• 제목/요약/키워드: Cranial shape

검색결과 49건 처리시간 0.026초

한국 인구에서 NeuroQuant와 DeepBrain에서 측정된 뇌 용적의 정상규준 백분위수 비교: 두개골 형태와의 연관성 (Comparison of Normative Percentiles of Brain Volume Obtained from NeuroQuant vs. DeepBrain in the Korean Population: Correlation with Cranial Shape)

  • 양미현;김은희;최은선;고홍석
    • 대한영상의학회지
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    • 제84권5호
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    • pp.1080-1090
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    • 2023
  • 목적 이 연구의 목적은 한국 인구에서 NeuroQuant (이하 NQ)와 DeepBrain (이하 DB)에서 측정된 뇌 용적과 정상규준 백분위수를 비교하고, 두개골 형태와의 연관성을 확인하는 것이다. 대상과 방법 이 연구는 구조적 뇌 이상이 없는 163명의 한국인을 대상으로 NQ와 DB에서 측정된 뇌 용적과 정상규준 백분위수를 비교하고, 두개골 형태와의 연관성을 확인한 후향적 연구이다. 급내상관계수분석과 선형분석의 통계학적 분석을 시행하였다. 결과 정상규준 백분위수는 시상(90.8 vs. 63.3 percentile), 피각(90.0 vs. 60.0 percentile), 그리고 두정엽(80.1 vs. 74.1 percentile)에서 NQ가 DB보다 더 큰 것으로 나타났고, 후두엽(18.4 vs. 68.5 percentile)은 DB가 NQ보다 큰 것으로 나타났으며, 특히 후두엽의 경우 두개골 형태와의 비교 연구에서 유의미한 연관성을 보였고, 두개골의 전후 방향의 길이와 비례하고 상하방향의 길이와는 반비례했다. 결론 NQ와 DB에서 얻은 정상규준 백분위는 각 뇌 영역마다 유의미한 차이를 보였고, 그 차이는 한국 인구의 두개골 형태와 유의미한 관계가 있었다.

Automatical Cranial Suture Detection based on Thresholding Method

  • Park, Hyunwoo;Kang, Jiwoo;Kim, Yong Oock;Lee, Sanghoon
    • Journal of International Society for Simulation Surgery
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    • 제2권1호
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    • pp.33-39
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    • 2015
  • Purpose The head of infants under 24 months old who has Craniosynostosis grows extraordinarily that makes head shape unusual. To diagnose the Craniosynostosis, surgeon has to inspect computed tomography(CT) images of the patient in person. It's very time consuming process. Moreover, without a surgeon, it's difficult to diagnose the Craniosynostosis. Therefore, we developed technique which detects Craniosynostosis automatically from the CT volume. Materials and Methods At first, rotation correction is performed to the 3D CT volume for detection of the Craniosynostosis. Then, cranial area is extracted using the iterative thresholding method we proposed. Lastly, we diagnose Craniosynostosis by analyzing centroid relationships of clusters of cranial bone which was divided by cranial suture. Results Using this automatical cranial detection technique, we can diagnose Craniosynostosis correctly. The proposed method resulted in 100% sensitivity and 90% specificity. The method perfectly diagnosed abnormal patients. Conclusion By plugging-in the software on CT machine, it will be able to warn the possibility of Craniosynostosis. It is expected that early treatment of Craniosynostosis would be possible with our proposed algorithm.

Angle II급 1류 부정 교합의 안면 두개골의 골격 특성에 관한 연구 (THE STUDY OF CRANIOFACIAL SKELETAL CHARACTERISTICS IN CLASS II DIVISION 1 MALOCCLUSION)

  • 모덕진;정규림
    • 대한치과교정학회지
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    • 제18권1호
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    • pp.141-154
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    • 1988
  • This study was designed to investigate the difference between craniofacial characteristics of the normal occlusion and those of Class II Div. 1 malocclusion. The sample was divided into 2 groups, the 50 subjects of Normal occlusion, the 50 subjects of Class II Div. 1 malocclusion in both sexes. Both groups aged from 11 to 14 years. The results of this study were as follows; 1. No significant difference was observed in cranial base shape between both groups, but anterior cranial base size of Class II Div. 1 malocclusion group was larger than that of normal group. 2. No significant difference in antero-posterior position of Maxilla to cranial base was founded between both groups. 3. No difference in Mandibular shapes and Mandibular plane angles to the cranial base was observed between Class II Div. 1 malocclusion and normal occlusion, but Mandibular position in Class II Div. 1 malocclusion was posterior to that of normal group. 4. Antero-posterior relationship of Maxilla and Mandible was significant difference between both groups, but vertical relationship of those was no difference. 5. Maxillary incisor position to cranial base of Class II Div. 1 malocclusion was anteior to normal occlusion, and Maxillary posterior teeth was posterior. Mandibular incisor and mandibular posterior teeth position was no difference. 6. Upper and lower lip position to esthetic line of Class II Div. 1 malocclusion was anterior to normal occlusion.

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Mandibular shape prediction using cephalometric analysis: applications in craniofacial analysis, forensic anthropology and archaeological reconstruction

  • Omran, Ahmed;Wertheim, David;Smith, Kathryn;Liu, Ching Yiu Jessica;Naini, Farhad B.
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제42권
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    • pp.37.1-37.13
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    • 2020
  • Background: The human mandible is variable in shape, size and position and any deviation from normal can affect the facial appearance and dental occlusion. Objectives: The objectives of this study were to determine whether the Sassouni cephalometric analysis could help predict two-dimensional mandibular shape in humans using cephalometric planes and landmarks. Materials and methods: A retrospective computerised analysis of 100 lateral cephalometric radiographs taken at Kingston Hospital Orthodontic Department was carried out. Results: Results showed that the Euclidean straight-line mean difference between the estimated position of gonion and traced position of gonion was 7.89 mm and the Euclidean straight-line mean difference between the estimated position of pogonion and the traced position of pogonion was 11.15 mm. The length of the anterior cranial base as measured by sella-nasion was positively correlated with the length of the mandibular body gonion-menton, r = 0.381 and regression analysis showed the length of the anterior cranial base sella-nasion could be predictive of the length of the mandibular body gonion-menton by the equation 22.65 + 0.5426x, where x = length of the anterior cranial base (SN). There was a significant association with convex shaped palates and oblique shaped mandibles, p = 0.0004. Conclusions: The method described in this study can be used to help estimate the position of cephalometric points gonion and pogonion and thereby sagittal mandibular length. This method is more accurate in skeletal class I cases and therefore has potential applications in craniofacial anthropology and the 'missing mandible' problem in forensic and archaeological reconstruction.

사두증 환자를 위한 맞춤형 헬멧 몰드 디자인 시스템 개발 (Development of a Customized Helmet Design System for Patients with Plagiocephaly)

  • 강영훈;박혜련;김성민
    • 한국의류산업학회지
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    • 제24권4호
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    • pp.443-450
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    • 2022
  • This study developed a three-dimensional helmet mold design software that can design helmets for treating the infant plagiocephaly (flat head syndrome) using three-dimensional head scan data. For this, the three-dimensional head data of sixth SizeKorea body measurement project as well as the data produced by a head modeling software were used to prepare the head shape data of plagiocephaly patients. A total of 14 landmarks and 10 dimensions of heads required for helmet mold shape design and plagiocephaly diagnosis were automatically measured using an anthropometric analysis software. Using the software developed in this study, plagiocephaly can be diagnosed not only visually by three-dimensional head data visualization but also quantitatively by calculating the medically defined indices such as cranial index, which measures the proportions of the head, and the cranial vault asymmetry index, which measures the asymmetry of the head. The basic shape of the helmet mold was automatically generated based on the head scan data. Additionally, it is possible to fine tune the shape of the mold to reflect individual characteristics by using a free form deformation technique. Finally, the designed helmet mold was converted into the data that can be printed on a three-dimensional printer for generating the actual prototype.

Cranial Base Reconstruction and Secondary Frontal Advancement for Meningoencephalocele Following LeFort III Osteotomy in a Patient with Crouzon Syndrome: Case Report

  • Sungmi Jeon;Yumin Kim;Ji Hoon Phi;Jee Hyuk Chung
    • Archives of Plastic Surgery
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    • 제50권1호
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    • pp.54-58
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    • 2023
  • Patients with Crouzon syndrome have increased risks of cerebrospinal fluid rhinorrhea and meningoencephalocele after LeFort III osteotomy. We report a rare case of meningoencephalocele following LeFort III midface advancement in a patient with Crouzon syndrome. Over 10 years since it was incidentally found during transnasal endoscopic orbital decompression, the untreated meningoencephalocele eventually led to intermittent clear nasal discharge, frontal headache, and seizure. Computed tomography and magnetic resonance imaging demonstrated meningoencephalocele in the left frontal-ethmoid-maxillary sinus through a focal defect of the anterior cranial base. Through bifrontal craniotomy, the meningoencephalocele was removed and the anterior cranial base was reconstructed with a pericranial flap and split calvarial bone graft. Secondary frontal advancement was concurrently performed to relieve suspicious increased intracranial pressure, limit visual deterioration, and improve the forehead shape. Surgeons should be aware that patients with Crouzon syndrome have the potential for an unrecognized dural injury during LeFort III osteotomy due to anatomical differences such as inferior displacement and thinning of the anterior cranial base.

The Comparative Morphometric Study of the Posterior Cranial Fossa : What Is Effective Approaches to the Treatment of Chiari Malformation Type 1?

  • Hwang, Hyung Sik;Moon, Jae Gon;Kim, Chang Hyun;Oh, Sae-Moon;Song, Joon-Ho;Jeong, Je Hoon
    • Journal of Korean Neurosurgical Society
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    • 제54권5호
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    • pp.405-410
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    • 2013
  • Objective : The objective of this study was to investigate changes in the posterior cranial fossa in patients with symptomatic Chiari malformation type I (CMI) compared to a control group. Methods : We retrospectively reviewed clinical and radiological data from 12 symptomatic patients with CMI and 24 healthy control subjects. The structures of the brain and skull base were investigated using magnetic resonance imaging. Results : The length of the clivus had significantly decreased in the CMI group than in the control group (p=0.000). The angle between the clivus and the McRae line (p<0.024), as the angle between the supraocciput and the McRae line (p<0.021), and the angle between the tentorium and a line connecting the internal occipital protuberance to the opisthion (p<0.009) were significantly larger in the CMI group than in the control group. The mean vertical length of the cerebellar hemisphere (p<0.003) and the mean length of the coronal and sagittal superoinferior aspects of the cerebellum (p<0.05) were longer in the CMI group than in the control group, while the mean length of the axial anteroposterior aspect of the cerebellum (p<0.001) was significantly shorter in the CMI group relative to control subjects. Conclusion : We elucidate the transformation of the posterior cranial fossa into the narrow funnel shape. The sufficient cephalocaudal extension of the craniectomy of the posterior cranial fossa has more decompression effect than other type extension of the craniectomy in CMI patients.

석고를 이용한 한국재래산양 시삭상핵과 방실핵의 입체적 재구성 (Three-dimensional reconstruction of the supraoptic and paraventricular nuclei of the Korean native goat using a plaster)

  • 이봉희;이흥식;이인세;이성준
    • 대한수의학회지
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    • 제31권2호
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    • pp.137-142
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    • 1991
  • This study was carried out to reconstruct three-dimensional plaster model of the supraoptic and paraventricular nuclei of 3 Korean native goats. The representative coronal sections of the hypothalami were stained immunohistochemically with monoclonal antibodies to vasopressin and oxytocin simultaneously. Plaster models were reconstructed by schematic drawings which were made by tracing onto the tracing paper with the aid of a drawing attachment. The results were as follows: The configurations of the models of 3 supraoptic nuclei were slender spherical shape at their cranial parts, and the highest and widest size at middle parts, and became lower and narrow at caudal parts in two models, hence one was directed dorsolaterally. The medial surfaces of the para ventricular nuclei were vertically flat, and lateral surfaces were more complex than medial with processes directed dorsolaterally at their cranial portion. They change positions dorsally at caudal portion, and there were no significant variations in shape between them.

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두개 천골치료(Cranio Sacral Therapy)에 대한 고찰 (Review of the Craniao Sacral Therapy)

  • 박경리
    • The Journal of Korean Physical Therapy
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    • 제15권4호
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    • pp.129-139
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    • 2003
  • Cranio sacral therapy is a refinend and subtle type of osteopathic treatment that encourages the realease of stresses and tentions throughout the body, including the head. Cranio sacral therapy is trained to feel a very subtle, rhythmical shape change that is present in all tissue. This is called Involuntary Motion or Cranial Rhythm. The movement is of very small amplitude therefore it takes practitioners with a very finely developed sense of touch to feel it. This Rhythm was first described in the early 1900's by Dr. William G. Sutherland and its existence was confirmed in laboratory tests in the 1960's and 1970's. Tension in the body disrupts the cranial rhythm. This shows them what stresses and strains your body is under a present and what tentions it may be carrying as a result of its past history.

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두개골 조기유합증 환자의 술후 CT Scan을 이용한 두개강내 용적의 평가 (An Evaluation by CT scanning of Intracranial Volume after Correction of Craniosynostosis)

  • 김석권;이장호;한재정;정기환;이근철;박정민
    • Archives of Plastic Surgery
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    • 제32권1호
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    • pp.29-36
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    • 2005
  • Craniosynostosis is the premature fusion of one or more sutures of either cranial vault or base. Fused sutures may impede normal growth of the calvaria, leading to characteristic skull deformities; Morphological craniosynostosis is classified descriptively. Being craniosynostosis uncorrected the deformity progresses continuously and causes an increase of intracranial pressure. The surgical involvement aims at the expansion of intracranial space as well as satisfactory achievement of craniofacial shape. Early surgical correction in infancy prevents the deformity from the further progression and possible associated complication of high intracranial pressure. A long period of follow-up is essential to asses the outcome of an effectiveness of the surgery. measurement of intracranial volume has been concerned in medical personnel and anthropologists for many years. A reliable and accurate measurements of the intracranial volume facilitates to make a diagnosis and treatment of craniosynostosis. Pre-and postoperative change of intracranial volume was evaluated with 3D CT scanning in 12 cases of craniosynostosis who underwent frontal advancement and total cranial vault remodeling. Increased intracranial volume is attributed to surgical release of craniosynostosis and natural growth. We conceive that the intracranial volume is significantly increased after surgical correction of fused cranial sutures and along with natural growing. A procedure of frontal advancement and total cranial vault remodeling is very useful to correct such a deformity as craniosynostosis. And also 2 cases out of five mentally retarded patients improved remarkably and Forehead retrusion or temporal depression followed in another two cases.