• Title/Summary/Keyword: Dynamic diagnosis

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Dynamic Susceptibility Contrast (DSC) Perfusion MR in the Prediction of Long-Term Survival of Glioblastomas (GBM): Correlation with MGMT Promoter Methylation and 1p/19q Deletions

  • Kwon, Yong Wonn;Moon, Won-Jin;Park, Mina;Roh, Hong Gee;Koh, Young Cho;Song, Sang Woo;Choi, Jin Woo
    • Investigative Magnetic Resonance Imaging
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    • v.22 no.3
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    • pp.158-167
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    • 2018
  • Purpose: To investigate the surgical, perfusion, and molecular characteristics of glioblastomas which influence long-term survival after treatment, and to explore the association between MR perfusion parameters and the presence of MGMT methylation and 1p/19q deletions. Materials and Methods: This retrospective study was approved by our institutional review board. A total 43 patients were included, all with pathologic diagnosis of glioblastoma with known MGMT methylation and 1p/19q deletion statuses. We divided these patients into long-term (${\geq}60\;months$, n = 7) and short-term (< 60 months, n = 36) survivors, then compared surgical extent, molecular status, and rCBV parameters between the two groups using Fisher's exact test or Mann-Whitney test. The rCBV parameters were analyzed according to the presence of MGMT methylation and 1p/19q deletions. We investigated the relationship between the mean rCBV and overall survival using linear correlation. Multivariable linear regression was performed in order to find the variables related to overall survival. Results: Long-term survivors (100% [7 of 7]) demonstrated a greater percentage of gross total or near total resection than short-term survivors (54.5% [18 of 33]). A higher prevalence of 1p/19q deletions was also noted among the long-term survivors (42.9% [3 of 7]) than the short-term survivors (0.0% [0 of 36]). The rCBV parameters did not differ between the long-term and short-term survivors. The rCBV values were marginally lower in patients with MGMT methylation and 1p/19q deletions. Despite no correlation found between overall survival and rCBV in the whole group, the short-term survivor group showed negative correlation ($R^2=0.181$, P = 0.025). Multivariable linear regression revealed that surgical extent and 1p/19q deletions, but not rCBV values, were associated with prolonged overall survival. Conclusion: While preoperative rCBV and 1p/19q deletion status are related to each other, only surgical extent and the presence of 1p/19q deletion in GBM patients may predict long-term survival.

Development of the Measurement Method of Extremely Low Level Activity with Imaging Plate (Imaging Plate를 이용한 극저준위 방사능 측정에 관한 연구)

  • Kwak, Ji-Yeon;Lee, K.B.;Lee, Jong-Man;Park, Tae-Soon;Oh, Pil-Jae;Lee, Min-Kie;Seo, Ji-Suk;Hwang, Han-Yull
    • Journal of Radiation Protection and Research
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    • v.29 no.4
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    • pp.231-236
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    • 2004
  • An imaging plate(IP) detector, a two-dimensional digital radiation detector that can acquire image of radioactivity distribution in a sample, has been applied in many fields; for industrial radiography, medical diagnosis, X-ray diffraction test, etc. In this study, the possibility of IP detector to be used lot measuring radioactivity of sample is explored using its high sensitivity, higher spatial resolution, wider dynamic range and screen uniformity for several kinds radiations. First, the IP detector is applied to measure the surface uniformity for area source. Surface uniformity is measured rapidly and nondestructively by measuring the radioactivity distribution of common standard area source$(^{241}Am)$. Next, the IP is employed to study the possibility of measuring an extremely low-level activity of environmental sample. For this study the screen uniformity, shield effect of background radiation, linear dynamic range and fading effect of the IP detector is investigated. The potato, banana, radish and carrot samples are chosen to measure ultra low-level activity of $^{40}K$ isotope. The efficiency calibration of IP detector is carried out using the standard source.

The synovial chondromatosis of the temporomandibular joints: review of the 4 cases (측두하악관절의 활액성 연골종증 4예)

  • Lee, Dong-Hyun;Shin, Jung-Sub;Kwak, Ju-Hee;Kim, Jin-Woo;Kim, Sun-Jong;Kim, Myung-Rae
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.36 no.2
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    • pp.134-140
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    • 2010
  • Synovial condromatosis of the temporomandibular joint (TMJ) is characterized by the presence of loose bodies (joint mices). It can be confused with temporomandibular disorder clinically, and be with chondrosarcoma histologically. The purpose of this clinical report was to review the clinical, radiological, arthroscopic findings, histological feature and the results of surgical treatment of TMJ synovial chondromatosis. Four patients presented with pain of TMJ and limited mouth opening. The dynamic magnetic resonance imaging (MRI) disclosed a characteristic morphologic changes and displacement of the meniscus with limited translation of the condyle head. Bone scans showed progressive resorptive changes with hot-uptake of the radioisotope. The synovial loose bodies in the joint spaces were removed and sent to pathology for diagnosis as the synovial chondromatosis. The follow-up examination with computed tomography (CT) and MRI revealed no evidence of recurrence and good in function until postoperative 18 months. Diagnostically, the distension of the lateral capsule and fluid findings in the joint on the MRI are very suggestive tool for this synovial chondromatosis, but they are not always detected on the preoperative MRI. Arthroscopic approaches are very useful to inspect the joint spaces and to remove the loose bodies without interruption of the whole synovial membranes.

The development of a learning management system for dental radiology education: A technical report

  • Chang, Hee-Jin;Symkhampha, Khanthaly;Huh, Kyung-Hoe;Yi, Won-Jin;Heo, Min-Suk;Lee, Sam-Sun;Choi, Soon-Chul
    • Imaging Science in Dentistry
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    • v.47 no.1
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    • pp.51-55
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    • 2017
  • Purpose: This study was conducted to suggest the development of a learning management system for dental radiology education using the Modular Object-Oriented Dynamic Learning Environment(Moodle). Materials and Methods: Moodle is a well-known and verified open-source software-learning management system (OSS-LMS). The Moodle software was installed on a server computer and customized for dental radiology education. The system was implemented for teaching undergraduate students to diagnose dental caries in panoramic images. Questions were chosen that could assess students' diagnosis ability. Students were given several questions corresponding to each of 100 panoramic images. Results: The installation and customization of Moodle was feasible, cost-effective, and time-saving. By having students answer questions repeatedly, it was possible to train them to examine panoramic images sequentially and thoroughly. Conclusion: Based on its educational efficiency and efficacy, the adaptation of an OSS-LMS in dental school may be highly recommended. The system could be extended to continuing education for dentists. Further studies on the objective evaluation of knowledge acquisition and retention are needed.

Wireless Telemetry of an Oscillating Flow using Mesoscale Flexible Cantilever Sensor (메소스케일 유연 외팔보 센서를 이용한 진동유동의 무선 계측)

  • Park, Byung Kyu;Lee, Joon Sik
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.37 no.5
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    • pp.495-501
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    • 2013
  • This paper describes a flexible wireless telemetering system using a mesoscale cantilever sensor, which is microfabricated with a patterned thin Ni-Cu foil on a resin substrate. The dynamic validation of the sensor has been conducted in a flow. The wireless telemetry is used to obtain data regarding the oscillating flows. It is shown that the sensor is nearly independent of the environmental temperature and is suitable for application to primary healthcare and diagnostic devices. It can be easily integrated with other modules for measuring physiological parameters, e.g., blood pressure, oxygen saturation, and heart rate, to increase the convenience and reliability of diagnosis. The precision and reliability of the sensor are also dependent on the design of the analog front-end and noise reduction techniques. It is shown that the present system's minimum interval between packet transmissions is ~16 ms.

Outgassing and thermal desorption measurement system for parts of CRT (CRT 부품용 탈가스 및 Thermal Desorption 측정장치 개발)

  • Sin, Yong Hyeon;Hong, Seung Su;Mun, Seong Ju;Seo, Il Hwan;Jeong, Gwang Hwa
    • Journal of the Korean Vacuum Society
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    • v.6 no.4
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    • pp.298-307
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    • 1997
  • TDS(Thermal Desorption Spectroscopy)system, for diagnosis of CRT manufacturing process, was designed and constructed. Outgassings and thermal desorptions from the part or materials of CRT can be measured and analysed with this system at various temperatures. The system is consisted of 3 parts, vacuum chamber and pumping system with variable conductance, sample heating stages & their controller, and outgassing measurement devices, like as ion gauge or quadrupole mass spectrometer. The ultimate pressure of the system was under $1{\times}10^{-7}$ Pa. With the variable conductance system, the effective pumping speed of the chamber could be controlled from sub l/s to 100 l/s. The effective pumping speed values were determined by dynamic flow measurement principle. The temperatures and ramp rate of sample were controlled by tungsten heater and PID controller up to 600℃ within ±1℃ difference to setting value. Ion gauge & QMS were calibrated for quantitative measurements. Some examples of TDS measurement data and application on the CRT process analysis were shown.

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Intercomparison of vacuum standards of Korea, United Kingdom, and Japan (진공표준의 국제비교 연구)

  • 홍승수;신용현;임종연;이상균;정광화
    • Journal of the Korean Vacuum Society
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    • v.6 no.4
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    • pp.308-313
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    • 1997
  • TDS (Thermal Lkso~ption Spectroscopy)system, for diagnosis of CRT manufacturing process, was designed and constructed. Outgassings and themla1 desorptions from the part or materials of CRT can be measured and analysed with this system at various temperatures. The system is consisted of 3 pirrts. vacuum chamher and pumping system with variable conductance, sample heating stages & their controller, and outgassing measurement devices, like as ion gauge or quadrupole mass spectrometer. The ultimate pressure of the system was under $1\times10^{-7}$ Pa. With the variable conductance system, the effective pumping speed of the chamber could he controlled from sub 11s to 100 11s. The effective pumping speed values were determined by dynamic flow measurement principle. The temperatures and ramp rate of sample were controlled by tungsten heater and PID controller up to $600^{\circ}C$ within t $\pm 1^{\circ}C$$difference to setting value. Ion gauge & QMS were calibrated for quantitative measurements. Some examples of TDS measurement data ;ind application on the CRT process analysis were shown.

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Ultrasonographic Findings of Normal Hip Joint and Painful Hip due to Soft Tissue Problem (고관절 초음파의 정상 소견 및 고관절 주위 질환의 초음파 소견)

  • Nam, Woo-Dong;Nam, Shin Woo;Han, Kye Young
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.3 no.1
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    • pp.38-46
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    • 2010
  • The lesions around hip joint including bone, joint and soft tissue can cause the pain. For diagnosis of these lesions, physical examination and simple X-ray were accomplished primarily. Some special cases, CT or MRI was a useful tool. However ultrasonography could provide non-invasive and dynamic images for the lesions of tendon and bursa, and it could be a useful tool for follow up after hip surgery. Due to the deep location of hip joint, ultrasonography is not easy for physician to examine and its application was impossible in some obese patients. This article deals with the normal and pathologic ultrasonographic findings of the hip joint and various applications using ultrasonography.

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Development of Moving Average Prediction Diagnostic Module for Vibration Parameter Influenced by Environmental Factors (환경적 요인과 연관된 진동 파라메터를 진단하기 위한 이동평균 예측 진단 모듈 개발)

  • Oh, Se-Do;Kim, Young-Jin;Lee, Tae-Hwi
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.37 no.6
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    • pp.797-804
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    • 2013
  • In this study, the authors develop a methodology for a diagnostic system with a vibration parameter that is influenced by environmental factors. The data tends to have a varying average over time. Often, these features are found in statistical data retrieved from a production line. If we utilize existing statistical techniques for these features, we could derive an incorrect diagnostic conclusion based on the different average values. To overcome the limitations of previous methods, the authors apply a function analyzed through regression analysis to predict the mean value and corresponding upper and lower limits at each stage. This technique also provides corresponding statistical parameters in varying dynamic means. To validate the proposed methods, we retrieve data from the engine assembly line of H Motors and verify the results.

A Parametric Image Enhancement Technique for Contrast-Enhanced Ultrasonography (조영증강 의료 초음파 진단에서 파라미터 영상의 개선 기법)

  • Kim, Ho Joon;Gwak, Seong Hoon
    • KIPS Transactions on Software and Data Engineering
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    • v.3 no.6
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    • pp.231-236
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    • 2014
  • The transit time of contrast agents and the parameters of time-intensity curves in ultrasonography are important factors to diagnose various diseases of a digestive organ. We have implemented an automatic parametric imaging method to overcome the difficulty of the diagnosis by naked eyes. However, the micro-bubble noise and the respiratory motions may degrade the reliability of the parameter images. In this paper, we introduce an optimization technique based on MRF(Markov Random Field) model to enhance the quality of the parameter images, and present an image tracking algorithm to compensate the image distortion by respiratory motions. A method to extract the respiration periods from the ultrasound image sequence has been developed. We have implemented the ROI(Region of Interest) tracking algorithm using the dynamic weights and a momentum factor based on these periods. An energy function is defined for the Gibbs sampler of the image enhancement method. Through the experiments using the data to diagnose liver lesions, we have shown that the proposed method improves the quality of the parametric images.