• 한국융합학회논문지
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• 제9권9호
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• pp.117-122
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• 2018

본 연구는 PET-CT 검사를 시행할 때 치과보철물에 의해 발생되는 CT의 HU(Hounsfield Unit) 값을 금속의 종류에 따라 측정하고, PET 영상의 왜곡정도와 표준섭취계수(SUV)의 변화를 확인하여 영상 판독 시 오류의 감소방안을 제시하고자 하였다. 실험방법은 실제 치아와 메탈 크라운, 골드크라운, 티타늄, 지르코니아의 치과보철물을 이용하여 PET-CT 검사를 실시하였다. 일반 치아와 비교한 결과 HU 값이 증가함에 따라 SUV 값이 증가되는 것을 확인하였고, 메탈 크라운, 티타늄, 지르코니아의 SUV 값은 37% 정도 증가되었고, 골드 크라운에서는 45.4%로 가장 많이 증가했다. 그리고 일반치아, 메탈크라운, 티타늄, 지르코니아에서 영상 왜곡은 미미했지만, 골드 크라운에서는 선속경화현상이 심하게 발생하였고, 영상 왜곡이 나타났다. 따라서 치과보철물의 금속종류는 SUV 값에 영향을 미치기 때문에 치과 보철물 중에서 골드 재질을 사용한 환자를 진단할 때에는 영상 판독 시 보정된 PET 영상보다는 NAC(무보정) PET 영상을 확인한다면 판독에 도움을 줄 수 있을 것으로 생각된다.

• 디지털융복합연구
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• 제10권2호
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• pp.243-247
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• 2012

금속성 치아충전물이 있을 때 PET/CT검사를 시행하면 CT영상에서 선속경화인공음영이 발생한다. CT영상에 발생되는 인공음영에 의해 PET영상에 영향을 미칠 수 있다. 두경부종양이 있는 환자가 치과용 충전물이 있을 경우 CT영상에서 발생하는 선속경화인공음영에 의해 PET영상 및 SUV값에 변화를 줄 수 있다. 따라서 본 연구는 금속성치아충전물에 의한 HU 값의 변화에 따른 SUV값을 정량적으로 측정하여 임상적용에 있어 적절성을 평가 하였다. 연구대상은 2011년 8월에 PET/CT검사를 실시한 환자 47명이었다. 분석을 위해 CT와 PET영상에 2개의 ROI를 그려 이용하였다. 실험결과 충전물이 있을 경우 HU값과 SUV값이 증가 하였고 통계적으로도 유의한 차이를 보였다.(P<0.01) 이 증가 정도는 금속성 치아충전물이 없는 환자의 경우보다 큰 변화는 아니었지만 두경부 종양이 있을 경우 암의 진단시 과대평가가 될 수 있는 가능성이 충분하다. 따라서 임상에서 두경부 종양이 있는 환자를 대상으로 PET/CT 검사를 시행할 경우 판독상의 오류를 범하지 않도록 여러 물리학적, 생물학적인 부분에 대하여 고려를 해야 할 것이다.

• Imaging Science in Dentistry
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• 제31권1호
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• pp.1-7
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• 2001

Purpose : To evaluate the usefulness of the reconstructed 3-dimensional image on the personal computer in comparison with that of the CT workstation by quantitative comparison and analysis. Materials and Methods : The spiral CT data obtained from 27 persons were transferred from the CT workstation to a personal computer, and they were reconstructed as 3-dimensional image on the personal computer using V-works 2.0/sup TM/. One observer obtained the 14 measurements on the reconstructed 3-dimensional image on both the CT workstation and the personal computer. Paired Nest was used to evaluate the intraobserver difference and the mean value of the each measurement on the CT workstation and the personal computer. Pearson correlation analysis and % incongruence were also performed. Results: I-Gn, N-Gn, N-A, N-Ns, B-A, and G-Op did not show any statistically significant difference (p>0.05), B-O, B-N, Eu-Eu, Zy-Zy, Biw, D-D, Orbrd R, and L had statistically significant difference (p<0.05), but the mean values of the differences of all measurements were below 2 mm, except for D-D. The value of correlation coefficient y was greater than 0.95 at I-Gn, N-Gn, N-A, N-Ns, B-A, B-N, G-Op, Eu-Eu, Zy-Zy, and Biw, and it was 0.75 at B-O, 0.78 at D-D, and 0.82 at both Orbrd Rand L. The % incongruence was below 4% at I-Gn, N-Gn, N-A, N-Ns, B-A, B-N, G-Op, Eu-Eu, Zy-Zy, and Biw, and 7.18%, 10.78%, 4.97%, 5.89% at B-O, D-D, Orbrd Rand L respectively. Conclusion : It can be considered that the utilization of the personal computer has great usefulness in reconstruction of the 3-dimensional image when it comes to the economics, accessibility and convenience, except for thin bones and the landmarks which are difficult to be located.

• Imaging Science in Dentistry
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• 제37권3호
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• pp.157-163
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• 2007

Purpose: To evaluate the characteristics of (widely used) cone beam computed tomography (CBCT) images. Materials and Methods: Images were obtained with CT performance phantoms (The American Association of Physicists in Medicine; AAPM). CT phantom as the destination by using PSR $9000N^{TM}$ dental CT system (Asahi Roentgen Ind. Co., Ltd., Japan) and i-CAT CBCT (Imaging Science International Inc., USA) that have different kinds of detectors and field of view, and compared these images with the CT number for linear attenuation, contrast resolution, and spatial resolution. Results: CT number of both PSR $9000N^{TM}$ dental CT system and i-CAT CBCT did not conform to the base value of CT performance phantom. The contrast of i-CAT CBCT is higher than that of PSR $9000N^{TM}$ dental CT system. Both contrasts were increased according to thickness of cross section. Spatial resolution and shapes of reappearance was possible up to 0.6 mm in PSR $9000N^{TM}$ dental CT system and up to 1.0 mm in i-CAT CBCT. Low contrast resolution in region of low contrast sensitivity revealed low level at PSR $9000N^{TM}$ dental CT system and i-CAT CBCT. Conclusion: CBCT images revealed higher spatial resolution, however, contrast resolution in region of low contrast sensitivity was the inferiority of image characteristics.

• 한국멀티미디어학회논문지
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• 제17권10호
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• pp.1205-1212
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• 2014

In this paper, we propose a high-quality stitching method of 3D multiple dental CT images. First, a weighted function is generated using the difference of two distance functions that calculate a distance from the nearest edge of an overlapped region to each position. And a blending ratio propagation function for two gradient vectors is parameterized by the difference and magnitude of gradient vectors that is also applied by the weighted function. When the blending ratio is propagated, an improved region growing scheme is proposed to decide the next position and calculate the blending intensity. The proposed method produces a high-quality stitching image. Our method removes the seam artifact caused by the mean intensity difference between images and vignetting effect. And it removes double edges caused by local misalignment. Experimental results showed that the proposed method produced high-quality stitching images for ten patients. Our stitching method could be usefully applied into the stitching of 3D or 2D multiple images.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제34권5호
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• pp.555-561
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• 2008

Purpose: The goal of this study was to develop a technique for creating a computerized composite maxillofacial-dental model, based on point-based surface best fit algorithm and to test its accuracy. The computerized composite maxillofacial-dental model was made by the three dimensional combination of a 3-dimensional (3D) computed tomography (CT) bone model with digital dental model. Materials and Methods: This integration procedure mainly consists of following steps : 1) a reconstruction of a virtual skull and digital dental model from CT and laser scanned dental model ; 2) an incorporation of dental model into virtual maxillofacial-dental model by point-based surface best fit algorithm; 3) an assessment of the accuracy of incorporation. To test this system, CTs and dental models from 3 volunteers with cranio-maxillofacial deformities were obtained. And the registration accuracy was determined by the root mean squared distance between the corresponding reference points in a set of 2 images. Results and Conclusions: Fusion error for the maxillofacial 3D CT model with the digital dental model ranged between 0.1 and 0.3 mm with mean of 0.2 mm. The range of errors were similar to those reported elsewhere with the fiducial markers. So this study confirmed the feasibility and accuracy of combining digital dental model and 3D CT maxillofacial model. And this technique seemed to be easier for us that its clinical applicability can good in the field of digital cranio-maxillofacial surgery.

• 한국인터넷방송통신학회논문지
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• 제23권1호
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• pp.59-64
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• 2023

최근 IT 기술의 발전으로 의료영상처리 기술은 치과 분야에서도 많이 사용되고 있으며, CT 등에 의한 3D 데이터를 사용하여 치료 효과를 높이고 있다. 본 논문에서는 치과용 의료영상처리 SW를 개발하기 위해 ITK와 VTK 등 오픈 소스 라이브러리를 소개하고, 이를 사용하여 3D CBCT를 중심으로 치과용 의료영상처리 SW를 개발하는 방법에 대해 소개한다. ITK는 의료영상처리를 위한 기본적인 알고리즘들이 구현되어 있어 영상처리 파이프라인을 빠르게 구현할 수 있고 개발자가 원하는 알고리즘을 필터로 손쉽게 구현할 수 있다. 개발된 알고리즘을 VTK와 연동을 통해 시각화 기능을 구현하였다. 개발된 SW를 사용하면 2D 영상의 한계를 극복하는 치과 진단 및 치료에 활용할 수 있다.

• 치과방사선
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• 제24권2호
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• pp.361-368
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• 1994

Radiographic planning is needed for implant placement in order to determine implant length, jaw bone volume, anatomical stucture and so on. Radiographic examination includes conventional radiography, conventional tomography and CT scan. The most accurate mesurement can be obtained from CT scan. For the cross-sectional view of mandible, CT scan reconstruction is generally needed. But the cross-sectional view of mandible can be reformed by personal computer. This study was performed to examine the clinical usefulness of reformed image using personal computer in comparison with CT scan reconstructed image. CT axial slices of 4 mandibles of 4 volunteers were used. Digital imaging system was composed of Macintosh Ⅱ ci computer, high resolution Sony XC-77 CCD camera, Quick Capture frame grabber board and 'NIH Image' program. Seven reconstructed cross-sectional images within CT machine(CT group) were obtained. And seven reformed cross-sectional images(PC group) after digitization of CT axial slices into the personal computer were obtained. PC group was compared with CT group in the objective and subjective aspects. The results were as follow: 1. Measurement of mandibular height & width in both group showed insignificant difference(P>0.05). 2. Subjective assessment of the mandibular canal in both group showed insignificant difference(P>0.05). 3. Image reformation using personal computer could provide panoramic view, which could not be obtained in CT scan reconstruction.

• 대한치과의사협회지
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• 제44권2호통권441호
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• pp.115-122
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• 2006

Objective : The purpose of this study was to evaluate the dimensional errors between real tooth, 3D CT image and CARP model. Materials and Methods : Two maxilla and two mandible block bones with intact teeth were taken from two cadavers. Computed tomography was taken either in dry state and in wet state. After then, all teeth were extracted and the dimensions of the real teeth were measured using a digital caliper at mesio-distal and bucco-lingual width both in crown and cervical portion. 3D CT image was generated using the V-works $4.0^{TM}$ (Cybemed Inc., Seoul, Korea) software. Twelve teeth were randomly selected for CARP model fabrication. All the measurements of 3D Ct images and CARP models were made in the same manner of the real tooth group. Dimensional errors between real tooth, 3D CT image model and CARP model was calculated. Results : 1) Average of absolute error was 0.199 mm between real teeth and 3D CT image model, 0.169 mm between 3D CT image model and CARP model and 0.291 mm between real teeth and CARP model, respectively. 2) Average size of 3D CT image was smaller than real teeth by 0.149 mm and that of CARP model was smalier than 3D CT image model by 0.067mm. Conclusion : Within the scope of this study, CARP model with the 0.291 mm average of absolute eror can aid to enhance the success rate cf autogenous tooth transplantation due to the increased accuracy of recipient bone and donor tooth.

• 치과방사선
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• 제29권1호
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• pp.21-32
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• 1999

Purpose: To evaluate the effect of variable scanning protocols of computed tomography for evaluation of pre-implant site of the mandible through the comparison of the reformatted cross-sectional images of helical CT scans obtained with various imaging parameters versus those of conventional CT scans. Materials and Methods: A dry mandible was imaged using conventional nonoverlapped CT scans with 1 mm slice thickness and helical CT scans with 1 mm slice thickness and pitches of 1.0, 1.5. 2.0, 2.5 and 3.0. All helical images were reconstructed at reconstruction interval of 1 mm. DentaScan reformatted images were obtained to allow standardized visualization of cross-sectional images of the mandible. The reformatted images were reviewed and measured separately by 4 dental radiologists. The image qualities of continuity of cortical outline. trabecular bone structure and visibility of the mandibular canal were evaluated and the distance between anatomic structures were measured by 4 dental radiologists. Results: On image qualities of continuity of cortical outline. trabecular bone structure and visibility of the mandibular canal and in horizontal measurement. there was no statistically significant difference among conventional and helical scans with pitches of 1.0. 1.5 and 2.0. In vertical measurement. there was no statistically significant difference among the conventional and all imaging parameters of helical CT scans with pitches of 1.0, 1.5, 2.0, 2.5 and 3.0. Conclusion: The images of helical CT scans with 1 mm slice thickness and pitches of 1.0, 1.5 and 2.0 are as good as those of conventional CT scans with 1 mm slice thickness for evaluation of predental implant site of the mandible. Considering the radiation dose and patient comfort, helical CT scans with 1 mm slice thickness and pitch of 2.0 is recommended for evaluation of pre-implant site of the mandible.