• Title/Summary/Keyword: Computed tomograpy

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A Case of the Pneumopericardium Following Blunt Chest Trauma (흉부둔상에 의한 심막기종: 치험 1예)

  • 김오곤
    • Journal of Chest Surgery
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    • v.36 no.8
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    • pp.627-629
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    • 2003
  • The pneumopericardium following blunt chest trauma is exceedingly unusual. A patient was admitted to the emergency room after a motorcycle accident. Pneumopericardium and left pneumothorax were not detected on initial chest AP, but they were detected on chest computed tomograpy and resolved completely after chest tube insertion into the left pleural space.

Finite element modeling of the mandible using voxel mesh method (Voxel mesh 기법을 이용한 하악골의 유한요소모델링)

  • 이은택;오택열;변창환;이병권;유용석
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 1997.10a
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    • pp.600-604
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    • 1997
  • Knowledge of the complex biomechanical behavior of the human mandible is of great importance in various clinical situations. Various approaches can be used to evaluate the physical behavior of bone. In this study, we developed the voxel mesh program(Bionix) and generated FE models of mandible using Bionix and using handmade work and compared them with free vibration results derived from finite element analysis(FEA). The data of FE models based on DICOM File exported from Computed tomography(CT). Comparing the two models, we found a good correlation about mode type and natural frequency. The voxel based finite element mesh is a valid and accurate method to predict parameters of the complex biomechanical behavior of human mandibles.

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Radiotherapy Treatment Planning using Computed Tomography in Breast Cancer (유방암에서 CT planning를 이용한 치료계획)

  • 김성규;신세원;김명세
    • Progress in Medical Physics
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    • v.3 no.2
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    • pp.59-65
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    • 1992
  • Carcimoma of the breast are first frequency malignancy in women in the world. third frequency in Korea. Radiation therapy in breast cancer were treated through opposed tangential fields with photon beam or electron beam. Density within the field and thickness to tumor are very importent factors determining dose distribution in radiation therapy of electron beam. Radiotherapy traetment planning using computed tomography in Breast cancer are able to ideal dose distribution. Authors concluded as following. 6MeV energy of electron beam propered below 1.5cm in chest wall's thickness or internal mammary lymphnode's depth. 9MeV energy of electron beam from 1.5cm to 2.0cm. 12 MeV energy of electron beam from 2.0cm to 2.5cm.

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3D Stereoscopic Image Generation of a 2D Medical Image (2D 의료영상의 3차원 입체영상 생성)

  • Kim, Man-Bae;Jang, Seong-Eun;Lee, Woo-Keun;Choi, Chang-Yeol
    • Journal of Broadcast Engineering
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    • v.15 no.6
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    • pp.723-730
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    • 2010
  • Recently, diverse 3D image processing technologies have been applied in industries. Among them, stereoscopic conversion is a technology to generate a stereoscopic image from a conventional 2D image. The technology can be applied to movie and broadcasting contents and the viewer can watch 3D stereoscopic contents. Further the stereoscopic conversion is required to be applied to other fields. Following such trend, the aim of this paper is to apply the stereoscopic conversion to medical fields. The medical images can deliver more detailed 3D information with a stereoscopic image compared with a 2D plane image. This paper presents a novel methodology for converting a 2D medical image into a 3D stereoscopic image. For this, mean shift segmentation, edge detection, intensity analysis, etc are utilized to generate a final depth map. From an image and the depth map, left and right images are constructed. In the experiment, the proposed method is performed on a medical image such as CT (Computed Tomograpy). The stereoscopic image displayed on a 3D monitor shows a satisfactory performance.

Accuracy and radiation exposure from image-guidance in Tomotherapy Hi-Art System (토모테라피 Hi-Art System의 영상유도 정확성 평가와 환자 피폭에 관한 연구)

  • Jang, Jae-Uk;Lim, Hyun-Soo;Han, Man-Seok;Kim, Yong-Kyun;Jeon, Min-Cheol
    • Journal of Digital Convergence
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    • v.11 no.10
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    • pp.577-584
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    • 2013
  • IGRT(Image Guided Radiation Therapy) in radiation therapy is a very useful technique in order to increase setup of patient and position reproducibility. Tomotherapy can increase accuracy of setup to take IGRT by MVCT, but it be for verified accuracy of Image guided, and MVCT occurs the exposure of patient. Through this study, IGRT accuracy of Tomotherapy is very accurate within 1.0mm. When MVCT using Tomotherapy phantom for QA, QC be taken, exposure dose is Fine(2mm Slice thickness) 3cGy, Normal(4mm Slice thickness) 1.5cGy, Corse(6mmSlice thickness) 1.0cGy. Measurement value of spatial resolution using AAPM CT performance phantom did't cause a big difference. As a result, ability of IGRT in Tomotherapy is very accurate. While obtaining image for IGRT, we should minimize expose range because patient's be exposed to radiation. We should make an effort to do accurate radiation therapy to minimize exposure of patient by selecting the appropriate thickness of MVCT depending on patient's body and treat area.

Evaluation of masticatory muscles of mandibular asymmetry patients by computed tomography (전산화단층사진을 이용한 하악골 비대칭 환자의 저작근 평가)

  • Choi Soon-Chul;Lee Sun-Bok;Lee Jin-Koo;Yi Won-Jin;Heo Min-Suk;Lee Sam-Sun
    • Imaging Science in Dentistry
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    • v.34 no.1
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    • pp.31-34
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    • 2004
  • Purpose: To compare the size of the masseter and lateral pterygoid muscle between the affected and the unaffected side of the patients who have the chief complaints of the mandibular asymmetry. Materials and Methods: Twenty two patients (male: 4, female: 18, average age: 21.3 year-old) were radiographed using posterior-anterior (P-A) cephalography and computed tomography (CT). On P-A cephalography, the degree of deviation was determined by the distance from the mentum to the vertical reference line through the crista galli and the anterior nasal spine. On the scanned tracing papers of the maximum cross-sectional area of the masseter and lateral pterygoid muscle using axial CT images, the pixel number was measured. The ratio of the affected : unaffected sides were obtained. For the masseter and lateral pterygoid muscle, the relationship between the muscular volume and degree of skeletal hypoplasia was studied. Results : The half cases showed no skeletal asymmetry. The lateral pterygoid muscle of the affected side was larger significantly than unaffected side (p<0.05). However, there was no significant difference between two sides in the cases of skeletal asymmetry. There was only significant difference in the cases without skeletal asymmetry (p<0.05). Conclusions : To some extent, the slight mandibular hypoplasia could affect the growth of some masticatory muscles.

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Comparison of the condyle-fossa relationship between skeletal class III malocclusion patients with and without asymmetry: a retrospective three-dimensional cone-beam computed tomograpy study

  • Kim, Hyoun Oak;Lee, Won;Kook, Yoon-Ah;Kim, Yoonji
    • The korean journal of orthodontics
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    • v.43 no.5
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    • pp.209-217
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    • 2013
  • Objective: This study investigated whether temporomandibular joint (TMJ) condyle-fossa relationships are bilaterally symmetric in class III malocclusion patients with and without asymmetry and compared to those with normal occlusion. The hypothesis was a difference in condyle-fossa relationships exists in asymmetric patients. Methods: Group 1 comprised 40 Korean normal occlusion subjects. Groups 2 and 3 comprised patients diagnosed with skeletal class III malocclusion, who were grouped according to the presence of mandibular asymmetry: Group 2 included symmetric mandibles, while group 3 included asymmetric mandibles. Pretreatment three-dimensional cone-beam computed tomography (3D CBCT) images were obtained. Right- and left-sided TMJ spaces in groups 1 and 2 or deviated and non-deviated sides in group 3 were evaluated, and the axial condylar angle was compared. Results: The TMJ spaces demonstrated no significant bilateral differences in any group. Only group 3 had slightly narrower superior spaces (p < 0.001). The axial condylar angles between group 1 and 2 were not significant. However, group 3 showed a statistically significant bilateral difference (p < 0.001); toward the deviated side, the axial condylar angle was steeper. Conclusions: Even in the asymmetric group, the TMJ spaces were similar between deviated and non-deviated sides, indicating a bilateral condyle-fossa relationship in patients with asymmetry that may be as symmetrical as that in patients with symmetry. However, the axial condylar angle had bilateral differences only in asymmetric groups. The mean TMJ space value and the bilateral difference may be used for evaluating condyle-fossa relationships with CBCT.

Evaluation on Usefulness of Applying Body-fix to Liver Cancer Patient in Tomotherapy (간암환자의 토모치료시 Body-fix 사용유무에 따른 유용성 평가)

  • Oh, Byeong-Cheon;Choi, Tae-Gu;Kim, Gi-Chul
    • The Journal of Korean Society for Radiation Therapy
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    • v.22 no.1
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    • pp.11-18
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    • 2010
  • Purpose: In every time radiation therapy set up errors occur because internal anatomical organs move due to breathing and change of patient's position. These errors may affect the change of dose distribution between target area and normal structure. This study investigates the usefulness of body-fix in clinical treatment. Materials and Methods: Among 55~60 aged male patients who has hepatocellular carcinoma in area of liver's couinaud classification, we chose 10 patients and divided two groups by using body-fix or not. When applying body-fix, we maintained a vacuum of 80 mbar pressure by using vacuum pump (Medical intelligence, Germany). Patients had free breathing with supine position. After working to fuse and consist MV-CT (megavoltage computed tomography) with KV-CT (kilovoltage computed tomography) obtained by 5 times treatments, we compared and analyzed set up errors occurred to (Right to Left, RL) of X axis, (Anterioposterio, AP) of Z axis, (Cranicoudal, CC) of Y axis. Results: Average Set up errors through image fusion showed that group A moved $0.3{\pm}1.1\;mm$ (Cranicoudal, CC), $-1.1{\pm}0.7\;mm$ (Right to Left, RL), $-0.2{\pm}0.7\;mm$ (Anterioposterio, AP) and group B moved $0.62{\pm}1.94\;mm$ (Cranicoudal, CC), $-3.62{\pm}1.5\;mm$ (Right to Left, RL), $-0.22{\pm}1.2\;mm$ (Anterioposterio, AP). Deviations of X, Y and Z axis directions by applying body-fix indicated that maximum X axis was 5.5 mm, Y axis was 19.8 mm and Z axis was 3.2 mm. In relation to analysis of error directions, consistency doesn't exist for every patient but by using body-fix showed that the result of stable aspect in spite of changes of everyday's patient position and breathing. Conclusion: Using body-fix for liver cancer patient is considered effectively for tomotherapy. Because deviations between group A and B exist but they were stable and regular.

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Pulmonary Cryptococcosis That Mimicked Rheumatoid Nodule in Rheumatoid Arthritis Lesion

  • Jang, Dong Won;Jeong, Ina;Kim, Seon Jae;Kim, Seok Won;Park, Soo Yeon;Kwon, Yong Hwan;Jeong, Yeon Oh;Lee, Ji Yeon;Kim, Bo Sung;Kim, Woo-Shik;Joh, Joon-Sung
    • Tuberculosis and Respiratory Diseases
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    • v.77 no.6
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    • pp.266-270
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    • 2014
  • Recently, the incidence of pulmonary cryptococcosis is gradually increasing in rheumatoid arthritis (RA) patients. Pulmonary rheumatoid nodules (PRN) are rare manifestations of RA. Eighteen months ago, a 65-year old woman was admitted to hospital due to multiple nodules ( $2.5{\times}2.1{\times}2cm$) with cavitations in the right lower lobe. She was diagnosed with RA three year ago. She had been taking methotrexate, leflunomide, and triamcinolone. A video-assisted thoracoscopic surgery biopsy was performed and PRN was diagnosed. However, a newly growing huge opacity with cavitation was detected in the same site. Pulmonary cryptococcal infection was diagnosed through a transthoracic computed tomograpy guided needle biopsy. Cryptococcus antigen was detected in serum but not in cerebrospinal fluid. The patient was treated with oral fluconazole which resulted clinical improvement and regression of the nodule on a series of radiography. Herein, we report the case of pulmonary cryptococcosis occurring in the same location as that of the PRN.