buccal, inferior, lingual, between roots. Conclusion : When estimating the mandibular canal and the roots through the panoramic radiography, it could be difficult to drive the views of which this estimation was considerable. Thus it is required to have an accurate diagnostic approaching through CBCT that could estimate the location between mandibular canal and roots.

• Imaging Science in Dentistry
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• v.38 no.4
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• pp.203-208
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• 2008

Purpose : The purpose of this study was to develop a system for the measurement and simulation of the TMJ movement and to analyze the mandibular movement quantitatively. Materials and Methods : We devised patient-specific splints and a registration body for the TMJ movement tracking. The mandibular movements of the 12 subjects with facial deformity and 3 controls were obtained by using an optical tracking system and the patient-specific splints. The mandibular part was manually segmented from the CT volume data of a patient. Three-dimensional surface models of the maxilla and the mandible were constructed using the segmented data. The continuous movement of the mandible with respect to the maxilla could be simulated by applying the recorded positions sequentially. Trajectories of the selected reference points were calculated during simulation and analyzed. Results : The selected points were the most superior point of bilateral condyle, lower incisor point, and pogonion. There were significant differences (P<0.05) between control group and pre-surgical group in the maximum displacement of left superior condyle, lower incisor, and pogonion in vertical direction. Differences in the maximum lengths of the right and the left condyle were 0.59${\pm}$0.30 mm in pre-surgical group and 2.69${\pm}$2.63 mm in control group, which showed a significant difference (P<0.005). The maximum of differences between lengths of the right and the left calculated during one cycle also showed a significant difference between two groups (P<0.05). Conclusion : Significant differences in mandibular movements between the groups implies that facial deformity have an effect on the movement asymmetry of the mandible. (Korean J Oral Maxillofac Radiol 2008; 38 : 203-8)

• Progress in Medical Physics
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• v.14 no.2
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• pp.99-107
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• 2003

This study was performed to prepare the verification film for localizing beam-target position with the Photon Knife radiosurgery system (PKRS) using linear accelerator(Mitsubishi, Model ML-15MDX). We developed a laser calibration system using a reticle of transparent lucite to detect Inlet and outlet beams. We verified fixation of the second collimator with film mounted on a holder in the shape of an octagon block 5cm apart from the isocenter. The film was exposed to photon beams of linear accelerator at an interval of 45 degrees during the gantry movement. There were no shifts in the beam of the second collimator during gantry movement. We used a position marker which is designed a head-shaped small lead block and a 10 mm in diameter of steel bead in the plastic tube. The position marker helped to verify the beam directions with patient position in multi-arc and trans-multi-arc of PKRS The verification of beam alignments showed an average 0.8$\pm$0.26 mm discrepancy in LINAC-gram images of PKRS. In our study, the couch movement was $\pm$5 mm laterally, while it shook $\pm$ 2 mm toward the couch axis. The couch, however, was immediately returned to the initial site after shaking. Thus, we postulate that the beam-target position(s) should be verified with LINAC-gram in a stereotactic radiosurgery system to achieve the accuracy of beam-target alignment.

• Journal of Veterinary Clinics
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• v.27 no.5
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• pp.593-599
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• 2010

A seven-year-old, castrated male Basset hound weighing 21.1 kg was presented for investigation of anorexia, lethargy, weight loss, melena and vomiting for 4 months. In laboratory findings, microcytic hypochromic anemia was identified, and other results were within a normal reference range. On the plain radiographs, soft tissue opacity was increased in the descending duodenal region; and on the contrast radiographs, ulcerative changes were identified in the entire segment of descending duodenum. Ultrasonographic findings included increased duodenal wall thickness and duodenal wall layering was lost. Endoscopy revealed irregular mucosal surface and luminal narrowing of the descending duodenum. There was concentrically thickened descending duodenum on the computed tomography. And the wall of the descending duodenum showed heterogenous enhancement after contrast agent injection. On histopathological findings, both chronic inflammation with mucosal proliferation and neoplastic changes with multiple small glandslike structures invading into the submucosa were identified. Based on these findings, presented case was diagnosed as an annular form duodenal adenocarcinoma. After 13 months of supportive medical treatment, the patient was expired. The purpose of this case report was to describe the duodenal adenocarcinoma in a dog.

• Radiation Oncology Journal
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• v.18 no.4
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• pp.221-225
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• 2000

Purpose : This study was designed to examine the reliability of the new version of the AJCC staging system (1997) of nasopharyngeal carcinoma in comparison with the AJCC staging system of 1992. Materials and Methods :Between 1983 and 1996, 185 patients with histologically proven nasopnaryngeal carcinoma were treated with radiation therapy at the Department of Therapeutic Radiology Seoul National University Hospital. For these patients, AJCC staging system of 1992 was compared with the 1997 version by reviewing hospital records, computed tomography (CT) and/or magnetic resonance imaging (MRI). Results :5-year overall suwival rates according to the 1992 and 1997 AJCC staging systems were 100$\%$, and 100$\%$ at stage 1: 100$\%$, and 68.8$\%$ at stage 11; 61.4$\%$, and 63.8$\%$ at stage 111; 61.1$\%$, and 63.2$\%$ at stage IV. S-year overall survival rates of each classification showed significant differences between stages (p=0.0049 for the old version, p=0.01 for the new), but no significant difference was found between the staging systems except at stage 11. Conclusion : The new AJCC staging system allows staging as reliably as the 1992 version, but the adequacy of the newly modified staging classification should be confirmed by further clinical examination.

• Imaging Science in Dentistry
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• v.42 no.3
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• pp.175-182
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• 2012

Purpose: The aim of this study was to provide sex-matched three-dimensional (3D) statistical shape models of the mandible, which would provide cephalometric parameters for 3D treatment planning and cephalometric measurements in orthognathic surgery. Materials and Methods: The subjects used to create the 3D shape models of the mandible included 23 males and 23 females. The mandibles were segmented semi-automatically from 3D facial CT images. Each individual mandible shape was reconstructed as a 3D surface model, which was parameterized to establish correspondence between different individual surfaces. The principal component analysis (PCA) applied to all mandible shapes produced a mean model and characteristic models of variation. The cephalometric parameters were measured directly from the mean models to evaluate the 3D shape models. The means of the measured parameters were compared with those from other conventional studies. The male and female 3D statistical mean models were developed from 23 individual mandibles, respectively. Results: The male and female characteristic shapes of variation produced by PCA showed a large variability included in the individual mandibles. The cephalometric measurements from the developed models were very close to those from some conventional studies. Conclusion: We described the construction of 3D mandibular shape models and presented the application of the 3D mandibular template in cephalometric measurements. Optimal reference models determined from variations produced by PCA could be used for craniofacial patients with various types of skeletal shape.