• Korean Journal of Radiology
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• 제21권1호
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• pp.58-67
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• 2020

Objective: Third-generation dual-source computed tomography (3rd-DSCT) allows dynamic myocardial CT perfusion imaging (dynamic CTP) with a 10.5-cm z-axis coverage. Although the increased radiation exposure associated with the 50% wider scan range compared to second-generation DSCT (2nd-DSCT) may be suppressed by using a tube voltage of 70 kV, it remains unclear whether image quality and the ability to quantify myocardial blood flow (MBF) can be maintained under these conditions. This study aimed to compare the image quality, estimated MBF, and radiation dose of dynamic CTP between 2ndDSCT and 3rd-DSCT and to evaluate whether a 10.5-cm coverage is suitable for dynamic CTP. Materials and Methods: We retrospectively analyzed 107 patients who underwent dynamic CTP using 2nd-DSCT at 80 kV (n = 54) or 3rd-DSCT at 70 kV (n = 53). Image quality, estimated MBF, radiation dose, and coverage of left ventricular (LV) myocardium were compared. Results: No significant differences were observed between 3rd-DSCT and 2nd-DSCT in contrast-to-noise ratio (37.4 ± 11.4 vs. 35.5 ± 11.2, p = 0.396). Effective radiation dose was lower with 3rd-DSCT (3.97 ± 0.92 mSv with a conversion factor of 0.017 mSv/mGy∙cm) compared to 2nd-DSCT (5.49 ± 1.36 mSv, p < 0.001). Incomplete coverage was more frequent with 2nd-DSCT than with 3rd-DSCT (1.9% [1/53] vs. 56% [30/54], p < 0.001). In propensity score-matched cohorts, MBF was comparable between 3rd-DSCT and 2nd-DSCT in non-ischemic (146.2 ± 26.5 vs. 157.5 ± 34.9 mL/min/100 g, p = 0.137) as well as ischemic myocardium (92.7 ± 21.1 vs. 90.9 ± 29.7 mL/min/100 g, p = 0.876). Conclusion: The radiation increase inherent to the widened z-axis coverage in 3rd-DSCT can be balanced by using a tube voltage of 70 kV without compromising image quality or MBF quantification. In dynamic CTP, a z-axis coverage of 10.5 cm is sufficient to achieve complete coverage of the LV myocardium in most patients.

• 한국임상수의학회지
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• 제32권2호
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• pp.200-204
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• 2015

12년령 중성화 수컷 시추가 변비와 배변곤란 증상으로 내원하였다. 방사선 사진상 결장이 팽대되어 있으며 천추 수준에서 연부조직밀도의 종괴가 결장을 복측으로 압박하는 것이 관찰되었다. 컴퓨터 단층촬영상 종괴는 균일한 연부조직 정도의 감약성을 보이며 변연이 뚜렷하고 전이소견을 보이지 않았다. 동적 컴퓨터 단층촬영상 종괴는 촬영간 지속적인 낮은 조영증강을 보였으며 관류성 및 모세혈관 투과성은 둔부근육과 비교하여 낮은 것으로 평가되었다. 영상진단학적 검사상 종괴는 신생혈관 발달이 약한 골반강 내 양성 종양으로 잠정진단되었다. 종괴는 둔성분리를 통한 외과적 절제로 제거되었으며 조직검사결과 평활근종으로 진단되었다.

• 한국임상수의학회지
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• 제37권1호
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• pp.28-33
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• 2020

The aims of this study were to obtain the normal ranges of enhancement parameters for salivary gland in dynamic CT and to investigate the effects of fasting time on contrast enhancement in clinically normal beagle dogs. With five healthy beagle dogs, dynamic CT examination was performed according to fasting times (as fasting times, 12hours, 0 min, 20 min, 40 min, 1 hours, 6 hours, 24 hours). In normal beagles with 12hours fasting, enhancement parameters through the preliminary study were as follows: ImaxA - 472 .49 ± 19.01 HU; ImaxS - 138.95 ± 6.2 5 HU; TmaxA - 25.8 ± 1.79 sec; TmaxS - 69.0 ± 23.11 sec; Teq - 80.5 ± 6.61 sec; T-Aeq - 54.5 ± 5.51 sec (Imax - peak enhancement; Tmax - time to peak enhancement; Teq - time to equilibrium phase; T-Aeq - time between peak enhancement in the common carotid artery and onset of the equilibrium phase; A - common carotid; S - submandibular gland; HU - Hounsfield unit). Additionally, ImaxA and ImaxS were significantly increased in 40 min after eating. Because these results associated with postprandial hemodynamic changes can make the diagnosis of salivary gland diseases more difficult, sufficient fasting time is important for accurate diagnosis.

• 보험의학회지
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• 제31권1호
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• pp.34-36
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• 2012

Lung cancer such as small cell lung cancer(SCLC) and non small cell lung cancer(NSCLC) have high mortality rate, so, we insurance doctors have little interest in their risk. But nowadays there's a lot of development in targeted therapy of NSCLC. Screening by CT scanning and early resection strategy also shows better prognosis. It is helpful for underwriters and insurance doctors to review the current development of targeted therapy of NSCLC and estimation of extra-risk of early lung cancer. The preferred treatment option for patients whose tumors contain EGFR-activating mutations are one of the EGFR-directed tyrosine kinase inhibitors, such as gefitinib or erlotinib. In patients with NSCLC whose tumors harboured an ALK rearrangement, there was 61% objective response rate to crizotinib in the phase 1 study. The median survival progression-free survival was 10 months. Mortality analysis of early lung cancer who were detected by CT screening, MR of 105% and EDR of 1‰ were calculated.

• 대한의용생체공학회:학술대회논문집
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• 대한의용생체공학회 1998년도 추계학술대회
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• pp.189-190
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• 1998

In this paper, we show the realtime 3D reconstruction algorithm with the sliced CT images. The preprocessing is thresholding, labeling, contouring, and extracting dominant point. we reconstruct 3D image with dominant points using dynamic matching technique. The software implemented in Visualc++ 5.0 as a window-based application program.

• Journal of Power Electronics
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• 제13권1호
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• pp.51-58
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• 2013

This paper proposes the power conversion mechanism of a bailer-charge-transfer zero-current-switching (CT-ZCS) circuit. The operation modes are analyzed and researched using state trajectory equations. The topology of CT-ZCS based on soft-switching inverters offers some merits such as: tracking the input reference signal dynamically, bearing load shock and short circuit, multiplying inverter N+1 redundancy parallel, coordinating power balance for easy control, and soft-switching commutation for high efficiency and large capacity. These advantages are distinctive from conventional inverter topologies and are especially demanded in AC drives: new energy generation and grid, distributed generation systems, switching power amplifier, active power filter, and reactive power compensation and so on. Prototype is manufactured and experiment results show the feasibility and dynamic voltage-tracking characteristics of the topology.

• 터널과지하공간
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• 제22권5호
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• pp.339-345
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• 2012

동적하중 하에서 암석의 변형거동 및 파괴강도는 발파, 지진 또는 암반돌출의 지진동에 의한 지하구조물의 안정해석에 중요하다. 본 연구에서는 스플릿 홉킨슨 압력봉(SHPB) 충격실험시스템을 석회암시료의 일축압축시험과 압열인장시험에 적용하여 고변형률과 동적강도 평가를 수행하였다. 충격봉의 발사속도를 제어하여 파괴강도 이하 동적응력 상태에서의 석회암시료의 동적응력-변형거동을 분석하였다. 시료 내 파괴여부 및 파괴양상을 파악하기 위하여 Micro-focus X-ray 단층촬영을 수행하였다. 동적 압축강도 실험결과, 석회암시료의 동적압축강도는 변형율속도 의존성을 보였으며, 동적 압축파괴강도는 140 MPa 이상으로 평가되었다. 동적 압열 인장 실험결과, 석회암시료의 동적 압열인장강도는 21 MPa 이상으로 정적 압열인장강도보다 3배 이상 높은 것으로 평가되었다.

• 한국의학물리학회:학술대회논문집
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• 한국의학물리학회 2002년도 Proceedings
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• pp.90-93
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• 2002

In particle radiotherapy, a shape of the beam to conform the irradiation field is statically defined by the compensator, collimator and potal devices at the outside of the patient body. However the target such as lung or liver cancer moves along with respiration. This increases the irradiated volume of normal tissue. Prior discussions about organ motions along with respiration have been mainly focused on inferior-superior movement that was usually perpendicular to beam axis. On the other hand, the change of the target depth along the beam axis is very important especially in particle radiotherapy, because the range end of beam (Bragg peak) is so sharp as to be matched to distal edge of the target. In treatment planning, the range of the particle beam inside the body is calculated using a calibration curve relating CT number and water equivalent path length (WEL) to correct the inhomogeneities of tissues. The variation in CT number along the beam path would cause the uncertainties of range calculation at treatment planning for particle radiotherapy. To estimate the uncertainties of the range calculation associated with patient breathing, we proposed the method using sequential CT images with respiration waveform, and analyzed organ motions and WELs at patients that had lung or liver cancer. The variation of the depth along the beam path was presented in WEL rather than geometrical length. In analyzed cases, WELs around the diaphragm were remarkably changed depending on the respiration, and the magnitude of these WEL variations was almost comparable to inferior-superior movement of diaphragm. The variation of WEL around the lung was influenced by heartbeat.

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2000년도 추계학술대회 논문집
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• pp.527-532
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• 2000

The armor composite material targets such as aramid FRMLs with different type and ply number of face material and different type of back-up material, were studied to determine ballistic impact resistance and dynamic failure behavior during ballistic impact. Ballistic impact resistance is determined by $\textrm{V}_{50}$ ballistic limit, a statical velocity with 50% probability for complete penetration, test method. Also dynamic failure behaviors are respectfully observed that result from $\textrm{V}_{50}$ tests. $\textrm{V}_{50}$ tests with $0^{\circ}$ obliquity at room temperature were conducted with projectiles that were able to achieve near or complete penetration during high velocity impact tests. As a result, ballistic impact resistance of anodized Al 5052-H34 alloy(2 ply) is better than that of anodized Al 5052-H34 alloy(1 ply), but Titanium alloy showed the similar ballistic impact resistance. In the face material, ballistic impact resistance of titanium alloy is better than that of anodized Al 5052-H34 alloy. In the back-up material, ballistic impact resistance of T750 type aramid fiber is better than that of CT709 type aramid fiber.

• Journal of Yeungnam Medical Science
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• 제26권1호
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• pp.30-37
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• 2009

RO는 경계가 좋은 고형종괴로써, 석회화를 포함할 수 있다. 조영전 CT 영상에서 신실질과 유사한 밀도의 균일한 종괴로 보인다. 조영 후 영상에서는 불균일하게 조영증강되는데, 역동적 조영증강 검사의 동맥강조기에서 주변부는 강하게 조영증강되었다가 시간에 따라 점차 조영이 약해지고, 중앙부는 시간에 따라 점차 조영이 증강되어 시간에 따른 조영증강의 부분적 역전현상이 관찰되었다. 이러한 영상의학적 특징이 관찰되는 경우에는 RO의 가능성을 시사할 수 있으며 이를 통해 환자의 예후를 예측하고 수술 방법을 술전에 결정하는데 도움을 줄 수 있으리라 생각한다.