• Title/Summary/Keyword: CT Images

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Biomechanical Stability Evaluation of Anterior/posterior Spinal Fusion for Burst Fracture (척추 파열 골절 치료를 위한 전.후방 척추고정술의 생체역학적 안정성 평가)

  • Park W.M.;Kim Y.H.;Park Y.S.;Oh T.Y.
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2006.05a
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    • pp.187-188
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    • 2006
  • A 3-D finite element model of human thoracolumbar spine (T12-L2) was reconstructed from CT images. Various anterior and posterior instrumentation techniques were performed with long cage after corpectomy. Six loading cases were applied up to 10 Nm, espectively. The rotations of T12 with respect to L2 were measured and the stiffnesses were calculated as the applied forces divided by the segmental rotations. The posterior fixation technique increased the stiffness of the spine the most. The addition of anterior rod from 1 to 2 increased the stiffness significantly without posterior fixation, but no effect was found with posterior fixation. We found that different fixation techniques changed the stiffness of the spine.

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Biomechanical Analysis of the Shelf Operation for Dysplastic Hip Joint by Finite Element Analysis (유한요소해석을 이용한 이형성 고관절의 선반형성술에 대한 생체역학 해석)

  • Park W.M.;Kim Y.H.
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2006.05a
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    • pp.519-520
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    • 2006
  • The aim of this study was biomechanical analysis of shelf operation in patients with dysplastic hip joint by finite element contact analysis. Two dimensional CT images were used to construct the finite element models to analyze the contact pressure, and the 3D expansion of the Ninomiya's method was used in the calculation of the resultant force in the hip joint. The surgery recovered the center-edge angles to the normal anatomical range and increased the contact areas in two patients. The maximum contact pressures and von-mises stresses were decreased. The present study provides the biomechanical guideline of optimal surgical parameters to maximize the surgical efficiency and the clinical outcomes in dysplastic hip joint using the shelf operation.

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Development of a Mathematical Model for Effect of Scoliosis Surgical Correction (구조해석을 통한 척추측만증 교정 분석에 필요한 모델 개발)

  • 김영은;최형연;손창규;이광희;이춘기
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2002.10a
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    • pp.1059-1061
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    • 2002
  • A FE model is to develop a personalized biomechanical model of the scoliotic spine that will allow the design of clinical test providing optimal estimation of the post-operation results. A flexible multi-body model of the spine including rib cage, clavicle, and scapular was developed to simulate several mobility simulations. Vertebrae, clavicle and scapular were represented using rigid bodies and ribs and sternum were modeled as flexible bodies. Kinematical Joints and spring elements were used to represent the intervertebral disc and ligaments respectively. Postero-anterior and lateral radiographics of a scoliotic spine were used to represent a 3D reconstruction. CT data for same patient were also used to verify vertebrae rotation driven from postero-anterior and lateral radiographic images. Simulated results showed good reducibility almost uniformly distributed along the spinal segments. It was also found that boundary and loading conditions, required to mimic the operation procedures, were proven to be very sensitive parameters to its results rather than its mechanical properties

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A New Fitness Index for Simulated Implantation System of Artificial Hip Joint based on 3D Medical Images (3차원 의료영상에 기반한 인공고관절 모의시술 시스템 개발 및 새로운 정합도 측정 방법에 관한 연구)

  • 김용호;김중규;최귀원
    • Journal of Biomedical Engineering Research
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    • v.21 no.2
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    • pp.201-212
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    • 2000
  • 본 논문에서는 인공고관절과 환자의 고관절 부위를 각각 3차원 영상화한 후에 이들의 정합도 (fitness)를 측정하여 수치적인 정보로 제공함으로써 환자의 체형에 적합한 인공고관절을 선택하고, 더 나아가 정확한 시술방향과 시술깊이를 제공할 수 있는 모의시술시스템을 제시하였다. 이를 위해 region growing 기법등을 이용하여 환자의 CT 영상을 3차원화하고, 또한 인공고관절을 projection 기법 등을 통해 3차원 영상화하였으며, 지금까지 인공고관절 정합도 측정에 사용했던 단순한 단면적 비교방식과는 달리 삽입의 균일성도 가늠할 수 있는 새로운 정합도 측정 방식을 고안하여 적용하였다. 다양한 실험과 분석을 통하여 새로 제안한 정합도 측정 방법의 정확성과 우수함을 확인할 수 있었으며, 본 논문에서 제시하는 모의 시술시스템은 향후 정형외과 분야에서 인공무릎과 같은 다른 영역에서의 시술 보조 시스템으로도 응용될 수 있을 뿐만 아니라, 인공관절의 국산화 및 주문제작 등에성도 많은 활용을 할 수 있을 것으로 기대된다.

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Cone-beam computed tomography: Time to move from ALARA to ALADA

  • Jaju, Prashant P.;Jaju, Sushma P.
    • Imaging Science in Dentistry
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    • v.45 no.4
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    • pp.263-265
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    • 2015
  • Cone-beam computed tomography (CBCT) is routinely recommended for dental diagnosis and treatment planning. CBCT exposes patients to less radiation than does conventional CT. Still, lack of proper education among dentists and specialists is resulting in improper referral for CBCT. In addition, aiming to generate high-quality images, operators may increase the radiation dose, which can expose the patient to unnecessary risk. This letter advocates appropriate radiation dosing during CBCT to the benefit of both patients and dentists, and supports moving from the concept of "as low as reasonably achievable" (ALARA) to "as low as diagnostically acceptable" (ALADA).

The Effects of Type of Rapid Palatal Expansion Appliance on the Circummaxillary Sutures : A 3D FEA study (급속 구개 확장 장치 종류가 상악골 주변 봉합에 미치는 영향에 대한 유한요소해석)

  • Kim, Yu-Wan;Moon, Yoon-Sik;Sung, Sang-Jin
    • Korean Journal of Cleft Lip And Palate
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    • v.15 no.2
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    • pp.51-60
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    • 2012
  • Craniofacial sutures absorb the stress transferred to skull. It was reported the cells of craniofacial sutures respond to exogenetic factors to be involved in growth control mechanism. In this study, we constructed a finite element model composed of cortical bone, cancellous bone, suture, PDL, and teeth by using CT images of a growing patient, simulating maxillary expansion to evaluate the effects of the thickness of sutures and type of maxillary expansion appliance on stress distribution in circummaxillary sutures.

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An Experimental Study on Wake Cavity Flow Characteristics of Two-dimensional Wedge Shaped Control Fins (2차원 쐐기형 제어핀 후류의 공동유동 특성에 대한 실험연구)

  • Jeong, So-Won;Ahn, Byoung-Kwon
    • Journal of the Society of Naval Architects of Korea
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    • v.53 no.3
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    • pp.180-187
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    • 2016
  • As distinct from a slender body, the separation of the boundary layer on a bluff body give rise to complex wakes in which various kinds of vortices form, develop and interact with each other. In this paper, we investigate cavitation wake field behind wedge shaped two-dimensional fin models. Eight different models are tested at the Chungnam National University Cavitation Tunnel (CNU-CT). First, we measure wake cavity shapes and compare with numerical results, which shows the good agreement with each other. In addition, we demonstrate that wake flow characteristics of the control fin are clearly identified by the correlation analysis of high-speed camera images and pressure fluctuation measurements.

A Prototype of Telepresent Surgical Simulation System (원격 모의 수술 시스템 프로토타입)

  • 남상아
    • Journal of the Korea Society for Simulation
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    • v.6 no.2
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    • pp.31-44
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    • 1997
  • In medical applications, the cooperation work using computer network is in the spotlight as next generation technology, because it offers sharing of equipments, knowledge of specialists, and data and surmounts the limitations of geographical position and time. We present a prototype of telepresent surgical simulation system in this treatise. It is a telemedicine system using volume image, which is reconstructed from radiological images such as MRI and CT. It is used as a tool for surgical simulation among telepresent doctors. It provides the functions of conference control, volume reconstruction and manipulation, and multimedia database management among one server and multi-clients through high-speed network. It is implemented on Unix workstation using X-windows and C language, TCP/IP protocol and UNiSQL as DBMS.

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A case report of incidental finding of fungus ball on CBCT of maxillary sinus in treatment planning of dental implant (치과 임플란트 치료계획시 상악동의 CBCT 영상에서 우연히 발견된 fungus ball의 일례)

  • Lee, Byung-Do
    • Imaging Science in Dentistry
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    • v.40 no.2
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    • pp.93-97
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    • 2010
  • This report was to show the radiographic appearances of the fungus ball in a paranasal sinus and to emphasize the scan area of cone beam computed tomography (CBCT) to detect the calcification in the paranasal sinus. A seventyfour-year-old woman visited our department for the implant rehabilitation at both maxillary posterior edentulous region. Pre-operative radiographic examinations including the panoramic, CBCT, and multidector CT images were taken. An opacification in the right maxillary sinus was observed on the multiplanar image of CBCT, however the pre-determined scan area of CBCT in this report hardly showed the calcifications at the central portion of the maxillary sinus. The opacification in the maxillary sinus could be misdiagnosed as chronic maxillary sinusitis if the calcification of fungus ball was not simultaneously detected. The scan area of pre-operative CBCT needs to be enough to scan the paranasal sinus from top to bottom.

Multiple brown tumors of the jaws in primary hyperparathyroidism (원발성 부갑상선항진증에 의한 악골의 다발성 갈색종양)

  • Kim, Kyoung-A;Koh, Kwang-Joon
    • Imaging Science in Dentistry
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    • v.40 no.3
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    • pp.149-153
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    • 2010
  • Brown tumor is usually diagnosed at the terminal stage of hyperparathyroidism. Diagnosis of this tumor is confirmed by endocrinologic investigations along with clinical and radiographic examination. Radiographical differential diagnosis of this tumor includes central giant cell granuloma, aneurysmal bone cyst, metastatic tumor, multiple myeloma, and Paget disease. This report presents a rare case of multiple brown tumors occurring at the maxilla and mandible, which was initially misdiagnosed as central giant cell granuloma. Plain radiographs demonstrated multiple well-defined multilocular radiolucency. CT images showed soft tissue mass with low attenuated lesions, perforation of the lingual cortical plate, and a heterogeneous mass at the right thyroid lobe. These findings were consistent with parathyroid adenoma. The patient had hypercalcemia, hypophosphatemia, and elevated alkaline phosphatase level. Surgical excision of the tumor was performed. No recurrence was observed during a 28-month follow-up.