• Journal of KIISE:Software and Applications
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• v.27 no.6
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• pp.651-659
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• 2000

It is very important to extract the heart region in the medical images. In this paper, we present the automatic heart region extraction in the EBT (electron beam tomography) images. We use contrast thresholding, anatomic knowledge, and mathematical morphology to extract the heart region. Using these results, we applied the active contour models (snakes) to search the exact region. We analyzed the experimental results by comparing the results with the results made by medical experts.

• Journal of Sensor Science and Technology
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• v.8 no.2
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• pp.154-162
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• 1999

In this paper, we acquired EBT section images of lung parenchyma using fabricated spirometric gating device and proposed new energy function based on dynamic contour model in order to extracted the contour of the lung parenchyma in EBT images. In EBT images, gray level of the lungs is lower than other region. we extracted the lungs contour using the new energy function considering gray level and contour vector of the lung parenchyma region from EBT images. As we compared the proposed method with the conventional method, we confirmed that detection method using proposed energy function was valid.

• Journal of KIISE:Software and Applications
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• v.31 no.3
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• pp.276-292
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• 2004

In this paper. we present methods that extract lung regions from chest EBT(electron beam tomography) images then segment the extracted lung region into lung lobes. We use histogram based thresholding and mathematical morphology for extracting lung regions. For detecting pulmonary fissures, we use edge detector and knowledge-based search method. We suggest this edge detector, which uses adaptive filter scale, to work very well for real edge and insensitive for edge by noise. Our experiments showed about 95% accuracy or higher in extracting lung regions and about 5 pixel distance error in detecting pulmonary fissures.

• Progress in Medical Physics
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• v.33 no.4
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• pp.158-163
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• 2022

Purpose: We subjected scanning electron microscopic (SEM) images of the active layer of EBT3 film to texture analysis to determine the dose-response curve. Methods: Uncoated Gafchromic EBT3 films were prepared for direct surface SEM scanning. Absorbed doses of 0-20 Gy were delivered to the film's surface using a 6 MV TrueBeam STx photon beam. The film's surface was scanned using a SEM under 100× and 3,000× magnification. Four textural features (Homogeneity, Correlation, Contrast, and Energy) were calculated based on the gray level co-occurrence matrix (GLCM) using the SEM images corresponding to each dose. We used R-square to evaluate the linear relationship between delivered doses and textural features of the film's surface. Results: Correlation resulted in higher linearity and dose-response curve sensitivity than Homogeneity, Contrast, or Energy. The R-square value was 0.964 for correlation using 3,000× magnified SEM images with 9-pixel offsets. Dose verification was used to determine the difference between the prescribed and measured doses for 0, 5, 10, 15, and 20 Gy as 0.09, 1.96, -2.29, 0.17, and 0.08 Gy, respectively. Conclusions: Texture analysis can be used to accurately convert microscopic structural changes to the EBT3 film's surface into absorbed doses. Our proposed method is feasible and may improve the accuracy of film dosimetry used to protect patients from excess radiation exposure.

• Proceedings of the Korea Information Processing Society Conference
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• 2000.10b
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• pp.895-898
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• 2000

의료 영상에서 폐 영역의 정확한 추출과 폐엽의 분할은 폐 기능의 측정 및 폐 질환의 진단을 위하여 매우 중요하다. 본 논문에서는 EBT 흉부 영상에서 자동으로 폐 영역을 추출하고 폐 영역을 폐엽 단위로 분할하는 방법을 제안한다. 본 논문에서는 히스토그램 분석과 형태학적 연산자를 이용하여 폐 영역을 추출하고 adaptive filter를 이용한 에지 연산과 폐엽 경계(pulmonary fissure)에 대한 의학적 지식을 바탕으로 폐엽을 분할하였다. 본 방법을 여러 종류의 EBT 폐 영상에 적용하여 실험한 결과 95%이상의 정확도를 보였다.

• Proceedings of the KOSOMBE Conference
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• v.1997 no.11
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• pp.533-536
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• 1997

In this paper, we visualized 3-dimensional volume of heart using volume method by thresholding in EBT slices data. Volume rendering is the method that acquire the color by casting a pixel ray to volume data. The gray level of heart region is so high that we decide heart region by thresholding method. When a pixel ray is cast to volume data, the region that is higher than threshold value becomes heart region. We effectively rendered the heart volume and showed the 3-dimensional heart volume.

• Journal of Korea Multimedia Society
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• v.8 no.3
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• pp.336-344
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• 2005

In this paper, we extracted the contour of lung parenchyma on EBT images with the improved active contour model. The objects boundary in conventional active contour model can be extracted by controlling internal energy and external energy as energy minimizing form. However, there are a number of problems such as initialization and the poor convergence about concave part. Expecially, contour can not enter the concave region by discouraging characteristic about stretching and bending in internal energy. We controlled internal energy by moving local perpendicular bisector point of each control point in the contour and implemented the object boundary by minimizing energy with external energy The convergence of concave part could be efficiently implemented toward lung parenchyma region by this internal energy and both lung images for initial contour could also be detected by multi-detection method. We were sure this method could be applied detection of lung parenchyma region in medical image.

• The Journal of Korean Society for Radiation Therapy
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• v.26 no.2
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• pp.273-280
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• 2014

Purpose : To verify the skin dose in Tomotherapy-based radiation treatment according to the change in tumor locations, skin dose was measured by using Gafchromic EBT3 film and compared with the planned doses to find out the gap between them. Materials and Methods : In this study, to measure the skin dose, I'm RT Phantom(IBA Dosimetry, Germany) was utilized. After obtaining the 2.5mm CT images, tumor locations and skin dose measuring points were set by using Pinnacle(ver 9.2, Philips Medical System, USA). The tumor location was decided to be 5mm and 10mm away from surface of the phantom and center. Considering the attenuation of a Tomo-couch, we ensured a symmetric placement between the ceiling and floor directions of the phantom. The measuring point of skin doses was set to have 3mm and 5mm thickness from the surface. Measurement was done 3 times. By employing TomoHD(TomoHD treatment system, Tomotherapy Inc., Madison, Wisconsin, USA), we devised Tomotherapy plans, measured 3 times by inserting Gafchromic EBT3 film into the phantom and compared the measurement with the skin dose treatment plans. Results : The skin doses in the upper part of the phantom, when the tumor was located in the center, were found to be 7.53 cGy and 7.25 cGy in 5mm and 3mm respectively. If placed 5mm away from the skin in the ceiling direction, doses were 18.06 cGy and 16.89 cGy; if 10mm away, 20.37 cGy and 18.27 cGy, respectively. The skin doses in the lower part of the phantom, when the tumor was located in the center, recorded 8.82 cGy and 8.29 cGy in 5mm and 3mm, each; if located 5mm away from the lower part skin, 21.69 cGy and 19.78 cGy were respectively recorded; and if 10mm away, 20.48 cGy and 19.57 cGy were recorded. If the tumor was placed in the center, skin doses were found to increase by 3.2~17.1% whereas if the tumor is 5mm away from the ceiling part, the figure decreased to 2.8~9.0%. To the Tomo-couch direction, skin doses showed an average increase of 11% or over, compared to the planned treatment. Conclusion : This study found gaps between planned skin doses and actual doses in the Tomotherapy treatment planning. Especially to the Tomo-cocuh direction, skin doses were found to be larger than the planned doses. Thus, during the treatment of tumors near the Tomo-couch, doses will need to be more accurately calculated and more efforts to verify skin doses will be required as well.

• The Journal of Korean Society for Radiation Therapy
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• v.26 no.2
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• pp.225-232
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• 2014

Purpose : The purpose of this study was to evaluate the surface and superficial dose for patients requiring postmastectomy radiation therapy(PMRT) with different treatment techniques. Materials and Methods : Computed tomography images were acquired for the phantom(I'mRT, IBA) consisting of tissue equivalent material. Hypothetical chestwall and lung were outlined and modified. Five treatment techniques(Wedged Tangential; WT, 4-field IMRT, 7-field IMRT, TOMO DIRECT, TOMO HELICAL) were evaluated using only 6MV photon beam. GafChromic EBT3 film was used for dose measurements at the surface and superficial dose. Surface dose profiles around the phantom were obtained for each treatment technique. For superficial dose measurements, film were used inside the phantom and analyzed superficial region for depth from 1-6mm. Results : TOMO DIRECT showed the highest surface dose by 47~70% of prescribed dose, while 7-field IMRT showed the lowest by 35~46% of prescribed dose. For the WT, 4-field IMRT and 7-field IMRT, superficial dose were measured over 60%, 70%, and 80% for 1mm, 2mm, and 5mm depth, respectively. In case of TOMO DIRECT and TOMO HELICAL, over 75%, 80%, and 90% of prescribed dose was measured, respectively. Surface and superficial dose range were uniform in overall chestwall for the 7-field IMRT and TOMO HELICAL. In contrast, Because of the dose enhancement effect with oblique incidence, The dose was gradually increased toward the obliquely tangential angle for the WT and TOMO DIRECT. Conclusion : For PMRT, TOMO DIRECT and TOMO HELICAL deliver the higher surface and superficial doses than treatment techniques based linear accelerator. It showed adequate dose(over 75% of prescribed dose) at 1mm depth in skin region.

• Progress in Medical Physics
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• v.23 no.4
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• pp.234-238
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• 2012

A tumor on the eyelid is often treated using a high-energy electron beam, with a metallic eye shield inserted between the eyelid and the eyeball to preserve the patient's sight. Pretreatment quality assurance of the inner eyelid dose on the metallic shield requires a very small dosimetry tool. For enhanced accuracy, a flexible device fitting the curved interface between the eyelid and the shield is also required. The radiochromic film is the best candidate for this device. To measure the doses along the curved interface and small area, a 3-mm-wide strip of EBT2 film was inserted between the phantom eyelid and the shield. After irradiation with 6 MeV electron beams, the film was evaluated for the dose profile. An acrylic eye shield of the same size as the real eye shield was machined, and CT images free from metal artifacts were obtained. Monte Carlo simulation was performed on the CT images, taking into account eye shield material, such as tungsten, aluminum, and steel. The film-based interface dose distribution agreed with the MC calculation within 2.1%. In the small (millimeter scale) and curved region, radiochromic film dosimetry promises a satisfactory result with easy handling.