• Korean Journal of Radiology
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• 제22권5호
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• pp.688-698
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• 2021

Objective: To compare the lumen parameters measured by the location-adaptive threshold method (LATM), in which the inter- and intra-scan attenuation variabilities of coronary computed tomographic angiography (CCTA) were corrected, and the scan-adaptive threshold method (SATM), in which only the inter-scan variability was corrected, with the reference standard measurement by intravascular ultrasonography (IVUS). Materials and Methods: The Hounsfield unit (HU) values of whole voxels and the centerline in each of the cross-sections of the 22 target coronary artery segments were obtained from 15 patients between March 2009 and June 2010, in addition to the corresponding voxel size. Lumen volume was calculated mathematically as the voxel volume multiplied by the number of voxels with HU within a given range, defined as the lumen for each method, and compared with the IVUS-derived reference standard. Subgroup analysis of the lumen area was performed to investigate the effect of lumen size on the studied methods. Bland-Altman plots were used to evaluate the agreement between the measurements. Results: Lumen volumes measured by SATM was significantly smaller than that measured by IVUS (mean difference, 14.6 mm³; 95% confidence interval [CI], 4.9-24.3 mm³); the lumen volumes measured by LATM and IVUS were not significantly different (mean difference, -0.7 mm³; 95% CI, -9.1-7.7 mm³). The lumen area measured by SATM was significantly smaller than that measured by LATM in the smaller lumen area group (mean of difference, 1.07 mm²; 95% CI, 0.89-1.25 mm²) but not in the larger lumen area group (mean of difference, -0.07 mm²; 95% CI, -0.22-0.08 mm²). In the smaller lumen group, the mean difference was lower in the Bland-Altman plot of IVUS and LATM (0.46 mm²; 95% CI, 0.27-0.65 mm²) than in that of IVUS and SATM (1.53 mm²; 95% CI, 1.27-1.79 mm²). Conclusion: SATM underestimated the lumen parameters for computed lumen segmentation in CCTA, and this may be overcome by using LATM.

• International Journal of Internet, Broadcasting and Communication
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• 제16권2호
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• pp.75-80
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• 2024

Research on the visual narrative impact of Unreal Engine's Lumen lighting system in games aims to delve into how Lumen's lighting technology plays a crucial role in game design and gameplay experience, thereby enhancing the visual storytelling of games. Lumen, Unreal Engine's dynamic global illumination solution, calculates lighting and shadows in real-time during gameplay, creating a more realistic and immersive environment. Analysis indicates that Lumen technology not only provides visually realistic and dynamic lighting effects but also significantly enriches the expressiveness and immersion of the game narrative through its changes in light and shadow.

• 대한치과기공학회지
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• 제33권4호
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• pp.331-337
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• 2011

Purpose: The purpose of this study was to impact of force system change in finger spring that add helical coil one round on orthodontic force. Methods: The following conclusions were drawn from the experiment conducted after bending 90 samples with a CNC wire forming machine while changing the height and lumen size to 1mm - 3mm - 5mm and 2mm - 3mm - 4mm respectively in the coil of the force system in finger spring added with one wheel of helical coil of 18-8 stainless steel round wire (${\Phi}0.5mm$, spring hard) from Jinsung Co. in domestic market under the following conditions: Laboratory name = Instron 5942; Temperature($deg^{\circ}C$) = 18.00; Humidity(%) = 50.00; Rate 1 = 10.00000 mm/min; Compressive extension = 5.0mm. Results: When Coil height is 1, 3, 5mm and lumen size is 2, 3, 4mm reduce finger spring as mean value of compressive extension occasion maximum load(mN) increases as coil height rises, and lumen size grows to 5.0mm. And was expose that compressive load(mN) increases as coil position of finger spring rises and increase as lumen size is decrescent. Conclusion: As the adherence height of coil was raised from 1mm through 3mm to 5mm, compressive load increased. As the lumen size increased from 2mm through 3mm to 4mm, compressive load decreased. Therefore, these results suggest that it is desirable to lower the coil height and enlarge the lumen size to enhance the biomechanical efficiency of finger spring when manufacturing the finger spring for removable orthodontic devices.

• Journal of Chest Surgery
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• 제48권4호
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• pp.238-245
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• 2015

Background: Some patients show favorable changes in the descending aortic false lumen after conventional repair of acute type A dissection, although the incidence of favorable changes has been reported to be low. We aimed to investigate the incidence of positive postoperative changes in the false lumen and the factors associated with positive outcomes. Methods: In 63 patients who underwent surgery for type A acute dissection as well as serial computed tomography (CT) scanning, morphological parameters were compared between the preoperative, early postoperative (mean interval, 5.4 days), and late CT scans (mean interval, 31.0 months) at three levels of the descending thoracic aorta. Results: In the early postoperative CT images, complete false lumen thrombosis and/or true lumen expansion at the proximal descending aorta was observed in 46% of the patients. In the late images, complete thrombosis or resolution of the proximal descending false lumen occurred in 42.9% of the patients. Multivariate analysis found that juxta-anastomotic false lumen thrombosis was predictive of favorable early changes, which were in turn predictive of continuing later improvement. Conclusion: Even after conventional repair without inserting a frozen elephant trunk, the proximal descending aortic false lumen showed positive remodeling in a substantial number of patients. We believe that the long-term prognosis of type A dissection can be improved by refining surgical technique, and particularly by avoiding large intimal tears at the anastomosis site during the initial repair.

• Korean Circulation Journal
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• 제54권1호
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• pp.30-39
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• 2024

Background and Objectives: Intravascular ultrasound (IVUS) evaluation of coronary artery morphology is based on the lumen and vessel segmentation. This study aimed to develop an automatic segmentation algorithm and validate the performances for measuring quantitative IVUS parameters. Methods: A total of 1,063 patients were randomly assigned, with a ratio of 4:1 to the training and test sets. The independent data set of 111 IVUS pullbacks was obtained to assess the vessel-level performance. The lumen and external elastic membrane (EEM) boundaries were labeled manually in every IVUS frame with a 0.2-mm interval. The Efficient-UNet was utilized for the automatic segmentation of IVUS images. Results: At the frame-level, Efficient-UNet showed a high dice similarity coefficient (DSC, 0.93±0.05) and Jaccard index (JI, 0.87±0.08) for lumen segmentation, and demonstrated a high DSC (0.97±0.03) and JI (0.94±0.04) for EEM segmentation. At the vessel-level, there were close correlations between model-derived vs. experts-measured IVUS parameters; minimal lumen image area (r=0.92), EEM area (r=0.88), lumen volume (r=0.99) and plaque volume (r=0.95). The agreement between model-derived vs. expert-measured minimal lumen area was similarly excellent compared to the experts' agreement. The model-based lumen and EEM segmentation for a 20-mm lesion segment required 13.2 seconds, whereas manual segmentation with a 0.2-mm interval by an expert took 187.5 minutes on average. Conclusions: The deep learning models can accurately and quickly delineate vascular geometry. The artificial intelligence-based methodology may support clinicians' decision-making by real-time application in the catheterization laboratory.

• Journal of Electrical Engineering and Technology
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• 제11권6호
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• pp.1880-1885
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• 2016

This study aims to design a zonal lumen for parking garage LED lightings of a slim appearance and 20 W/2,000 lm capacity and to fabricate a lighting luminaire accordingly. The frame is of a one-dimensional bar type with a reverse V-shaped section, with LED chips arranged along both sides. To maximize the $60^{\circ}$ to $80^{\circ}$ zonal lumen, the geometric structure was designed with the apex of the reverse V-shaped section at $40^{\circ}$ and both sides at $70^{\circ}$. As for the LED light source, focusing lenses with narrower full-width half-maximum (FWHM) in luminous intensity were used. A ray-tracing simulation method was utilized for the zonal lumen simulation of the given structure. An actual hardware of luminaire based on the simulation results was fabricated and characterized. The suggested model is meant to develop LED lightings with a proper level of zonal lumen required in parking garages.

• 펄프종이기술
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• 제44권4호
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• pp.99-107
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• 2012

In this study, the lumen loading technology for preparing magnetic papers were evaluated. The rice husk fiber, softwood kraft pulp, hardwood kraft pulp were applied and the morphological properties of pits on the those fibers were investigated with SEM. The softwood kraft pulp had the bigger size of pits, $3{\sim}5{\mu}m$ in diameter, which resulted in higher loading amount. The comparison of two methods for lumen loading such as the low concentration method with the disintegrator and the high concentration method with the Hobart mixer showed the Hobart mixer could resulted in the higher efficiency. The conditions of lumen loading process such loading time, addition amount of metal particles and addition of PEI were also evaluated. The magnetic hysteresis loop of handsheet samples made of lumen loaded fiber with $Fe_3O_4$ and $Fe_2O_3$ were examined. The differences in magnetic properties could be found according to the ferrite types.

• Journal of Trauma and Injury
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• 제28권4호
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• pp.266-271
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• 2015

Reports on a posttraumatic isolated superior mesenteric artery (SMA) dissection are rare. Recently, endovascular stent placement via percutaneous access, instead of vascular surgery, has been widely accepted as the initial treatment for a patient with an isolated SMA dissection or its complications. A 60-year-old female patient was transferred to our hospital due to an isolated SMA dissection after a car accident. The SMA dissection was 8.5 cm in length, and it involved the true lumen, which was severely compressed by the thrombosed false lumen. The patient was closely observed because she did not complain of any specific visceral pain. On the seventh hospital day, she underwent computed tomography (CT) to decide on a further treatment plan, irrespective of the presence of the abdominal symptom. The findings of the follow-up CT showed no difference compared to those of the previous CT. She was discharged with anti-coagulants. One month later, the follow-up CT revealed focally progressing dissecting aneurysms in the false lumen of the dissected SMA and a more severely compressed true lumen. Two self-expandable metallic stents were successfully placed in the true lumen of the dissected SMA, covering two aneurysmal lesions. Herein, we report a successful endovascular treatment with stent placement for treating focally progressing dissecting aneurysms and a severely compressed true lumen in a patient with a posttraumatic isolated SMA dissection.

• Journal of Korean Neurosurgical Society
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• 제45권5호
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• pp.284-288
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• 2009

Objective : Our retrospective study aimed to determine whether 16-slice computerized tomography (CT) angiography optimized sharp kernel is suitable for the evaluation of visibility, luminal patency and re-stenosis of intracranial stents in comparison with conventional angiography. Methods : Fifteen patients with symptomatic intracranial stenotic lesions underwent balloon expandable stent deployment of these lesions (10 middle cerebral arteries, 2 intracranial vertebral arteries, and 3 intracranial internal carotid arteries). CT angiography follow-up ranged from 6 to 15 months (mean follow-up, 8 months) after implantation of intracranial stents and conventional angiography was confirmed within 2 days. Curved multiplanar reformations with maximal intensity projection (MIP) with optimal window settings for assessment of lumen of intracranial stents were evaluated for visible lumen diameter, stent patency (contrast distal to the stent as an indirect sign), and re-stenosis by two experienced radiologists who blinded to the reports from the conventional angiography. Results : All of stents deployed into symptomatic stenotic lesions. All stents were classified as patent and no re-stenosis, which was correlated with results of conventional angiography. Parts of the stent lumen could be visualized in all cases. On average, 57% of the stent lumen diameter was visible using optimized sharp kernel. Significant improvement of lumen visualization (22%, p<0.01) was observed using the optimized sharp kernel compared with the standard sharp kernel. Inter-observer agreements on the measurement of lumen diameter and density were judged as good, respectively (p<0.05). Conclusion : Sixteen-slice CT using the optimized sharp kernel may provide a useful information for evaluation of lumen diameter patency, and re-stenosis of intracranial stents.

• Journal of Korean Neurosurgical Society
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• 제29권10호
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• pp.1328-1332
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• 2000

We present a modified method for the treatment of brain abscess. The double lumen extraventricular drainage (EVD) catheter which was developed for the intracerebral hematoma management, was applied for the treatment of brain abscess drainage. We placed the double lumen EVD catheter into the abscess cavity by free-hand technique and irrigated the abscess cavity continuously with antibiotics solution for 7 days. Simultaneous intravenous antibiotics was administered for 4 weeks. The continuous irrigation with double lumen catheter was found to be safe and effective treatment modality in the brain abscess.