• Title/Summary/Keyword: Digital subtraction

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Evaluation of marginal bone loss around platform-switched implants by digital subtraction radiography (디지털 공제술을 이용한 platform switching 임플란트의 변연골 소실에 대한 연구)

  • Kim, Chi-Yoon;Kim, Sung-Sook;In, Hee-Sun;Kim, Yu-Lee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.31 no.1
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    • pp.33-44
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    • 2015
  • Purpose: This study is to evaluate the clinical significance of the platform switching concept by comparing the marginal bone loss around platform-matched and platform-switched implants. Materials and Methods: Date of implant placement, diameter, length, implant-abutment connection type and absence of splinting prosthesis were investigated on patients who performed treatment with implant placement at Wonkwang University Dental Hospital Implant Center. To measure the marginal bone loss around implants, periapical radiographs of patient were used when implant was placed and when visited the center most recently by using the program, Emago advanced v5.6. Results: As a result of observing on 150 implants of 82 patients for 6 - 63 months, platform-matched implants showed $1.16{\pm}0.54mm$, platform-switched implants showed $0.68{\pm}0.27mm$ of marginal bone loss. Conclusion: It was considered that there is the positive effect to reduce marginal bone loss around platform-switched implants.

ALVEOLAR BONE LOSS & BONE DENSITY CHANCES DURING THE FIRST YEAR A COMPARATIVE STUDY ON FOUR TYPES OF ROOT-FORM ENDOSSEOUS DENTAL IMPLANT SYSTEMS (치근형 골내 임플란트의 초기 1년간 치조골 소실 및 골 밀도 변화에 관한 연구)

  • Jung Young-Chul;Han Chong-Hyun;Lee Keun-Woo
    • The Journal of Korean Academy of Prosthodontics
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    • v.32 no.3
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    • pp.455-469
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    • 1994
  • Regular radiographic examination has been considered an essential diagnositic method for osseointegrated dental implantation. This study investigated marginal bone loss through the measurement on periapical radiographs and changes in bone density through digital subtraction image radiographic method around 88 endoseous root-form dental implants in 43 human subjects. Four types of endosseous dental implants were investigated : Standard series, Mini series and Hex-lock system of Steri-Oss Dental implant system, and $Br{\aa}nemark$-type implant from 3i dental implant system, in a 3 month interval for a total period of 12 months. The results were as follows : 1. Rapid bone loss occurred in the first 3 months in all 4 groups, and the bone level stabilized at the first thread of the implant fixtures. Amount of bone loss for 12 months showed correlation with the length of the polished neck portion. 2. Most of the implant systems showed resorption of alveolar bone up to the polished neck portion although a long polished neck could delay the resolution. 3. Alveolar bone loss apical to the polished neck portion stabilized at the first thread of the fixtures with no correlation to either the time of exposure of the polished neck or types of implant systems. 4. No changes in bone density around the implant threads were observed throughout the experimental period. Bone density decreased at the marginal bone, and increased at the newly-formed alveolar crest. These results indicate that most of the alveolar bone loss occur within the first 12 months after installation of endosseous root-form dental implants resulting in the exposure of polished neck portions, and the bone level stabilizes thereafter at the first thread portions of the implant fixtures. The experimental period of 12 months seems insufficient for observing changes in bone density, and a long-term observation should be needed.

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Three-Dimensional Digital Subtraction Angiography (디지털 혈관 조영술 영상의 3차원적 해석)

  • 이승지;김희찬
    • Journal of the Korean Institute of Telematics and Electronics
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    • v.20 no.1
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    • pp.63-71
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    • 1983
  • A dye-edge tracking algorithm was used to determine the corresponding points in the two images(anterior-posterior and lateral) of the digital subtraction biplane angiography. This correspondence was used to reconstruct three dimensional images of cerebral artery in a dog experiment. The method was tested by comparing the measured image of oblique view with the computed reconstructed image. For the present study, we have developed three new algorithms. The first algorithm is to determine the corresponding dye-edge points using the fact the dye density at the moving edge avows the same changing pattern in the two projection views. This moving pattern of dye-edge density is computed using a matching method of cross-correlation for the two sequential frames' dye density. The second algorithm is for simplified perspective transformation, and the third one is to identify the specific corresponding points on the small vessels. The present method can be applied to compute the blood velocity using the dye-edge displacement and the three- dimensional distance data.

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Right Pulmonary Artery Agenesis -A Case Report- (우측 폐동맥 형성부전증 -수술치험 1례-)

  • Sin, Dong-Geun;Kim, Min-Ho;Kim, Gong-Su
    • Journal of Chest Surgery
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    • v.30 no.1
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    • pp.108-111
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    • 1997
  • Congenital unilateral agenesis of pulmonary artery is a rare anomaly and it usually occurs in association with other cardiac anomaly such as tetralogy of Fallot. Since most patients affected by this defect without associated congenital cardiac anomaly or pulmonary Infection are asymptomatic, the clinical diagnosis of this anomal is first recognized by a characteristic pattern in chest roentgenogram taken as a routine checking; the findings on chest film consists of cardiac and mediastinal displacement, absence of the pulmonary arterial shadow, smaller hemithorax, and elevationof the hemidiaphragm, all on the affected side. We experienced rlght pulmonary artery agenesis in a 48 year-old male, who complained of massive hemoptysis, and it was diagnosed by digital subtraction pulmonary arteriogram and perfusin scan, and treated by right middle and lower lobe bi-lobectomy, and we report this case with the review of relevant literatures.

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Morphological and Hemodynamic Parameters for Middle Cerebral Artery Bifurcation Aneurysm Rupture Risk Assessment

  • Qin, Hao;Yang, Qixia;Zhuang, Qiang;Long, Jianwu;Yang, Fan;Zhang, Hongqi
    • Journal of Korean Neurosurgical Society
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    • v.60 no.5
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    • pp.504-510
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    • 2017
  • Objective : To investigate the morphological and hemodynamic parameters associated with middle cerebral artery (MCA) bifurcation aneurysm rupture. Methods : A retrospective study of 67 consecutive patients was carried out based on 3D digital subtraction angiography data. Morphological and hemodynamic parameters including aneurysm size parameters (dome width, height, and perpendicular height), longest dimension from the aneurysm neck to the dome tip, neck width, aneurysm area, aspect ratio, Longest dimension from the aneurysm neck to the dome tip (Dmax) to dome width, and height-width, Bottleneck factor, as well as wall shear stress (WSS), low WSS area (LSA), percentage of LSA (LSA%) and energy loss (EL) were estimated. Parameters between ruptured and un-ruptured groups were analyzed. Receiver operating characteristics were generated to check prediction performance of all significant variables. Results : Sixty-seven patients with MCA bifurcation aneurysm were included (31 unruptured, 36 ruptured). Dmax (p=0.008) was greater in ruptured group than that in un-ruptured group. D/W (p<0.001) and the percentage of the low WSS area ($0.09{\pm}0.13$ vs. $0.01{\pm}0.03$, p<0.001) were also greater in the ruptured group. Moreover, the EL in ruptured group was higher than that in unruptured group ($6.39{\pm}5.04$ vs. $1.53{\pm}0.86$, p<0.001). Multivariate regression analysis suggested D/W and EL were significant predictors of rupture of MCA bifurcation aneurysms. Correlation analyses revealed the D/W value was positively associated with the EL (R=0.442, p<0.01). Conclusion : D/W and EL might be the most two favorable factors to predict rupture risk of MCA bifurcation aneurysms.

Source Image Based New 3D Rotational Angiography for Differential Diagnosis between the Infundibulum and an Internal Carotid Artery Aneurysm : Pilot Study

  • Jang, Hyeongyu;Jung, Woo Sang;Myoung, Seong Uk;Kim, Jung-Jae;Jang, Chang Ki;Cho, Kwang-Chun
    • Journal of Korean Neurosurgical Society
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    • v.64 no.5
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    • pp.726-731
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    • 2021
  • Objective : Distinguishing between an infundibulum and a true aneurysm is clinically important. This study aimed to evaluate whether using source image based new three-dimensional rotational angiography (S-n3DRA) can increase the rate of aneurysm detection and improve distinction between a true aneurysm and an infundibulum. Methods : Twenty-two consecutive patients with 23 lesions, were evaluated by time-of-flight (TOF) magnetic resonance angiography (MRA), S-n3DRA, and digital subtraction angiography (DSA). The data were retrospectively and independently reviewed by two neurointerventionists, and the diagnoses based on TOF MRA, S-n3DRA, and DSA were compared. The diagnostic efficacy (interobserver agreement and diagnostic performance) of S-n3DRA was compared with that of TOF MRA. Results : S-n3DRA showed higher interobserver agreement (κ=0.923) than TOF MRA (κ=0.465) and significantly higher accuracy than MRA in distinguishing an aneurysm from an infundibulum (p=0.0039). Conclusion : Compared to MRA, S-n3DRA could provide better screening accuracy and information for distinguishing an aneurysm from an infundibulum. Therefore, S-n3DRA has the potential to reduce the need for DSA.

Effect of Reducing Scattering Radiation Exposure of Medical Staffs When Additional Shielding is Used in Interventional Radiology (중재적 방사선시술에서 부가 차폐체 사용 시 종사자의 산란선 피폭 감소효과)

  • Kim, Min-Jun;Baek, Kang-Nam;Kim, Sungchul
    • Journal of radiological science and technology
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    • v.44 no.6
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    • pp.629-633
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    • 2021
  • This article is designed to look into the radiation exposure dose to each body part and the shielding effect for workers using an additional shielding to reduce their radiation exposured by scattering radiation which is generated in a space between the operating table and lead curtain during interventional radiology(IR) procedures. After placing a human phantom on the table of SIEMENS' angiography machine, the following measurements were taken, depending on the presence of an additional shield of lead equivalent of 0.25 mmPb, manufactured for this purpose: dose to gonad, dose to an area where the personal dosimeter is placed, and dose to an area of eye lens is located. An ion chamber(chamber volume 1,800 cc) was utilized to measure scattering radiation. The two imaging tests were carried out as follows: fluoroscopy of the abdomen (66 kV, 100 mA, 60 seconds) and of the head (70 kV, 65 mA, 60 seconds); and digital subtraction angiography(DSA) of the abdomen (67 kV, 264 mA, 20 seconds) and of the head (79 kV, 300 mA, 20 seconds). In all the experiments, the shielding efficiency of the gonad position was the largest at 59.8%. In case an additional shielding was used as protection against scattering radiation that came through the operating table and the lead curtain during an IR, the radiation shielding efficiency was estimated to be up to 59.8%, leading to a conclusion that its presence may effectively reduce the radiation exposure dose of medical staffs.

Inferior Vena Cava Stenosis Following Orthotopic Liver Transplantation: Differentiating Points from False Positives (뇌사자 간이식 후 발생한 하대정맥 협착: 위양성과의 감별점)

  • Yeonsoo Choi;Jin Hyeok Kim;Ung Bae Jeon;Joo Yeon Jang;Tae Un Kim;Hwaseong Ryu
    • Journal of the Korean Society of Radiology
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    • v.84 no.3
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    • pp.713-718
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    • 2023
  • Orthotopic liver transplantation has become the treatment of choice for patients with end-stage liver disease. Various early or delayed vascular complications, including arterial pseudoaneurysm, thrombosis, or stenosis, and venous stenosis or occlusion, may lead to graft failure. Early detection and prompt management of such complications are essential to achieve successful transplantation and prevent the need for retransplantation. This report presents differentiating points, using computed tomography and digital subtraction angiography findings and measurement of pressure gradient across the stenotic lesion, that require immediate intervention in patients with inferior vena cava stenosis after orthotopic liver transplantation.

Multi-scale crack detection using decomposition and composition (해체와 구성을 이용한 다중 스케일 균열 검출)

  • Kim, Young Ro;Chung, Ji Yung
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.9 no.3
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    • pp.13-20
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    • 2013
  • In this paper, we propose a multi-scale crack detection method. This method uses decomposition, composition, and shape properties. It is based on morphology algorithm, crack features. We use a morphology operator which extracts patterns of crack. It segments cracks and background using opening and closing operations. Morphology based segmentation is better than existing integration methods using subtraction in detecting a crack it has small width. However, morphology methods using only one structure element could detect only fixed width crack. Thus, we use decomposition and composition methods. We use a decimation method for decomposition. After decomposition and morphology operation, we get edge images given by binary values. Our method calculates values of properties such as the number of pixels and the maximum length of the segmented region. We decide whether the segmented region belongs to cracks according to those data. Experimental results show that our proposed multi-scale crack detection method has better results than those of existing detection methods.

Time-Phased Implementation of a Large-Scale PACS at Samsung Medical Center

  • Ro, Duk-Woo;Choi, Hyung-Sik;Lim, Jae-Hoon;Kim, Won-Ki
    • Proceedings of the KOSOMBE Conference
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    • v.1994 no.12
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    • pp.26-27
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    • 1994
  • The first step implementation of a hospital-wide Picture Archiving Communications System (PACS) at a newly built hospital Samsung Medical Center (SMC), is described. Current clinical operation encompasses the fiber optics delivery of direct-interfaced magnetic resonance imager (LRI), X-ray computed tomography (CT). digital subtraction angiography (DSA) and computed radiography (CR) digital images via high performance file server to the departments of radiology, neurosurgery, orthopedics surgery, neurology, emergency room and the surgical intensive care unit.

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