• Archives of Plastic Surgery
• /
• v.32 no.1
• /
• pp.29-36
• /
• 2005

Craniosynostosis is the premature fusion of one or more sutures of either cranial vault or base. Fused sutures may impede normal growth of the calvaria, leading to characteristic skull deformities; Morphological craniosynostosis is classified descriptively. Being craniosynostosis uncorrected the deformity progresses continuously and causes an increase of intracranial pressure. The surgical involvement aims at the expansion of intracranial space as well as satisfactory achievement of craniofacial shape. Early surgical correction in infancy prevents the deformity from the further progression and possible associated complication of high intracranial pressure. A long period of follow-up is essential to asses the outcome of an effectiveness of the surgery. measurement of intracranial volume has been concerned in medical personnel and anthropologists for many years. A reliable and accurate measurements of the intracranial volume facilitates to make a diagnosis and treatment of craniosynostosis. Pre-and postoperative change of intracranial volume was evaluated with 3D CT scanning in 12 cases of craniosynostosis who underwent frontal advancement and total cranial vault remodeling. Increased intracranial volume is attributed to surgical release of craniosynostosis and natural growth. We conceive that the intracranial volume is significantly increased after surgical correction of fused cranial sutures and along with natural growing. A procedure of frontal advancement and total cranial vault remodeling is very useful to correct such a deformity as craniosynostosis. And also 2 cases out of five mentally retarded patients improved remarkably and Forehead retrusion or temporal depression followed in another two cases.

• Tuberculosis and Respiratory Diseases
• /
• v.57 no.2
• /
• pp.118-124
• /
• 2004

Lung cancer is the leading cause of cancer death for men and women in the industrialized world. It is desirable to detect disease at a stage when it is not causing symptoms and when control or cure is possible. If the screening test detects patients with the disease at an early stage, they can be examined to confirm the diagnosis and intervention can alter the natural history of the disease. The results of screening programs designed to detect early lung cancer using either conventional chest radiograph or sputum cytology are disappointing for a diagnostic screening test. Because of advances in helical CT imaging techniques, screening for lung cancer has been suggested as a possible method of improving outcome. Findings in recent publications suggest that substantial dose reduction is possible in chest CT. The advantages of low-dose CT are more sensitive than chest radiograph for detecting small pulmonary nodules that may be lung cancers, shorter scanning time than conventional chest CT scan without intravenous contrast injection, cheaper cost than standard CT, low radiation dose. However, the true clinical significance of the small tumors found by screening is still unknown, and their effect on mortality awaits future investigation. Furthermore, in addition to detecting an increased number of lung cancers, low-dose CT found at least one indeterminate nodule in many of all screened patients. The majority should be benign but evaluation of all these indeterminate nodules is not a trivial problem in routine practice. In conclusion, lung cancer screening with low-dose CT is a complex subject. The true effectiveness of lung cancer screening (a reduction in mortality from lung cancer) with low-dose CT can be determined through well-designed randomized control trials with enrolment of appropriate subjects.

• Journal of Radiation Protection and Research
• /
• v.30 no.3
• /
• pp.113-119
• /
• 2005

The computed tomogrpahy(CT) provides a high quality in images of human body but contributes to the relatively high patient dose. The frequency of CT examination is increasing and, therefore, the concerns about the patient dose are also increasing. In this study the experimental determination of patient dose was performed by using a physical anthropomorphic phantom and thermoluminescent dosimeter(TLD). The measurements were done for the both axial and spiral scan mode. As a result the effective doses for each scan mode were 17.78mSv and 10.01 mSv respectively and the fact that the degree of the reduction in the patient dose depends on the pitch scan parameter was confirmed. The measurement methods suggested in this study can be applied for the reassessment of the patient dose when the technique in CT equipment is developed or the protocol for CT scanning is changed.

• Journal of the Korean Society of Radiology
• /
• v.16 no.6
• /
• pp.771-778
• /
• 2022

The purpose of this study is to present a method of measuring noise by the percentage of effective line attenuation coefficient of water that can be used for quality control of CT image noise using AAPM CT performance phantom in clinical practice. In the CT images obtained by scanning the AAPM CT performance phantom with a 120 kVp CT X-ray beam, the mean CT number was measured for each pin and water in the CT number linearity insert part. The effective energy was determined as the photon energy with the largest correlation coefficient from the correlation coefficients of the linear regression analysis of the measured mean CT number for each pin and water and the linear attenuation coefficient for each photon energy. And for water and acrylic, the contrast scale was calculated as 0.000188 cm^-1 · HU^-1 from the measured mean CT number and effective line attenuation coefficient. Using the calculated contrast scale, the effective line attenuation coefficient of water, and the standard deviation measured in the water of the alignment pin part of the AAPM CT performance phantom, The noise measurement value by the percentage of effective line attenuation coefficient of water obtained 0.31 ~ 0.52% in the range of 100 ~ 300 mAs.

• The Journal of the Korea Contents Association
• /
• v.9 no.3
• /
• pp.225-231
• /
• 2009

The purpose of the current study was to compare radiation dose of 64MDCT performed with automatic exposure control (AEC) with manual selection fixed tube current. We evaluated the CT scans of phantom of the chest and abdomen using the fixed tube current and AEC technique. Objective image noise shown as the standard deviation of CT value in Hounsfield units was measured on the obtained images. Compared with fixed tube current, AEC resulted in reduction of the chest and abdomen in the CTDIvol (35.2%, 5.9%) and DLP (49.3%, 3.2%). Compared with manually selected fixed tube current, AEC resulted in reduced radiation dose at MDCT study of chest and abdomen.

• Nuclear Engineering and Technology
• /
• v.38 no.4
• /
• pp.383-390
• /
• 2006

Having its roots in medical applications, industrial gamma ray CT has opened up new roads far investigating and modeling industrial processes. Using a line of research related to industrial gamma ray CT, the authors set up a system of single source and detector gamma transmission tomography for wood timber and a packed bed phantom. The hardware of the CT system consists of two servo motors, a data logger, a computer, a radiation source and a radiation detector. One motor simultaneously moves the source and the detector for a parallel beam scanning, whereas the other motor rotates the scan table at a preset projection angle. The image is reconstructed from the measured projections by the filtered back projection method. The phantom was designed to simulate a cross section of a packed bed with a void. The radiation source was 20mCi of Cs-137 and the detector was a 1 inch $\times$ 1 inch NaI (TI) scintillator shielded by a lead collimator. The experimental gamma ray CT image has sufficient resolution to reveal air holes and the density distribution inside the phantom. The system could possibly be applied to a packed bed column or a pipe flow in a petrochemical plant.

• Macromolecular Research
• /
• v.12 no.5
• /
• pp.459-465
• /
• 2004

We have synthesized poly(l,4-cyclohexylenedimethylene terephthalate-co-hexamethylene terephthalate) [P(CT-co-HT)] random copolymers having various comonomer contents, from 0 to 100 mol% HT, by melt-condensation and have investigated their crystallization behavior by using differential scanning calorimetry (DSC) and wide-angle X-ray diffraction (WAXD). We observed that P(CT-co-HT)s exhibit clear melting and crystallization peaks in their DSC thermograms and sharp diffraction peaks in their WAXD patterns for all of their copolymer compositions as a result of cocrystallization of the CT and HT units, even though the copolymers are statistically random copolymers. When we plotted the melting and crystallization temperatures of P(CT-co-HT)s and the d-spacings of all the reflections against the copolymer composition, we observed a eutectic point at ca. 80 mol% HT, which suggests that a crystal transition occured from a PCT-type crystal to a PHT-type crystal. Both the DSC and WAXD results support the notion that P(CT-co-HT) copolymers undergo an isodimorphic cocrystallization.

• Imaging Science in Dentistry
• /
• v.40 no.1
• /
• pp.15-23
• /
• 2010

Purpose : This study was designed to compare the effective doses from low-dose and standard-dose multi-detector CT (MDCT) scanning protocols and evaluate the image quality and the spatial resolution of the low-dose MDCT protocols for clinical use. Materials and Methods : 6-channel MDCT scanner (Siemens Medical System, Forschheim, Germany), was used for this study. Protocol of the standard-dose MDCT for the orthodontic analysis was 130 kV, 35 mAs, 1.25 mm slice width, 0.8 pitch. Those of the low-dose MDCT for orthodontic analysis and orthodontic surgery were 110 kV, 30 mAs, 1.25 mm slice width, 0.85 pitch and 110 kV, 45 mAs, 2.5 mm slice width, 0.85 pitch. Thermoluminescent dosimeters (TLDs) were placed at 31 sites throughout the levels of adult female ART head and neck phantom. Effective doses were calculated according to ICRP 1990 and 2007 recommendations. A formalin-fixed cadaver and AAPM CT performance phantom were scanned for the evaluation of subjective image quality and spatial resolution. Results : Effective doses in ${\mu}Sv$ ($E_{2007}$) were 699.1, 429.4 and 603.1 for standard-dose CT of orthodontic treatment, low-dose CT of orthodontic analysis, and low-dose CT of orthodontic surgery, respectively. The image quality from the low-dose protocol were not worse than those from the standard-dose protocol. The spatial resolutions of both standard-dose and low-dose CT images were acceptable. Conclusion : From the above results, it can be concluded that the low-dose MDCT protocol is preferable in obtaining CT images for orthodontic analysis and orthodontic surgery.

• Journal of the Korean Society of Radiology
• /
• v.13 no.2
• /
• pp.305-311
• /
• 2019

In this study, present the most useful delay scan time by statistical analysis of SUVm data for 30 suspected pancreatic cancer patients. Two statistical analysis and a mathematical model was applied to the theoretical formula by glucose and insulin mechanics, and a mathematical model was created. Statistical analysis was performed via Metlab p/g. Optimal delay scan time was suggested by Metlab p/g for the change of SUV value over time.In this study, for diagnosis pancreatic cancer by dual time point PET/CT, propose optimal delay scan time 131.5 minuts. The proposed delay scan time showed statistical reliability applicable to the diagnosis of pancreatic cancer (p<0.05). Delayed scanning with the suggested delay scan time of 131.5 minutes is considered to be useful for the diagnosis of pancreatic cancer compared to general PET / CT scan.hen the delayed test is performed with the proposed delay scan time 131.5 minuts, Compared with general PET/CT scans.

• Journal of the Korean Society of Radiology
• /
• v.8 no.2
• /
• pp.75-79
• /
• 2014

The aim of this retrospective research was to investigate the influence of the patient's arm position on radiation dose and scanning during CT. Chest CT image created image degradation, artifact and overdose to the patient due to the difference of the chest thickness. Therefore, the patient's arm should up position during the CT chest examination. In 2012, 1,642 patients underwent chest CT examination in Seoul K hospital. 118 chest CT examination performed hands down position. The average DLP value of the CT chest arm up examination was 275 $mGy{\cdot}cm$. The average DLP value of the CT chest arm down examination was 312.46 $mGy{\cdot}cm$. In the retrospective study with same patient, The average DLP value of the CT chest examination arm up vigorously was 267.5 $mGy{\cdot}cm$. The average DLP value of the CT chest arm down examination was 307.5 $mGy{\cdot}cm$. Chest CT scan without raising arm created linear artifact due to the lack of X-ray photons which is the thickest part of the human body of shoulder area. In conclusion, arm positioning patients' arms above the shoulders at CT of the chest increases image quality and substantially reduces effective radiation dose.