• Title/Summary/Keyword: Computerized tomography

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An evaluation of curve of Spee using cone beam computerized tomography in Korean (한국인에서 콘빔형 전산화단층영상을 이용한 스피만곡 평가)

  • Oh, Sang-Chun;Kim, Seul-Gi;Kim, Yu-Jin
    • Journal of Dental Rehabilitation and Applied Science
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    • v.30 no.2
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    • pp.93-101
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    • 2014
  • Purpose: The aim of this study is to investigate the typical shape of the curve of Spee in Korean and analyze the curve of Spee according to gender, age, and left and right. Materials and Methods: Among the patient of Wonkwang University Sanbon Dental Hospital taking cone beam computerized tomography, the images of 500 Koreans (311 males and 189 females) who qualifies the criteria of this study were selected and their curve of Spee were analysed in sagittal plane. Results: The mean radius of curve of Spee in Korean was 91.4 mm. There was statistically significant difference between male (94.6 mm) and female (86.1 mm) by gender, but not significant differences by age and between right and left side. Conclusion: Within the limitation of this study, the smaller radius (91.4 mm) of Korean than the 4-inch (101.6 mm) value advocated by Monson was meaned that it would be need to reconsider the application of the curve of Spee in all cases when occlusal plane is reconstructed in Korean.

Flapless implant surgery on atrophied alveolar ridge in a patient with growth disorder (성장 장애를 가진 부분 무치악 환자에서 위축된 골에 무피판 임플란트 수술 증례)

  • Lee, Du-Hyeong
    • Journal of Dental Rehabilitation and Applied Science
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    • v.30 no.2
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    • pp.170-175
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    • 2014
  • The growth disorder influences craniofacial development and early loss of permanent teeth. This case reports the importance of computerized tomography (CT) and surgical guide to identify horizontal bone loss, adjacent teeth and to guide drills when placing implants in a short stature patient. The patient has idiopathic short stature and the 3rd grade of intellectual disability. To recover posterior mandibular teeth, implant treatment was planned. CT images showed that the adjacent teeth were located markedly to the buccal side. A CT-based surgical guide was fabricated and implants was placed using flapless surgery. Bone dehiscence and fenestration may happen when the surgical guide was fabricated just based on adjacent clinical crowns. Thus, it is essential to analysis bone and teeth and to make surgical guide through CT, especially in atrophied bone on grow disorder patients. Furthermore, systematic researches are recommended to elucidate the relationship between growth disorder and tooth malposition.

An Experience Type Virtual Reality Training System for CT(Computerized Tomography) Operations (컴퓨터 단층 촬영기(CT)의 가상 실습을 위한 3차원 체험형 교육 시스템)

  • Shin, Yong-Min;Kim, Young-Ho;Kim, Byung-Ki
    • The KIPS Transactions:PartD
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    • v.14D no.5
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    • pp.501-508
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    • 2007
  • Simulation system was introduced and used a lot in the fields of aviation, vessel, and medical treatment. 3D Simulation system has been used quite insufficiently as it requires a lot of system resource and huge amount of computer calculation. As the graphic card performance and simulation function developed, however, PC based simulation has been activated and is verified of its possibility as an educational software. However, educational institutions need to invest huge amount of budget and manpower to purchase and maintain CT Equipment. For such a reason, educational institutions entrust their students to hospitals for indirect experience of operation or for mere observation. This study, therefore, developed a CT Virtual reality education system with which medical CT Equipment can be directly operated in PC based 3D Virtual environment.

Evaluation of the Dose According to the Movement of Breath During Field-in-Field Technique Treatment of Breast Cancer Patients (유방암 환자의 Field-in-Field Technique 치료 시 호흡의 움직임에 따른 선량 평가)

  • Kwon, Kyung-Tae
    • Journal of radiological science and technology
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    • v.41 no.6
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    • pp.561-566
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    • 2018
  • Field-in-Field Technique is applied to the radiation therapy of breast cancer patients, and it is possible to compensate the difference in breast thickness and deliver uniform dose in the breast. However, there are several fields in the treatment field that result in a more complex dose delivery than a single field dose delivery. If the patient's respiration is irregular during the delivery of the dose by several fields and the change of respiration occurs, the dose distribution in the breast changes. Therefore, based on the computed tomography images of breast cancer patients, a human model was created by using a 3D printer (Builder Extreme 1000) to describe the volume in the same manner. A computerized tomography (CT) of the human body model was performed and a treatment plan of 260 cGy / fx was established using a 6-MV field-in-field technique using a computerized treatment planning system (Eclipse 13.6, Varian, USA). The distribution of the dose in the breast according to the change of the respiration was measured using a moving phantom at 0.1 cm, 0.3 cm, 0.5 cm amplitude, using a MOSOXIDE Silicon Field Effect Transistor (MOSFET, Best Medical, Canada) Were measured and compared. The distribution of dose in the breast according to the change of respiration showed similar value within ${\pm}2%$ in the movement up to 0.3 cm compared to the treatment plan. In this experiment, we found that the dose distribution in the breast due to the change of respiration when the change of respiration was increased was not much different from the treatment plan.

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.

Study on Prognostic Factors using Computerized Tomographic Findings and Ability in daily Life(ADL) Evaluation in Patients with Hypertensive Intracerebral Hemorrhage (고혈압성(高血壓性) 뇌출혈(腦出血) 환자(患者)의 Brain-CT소견과 일상생활능력(ADL)평가를 통한 예후인자에 대한 고찰)

  • Jung, Seung-Hyun;Shin, Gil-Cho;Lee, Won-Chul
    • The Journal of Korean Medicine
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    • v.18 no.1
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    • pp.87-100
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    • 1997
  • Clinical Observation was made on 29 cases of Hypertensive intracerebral hemorrhage patients in the ICU of In-Chon Oriental Medical Hosptital of Dongguk University from October in 1994 to June in 1996. The observation are ability in daily life(ADL) of patients by Location and Type of Hemorrhage, Amounts of Hematoma, Graeb's Score, Intraventricular Hemorrhage, States 4th Ventricle, Surrounding Edema around the Hematoma, Middle Line Shift, Age, Level of Consciousness. Pupillary Light Reflex and Treatment Modalities. Our conclusions on Prognostic Factors using Computerized Tomographic Findings and Ability in daily Life(ADL) Evaluation in patients with Hypertensive Intracerebral Hemorrhage Patients are as follows. A variety of prognostic factors that influence ADL5+6(%) were observed. 1. ADL5+6($\%$) of total cases was 34.9%. The prognosis were unfavorable when high Graeb score(P<0.05), dilated 4th ventricle(P<0.01), much surrounding edema around the hematoma (P<0.05), unilateral unreactive or both unreactive pupillary light reflex(P<0.05). 2. There was no difference of ADL5+6(%) in both hypertensive basal ganglionic and thalamic intracerebral hemorrhage. 3. The prognosis gets poorer as the volume of hematoma is more than 16cc. But there was no difference of ADL5+6(%) in each group. 4. The prognosis gets poorer in cases with IVH than without IVH. But there was no difference of ADL5+6(%) in each group. 5. The prognosis gets poorer as the middle line shift is more than 6mm. But there was no. difference of ADL5+6(%) in each group. 6. The prognosis gets poorer as the level of consciousness is more than drowsy. But there' was no difference of ADL5+6(%) in each group.

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Comparison of the observer reliability of cranial anatomic landmarks based on cephalometric radiograph and three-dimensional computed tomography scans (삼차원 전산화단층촬영사진과 측모두부 방사선규격사진의 계측자에 따른 계측오차에 대한 비교분석)

  • Kim, Jae-Young;Lee, Dong-Keun;Lee, Sang-Han
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.36 no.4
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    • pp.262-269
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    • 2010
  • Introduction: Accurate diagnosis and treatment planning are very important for orthognathic surgery. A small error in diagnosis can cause postoperative functional and esthetic problems. Pre-existing 2-dimensional (D) chephalogram analysis has a high likelihood of error due to its intrinsic and extrinsic problems. A cephalogram can also be inaccurate due to the limited anatomic points, superimposition of the image, and the considerable time and effort required. Recently, an improvement in technology and popularization of computed tomography (CT) provides patients with 3-D computer based cephalometric analysis, which complements traditional analysis in many ways. However, the results are affected by the experience and the subject of the investigator. Materials and Methods: The effects of the sources human error in 2-D cephalogram analysis and 3-D computerized tomography cephalometric analysis were compared using Simplant CMF program. From 2008 Jan to 2009 June, patients who had undergone CT, cephalo AP, lat were investigated. Results: 1. In the 3 D and 2 D images, 10 out of 93 variables (10.4%) and 11 out 44 variables (25%), respectively, showed a significant difference. 2. Landmarks that showed a significant difference in the 2 D image were the points frequently superimposed anatomically. 3. Go Po Orb landmarks, which showed a significant difference in the 3 D images, were found to be the artificial points for analysis in the 2 D image, and in the current definition, these points cannot be used for reproducibility in the 3 D image. Conclusion: Generally, 3-D CT images provide more precise identification of the traditional cephalometric landmark. Greater variability of certain landmarks in the mediolateral direction is probably related to the inadequate definition of the landmarks in the third dimension.

Chest-wall Surface Dose During Post-mastectomy Radiation Therapy, with and without Nonmagnetic Bolus: A Phantom Study

  • Choi, Cheon Woong;Hong, Joo Wan;Park, Cheol Soo;Ahn, Jae Ouk
    • Journal of Magnetics
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    • v.21 no.2
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    • pp.293-297
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    • 2016
  • For mastectomy patients, sufficient doses of radiation should be delivered to the surface of the chest wall to prevent recurrence. A bolus is used to increase the surface dose on the chest wall, whereby the surface dose is confirmed with the use of a virtual bolus during the computerized treatment-planning process. The purpose of this study is an examination of the difference between the dose of the computerized treatment plan and the dose that is measured on the bolus. Part of the left breast of an Anderson Rando phantom was removed, followed by the attainment of computed tomography (CT) images that were used as the basis for computerized treatment plans that were established with no bolus, a 3 mm-thick bolus, a 5 mm-thick bolus, and a 10 mm-thick bolus. For the computerized treatment plan, a prescribed dose regimen was dispensed daily and planning target volume (PTV) coverage was applied according to the RTOG 1304 guidelines. Using each of the established computerized treatment plans, chest-wall doses of 5 points were measured; this chest-wall dose was used as the standard for the analysis of this study, while the level of significance was set at P < 0.05. The measurement of the chest-wall dose with no bolus is 1.6 % to 10.3 % higher, and the differences of the minimum average and the maximum average of the five measurement points are -13.8 and -1.9, respectively (P < 0.05); however, when the bolus was used, the dosage was measured as 3.7 % to 9.2 % lower, and the differences of the minimum average and the maximum average are 7.4 and 9.0, -1.2 and 17.4, and 8.1 and 19.8 for 3 mm, 5 mm, and 10 mm, respectively (P < 0.05). As the thickness of the bolus is increased, the differences of the average surface dose are further increased. There are a variety of factors that affect the surface dose on the chest wall during post-mastectomy radiation therapy, for which verification is required; in particular, a consideration of the appropriate thickness and the number of uses when a bolus is used, and which has the greatest effect on the surface dose on the chest wall, is considered necessary.

Effect of Particulate Matter on Human Health, Prevention, and Imaging Using PET or SPECT

  • Zaheer, Javeria;Jeon, Jongho;Lee, Seung-Bok;Kim, Jin Su
    • Progress in Medical Physics
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    • v.29 no.3
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    • pp.81-91
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    • 2018
  • Particulate matter (PM) in dust causes serious pathological conditions, and it has been considered a critical health issue for many years. Respiratory disorders such as bronchitis, asthma, and chronic inflammation, are the most common illnesses due to PM that appears as dust. There is evidence that cardiovascular and neurological abnormalities are caused by PM. Although an extensive amount of work has been conducted on this topic, including studies on the nature of the particles, particle size measurements, particle distribution upon inhalation, the health effects of fine particles, disease prevention, diagnosis, and treatment, to this date, there is still a considerable lack of knowledge in these areas. Therefore, the identification of the key components that cause diseases owing to PM, and the specific diagnoses of the diseases, is important. This review will explore the current literature on the origin and nature of PM and their effects on human health. In addition, it will also highlight the approaches that have been adopted in order to diagnose the effects of PM using positron emission tomography (PET) or single-photon emission computerized tomography (SPECT).