• Title/Summary/Keyword: Doppler center

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Significance of C-Reactive Protein and Transcranial Doppler in Cerebral Vasospasm Following Aneurysmal Subarachnoid Hemorrhage

  • Hwang, Sung-Hwan;Park, Yong-Sook;Kwon, Jeong-Taik;Nam, Taek-Kyun;Hwang, Sung-Nam;Kang, Hyun
    • Journal of Korean Neurosurgical Society
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    • v.54 no.4
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    • pp.289-295
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    • 2013
  • Objective : Cerebral vasospasm is a common and potentially devastating complication of aneurysmal subarachnoid hemorrhage (aSAH). Inflammatory processes seem to play a major role in the pathogenesis of vasospasm. C-reactive protein (CRP) constitutes a highly sensitive inflammatory marker. Elevation of serum CRP levels has been demonstrated in patients with aSAH. The purpose of the current study was to evaluate the possible relationship between CRP levels in the serum and transcranial Doppler (TCD) and the development of vasospasm in patients with aSAH. Methods : A total of 61 adult patients in whom aSAH was diagnosed were included in the study from November 2008 to May 2011. The patients' demographics, Hunt and Hess grade, Fisher grade, CT scans, digital subtraction angiography studies, and daily neurological examinations were recorded. Serial serum CRP measurements were obtained on days 1, 3, 5, 7, 9, 11 and 13 and TCD was measured on days 3, 5, 7, 9, 11 and 13. All patients underwent either surgical or endovascular treatment within 24 hours of their hemorrhagic attacks. Results : Serum CRP levels peaked on the 3rd postoperative day. There were significant differences between the vasospasm group and the non-vasospasm group on the 1st, 3rd and 5th day. There were significant differences between the vasospasm group and the non-vasospasm group on the 3rd day in the mean middle cerebral artery velocities on TCD. Conclusion : Patients with high levels of CRP on the 1st postoperative day and high velocity of mean TCD on the 3rd postoperative day may require closer observation to monitor for the development of vasospasm.

A Study of Intracranial Hemodynamic Change with Aging (노화에 따른 두개내 혈류의 혈류 동력학적 변화에 관한 연구)

  • Kim Jong-Soon;Kim Byung-Jo;Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.14 no.4
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    • pp.119-130
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    • 2002
  • The purpose of this study was to evaluate hemodynamics of intracranial blood flow for obtain clinically useful reference values and assess cerebral hemodynamics change with aging. 81 normal Korean subjects(age, 14$\thicksim\∼\thicksim$70 years) examined who han no history of neurologic disease and the subjects divided into group A(age, 14$\∼$39 years), group B(age, 40$\∼$59 years) and group C(age, 60$\∼$70 years). Transcranial doppler was use for measured the maximum velocity(Vmax), mean velocity(Vmean), pulsatility index(PI), resistive index(RI), stenosis index(SI) and depth of sample volume. Vmax was 99.1 1cm/s, Vmean was 63.57cm/s, PI was 0.85, RI was 0.56, SI was 31.94 and depth of sample volume was 52.35 in middle cerebral artery. Vmax was 85.54cm/s, Vmean was 52.52cm/s, PI was 0.82, RI was 0.55, SI was 34.48 and depth of sample volume was 73.62 in anterior cerebral artery. Vmax was 75.45cm/s, Vmean was 45.60cm/s, PI was 0.82, RI was 0.58, SI was 36.14 and depth of sample volume was 62.35 in posterior cerebral artery. Vmax was 70.44cm/s, Vmean was 47.07cm/s, PI was 0.87, RI was 0.58, SI was 29.83 and depth of sample volume was 75.23 in basilar artery Vmax was 63.92, Vmean was 42.42, PI was 0.89, RI was 0.58, SI was 29.89 and depth of sample volume was 66.65 in vertebral artery. Vmax and Vmean was significantly decreased with increasing age in middle cerebral artery, anterior cerebral artery, posterior cerebral artery, basilar artery and vertebral artery And PI and RI was significantly increased with increasing age in basilar artery and vertebral artery. And I suggest that transcranial doppler sonography can be used as one of useful clinical tool for detection of cerebral hemodynamics.

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Velocity Measurement of Stream Water Surface Using Microwave (전자파를 이용한 하천수 표면유속 측정)

  • Lee, Sang-Ho;Lee, Han-Gu;Kim, U-Gu
    • Water for future
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    • v.28 no.6
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    • pp.183-191
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    • 1995
  • Applying microwave, a velocity measurement system has been developed in order to measure the velocity of stream water surface. It's main purpose is the measurement for high velocity of flood water. It is under the developing stage of experimental measurement system. The microwave surface velocity meter uses Doppler effects of microwave. It consists of a radio frequency(RF) part and that of signal processing. Thr RF part has the function of microwave oscillation, reception of reflected wave, and determination of Doppler frequency, etc. Signal processing designates amplification, fast Fourier transform, etx. Various measuring experiments were performed at bridges and a spillway of Taechong re-regulation dam with the microwave velocity meter. Verification test was also made through water tank of ship model test at Research Institute of Ships and Ocean Engineering. It shows 4% error inherent in A/D converter and additional several percentage errors from measurement circumstance. The measuring ranges are from 0.5 to 3.5 m/s. The result shows good linear relationship between carriage velocity and measured velocity, thus proves usefulness as a measuring instrument for flood water velocity. The instrument requires overall re-engineering procedure and number of data should be accumulated and analyzed to treat wind effects and random fluctuations of water surface.

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Analytic simulator and image generator of multiple-scattering Compton camera for prompt gamma ray imaging

  • Kim, Soo Mee
    • Biomedical Engineering Letters
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    • v.8 no.4
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    • pp.383-392
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    • 2018
  • For prompt gamma ray imaging for biomedical applications and environmental radiation monitoring, we propose herein a multiple-scattering Compton camera (MSCC). MSCC consists of three or more semiconductor layers with good energy resolution, and has potential for simultaneous detection and differentiation of multiple radio-isotopes based on the measured energies, as well as three-dimensional (3D) imaging of the radio-isotope distribution. In this study, we developed an analytic simulator and a 3D image generator for a MSCC, including the physical models of the radiation source emission and detection processes that can be utilized for geometry and performance prediction prior to the construction of a real system. The analytic simulator for a MSCC records coincidence detections of successive interactions in multiple detector layers. In the successive interaction processes, the emission direction of the incident gamma ray, the scattering angle, and the changed traveling path after the Compton scattering interaction in each detector, were determined by a conical surface uniform random number generator (RNG), and by a Klein-Nishina RNG. The 3D image generator has two functions: the recovery of the initial source energy spectrum and the 3D spatial distribution of the source. We evaluated the analytic simulator and image generator with two different energetic point radiation sources (Cs-137 and Co-60) and with an MSCC comprising three detector layers. The recovered initial energies of the incident radiations were well differentiated from the generated MSCC events. Correspondingly, we could obtain a multi-tracer image that combined the two differentiated images. The developed analytic simulator in this study emulated the randomness of the detection process of a multiple-scattering Compton camera, including the inherent degradation factors of the detectors, such as the limited spatial and energy resolutions. The Doppler-broadening effect owing to the momentum distribution of electrons in Compton scattering was not considered in the detection process because most interested isotopes for biomedical and environmental applications have high energies that are less sensitive to Doppler broadening. The analytic simulator and image generator for MSCC can be utilized to determine the optimal geometrical parameters, such as the distances between detectors and detector size, thus affecting the imaging performance of the Compton camera prior to the development of a real system.

Development of Low-Power Electronic Scanner for 17GHz Band (17GHz 대역의 저출력 Electronic Scanner 개발)

  • Jeong, Seon-Jae;Jeon, Sung-Ho;Lee, Young-Sub;Lee, Kwang-Keun;Yim, Jae-Hong
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.23 no.4
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    • pp.445-452
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    • 2019
  • Today, most detection systems used in the marine industry are the majority of devices operating in the high-power X-band bands. While most detection systems using these frequencies in the X-Band band can expect a wide range of detection performance, they are not suitable for precision detection and have the limitation that they are large and heavy. In this paper, we designed, fabricated and tested an electronic scanner capable of detecting not only the surrounding objects but also the ocean waves at a low power of less than 2W in the 17GHz frequency band of the Ku-Band. A high-performance patch array antenna and Doppler effect were utilized to obtain sufficient detection performance even at low power. As a result of the test, it was confirmed that the performance was sufficiently valuable.

A New Shock Index for Predicting Survival of Rats with Hemorrhagic Shock Using Perfusion and Lactate Concentration Ratio (흰쥐의 출혈성 쇼크에서 관류와 젖산 농도 비를 이용한 새로운 생존 예측 지표 개발)

  • Choi, Jae-Lim;Nam, Ki-Chang;Kwon, Min-Kyung;Jang, Kyung-Hwan;Kim, Deok-Won
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.48 no.4
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    • pp.1-9
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    • 2011
  • Hemorrhagic shock is a clinically widespread syndrome characterized by inadequate oxygenation and supply. It is important to diagnose hemorrhagic shock in its early stage for improving treatment effects and survival rate. However, an accurate diagnosis and treatment could be delayed in the early stage of hemorrhagic shock by evaluating only vital signs such as heart rate and blood pressure. There have been many studies for the early diagnosis of hemorrhagic shock, reporting that lactate concentration and perfusion were useful variables for tissue hypoxia and metabolic acidosis. In this study, we measured both perfusion using a laser Doppler flowmeter and lactate concentration from the volume controlled hemorrhagic shock using rats. We also proposed a new shock index which was calculated by dividing lactate concentration by perfusion for early diagnosis. As a result of the survival prediction by the proposed index with the receiver operating characteristic curve method, the sensitivity, specificity, and accuracy of survival were 90.0, 96.7 and 94.0%, respectively. The proposed index showed the fastest significant difference among the other parameters such as blood pressure and heart rate. It could offer early diagnosis and effective treatment for human hemorrhagic shock if it is applicable to humans.

A Study of Microvascular Changes in Masticatory Muscles of Myofascial Pain Patients During Music Listening (근막동통 환자의 측두근에서 측정된 음악에 의한 혈액관류 변화)

  • Kwon, Eun-Hyung;Lee, Ju-Young;Chun, Yang-Hyun;Hong, Jung-Pyo
    • Journal of Oral Medicine and Pain
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    • v.31 no.1
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    • pp.37-45
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    • 2006
  • The use of music as a means of inducing positive emotions and subsequent relaxation has been extensively studied by researchers. A great deal of this research has focussed on the use of music as a means of reducing feelings of anxiety and stress as well as aiding in the relief of numerous pathologies. The purpose of this study was to evaluate this effect of music using laser doppler flowmeter that monitors relative changes in the muscular blood cell perfusion, concentration of moving blood cells, mean velocity of the myofascial pain disorder patients. Total of 30 subjects were selected. They were monitored by LDF(Laser Doppler Flowmeter) during music listening for 3 minutes. LDF probe was placed over the temporalis muscle. The obtained results were as follows: 1. The average blood perfusion for 3 minutes of music listening at surface of temporalis muscles were elevated on both affected and unaffected parts compared to rest time. 2. The average of blood perfusion elevated during music listening at surface of temporalis muscles were higher in affected part than unaffected part. 3. Increase of blood perfusion during music listening is proportioin to that before music listening. In summary, these results may encouraging start to the elucidation of the hemodynamic events occuring during music listening and aimed to serve as a base for further studies.

Performance analysis of OFDM and CDMA communication methods in underwater acoustic channel (수중 채널 환경에서 OFDM 및 CDMA 통신 방식별 성능 분석)

  • Kim, Kil-Yong;Kim, Min-Sang;Ko, Hak-Lim;Im, Tae-Ho
    • The Journal of the Acoustical Society of Korea
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    • v.38 no.1
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    • pp.30-38
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    • 2019
  • In recent years, researches on various communication methods have been conducted, particularly on OFDM (Orthogonal Frequency Division Multiplexing) and CDMA (Code Division Multiple Access) methods, as the use of underwater communication increases. While OFDM is, in general, advantageous in that it is resistant to Doppler in the water and it enables a high-speed communication, CDMA is resistant to frequency selective fading in the water and it can reduce energy consumption. Therefore, in this paper, we performed experiments in the shallow water in Western Sea of Korea to analyze the performance of OFDM and CDMA communication systems in the underwater channel environment. The maximum delay spread and Doppler spread were drawn by using the data obtained from the real sea area in order to analyze the underwater channel environment characteristics of the shallow water in Western Sea of Korea. The communication performances of OFDM and CDMA are shown as coded BER (Bit Error Rate) according to the variation of the maximum delay spread and the Doppler spread, respectively. The result of the analysis show that the OFDM method has more resistant performances to the underwater channel environment changes than the CDMA method.

A Study on the Image Change Using Twinkle Artifact Images and Phantom according to Calcification-Inducing Environment in Breast Ultrasonography (유방 초음파 검사에서 석회화 유발 환경에 따른 반짝 허상과 팸텀을 활용한 영상 변화에 관한 연구)

  • Cheol-Min Jeon
    • Journal of the Korean Society of Radiology
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    • v.17 no.5
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    • pp.751-759
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    • 2023
  • Breast ultrasonography is difficult to image in fatty breasts and to find micro-calcification, but the discovery of micro-calcification is very important for breast cancer screening. Among the color Doppler artifact of ultrasound, twinkle artifact mainly occur on strong reflectors such as stones or calcification in images, and evaluation methods using them are clinically being used. In this study, we are conducting experiments on the color Doppler settings of ultrasound equipment, such as repetition frequency, ensemble, persist, wall filtering, smoothing, linear density, and dissociation value, by producing a breast simulation phantom using the largest amount of calcium phosphate among breast implants. The purpose of this study was to improve the contrast of twinkle artifact in breast ultrasound examinations and to maximize their use in clinical practice. As a result, the pulse repetition frequency occurred in the range of 3.6 kHz to 7.2 kHz, and did not occur above 10.5 kHz. For ensembles, twinkle artifact occurred in all sizes of calcification under low conditions, and in threshold settings, the twinkle artifact increased slightly only under 80 to 100 conditions, and did not occur in 1 mm size calcification. Persist, wall filter, smoothing, and line density settings did not have much meaning in the setting variable because conditions did not increase by condition, and pulse repetition frequency, ensemble, and thresholds had the greatest impact on the twinkling artifact image. This study is expected to help examiners select optimal conditions to effectively increase twinkle artifact by adjusting color Doppler settings.

Effects of Korean Ginseng, Korean Red Ginseng and Fermented Korean Red Ginseng on Cerebral Blood Flow, Cerebrovascular Reactivity, Systemic Blood Pressure and Pulse Rate in Humans (인삼, 홍삼 및 발효 홍삼이 정상인의 뇌혈류, 평균혈압, 맥박수에 미치는 영향)

  • Jeong, Dong-Won;Hong, Jin-Woo;Shin, Won-Jun;Park, Young-Min;Jung, Jae-Han;Kim, Chang-Hyun;Min, In-Kyu;Park, Seong-Uk;Jung, Woo-Sang;Park, Jung-Mi;Go, Chang-Nam;Cho, Ki-Ho;Moon, Sang-Kwan
    • The Journal of Korean Medicine
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    • v.27 no.3 s.67
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    • pp.38-50
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    • 2006
  • Objectives: The aim of this study was to evaluate the effects of Korean ginseng (KG), Korean red ginseng (KRG) and fermented Korean red ginseng (FKRG) extracts on cerebral hemodynamics and to compare distinction of each extract. Methods: Ten healthy male volunteers $(26.0{\pm}1.8yrs)$ participated in the study according to double-blind and cross-over protocols. Each volunteer was blindly administered 500mg of KG, KRG, FKRG extract or placebo (Dextrin). Blinded researchers measured changes of hyperventilation-induced cerebrovascular reactivity (CVR), mean blood flow velocity (MBFV) of middle cerebral arteries (MCAs) and corrected blood flow velocity at $P_{ETCO2}=40mmHg$ (CV40) using transcranial Doppler ultrasound (DWL Co., Germany). Researchers also observed changes of mean blood pressure (MBP), pulse rate (PR) and expiratory $CO_2$ using S/5 Collector (Datex-Ohmeda Co., Finland). The evaluation was performed at basal condition, and repeated at 1, 2, 3, 4 and 5 hours after administration. Results: MBFV and CV40 in the KRG group tended to rise at I hour after administration, while those of the FKRG group tended to rise at 2 hours after administration. CVR increased significantly after 1 hour in the KRG group (p=0.009) and after 2 hours in the FKRG group (p=0.035), respectively. The KG group showed increasing tendency at 4 hours after administration. No group showed significant difference from the placebo in changes of MBP and PR. Conclusions: It is suggested that KG, KRG and FKRG extracts have effects of enhancing CVR and thus of increasing cerebral blood flow in human subjects.

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