• 대한방사선기술학회지:방사선기술과학
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• 제23권1호
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• pp.63-76
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• 2000

License system of radiologic technologists has been started since 1965 in Korea. This study is to explore directions on radiotechnologists' license system classified by subspecialty. For this purpose, the authors surveyed on radiotechnologists' license system classified by subspecialty, with the subject related to radiotechnologic societies. Additionally, data on qualification and license system associated with medical and health care field were collected. The results are as follows. 1. The main body for subspecialty system for radiologic technologists should be the Korea Radiologic Technologists Association and the Association should maintain a close cooperation with radiotechnologic societies. 2. A radiologic technologist should be a basic role once they pass the license examination. In addition, they can get a special qualification by subspecialty in radiologic technology. 3. Radiotechnologists' license system classified by subspecialty will be keep priorities in order and done systematically. Execution order is as follows ; This study proposes that radiotechnologists responsible for ultrasonography, computed tomography(CT), magnetic resonance imaging(MRI) and security management be started for the first stage. For the second stage, radiotechnologists for mammography, angio-cardiography, digital imaging, maxillo-facial and dental radiography, nuclear medicine, radio-therapeutic field should be in force. 4. Professional education course(basic and intensive) and clinical training program have to be made for the eligibility of radiotechnologists' license system classified by subspecialty. 5. Eligibility system of radiotechnologists' license system classified by subspecialty(non-government or government) has to be made. Further more, inquiry commission to investigate eligibility for radiotechnologists' license system should be established.

• 가정과삶의질연구
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• 제33권3호
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• pp.31-48
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• 2015

This study examined the factors affecting the client's binge drinking, and the client and parents' change led by family therapy. From August to November 2011, the counseling case of this research was consisted of a total of 9 sessions-individual, parents, mother-daughter, father-daughter, and family counseling. This study utilized verbatim and audio recordings, and employed Miles and Huberman(1994) matrix and network to analyze the data. The findings of the study revealed that the factors that influenced the client's binge drinking included the family's dysfunctional communication method, adverse rearing attitude owing to unresolved emotional problems from the family-of-origin, and the client family's peculiar environment and culture. The therapist's intervention included making the client aware of his own problem, helping to gain insight and understand the parents' family-of-origin, connecting the past family-of-origin and the present, identifying attempted solutions, making aware of new change, and suggesting new communication methods. Through the therapist's intervention employing MRI interactional family therapy model and Bowen's family systems theory, the family members experienced changes; perception of all family members that participated in the counseling changed, and accordingly, their communication method and attitude changed as well. Through these changes in the family, the client's alcohol consumption reduced in terms of both frequency and amount, thus was able to solve their binge drinking problem.

• 한국초전도ㆍ저온공학회논문지
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• 제16권4호
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• pp.44-48
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• 2014

A liquid nitrogen-cooled prepolarization ($B_p$) coil made for ultra-low field nuclear magnetic resonance and magnetic resonance imaging (ULF-MR) designed to generate 7 mT/A was fabricated. However, with suspected internal insulation failure, the coil was investigated in order to find out the source of the failure. This paper reports detailed build of the failed $B_p$ coil and a number of analysis methods utilized to figure out the source and the mode of failure. The analysis revealed that pyrolytic graphite sheet linings put on either sides of the coil for better thermal conduction acted as an electrical bridge between inner and outer layers of the coil to short out the coil whenever a moderately high voltage was applied across the coil. A simple model circuit simulation corroborated the analysis and further revealed that the failed insulation acted effectively as a damping resistor of $R_{d,eff}=6{\Omega}$ across the coil. This damping resistance produced a 50 ms-long voltage tail after the coil current was ramped down, making the coil not suitable for use in ULF-MR, which requires complete removal of magnetic field from $B_p$ coil within milliseconds.

• 대한의용생체공학회:의공학회지
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• 제44권1호
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• pp.53-63
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• 2023

There have been many studies from the genetic system to physical activity and emotional expression such that there are gender differences. The purpose of this study was to determine how the structural characteristics of cortical thickness differ between males and females. This study used data from the Human Connectome Project (HCP). To analyze age-specific sexual dimorphisms of cortical thickness, selected 8-80 year old subjects were divided into five detailed age range groups according to each criterion. A total of 1,700 individual brain MRI T1 data were registered in stereotaxic space for analysis and classified into white matter (WM), gray matter (GM), and cerebro-spinal fluid (CSF). For surface-based analysis, the WM/GM surface was reconstructed from a spherical polygon model with 40962 vertices per hemisphere, and each vertex was extended to the GM/CSF boundary. Cortical thickness was then measured between each vertex using the t-link method. In the statistical analysis, intracranial volume was used as a covariate to exclude the effect of the difference in brain size of each individual, and the result of using age as a covariate was added to confirm the age effect within each group. Gender differences in cortical thickness had significant results by group. This may be an index to explain diseases with sexual dimorphism in prevalence or become a basis for explaining the characteristics of each sex that appear in behavior, personality, and aging. Therefore, the results of our study could be a criterion for age classification in future studies and for understanding 'normal' sexual dimorphism.

• 방송공학회논문지
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• 제28권3호
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• pp.267-274
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• 2023

의료영상 공개 데이터는 수집에 한계가 있어 데이터셋의 양이 부족하다는 문제점이 있다. 때문에 기존 연구들은 공개 데이터셋에 과적합 되었을 우려가 있다. 본 논문은 실험을 통해 8개의 (Unet, X-Net, HarDNet, SegNet, PSPNet, SwinUnet, 3D-ResU-Net, UNETR) 의료영상 분할 모델의 성능을 비교함으로써 기존 모델의 성능을 재검증하고자 한다. 뇌졸중 진단 공개 데이터 셋인 Anatomical Tracings of Lesions After Stroke(ATLAS) V1.2과 ATLAS V2.0에서 모델들의 성능 비교 실험을 진행한다. 실험결과 대부분 모델은 V1.2과 V2.0에서 성능이 비슷한 결과를 보였다. 하지만 X-net과 3D-ResU-Net는 V1.2 데이터셋에서 더 높은 성능을 기록했다. 이러한 결과는 해당 모델들이 V1.2에 과적합 되었을 것으로 해석할 수 있다.

• Korean Journal of Radiology
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• 제22권10호
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• pp.1708-1718
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• 2021

Objective: The purpose of this study was to evaluate the magnetic resonance (MR) characteristics and applicability of new, uniform, extremely small iron-based nanoparticles (ESIONs) with 3-4-nm iron cores using contrast-enhanced magnetic resonance angiography (MRA). Materials and Methods: Seven types of ESIONs were used in phantom and animal experiments with 1.5T, 3T, and 4.7T scanners. The MR characteristics of the ESIONs were evaluated via phantom experiments. With the ESIONs selected by the phantom experiments, animal experiments were performed on eight rabbits. In the animal experiments, the in vivo kinetics and enhancement effect of the ESIONs were evaluated using half-diluted and non-diluted ESIONs. The between-group differences were assessed using a linear mixed model. A commercially available gadolinium-based contrast agent (GBCA) was used as a control. Results: All ESIONs showed a good T1 shortening effect and were applicable for MRA at 1.5T and 3T. The relaxivity ratio of the ESIONs increased with increasing magnetic field strength. In the animal experiments, the ESIONs showed peak signal intensity on the first-pass images and persistent vascular enhancement until 90 minutes. On the 1-week follow-up images, the ESIONs were nearly washed out from the vascular structures and organs. The peak signal intensity on the first-pass images showed no significant difference between the non-diluted ESIONs with 3-mm iron cores and GBCA (p = 1.000). On the 10-minutes post-contrast images, the non-diluted ESIONs showed a significantly higher signal intensity than did the GBCA (p < 0.001). Conclusion: In the phantom experiments, the ESIONs with 3-4-nm iron oxide cores showed a good T1 shortening effect at 1.5T and 3T. In the animal experiments, the ESIONs with 3-nm iron cores showed comparable enhancement on the first-pass images and superior enhancement effect on the delayed images compared to the commercially available GBCA at 3T.

• 대한영상의학회지
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• 제83권2호
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• pp.331-343
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• 2022

목적 국소 치료 후 잔존 간세포암 진단을 위한 LI-RADS 치료 반응(liver imaging reporting and data system treatment response; 이하 LR-TR)과 modified Response Evaluation Criteria in Solid Tumors (이하 mRECIST) 기준의 진단능을 체계적으로 비교한다. 대상과 방법 MEDLINE과 EMBASE에서 역동적 조영증강 CT 또는 MRI를 이용하여 LR-TR과 mRECIST의 진단능을 개인 내 비교한 원저를 검색하였다. 생존 종양에 대한 참조 표준은 수술을 통한 병리 진단을 사용하였다. 각 기준의 생존 카테고리에 대한 메타분석적 통합 민감도와 특이도는 bivariate random-effects model을 통해 계산하였고 bivariate meta-regression을 통해 비교하였다. 결과 총 다섯 개의 포함된 연구들에서(430명 환자들 및 631개 치료된 병변들), LR-TR 생존 카테고리의 병변별 통합 민감도와 특이도는 58% (95% 신뢰구간, 45%-70%)와 93% (95% 신뢰구간, 88%-96%)이었으며 mRECIST 생존 카테고리는 56% (95% 신뢰구간, 42%-69%)와 86% (95% 신뢰구간, 72%-94%)이었다. LR-TR 생존 카테고리는 mRECIST에 비하여 유의하게 높은 특이도를 보였으나(p < 0.01) 민감도는 유사하였다(p = 0.53). 결론 LR-TR 알고리즘은 국소 치료 후 병리학적 잔존 간세포암의 진단에 대하여 민감도의 유의한 차이 없이 mRECIST보다 높은 특이도를 보였다.

• Investigative Magnetic Resonance Imaging
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• 제21권2호
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• pp.65-70
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• 2017

Purpose: To optimize the saturation time and maximizing the pH-weighted difference between the normal and ischemic brain regions, on 3-tesla amide proton transfer (APT) imaging using an in vivo rat model. Materials and Methods: Three male Wistar rats underwent middle cerebral artery occlusion, and were examined in a 3-tesla magnetic resonance imaging (MRI) scanner. APT imaging acquisition was performed with 3-dimensional turbo spin-echo imaging, using a 32-channel head coil and 2-channel parallel radiofrequency transmission. An off-resonance radiofrequency pulse was applied with a Sinc-Gauss pulse at a $B_{1,rms}$ amplitude of $1.2{\mu}T$ using a 2-channel parallel transmission. Saturation times of 3, 4, or 5 s were tested. The APT effect was quantified using the magnetization-transfer-ratio asymmetry at 3.5 ppm with respect to the water resonance (APT-weighted signal), and compared with the normal and ischemic regions. The result was then applied to an acute stroke patient to evaluate feasibility. Results: Visual detection of ischemic regions was achieved with the 3-, 4-, and 5-s protocols. Among the different saturation times at $1.2{\mu}T$ power, 4 s showed the maximum difference between the ischemic and normal regions (-0.95%, P = 0.029). The APTw signal difference for 3 and 5 s was -0.9% and -0.7%, respectively. The 4-s saturation time protocol also successfully depicted the pH-weighted differences in an acute stroke patient. Conclusion: For 3-tesla turbo spin-echo APT imaging, the maximal pH-weighted difference achieved when using the $1.2{\mu}T$ power, was with the 4 s saturation time. This protocol will be helpful to depict pH-weighted difference in stroke patients in clinical settings.

• 한국콘텐츠학회논문지
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• 제10권5호
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• pp.416-421
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• 2010

한국과학기술정보연구원(KISTI)는 2000년부터 한국인의 고유한 인체 특징을 나타낼 수 있는 디지털코리언, 비저블 코리언이라는 한국인 인체정보 구축사업을 시작하였다. 비저블 코리언 사업은 한국인 시신에 대해 CT, MRI 영상을 촬영한 다음 연속 절단하여 절단면 영상을 얻고 이 절단면 영상에서 인체장기를 구역화하여 구역화 영상을 제작하였다. 남성 및 여성 전신과 남성 머리 및 여성 골반의 절단면영상 제작을 마쳤으며 현재 구역화 영상을 이용한 3D 영상 제작이 진행 중이다. 디지털 코리언 사업은약 100여명의 한국인 시신에 대해 촬영한 CT 영상으로 구성되어 있는데 CT 영상으로부터 개별 뼈를 구역화하여 3D 골격 모델을 제작하였고 피부 모델도 추가하였다. 또한 개별 뼈들의 기계적 물성값도 측정하여 제공하고 있다. 이러한 인체정보들은 2001년부터 국내외 연구자들에게 제공되어 왔는데 지금까지 국내 약 70여개 기관, 해외 약 20여개 기관들이 한국인의 인체 데이터를 제공받아 연구 활동을 진행하고 있으며 지금까지 약 160여 논문이 발표되었다. 향후에도 이러한 한국인의 인체정보는 의료 교육, 생체공학, 가상현실 등의 다양한 분야에 활용될 의료정보 인프라의 역할을 담당할 것으로 기대하고 있다.

• Korean Journal of Radiology
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• 제20권5호
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• pp.791-800
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• 2019

Objective: To compare various models of diffusion-weighted imaging including monoexponential apparent diffusion coefficient (ADC), biexponential (fast diffusion coefficient [D_f], slow diffusion coefficient [D_s], and fraction of fast diffusion), stretched-exponential (distributed diffusion coefficient and anomalous exponent term [α]), and kurtosis (mean diffusivity and mean kurtosis [MK]) models in the differentiation of renal solid masses. Materials and Methods: A total of 81 patients (56 men and 25 women; mean age, 57 years; age range, 30-69 years) with 18 benign and 63 malignant lesions were imaged using 3T diffusion-weighted MRI. Diffusion model selection was investigated in each lesion using the Akaike information criteria. Mann-Whitney U test and receiver operating characteristic (ROC) analysis were used for statistical evaluations. Results: Goodness-of-fit analysis showed that the stretched-exponential model had the highest voxel percentages in benign and malignant lesions (90.7% and 51.4%, respectively). ADC, D_s, and MK showed significant differences between benign and malignant lesions (p < 0.05) and between low- and high-grade clear cell renal cell carcinoma (ccRCC) (p < 0.05). α was significantly lower in the benign group than in the malignant group (p < 0.05). All diffusion measures showed significant differences between ccRCC and non-ccRCC (p < 0.05) except D_f and α (p = 0.143 and 0.112, respectively). α showed the highest diagnostic accuracy in differentiating benign and malignant lesions with an area under the ROC curve of 0.923, but none of the parameters from these advanced models revealed significantly better performance over ADC in discriminating subtypes or grades of renal cell carcinoma (RCC) (p > 0.05). Conclusion: Compared with conventional diffusion parameters, α may provide additional information for differentiating benign and malignant renal masses, while ADC remains the most valuable parameter for differentiation of RCC subtypes and for ccRCC grading.