• Title/Summary/Keyword: Head CT

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Intracerebral Hematoma Caused by Ruptured Traumatic Pseudoaneurysm of the Middle Meningeal Artery : A Case Report

  • Lim, Dong-Ho;Kim, Tae-Sun;Joo, Sung-Pil;Kim, Soo-Han
    • Journal of Korean Neurosurgical Society
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    • v.42 no.5
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    • pp.416-418
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    • 2007
  • Hematomas caused by ruptured traumatic pseudoaneurysms of the middle meningeal artery (MMA) usually present with extradural hematomas, whereas intradural intraparenchymal hematomas are extremely rare. We report a case of traumatic pseudoaneurysm of the MMA giving rise to an intracerebral hematoma after head trauma. A 70-year-old man suffered a massive intracerebral temporoparietal hemorrhage after a head injury. CT angiogram of the brain revealed a large hematoma in the right middle cranial fossa extending to the right sylvian fissure. Cerebral angiogram also revealed a pseudoaneurysm of the MMA, which was successfully treated surgically. Although traumatic MMA pseudoaneurysm producing intracerebral hematoma (ICH) is rare, it should be considered as a possible cause of intracerebral hematoma.

Three Dimensional Segmentation in PCNN

  • Nishi, Naoya;Tanaka, Masaru;Kurita, Takio
    • Proceedings of the IEEK Conference
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    • 2002.07b
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    • pp.802-805
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    • 2002
  • In the three-dimensional domain image expressed with two-dimensional slice images, such as fMRI images and multi-slice CT images, we propose the three-dimensional domain automatic segmentation for the purpose of extracting region. In this paper, we segmented each domain from the fMRI images of the head of people and monkey. We used the neural network "Pulse-Coupled Neural Network" which is one of the models of visual cortex of the brain based on the knowledge from neurophysiology as the technique. By using this technique, we can segment the region without any learning. Then, we reported the result of division of each domain and extraction to the fMRI slice images of human's head using "three-dimensional Pulse-Coupled Neural Network" which is arranged and created the neuron in the shape of a three-dimensional lattice.

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Failure analysis on the phenomenon of water condensing of automotive head lamp assembly (자동차용 head lamp의 수밀원인 분석)

  • Cho, Young-Jin;Jeon, Jong-Soo
    • Proceedings of the KSME Conference
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    • 2008.11a
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    • pp.1349-1354
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    • 2008
  • In this study, we try to find the root cause of water condensing failures in a headlamp using chemical and mechanical analysis. Through the surface inspection by OM, SEM and CT, it was found that water infiltrate into the headlamp through hotmelt adhesive debonding part caused by adhesion force degradation and poor quality. IR spectra shows that adhesion force degradation are characterized by increase of some functional group(1742, 1710, 1649, 1016). Through the ESPI measurement, it is turned out that bonding structural change by thermal expansion and degradation of adhesive can be the cause of void generation. So it is recommended that cooling passage and the bonding part should be redesigned to give a guarantee of less thermal stress and high adhesion quality.

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Transection of Distal Common Bile Duct by Bike Handlebar in a Child (소아에서 자전거 핸들에 의한 총담관 절단 증례보고)

  • Hong, Jeong
    • Advances in pediatric surgery
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    • v.9 no.1
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    • pp.52-56
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    • 2003
  • A 10 year old boy was admitted with blunt abdominal trauma by bike handle injury. The patient was operated upon for a generalized peritonitis due to pancreaticoduodenal injury. On opening the peritoneal cavity. complete transection of distal end of common bile duct and. partial separation between pancreas head and second portion of duodenum were found. Ligation of the transected end of the common bile duct. T-tube choledochostomy, and external drainage were performed. A pseudocyst was found around the head portion of the pancreas on the 7th postoperative day with CT. An internal fistula had developed between the pseudocyst and ligated common bile duct. The pseudocyst was subsided after percutaneous drainage. In the case of the undetermined pancreatic injury, percutaneous external drainage can be effective in treating the traumatic pancreatic pseudocyst in a pediatric patient.

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Comparative Study for the Measurement of Fermoral Anteversion by Manual Method and Image Viewer (대퇴골 전염각 측정을 위한 수 작업 방법과 Image Viewer 방법과의 비교 연구)

  • Gwon, Dae-Cheol;Park, Beom
    • Journal of the Ergonomics Society of Korea
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    • v.20 no.3
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    • pp.27-35
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    • 2001
  • The measurement of the fermoral anteversion is an important factor in the practice of orthopedic surgery. The anteversion is measured by means of the axis of head and neck of the femur. In this study. widely used computed tomography method of measuring anteversion was tested on femoral necks of patients. Measurement by the manual method and image viewer of computed tomography to determine the anteversion of femoral head were carried out on both femurs. In January and February 2001, 30 patients 3 to 6 years of age were randomly selected from Seoul National University Hospital. the purpose of this paper was to introduce a new method to measure femoral anteversion angle utilizing image viewer program. This new method was more accurate and convenient than the conventional manual method. No significant difference was observed between the manual method and the image viewer measurement of femoral anteversion. In conclusion, image viewer program was statistically more reliable in determining the angle of the fermoral anteversion.

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Thyroid Carcinoma Presenting as an Anterior Mediastinal Mass (종격동 종괴로 발현된 잠재성 갑상선암)

  • Hyung Woo-Jin;Chung Woung-Yoon;Park Cheong-Soo
    • Korean Journal of Head & Neck Oncology
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    • v.13 no.1
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    • pp.69-73
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    • 1997
  • We have experienced a case of occult papillary thyroid carcinoma presenting as an anterior mediastinal mass in a 40-year-old man. The CT scan revealed a huge mass behind the manubrium of the sternum but the ultrasound examination failed to detect any lesion and developmental defect in the thyroid. Excision of the mediastinal mass and total thyroidectomy were carried out. Histologically, the mediastinal mass turned out to be papillary carcinoma without any portion of the normal thyroid tissue or normal lymph node tissue and the thyroid gland showed a tiny papillary carcinoma with the diameter of 0.3cm. Although a mediastinal mass as the sole presentation of the thyroid carcinoma is very rare, we suggest that a mediastinal mass should be added to the list of possible metastatic thyroid carcinoma.

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Comparison of One-day and Two-day Protocol of $^{11}C$-Acetate and $^{18}F$-FDG Scan in Hepatoma (간암환자에 있어서 $^{11}C$-Acetate와 $^{18}F$-FDG PET/CT 검사의 당일 검사법과 양일 검사법의 비교)

  • Kang, Sin-Chang;Park, Hoon-Hee;Kim, Jung-Yul;Lim, Han-Sang;Kim, Jae-Sam;Lee, Chang-Ho
    • The Korean Journal of Nuclear Medicine Technology
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    • v.14 no.2
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    • pp.3-8
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    • 2010
  • Purpose: $^{11}C$-Acetate PET/CT is useful in detecting lesions that are related to livers in the human body and leads to a sensitivity of 87.3%. On the other hand, $^{18}F$-FDG PET/CT has a sensitivity of 47.3% and it has been reported that if both $^{18}F$-FDG and $^{11}C$-Acetate PET/CT are carried out together, their cumulative sensitivity is around 100%. However, the normal intake of the pancreas and the spleen in $^{11}C$-Acetate PET/CT can influence the $^{18}F$-FDG PET/CT leading to an inaccurate diagnosis. This research was aimed at the verification of the usefulness of how much influence these two radioactive medical supplies can cause on the medical images through comparative analysis between the one-day and two-day protocol. Materials and Methods: This research was carried out based on 46 patients who were diagnosed with liver cancer and have gone through the PET/CT (35 male, 11 female participants, average age: $54{\pm}10.6$ years, age range: 29-69 years). The equipment used for this test was the Biograph TruePoint40 PET/CT (Siemens Medical Systems, USA) and 21 participants who went through the one-day protocol test were first given the $^{11}C$-Acetate PET/CT and the $^{18}F$-FDG PET/CT, the latter exactly after one hour. The other 25 participants who went through the two-day protocol test were given the $^{11}C$-Acetate PET/CT on the first day and the $^{18}F$-FDG PET/CT on the next day. These two groups were then graded comparatively by assigning identical areas of interest of the pancreas and the spleen in the $^{18}F$-FDG images and by measuring the Standard Uptake Value (SUV). SPSS Ver.17 (SPSS Inc., USA) was used for statistical analysis, where statistical significance was found through the unpaired t-test. Results: After analyzing the participants' medical images from each of the two different protocol types, the average${\pm}$standard deviation of the SUV of the pancreas carried out under the two-day protocol were as follows: head $1.62{\pm}0.32$ g/mL, body $1.57{\pm}0.37$ g/mL, tail $1.49{\pm}0.33$ g/mL and the spleen $1.53{\pm}0.28$ g/mL. Whereas, the results for participants carried out under the one-day protocol were as follows: head $1.65{\pm}0.35$ g/mL, body $1.58{\pm}0.27$ g/mL, tail $1.49{\pm}0.28$ g/mL and the spleen $1.66{\pm}0.29$ g/mL. Conclusion: It was found that no statistical significant difference existed between the one-day and two-day protocol SUV in the pancreas and the spleen (p<0.05), and nothing which could be misconceived as false positive were found from the PET/CT medical image analysis. From this research, it was also found that no overestimation of the SUV occurred from the influence of $^{11}C$-Acetate on the $^{18}F$-FDG medical images where those two tests were carried out for one day. This result was supported by the statistical significance of the SUV of measurement. If $^{11}C$-Acetate becomes commercialized in the future, the diagnostic ability of liver diseases can be improved by $^{18}F$-FDG and one-day protocol. It is from this result where tests can be accomplished in one day without the interference phenomenon of the two radioactive medical supplies and furthermore, could reduce the waiting time improving customer satisfaction.

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THE FACTORS WHICH AFFECT THE EXTERNAL RADIATION DOSE RATE OF PET-CT PATIENTS

  • Cho, Ihn Ho;Kim, Su Jin;Han, Eun Ok
    • Journal of Radiation Protection and Research
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    • v.37 no.4
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    • pp.231-236
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    • 2012
  • This study derived measures to reduce exposure doses by identifying factors which affect the external radiation dose rate of patients treated with radiopharmaceuticals for PET-CT tests. The external radiation dose rates were measured on three parts of head, thorax and abdomen at a distance of 50cm from the surface of 60 PET-CT patients. It showed there are changes in factors affecting the external radiation dose rate over time after the administration of F-18 FDG. The external radiation dose rate was lower in the patients with more water intake than those with less water intake before the injection of radiopharmaceuticals at all three points: right after the injection of radiopharmaceuticals (average 4.17 mins), after the pre-PEET-CT urination step (average 77.47 mins), and right after the PET-CT test (average 114.15 mins). The study also found there is a need to increase the amount of water intake before the injection of radiopharmaceuticals in order to maintain a low external radiation dose rate in patients. This strategy is only possible under the assumption that the quality of the video has not changed after conducting this study on the relations between the image and quality. This study also found a need to use radiopharmaceuticals with the minimum amount needed for each patient because F-FDG doses affects the external radiation dose rate at the point right after the injection of radiopharmaceuticals. Urination frequency was the most significant factor to affect the external radiation dose rates at the point right after the PET-CT test and the point after the pre-PET-CT urination step. There is a need to realize the strategy to increase the urination frequency of patients to maintain the external radiation dose rate low (average 77.47 mins) before and after the injection of radiopharmaceuticals. In addition, at this point, there is a need to take advantage of personal strategies because the external radiation dose rate is lower if the fasting time is shorter, the contrast medium is used, and the amount of water intake is increased after the administration of radiopharmaceuticals. Finally this study found the need to be able to generalize these findings through an in-depth research on the factors affecting the external radiation dose rate, which includes radiopharmaceutical dose, urination frequency, the amount of water intake, fasting time and the use of contrast medium.

A Study on the Usefulness of 3D Imaging in Micro-CT for Observing the Microstructure of Mice (흰쥐 미세구조 관찰을 위한 Micro-CT 3D 영상의 유용성에 관한 연구)

  • Lee, Sang-Ho;Lee, Jong-Seok;Lim, Cheong-Hwan;Jung, Hong-Ryang;Chai, Kyu-Yun;Han, Beom-Hee;Han, Sang-Hyun;Hong, Dong-Hee;Han, Tae-Jong;Park, Sung-Hoon;Mo, Eun-Hee;Jun, Hong-Young
    • Journal of Digital Convergence
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    • v.12 no.3
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    • pp.367-375
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    • 2014
  • In this thesis we observe microvascular structure in mice by using micro-computed tomography (CT), which is high-resolution X-ray imaging equipment that can acquire Real-time dynamic image, and it aims to investigate the usefulness of micro-CT developed by Institute for Radiological Imaging Science Wonkwang University School of Medicine. After acquiring the systemic images of rats, contrast-enhanced 3D images of vascular structures could be acquired by using Maximum Intensity Projection (MIP) and Volume Rending Technique (VRT), This was divided into each vascular system of head, abdomen and heart and systemic vascular system.

Usefulness Evaluation of Algorithm Conversion Method for Dose Reduction in Brain CT Examination (두부 CT 검사에서 선량감소를 위한 알고리즘 변환방법의 유용성 평가)

  • Kim, Hyeon ju
    • Journal of the Korean Society of Radiology
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    • v.13 no.3
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    • pp.481-487
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    • 2019
  • Based on the scan conditions and algorithms that are generally applied during examinations during head CT examinations, the results of dose reduction through the application of algorithm changes were investigated through experiments. As a result, the dose reduction effect was more meaningful for the change of perfusion than for the tube voltage, and the quality evaluation using the brain phantom was relatively less reduced when the dose was reduced after the application of the Bone algorithm, especially for the application of the Bone algorithm, and the deviation of the mean CT number or Pixel value was measured relatively significantly. In other words, the conditions under which dose was reduced and quality was maintained to reduce the patient's exposure dose and obtain images of the same quality were obtained with the application of the Smooth algorithm and the resulting values of 120 kVp, 160 mA. At this point, doses were reduced by about 28%, and the mean CT number or Pixel value was also measured with relatively little error. If the results are applied to patients who visit the hospital for examination or follow-up after applying various algorithms and follow up scan conditions, the results are considered to be very useful in reducing patient exposure dose.