• Journal of Oral Medicine and Pain
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• 제42권3호
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• pp.53-61
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• 2017

Myogenous temporomandibular disorder is a collective term for pathologic conditions of the masticatory muscles, mainly characterized by pain and dysfunction associated with various pathophysiological processes. Among the subtypes of myogenous temporomandibular disorder, myofascial pain is one of the most common muscle disorders, characterized by the presence of trigger points (TrPs). Various modalities, such as ultrasound, manipulative therapy, spray-and-stretch technique, transcutaneous electrical nerve stimulation, injection/dry needling, and low-level laser therapy are used to inactivate TrPs. Needling/injection on the TrPs is one of the most common treatments for myofascial pain. Despite the evidence, there is continued controversy over defining the biological and clinical characteristics of TrPs and the efficacy of injection/dry needling. This review discusses the current concept of injection/needling to relieve TrPs.

• 전기학회논문지
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• 제61권6호
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• pp.879-884
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• 2012

Photoacoustic Tomography (PAT) is a promising medical imaging modality by reason of its particularity. It combines optical imaging contrast of optical imaging with the spatial resolution of ultrasound imaging and can demonstrate change of biological feature in an image. For that reason, many studies are in progress to apply this technic for diagnosis. But, real-time PAT system is necessary to confirm a biological reaction induced by external stimulation immediately. Thus, we developed a real-time PAT system using linear array transducer and self-developed Data acquisition board (DAQ) resources, To evaluate the feasibility and performance of our proposed system, two type of phantom test were also performed. As a result of those experiments, the proposed system shows enough performance and confirm its usefulness.

• Journal of the Optical Society of Korea
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• 제10권1호
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• pp.42-47
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• 2006

M-mode imaging of the in vivo murine myocardium using optical coherence tomography (OCT) is described. Application of conventional techniques (e.g. MRI, Ultrasound imaging) for imaging the murine myocardium is problematic because the wall thickness is less than 1.5 mm (20 g mouse), and the heart rate can be as high as six hundred beats per minute. To acquire a real-time image of the murine myocardium, OCT can provide sufficient spatial resolution ($10{\mu}m$) and imaging speed (1000 A-scans/s). Strong light scattering by blood in the heart causes significant light attenuation, which makes delineation of the endocardium-chamber boundary problematic. To measure the thickness change of the myocardium during one heart beat cycle, a myocardium edge detection algorithm is developed and demonstrated.

• 비파괴검사학회지
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• 제27권2호
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• pp.183-189
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• 2007

광산업 발전과 더불어 초정밀 가공부품이 요구되고 있다. 광산업 분야의 중요부품인 광커넥터의 페롤(ferrule) 및 광학기기용 렌즈이다. 특히, 이 렌즈는 높은 형상정밀도와 결함이 포함되지 않는 등 높은 신뢰성이 요구되는 실정이다. 이들 광소자들은 광원의 손실을 줄이기 위해서는 이들 부품의 초정밀 가공이 필수적이며 양품과 불량품을 판별하기 위해 완성단계에서 다양한 비파괴 검사가 이루어지고 있다. 공명 초음파 분광법은 물체의 형상, 탄성, 결정의 방향, 밀도 등에 의해 결정되는 공진주파수 응답 특성을 비교 분석하여 재료의 형상변화, 탄성정수 및 결함의 유 무를 검출해내는 방법이다. 따라서 현재 레이저용 프린터에 사용되는 비구면 렌즈의 질량 변화에 따라 공진크기 및 공진주파수 응답 특성을 통하여 분석하였다.

• 비파괴검사학회지
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• 제34권3호
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• pp.211-219
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• 2014

Closed cracks are difficult to detect using conventional ultrasonic testing because most incident ultrasound passes completely through these cracks. Nonlinear ultrasound inspection using sub-harmonic frequencies a promising method for detecting closed cracks. To implement this method, a sub-harmonic phased array (PA) is proposed to visualize the length of closed cracks in solids. A sub-harmonic PA generally consists of a single transmitter and an array receiver, which detects sub-harmonic waves generated from closed cracks. The PA images are obtained using the total focusing method (TFM), which (with a transmitter and receiving array) employs a full matrix in the observation region to achieve fine image resolution. In particular, the receiving signals are measured using a laser Doppler vibrometer (LDV) to collect PA images for both fundamental and sub-harmonic frequencies. Oblique incidence, which is used to boost sub-harmonic generation, inevitably produces various surface waves that contaminate the signals measured in the receiving transducer. Surface wave interference often degrades PA images severely, and it becomes difficult to read the closed crack's position from the images. Various methods to prevent or eliminate this interference are possible. In particular, enhancing images with signal processing could be a highly cost-effective method. Because periodic patterns distributed in a PA image are the most frequent interference induced by surface waves, spatial frequency filtering is applicable for removing these waves. Experiments clearly demonstrate that the spatial frequency filter improves PA images.

• Medical Lasers
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• 제9권1호
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• pp.39-43
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• 2020

Background and Objectives Breast reconstruction has the advantage of reducing the loss of the body image of patients after mastectomy surgery, and also improving the quality of the social and sexual life of breast cancer patients. However, in surprising and unfortunate number of patients, acute postoperative pain persists beyond the normal course of postsurgical recovery. We set out to investigate the effect of local dynamical micro-massage (LDM) treatment for achieving pain relief and reducing other postoperative complications. Materials and Methods We performed a retrospective analysis on 58 patients who underwent LDM treatment for postoperative pain management at Soonchunhyang University Bucheon Hospital between February 2017 and June 2019. Those patients who complained of persistent postoperative pain, which was uncontrollable with medication, were treated with LDM. The degree of pain and discomfort with contracture were recorded using numerical rating scale (NRS) scoring system with numbers from 0 to 10 ('none' to 'worst'). Results The median NRS score of pain was reduced by 62.3% from the start to the end of LDM treatment (p<0.001). Further, the NRS score of discomfort with contracture was reduced 66.0% (p<0.001). There was no complication related to the LDM treatment. Conclusion Dual-frequency ultrasound LDM can be an effective therapeutic option for persisting pain after breast reconstruction surgery. It was also effective in improvement of discomfort with contracture and erythema of the surgical wound.

• 한국정보통신학회논문지
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• 제22권8호
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• pp.1107-1113
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• 2018

최근 들어 초음파를 활용한 항암 치료법은 미세한 기포 또는 조영제를 환자에게 주입한 후 특정 주파수의 초음파를 발생시켜 세포의 괴사를 유도하는 치료법으로서, 항암치료 중 발생가능한 부작용을 현저히 감소시킬 수 있는 유용한 치료법으로 제안되고 있다. 이는 정기적인 세포의 사멸은 세포의 손상과 관계없이 필수적인 생물학적 프로세스이며, 초음파는 이러한 세포의 사멸을 유도 또는 증폭시키는 효과가 있기 때문으로 알려져 왔다. 한편, 광 역학 치료는 광원의 고유한 파장에 따라 반응하는 광감응제 등과 같은 화합물을 추가적으로 인체에 주입함으로써 특정 암세포의 괴사 유도가 가능하며 이를 위해 다양한 종류의 레이저 사용이 가능하다. 하지만, 고가의 광원과 대형화된 장비, 광원의 자극으로 인한 발열 현상 등의 한계로 제한적인 사용이 가능하여왔다. 이러한 기술적 한계는 소형 발광 다이오드가 개발됨에 따라 광 역학 치료 장비의 소형화와 발열현상의 제어가 가능하게 되었고, 그 결과 발광 다이오드는 레이저의 대체광원으로 인식되었다. 따라서, 본 논문에서는 의료용으로 광범위하게 사용되며, 부작용이 적고, 비교적 저주파인 1 MHz 초음파 발생장치와 저렴한 발광다이오드를 복합적으로 융합한 일체형 암세포 증식억제 모듈을 개발하고 이를 암세포에 적용시켜 효과를 정량적으로 분석하고자 한다.

• 비파괴검사학회지
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• 제28권1호
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• pp.46-53
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• 2008

복합재료의 내부 결함 평가를 위해 일반적으로 적용되어온 초음파 C-스캔 기법은 섬유자동 배열을 통한 정밀 성형 공정에 적용하기에는 많은 어려움이 있다. 따라서 본 연구는 복합재료의 정밀 성형 공정 중에 발생되는 각종 내부 결함들을 비파괴적, 비접촉으로 평가하기 위한 새로운 하이브리드 초음파 평가 기법을 확립하는데 목적이 있다. 이를 위하여 본 연구에서는 초음파 산란 반사(scattering reflection) 방식을 토대로 한 새로운 이중 피치-캐치(dual pitch-catch) 기법을 확립하여 기존의 결함평가를 위해 시험편의 스캔에 소요되는 시간을 줄이면서 우수한 결함 영상을 얻을 수 있는 새로운 하이브리드 기법을 개발하였다. 즉 두 가지 종류의 열경화성 및 열가소성 복합재료(carbon/epoxy, carbon/PPS) 적층판의 내부 박리(delamination) 결함의 영상화를 위하여 레이저를 이용한 유도 초음파의 발생 및 이중 피치-캐치(pitch-catch)방식을 토대로 한 비접촉식 공기 정합 트랜스듀서(air-coupled transducer)를 이용하여 결함 영상을 얻기 위한 핵심 알고리즘을 확립하였다.

• 한방안이비인후피부과학회지
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• 제33권4호
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• pp.126-132
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• 2020

Objectives : The study is to report cases of open/closed types of epidermal cyst removed by surgical method with Bufonis Venenum pharmacopuncture. Methods : 2 patients were diagnosed each open/closed epidermal cyst. Local anesthesia was achieved with Bufonis Venenum pharmacopuncture. Incision was made using 15^th blade and the CO₂ Hani-maehwa laser. After cyst was removed, simple interrupted suture was performed. Eunkyo-san and Yeonkyopaedok-san were administered respectively for 7 days for anti-inflammatory effects. Results : Local anesthesia was maintained until epidermal cysts were clearly removed. The suture was removed after confirmation of skin adhesion. Adverse reactions were not reported. Conclusions : Epidermal cysts were removed surgically after Bufonis Venenum pharmacopuncture anesthesia and the risk of infection can be prevented by administering herbal medicines that have anti-inflammatory properties. It is difficult to visually diagnose closed type of epidermal cyst and then suggests that imaging equipment such as ultrasound is required.

• Clinical Endoscopy
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• 제57권3호
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• pp.393-401
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• 2024

Background/Aims: Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is a highly accurate method for diagnosing pancreatic neuroendocrine tumors (PNETs); however, some PNETs are difficult to diagnose. Recently, the efficacy of needle-based confocal laser endomicroscopy (nCLE) in diagnosing solid pancreatic masses has been reported. However, the efficacy of nCLE in the diagnosis of PNETs remains unknown and only a small number of cases have been reported. Hence, this study aimed to evaluate the efficacy of nCLE in the diagnosis of PNETs. Methods: This single-center retrospective study evaluated 30 consecutive patients with suspected PNETs on contrast-enhanced computed tomography, who consented to nCLE combined with EUS-FNA and were diagnosed using EUS-FNA or surgical resection. The diagnostic criteria for PNETs using nCLE were based on the nesting and trabecular and glandular arrangement of tumor cell clusters surrounded by capillary vessels and fibrosis, as reported in previous studies. Results: The diagnosis using nCLE was classified into three categories: misdiagnosis in three cases (10%), non-diagnostic in six cases (20%), and diagnostic in 21 cases (70%). nCLE was able to diagnose PNET in one of the two cases with inconclusive EUS-FNA. Conclusions: Although further development of the resolution and optimization of the diagnostic criteria are required, nCLE may constitute a useful diagnostic option in cases of inconclusive EUS-FNA for PNETs.