• 한국인터넷방송통신학회논문지
• /
• 제12권5호
• /
• pp.39-54
• /
• 2012

오늘날 의료정보화 수준향상과 디지털 병원화의 흐름에 따라 PACS는 의료기관의 핵심 인프라 중 하나로 자리매김하였다. 이와 함께 생산되는 디지털 의료영상의 종류 및 의료영상 데이터가 양적으로 급증하고 있으며, 이는 의료영상 데이터의 효과적인 보관을 위한 의료영상 압축을 중요한 요소로 부각시킨다. 현재 의료영상에 관한 사실상의 표준인 DICOM 규격에서는 의료영상 압축을 위하여 무손실 압축기법인 RLE를 명시하고 있으나, 무손실 범용 압축기법인 RLE는 인체의 대칭성을 가지는 많은 의료영상에 적용하면 높은 압축율 기대하기 힘들다. 이 논문에서는 다양한 의료영상 중 대칭 특성을 크게 내포하는 뇌 CT 영상을 대상으로 하여 영상 내 관심영역을 검출하고 대칭특성에 따라 영상의 픽셀 값을 재코딩하는 전처리 하고 영상을 압축하는 기법을 제안한다. 실험에 의하면, 제안한 기법은 RLE 압축과 영상 내 관심영역을 검출하지 않고 압축할 때와 비교하여 높은 압축률을 보인다.

• 대한디지털의료영상학회논문지
• /
• 제9권2호
• /
• pp.5-9
• /
• 2007

As developing the medical treatment image portion with the change of these times, PACS, which is able to digitalize image portion data, has a lot of data-based image data. Applying this PACS, we would like to settle down RNSXI(real-name shooting X -ray of inspector) system. We interviewed with P ACS's operators of university hospitals which is using PACS in Seoul about the present conditions whether using of RNSXI or not. And we inquired the RNSXI equipments, applying PACS database, and Interface conditions undertook to do in our hospital. All university hospitals in Seoul are set up the P ACS system. But no hospital use the RNSXI. In our hospital, we can check inspector' name or initials who exposure x-ray with the PACS Viewer by looking over equipments(CR, DR, US, MG, MR, CT) and Interface of the DICOM Header data. However, some equipments like RF and Angio can not check inspector' name or initials. Under the Film/System environment, RNSXI system has been used frequently like that inspector's signature or initial added to a patient data. Though the digital medical treatment was developed, RNSXI system was declined. It is necessary to using RNSXI system in order to improving radiologists' rights, even if it is not under the application of the medical treatment image laws. If RNSXI system use, radiologists should specialize in their major and the Repeat rate should be reduced. In environment of PACS, RNSXI system can be used by linking both the equipments and the Interface with a production enterprise of P ACS. Therefore RNSXI system applying the P ACS datebase should settle down in our medical system for being provided lots of data.

• 대한디지털의료영상학회논문지
• /
• 제6권1호
• /
• pp.31-40
• /
• 2003

Purpose : In a PACS(Picture Archiving Communications System) environment, which is a very important component in a digital medical environment, the compression of digital medical images is a necessary and effective feature. In a current system where JPEG is applied to the compression of medical images, this study is to examine effectiveness and suitability when the JPEG2000, a more advanced compression algorithm for still images, is applied to the compression of medical images. In this thesis, we attempt to address the compressibility for effective clinical usage when compressing medical images, applying the objectivization of clinical evaluation as a function of compressibility. In the experiment al method, the compression was applied at a fixed rate using JPEG2000, and the n the result was compared with compressed images by JPEG. Method : For the performance evaluation, we choose SNR(Signal to Noise Ratio) measurement of an objective evaluation of definition and analyze a subjective evaluation by the ROC(Receiver Operating Characteristic) method. The results of the experiment showed that in the case of JPEG2000 there is hardly any distortion of images, even at high compression ratio(100:1), while regarding noise, the SNR remains around about 40dB, which is also relatively high. Before reading by reference to evaluative materials concerning objective compressed images, it is impossible to apply high compression to images : however, after reading, this can be applied to images that have already existed for some time.

• 대한디지털의료영상학회논문지
• /
• 제3권1호
• /
• pp.2-5
• /
• 1997

• 대한디지털의료영상학회논문지
• /
• 제8권1호
• /
• pp.45-49
• /
• 2006

• 한국의학물리학회지:의학물리
• /
• 제21권4호
• /
• pp.360-366
• /
• 2010

최근 정밀한 암 치료를 위해 방사선 치료기술이 강도변도 방사선치료, 영상유도 방사선치료 등의 눈부신 발전을 이루어 왔다. 2000년 이후로는 치료실에서 환자의 실제 치료위치를 정확히 파악하여 정밀한 치료를 가능하게 하는 영상 유도방사선 치료기술이 사용되고 있으며 가장 중요한 기술 중 하나가 방사선 치료 전에 다양한 방법의 의료 영상을 이용하여 환자의 치료 위치를 보정하는 것으로 가장 최근의 기술로는 선형가속기에 장착된 2차원 평면검출기를 이용한 콘빔CT (Cone Beam CT: CBCT)가 사용되고 있다. 본 연구에서는 기존의 CBCT의 "half fan" 조건에서 획득된 projection영상을 이용하여 360도 회전한 모든 영상이 아닌 제한된 각도에서 획득한 투사영상을 이용하여 환자의 해부학적 정보를 볼 수 있는 디지털 영상합성영상(Digital Tomosynthesis) 기술을 구현하였고 실제 위치교정을 위해 촬영된 환자 데이터를 이용하여 방사선 치료 환자 위치 교정을 위한 효용성을 검증하였다. 그 결과 동일 단층상에서의 해부학적 정보 표현에서 CBCT 영상과 비교하였을 때 유사성을 보였고 선량적인 측면에서 우월성을 나타냈다. 이러한 DTS의 장점을 극대화 하고 최적화가 이루어진다면 방사선 치료 위치 보정용으로 CBCT를 대체 할 수 있는 기술이 될 수 있을 것이라 기대한다.

• 대한디지털의료영상학회논문지
• /
• 제13권1호
• /
• pp.13-20
• /
• 2011

Now a days in our society, occupation boundaries have become blurred, and come into the limelight in the prior occupation or miss about new workplace. Medical area is no exception also, So we face urgent problem about protecting and spreading RT work-sphere simultaneously. This research allow to identify on RT role area of digital environment that is obscure profession-realm specially, and open up a new field hereafter. We examined present RT role area of digital environment in the more than thirty medical facility(general or university hospital) through questionnaire/visit survey from PACS administrator. Survey sentence comprises total 29 sentence over all main quadrisection-(eX. hospital formation & treatment state and PACS team composition & organization and PACS team workplace and PACS team daily workload), We performed comparative analysis in general contents perspectively. further more, divided main 5 section based on upper analysis and then manufactured output in consideration of each medical facility's operation state. There are comparative problem of hospital policy, So we maintained information security of each facility exhaustively. First, we separated a survey output into main 5 section as follows-(eX. PACS server & maintenance manage, Client/interlock manage, PACS data conversion, 3D reconstruction, PACS data im/export)-that received by 35 medical facility. And then manufactured output with comparative analysis about RT role area each section, general IT managing team about medical environment was out of existence that fill up with RT manpower in the surveyed medical facility consequently. What is worse, hospitals that entirely fill up with another worker were 3 place amazingly. Our specific statistic results show, the respondents was 63% that agree with reorganization of formation base on independence team, and supplement of the personnel average -continuous with upper agreement simply-was about 2.64. Further more, if reorganization break out with only RT manpower, quota TO will increase by geometric progression. Protecting and spreading role workplace is much accounted of the our inevitable project surely and more than 95% PACS administrator's have confidence in this proposition unconditionally. Henceforth, look forward to meeting the RT vision of many-sided multiplayer, based on acquire a specialized IT knowledge actively and open up a new work-field with frontier spirit.

• 대한예방한의학회지
• /
• 제28권1호
• /
• pp.31-42
• /
• 2024

Objective : In order to understand the changes in domestic approval regulations applicable to traditional Korean medical device companies, this article will explain the major amendments 「Regulation on Medical Device Approval Report Review, etc.」 from 2005 to the present on a year-by-year basis, and provide a counter plan to the recent changes in approval regulations. Methods : We analysed the changes in approval regulatory amendments related to the traditional Korean medical devices from 2005 to the present. Results : The Ministry of Food and Drug Safety is continuously improving medical device approval regulations to ensure the global competitiveness of domestic medical devices and contribute to the improvement of public health. Recent major approval regulatory amendments include the establishment of a review system for software medical devices and digital therapeutics, the recognition of real world evidence materials, the introduction of a biological evaluation of medical devices within a risk management process and a medical device approval licence renewal system. Conclusions : It is expected that the range of medical devices available to Korean medicine doctors will continue to expand in the future through the provision of non-face-to-face medical services and the development of advanced and new medical devices, as well as wearable medical devices and digital therapeutics. In order to increase the market entry potential of traditional Korean medical devices that incorporate advanced technologies such as digital technology and AI-based diagnosis and prediction technology, it is urgent that the government provide significant support to traditional Korean medical device companies to improve approval regulatory compliance.

• 디지털융복합연구
• /
• 제10권4호
• /
• pp.243-250
• /
• 2012

본 논문에서는 환자의 개인정보를 병원서버에 저장하지 않고 국민건강보험공단 서버에 저장함으로써 개인정보를 보다 안전하게 저장하고, 병원과 환자간의 의료분쟁을 좀 더 원활하게 해결하기 위한 프로토콜을 제안한다. 제안한 전자의무기록에 대한 프로토콜 설계는 RSA의 공개키 알고리즘을 이용한 방식과 DSA의 전자서명을 이용한 방식을 이용하여 설계한다. 또한 통합인증기관을 이용하여 보다 안전하고 신뢰하는 전자의무기록을 구축한다. 제안한 의료정보시스템은 의료인과 환자간의 신뢰관계 확보 및 의료분쟁 시 증거 자료를 제공하고 더 나아가 의료사고를 좀더 줄이고 다양한 응용분야에서 효율적으로 사용될 것이다.

• Archives of Reconstructive Microsurgery
• /
• 제9권2호
• /
• pp.158-163
• /
• 2000

Over the past several years, countless patients have benefitted from the use of leeches in microsurgery. As we know, leeches are used to overcome the problem of venous congestion by creating prolonged localized bleeding uniquely characteristics of leech bite. Venous congestion, a common complication of digital replantation, often has been treated through surgical repair like arteriovenous anastomosis. The leech produces a number of important substances which contribute to the special property of the bite, including an anticoagulant, a local vasodilator and local anesthetics. The bite usually bleeds for 1 to 2 hours and under special circumstances may bleed for up to 24 hours. So venous congestion is relieved. However, leeches increase the possibility of infection through their gut content. Infection associated medical leech application is significant risk. Other risk include allergic reaction, adverse psychologic reaction and blood loss requiring transfusion. The 65 cases of medical leech application were performed between August, 1997 and May, 2000 according to an established protocol. The complication were 18 cases ; infection (13 cases), hemorrhage (2 cases), allergic reaction (1 case), psychologic problem (1 case) and hypochromic anemia (1 case). Then our study was performed on the base of indication. As a result, Aeromonas hydrophilia was cultured from gut of medical leech and Klebsiella, Staphylococcus and Pseudomonas were cultured from media. We present the clinical risk-benefit of the medical leech therapy through several cases following digital replantation.