• 핵의학기술
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• 제21권2호
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• pp.31-36
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• 2017

최근 PET/CT 장비의 성능의 발전과 다양한 기법의 개발로 민감도와 해상도등 영상 품질을 개선할 수 있게 되었다. 본 논문에서는 GE사의 Discovery IQ 장비의 Q.Clear (a fully convergent iterative reconstruction) 기법을 이용하여 영상의 질 향상에 유용성이 있는지 알아보고자 한다. 장비는 Discovery IQ (GE Healthcare, MI, USA)를 사용하였다. NEMA IEC Body Phantom의 배후방사능과 열소 체적(10 mm, 13 mm, 17 mm, 22 mm)의 비를 1:4로 하고 3분간 촬영하여 VPHDs (VUE Point High-Definition SharpIR)와 Q.Clear의 대조도를 비교 분석하였다. PET/SPECT Performance Phantom에 $^{18}F-FDG$를 187 MBq을 주입 후 4분간 촬영하여 해상도와 균일도를 비교 분석하였다. 그리고 100명의 임상 환자에서 질환의 종류와 상관없이 2 cm 미만의 작은 병소의 SUVmax를 측정하여 t-test 통계분석하였다. NEMA IEC Body Phantom에서 VPHDs와 Q.Clear의 대조도가 $63.6{\pm}5.7%$, $75{\pm}4.8%$로 나왔고 PET/SPECT Performance Phantom에서 해상도는 VPHDs가 9.2 mm, Q.Clear가 7.3 mm로 나왔다. 균일도는 Q.Clear가 10.8% 더 우수하였다. 임상 환자의 t-test 통계 결과 p-value가 0.021로 유의한 차이가 있었다. 임상환자에서 SUVmax는 Q.Clear에서 높게 측정 되었으며, 신호대 잡음 비도 우수하였다. 이는 부분체적효과의 영향을 줄였기 때문으로 볼 수 있다. Phantom test와 임상 환자의 결과 모두 Q.Clear를 적용 하였을 때 영상품질이 향상된 것을 확인하였다. 이러한 영상 품질 향상은 병소를 더욱 정확하게 발견할 수 있고 나아가 선량저감과 환자평가 그리고 영상 분석 등 다양한 방면에서 활용할 수 있을 것으로 사료된다.

• 핵의학기술
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• 제23권2호
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• pp.29-37
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• 2019

DMIDR (General Electric Healthcare, USA)은 GE 사(社)의 최신 장비로써 PSF (Point Spread Function reconstruction), TOF(Time of Flight)와 Q.Clear의 적용이 가능하다. 특히, Q.Clear는 보정 알고리즘으로써 복셀(voxel)단위 신호 잡음 제거로 기존 OSEM (Ordered Subset Expectation Maximization)의 한계를 넘어설 수 있다. 따라서 이러한 재구성 및 보정 알고리즘의 성능 평가를 통해 정확한 SUV를 구현하며, 병변 검출 능력에 도움이 되는 알고리즘의 조합을 확인하고자 하였다. H/B(Hot & Background) Ratio 2:1, 4:1, 8:1의 비율로 NEMA/IEC 2008 PET phantom을 제작하였다. DMIDR의 NEMA test protocol을 이용하여 영상 획득을 하였다. 재구성 조합은 (1) VPFX(VUE point FX(TOF)), (2) VPHD-S(VUE point HD+PSF), (3) VPFX-S(TOF+PSF), (4) QCHD-S-400(VUE point HD+Q.Clear(${\beta}-strength$ 400)+PSF), (5) QCFX-S-400(TOF+Q.Clear(${\beta}-strength$ 400)+PSF), (6) QCHD-S-50(VUE point HD+Q.Clear(${\beta}-strength$ 50)+PSF), (7) QCFX-S-50(TOF+Q.Clear(${\beta}-strength$ 50) + PSF)의 7 가지로 구성하였다. H/B Ratio 및 재구성 알고리즘 별로 측정된 결과를 이용하여 CR (Contrast Recovery)와 BV (Background Variability)을 구하였다. 또한, 각 조합의 count를 측정하여 SNR (Signal to Noise Ratio)과 RC(Recovery Coefficient)를 구하고 SUV (Standardized Uptake Value)를 측정하였다. 구의 크기가 가장 작은 10 mm와 13 mm에서는 VPFX-S, 17 mm 이상에서는 QCFX-S-50에서 가장 높은 CR 결과를 보였다. BV와 SNR의 비교에서는 QCFX-S-400과 QCHD-S-400에서 좋은 값을 보였다. SUV 측정 결과는 H/B ratio와 비례하여 증감하는 양상을 보였다. SUV에 대한 RC의 경우 H/B ratio와 반비례하는 양상을 보였으며, 재구성 알고리즘 중에서는 QCFX-S-50이 가장 높은 값을 보였다. 또한, Q.Clear에 ${\beta}-strength$ 400이 적용된 재구성 알고리즘들이 낮은 값 분포를 보였다. Q.Clear가 적용된 재구성 조합은 ${\beta}-strength$를 높이면 신호잡음이 억제되어 영상 품질면에서 우수한 결과를 보였고 ${\beta}-strength$를 낮추면 선예도가 증가하며, partial volume effect가 감소하여 기존의 재구성 조건에 비하여 높은 RC에 근거한 SUV 측정이 가능하였다. 이러한 진보된 알고리즘의 사용으로 보다 정확한 정량화와 미세병변 검출능력을 향상 시킬 수 있으나 상관 관계를 고려하여 목적에 맞는 최적화 과정이 필요할 것으로 사료된다.

• 한국환경과학회지
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• 제23권6호
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• pp.1075-1083
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• 2014

The objective of this study was to evaluate the effect of cutting types on microclimate and growth characteristics of afforested tree in Quercus acutissima stand after different types of cutting. The difference in temperature reaching $5.2^{\circ}C$ was shown in between clear cutting and selective cutting treatments. On July and August days with temperatures more than $35^{\circ}C$ often appeared in clear cutting stand. The values of VPD in July and August were higher than those in other months. Maximum VPD of 3.99 kPa was shown in clear cutting stand on May 23 as a prolonged rainless days appeared. However, VPD in selective cutting stand always stayed under 3.0 kPa throughout growing season. A higher intensity was shown in clear cutting and strip clear cutting stands, reaching to more than $1,600{\mu}mol\;m^{-2}s^{-1}$ at midday on early August, while that in selective cutting stand stayed about 1,500. In relative growth rate selective cutting stand showed a significantly higher relative growth rate in plant height than those in other cutting stands (p<0.05). The number of leaf in current-year branches significantly increased in selective cutting stand, whereas no increase was shown in clear cutting and strip clear cutting stands (p<0.05). In addition, relative elongation rate of current year branch also showed higher values in selective cutting stand compared with that in strip clear cutting stand (p<0.05). However, leaf mass per unit area (LMA) was higher in order of strip clear cutting, clear cutting, and selective cutting stands. From these results it is concluded that environmental conditions in clear cutting and strip clear cutting stands during growing season are more stressful to afforested tree species, resulting in lower relative growth in plant height, elongation of current-year branches, and leaf number per branch compared with those in selective cutting stand. Consequently, more data must be accumulated in the field to find out best cutting type in plantation considering the adaptational characteristic of each tree species varies with species and life span of tree is long.

• Journal of Yeungnam Medical Science
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• 제29권1호
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• pp.14-18
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• 2012

Background: The purpose of this study was to differentiate chromophobe renal cell carcinoma and clear cell renal cell carcinoma on helical CT. Methods: The CT images of 9 patients histopathologically proven to have chromophobe renal cell carcinoma and 20 patients with clear cell renal cell carcinoma were reviewed. The tumor sizes, margins, enhancement degrees and patterns, presence or absence of calcification, and tumor spread patterns (including perinephric changes, venous invasion, lymphadenopathy, and distant metastasis) were compared. Results: All the chromophobe renal cell carcinomas showed well-demarcated margins. Thechromophobe renal cell carcinomas showed milder enhancements than the clear cell renal cell carcinomas. The sensitivity and specificity for differentiating the chromophobe renal cell carcinoma from the clear cell renal cell carcinoma were 100 and 88%, respectively, when 101 Hounsfield units was used as the cut-off value in the corticomedullary phase, and 95 and 100% when a less-than-three-time enhancement change was used as a cut-off value in the corticomedullary phase (p<0.05). The chromophobe renal cell carcinomas (67%) tended to show a homogeneous enhancement whereas the clear cell renal cell carcinomas (85%) usually showed a heterogeneous enhancement (p<0.05). Statistical analysis revealed that the frequencies of the tumor spread pattern and calcification in the two subtypes didnot differ significantly (p>0.05). Conclusion: The CT findings of the chromophobe renal cell carcinomascompared to those of the clear cell renal cell carcinomas showed that there were mild enhancements in the corticomedullary phase, homogeneous enhancements, and well-demarcated margins.

• 대한음성학회:학술대회논문집
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• 대한음성학회 2006년도 춘계 학술대회 발표논문집
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• pp.101-104
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• 2006

The present study examined two acoustic characteristics(duration and intensity) of vowels produced by 4 cerebral palsic adults and 4 nondisabled adults in conversational and clear speech. In this study, clear speech means: (1) slow one's speech rate just a little, (2) articulate all phonemes accurately and increase vocal volume. Speech material included 10 bisyllabic real words in the frame sentences. Temporal-acoustic analysis showed that vowels produced by two speaker groups in clear speech(in this case, more accurate and louder speech) were significantly longer than vowels in conversational speech. In addition, intensity of vowels produced by cerebral palsic speakers in clear speech(in this case, more accurate and louder speech) was higher than in conversational speech.

• 대한골관절종양학회지
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• 제4권2호
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• pp.94-98
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• 1998

Clear cell sarcoma of the kidney (CCSK) is a rare malignant tumor of the renal origin in childhood, distinguished from Wilms tumor by its pathologic and clinical features. Bone metastasis is one of the characteristic clinical features. The common site of metastasis of the clear cell Sarcoma of the kidney is axial skeleton including skull, spines, ribs and femur. A cases of clear cell Sarcoma of the kidney presented to us, which solely metastasized to the hand bones without metastasizing to any other tissues including axial skeleton. We report this case with review of literatures.

• 대한한의학원전학회지
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• 제23권2호
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• pp.225-233
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• 2010

Conceptions about functions of large & small intestine[LI & SI] were focused on the vermiculation in "Somun(素問) Yeongranbijeonron(靈蘭秘典論)". However, functions of large & small intestine includes more. In Oriental Medicine, there are sentences in "Hwangjenaegyeong(黃帝內經)" "LI manages Fluid [津] and SI manages Humor[液]" It means that LI & SI have an each role in digestion besides vermiculation. In that reason, we try to find out the meaning of the functions of LI and SI in digestion through bibliographic review. As a result, LI and SI have a digestic function by Separating the Clear which includes Fluids and Humor and the Turbid which is relatively useless to the Clear.

• Membrane and Water Treatment
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• 제9권3호
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• pp.173-179
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• 2018

Microcystin-LR, one of algal toxins induced by the eutrophication of a reservoir, is known to be harmful to human by adversely affecting our liver and brain. Hypochlorous acid is very efficient to remove Microcystin-LR in a clear well. The previous researches showed that CT, pH and temperature affected removal rate in batch tests. It was noted that hydrodynamic properties of clear well could also influence its removal rate. A mathematical model was built using an axial dispersion reactor model and software was used to simulate the removal rate. The model consisted of the second order differential equations including dispersion, convection, Microcystin-LR reaction with chlorine. Kinetic constants were obtained through batch tests with chlorine. They were $0.430{\times}10^{-3}L/mg/sec$ and $0.143{\times}10^{-3}L/mg/sec$ for pH 7.0 and 8.1, respectively. The axial dispersion reactor model was shown to be useful for the numerical model through conservative tracer tests. The numerical model successfully estimated the removal rate of Microcyctin-LR in a clear well. Numerical simulations showed that a small dispersion number, low pH and long hydraulic retention time were critical for higher removal rate with same chlorine dosage. This model could be used to optimize the operation of a clear well during an eutrophication season.

• 대한세포병리학회지
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• 제17권1호
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• pp.32-37
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• 2006

The objective of this study was to evaluate the cytomorphologic features of histologically confirmed clear cell carcinoma of the ovary and to evaluate the applicability of scrape or fine-needle aspiration cytology in making an intraoperative diagnosis. We reviewed scrape or fine-needle aspiration cytology findings in tissues taken from 6 patients with clear cell carcinoma of the ovary. The cytologic diagnosis was based primarily on findings in alcohol-fixed, hematoxylin-eosin (H-E) stained smears. The formation of material resembling a basement membrane was a characteristic finding in these smears. This extracellular hyaline material was stained light pink with H-E and was frequently found within tumor cell clusters as well as in the background material. Multinucleated giant cells were found occasionally. Each tumor cell had an abundant, clear, or granular cytoplasm with a distinct cellular membrane. Scrape cytology is a simple and rapid supportive method and could be helpful in diagnosing clear cell carcinoma of the ovary, especially when marked artifacts appear in the frozen section.

• 한국치위생학회지
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• 제14권4호
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• pp.539-545
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• 2014

Objectives : The purpose of the study is to investigate the knowledge and self care behaviors of orthodontic patients using clear aligner. Methods : A total of 181 orthodontic patients using clear aligner in Daegu filled out the self-reported questionnaire from September 6 to October 18, 2010. and 162 subjects completed orthodontic treatment. Results : There existed a significant difference in knowledge and self care behaviors between gender and wearing duration of clear aligner(p<0.01). Treatment duration influenced significantly on the score of self care behaviors(p<0.01) and the high score of self care behavior showed in short duration of treatment. Conclusions : Self care behaviors were closely correlated with treatment duration. An information for the clear aligner will be helpful to improve the knowledge and self care behaviors.