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양각 자궁과 중격 자궁의 감멸 진단: 자기공명영상에서 자궁 격막 신호 강도의 비교는 유용한가\ulcorner (Differential Diagnosis of Bicornuate and Septate Uterus : Is Comparison of Septal Signal Intensity on MR Image Useful\ulcorner)

  • 김종철;변재영;백승연
    • Investigative Magnetic Resonance Imaging
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    • 제4권2호
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    • pp.107-112
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    • 2000
  • 목적 : 양각 자궁과 중격 자궁의 자기공명영상 감별에 있어서 자궁 격막의 신호 강도 비교가 유용한지 알아보는 데에 있다. 대상 및 방법 : 수술로 확진된 양각 자궁 5예와 중격 자궁 6예를 대상으로, 수술전의 자기공명영상 소견을 후향적으로 재분석하였다. 양각의 거리, 자궁 저부의 외형 양각이 이루는 각도 등으로 양자의 감별은 수술 전에 이미 전례에서 가능하였기 때문에, 상기의 자기공명영상 소견은 연구 대상에서 제외하였다. 양각 자궁과 중격 자궁에서 자궁 내에 존재하는 격막의 신호 강도를 1.5-T기기를 이용한 T1 강조 및 급속 스핀 에코 T2 강조 축상 및 관상면 영상에서 비교하였다. 특히 급속 스핀 에코 T2 강조 영상에서 격막의 신호 강도를 자궁근이나 접합대의 신호 강도와 비교하여 분석하였다. 결과 : 양각 자궁(n=5)과 중격 자궁(n=6)의 자궁 격막은 전례 모두 T1 강조 영상에서 자궁근과 비슷한 신호 강도를 보였다. T2 강조 영상에서는 양각 자궁(n=5)의 경우 자궁근층과 비슷한 신호 강도를 보인 경우가 3예, 자궁근층보다 낮은 신호 강도를 보인 경우가 2예이었다. 중격 자궁(n=6)은 T2 강조 영상에서 자궁근층과 비슷한 신호 강도를 보인 경우가 2예, 자궁근층보다 낮은 신호 강도를 보인 경우가 2예, 접합대와 비슷하거나 그보다 낮은 신호 강도를 보인 경우가 2예이었다. T2 강조 영상에서 자궁 격막의 상부/하부 신호 강도가 상이하게 관찰된 경우는 양자 모두에서 1예도 없었다. 결론 : 양각 자궁과 중격 자궁의 자기공명영상에서 자궁 격막의 신호 강도는 다양한 양상을 보이므로 양자의 감별에 단독적으로 사용되어서는 곤란하다. 임상적으로 중요한 양자의 감별에는 자궁 격막의 신호 강도뿐만 아니라, 자궁 저부의 외형, 양각의 거리, 양각이 이루는 각도 등 종합적인 자기공명영상 소견을 고려해야 한다.

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수아세포종의 수술 후 외부 방사선치료 (Postoperative External Beam Radiotherapy for Medulloblastoma)

  • 전하정;이명자
    • Radiation Oncology Journal
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    • 제18권2호
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    • pp.101-106
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    • 2000
  • 목적 : 수아세포종에 대한 수술 후 두개척수 방사선종양학 의학용어집에 따라 방사선치료의 효과를 평가하고 최적의 방사선치료 방법을 알아보고자 함이 본 연구의 목적이다. 대상 및 방법 : 1984년 5월부터 1998년 4월까지 본원 치료방사선과에서 두개척수 외부 방사선치료를 받은 43명의 수아세포종 환자를 후향적으로 분석하였다. 추적기간은 18개월에서 U개월이었으며 중앙추적기간은 47개월이었다. 남자는 27명이었고 여자는 16명으로서 남자와 여자의 비율은 1.7: 1이었다. 5명의 환자에서는 조직검사만을 시행하였고 14명에서는 육안적 완전절제술, 나머지 24명의 환자에서는 아절제술을 시행하였다. 모든 환자는 두개척수 방사선치료를 받았고, 39명의 환자는 최소 5,000 cGy의 방사선을 원발부위에 조사받았으며 40명의 환자는 최소 3,000cGy의 방사선을 척수에 조사받았다. 결과 : 대상환자 43명의 5년 및 7년 생존율은 67$\%$ 및 56$\%$이었고, 5년 및 7년 무병생존율은 각각 60$\%$ 및 51$\%$이었다. 원발병소의 국소제어율은 5년 및 7년에 각각 77$\%$ 및 67$\%$이었다. 육안적 완전절제술 및 아절제술을 시행받은 환자의 5년 생존율은 각각 76$\%$ 및 66$\%$이었으며 반면에 조직검사만을 시행받은 환자는 5년 생존율이 40$\%$에 불과 하였다. 총 18명의 재발환자 중 11명에서 원발부위가 재발부위이었으며 7명의 환자는 원발병소에서만 재발하였다. 4명의 환자는 척수에서, 3명의 환자는 원격전이만을 보였고 나머지 4명의 환자에서는 원발부위를 포함하여 여러부위에서 재발하는 양상을 나타내었다. 결론 : 수아세포종의 뇌척추 방사선치료는 유의한 치료 부작용이 없는 효과적인 치료요법이었다. 그러나 원발부위의 국소치료효과를 높이기 위하여 개선하여야 할 점이 있는 것으로 사료되며 이는 다분할조사, 정위적 방사선수술 및 삼차원 입체 조형치료 등 방사선요법의 기술적 발전으로 이루어 질 수 있을 것으로 생각된다.

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효율적인 참조 메모리 사용을 위한 블록기반 적응적 비트할당 알고리즘 (Block-based Adaptive Bit Allocation for Reference Memory Reduction)

  • 박시내;남정학;심동규;주영훈;김용석;김현문
    • 대한전자공학회논문지SP
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    • 제46권3호
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    • pp.68-74
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    • 2009
  • 본 논문에서는 비디오 부호화기와 복호화기의 참조 영상 버퍼와 메모리 대역폭을 효과적으로 줄이는 방법을 제안한다. 일반적인 비디오 코덱에서 코딩의 효율을 높이기 위하여 이전 프레임들을 참조하는 방법을 많이 사용하는데, 최근에는 메모리 사용 및 메모리와 프로세서 간의 데이터 대역폭의 효율을 높이기 위하여 참조 프레임을 압축하여 저장하는 방법이 연구되고 있다. 이 방법은 이미 압축 및 복원 과정을 통해 열화가 생긴 참조 영상에 대하여 재 압축을 실행하고, 또 기존의 압축 코덱 내부에 부호화기와 복호화기가 추가되는 경우이기 때문에, 화질의 열화를 최소화하면서 복잡도가 낮은 코덱이 요구된다. 이에 관련된 대부분의 연구는 화질의 열화를 최소화하면서 효과적인 재압축을 할 수 있는 방향으로 진행되며 보통 양자화를 위해 고정길이 비트할당 방법을 사용한다. 본 논문에서는 영상의 특성을 고려한 적응적 블록단위 최대-최소 양자화를 통해 복잡도가 낮으면서 화질의 열화를 최소화 한 방법을 제안한다 제안한 방법에서는 $8{\times}8$ 크기의 블록을 기본 처리 단위로 하여 메모리 접근성을 용이하게 하면서, $8{\times}8$ 블록 내부의 $4{\times}4$ 블록 단위로 적응적인 양자화를 적용한다. 실험결과 기존의 고정길이 비트 할당을 통한 재 압축 방법에 대하여 BD-bitrate 관점에서 평균 1.7%, BD-PSNR 관점에서 평균0.03%의 성능향상을 얻을 수 있었다.

3DTV 엑티브 셔터 안경을 위한 저전력 이산-사건 SoC (Low-Power Discrete-Event SoC for 3DTV Active Shutter Glasses)

  • 박대진;곽승호;김창민;김탁곤
    • 대한전자공학회논문지SP
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    • 제48권6호
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    • pp.18-26
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    • 2011
  • 엑티브 셔터 안경 기반 3DTV와 페시브 편광 필터 안경 방식 3DTV의 화질 비교는 최근에 이슈로 대두되고 있다. 엑티브 셔터 안경 방식 기술이 Full-HD 3D영상 구현이 가능함에도 불구하고 스테레오 영상에 대한 동기 신호의 전송, 수신, 및 재구성 과정 중에 내부/외부 잡음 환경에 영향을 받아 3D안경에 탑재된 동기화 프로세서 칩의 오동작으로 영상 플리커가 자주 발생한다. 이러한 문제를 극복하기 위해 동기 신호에 실리는 잡음의 제거 및 오차 보정을 추가적으로 수행하는 과정이 필요하며 이로 인해 추가로 소모되는 전력이 증가하고 있다. 본 논문에서는 3DTV 엑티브 셔터 안경을 위한 동기 신호 처리 프로세서를 구현하는 저 전력 이산 사건 (Discrete-Event) 기반 SoC (DE-SoC)칩을 제안한다. 이를 위해 이벤트 적재기와 소수점 타이머 하드웨어를 구현한다. 제안한 기법을 통해 실시간으로 수신되는 동기 수신 회로 구동을 최대한 지연시킴으로써 전력을 소모하는 하드웨어를 부분을 최소화 하며 소수점 타이머를 이용하여 동기 신호 수신 부를 완전히 정지시킨 상태에서도 일정 시간 동기를 유지하는 특성을 이용하여 무선 동기 수신부의 전력소모를 줄이고 외부 잡음의 영향을 완벽하게 차단할 수 있다. 제안한 기법을 위해 약 15,000개의 로직 게이트와 1Kbytes SRAM 버퍼를 추가로 사용한다. 그럼에도 불구하고 전력 소모는 기존대비 약 20%이하로 떨어질 뿐만 아니라 TV로부터 오는 동기 신호 없이도 2시간동안 1%정도의 동기 오차를 보여준다.

Comparative Evaluation of Two-dimensional Radiography and Three Dimensional Computed Tomography Based Dose-volume Parameters for High-dose-rate Intracavitary Brachytherapy of Cervical Cancer: A Prospective Study

  • Madan, Renu;Pathy, Sushmita;Subramani, Vellaiyan;Sharma, Seema;Mohanti, Bidhu Kalyan;Chander, Subhash;Thulkar, Sanjay;Kumar, Lalit;Dadhwal, Vatsla
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권11호
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    • pp.4717-4721
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    • 2014
  • Background: Dosimetric comparison of two dimensional (2D) radiography and three-dimensional computed tomography (3D-CT) based dose distributions with high-dose-rate (HDR) intracavitry radiotherapy (ICRT) for carcinoma cervix, in terms of target coverage and doses to bladder and rectum. Materials and Methods: Sixty four sessions of HDR ICRT were performed in 22 patients. External beam radiotherapy to pelvis at a dose of 50 Gray in 27 fractions followed by HDR ICRT, 21 Grays to point A in 3 sessions, one week apart was planned. All patients underwent 2D-orthogonal and 3D-CT simulation for each session. Treatment plans were generated using 2D-orthogonal images and dose prescription was made at point A. 3D plans were generated using 3D-CT images after delineating target volume and organs at risk. Comparative evaluation of 2D and 3D treatment planning was made for each session in terms of target coverage (dose received by 90%, 95% and 100% of the target volume: D90, D95 and D100 respectively) and doses to bladder and rectum: ICRU-38 bladder and rectum point dose in 2D planning and dose to 0.1cc, 1cc, 2cc, 5cc, and 10cc of bladder and rectum in 3D planning. Results: Mean doses received by 100% and 90% of the target volume were $4.24{\pm}0.63$ and $4.9{\pm}0.56$ Gy respectively. Doses received by 0.1cc, 1cc and 2cc volume of bladder were $2.88{\pm}0.72$, $2.5{\pm}0.65$ and $2.2{\pm}0.57$ times more than the ICRU bladder reference point. Similarly, doses received by 0.1cc, 1cc and 2cc of rectum were $1.80{\pm}0.5$, $1.48{\pm}0.41$ and $1.35{\pm}0.37$ times higher than ICRU rectal reference point. Conclusions: Dosimetric comparative evaluation of 2D and 3D CT based treatment planning for the same brachytherapy session demonstrates underestimation of OAR doses and overestimation of target coverage in 2D treatment planning.

플루오레신나트륨의 농도 범위 분석 (Analysis for Concentration Range of Fluorescein Sodium)

  • 이다애;김용재;윤기철;김광기
    • 대한의용생체공학회:의공학회지
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    • 제41권2호
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    • pp.67-74
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    • 2020
  • Brain tumors or gliomas are fatal cancer species with high recurrence rates due to their strong invasiveness. Therefore, the goal of surgery is complete tumor resection. However, the surgery is difficult to distinguish the border because tumors and blood vessels have the same color tone and shape. The fluorescein sodium is used as a fluorescence contrast agent for boundary separation. When the external light source is irradiated, yellow fluorescence is expressed in the tumor, which helps distinguish between blood vessels and tumor boundaries. But, the fluorescence expression of fluorescence sodium depends on the concentration of fluorescein sodium and such analytical data is insufficient. The unclear fluorescence can obscure the boundaries between blood vessels and tumors. In addition, reduce the efficiency of fluorescence sodium use. This paper proposes a protocol of concentration range for fluorescence expression conditions. Fluorescent expression was observed using a near-infrared (NIR) color camera with corresponding dilution using normal saline in 1 ml microtube. The flunoresence emission density range is 1.00 mM to 0.15 mM. The fluorescence emission begin to 1.00 mM and the 0.15 mM discolor. The discolor is difficult to fluorescence emission condition obserbation. Thus, the maximum density range of the bright fluoresecein is 0.15 mM to 0.30 mM. When the concentration range of fluorescein sodium is analyzed based on the gradient of fluorescence expression and the power measurement, the brightest fluorescence is expected to facilitate the complete resection of the tumor. For the concentration range protocol, setting concentration ranges and analyzing fluorescence expression image according to saturation and brightness to find optimal fluorescence concentration are important. Concentration range protocols for fluorescence expression conditions can be used to find optimal concentrations of substances whose expression pattern varies with concentration ranges. This study is expected to be helpful in the boundary classification and resection of brain tumors and glioma.

하악 절치의 근관계에 관한 연구 (THE CANAL SYSTEM OF MANDIBULAR INCISORS)

  • 임은미;최호영;박상진;최기운
    • Restorative Dentistry and Endodontics
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    • 제27권4호
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    • pp.432-440
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    • 2002
  • The purpose of this study is to identificate root canal system including ideal access placement, root curvature, canal configuration, incidence of isthmus in mandibular incisors for success of endodontic treatment. 200 mandibular incisors were selected. The ideal access placement was determimed as follows. The teeth there radiographed from mesiodistal and buccolingual views using intraoral dental film. The image was divided into coronal, middle and apical third using the proximal film. Straight line access was determined by measuring the faciolingual canal width and placing points at midway point between the buccal and lingual wall at the junction of the middle and apical third and at the juntion of coronal and middle third of the root canal. A line was drawn connecting these two points extending through the crown of the tooth. The point at which the line crossed the external crown surface was recorded as facial, incisal, lingual. Degree of root curvature was determined by Schneider Protractor Method. Both section method and clearing method were used in this study. By section method, 100 mandibular incisors were embedded in clear resin and transeverse serial sectioned at 0.5, 1.0, 2.0, 3.0, 4.0, 5.0mm level from root apex. The resected surfaces were stained by methylene blue and examined under $\times$40 magnification with a stereomicroscope. By clearing method, 100 mandibular incisors were cleared in methysalicylate after decalcification with 10% nitric acid and evaluated under $\times$18 magnification with a stereomicroscope. The results were as follows ; 1. 29% had the center of the plotted straight-line access facial to incisal edge, whereas 71% had straight-line access at the incisal edge. When incisal wear classified as extensive, the straight-line access was plotted on the incisal edge 95.5%. When incisal wear classified as slight/none, the straight-line access was plotted on the facial 65.9%. 2. Degree of curvature of main canal was straight or almost straight, and only 10% in buccolingual direction had a degree of curvature greater than 20 degrees and 5.5% in mesiodistal direction had. 3. In section method, canal configuration analysis showed that 51% of the specimen classified as type I, 27% as type II, 12% as type III, 10% as type IV. For theses setions with two canals, the incidence of an isthmus was 36.7%, 64.3%, 79.2%, 96.3%, 97.4%, 97.6% at each level and highest in 3~5mm sections. 4. In clearing method, canal configuration analysis showed that 74% of the specimen classified as type I, 11% as type II, 6% as type III, 9% as type IV. These results suggested that traditional access from lingual should be moved as far toward the incisal as possible to locate and debride the lingual canal and root canal system should be cleaned, shaped completely and obturated three dimensionally for successful endodontic treatment.

형광체 기반 X선 광 변조기를 위한 비정질 셀레늄 필름 특성 (Characterization of the a-Se Film for Phosphor based X-ray light Modulator)

  • 강상식;박지군;조성호;차병열;신정욱;이건환;문치웅;남상희
    • 대한의용생체공학회:의공학회지
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    • 제28권2호
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    • pp.306-309
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    • 2007
  • PXLM(Phosphor based x-ray light modulator) has a combined structure by phosphor, photoconductor, and liquid crystal and it can realize x-ray image of high resolution in clinical diagnosis area. In this study, we fabricated a photoconductor and investigated electrical and optical properties to confirm application possibility of radiator detector of PXLM structure. As photoconductor, amorphous selenium(a-Se), which is used most in DR(Digital radiography) of direct conversion method, was used and for formation of thin film, it was formed as $20{\mu}m-thick$ by using thermal vacuum evaporation system. For a produced a-Se film, through XRD(X-ray diffraction) and SEM(Scanning electron microscope), we investigated that amorphous structure was uniformly established and through optical measurement, for visible light of 40 $0\sim630nm$, it had absorption efficiency of 95 % and more. After fabricated a-Se film on the top of ITP substrate, hybrid structure was manufactured through forming $Gd_2O_3:Eu$ phosphor of $270{\mu}m-thick$ on the bottom of the substrate. As the result to confirm electrical property of the manufactured hybrid structure, in the case of appling $10V/{\mu}m$, leakage current of $2.5nA/cm^2$ and x-ray sensitivity of $7.31nC/cm^2/mR$ were investigated. Finally, we manufactured PXLM structure combined with hybrid structure and liquid crystal cell of TN(Twisted nematic) mode and then, investigated T-V(Transmission vs. voltage) curve of external light source for induced x-ray energy. PXLM structure showed a similar optical response with T-V curve that common TN mode liquid crystal cell showed according to electric field increase and in appling $50\sim100V$, it showed linear transmission efficiency of $12\sim18%$. This result suggested an application possibility of PXLM structure as radiation detector.

현대 패션에서 나타나는 보로의 재해석 사례 연구 - 2011~2016년의 사례 중심으로 - (A Case Study on The Reinterpretation of Boro in Modern Fashion - Between 2011 and 2016 -)

  • 김재윤;김선미
    • 한국의상디자인학회지
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    • 제19권2호
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    • pp.29-37
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    • 2017
  • Due to the pursuit of individuality by modern consumers, the day has come when it is hard for design to be sustained solely by external beauty. Accordingly, products with the psychological value and brand stories are appearing, so that products that reinterpret traditional crafts are now being appreciated for their merits. Handmade goods defined as new luxury goods or products of high-quality craftsmanship are being used to enhance the consumer's individual image, and has created an unprecedented consumer stratum structure. Japan is one of the countries that actively applies traditional crafts to contemporary design and this study aims to investigate cases that are being reinterpreted in modern fashion in the theme of Boro, which is not as well known among Japanese traditional crafts. The purpose of this study is to offer basic data for designers by investigating the cases of the reinterpretation of traditional crafts. In addition, in reinterpreting traditional crafts into other fields, it is regarded as a meaningful way to contribute to a variety of other ideas. As the research method, first, the definition and kind of Boro were investigated utilizing the related literature information about the traditional fabric of Boro, which is the starting point and basis of the research. Second, Japanese aesthetic sense defined in the previous research was classified and the relationship of the anti-decorative aesthetic sense and Boro investigated. Third, after classifying the reinterpretation cases of Boro that have appeared in four major fashion collections and designer brands from 2011 to 2016 by the selected aesthetic sense, its characteristics were investigated. The search for examples of the reinterpretation of Boro uses the results of the keyword search of Boro and Boro Fashion via the internet search engine Google from April 2016 to December 2016. In addition, the search results were selected on the basis of whether the designer specified borrowing from Boro or whether Boro on the collection order was included or not. In addition to introducing an unknown fabric craft, this study also raises the methodological problems of the reinterpretation of traditional crafts. Products containing psychological value are expected to come into the spotlight in the upcoming consumer market. Therefore, as a follow-up study, it is suggested to research examples in which various crafts are being applied as products before one knows, how this creates new originality, and the limitations involved in this.

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『동의보감(東醫寶鑑)』의 '형기론(形氣論)'에 대한 소고 (A View on Hyung-Ki in Donguibogam)

  • 박준규;차웅석;김남일
    • 한국의사학회지
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    • 제23권1호
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    • pp.55-65
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    • 2010
  • The narration of "Donguibogam" is focused on humans whilst medical books before it focused on diseases. This is shown from the first subtitle of External Body(身形門) chapter, [The Origin of Hyung-Ki(形氣之始)]. The contents of [The Origin of Hyung-Ki] explains that the human body is composed of 'Hyung(形)' and 'Ki(氣)' This perspective is shown throughout "Donguibogam". First, in the aspect of construction, the viewpoint is shown from the JipRye(集例). It divides the body into inside and outside, which is a result of Hyung-Ki perspective. This continues in the table of contents. Naegyeongpyeon(內景) and Oehyeongpyeon(外形) describes the inside and outside of the body, in other words 'Hyung-Ki'. Japbyeongpyeon(雜病) describes complex illnesses with mixed insides and outsides. Tangaekpyeon(湯液) and Chimgupyeon(鍼灸) can be understood as division of treatment methods into inside and outside. When we look at the contents, the human body is created on the basis of the essence and vital energy of the world. Cheon-Ki becomes the 'Ki' that forms the functions of the body, while Ji-Ki becomes the 'Hyung' that constructs the bodily structure. It is considered that 'Hyung' is composed of SaDae(the body essence, vital energy, mentality and blood), and 'Ki' is composed of OSang(the five Jang organs and six Bu organs). 'Hyung' and 'Ki' show various appearances according to physiology and pathology. 'Hyung' is especially shown by obesity or thinness, 'Ki' by color. The obese may have Ki deficiency, coldness, dampness or phlegm. The thin could have blood deficiency, heat, fire or dryness. The color could show the pathology of the five Jang organs by the five colors, but it can simply be divided into black and white, where black means Eum deficiency, and white means Yang deficiency. It is said that the distinctive feature of traditional Korean medicine is that it is a constitutional medicine. In this perspective, further study on 'Hyung-Ki' is of value. If "Donguibogam" was the foundation of the Sasang Constitutional Medicine(四象醫學), study on 'Hyung-Ki' means searching for the origin of the Sasang Constitutional Medicine. Also, the study on Sasang Constitutional Medicine and Hyungsang medicine(形象醫學) will show the modern image of "Donguibogam". Hence, interchange study between "Donguibogam", Sasang Constitutional Medicine and Hyungsang medicine through the term 'Hyung-Ki' could hopefully lead to academic progression.