• Title/Summary/Keyword: CT-Number

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Cystic Lung Disease: a Comparison of Cystic Size, as Seen on Expiratory and Inspiratory HRCT Scans

  • Ki-Nam Lee;Seong-Kuk Yoon;Seok Jin Choi;Jin Mo Goo;Kyung-Jin Nam
    • Korean Journal of Radiology
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    • v.1 no.2
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    • pp.84-90
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    • 2000
  • Objective: To determine the effects of respiration on the size of lung cysts by comparing inspiratory and expiratory high-resolution CT (HRCT) scans. Materials and Methods: The authors evaluated the size of cystic lesions, as seen on paired inspiratory and expiratory HRCT scans, in 54 patients with Langerhans cell histiocytosis (n = 3), pulmonary lymphangiomyomatosis (n = 4), confluent centrilobular emphysema (n = 9), paraseptal emphysema and bullae (n = 16), cystic bronchiectasis (n = 13), and honeycombing (n = 9). Using paired inspiratory and expiratory HRCT scans obtained at the corresponding anatomic level, a total of 270 cystic lesions were selected simultaneously on the basis of five lesions per lung disease. Changes in lung cyst size observed during respiration were assessed by two radiologists. In a limited number of cases (n = 11), pathologic specimens were obtained by open lung biopsy or lobectomy. Results: All cystic lesions in patients with Langerhans cell histiocytosis, lymphangiomyomatosis, cystic bronchiectasis, honeycombing, and confluent centrilobular emphysema became smaller on expiration, but in two cases of paraseptal emphysema and bullae there was no change. Conclusion: In cases in which expiratory CT scans indicate that cysts have become smaller, cystic lesions may communicate with the airways. To determine whether, for cysts and cystic lesions, this connection does in fact exist, paired inspiratory and expiratory HRCT scans are necessary.

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Radiation Exposure Dose of Handlers Using 18F-FDG in Small Animal Image Acquisition Experiments

  • Ik Soo Kim;Sun Young Yoon;Hwa Yeon Yeo
    • Journal of Radiation Industry
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    • v.17 no.3
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    • pp.233-238
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    • 2023
  • This study was conducted to confirm the safety of the operator's radiation exposure in the micro PET-CT image acquisition experiment using the 18F-FDG. The usage of 18F-FDG and the exposure dose of handlers were measured at University B in Metropolitan City A, which uses 18F-FDG for micro PET-CT image acquisition. As a result of the measurement, the exposure dose is far below the effective dose limit of radiation workers, 50 mSv per year, and the equivalent dose limit of 500 mSv per year for hands, feet, and skin. has been measured Since these exposure doses can be further increased according to the number of times of use of 18F-FDG, it is judged that the exposure dose compared to the handling amount of 18F-FDG shown in this study can be used as reference data. In addition, as changed environments such as the use of materials other than unopened RI are occurring in education and research environments, such as the use of 18F-FDG at University B, radiation exposure with more interest in safety management by checking the factors of radiation exposure of the handler concerned We will always do our best to reduce it.

The Clinical Results of Thermo-Irradiation on the Locally Advanced Hepatoma with or without Hepatic Arterial Chemo-Embolization (국소 진행된 간암의 방사선 온열치료성적)

  • Jang Hong Seok;Yoon Sei Chul;Kang Ki Mun;Ryu Mi Ryeong;Kim Sung Hwan;Baek Nam Jong;Yoon Seung Kyoo;Kim Boo Sung;Shinn Kyung Sub
    • Radiation Oncology Journal
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    • v.12 no.1
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    • pp.81-90
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    • 1994
  • Purpose : The aim of this study is to analyze the clinical results of thermo-irradiation treatment for surgically unresectable advanced hepatoma with or without hepatic arterial chemo-embolization (HACE), chemotherapy (CT) and interferon (IFN) therapy. Materials and Methods : Between February 1990 and December 1992, 45 Patients with surgically unresectable advanced hepatomas were treated by thermo-irradiation with or without hepatic arterial chemo-embolization and other treatment modalities. Among them, We analyzed retrospectively 25 patients who received more than three times of hyperthermias. Mean age was 50 years (range : 18-71 years) and male to female ratio was 20 : 5. In the study, treatment was administered as follows : 3 patients received radiation therapy(RT) and hyperthermia (HT). 3 received RT+HT+CT. 3 received RT+HT+HACE. 1 received RT+HT+CT+HACE. 2 received RT+HT+CT+IFN. 10 received RT+HT+HACE+IFN. 3 received RT+HT+CT+HACE+IFN. Radiation therapy was done by a 6 MV linear accelerator Patients were treated with daily fractions of 180 cGy to doses of 11Gy-50Gy (median 30Gy). Local hyperthermia was done by HEH-500C(Omron Co. Japan), 30-45 min/session, 2 sessions/wk and the number of HT sessions ranged from 3 to 17 (median 7 times). 15 patients of 25 were followed by abdominal CT scan or abdominal ultra-sonogram. The following factors were analyzed :Age, histologic grade, sex. number of hyperthermia, total RT dose, hepatic arterial chemo-embolization. Results : Of 25 patients. there were observed tumor regression (partial response and minimal response) in 6 (24$ \% $), no response in 8 (32$ \% $), progression in 1 (4$ \% $) and not evaluable ones in 10 (40$ \% $) radiographically. The over all 1-year survival was 25$ \% $, with a mean survival of 33 weeks. The treatment modes of partial and minimal responsive patients (PR+MR)were as follows : Two were treated with RT+HT+HACE, 2 were done with RT+HT+HACE+IFN Remaining 2 were treated with RT+HT+CT+HACE+IFN. The significant factor affecting the survival rate were RT dose (more than 25 Gy), HACE, number of HT (above 6 times), responsiveness after treatment (PR + MR). Age, sex, histologic differentiation, chemotherapy, interferon therapy were not statistically significant factors affecting the survival rate. Conclusion : Although follow-up duration was short, the thermo-irr3diBtion with/without hepatic arterial chemo-embolization was well tolerated and there were no serious complicatons. In future, it is considered the longer follow up and prospective, well controlled trials should be followed to evaluate the efficacies of survival advantage.

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Pandemic Influenza A/H1N1 Viral Pneumonia without Co-Infection in Korea: Chest CT Findings

  • Son, Jun-Seong;Kim, Yee-Hyung;Lee, Young-Kyung;Park, So-Young;Choi, Cheon-Woong;Park, Myung-Jae;Yoo, Jee-Hong;Kang, Hong-Mo;Lee, Jong-Hoo;Park, Bo-Ram
    • Tuberculosis and Respiratory Diseases
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    • v.70 no.5
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    • pp.397-404
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    • 2011
  • Background: To evaluate chest CT findings of pandemic influenza A/H1N1 pneumonia without co-infection. Methods: Among 56 patients diagnosed with pandemic influenza A/H1N1 pneumonia, chest CT was obtained in 22 between October 2009 and Februrary 2010. Since two patients were co-infected with bacteria, the other twenty were evaluated. Predominant parenchymal patterns were categorized into consolidation, ground glass opacity (GGO), and mixed patterns. Distribution of parenchymal abnormalities was assessed. Results: Median age was 46.5 years. The CURB-65 score, which is the scoring system for severity of community acquired pneumonia, had a median of 1. Median duration of symptoms was 3 days. All had abnormal chest x-ray findings. The median number of days after the hospital visit that Chest CT was performed was 1. The reasons for chest CT performance were radiographic findings unusual for pneumonia (n=13) and unexplained dyspnea (n=7). GGO was the most predominant pattern on CT (n=13, 65.0%). Parenchymal abnormalities were observed in both lungs in 13 cases and were more extensive in the lower lung zone than the upper. Central and peripheral distributions were identified in ten and nine cases, respectively. One showed diffuse distribution. Peribronchial wall thickening was found in 16 cases. Centrilobular branching nodules (n=7), interlobular septal thickening (n=4), atelectasis (n=1), pleural effusion (n=5), enlarged hilar and mediastinal lymph nodes (n=6 and n=7) were also noted. Conclusion: Patchy and bilateral GGO along bronchi with predominant involvement of lower lungs are the most common chest CT findings of pandemic influenza A/H1N1 pneumonia.

Policy Suggestions for Establishing Culture Technology Institute from Economic Point of View (경제성 관점에서 문화기술연구원설립에 대한 정책적 제언 -조직구조, 규모 및 설립시기를 중심으로-)

  • Lee, Yong-Kyu;Ju, Hye-Seong
    • The Journal of the Korea Contents Association
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    • v.11 no.10
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    • pp.257-266
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    • 2011
  • The establishment of Culture Technology Institute is now under discussion. In case of advanced countries (including USA, Japan and EU) practices market-oriented policies in the area of culture and entertainment industry. Therefore it is hard to find out Government-funded Institute which Korea could benchmark. In this situation, there are many different opinions about its organizational structure, size of organization and budget, and when the institute should be established. This study proposed a Consolidated-Decentralized model as a proper organizational structure after evaluating 4 different models based on 4 criterion. And based on results produced by the model developed for our research, this study suggested proposals that the number of research personnel and the size of budget should be larger than 300 persons and 1200 billion won respectively. However, the establishment of institute should be decided by not only economic factor but also various factors such as political element, externality, private company investment and effect on production inducement etc. If new institute focused on different area from ETRI, then the time and size of the institute could be decided by the result of policy analysis.

Association between Initial Chest CT or Clinical Features and Clinical Course in Patients with Coronavirus Disease 2019 Pneumonia

  • Zhe Liu;Chao Jin;Carol C. Wu;Ting Liang;Huifang Zhao;Yan Wang;Zekun Wang;Fen Li;Jie Zhou;Shubo Cai;Lingxia Zeng;Jian Yang
    • Korean Journal of Radiology
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    • v.21 no.6
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    • pp.736-745
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    • 2020
  • Objective: To identify the initial chest computed tomography (CT) findings and clinical characteristics associated with the course of coronavirus disease 2019 (COVID-19) pneumonia. Materials and Methods: Baseline CT scans and clinical and laboratory data of 72 patients admitted with COVID-19 pneumonia (39 men, 46.2 ± 15.9 years) were retrospectively analyzed. Baseline CT findings including lobar distribution, presence of ground glass opacities, consolidation, linear opacities, and lung severity score were evaluated. The outcome event was recovery with hospital discharge. The time from symptom onset to discharge or the end of follow-up (for those remained hospitalized) was recorded. Data were censored in events such as death or discharge without recovery. Multivariable Cox proportional hazard regression was used to explore the association between initial CT, clinical or laboratory findings, and discharge with recovery, whereby hazard ratio (HR) values < 1 indicated a lower rate of discharge at four weeks and longer time until discharge. Results: Thirty-two patients recovered and were discharged during the study period with a median length of admission of 16 days (range, 9 to 25 days), while the rest remained hospitalized at the end of this study (median, 17.5 days; range, 4 to 27 days). None died during the study period. After controlling for age, onset time, lesion characteristics, number of lung lobes affected, and bilateral involvement, the lung severity score on baseline CT (> 4 vs. ≤ 4 [reference]: adjusted HR = 0.41 [95% confidence interval, CI = 0.18-0.92], p = 0.031) and initial lymphocyte count (reduced vs. normal or elevated [reference]: adjusted HR = 0.14 [95% CI = 0.03-0.60], p = 0.008) were two significant independent factors that influenced recovery and discharge. Conclusion: Lung severity score > 4 and reduced lymphocyte count at initial evaluation were independently associated with a significantly lower rate of recovery and discharge and extended hospitalization in patients admitted for COVID-19 pneumonia.

Performance Comparison of Reconstruction Algorithms for Fan-Beam Computerized Tomography (Fan-Beam CT 영상 재구성 알고리즘 성능 비교)

  • 이상철;조민형;이수열
    • Journal of Biomedical Engineering Research
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    • v.22 no.3
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    • pp.223-229
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    • 2001
  • In this paper, we have compared the direct fan-beam reconstruction method with the rebinning method in terms of computation time and spatial resolution using computer simulation. As a result, the direct fan-beam method is superior to the rebinning method in the spatial resolution though the former needs longer computation time. However, if we adopt the quarter-detector-offset technique to improve the spatial resolution, the rebinning method outperforms the direct fan-beam method. The computation times have been evaluated using the fast algorithms optimized to reduce the number of interpolation calculations at the back-projection, and the spatial resolutions have been compared using the computer generated phantoms.

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Tensile Properties of CERP Fabric/Unidirectional Composites under Cryogenic Environment (극저온 환경에서 탄소섬유강화 직조/일방향 복합재료의 인장 물성 측정)

  • 김명곤;김철웅;강상국;김천곤;홍창선
    • Proceedings of the Korean Society For Composite Materials Conference
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    • 2003.10a
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    • pp.115-118
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    • 2003
  • This research aims to measure mechanical tensile properties of CFRP composites for cryogenic tank material. Through the cryogenic chamber, tensile tests are peformed under cryogenic temperature for graphite/epoxy fabric specimen aged at $-150^{\circ}C$ for 30hrs with load and graphite/epoxy unidirectional specimen 3-cycled from RT to $-100^{\circ}C$ with load. For graphite/epoxy fabric specimen, tensile modulus showed to increase after aging at cryogenic temperature(CT) while to decrease after aging at room temperature(RT) and tensile strength is more decreased after CT-aged than at RT-aged. For graphite/epoxy unidirectional specimen, tensile modulus was almost not changed after 3-cycling but strength showed the trend of decrease as increase the number of cycling.

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$^{18}F-FDG-PET/CT$ in Endometrial Carcinoma (자궁내막암에서 $^{18}F-FDG-PET/CT$)

  • Jeon, Tae-Joo
    • Nuclear Medicine and Molecular Imaging
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    • v.42 no.sup1
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    • pp.110-112
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    • 2008
  • Endometrial carcinoma is one of the most common gynecologic malignancies and which is predominant in postmenopausal women. Clinically many patients are hospitalized in early stage due to clinical sign and symptom such as vaginal bleeding and in this case, patient's prognosis is known to be good. However, considerable number of patients with advanced and relapsed disease reveal poor prognosis. Therefore, exact staging work up is essential for proper treatment as is primary lesion detection. $^{18}F-FDG-PET$ has been widely used for the evaluation of gynecologic malignancies such as cervical carcinoma and ovarian cancer. In contrast, FDG PET application to endometrial carcinoma is limited until now and there is no sufficient data to validate the usefulness of FDG PET for this disease yet. However, several studies showed promising results that FDG PET is sensitive and specific in detection of recurrent or metastatic lesions. Therefore further active investigation in this field can facilitate the use of FDG PET for endometrial carcinoma.

Contour based Algorithms for Generating 3D Models from CT Images (CT 이미지로부터 3차원 모델 생성을 위한 contour 기반 알고리즘)

  • 류재헌;김현수;이관행
    • Journal of the Korean Society for Precision Engineering
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    • v.20 no.4
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    • pp.174-182
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    • 2003
  • Recently, medical imaging has taken interest on CAD based solution for anatomical part fabrication or finite element analysis of human body. In principle, contours representing object boundary are obtained through image processing techniques. Surface models are then approximated by a skinning method. For this, various methods should be applied to medical images and contours. The major bottleneck of the reconstruction is to remove shape inconsistency between contours and to generate the branching surface. In order to solve these problems, bi-directional smoothing and the composite contour generation method are proposed. Bi-directional smoothing has advantage of removing the shape inconsistency between contours and minimizing shrinkage effect with a large number of iterations. The composite contour by the proposed method ensures smooth transition in branching region.