• 제목/요약/키워드: Internal margin

검색결과 239건 처리시간 0.033초

지대치 변연 형태에 따른 수작업과 CAD/CAM으로 제작한 coping 패턴의 적합도 비교 (Comparison of the fit of the coping pattern constructed by manual and CAD/CAM, depending on the margin of the abutment tooth)

  • 한민수;권은자;최에스더;김시철
    • 한국산학기술학회논문지
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    • 제16권10호
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    • pp.6611-6617
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    • 2015
  • 본 연구는 수작업으로 제작된 metal coping과 CAD/CAM(Computer Aided Design/Computer Aided Manufacturing)으로 제작된 지르코니아 coping을 제작하여 변연과 내면 적합도를 비교 분석하고자 하였다. 모형은 우레탄 모형재를 사용하여 knife, chamfer변연 두 종류의 지대치를 제작하였다. 수작업과 CAD/CAM으로 제작된 보철물의 변연 적합도를 실리콘 리플리카 테크닉방법을 사용하여 측정하였다. 적합도 측정은 현미경의 CCD카메라로 캡쳐하였다. 이때 지대치와 보철물의 거리는 이미지분석 소프트웨어에서 거리 조정이 된 상태에서 실시하였다. 측정부위는 marginal opening을 MO, marginal gap을 MG, internal gap을 IG, Axial gap을 AG, occlusal gap을 OG로 하였다. 제작법과 변연 형태에 따른 비교분석을 위해 이원배치분산분석을 실시하였으며 서로 다른 평균값들의 비교 분석을 위해서 일원배치분산분석과 Scheffe's 사후 검정을 실시하였다. 그 결과 CAD/CAM의 OG와 knife 변연의 MO을 제외하고는 < $120{\mu}m$ 적합도를 나타냈다. CAD/CAM으로 제작된 coping은 chamfer 변연 MO에서 높은 적합도를 보였으나 MG에서는 knife변연이 chamfer변연 보다 더 좋은 적합도를 보였다. AG의 내면 적합도는 가장 좋은 값을 나타내었다(< $38{\mu}m$).

악안면 종창에 대한 초음파 소견 (SONOGRAPHIC FINDING OF MAXILLOFACIAL MASS)

  • 김현태
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제14권1_2호
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    • pp.143-145
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    • 1992
  • Fourteen masses in the maxillofacial areas which are not diagnosised simply as abscess were studied with ultrasound to evaluate its diagnostic role. Benign mass showed homogeneous echopattern with smooth margin and cyst a few internal echo with smooth margin. But malignant mass showed irregular margin, inhomogeneous echotexture and deep extension. Ultrasonography considered as an initial noninvasive imaging modality for the evaluation of maxillofacial masses.

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수 Gbps 고속 인터페이스의 오류검출을 위한 자가내장측정법의 가속화 연구 (A Study on Accelerated Built-in Self Test for Error Detecting in Multi-Gbps High Speed Interfaces)

  • 노준완;권기원;전정훈
    • 전자공학회논문지
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    • 제49권12호
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    • pp.226-233
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    • 2012
  • 본 논문에서는 고속 인터페이스 비트오류율(BER, Bit Error Rate)의 수학적 모델을 기반으로, 간단하고 정확하게 시간마진을 추정할 수 있는 '선형 근사화 추정법(linear approximation method)'을 제안하였다. 기존의 Q-factor를 이용한 추정법과 제안한 선형 근사화 추정법을 이용하여 $10^{-13}$ 이하의 BER을 얻기 위한 시간마진을 추정한 결과는 실측한 값과 비교할 때 약 0.03UI 정도의 작은 오차를 갖는다. 이 중 선형 근사화를 이용한 가속 자가내장측정법(built-in self test)을 내부 BERT(BER Tester)를 포함한 하드웨어로 구현하였다. 3Gbps, 95% 신뢰 수준에서 $10^{-13}$ BER 기준의 시간마진을 직접 측정하는데 소요되는 시간이 약 5.6시간인데 반해, 가속 자가내장측정법은 0.6초 이내에 유사한 정확도로 시간마진을 추정한다. 시간마진 추정치는 시간마진을 내부 BERT로 직접 측정한 값과 0.045UI 이하의 작은 오차를 보였다.

간실질(肝實質) 병변(病變)에 대(對)한 간주사(肝走査) (Hepatoscintigram with $^{198}Au$ colloid)의 진단적(診斷的) 가치에 대한 고찰 (A Study on the Diagnostic Significance of Hepatoscintigram with Colloidal Gold in Parenchymal Liver Disease)

  • 신동호;이민호;김목현
    • 대한핵의학회지
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    • 제16권1호
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    • pp.63-72
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    • 1982
  • Hepatoscintigram has been a useful diagnostic method for the liver diseases since 1953, but reasonable diagnostic criteria for parenchymal liver diseases are not yet accurately established. For the purpose of searching for more advanced diagnostic criteria for various types of live disease by the liver scan, a retrospective study was made of 272 cases who underwent both hepatoscintigram with 198 Au colloid and liver biopsy in Hanynag University Hospital from Jan., 1978 to Dec., 1981. The results were as follows: 1. Fuzzy margin (irregular indentation of the liver margin) in the hepatoscintigram was noted in 226 cases (97.79%). 2. Of 35 cases with fuzzy margin only, 28 cases (80%) revealed mild parenchymal liver disease, such as acute hepatitis or chronic persistent hepatitis by the liver biopsy. 3. Mottling change (209 cases) was always accompanied by fuzzy margin except only one case, and 31 cases (86.1%) of fuzzy and mottling cases (36 cases) showed mild parenchymal liver disease. 4. Configuration change (193 cases) was usually accompanied with other changes and espicially 104 cases had configuration change with fuzzy and mottling changes. 73 cases (88.44%) of 86 cases with severe configuration change revealed advanced parenchymal liver disease on biopsy. If liver scan showed mild configuration change, we could not decide the type of liver disease only liver scan, and so further studies are needed. 5. Splenic uptake was noted in 34 cases (40.48%) of 84 cases with advanced parenchymal liver disease, and the degree of splenic uptake was for the most part morderate or severe; whereas splenic uptake was noted in 18 cases (16.51%) of the mild parenchymal liver disease (109 cases), and the degree of splenic uptake was largely mild.

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고정성 보철물의 적합도 측정 시 사용하는 실리콘 복제본 기술의 정확도 평가 (An Evaluation Validity of the Silicone Replica Technique at Measurement on Fit of Fixed Dental Prostheses)

  • 김재홍;김기백
    • 치위생과학회지
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    • 제12권6호
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    • pp.566-571
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    • 2012
  • 제한된 조건 하에서 수행된 본 연구에서는 다음과 같은 결론을 얻었다. 1. 치형과 고정성 보철물을 근 원심 방향의 단면에 8지점을 선정한 후 서로 다른 두 가지 방식으로 적합도를 측정하여 비교한 결과 8지점 모두에서 유의한 차이를 보이지 않았다(p<0.05). 2. 8지점을 변연부, 경사부, 축벽부, 교합면으로 분류하여 비교한 결과에서도 역시 두 측정 방법 간에 유의한 차이를 보이지 않았다(p<0.05). 이와 같은 결과를 바탕으로 실리콘 복제본 기술을 이용하여 적합도를 측정하는 것이 치형과 고정성 보철물을 직접 절단하여 단면을 측정하는 것만큼 정확하다는 결론을 얻었다. 따라서 고정성 보철물의 적합도 측정 시 비 파괴적인 방법인 실리콘 복제본 기술을 이용한다면 치형과 고정성 보철물 모두 파괴하지 않고 측정이 가능할 것으로 사료된다.

Imaging Assessment of Visceral Pleural Surface Invasion by Lung Cancer: Comparison of CT and Contrast-Enhanced Radial T1-Weighted Gradient Echo 3-Tesla MRI

  • Yu Zhang;Woocheol Kwon;Ho Yun Lee;Sung Min Ko;Sang-Ha Kim;Won-Yeon Lee;Suk Joong Yong;Soon-Hee Jung;Chun Sung Byun;JunHyeok Lee;Honglei Yang;Junhee Han;Jeanne B. Ackman
    • Korean Journal of Radiology
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    • 제22권5호
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    • pp.829-839
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    • 2021
  • Objective: To compare the diagnostic performance of contrast-enhanced radial T1-weighted gradient-echo 3-tesla (3T) magnetic resonance imaging (MRI) and computed tomography (CT) for the detection of visceral pleural surface invasion (VPSI). Visceral pleural invasion by non-small-cell lung cancer (NSCLC) can be classified into two types: PL1 (without VPSI), invasion of the elastic layer of the visceral pleura without reaching the visceral pleural surface, and PL2 (with VPSI), full invasion of the visceral pleura. Materials and Methods: Thirty-three patients with pathologically confirmed VPSI by NSCLC were retrospectively reviewed. Multidetector CT and contrast-enhanced 3T MRI with a free-breathing radial three-dimensional fat-suppressed volumetric interpolated breath-hold examination (VIBE) pulse sequence were compared in terms of the length of contact, angle of mass margin, and arch distance-to-maximum tumor diameter ratio. Supplemental evaluation of the tumor-pleura interface (smooth versus irregular) could only be performed with MRI (not discernible on CT). Results: At the tumor-pleura interface, radial VIBE MRI revealed a smooth margin in 20 of 21 patients without VPSI and an irregular margin in 10 of 12 patients with VPSI, yielding an accuracy, sensitivity, specificity, positive predictive value, negative predictive value, and F-score for VPSI detection of 91%, 83%, 95%, 91%, 91%, and 87%, respectively. The McNemar test and receiver operating characteristics curve analysis revealed no significant differences between the diagnostic accuracies of CT and MRI for evaluating the contact length, angle of mass margin, or arch distance-to-maximum tumor diameter ratio as predictors of VPSI. Conclusion: The diagnostic performance of contrast-enhanced radial T1-weighted gradient-echo 3T MRI and CT were equal in terms of the contact length, angle of mass margin, and arch distance-to-maximum tumor diameter ratio. The advantage of MRI is its clear depiction of the tumor-pleura interface margin, facilitating VPSI detection.

CAM Zirconia 완전도재 구조물의 정밀 적합도에 관한 연구 (A STUDY OF PRECISE FIT OF THE CAM ZIRCONIA ALL-CERAMIC FRAMEWORK)

  • 전미현;전영찬;정창모;임장섭;정희찬
    • 대한치과보철학회지
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    • 제43권5호
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    • pp.611-621
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    • 2005
  • State of problem: Zirconia all-ceramic restoration fabricated with CAM system is on an increasing trend in dentistry. However, evaluation of the marginal and internal fits of zirconia bridge seldomly have been reported. Purpose: This study was to evaluate the at of margin and internal surface in posterior 3-unit zirconia bridge framework fabricated with CAM system(DeguDent, Germany). Material and Method: Preparations of secondary premolar and secondary molar on artificial resin model were performed for fabrication of 3-unit posterior bridge framework. Fits of 5 zirconia bridge framework were compared with 5 precious ceramo-metal alloy framework(V-GnathosPlus, Metalor, Switzerland), and prepared margins were designed to chamfer and shoulder finishing line. Each framework was cemented to epoxy resin model with reinforced glass ionomer(FujiCEM, GC Co., Japan), embedded in acrylic resin and sectioned in two planes, mesio-distal and buccolingual. Samples were divided into six pieces by sectioning and had two pieces of each surface(i.e mesial, distal, buccal and lingual surface) per abutment, so there were eight measuring points in each abutment. External gap was measured at the margin and internal gaps were measured at the margin, axial and occlusal surface. Gaps were observed under the measuring microscope(Compact measuring microscope STM5; Olympus, Japan) at a magnification of $\times100$. T-test were used to determine the statistic significance of the different gaps between zirconia and metal framework. Results and Conclusion: 1. External and internal marginal gaps of zirconia and metal framework were in clinically acceptable range. External marginal gaps were not different significantly between zirconia$(81.9{\mu}m)$ and metal $(81.3{\mu}m)$ framework and internal marginal gaps of zirconia $(44.6{\mu}m)$ were smaller than those of metal framework $(58.6{\mu}m)$. 2. Internal axial gaps of zirconia framework$(96.7{\mu}m)$ were larger than those of metal frame-work$(78.1{\mu}m)$ significantly and adversely, internal occlusal gaps of zirconia frame-work$(89.4{\mu}m)$ were smaller than those of metal framework $(104.9{\mu}m)$ significantly. 3. There were no significant differences in external and internal marginal gaps between chamfer and shoulder finish line when zirconia frameworks were fabricated.

한우에서의 초음파화상진단에 관한 연구 (Fundamental Studies on the Ultrasonographic Diagnosis in Korean Native Cattle)

  • 김명철;박관호
    • 한국임상수의학회지
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    • 제12권1호
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    • pp.861-876
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    • 1995
  • This study was carried out to get fundamental information about the normal ultrasonogram of the liver and heart in Korean native cattle and calves. The interventricular septum, left ventricular internal diameter, left ventricular free wall thickness, aortic diameter, left atrial diameter, and right ventricular internal diameter of hear in 10 Korean native calves were determined at 4-5 right intercostal spare by use of ultrasonography. The caudal vena cava, portal vein, gallbladder, liver of 9 Korean native cattle and 10 calves were determined at 12, 11 and 10th intercostal spares by use of ultrasonography. Cursor-directed M-mode and gray-scale, B-mode ultrasonograms were obtained with electronic scanning ultrasound equipment with a 3.5 or 5.0-MHz convex transducer. The results obtained through the experiments were summarized as follows: 1. The result of ultrasonographic examination of the korean native calves' heart 1) Interventricular septum in systole and diastole was 1.23 and 0.81 cm, respectively(vc=28.84, 17.4). 2) Ventricular internal diameter in systole and diastole was 2.50 and 4.91 cm, respectively(vc=17.44, 12.73). 3) Left ventricular free was thickness in systole and diastole was 1.44 and 0.92 cm, respectively(vc=26.85, 23.54). 4) Aortic diameter was 2.69.m, .rspectevely(vc=11.29). 5) Left atrial diameter was 1.82 cm(vc=15.31). 6) Right ventricular internal diameter in systole and diastole was 1.12 and 1.9 cm, respectively(vc=33.71, 24.43). 3. Ultrasonographic measurments of caudal vena cava, portal vein, gallbladder of Korean native calves 1) Dorsal margin of caudal vena cava at the 12, 11 and 10th intercostal space was 13.5, 15.3 and 18.1 cm, respectively(p<0.01). 3) Depth of caudal vena cava at the 12, 11 and 10th intercostal space was 4.4, 4.5 and 4.6 cm, respectively. 3) Diameter of caudal vena cava at the 12, 11 and 10th intercostal space was 11.6, 1.7 and 1.6 cm, respectively. 4) Dorsal margin of portal vein at the 12, 11 and 10th intercostal space was 16.2, 18.6 and 21.4 cm, respectively(p<0.01) 5) Depth of portal vein at the 12, 11 and 10th intercostal spare was 4.5, 4.4 and 3.9 cm respectively. 6) Diameter of portal vein at the 13, 11 and 10th intercostal space was 2.1, 2.2 and 1.9 cm respectively. 7) Dorsal margin of gallbladder at the 11 and 10th intercostal space was 23.6 and 23.9 cm, respectively(p<0.01), 8) Longitudinal diameter of gallbladder at the 11 and 10th intercostal space was 7.1 and 5.9 cm, respectively(p<0.05). 9) Transverse diameter of gallbladder at the 11 and 10th intercostal space was 2.4 and 2.1 cm respectively(p<0.01). 3. Ultrasonographic measurments of caudal vena cava, portal vein, gallbladder of Korean native cattle 1) Dorsal margin of caudal vena cava at the 12 and 11th intercostal space was 22.2, and 25.4 cm, respectively(p<0.01). 2) Depth of caudal vena cava at the 12 and 11th intercostal space was 103 and 11.1 cm, respectively(p<0.01). 3) Diameter of caudal vena cava at the 12 and 11th intercostal space was 3.1 and 3.0 cm, respectively. 4) Dorsal margin of portal vein at the 12 and 11th intercostal space was 29.3 and 32.9 cm, respectively(p<0.01). 5) Depth of portal vein at the 12 and 11th intercostal space was 9.6, and 9.2 cm, respectively. 6) Diameter of portal vein at the 12 and lith intercostal space was 3.4 and 3.3 cm, respectively. 7) Dorsal margin of gallbladder at the 11 and 10th intercostal space was 43.1 and 45.5 cm, respectively(p<0.01). 8) Longitudinal diameter of gallbladder at the 11 and 10th intercostal space was 10.1 and 9.4 cm, respectively. 9) Transverse diameter of gallbladder at the 11 and 10th intercostal space was 4.0 and 3.7 cm, respectively. 4, Ultrasonogaphic measurments of dorsal margin, ventral margin, size and angles of the Korean native calves' liver. 1) Dorsal margin of liver at the 12, 11 and 10th intercostal space was 11.0, 9.6, and 12.4 cm, respectively(p<0.01). 2) Ventral margin of liver at the 12, 11 and 10th intercostal spate was 20, 24 and 26.1 cm, respectively(p<0.01). 3) Size of the liver at the 12, 11 and 10th intercostal space was 9.0, 14.6 and 13.8 cm, respectively(p<0.01). 4) Angle of liver at the 12, 11 and 10th intercostal space was 40, 46 and 37, respectively(p<0.01). 5. Ultrasonographic measurmants of dorsal margin, ventral margin, size and anglses of the korean native cattle's liver 1) Dorsal margin of the liver at the 12, 11 and 10th intercostal space was 14.4, 18.2 and 26, 3 cm, respectively. 2) Ventral margin of liver at the 12, 11 and 10th intercostal space was 41.1, 46.4 and 49.3 cm, respectively(p<0.01). 3) Size of the liver at the 12, 11 and 10th intercostal space was 26.8, 28.2 and 23.2 cm, respectively(p<0.01). 4) Angel of liverat the 15, 11 and 10 intercostal space was 41, 40.6 and 35.7, respectively(p<0.05). It was concluded that the ultrasonographic values oletermined in this study can be used as references for the diagnosis of morphologic changes in the hear and liver in korean native calves, and in the liver in korean native rattle.

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갑상선 결절의 진단에 있어서 고해상능 초음파검사의 가치 (The Value of High Resolution Ultrasonography in Diagnosis of Thyroid Nodule)

  • 심형진;정희문;윤정한;제갈영종;박진균
    • 대한두경부종양학회지
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    • 제6권2호
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    • pp.114-118
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    • 1990
  • A clinical study of 37 cases with thyroid nodules, which were treated by surgical excision and confirmed pathologically at the Department of Surgery, Chonnam National University Medical School, from Dec. 1988 to Feb. 1990, was conducted and following results were obtained in ultrasonographic evaluation of thyroid nodules. 1) The thyroid adenoma were showed well-defined margin, homogenous internal echo and surrounding Halo, but thyroid cancer were showed ill-defined margin, inhomogenous internal echo and no surrounding Halo. 2) The sensitivity of high resoution ultrasonography compared with pathologic diagnosis to thyroid cancer was 87.5%, specificity 94.1%, accuracy 88%, false positive 5.88%, and negative 12.5%.

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Endoscopic mucosal resection using anchored snare Tip-in versus precut technique for small rectal neuroendocrine tumors

  • Seung Wook Hong;Dong-Hoon Yang;Yoo Jin Lee;Dong Hoon Baek;Jaeyoung Chun;Hyun Gun Kim;Sung Joo Kim;Seung-Mo Hong;Dae-Seong Myung
    • The Korean journal of internal medicine
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    • 제39권2호
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    • pp.238-247
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    • 2024
  • Background/Aims: Small rectal neuroendocrine tumors (NETs) can be treated with modified endoscopic mucosal resection (EMR). However, an optimal EMR method remains to be established. We aimed to assess the non-inferiority of Tip-in EMR versus precut EMR (EMR-P) for treating rectal NETs. Methods: This prospective, multicenter, randomized controlled trial enrolled patients with rectal NETs of < 10 mm in diameter. The patients were randomly assigned to EMR-P and Tip-in EMR groups in a 1:1 ratio. Primary outcome was margin-negative (R0) resection rate between the two methods, with a noninferiority margin of 10%. Results: Seventy-five NETs in 73 patients, including 64 eligible lesions (32 lesions in each, EMR-P and Tip-in EMR groups), were evaluated. In a modified intention-to-treat analysis, R0 resection rates of the EMR-P and Tip-in EMR groups were 96.9% and 90.6%, respectively, which did not demonstrate non-inferiority (risk difference, -6.3 [95% confidence interval: -18.0 to 5.5]). Resection time in the EMR-P group was longer than that in the Tip-in EMR group (p < 0.001). One case of intraprocedural bleeding was reported in each group. Conclusions: We did not demonstrate the non-inferiority of Tip-in EMR compared to EMR-P for treating small rectal NETs. However, the R0 resection rates for both techniques were high enough for clinical application.