• 제목/요약/키워드: CT scanning

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Microvascular Reconstruction of the Cranial Base Defects (두개저 결손의 미세수술적 재건술)

  • Minn, Kyung-Won;Kim, In-Chul;Lee, Min-Goo
    • Archives of Reconstructive Microsurgery
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    • v.8 no.1
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    • pp.71-76
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    • 1999
  • Until recently, the cranial base tumors were deemed unresectable due to the inability to diagnose the extent of the involvement accurately and to approach and excise the tumor safely. With refinements in CT and NMR scanning and development of craniofacial techniques, reconstruction becomes absolutely crucial in allowing successful resection of these tumors. Resection of these tumors may sometimes result in massive and complex extirpation defects that are not amendable to local tissue closure. In such cases, the free tissue transfer was a useful alternative because it can provide large amount of well-vascularized tissues and reliable separation of intracranial space from bacterial flora of the upper airway. The microvascular free tissue transfer was used in 9 patients at our center to reconstruct the cranial base defects. Of these, 8 were free rectus muscle flaps, and 1 was free latissimua dorsi muscle flap. There were 1 case of partial flap loss and 1 case of postoperative wound infection. The large, complex defects were successfully reconstructed by one stage operation and the functional and aesthetic results were satisfactory with acceptable complication rates.

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Characteristics of Sound Response in Ear Canal of Human and Reproduction of Acoustical Space (인간 이도의 소리응답특성과 음향공간의 재현)

  • Ahn, Tae-Soo;Lee, Doo-Ho
    • Transactions of the Korean Society for Noise and Vibration Engineering
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    • v.21 no.9
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    • pp.842-849
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    • 2011
  • The human ear canal amplifies the sound pressure level at specific frequency bands. The characteristics of the ear canal are very similar to those of curved cylindrical tube. In this study, the characteristics of sound transfer in human ear canal were measured and the acoustical space of ear canal was reproduced from the canal cavity geometry. For the measurement of sound transfer function in ear canal, a probe microphone and a reference microphone were used. The sound transfer functions were measured for 5 human subjects. To reproduce the acoustical space of the ear canal, two kinds of ear simulator were designed. The first one is a straight cylindrical tube type and the other is a real-shape ear of which geometry was taken from a micro-CT scanning of a human ear. The characteristics of the reproduced apparatus were compared with those of the human and a commercial ear simulator, RA0045 of G.R.A.S. Inc. The comparison results show that the developed apparatus well represent the ear canal characteristics in the low frequency, but have limited coincidence in level over high frequency range.

Severe Hematoma in the Neck Following the Stellate Ganglion Block -A case report- (성상신경절 차단 후 발생한 심한 경부혈종 -증례 보고-)

  • Kang, Hyung-Chang;Kim, Yu-Jae
    • The Korean Journal of Pain
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    • v.11 no.2
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    • pp.346-349
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    • 1998
  • The technique of the stellate ganglion block is widely used as it is relatively simple and safe. But it can cause severe complications because there are major blood vessels and nerves around the stellate ganglion. We practiced CPR because of the respiratory failure caused by severe hematoma in the neck following the stellate ganglion block. A 46-year-old male patient admitted to ENT department because of the both sudden sensorineural hearing loss that happened after URI. He was referred to Pain Clinic for further evaluation and treatment. We decided to block the stellate ganglion. We injected 6ml of 0.5% mepivacaine on both sides of the stellate ganglion. There were no blood aspiration and abnormal vital signs during the 30 minute observation, either. Three hours after he went to the private room, he had pain and edema in his neck, but no respiratory defficulty. But later, respiratory failure was suddenly followed. So we practiced CPR. We confirmed severe hematomas in the neck through CT scanning. Hematomas is removed and the ruptured blood vessels which is supposed to be muscular branch of vertebral artery is ligated under general anesthesia. The patient was discharged from hospital after the treatment of pneumonia and duodenal ulcer as complications. We recommand you to compress the block site more than five minutes and not to prick with the needle several times at one point to prevent the formation of hematomas.

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A case of midgut volvulus due to mesenteric lymphangioma, not associated with malrotation in a 13-year-old boy (13세남아에서 발견된 창자 회전이상이 동반되지 않은 낭성 림프관종에 의한 창자꼬임 1례)

  • Lee, Jung Ho;Choi, Seok Ju;Kim, Tae Yoon;Kim, Young Tong;Cho, Hyun Deuk;Park, Joon Soo
    • Clinical and Experimental Pediatrics
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    • v.51 no.4
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    • pp.431-434
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    • 2008
  • A 13-year-old boy, complained of an intermittent suddenly aggravated severe abdominal pain and diarrhea, was diagnosed as a small bowel volvulus without an intestinal malrotation, due to mesenteric lymphangioma. He took abdominal ultrasonography, abdominal CT scanning, upper gastrointestinal study and got an operation. The small bowel volvulus with cystic lymphangioma was confirmed by gross and pathologic findings.

A STUDY ON THE DIMENSIONAL ACCURACY OF MODELS USING 3-DIMENSIONAL COMPUTER TOMOGRAPHY AND 2 RAPID PROTOTYPING METHODS

  • Cho Lee-Ra;Park Chan-Jin;Park In-Woo
    • The Journal of Korean Academy of Prosthodontics
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    • v.39 no.6
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    • pp.633-640
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    • 2001
  • Statement of problem. Relatively low success rate of root analogue implant system was supposed to be due to the time duration between extraction and implant installation. The use of three-dimensional computer tomography and the reconstruction of objects using rapid prototyping methods would be helpful to shorten this time. Purpose. This aim of this study was to evaluate the application possibility of the 3-dimensional computer tomography and the rapid prototyping to root analogue implants. Material and methods. Ten single rooted teeth were prepared. Width and height of the teeth were measured by the marking points. This was followed by CT scanning, data conversion and rapid prototyping model fabrication. 2 methods were used; fused deposition modelling and stereolithography. Same width and height of this models were measured and compared to the original tooth. Results. Fused deposition modelling showed an enlarged width and reduced height. The stereolithography showed more exact data compared with the fused deposition modelling. Smaller standard deviation were recorded in the stereolithographic method. Overall width error from tooth to rapid prototyping was 7.15% in fused deposition modelling and 0.2% in stereolithography. Overall height showed the tendency of reducing dimensions. Conclusion. From the results of this study, stereolithography seems to be very predictable method of fabricating root analogue implant.

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Strength and fracture toughness of reduced - activation ferritic steel (JLF-1) for fusion reactor application (핵융합로용 저방사화 철강재료(JLF-1)의 강도와 파괴인성)

  • Yun, Han-Gi;Kim, Dong-Hyeon;Lee, Sang-Pil;Park, Lee-Hyeon;Gong, Yu-Sik;Katoh, Y.;Kohyama, A.
    • Proceedings of the KSME Conference
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    • 2003.04a
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    • pp.13-18
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    • 2003
  • Reduced activation ferritic steel, JLF-1 steel (Fe-9Cr-2W-V-Ta), is one of the promising candidate materials for fusion reactor applications. Fracture toughness ($J_IC$) and tensile tests were carried out at room temperature and elevated temperature ($400^{\circ}C$). Two types of CT specimen were prepared to examine the effect of rolling direction on the fracture toughness of JLF-1 steel. Four types of tensile specimen were also prepared to investigate the property by the rolling direction and welding. The Micro Vickers hardness was measured at various distances of a cross section of the TIG joints of JLF-1 steel according to the heating history of each position. Finally, the fracture surface was observed by scanning electron microscopy (SEM).

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A Case of Erythropoietic Protoporphyria with Severe Liver Dysfunction and Neurological Symptoms (신경 및 위장관 증세를 동반한 Erythropoietic Protoporphyria 환아 1예)

  • Kim, Bo Hyun;Park, Young Nyun;Chung, Ki Sup
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.8 no.2
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    • pp.263-268
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    • 2005
  • Erythropoietic protoporphyria is a genetic disorder due to a deficiency of ferrochelatase resulting in excessive accumulation and excretion of protoporphyrin. The predominant clinical feature is photosensitivity. Severe hepatic failure occurs in a small percentage of patients, and neurological symptoms are very rare. We report a case of erythropoietic protoporphyria associated with severe hepatic dysfunction and neurological symptoms. A 9-year-old girl presented with severe abdominal pain, nausea, weakness and pain of extremities, and urinary retention. Ultrasonogram and abdominal CT scanning revealed a diffuse infiltrated and enlarged liver. Liver biopsy showed deposition of dense dark brown pigment within the bile, hepatocytes and Kupffer cells. Plus, dense dark brown deposits gave a red birefringent under polarize light. Porphyrin studies demonstrated markedly elevated serum free erythrocyte protoporphyrin. This girl was diagnosed as erythropoietic protoporphyria with severe liver dysfunction and neurological symptoms.

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A Study on the Fatigue Crack Growth Behavior of 9% Ni Steels (9% Ni강의 피로균열진전거동에 관한 연구)

  • Shim, Kyue-Taek;Kim, Jae-Hoon;Lee, Kwan-Hee;Ahn, Byung-Wook;Kim, Young-Kyun
    • Proceedings of the KSME Conference
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    • 2008.11a
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    • pp.167-172
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    • 2008
  • This study is to evaluate the fatigue crack growth characteristics for base metals and welded metal of 9% Ni steels. Since this material has very excellent fracture toughness at low temperature, it has been widely used for inner walls of LNG storage tank. These materials to compare fatigue crack growth (FCG) behaviour are treated with heat by the method of quenching and tempering (QT), and quenching, lamellarizing and tempering (QLT). FCG tests using compact temsion (CT) specimen under stress ratio R=0.1, 0.5, and constant load are carried out. K-increasing tests are conducted by the standard test method described in ASTM E 647. To investigate the effect of welded metal on the crack growth rate, the locations of notch tip were chosen at the center of welded metal and heat affected zone (HAZ). Form the results, FCG rate has almost same tendency according to stress ratio, base and welded metal, the locations of welded metal. FCG rate of welded metal is somewhat faster than base metal. Also scanning electron microscope (SEM) is used to observe the striation of the fractured surface after fatigue crack tests.

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A Case Report of Complete Response of Advanced Gastric Carcinoma Patient Treated with Korean Medicine Treatment in Conjunction with Chemoradiation Therapy (한방치료와 화학·방사선요법을 병행하여 완전 관해된 진행성 위암 환자 1례)

  • Lee, Jaechan;Yun, Hoyoung;Yoo, Hwaseung;Bang, Sunhwi
    • Journal of Korean Traditional Oncology
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    • v.19 no.1
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    • pp.25-32
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    • 2014
  • Objectives : The purpose of this study is to report the effect of Korean Medicine Treatment (KMT) on the advanced gastric carcinoma (AGC) patient. Method : One advanced gastric carcinoma patient was treated by Korean Medicine Treatment composed of pharmacopuncture, acupuncture and herbal medicine. At the same time, he received chemotherapy (S-1 and Cisplatin) and radiotherapy. The effect of KMT was measured by scanning with Computed tomography (CT) and Esophagogastroduodenoscopy (EGD). Response was evaluated using the Response Evaluation Criteria in Solid Tumors (RECIST) Committee classification. Result : The tumor was disappeared after the treatment during 13 months (Complete Response (CR)). As treatment was performed, chemoradiation therapy induced complication was alleviated. Conclusion : This case provides us a possibility that Korean Medicine Treatment offers potential benefits for advanced gastric carcinoma patient.

REPORT OF THE MANAGEMENT OF GUNSHOT WOUNDS TO THE LEFT FACE (산탄총에 의한 좌측 안면부 손상 환자의 치험례 (증례보고))

  • Kim, Il-Kyu;Lee, Sang-Sun;Oh, Sung-Sup;Choi, Jin-Ho;Kim, Hyung-Don;Oh, Nam-Sik
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.26 no.2
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    • pp.224-227
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    • 2000
  • Gunshot wounds to the face are often dramatic at the time of presentation. Although care must be individualized, protocol approach helps the clinician rapidly evaluate patient and plan treatment. Early X-ray films help to determine the precise trajectory. Rapid neurologic assessment and early CT scanning based on physical examination ot trajectory will allow for identification of even occult injuries early. Lead poisoning arising from bullet lead in the synovial cavity of the hip, synovial cavity of the chest and pleural space have been reported. A combination of surgical debridement and chelation therapy with oral succimer produce a satisfactory outcome. We have managed a patient with Lt facial gunshot wound and Lt mandible angle fracture by open reduction of angle fracture and surgical removal of remnant bullet and medially advanced cheek skin flap. We have obtained good result and report this case with review of literatures.

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