• Title/Summary/Keyword: Head CT

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Clinical Implementation of an Eye Fixing and Monitoring System with Head Mount Display (Head Mount Display (HMD)를 이용한 안구의 고정 및 감시장치의 임상사용 가능성 확인)

  • Ko, Young-Eun;Park, Seoung-HO;Yi, Byong-Yong;Ahn, Seung-Do;Lim, Sang-Wook;Lee, Sang-Wook;Shin, Seong-Soo;Kim, Jong-Hoon;Choi, Eun-Kyung;Noh, Young-Ju
    • Progress in Medical Physics
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    • v.18 no.1
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    • pp.1-6
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    • 2007
  • A system to non-invasively fix and monitor eye by a head mounted display (HMD) with a CCD camera for stereotactic radiotherapy (SRS) of uveal melanoma has been developed and implemented clinically. The eye fixing and monitoring system consists of a HMD showing patient a screen for fixing eyeball, a CCD camera monitoring patient's eyeball, and an immobilization mask. At flrst, patient's head was immobilized with a mask. Then, patient was Instructed to wear HMD, to which CCD camera was attached, on the mask and see the given reference point on its screen. While patient stared at the given point in order to fix eyeball, the camera monitored Its motion. Four volunteers and one patient of uveal melanoma for SRS came into this study. For the volunteers, setup errors and the motion of eyeball were analyzed. For the patient, CT scans were peformed, with patient's wearing HMD and fixing the eye to the given point. To treat patient under the same condition, daily CT scans were also peformed before every treatment and the motion of lens was compared to the planning CT Setup errors for four volunteers were within 1mm and the motion of eyeball was fixed within the clinically acceptable ranges. For the patient with uveal melanoma, the motion of lens was fixed within 2mm from daily CT scans. An eye fixing and monitoring system allowed Immobilizing patient as well as monitoring eyeball and was successfully implemented in the treatment of uveal melanoma for SRS.

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Classification of Head Shape and 3-dimensional Analysis for Korean Women (한국 성인 여성 머리 유형분류와 입체적 분석)

  • Choi, Young-Lim;Kim, Jae-Seung;Nam, Yun-Ja
    • Fashion & Textile Research Journal
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    • v.11 no.5
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    • pp.779-787
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    • 2009
  • The purpose of this study was to classify the head shape for the apparel industry and to suggest standard head model for korean women. The 23 measurement items of 891 females, aged more than 18 years were used to analysis by statistical methods. Factor analysis, cluster analysis and duncan test were performed using these data. Through factor analysis, 5 factors were extracted upon factor scores and those factors comprised 68.76% for the total variances. 5 clusters as their head and face shape were categorized. We decided for the type 3 to standard head shape. 24 participants were measured using computed tomography(CT). The measured data of skin and skeleton and the standard head shapes were illustrated.

Utilization of Body Computed Tomography Scanners in Non-Metropolitan Area (비수도권(非首都圈) 지역(地域)에서의 전신용(全身用) X선(線) CT의 이용(利用))

  • Park, Young-Sun
    • Journal of radiological science and technology
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    • v.8 no.2
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    • pp.29-45
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    • 1985
  • Computed Tomography Scanner (CT) is highly expensive in operation as well as purchasing. That reason may cause not only to increase the burden of patients but also to waste the capital resources leading to financial difficulties. However the numbers of CT installed throughout the country is increasing, because of efficiency in medical care, patient's concern, competitions among the hospitals within the same area. In the non-Metropolitan area the scanners were expected to be less utilized and less profitable. Nine hospitals equipped with the CT were studied on the utilization of that equipment during the period from November 1984 to February 1985 in non-Metropolitan area and break-even point in one hospital was analyzed for estimating profitabilities. The results were as follows ; 1. Among those nine hospitals, four hospitals had less than 400 beds, which is one of the restrictive minimum standards on the installation of Whole-body Computed Tomography Scanner. 2. The operating time during the normal operation period was longer than those of any other studies, but the accumulated down time was also longer than those of any other studies. The average number of scanning per week for each CT was 45, while the estimated number of for the break-even point was 56.7 cases. 3. When the downtime was excluded in calculating the average operation would be much closer to the cases for the break-even point. Therefore the break-down of the equipment was to be a main cause of the low profitability. 4. The average scanning rate for head area was 33.6%, however three of the nine hospitals showed about 20%. 5. If scanning ratio for the body parts excepting head was increased, the number of scanning for the break-even point would be diminished. 6. The small size hospital especially located near the Metropolitan area showed largest loss in the CT operation. In purchasing the highly expensive equipments in hospitals, demand should be taken into account and planning is recommended.

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Efficient Semi-automatic Annotation System based on Deep Learning

  • Hyunseok Lee;Hwa Hui Shin;Soohoon Maeng;Dae Gwan Kim;Hyojeong Moon
    • IEMEK Journal of Embedded Systems and Applications
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    • v.18 no.6
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    • pp.267-275
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    • 2023
  • This paper presents the development of specialized software for annotating volume-of-interest on 18F-FDG PET/CT images with the goal of facilitating the studies and diagnosis of head and neck cancer (HNC). To achieve an efficient annotation process, we employed the SE-Norm-Residual Layer-based U-Net model. This model exhibited outstanding proficiency to segment cancerous regions within 18F-FDG PET/CT scans of HNC cases. Manual annotation function was also integrated, allowing researchers and clinicians to validate and refine annotations based on dataset characteristics. Workspace has a display with fusion of both PET and CT images, providing enhance user convenience through simultaneous visualization. The performance of deeplearning model was validated using a Hecktor 2021 dataset, and subsequently developed semi-automatic annotation functionalities. We began by performing image preprocessing including resampling, normalization, and co-registration, followed by an evaluation of the deep learning model performance. This model was integrated into the software, serving as an initial automatic segmentation step. Users can manually refine pre-segmented regions to correct false positives and false negatives. Annotation images are subsequently saved along with their corresponding 18F-FDG PET/CT fusion images, enabling their application across various domains. In this study, we developed a semi-automatic annotation software designed for efficiently generating annotated lesion images, with applications in HNC research and diagnosis. The findings indicated that this software surpasses conventional tools, particularly in the context of HNC-specific annotation with 18F-FDG PET/CT data. Consequently, developed software offers a robust solution for producing annotated datasets, driving advances in the studies and diagnosis of HNC.

A Case Report of Patient with Left Neck Mass and a History of Thyroid and Ovarian Cancer in Head and Neck (갑상선암 및 난소암 병력을 가진 좌측 경부 종물을 주소로 내원한 환자 1례에 대한 증례 보고)

  • Jeong, Yong Jun;Oh, Kyoung Ho;Kwon, Soon Young
    • Korean Journal of Head & Neck Oncology
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    • v.36 no.2
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    • pp.73-77
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    • 2020
  • Ovarian cancer is common malignant disease with high mortality in the female. However, lymph node metastasis in the head and neck of ovarian cancer is very rare than in para-aortic, pelvic lymph node. A 49-year-old female patient came to our clinic with a left neck mass. After total thyroidectomy and left selective neck dissection for the cervical neck level II, III, IV, V, VI for ovarian cancer and thyroid cancer, she had already undergone chemotherapy (Paclitaxel+Carboplatin) 18 month ago. CT scan showed only lymph node enlargement in left neck level II. Positron emission tomography-computed tomography (PET-CT) revealed a hypermetabolic lesion in same area but no other hypermetabolic lesion, especially in the pelvic and abdominal cavity. Fine needle aspiration cytology revealed metastatic carcinoma. The serum level of CA-125 was elevated to 43.8U/mL, whereas other tumor markers (CA 19-9, CEA) were in the normal range. She underwent a revision of selective neck lymph node dissection for the cervical neck levels I, II, and III, and on the review of surgical pathology, metastatic carcinoma was suspected. Thus, we performed immunohistochemical staining for the tissue; as a result, it was finally diagnosed as metastatic ovarian cancer (positive for CK7, ER and PR, and negative for CK20). Adjuvant chemotherapy (Paclitaxel+Carboplatin) was planned on the tumor board, and the patient successfully received chemotherapy.

The Role of CT as a Preoperative Evaluation of Lateral Cervical Lymph Node Metastasis in Papillary Thyroid Carcinoma (갑상선 유두암의 외측 경부림프절 전이에 대한 수술 전 평가로서 CT의 역할)

  • Seok, Jungirl;Kim, Hyung Gu;Kim, Yoonjoong;Han, Kyu-Hee;Ahn, Soon-Hyun
    • Korean Journal of Head & Neck Oncology
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    • v.29 no.2
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    • pp.37-40
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    • 2013
  • Background and Objectives : To assess the usefulness of computed tomography image before papillary thyroid cancer surgery, focus on confirmation of lateral cervical lymph node metastasis not detected by ultrasonography. Material and Methods : From January 2008 to May 2009, total 150 patients who had undergone thyroid surgery and been confirmed papillary thyroid cancer pathologically were enrolled. They had taken neck computed tomography following the ultrasonography. Results : Computed tomography had found suspicious metastatic lateral neck lesion in 13 patients. After the image study, lateral neck lymph node dissection had been included in their surgical plan. Of these, only 7 cases were confirmed pathologically lateral neck lymph node metastasis(positive predictive value=0.54). Taken as whole 150 patients, additionally 4.7% of patients confirmed lateral neck lymph node metastasis by preoperative computed tomography. Conclusion : If preoperative ultrasonography was performed precisely, additional benefits that could be achieved by computed tomography were not much.

The Evaluation of Image Quality and Radiation Dose in Multi-Detector CT (MDCT에서 화질과 방사선량에 관한 연구)

  • Han, Dong-Kyoon;Yang, Han-Joon;Kim, Moon-Chan;Ko, Shin-Gwan
    • Journal of radiological science and technology
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    • v.30 no.2
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    • pp.129-138
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    • 2007
  • The Purpose of this study is to suggest the basic data for making good quality image and maintaining equipment homeostasis by accepting image quality evaluation and radiation dose evaluation in Multi-detector CT. In this study we surveyed 14 CT equipments in Seoul. The results obtained were as follows ; CT number was $0.56{\pm}0.70\;HU$. Noise was $0.39{\pm}0.09\;HU$. Uniformity was $1.08{\pm}0.52\;HU$. High contrast resolution was $0.48{\pm}0.05\;mm$ and low contrast resolution was $3.65{\pm}1.16\;mm$. For CTDI, the central part and the peripheral part of head phantom were $43.2{\pm}15.4\;mGy$ and $45.6{\pm}17.5\;mGy$, respectively. For body phantom, the central part and the peripheral part of head phantom were $13.5{\pm}4.5$ and $29.2{\pm}10.2\;mGy$, respectively. CTDIw was $44.8{\pm}16.8\;mGy$ and CTDIw/100 mAs was $18.8{\pm}5.3\;mGy$ using head phantom. CTDIW was $24.0{\pm}8.3\;mGy$ and CTDIw/100 mAs was $10.1{\pm}2.5\;mGy$ using body phantom. Therefore, CT number, noise, high contrast resolution, low contrast resolution, CTDI, CTDIw and CTDIw/100 mAs of MDCT were showed excellently in all equipments.

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IMPROVEMENT OF DOSE CALCULATION ACCURACY ON kV CBCT IMAGES WITH CORRECTED ELECTRON DENSITY TO CT NUMBER CURVE

  • Ahn, Beom Seok;Wu, Hong-Gyun;Yoo, Sook Hyun;Park, Jong Min
    • Journal of Radiation Protection and Research
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    • v.40 no.1
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    • pp.17-24
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    • 2015
  • To improve accuracy of dose calculation on kilovoltage cone beam computed tomography (kV CBCT) images, a custom-made phantom was fabricated to acquire an accurate CT number to electron density curve by full scatter of cone beam x-ray. To evaluate the dosimetric accuracy, 9 volumetric modulated arc therapy (VMAT) plans for head and neck (HN) cancer and 9 VMAT plans for lung cancer were generated with an anthropomorphic phantom. Both CT and CBCT images of the anthropomorphic phantom were acquired and dose-volumetric parameters on the CT images with CT density curve (CTCT), CBCT images with CT density curve ($CBCT_{CT}$) and CBCT images with CBCT density curve ($CBCT_{CBCT}$) were calculated for each VMAT plan. The differences between $CT_{CT}$ vs. $CBCT_{CT}$ were similar to those between $CT_{CT}$ vs. $CBCT_{CBCT}$ for HN VMAT plans. However, the differences between $CT_{CT}$ vs. $CBCT_{CT}$ were larger than those between $CT_{CT}$ vs. $CBCT_{CBCT}$ for lung VMAT plans. Especially, the differences in $D_{98%}$ and $D_{95%}$ of lung target volume were statistically significant (4.7% vs. 0.8% with p = 0.033 for $D_{98%}$ and 4.8% vs. 0.5% with p = 0.030 for $D_{95%}$). In order to calculate dose distributions accurately on the CBCT images, CBCT density curve generated with full scatter condition should be used especially for dose calculations in the region of large inhomogeneity.