• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2005년도 추계학술대회 논문집
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• pp.244-247
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• 2005

Although several artificial disc designs have been developed for the treatment of discogenic low back pain and used clinically, biomechanical change with its implantation seldom studied. To evaluate the effect of artificial disc implantation on the biomechanics of lumbar spinal unit, nonlinear three-dimensional finite element model of L1-L5, S1 was developed and strain and stress of vertebral body and surrounding spinal ligaments were predicted. Intact osteoligamentous L1-L5, S1 model was created with 1-mm CT scan of a volunteer and known material property of each element were applied. This model also includes the effect of local muscles which was modeled with pre-strained spring elements. The intact model was validated with reported biomechanical data. Two models implanted with artificial discs, SB Charite or Prodisc, at L4/5 via anterior approach were also developed. The implanted model predictions were compared with that of intact model. Angular motion of vertebral body, force on spinal ligaments, facet joint contact force with $2\sim12$ Nm flexion-extension moment.

• Journal of Acupuncture Research
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• 제15권2호
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• pp.301-310
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• 1998

Infrared thermographic imaging visualizes noninvasively various abnormal condition by detecting the skin temperature. As the imaging represents the objective condition by the changes in blood flow under the control of autonomic nervous system, it is used to diagnosis and monitor the lumboscral radiculopathy. And asymmetry is important in the diagnosis of disc herniation. The most common type of disc herniation occurs psoterolaterally. This frequently causes nerve root compression leading to a radiculopathy in the distribution of the involved nerve root, most of which also provoke the asymmetric changes in thermography. Central disc herniation, which accounts for 5% to 35% of disc herniation, is typically associated with low back pain. But radiculopathy is usually abscent unless central disc heriniaton is large enough to cause compression of the cauda equina. To evalute the diagnostic value of the thermographic imaging in the diagnosis of central disc herniation, the imaging of 15 normal subjects and 48 patients with central disc herniation documented by CT scan were analyzed. The patients had either bilateral radiculophathy or no radiculopathy. The imaging of patient group with non rediculopathy did not show any significant thermal difference to control. While bilateral radiculopathy group reveled hypothermic pattern compared twith control. Thermal difference between left and right side did not present any significance in non radiculopathy group but hypothermia in bilateral radiculopathy group. Large herniation group demonstrated hyperthemic pattern while the others showed no significant change. Cranial caudal thermal difference did not show any difference between experiment groups. These results shows that infrared thermographic imaging can be used central disc herniation with bilateral radiculopathy, while it seems to little useful on the diagnosis of non radiculopathic disc herniation.

• 한국지반공학회:학술대회논문집
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• 한국지반공학회 2010년도 춘계 학술발표회
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• pp.562-570
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• 2010

This study was conducted to estimate the number of disc cutter consumption and to predict amount of disc cutters when a shield TBM(Tunnel Boring Machine) of the Han Riverbed Tunnel was applied. In fact, it is almost impossible to change the machine after starting the excavation using the shield TBM method. Therefore, it is important to design an appropriate equipment in the shield method - an efficiency choice of the operation equipment plays a key role in the shield tunnel processing. For the above reason, the disc cutter consumption prediction is quite important so that the detailed analysis is required. A number of disc cutter consumption was predicted by the three methods, viz. KOMATSU, MITSUBISHI and NTNU. In addition, the predicted results were compared with field data. The prediction of disc cutter consumption showed that 237 for KOMATSU, 501 for MITSUBISHI, and 634 for NTNU, respectively. However, a total number of 1,263 disc cutter consumption were investigated during the tunnel construction. It was found that there was a huge difference between the predicted and real values of the disc cutter consumption. The more detailed investigation showed that the disc cutter was worn out bluntly in the northbound tunnel, meanwhile it was worn out sharply in the southbound tunnel. In particular, the disc cutter consumption in the southbound tunnel was increased rapidly because of rear abrasion for remaining mucks in the chamber.

• 한국임상수의학회지
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• 제39권6호
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• pp.334-341
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• 2022

A decrease in the paraspinal muscle cross-sectional area (CSA) and functional cross-sectional area (FCSA) are associated with low back pain and disc herniation in humans. This study examined whether chronicity or lateralization of disc herniation affects the CSA and FCSA of the paraspinal muscles. The CSA and FCSA of the paraspinal muscles between the 12th and 13th thoracic vertebrae were measured in 31 dogs with intervertebral disc herniation (IVDH). The muscle CSA and FCSA were evaluated by dividing the values of the body weight, spinal disc CSA, and spinal canal CSA to offset the differences in body type between subjects. In the chronic IVDH group, the ratio of the paraspinal muscle CSA divided by the body weight was significantly lower, and fat infiltration in the paraspinal muscle was significantly higher than in the acute group. The lateralization of the disc herniation was significantly related to the changes in the paraspinal muscle CSA. In the right-sided disc herniation group, right epaxial muscle CSA was significantly reduced compared to the left-sided disc herniation group. The change in the paraspinal muscle might be a helpful indicator to localize less obvious disc pathologies and target the search for the pathology responsible for disc-related symptoms in dogs.

• 정보저장시스템학회논문집
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• 제2권3호
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• pp.196-200
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• 2006

We are developing a phase change etching technology using an inorganic photoresist of GeSbTe film which is the recording material of the phase change disc. A selective etching phenomenon between amorphous and crystalline states can be utilized with an alkaline etchant. Phase-change pits could be formed using this technique, in which the etching selectivity is strongly dependent on the concentration of the etchant. The degree of etching was investigated by the transmittance between crystalline and amorphous films after the wet-etching. The pits patterned on the disc could be observed by AFM after wet-etching.

• 대한방사선기술학회지:방사선기술과학
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• 제30권4호
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• pp.407-417
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• 2007

과거로부터 사회 경제학적인 문제로 주목을 받고 있는 요통은 노화와 유의한 관계가 있음이 보고되고 있으며, 이러한 노화에 의해 추간판의 여러 형태 조직학적 변화도 이미 여러 연구를 통해 보고되었으나 노화에 따른 추간판의 크기 변화에 대한 연구와 이러한 추간판의 변화가 요통과 관련이 있는지에 대한 연구는 거의 이루어지고 있지 않고 있는 실정이다. 이에 본 연구는 노화에 의한 추간판 변인의 변화를 알아보고, 이런 요인들이 정상 피검자와 요통 환자 사이에 차이가 있는지를 MRI 실계측에 의해 알아보고자 수행하였다. 본 연구는 근골격계 질환이 없는 20대$\sim$60대의 정상 성인 50명과 $20{\sim}60$대 요통 환자 50명을 대상으로 L4-5, L5-S1 추간판의 가로 직경, 세로 직경 그리고 면적을 MRI 영상을 통해 실계측하여 노화에 따른 변화와 정상 피검자와 요통 환자 사이의 차이를 비교하는 방식으로 진행하였다. 본 연구 결과 L4-5와 L5-S1 추간판의 가로 및 세로 직경, 면적은 노화에 의해 의미 있는 증가 경향을 보였으며 정상 피검자에 비해 요통 환자의 추간판 변인들이 큰 것을 확인하였다. 따라서 추간판의 크기 변화는 노화에 의한 자발적인 변화이며, 요통 환자의 추간판 변인 증가를 요통 진단에 참조할 수 있는 자료로 사용할 수 있을 것으로 사료되나, 차후 광범위한 피검자를 대상으로 하는 보다 폭넓고 다각적인 연구가 필요한 것으로 사료된다.

• 한방재활의학과학회지
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• 제28권4호
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• pp.33-41
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• 2018

Objectives The purpose of this study is to analyze the effects of Korean Medicine treatment on lumbar disc herniation (LDH) and predictive factors associated with disc resorption by magnetic resonance imaging (MRI). Methods A retrospective study was carried out in 79 lumbar disc herniation patients who had visited Haeundae Jaseng Hospital of Korean Medicine. Patients' diagnosis was based on MRI. MRI was performed on two or more occasions and patients were received Korean Medicine treatment within the period. The volume of each herniated disc was measured three-dimensionally and patient characteristics, interval between MRIs, herniated disc level, disc herniation type, disc migration, intactness of posterior longitudinal ligament (PLL), initial volume of herniated disc, modic change, disc resorption rate were statistically analyzed. Results The mean volumes of herniated discs before Korean Medicine treatment and after Korean Medicine treatment were $1,547.81{\pm}598.15mm^3$ and $947.06{\pm}335.28mm^3$, respectively. The mean resorption rate was $35.7{\pm}16.3%$. Disc extent, intactness of PLL and initial volume of herniated discs were significantly correlated with resorption rate (p=0.003, p=0.001 and p=0.024, respectively). Conclusions Korean Medicine treatment is an effective conservative treatment for lumbar disc herniation. Factors such as disc migration, intactness of PLL, initial volume of herniated disc have a significant association with disc resorption rate.

• The Korean Journal of Pain
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• 제34권4호
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• pp.447-453
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• 2021

Background: Provocative discography (PD) is a test that is useful in diagnosing discogenic pain (DP). In this study, to diagnose DP, we used a posterolateral approach of needle placement and followed pressure criteria laid down by the Spine Intervention Society. The aim was to identify the correlation between magnetic resonance imaging (MRI) findings (desiccation, high intensity zone and change in shape and size of the disc) and the results of PD. Methods: Records of 50 patients who underwent PD for DP were analyzed. A total of 109 PDs were performed, with 54 suspect and 55 control discs. Alternate pain generators were ruled out. Results: A total of 35 suspect discs were positive on PD. The mean disc pressure in the suspect disc was 31.9 ± 7.9 psi (range, 15-44). Of the 50 patients who underwent PD, 35 had positive MRI findings. A significant positive correlation was found only between disc desiccation and discography result (r = 0.6, P < 0.001). Logistic regression analysis revealed that only desiccation successfully predicted the result of discography (OR = 26.5, P < 0.001); a high intensity zone and a disc protrusion/extrusion had an OR 2.3 and 1.24, respectively. Disc desiccation of Pfirmann grade 3 or more had a sensitivity and specificity of 0.93 and 0.64 respectively in identifying painful discs; the positive likelihood ratio was 2.58 while the negative likelihood ratio was 0.11. Conclusions: In patients with DP, disc desiccation is the most useful MRI feature that predicts a painful disc on PD.

• 한국추진공학회:학술대회논문집
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• 한국추진공학회 2011년도 제37회 추계학술대회논문집
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• pp.481-487
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• 2011

본 논문은 파열판 시험결과와 유한요소해석 결과를 비교하기 위한 것이다. 파열판은 고압장치에서 안전장치로 사용하고 있으며, 추진기관에서는 파열을 임의로 제어하기 위한 장치로서 사용한다. 탄소성 물성치를 이용하여 재해석을 수행한 이유는 탄소성 해석을 사용하여 압력용기 파열판의 한계하중 계산결과를 검증하고 임의의 형상에 대한 파열판의 한계하중을 계산하기 위한 것이다. 본 논문에서는 내식성이 우수한 고연성 소재인 AISI 316L을 이용하여 제작한 파열판의 파열시험을 수행하였다. 결과를 통하여 파열판의 크기에 대한 파열압력의 변화를 확인하고 유한요소해석 결과를 비교하여 탄소성 물성의 수정을 통해 정확성을 향상시켰으며, 임의의 형상에 대한 파열판 해석을 수행함으로써 계산 결과를 검증하였다.

• 대한추나의학회지
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• 제2권1호
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• pp.85-92
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• 2001

Objectives : To study the cervical lordosis and disc degeneration in neck pain patients with or without low back pain. Subjects. The study was composed of 57 neck pain patients with low back pain(LBP group) and 40 neck pain patients without low back pain(Non-LBP group). Methods : Radiographic measures of spinal lordosis(cervical and lumbar) and disc degeneration were collected, and statistically analyzed. Results: LBP group showed a significant increase in cervical lordotic angle as compared with Non-LBP group, whereas no significant change in cervical disc degeneration. A relationship was found between cervical and lumbar disc degeneration in LBP $group({\gamma}-0.3064)$. Conclusions : The findings from this study suggest that the curvature of the cervical spine is related to the subject's low back pain.