• 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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• 제29권2호
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• pp.387-396
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• 1999

In dentistry. RadioVisioGraphy was introduced as a first electronic dental x-ray imaging modality in 1989. Thereafter. many types of direct digital radiographic system have been produced in the last decade. They are based either on charge-coupled device(CCD) or on storage phosphor technology. In addition. new types of digital radiographic system using amorphous selenium. image intensifier etc. are under development. Advantages of digital radiographic system are elimination of chemical processing, reduction in radiation dose. image processing, computer storage. electronic transfer of images and so on. Image processing includes image enhancement. image reconstruction. digital subtraction, etc. Especially digital subtraction and reconstruction can be applied in many aspects of clinical practice and research. Electronic transfer of images enables filmless dental hospital and teleradiology/teledentistry system. Since the first image management and communications system(IMACS) for dentomaxillofacial radiology was reported in 1992. IMACS in dental hospital has been increasing. Meanwhile. researches about computer-assisted diagnosis, such as structural analysis of bone trabecular patterns of mandible. feature extraction, automated identification of normal landmarks on cephalometric radiograph and automated image analysis for caries or periodontitis. have been performed actively in the last decade. Further developments in digital radiographic imaging modalities. image transmission system. imaging processing and automated analysis software will change the traditional clinical dental practice in the 21st century.

• 대한치과의사협회지
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• 제38권3호통권370호
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• pp.260-279
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• 2000

• 대한치과의사협회지
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• 제38권4호통권371호
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• pp.357-368
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• 2000

• Imaging Science in Dentistry
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• 제45권2호
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• pp.81-87
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• 2015

Purpose: Contrast, sharpness, enhancement, and density can be changed in digital systems. The important question is to what extent the changes in these variables affect the accuracy of caries detection. Materials and Methods: Forty eight extracted human posterior teeth with healthy or proximal caries surfaces were imaged using a photostimulable phosphor (PSP) sensor. All original images were processed using a six-step method: (1) applying "Sharpening 2" and "Noise Reduction" processing options to the original images; (2) applying the "Magnification 1:3" option to the image obtained in the first step; (3) enhancing the original images by using the "Diagonal/"option; (4) reviewing the changes brought about by the third step of image processing and then, applying "Magnification 1:3"; (5) applying "Sharpening UM" to the original images; and (6) analyzing the changes brought about by the fifth step of image processing, and finally, applying "Magnification 1:3." Three observers evaluated the images. The tooth sections were evaluated histologically as the gold standard. The diagnostic accuracy of the observers was compared using a chi-squared test. Results: The accuracy levels irrespective of the image processing method ranged from weak (18.8%) to intermediate (54.2%), but the highest accuracy was achieved at the sixth image processing step. The overall diagnostic accuracy level showed a statistically significant difference (p=0.0001). Conclusion: This study shows that the application of "Sharpening UM" along with the "Magnification 1:3" processing option improved the diagnostic accuracy and the observer agreement more effectively than the other processing procedures.

• 구강회복응용과학지
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• 제26권3호
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• pp.285-296
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• 2010

본 연구에서는 영상처리 기술을 활용한 치과용 로봇 조명장치를 개발하여 그 정확도를 측정하여 보고자 한다. 본 연구를 통해 개발된 치과용 로봇 조명장치는 환자의 얼굴을 카메라로 인식을 하여 구강의 위치를 찾아 로봇이 움직여 라이트를 비추게 하는 것으로서 모션 제어 부, 라이트 제어 부, 영상 처리부로 구성되어 있다. 카메라로 영상을 획득 후 동작변화 영상을 추출 한 다음 아다부스트 알고리즘(Adaboost algorithm)을 통해, 얼굴 검출에 필요한 특징을 추출하여 실시간으로 얼굴 영역을 검출하도록 하였다. 영상처리를 통한 환자 구강의 추출 실험 시 정면영상에서 높은 얼굴인식률을 나타냈고 얼굴영역이 인식이 되면, 안정적인 라이트 로봇 암(Light robot arm)의 제어가 가능했다.

• Imaging Science in Dentistry
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• 제44권1호
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• pp.31-35
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• 2014

Purpose: This study was performed to investigate the effect of image enhancement of periapical radiographs according to the diagnostic task. Materials and Methods: Eighty digital intraoral radiographs were obtained from patients and classified into four groups according to the diagnostic tasks of dental caries, periodontal diseases, periapical lesions, and endodontic files. All images were enhanced differently by using five processing techniques. Three radiologists blindly compared the subjective image quality of the original images and the processed images using a 5-point scale. Results: There were significant differences between the image quality of the processed images and that of the original images (P< 0.01) in all the diagnostic task groups. Processing techniques showed significantly different efficacy according to the diagnostic task (P< 0.01). Conclusion: Image enhancement affects the image quality differently depending on the diagnostic task. And the use of optimal parameters is important for each diagnostic task.

• Restorative Dentistry and Endodontics
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• 제23권1호
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• pp.110-140
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• 1998

One of the problems facing in all modern dental hospitals is the much efforts, manpower and space are needed to effectively sort and stack patients' charts of the various dental departments. In addition, the storage and prompt arrangement of x-ray films is also a problem. Therefore, if dental charts as well as films could be computerized, it would be easier to store and keep them; by data basing, many space, manpower and cost would be saved: data could also be effectively managed for the purpose of academic researches. This would be an epoch -making event in the development of dental hospital management. The purpose of this study is to develop a dental information processing program, that will be used to store dental treatment records and digital image data using a new record media, the optical card. The patients' charts from the dental hospital were selected. The treatment records of the chart were put into the treatment data -recording area of the program, and the digital images of various dental x-ray films were made with a scanner. These data were stored in the optical card and analyzed to get the following results: 1. In this program it is possible to put treatment records and image data into and out from the optical card, and it is impossible to correct and delete all data recorded on the optical card. 2. All data in the optical card system can be searched and analyzed on database. 3. The resolution of image data stored in optical card is above 5.9 lp/mm. 4, All data of dental charts used as samples, stored to optical cards, occupies average 14%, In conclusion, with the development of the storage system using the optical card, a dental patient's life-time treatment record can be stored in one optical card and used as a substitute for the dental chart.

• Imaging Science in Dentistry
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• 제42권3호
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• pp.183-190
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• 2012

Purpose: The purpose of this study was to investigate the level of clinical image quality of panoramic radiographs and to analyze the parameters that influence the overall image quality. Materials and Methods: Korean dental clinics were asked to provide three randomly selected panoramic radiographs. An oral and maxillofacial radiology specialist evaluated those images using our self-developed Clinical Image Quality Evaluation Chart. Three evaluators classified the overall image quality of the panoramic radiographs and evaluated the causes of imaging errors. Results: A total of 297 panoramic radiographs were collected from 99 dental hospitals and clinics. The mean of the scores according to the Clinical Image Quality Evaluation Chart was 79.9. In the classification of the overall image quality, 17 images were deemed 'optimal for obtaining diagnostic information,' 153 were 'adequate for diagnosis,' 109 were 'poor but diagnosable,' and nine were 'unrecognizable and too poor for diagnosis'. The results of the analysis of the causes of the errors in all the images are as follows: 139 errors in the positioning, 135 in the processing, 50 from the radiographic unit, and 13 due to anatomic abnormality. Conclusion: Panoramic radiographs taken at local dental clinics generally have a normal or higher-level image quality. Principal factors affecting image quality were positioning of the patient and image density, sharpness, and contrast. Therefore, when images are taken, the patient position should be adjusted with great care. Also, standardizing objective criteria of image density, sharpness, and contrast is required to evaluate image quality effectively.

• 치과방사선
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• 제7권1호
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• pp.27-30
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• 1977

To insure accuracy in dental roentgenographs, it is important that the patient's head position and angulation of the x-ray tube. In 1907 Cieszynski applied the rule of isometry to dental radiography and established that in the production of an accurate image of a tooth, the central ray must be porjected perpendicularly to a plane bisecting angle formed by the longitudinal axis of the tooth and the film plane. Proper exposure of the film is a part of the production of a good dental radiograph, and correct processing also makes an essential contribution to the quality of the radiograph. The author analysed the failure of exposure and processing results, and recommended followings. 1. The patient head must be positioned that occlusal plane are parallel with the horizontal floor. 2. Central ray must be projected to the objective tooth and supporting structure and projected as perpendicularly to tooth axis and film surface as possible. 3. In processing, the temperature of the solution and the processing time must be correct.