• Proceedings of the KSMRM Conference
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• 2003.10a
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• pp.97-97
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• 2003

Contrast-enhanced MR angiography (CE-MRA) gradually occupies its position as a primary evaluation tool forsteno-occlusive disease of supra-aortic cervical arteries. It has several advantages over time-of-flight (TOF) technique such as shorter imaging time, less saturation effect, and less flow- and motion-related artifacts. Diverse methods of k-space sampling, imaging sequences, and strategies for image acquisitiontiming have been introduced since its early clinical application. Especially, methods of k-space sampling and image acquisition timing are very important to achieve maximal arterial enhancement and suppress venous signal while maintaining large scan coverage and high spatial resolution. In addition, regardless of several advantages over TOF technique, it still has a tendency to overestimate the degree of stenosis in patients with carotid or vertebralartery disease. In this exhibit, we will overview the current techniques of CE-MRA with special attention to methods of k-space sampling and image acquisition timing. We will also discuss diagnostic accuracy of CE-MRA in patients with supra-aortic cervical artery stenosis and artifacts frequently misinterpreted as steno-occlusive lesion on CE-MRA.

• Journal of Korean Neurosurgical Society
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• v.52 no.2
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• pp.103-106
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• 2012

Objective : To prospectively assess the diagnostic and clinical value of a new technique (3-tesla magnetic resonance myelography, 3T MRM) as compared to computed tomographic discography (disco-CT) in patients with far lateral disc herniation. Methods : We evaluated 3T MRM and disco-CT of 25 patients, whom we suspected of suffering from far lateral disc herniation. Using an assessment scale, 4 observers examined independently both 3T MRM and disco-CT images. We analyzed observer agreement and the accentuation of each image. Results : We found complete matching, and observer agreement, between high resolution images of 3T MRM and disco-CT for diagnosing far lateral disc herniation. Conclusion : We think noninvasive 3T MRM is an appropriate diagnostic tool for far lateral disc herniation as compared to disco-CT.

• Korean Journal of Radiology
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• v.25 no.3
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• pp.267-276
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• 2024

Objective: To evaluate the diagnostic performance of susceptibility map-weighted imaging (SMwI) taken in different acquisition planes for discriminating patients with neurodegenerative parkinsonism from those without. Materials and Methods: This retrospective, observational, single-institution study enrolled consecutive patients who visited movement disorder clinics and underwent brain MRI and ¹⁸F-FP-CIT PET between September 2021 and December 2021. SMwI images were acquired in both the oblique (perpendicular to the midbrain) and the anterior commissure-posterior commissure (AC-PC) planes. Hyperintensity in the substantia nigra was determined by two neuroradiologists. ¹⁸F-FP-CIT PET was used as the reference standard. Inter-rater agreement was assessed using Cohen;s kappa coefficient. The diagnostic performance of SMwI in the two planes was analyzed separately for the right and left substantia nigra. Multivariable logistic regression analysis with generalized estimating equations was applied to compare the diagnostic performance of the two planes. Results: In total, 194 patients were included, of whom 105 and 103 had positive results on ¹⁸F-FP-CIT PET in the left and right substantia nigra, respectively. Good inter-rater agreement in the oblique (κ = 0.772/0.658 for left/right) and AC-PC planes (0.730/0.741 for left/right) was confirmed. The pooled sensitivities for two readers were 86.4% (178/206, left) and 83.3% (175/210, right) in the oblique plane and 87.4% (180/206, left) and 87.6% (184/210, right) in the AC-PC plane. The pooled specificities for two readers were 83.5% (152/182, left) and 82.0% (146/178, right) in the oblique plane, and 83.5% (152/182, left) and 86.0% (153/178, right) in the AC-PC plane. There were no significant differences in the diagnostic performance between the two planes (P > 0.05). Conclusion: There are no significant difference in the diagnostic performance of SMwI performed in the oblique and AC-PC plane in discriminating patients with parkinsonism from those without. This finding affirms that each institution may choose the imaging plane for SMwI according to their clinical settings.

• Journal of Biomedical Engineering Research
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• v.13 no.1
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• pp.19-24
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• 1992

Lineacgrams are diagnostic films taken using X-ray from the linear accelerator with the patient in the treatment position to assure that the treatment is being delivered in accordance with the treatment prescription. But the image quality of the lineacgram is so bad because of the high X-ray energy. This paper presents a new algorithm that enhances the image of lineacgram. Thls algorithm calculates optimal threshold value which is used for segmentation of lineacgram using co-occurrence matrix and enhances the image Inside and outside treatment area preserving treatments boundary.

• The Journal of Korean Medicine
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• v.34 no.1
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• pp.69-79
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• 2013

Objectives: The aim of this survey was to investigate utilization, intended use, problems with and demand for medical devices by surveying members of the traditional Korean medical society. Methods: We distributed questionnaires to 13,957 traditional Korean medical doctors via e-mail, and received replies from 1,225. The questionnaire consisted of 4 multiple-choice questions for survey respondent information, 8 multiple-choice questions about the status of medical devices utilizing, and a short answer question about the demand for medical devices. Results: Use of medical devices in traditional Korean medical clinics is common. Diagnostic medical devices are mainly used to assess the patient's condition and to establish a close rapport with clients. In case of therapeutic medical devices, they are usually used for secondary treatment. Issues with traditional Korean medical devices currently in use were ineligibility for national health insurance, low reliability, uncertain validity, and high price. In development of traditional Korean medical equipment, the need for diagnostic medical devices was greater than for therapeutic, and the need for the recording and analysis of medical image data and visualization of medical information was great. Conclusions: There is growing demand for facilitating the development and commercialization of traditional Korean medical devices. To satisfy this demand, research on evaluation indicators that reflect functional and structural clinical information and how to clinically assess the indicators should proceed.

• Proceedings of the KOSOMBE Conference
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• v.1993 no.05
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• pp.38-41
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• 1993

For efficient transmission and storage of digital images, the requirements of image compression is incresing. Because the medical images contain diagnostic information small distortion has been more important factor than the low rate in such images. Generally the distortion in image is the difference of pixel values. However the image is percieved by human visual systems. So it is reasonable that human visual system characteristics be used as criteria of the image compression. In this paper, the Just Noticeable Difference curve is used as criteria of determining the homogeniety of a block and acceptibility of distortions. And Block Truncation Coding using spatial masking effect of eyes is adopted to code the blocks which contain line components. And small blocks which varies slowly can be approximated to polynomial functions successfully. We proposed the hybrid block coding scheme based on the block characteristics and human visual system characteristics. Simulation to several kinds of the medical images using this method showed that medical images can be compressed 5:1 - 10:1 without noticeable distortion.

• Journal of Electrical Engineering and Technology
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• v.10 no.5
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• pp.2197-2204
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• 2015

In recent years, medical image diagnosis has growing significant momentous in the medicinal field. Brain and lung image of patient are distorted with salt and pepper noise is caused by moving the head and chest during scanning process of patients. Reconstruction of these images is a most significant field of diagnostic evaluation and is produced clearly through techniques such as linear or non-linear filtering. However, restored images are produced with smaller amount of noise reduction in the presence of huge magnitude of salt and pepper noises. To eliminate the high density of salt and pepper noises from the reproduction of images, a new efficient fuzzy based median filtering algorithm with a moderate elapsed time is proposed in this paper. Reproduction image results show enhanced performance for the proposed algorithm over other available noise reduction filtering techniques in terms of peak signal -to -noise ratio (PSNR), mean square error (MSE), root mean square error (RMSE), mean absolute error (MAE), image enhancement factor (IMF) and structural similarity (SSIM) value when tested on different medical images like magnetic resonance imaging (MRI) and computer tomography (CT) scan brain image and CT scan lung image. The introduced algorithm is switching filter that recognize the noise pixels and then corrects them by using median filter with fuzzy two-sided π- membership function for extracting the local information.

• Journal of Information Processing Systems
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• v.15 no.2
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• pp.288-304
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• 2019

The growth of telemedicine-based wireless communication for images-magnetic resonance imaging (MRI) and computed tomography (CT)-leads to the necessity of learning the concept of image compression. Over the years, the transform based and spatial based compression techniques have attracted many types of researches and achieve better results at the cost of high computational complexity. In order to overcome this, the optimization techniques are considered with the existing image compression techniques. However, it fails to preserve the original content of the diagnostic information and cause artifacts at high compression ratio. In this paper, the concept of histogram based multilevel thresholding (HMT) using entropy is appended with the optimization algorithm to compress the medical images effectively. However, the method becomes time consuming during the measurement of the randomness from the image pixel group and not suitable for medical applications. Hence, an attempt has been made in this paper to develop an HMT based image compression by utilizing the opposition based improved harmony search algorithm (OIHSA) as an optimization technique along with the entropy. Further, the enhancement of the significant information present in the medical images are improved by the proper selection of entropy and the number of thresholds chosen to reconstruct the compressed image.

• Journal of the Korea Society of Computer and Information
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• v.14 no.12
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• pp.191-199
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• 2009

The integrated medical information system is an effective medical diagnosis assistance system which offers an environment in which medial images and diagnosis information can be shared. Because of the large-scale medical institutions and their cooperating organizations are operating the integrated medical information systems, they can share medical images and diagnosis information. However, this system can only stored and transmitted information without other functions. To resolve this problem and to enhance the efficiency of diagnostic activities, a medical image analysis system is necessary. In this paper, the proposed relationship method analyzes medical images for features generation. Under this method, the medical images have been segmented into several objects. The medical image features have been extracted from each segmented image. Then, extracted features were applied to the Relationship Method for medical image analysis. Several experimental results that show the effectiveness of the proposed method are also presented.

• International Journal of Advanced Culture Technology
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• v.12 no.2
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• pp.368-374
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• 2024

During an X-ray examination, the beam of radiation is dispersed in many directions. We believe that managing radiation dose is about providing transparency to users and patients in the accurate investigation and analysis of radiation dose. The purpose of measuring the radiation dose as a function of location is to ensure that medical personnel using the equipment or participating in the operating room are minimally harmed by the different radiation doses depending on their location. Four mobile diagnostic X-ray units were used to analyze the radiation dose depending on the spatial location. The image intensifier and the flat panel detector type that receives the image analyzed the dose by angle to measure the distribution of the exposure dose by location. The radiation equipment used was composed of four units, and measuring devices were installed according to the location. The X-ray (C-arm) was measured by varying the position from 0 to 360 degrees, and the highest dose was measured at the center position based on the abdominal position, and the highest dose was measured at the 90° position for the head position when using the image intensifier equipment. The operator or medical staff can see that the radiation dose varies depending on the position of the diagnostic radiation generator. In the image intensifier and flat panel detector type that accepts images, the dose by angle was analyzed for the distribution of exposed dose by position, and the measurement method should be changed according to the provision of dose information that is different from the dose output from the equipment according to the position.