• Title/Summary/Keyword: Computerized tomography(CT)

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Real time three-dimension retina image (안구 망막의 실시간 3차원 계측 기술)

  • 양연식
    • Proceedings of the Optical Society of Korea Conference
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    • 2001.02a
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    • pp.270-271
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    • 2001
  • 안과 실명 질환의 가장 많은 부분을 차지하는 안구 망막의 실시간 3차원 계측기술은 아직 초보단계에 머물고 있다. 다른 장기나 조직에 비해 3차원계측기술이 늦어진 몇 가지 이유를 들면 다음과 같다. 첫째, 망막이 150$\mu$에서 400$\mu$의 얇은 막이어서 기존의 초음파(ultrasonography), CT(computerized tomography)나 MRI(magnetic resonance image)의 해상력으로는 영상화되지 않는다. 둘째로는 망막이 안구내의 뒤쪽에 위치하여 오직 동공을 통해서만 관찰 가능하여 3차원이 영상화가 어렵다. (중략)

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Discordance between Clinical Diagnosis and Reading of Computerized Tomography in Nasal Bone Fracture (코뼈 골절의 임상적 진단과 전산단층촬영 판독간의 불일치)

  • Kim, Dong-Hyun;Hwang, Kun
    • Archives of Plastic Surgery
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    • v.37 no.4
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    • pp.375-379
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    • 2010
  • Purpose: The nasal bone is the most frequently fractured facial bone. Discordance between the CT reading by the radiologist and the diagnosis by the plastic surgeon is not uncommon. This study examined the discordance and proposes a method for reducing the rate of discordance. Methods: The CT readings by the radiologist were compared with the diagnosis by the plastic surgeon in 716 patients with a clinically suspected nasal bone fracture. The CT reading was classified as the following: a nasal bone fracture, suspicious nasal bone fracture, old nasal bone fracture, no nasal bone fracture. The sensitivity, specificity and positive predictive value of the CT reading were calculated. Results: A nasal bone fracture was diagnosed in 646 patients by the plastic surgeon and confirmed intraoperatively. The reading of a "nasal bone fracture", "suspicious nasal bone fracture", "old nasal bone fracture" and "no nasal bone fracture" was 85.8%, 4.6%, 0.6% and 9.1% respectively. The sensitivity and specificity of the CT reading were 95.0% and 92.9%, respectively. The positive predictive value of the CT reading was 99.3%. The reading of "nasal bone fracture" that was not a nasal bone fracture clinically was 17.1% (12 of 70), and the reading of "no nasal bone fracture" or "old nasal bone fracture" that was found to be a nasal bone fracture clinically was 3.3% (21 of 646). The discordance rate between the CT reading by the radiologist and the diagnosis by the plastic surgeon was 4.6%. Conclusions: To reduce the discordance rate, we propose to hold a meeting with the plastic surgery-radiology staff to communicate the information regarding a suspicious or old nasal bone fracture.

Recent Developments in Imaging Systems and Processings-3 Dimensional Computerized Tomography (영상 System의 처리의 근황-전산화 3차원 단층 영상처리)

  • 조장희
    • Journal of the Korean Institute of Telematics and Electronics
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    • v.15 no.6
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    • pp.8-22
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    • 1978
  • Recently developed Computed Topography (CT) reconstruction algorithms are reviewed in a more generalized sense and a few reconstruction examples are given for illustration. The construction of an image function from the physically measured projections of some object is Discussed with reference to the least squares optimum filters, originally derived to enhance the signal-to-noise ratio in communications theory. The computerifed image processing associated with topography is generalized so as to include 3 distinct parts: the construction of an image from the projection, the restoration of a blurred, noisy image, degraded by a known space-invariant impulse response, and the further enhancement of the image, e.g. by edge sharpening. In conjunction with given versions of the popular convolution algorithm, n6t 19 be confused with filtering by a 2-diminsional convolution, we consider the conditions under which a concurrent construction, restoration, and enhancement are possible. Extensive bibliographical limits are given in the references.

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Outcomes in the Management of Spontaneous Cerebellar Hemorrhage

  • Moon, Kang-Seok;Park, Hyung-Ki;Yoon, Seok-Mann;Bae, Hack-Gun;Yun, Il-Gyu;Choi, Soon-Kwan
    • Journal of Korean Neurosurgical Society
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    • v.40 no.4
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    • pp.234-238
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    • 2006
  • Objective : The operative indications on cerebellar hemorrhage have been controversial especially when the patient condition is grave. Therefore we investigated whether it can be justifiable if we perform the surgery in poor clinical grade. Methods : Clinical records and computerized tomography[CT] films of the 89 patients, who were undergone hospital treatment due to spontaneous cerebellar hemorrhage between May 1997 and May 2004, were retrospectively researched. Results : The study population consisted of 36 males and 53 female patients. The mean age was 65years [range $23{\sim}89$]. As a result of treatment, the patients, whose Glasgow coma scale[GCS] score were higher, showed better outcomes [p=0.001]. 13 patients [14.6%] were below 5 in GCS score and 10 patients of these were operated. Among 10 patients, 4 patients [40%] showed good outcome and 5 patients [50%] had been dead. 3 patients [60%] of these dead patients had the findings of intraventricular hemorrhage, fourth ventricular obliteration and hydrocephalus in CT scan. Conclusion : This study suggests that operation may be justifiable in clinically poor grade patient with spontaneous intra cerebellar hemorrhage.

Beyond Coronary CT Angiography: CT Fractional Flow Reserve and Perfusion (전산화단층촬영 관상동맥조영술: 분획혈류예비력과 심근관류 영상)

  • Moon Young Kim;Dong Hyun Yang;Ki Seok Choo;Whal Lee
    • Journal of the Korean Society of Radiology
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    • v.83 no.1
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    • pp.3-27
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    • 2022
  • Cardiac CT has been proven to provide diagnostic and prognostic evaluation of coronary artery disease for cardiovascular risk stratification and treatment decision-making based on rapid technological development and various research evidence. Coronary CT angiography has emerged as a gateway test for coronary artery disease that can reduce invasive angiography due to its high negative predictive value, but the diagnostic specificity is relatively low. However, coronary CT angiography is likely to overcome its limitations through functional evaluation to identify the hemodynamic significance of coronary artery disease by analyzing myocardial perfusion and fractional flow reserve through cardiac CT. Recently, studies have been actively conducted to incorporate artificial intelligence to make this more objective and reproducible. In this review, functional imaging techniques of cardiac computerized tomography are explored.

Optimization-based Deep Learning Model to Localize L3 Slice in Whole Body Computerized Tomography Images (컴퓨터 단층촬영 영상에서 3번 요추부 슬라이스 검출을 위한 최적화 기반 딥러닝 모델)

  • Seongwon Chae;Jae-Hyun Jo;Ye-Eun Park;Jin-Hyoung, Jeong;Sung Jin Kim;Ahnryul Choi
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.16 no.5
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    • pp.331-337
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    • 2023
  • In this paper, we propose a deep learning model to detect lumbar 3 (L3) CT images to determine the occurrence and degree of sarcopenia. In addition, we would like to propose an optimization technique that uses oversampling ratio and class weight as design parameters to address the problem of performance degradation due to data imbalance between L3 level and non-L3 level portions of CT data. In order to train and test the model, a total of 150 whole-body CT images of 104 prostate cancer patients and 46 bladder cancer patients who visited Gangneung Asan Medical Center were used. The deep learning model used ResNet50, and the design parameters of the optimization technique were selected as six types of model hyperparameters, data augmentation ratio, and class weight. It was confirmed that the proposed optimization-based L3 level extraction model reduced the median L3 error by about 1.0 slices compared to the control model (a model that optimized only 5 types of hyperparameters). Through the results of this study, accurate L3 slice detection was possible, and additionally, we were able to present the possibility of effectively solving the data imbalance problem through oversampling through data augmentation and class weight adjustment.

Assessment of Primary Spontaneous Pneumothorax Using Chest Computerized Axial Tomography (원발성 자연기흉에서 흉부 컴퓨터 단층촬영의 진단적 의의)

  • Kim, Mun-Hwan;Lee, Cheol-Ju;Kim, Se-Hwan
    • Journal of Chest Surgery
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    • v.26 no.3
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    • pp.209-213
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    • 1993
  • The pathogenesis of the primary spontaneous pneumothorax is the rupture of subpleural bleb or bullae and subsequent sudden collapse of the affected lung. Mostly, the bullae or blebs are present bilaterally, but detecting the number, size, and location of the causating foci by plain chest film is quite difficult . We have performed chest CT scans for detecting the bullous lesions in 33 cases of primary spontaneous pneumothorax, and compared the results with surgical findings.1. Seventy-four blebs were identified in the chest CT scan, and 100 blebs or bullae were detected surgically [ Sensitivity was 0.74 ].2. Diagnosis rate was 80% [40/50] at right upper lobe, 75.7% [28/37] at left upper lobe, 55.6% at right lower lobe, and 25.0% at left lower lobe, respectively.3. Blebs or bullae smaller than 1 cm of its diameter were detected by 57.1% [24/42] of sensitivity, and in the cases of size larger than 1 cm, it revealed 86.2% [50/58] of sensitivity respectively.4. Of the 45 cases, 7 cases were false negative [15.6%], most of these were ruptured or small size [< 0.5 cm]. 5. One case was false positive, which was irregular adhesion at the apex of the lung.6. We could detect blebs or bullae with preoperative CT scans in 84.4% [38/45] of total patients. In conclusion, chest CT scan is a very advantageous diagnostic tool for proper management and preventing recurrence of primary spontaneous pneumothorax patient.

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A Study on 3D CT Image Segmentation and Registration of Mandibular First Premolar (하학 제 1 소구치의 3 차원 CT 영상 분할 및 정합 연구)

  • Jin K.C.;Chun K.J.
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2006.05a
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    • pp.175-176
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    • 2006
  • The aim of the 3D medical imaging is to facilitate the creation of clinically usable image-based algorithm. Clinically usable imaging algorithm for image analysis requires a high degree of interaction to verify and correct results from registration algorithms, such as the Insight Toolkit (ITK) and the Visualization Toolkit (VTK) which are the class libraries. ITK provides segmentation algorithms and VTK has powerful 3D visualization. However, to apply those libraries to the medical images such as Computerized Tomography (CT), the algorithm based on the interactive construction and modification of data objects are necessary. In this paper we showed the 3D registration about mandibular premolar of human teeth acquired by micro-CT scanner. Also, we used the ITK to find the contour of pulp layer of premolar, furthermore, the 3D imaging was visualized with VTK designed to create one kind of view on the data of 3D visualization. Finally, we evaluated that the volume model of pulp layer would be useful for the tooth morphology in dental medicine.

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Incomplete bone formation after sinus augmentation: A case report on radiological findings by computerized tomography at follow-up

  • Lee, Kyung-Shil;Kwon, Young-Hyuk;Herr, Yeek;Shin, Seung-Il;Lee, Ji-Yeon;Chung, Jong-Hyuk
    • Journal of Periodontal and Implant Science
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    • v.40 no.6
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    • pp.283-288
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    • 2010
  • Purpose: The aim of this case report is to present a case of incomplete bone formation after sinus augmentation. Methods: A patient having alveolar bone resorption of the maxillary posterior edentulous region and advanced pneumatization of the maxillary sinus was treated with sinus elevation using deproteinized bovine bone in the Department of Periodontology, Kyung Hee University School of Dentistry and re-evaluated with computed tomography (CT) follow-up. Results: Even though there were no significant findings or abnormal radiolucency on the panoramic radiograph, incomplete bone formation in the central portion of the augmented sinus was found fortuitously in the CT scan. The CT scan revealed peri-implant radiolucency in the apical portion of the implant placed in the augmented maxillary sinus. Nevertheless, the dental implants placed in the grafted sinus still functioned well at over 15 months follow-up. Conclusions: The result of this case suggests that patients who received maxillary sinus augmentation may experience incomplete bone formation. It is possible that 1) osteoconductive graft material with poor osteogenic potential, 2) overpacking of graft material that restricts the blood supply, and 3) bone microbial contamination may cause the appearance of incomplete bone formation after sinus augmentation. Further studies are needed to elucidate the mechanism of this unexpected result and care must be taken to prevent it.