• Title/Summary/Keyword: Coils

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Implantable cardioverter defibrillator therapy in pediatric and congenital heart disease patients: a single tertiary center experience in Korea

  • Jin, Bo Kyung;Bang, Ji Seok;Choi, Eun Young;Kim, Gi Beom;Kwon, Bo Sang;Bae, Eun Jung;Noh, Chung Il;Choi, Jung Yun;Kim, Woong Han
    • Clinical and Experimental Pediatrics
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    • v.56 no.3
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    • pp.125-129
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    • 2013
  • Purpose: The use of implantable cardioverter defibrillators (ICDs) to prevent sudden cardiac death is increasing in children and adolescents. This study investigated the use of ICDs in children with congenital heart disease. Methods: This retrospective study was conducted on the clinical characteristics and effectiveness of ICD implantation at the department of pediatrics of a single tertiary center between 2007 and 2011. Results: Fifteen patients underwent ICD implantation. Their mean age at the time of implantation was $14.5{\pm}5.4$ years (range, 2 to 22 years). The follow-up duration was $28.9{\pm}20.4$ months. The cause of ICD implantation was cardiac arrest in 7, sustained ventricular tachycardia in 6, and syncope in 2 patients. The underlying disorders were as follows: ionic channelopathy in 6 patients (long QT type 3 in 4, catecholaminergic polymorphic ventricular tachycardia [CPVT] in 1, and J wave syndrome in 1), cardiomyopathy in 5 patients, and postoperative congenital heart disease in 4 patients. ICD coils were implanted in the pericardial space in 2 children (ages 2 and 6 years). Five patients received appropriate ICD shock therapy, and 2 patients received inappropriate shocks due to supraventricular tachycardia. During follow-up, 2 patients required lead dysfunction-related revision. One patient with CPVT suffered from an ICD storm that was resolved using sympathetic denervation surgery. Conclusion: The overall ICD outcome was acceptable in most pediatric patients. Early diagnosis and timely ICD implantation are recommended for preventing sudden death in high-risk children and patients with congenital heart disease.

Simple Coiling versus Stent-Assisted Coiling of Paraclinoid Aneurysms : Radiological Outcome in a Single Center Study

  • Kim, Soo Yeon;Park, Dong Sun;Park, Hye Yin;Chun, Young Il;Moon, Chang Taek;Roh, Hong Gee
    • Journal of Korean Neurosurgical Society
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    • v.60 no.6
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    • pp.644-653
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    • 2017
  • Objective : Paraclinoid aneurysms are a group of aneurysms arising at the distal internal carotid artery. Due to a high incidence of small, wide-necked aneurysms in this zone, it is often challenging to achieve complete occlusion when solely using detachable coils, thus stent placement is often required. In the present study, we aimed to investigate the effect of stent placement in endovascular treatment of paraclinoid aneurysms. Methods : Data of 98 paraclinoid aneurysms treated by endovascular approach in our center from August 2005 to June 2016 were retrospectively reviewed. They were divided into two groups : simple coiling and stent-assisted coiling. Differences in the recurrence and progressive occlusion between the two groups were mainly analyzed. The recurrence was defined as more than one grade worsening according to Raymond-Roy Classification or major recanalization that is large enough to permit retreatment in the follow-up study compared to the immediate post-operative results. Results : Complete occlusion was achieved immediately after endovascular treatment in eight out of 37 patients (21.6%) in the stent-assisted group and 18 out of 61 (29.5%) in the simple coiling group. In the follow-up imaging studies, the recurrence rate was lower in the stent-assisted group (one out of 37, 2.7%) compared to the simple coiling group (13 out of 61, 21.3%) (p=0.011). Multivariate logistic regression model showed lower recurrence rate in the stent-assisted group than the simple coiling group (odds ratio [OR] 0.051, 95% confidence interval [CI] 0.005-0.527). Furthermore there was also a significant difference in the rate of progressive occlusion between the stent-assisted group (16 out of 29 patients, 55.2%) and the simple coiling group (10 out of 43 patients, 23.3%) (p=0.006). The stent-assisted group also exhibited a higher rate of progressive occlusion than the simple coiling group in the multivariate logistic regression model (OR 3.208, 95% CI 1.106-9.302). Conclusion : Use of stents results in good prognosis not only by reducing the recurrence rate but also by increasing the rate of progressive occlusion in wide-necked paraclinoid aneurysms. Stent-assisted coil embolization can be an important treatment strategy for paraclinoid aneurysms when considering the superiority of long term outcome.

Quantitative Evaluation of Optimized Fat-Suppression Techniques for T2 Weighted Abdominal MR Imaging : Comparison of TSE-SPIR and GE-PROSET (T2 강조 복부자기공명영상에 대한 최적의 지방소거 기법의 정량적 평가 : TSE-SPIR 와 GE-PROSET 비교)

  • Goo, Eun-Hoe
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.10
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    • pp.4962-4969
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    • 2013
  • The purpose of this experiment is to evaluate of optimized FS techniques for T2 weighted abdominal MRI compared of TSE-SPIR fat suppression and GE-PROSET fat suppression. All MR examinations were performed on a 1.5 T(Philips, Medical System, Achieva) scanner using 16 channel mult-coils. All images were performed in the axial plane using TSE-SPIR and GE-PROSET. The mean SNRs of the retroperitoneal and mesenteric fat for TSE-SPIR and GE-PROSET were 31.50, 4.15 and 32.39, 7.03. The mean CNRs of the bowel and retroperitoneal, mesenteric fat for TSE-SPIR and GE-PROSET were 52.69, 74.54 and 26.12, 68.78). The delineation of bowel wall margins with TSE-SPIR(2.4) and GE-PROSET(1.8) were significantly improved using TSE-SPIR. The delineation of pancreas wall with TSE-SPIR(1.90), GE-PROSET(2.80) were significantly improved using GE-PROSET. In conclusion, TSE-SPIR fat suppression was superior to GE-PROSET fat suppression in T2 WI FS abdominal MRI.

Developing an improved water discharge anchor & trap bolt to prevent basic salt penetration to harbor structures (해수 염기 침투방지를 위한 성능개선 형 물배출 앵커 및 트랩볼트 개발에 관한 연구)

  • Ock, Jong-Ho;Moon, Sang-Deok;Lee, Hwa-Sun;Shin, Kyung-Soo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.4
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    • pp.674-682
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    • 2018
  • Large industrial motors require a large area because of the high risk of shutdown accidents and large industrial accidents due to the lowering of the dielectric strength of the armature windings and overheating problems. Therefore, there is a demand for a large-capacity motor that has small size, light weight, and excellent dielectric strength compared with conventional motors. Superconducting motors have advantages of high efficiency and output power, low size, low weight, and improved stability. This results from greatly increasing the magnetic field generation by using superconductive field coils in rotating machines such as generators and motors. It is very important to design and analyze the cooling system to lower the critical temperature of the wires to achieve superconducting performance. In this study, a field loss analysis and low-temperature heat transfer analysis of the cooling system were performed through the conceptual design of a 100-HP high-temperature superconducting synchronous motor. The field loss analysis shows that a uniform pore magnetic flux density appears when high-temperature superconducting wire is used. The low-temperature heat transfer analysis for gaseous neon and liquid neon showed that a flow rate of 1 kg/min of liquid neon is suitable for maintaining low-temperature stability of the high-temperature superconducting wire.

Development of Birdcage Resonator for Various Absorption Regions at 3T (3T MRI에서 흡수영역의 변화에 따른 Birdcage Resonator의 개발)

  • 이정우;최보영;윤성익;이형구;서태석;허순녕
    • Progress in Medical Physics
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    • v.15 no.1
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    • pp.54-58
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    • 2004
  • The aim of this study was to develop special birdcage resonators for small objects including the human wrist, hand and small animals, using 3T MRI/MRS. Before substantial development, different types of parameters were arranged, based on theoretical analysis, through lumped element transmission line theory. The primary analysis was peformed with a network analyzer (HP 4195A) and the final experimental analysis was carried out with 3T MRI (Medinus, Korea). The manufactured birdcage resonator is typically composed of 12-element structures to which a low-pass filter is fundamentally applied. The diameter and length of each element of the birdcage resonator were as follows: (1) diameter 12 cm, length of element 22 cm, (2) diameter 15 cm, length of element 22 cm, and (2) diameter 17 cm, length of element 25 cm. Copper tape with a width of 1 cm was used for the coils. MRI acquisition parameters were TR=500 ms, TE=17 ms, and Ave=2 for T1-WT images, and TR=4,000 ms, TE=96 ms, and Ave=2 for T2-WT images. The ratio of the samples diameter to the birdcage resonators diameter was approximately 55%, 63% and 70%, respectively, for the three elements. This study determined that the best image quality and S/N ratio were obtained when the ratio of the object's diameter was approximately 50∼80%. A general theoretical analysis of the birdcage coil differs in many respects from the experimental results which were influenced by many factors that were not considering when the general theoretical analysis of the birdcage coil was peformed. The induced resistance may be considered as part of the resistive loss if the quantitative value can be determined using a radiation resistance approach.

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Towards Routine Clinical Use of Radial Stack-of-Stars 3D Gradient-Echo Sequences for Reducing Motion Sensitivity

  • Block, Kai Tobias;Chandarana, Hersh;Milla, Sarah;Bruno, Mary;Mulholland, Tom;Fatterpekar, Girish;Hagiwara, Mari;Grimm, Robert;Geppert, Christian;Kiefer, Berthold;Sodickson, Daniel K.
    • Investigative Magnetic Resonance Imaging
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    • v.18 no.2
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    • pp.87-106
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    • 2014
  • Purpose : To describe how a robust implementation of a radial 3D gradient-echo sequence with stack-of-stars sampling can be achieved, to review the imaging properties of radial acquisitions, and to share the experience from more than 5000 clinical patient scans. Materials and Methods: A radial stack-of-stars sequence was implemented and installed on 9 clinical MR systems operating at 1.5 and 3 Tesla. Protocols were designed for various applications in which motion artifacts frequently pose a problem with conventional Cartesian techniques. Radial scans were added to routine examinations without selection of specific patient cohorts. Results: Radial acquisitions show significantly lower sensitivity to motion and allow examinations during free breathing. Elimination of breath-holding reduces failure rates for non-compliant patients and enables imaging at higher resolution. Residual artifacts appear as streaks, which are easy to identify and rarely obscure diagnostic information. The improved robustness comes at the expense of longer scan durations, the requirement for fat suppression, and the nonexistence of a time-to-center value. Care needs to be taken during the configuration of receive coils. Conclusion: Routine clinical use of radial stack-of-stars sequences is feasible with current MR systems and may serve as substitute for conventional fat-suppressed T1-weighted protocols in applications where motion is likely to degrade the image quality.

A Study for Frequency Characteristics of Solenoid-Type RF Chip Inductors (크기에 따른 솔레노이드 형태 RF 칩 인덕터의 주파수 특성 연구)

  • Kim, Jae-Wook
    • Journal of IKEEE
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    • v.11 no.4
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    • pp.145-151
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    • 2007
  • In this work, small-size, high-performance solenoid-type RF chip inductors utilizing a low-loss ${Al_2}{O_3}$ core material were investigated. The size of the chip inductors fabricated in this work were $0.86{\times}0.46{\times}0.45m^3$, $1.5{\times}1.0{\times}0.7m^3$, $2.1{\times}1.5{\times}1.0m^3$, and $2.4{\times}2.0{\times}1.4m^3$ and copper (Cu) wire with $27{\sim}40{\mu}m$ diameter was used as the coils. High frequency characteristics of the inductance, quality factor, and impedance of developed inductors were measured using an RF Impedance/Material Analyzer (HP4291B with HP16193A test fixture). It was observed that the developed inductors with the number of turns of 7 have the inductance of 13 to 100nH and exhibit the self-resonant frequency (SRF) of 6.4 to 1.1GHz. The SRF of inductors decreases with increasing the inductance and the inductors have the quality factor of 50 to 80 in the frequency range of 300MHz to 1.3GHz. In this study, small-size solenoid-type RF chip inductors with high inductance and high quality factor were fabricated successfully.

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A Study of High-Quality Factor Solenoid-Type RF Chip Inductor Utilizing Amorphous $Al_2O_3$ Core Material (비정질 $Al_2O_3$ 코아 재료를 이용한 Solenoid 형태의 고품질 RF chip 인덕터에 관한 연구)

  • Lee, Jae-Wook;Jung, Young-Chang;Yun, Eui-Jung;Hong, Chol-Ho
    • Journal of the Institute of Electronics Engineers of Korea SD
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    • v.37 no.6
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    • pp.34-42
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    • 2000
  • Recently, there is a growing need to develope small-size RF chip inductors operating to GHz to realize high-performance, micro-fabricated wireless communication products. For the development of high-performance RF chip inductors, however, the ferrite-based chip inductors can not be used above 300MHz due to the limitation of the permeability of this material. In this work, small-size, high-performance RF chip inductors utilizing amorphous $Al_2O_3$ core material were investigated. Copper (Cu) with 40${\mu}m$ diameter was used as the coils and the chip inductor size fabricated in this work is $2.1mm{\times}1.5mm{\times}1.0mm$. The external current source was applied after bonding Cu coil leads to gold pads electro-plated on the bottom edges of a core material. The composition of core materials was measured using a EDX. High frequency characteristics of the inductance (L), quality factor (Q), and impedance (Z) of developed inductors were measured using an RF Impedance/Material Analyzer (HP4291B with HP16193A test fixture). The developed inductors have the self-resonant frequency (SRF) of 1 to 3.5 GHz and exhibit L of 22 to 150 nH. The L of the inductors decreases with increasing the SRF. The Z of the inductors has the maximum value at the SRF and the inductors have the quality factor of 70 to 97 in the frequency range of 500 MHz to 1.5 GHz.

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A Case of Pulmonary Artery Aneurysm by Pulmonary Actinomycosis (폐방선균에 의해 발생한 폐동맥류 1예)

  • Kim, Youn Ho;Han, Woo Sik;Kim, Chung Ho;Lee, Sung Yong;Lee, Sang Yeub;Kim, Je Hyeong;Shin, Chol;Shim, Jae Jeong;In, Kwang Ho;Kang, Kyung Ho;Yoo, Se Hwa;Kim, Gwang Il;Kim, Han Kyeom;Oh, Yu Whan
    • Tuberculosis and Respiratory Diseases
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    • v.56 no.2
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    • pp.210-215
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    • 2004
  • Pulmonary aneurysm is a rare vascular anomaly.Infection is one of major causes of pulmonary aneurysms. Pulmonary aneurysm by pulmonary actinomycosis is a rare case. Our case is maybe the first case in Korea,so far similar case has not been reported Worldwide written in English. We describe a 73-year-old man with aneurysm of pulmonary artery caused by actinomycosis infection on lung. We detected aneurysm by angiography of pulmonary artery, and actinomycosis infection was revealed by confirm sulfur granules on specimens taken by percutaneous needle aspiration(PCNA). Antibiotic therapy was applied to this patient and aneurym was embolized with coils.With this therapy,the patient was successfully managed and improved.

Field Analysis in the Ferrite Core at 100 kHz Band Magnetic Field (100 kHz 대역의 자계 환경내(內)에서의 페라이트 코어의 계(界) 해석)

  • Koo, Bon-Chul;Yoo, Jae-Sung;Kim, Mi-Ja;Gimm, Yoon-Myoung
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.18 no.8
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    • pp.977-983
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    • 2007
  • Recently, the number of systems which utilize wireless power transmission to a receiving module in a short distance is increasing. For efficient use of receiving space, coils are wound around the ferrite core to produce electromotive force(emf) in suppling power by wireless transmission. This paper analyzed the magnetic flux density distribution in the ferrite core in magnetic field environment which is uniformly oriented along to a single axis at 125kHz. For numerical analysis, Ansoft Maxwell which is applying the FEM(Finite Element Method) method was used. We studied the variations of the gathered magnetic fluxes to the changes of the relative permeabilities of the ferrite cores. Also we calculated the magnetic flux variation by shaving the ferrite core off for the groove of coil winding. Results showed that using a small ferrite core in magnetic field at 100kHz band can increase the amount of magnetic flux $3{\sim}4 times$ than without the core. The magnetic flux decreased 23% by shaving the core 0.5 mm on the periphery of 4.75 mm radius core with the relative permeability 800.