• 제목/요약/키워드: Fusion mass

검색결과 203건 처리시간 0.03초

Surgical Treatment of Craniovertebral Junction Instability : Clinical Outcomes and Effectiveness in Personal Experience

  • Song, Gyo-Chang;Cho, Kyoung-Suok;Yoo, Do-Sung;Huh, Pil-Woo;Lee, Sang-Bok
    • Journal of Korean Neurosurgical Society
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    • 제48권1호
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    • pp.37-45
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    • 2010
  • Objective : Craniovertebral junction (CVJ) consists of the occipital bone that surrounds the foramen magnum, the atlas and the axis vertebrae. The mortality and morbidity is high for irreducible CVJ lesion with cervico-medullary compression. In a clinical retrospective study, the authors reviewed clinical and radiographic results of occipitocervical fusion using a various methods in 32 patients with CVJ instability. Methods : Thirty-two CVJ lesions (18 male and 14 female) were treated in our department for 12 years. Instability resulted from trauma (14 cases), rheumatoid arthritis (8 cases), assimilation of atlas (4 cases), tumor (2 cases), basilar invagination (2 cases) and miscellaneous (2 cases). Thirty-two patients were internally fixed with 7 anterior and posterior decompression with occipitocervical fusion, 15 posterior decompression and occipitocervical fusion with wire-rod, 5 C1-2 transarticular screw fixation, and 5 C1 lateral mass-C2 transpedicular screw. Outcome (mean follow-up period, 38 months) was based on clinical and radiographic review. The clinical outcome was assessed by Japanese Orthopedic Association (JOA) score. Results : Nine neurologically intact patients remained same after surgery. Among 23 patients with cervical myelopathy, clinical improvement was noted in 18 cases (78.3%). One patient died 2 months after the surgery because of pneumonia and sepsis. Fusion was achieved in 27 patients (93%) at last follow-up. No patient developed evidence of new, recurrent, or progressive instability. Conclusion : The authors conclude that early occipitocervical fusion to be recommended in case of reducible CVJ lesion and the appropriate decompression and occipitocervical fusion are recommended in case of irreducible craniovertebral junction lesion.

Segment-based Image Classification of Multisensor Images

  • Lee, Sang-Hoon
    • 대한원격탐사학회지
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    • 제28권6호
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    • pp.611-622
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    • 2012
  • This study proposed two multisensor fusion methods for segment-based image classification utilizing a region-growing segmentation. The proposed algorithms employ a Gaussian-PDF measure and an evidential measure respectively. In remote sensing application, segment-based approaches are used to extract more explicit information on spatial structure compared to pixel-based methods. Data from a single sensor may be insufficient to provide accurate description of a ground scene in image classification. Due to the redundant and complementary nature of multisensor data, a combination of information from multiple sensors can make reduce classification error rate. The Gaussian-PDF method defines a regional measure as the PDF average of pixels belonging to the region, and assigns a region into a class associated with the maximum of regional measure. The evidential fusion method uses two measures of plausibility and belief, which are derived from a mass function of the Beta distribution for the basic probability assignment of every hypothesis about region classes. The proposed methods were applied to the SPOT XS and ENVISAT data, which were acquired over Iksan area of of Korean peninsula. The experiment results showed that the segment-based method of evidential measure is greatly effective on improving the classification via multisensor fusion.

Evidential Fusion of Multsensor Multichannel Imagery

  • Lee Sang-Hoon
    • 대한원격탐사학회지
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    • 제22권1호
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    • pp.75-85
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    • 2006
  • This paper has dealt with a data fusion for the problem of land-cover classification using multisensor imagery. Dempster-Shafer evidence theory has been employed to combine the information extracted from the multiple data of same site. The Dempster-Shafer's approach has two important advantages for remote sensing application: one is that it enables to consider a compound class which consists of several land-cover types and the other is that the incompleteness of each sensor data due to cloud-cover can be modeled for the fusion process. The image classification based on the Dempster-Shafer theory usually assumes that each sensor is represented by a single channel. The evidential approach to image classification, which utilizes a mass function obtained under the assumption of class-independent beta distribution, has been discussed for the multiple sets of mutichannel data acquired from different sensors. The proposed method has applied to the KOMPSAT-1 EOC panchromatic imagery and LANDSAT ETM+ data, which were acquired over Yongin/Nuengpyung area of Korean peninsula. The experiment has shown that it is greatly effective on the applications in which it is hard to find homogeneous regions represented by a single land-cover type in training process.

Predictable Risk Factors for Adjacent Segment Degeneration After Lumbar Fusion

  • Hyun, Seung-Jae;Kim, Young-Baeg;Hong, Hyun-Jong;Kwon, Jeong-Taik;Suk, Jong-Sik;Min, Byung-Kook
    • Journal of Korean Neurosurgical Society
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    • 제41권2호
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    • pp.88-94
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    • 2007
  • Objective : The aim of this study is to investigate predictable risk factors for radiologic degeneration of adjacent segment after lumbar fusion and preoperative radiologic features of patients who underwent additional surgery with adjacent segment degeneration. Methods : Between January 1995 and December 2002, 201 patients who underwent lumbar fusion for degenerative conditions of lumbar spine were evaluated. We studied radiologic features, the method of operation, the length of fusion, age, sex, osteoporosis, and body mass index. Special attention was focused on, preoperative radiologic features of patients who required additional surgery were studied to detect risk factors for clinical deterioration. Results : Follow-up period ranged from 3 to 11 years. In our study, 61 [30%] patients developed adjacent segment degeneration, and 15 [7%] patients required additional surgery for neurologic deterioration. Age, the postoperative delay, facet volume, motion range, laminar inclination, facet tropism, and preexisting disc degeneration of adjacent segment considered as possible risk factors. Among these, laminar inclination and preexisting disc degeneration of adjacent segment were significantly correlated with clinical deterioration. Conclusion : The radiologic degeneration of adjacent segment after lumbar fusion can be predicted in terms of each preoperative radiologic factor, age and the postoperative delay. Laminar inclination and preexisting disc degeneration of adjacent segment have shown as strong risk factors for neurologic deterioration. Thus, careful consideration is warranted when these risk factors are present.

Expression and Characterization of a Novel Deoxyribose 5-Phosphate Aldolase from Paenibacillus sp. EA001

  • Kim, Yong-Mo;Choi, Nack-Shick;Kim, Yong-Ook;Son, Dong-Ho;Chang, Young-Hyo;Song, Jae-Jun;Kim, Joong-Su
    • Journal of Microbiology and Biotechnology
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    • 제20권6호
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    • pp.995-1000
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    • 2010
  • A novel deoC gene was identified from Paenibacillus sp. EA001 isolated from soil. The gene had an open reading frame (ORF) of 663 base pairs encoding a protein of 220 amino acids with a molecular mass of 24.5 kDa. The amino acid sequence was 79% identical to that of deoxyribose 5-phosphate aldolase (DERA) from Geobacillus sp. Y412MC10. The deoC gene encoding DERA was cloned into an expression vector and the protein was expressed in Escherichia coli. The recombinant DERA was purified using Ni-NTA affinity chromatography and then characterized. The optimum temperature and pH of the enzyme were $50^{\circ}C$ and 6.0, respectively. The specific activity for the substrate deoxyribose 5-phosphate (DR5P) was $62\;{\mu}mol/min/mg$. The $K_m$ value for DR5P was determined to be 145 mM with the $k_{cat}$ value of $3.2{\times}10^2/s$ from Lineweaver-Burk plots. The EA001 DERA showed stability toward a high concentration of acetaldehyde (100 mM).

Comparative Analysis of Surgical Outcomes of C1-2 Fusion Spine Surgery between Intraoperative Computed Tomography Image Based Navigation-Guided Operation and Fluoroscopy-Guided Operation

  • Lee, Jun Seok;Son, Dong Wuk;Lee, Su Hun;Ki, Sung Soon;Lee, Sang Weon;Song, Geun Sung
    • Journal of Korean Neurosurgical Society
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    • 제63권2호
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    • pp.237-247
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    • 2020
  • Objective : Fixation of the C1-2 segment is challenging because of the complex anatomy in the region and the need for a high degree of accuracy to avoid complications. Preoperative 3D-computed tomography (CT) scans can help reduce the risk of complications in the vertebral artery, spinal cord, and nerve roots. However, the patient may be susceptible to injury if the patient's anatomy does not match the preoperative CT scans. The intraoperative 3D image-based navigation systems have reduced complications in instrument-assisted techniques due to greater accuracy. This study aimed to compare the radiologic outcomes of C1-2 fusion surgery between intraoperative CT image-guided operation and fluoroscopy-guided operation. Methods : We retrospectively reviewed the radiologic images of 34 patients who underwent C1-2 fusion spine surgery from January 2009 to November 2018 at our hospital. We assessed 17 cases each of degenerative cervical disease and trauma in a study population of 18 males and 16 females. The mean age was 54.8 years. A total of 139 screws were used and the surgical procedures included 68 screws in the C1 lateral mass, 58 screws in C2 pedicle, nine screws in C2 lamina and C2 pars screws, four lateral mass screws in sub-axial level. Of the 34 patients, 19 patients underwent screw insertion using intraoperative mobile CT. Other patients underwent atlantoaxial fusion with a standard fluoroscopy-guided device. Results : A total of 139 screws were correctly positioned. We analyzed the positions of 135 screws except for the four screws that performed the lateral mass screws in C3 vertebra. Minor screw penetration was observed in seven cases (5.2%), and major pedicle screw penetration was observed in three cases (2.2%). In one case, the malposition of a C2 pedicle screw was confirmed, which was subsequently corrected. There were no complications regarding vertebral artery injury or onset of new neurologic deficits. The screw malposition rate was lower (5.3%) in patients who underwent intraoperative CT-based navigation than that for fluoroscopy-guided cases (10.2%). And we confirmed that the operation time can be significantly reduced by surgery using intraoperative O-arm device. Conclusion : Spinal navigation using intraoperative cone-beam CT scans is reliable for posterior fixation in unstable C1-2 pathologies and can be reduced the operative time.

Optimum Radius Size between Cylindrical Ion Trap and Quadrupole Ion Trap

  • Chaharborj, Sarkhosh Seddighi;Kiai, Seyyed Mahmod Sadat;Arifin, Norihan Md;Gheisari, Yousof
    • Mass Spectrometry Letters
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    • 제6권3호
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    • pp.59-64
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    • 2015
  • Quadrupole ion trap mass analyzer with a simplified geometry, namely, the cylindrical ion trap (CIT), has been shown to be well-suited using in miniature mass spectrometry and even in mass spectrometer arrays. Computation of stability regions is of particular importance in designing and assembling an ion trap. However, solving CIT equations are rather more difficult and complex than QIT equations, so, analytical and matrix methods have been widely used to calculate the stability regions. In this article we present the results of numerical simulations of the physical properties and the fractional mass resolutions m/Δm of the confined ions in the first stability region was analyzed by the fifth order Runge-Kutta method (RKM5) at the optimum radius size for both ion traps. Because of similarity the both results, having determining the optimum radius, we can make much easier to design CIT. Also, the simulated results has been performed a high precision in the resolution of trapped ions at the optimum radius size.

Unusual Anterior Arch Fracture of C1 - 증 례 보 고 - (Unusual Anterior Arch Fracture of C1 - Case Report -)

  • 김상진;손찬영;김태홍;신형식;황용순;박상근
    • Journal of Korean Neurosurgical Society
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    • 제30권4호
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    • pp.537-540
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    • 2001
  • Fractures of C1 are not uncommon, constituting only 10% of all cervical spine injuries. There is a high prevalence of concomitant fractures of the second and first cervical vertebral complex. Surgical treatment is controversal. Mainstay of treatment is various combination of traction and cervical orthosis according to degree of displacement and location of fracture. We experienced unusual type of fracture, anterior arch fracture of C1 who had a history of total laminectomy of C1,2 due to cervical cord tumor(neurilemmoma arising from C2 root). We performed C1,2 lateral mass screw fixation with posterior fusion with good postoperative outcome.

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Two Case Reports and an Updated Review of Spinal Intraosseous Schwannoma

  • Zhang, Fan;Lu, Feizhou;Jiang, Jianyuan;Wang, Hongli
    • Journal of Korean Neurosurgical Society
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    • 제57권6호
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    • pp.478-483
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    • 2015
  • We report two rare cases of spinal intraosseous schwannoma (SIS) with sustained myelopathy symptoms and provide an updated review regarding SIS in the literature. A 71-year-old man experienced right lumbocrural pain and gait disturbance accompanied with paresthesia and right leg weakness. Imaging examinations revealed a mass with lesions in L4 vertebral body causing bone destruction and spinal cord compression. Complete resection of the well-demarcated tumor and posterior fusion were performed. A 54-year-old female reported bilateral gait disturbance, paresthesia, and numbness without weakness, and imaging revealed a posterior mass from T9 causing spinal cord compression and bone erosion. The tumor was completely separated from the spinal nerve root. The tumors from both patients were confirmed as schwannomas. Tumor recurrence was not observed at the 2-4 year follow-up. Although rare, SIS should be considered during differential diagnosis and can affect treatment planning. SIS symptoms vary depending on tumor location, and fusion is frequently necessary for spinal reconstruction after complete tumor resection.

NANO-STRUCTURAL AND NANO-CHEMICAL ANALYSIS OF NI-BASE ALLOY/LOW ALLOY STEEL DISSIMILAR METAL WELD INTERFACES

  • Choi, Kyoung-Joon;Shin, Sang-Hun;Kim, Jong-Jin;Jung, Ju-Ang;Kim, Ji-Hyun
    • Nuclear Engineering and Technology
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    • 제44권5호
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    • pp.491-500
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    • 2012
  • The dissimilar metal joints welded between Ni-based alloy, Alloy 690 and low alloy steel, A533 Gr. B with Alloy 152 filler metal were characterized by using optical microscope, scanning electron microscope, transmission electron microscope, secondary ion mass spectrometry and 3-dimensional atom probe tomography. It was found that in the weld root region, the weld was divided into several regions including unmixed zone in Ni-base alloy, fusion boundary, and heat-affected zone in the low alloy steel. The result of nanostructural and nanochemical analyses in this study showed the non-homogeneous distribution of elements with higher Fe but lower Mn, Ni and Cr in A533 Gr. B compared with Alloy 152, and the precipitation of carbides near the fusion boundary.