• Radiation Oncology Journal
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• 제20권2호
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• pp.165-171
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• 2002

목적 : 척수에 전이가 가능한 뇌종양 치료를 위한 두개척수 방사선치료 시 복와위가 불가능한 경우 전산화단층촬영모의치료장치(volumetric spiral CT)와 가상모의 치료기(virtual simulator) 및 3차원 방사선치료계획장치를 이용하여 배와위로 두개척수 방사선치료계획 방법을 개발하고 기하학적 검증을 통하여 유용성을 고찰하고자 하였다. 대상 및 방법 : 2005년 5월에서 2001년 12월까지 연세암센터 방사선종양학과에서 배와위로 두개척수 방사선치료를 받은 환자 9명을 대상으로 하였다. 복와위가 불가능한 중증의 뇌종양 환자를 배와위로 하여 두경부는 두부고정틀 (thermoplastic mast $Aquaplast^{circledR}$) 로 고정시키고, 전신은 $Vac-Loc^{\circledR}$ (전성물산, 한국)으로 고정한 후 전산화단층촬영모의치료장치를 이용하여 전신체적영상(volumetric image)을 얻었다. 환자 자세의 재현성 확인 및 검증을 위해 두부에 세 개의 점과 전신에 기준선 및 기준점 등을 표시하였다. 이후 가상현실 영상(virtual fluoroscopy)에서 인체의 크기와 방향에 제약이 없고 치료 침대와 고정기구에 대한 시각장애를 제거함으로써 자유롭게 모의치료를 할 수 있었으며, 조사면과 빔을 결정하고 디지털화재구성사진(digitally reconstructed radiography, DRR)과 디지털화합성사진(digitally composited radiography, DCR)을 통하여 분해능이 좋은 화질의 투시 및 모의치료영상을 획득하였다. 기하학적 검증은 치료중심점 이동시 얻은 모의치료영상과 첫 치료 시에 얻은 조사면 검증 사진(port verification film) 등을 전산화단층촬영영상으로부터 재구성한 DRR 영상과 시각적, 정량적으로 비교, 분석하였다. 결과 : 전산화단층촬영모의치료장치와 가상모의치료기 및 3차원 방사선치료계획 장치 등을 이용하여 복와위가 불가능한 환자의 두개척수 방사선 치료계획을 배와위로 원활히 수행할 수 있었다. 가상현실영상에서 대부분의 설계작업이 이루어지므로 환자의 자세고정을 요하는 시간은 전신체적 영상을 얻는 10분 이내이므로 환자의 불편을 줄일 수 있을 뿐 아니라 모의치료과정 중의 체위 변동 변수를 제거할 수 있었다. 또한 전산화단층촬영영상을 얻음으로써 중요정상조직인 안구, 척수 등을 정확하게 설정할 수 있었고, 조사면 결정과 차폐의 정확성을 증진시킬 수 있었다. 환자 자세 오차는 디지털화재구성사진과 치료 시마다 얻은 포트필름에서 치료중심점과 척수 사이의 거리를 측정하여 3 mm 이내의 정확성을 얻을 수 있었다. 결론 : 전산화단층촬영모의치료장치로 체적영상을 얻고 가상현실모의치료계획으로 배와위 두개척수 방사선치료계획을 정확하고 용이하게 실현할 수 있었다. 따라서 배와위 두개척수 방사선치료는 복와위를 취할 수 없어서 치료가 힘든 소아환자, 전신상태가 좋지 않거나 기관절개술이 시행되어 있는 환자에서 유용한 방법임을 알 수 있었다.

• 대한방사선치료학회지
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• 제9권1호
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• pp.64-70
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• 1997

The goal of radiation treatment planning is to deliver the dose to the patient within $5\%$ of that prescribed. We have often encountered the situation that the area which have not only several irregular contours but also tissue heterogeneities should be treated. With conventional devices such as wedges, missing tissue compensator. there are some limitations to achieve the uniform dose distribution in treatment volume. The use of CT simulator, 3-D planning system, computer-controlled milling machine enables it to deliver the dose uniformally. This report includes the whole procedure which have patient data acquisition 3D planning, computer-controlled milling, performance verification of 3D compensator, and TLD evaluation. We applied it for the treatment of head and heck cancer only. In Spite of the irregular contour and different electron density of tessue, we have achieved the uniformity of the dose distribution within ${\pm}3\%$ relatively. Although there are some problems which are not only verification of performance but uncertainties of using the new treatment device, we believe that the improvement of dosimetry will eliminate the uncertainties of that application. so the other lesions besides head and neck can will be ale to use the 3D compensator to achieve the dose uniformity

• 대한한의학방제학회지
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• 제18권2호
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• pp.227-239
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• 2010

Objective : The purpose of this study was to develop the simulator which can analyze the anti-inflammatory effects of herbs based on e-cell, or the virtual cell. Method : We have ensured the medical herbs and its active compounds by investigating the oriental medicine records and NBCI(Biomedicine database). Also we have developed the web-based search system for confirming database related to anti-inflammation. We have researched the cell signal pathway related with inflammatory response control and established the mathematical model of herb interaction on selected signal pathway in e-cell. Finally we have developed the prototype which can confirm the result of this model visibly. Results : We constructed the database of 62 cases of anti-inflammatory active compounds in 61 cases of medical herbs which have been known anti-inflammation effects in the paper, 16 cases of inflammatory factors, 10 cases of signal pathways related with inflammatory response and 6,834 cases of URL(Uniform Resource Locator) of referenced papers. And we embodied the web-based research system, which can research this database. User can search basic and detailed information of medical plants related with anti-inflammatory by using information system. And user can acquire information on an active compounds, a signal pathway and a link URL of related paper. Among investigated ten pathways, we selected NF-${\kappa}B$, which plays important role in activation of immune system, and we searched the mechanisms of actions of proteins which could be components of this pathway. We reduced total network into IKK-$I{\kappa}B$ - NF-${\kappa}B$, and completed mathematic modeling by using ordinary differential equations and response variables of $I{\kappa}B-NF-{\kappa}B$ signaling model network which is suggested by Baltimore Group. We designed OED(Ordinary Differential Equation) for response of IKK, $I{\kappa}B$, $NF-{\kappa}B$ in e-cell's cytoplasm and nucleus, and measured whether an active compound of medicinal plants which is inputted by an user would have a anti-inflammation effects in obedience to change in concentration over time. The proposed model was verified by using experimental results of the papers which are listed on NCBI.

• 한국콘텐츠학회논문지
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• 제10권12호
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• pp.216-222
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• 2010

삶의 질을 높이기 위하여 무선 애드혹망 기술은 컴퓨터과학과 건강관리 응용산업에서 가장 중요한 분야의 하나로 알려져 있다. 유비쿼터스 건강시스템은 또한 실시간으로 비상상태의 경고기능을 제공해준다. 이러한 기능은 봉사자들의 수를 줄여줄 뿐 아니라 만성적인 병자와 노인들을 살아갈 수 있도록 돕는다. 시스템의 응용을 위하여 효과적이며 적절한 네트워크 시스템은 필수적이다. 따라서, 본 논문에서는 환자 노드가 지속적으로 뇌파를 측정하여 병원에 위치한 서버로 전송하는 다양한 네트워크 환경을 제안한다. 그리고, 이동노드들의 다양한 이동성과 토폴로지로 구성된 네트워크 시스템들을 옵넷 시뮬레이터로 시뮬레이션을 하고 평가할 것이다.

• 대한의용생체공학회:의공학회지
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• 제27권4호
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• pp.143-153
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• 2006

The purpose of this work was to assess and quantify the beneficial effects of gas exchange, while testingto the various frequencies of the sinusoidal wave that was excited by the PZT actuator, for patients suffering from acute respiratory distress syndrome (ARDS) or chronic respiratory problems. Also, this paper considered a simulator to design a hollow type artificial lung, and a mathematical model was used to predict a behavior of blood. This simulation was carried out according to the Montecarno's simulation method, anda fourth order Runge-Kutta method was used to solve the equation. The experimental design and procedure are then applied to the construction of a new device to assess the effectiveness of the membrane vibrations. As a result, the vibration method is very effective in the increase of gas transport. The gas exchange efficiency for the vibrating intravascular lung assist device can be increased by emphasizing the following design features: consistent and reproducible fiber geometry, and most importantly, an active means of enhancing convective mixing of water around the hollow fiber membranes. The experimental results showed the effective performance of the vibrating intravascular lung assist device. Also, we concluded that important design parameters were blood flow rates, fiber outer diameter and oxygen pressure drop. Based on the present results, it was believed that the optimal level of blood flow rates was 200$cm^3$/min.

• 대한한의학회지
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• 제33권4호
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• pp.60-68
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• 2012

Objectives: By grasping trends in research, technology, and general characteristics of learning support tools, this study was conducted to present a model for research on Korean Medicine (KM) to make use of information technology to support teaching and learning. The purpose is to improve the future clinical competence of medical personnel, which is directly linked to national health. Methods: With papers and patents published up to 2011 as the objects, 438 papers were extracted from "Web of Science" and 313 patents were extracted from the WIPS database (DB). Descriptive analysis and network analysis were conducted on the annual developments, academic journals, and research fields of the papers, patents searched were subjected to quantitative analysis per application year, nation, and technology, and an activity index (AI) was calculated. Results: First, research on medical learning support tools has continued to increase and is active in the fields of computer engineering, education research, and surgery. Second, the largest number of patent applications on medical learning support tools were made in the United States, South Korea, and Japan in this order, and the securement of remediation technology-centered patents, rather than basic/essential patents, seemed possible. Third, when the results of the analysis of research trends were comprehensively analyzed, international research on e-PBL- and medical simulation-centered medical learning support tools was seen to expand continuously to improve the clinical competence of medical personnel, which is directly linked to national health. Conclusions: The KM learning support tool model proposed in the present study is expected to be applicable to computer-based tests at KM schools and to be able to replace certain functions of national KM doctor license examinations once its problem DB, e-PBL, and TKM simulator have been constructed. This learning support tool will undergo a standardization process in the future.

• 대한의용생체공학회:의공학회지
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• 제21권6호
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• pp.575-581
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• 2000

본 논문에서는 척추침생검 시뮬레이터에서 사용의 햅틱 디바이스인 PHANToM(sup)TM을 이용하여 사실적인 힘을 구현하는 방법을 보여준다. PHANToM(sup)TM은 툴의 끝부분에서 좌표축 방향으로만 힘을 낼 수 있는 단점이 있으며, 시스템의 구동장치의한계로 인하여 딱딱한 물체에 닿을 때 불안정한 특성을 보인다. 또한 좁은 영역 안에서 복잡한 조직들로 인한 급격한 강도 변화도 시스템의 불안정을 초래한다. 모사되는 힘은 두가지 성분으로 나뉜다. 하나는 바늘이 삽입될 때 바늘의 길이 방향으로 느껴지는 힘으로 생체 조직의 모델을 통해 값이 구해진다. 다른 하나는 바늘이 피부를 뚫고 지나간 이후에 바늘이 초기 삽입 방양을 유지 시켜주는 회전방향 힘으로 피봇을 이용하여 구현하였다. 불안정성 문제와 바늘이 튀어나오는 문제는 램핑 필터와 시간변수를 이용하여 제거하였다. 침생검 과정은 생체조직의 탄성 변형뿐 아니라 파괴가 일어나는 변형이므로 사실적인 힘을 구현하기 위해서 실험 데이터를 이용하여 삽입 깊이에 따라 탄성 계수와 마찰 상수가 변하는 모델을 제안하였다.

• 대한물리치료과학회지
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• 제20권1호
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• pp.1-7
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• 2013

Purpose : Investigate the effects of Horse-back riding Simulation Machine training on the Balance ability in Patients with Stroke. Method : The patients were divided to control group(n=18) with conventional rehabilitation conventional rehabilitation 60min/day and experimental group(n=17) with hippotherapy simulator 15 min/day after conventional rehabilitation 45min/day, 5 time/week for 4 weeks. Balance ability of both groups was assessed using Timed Up and Go(TUG), Berg balabce scale(BBS) and Center of pressure area(COPA). In the present result, there was a no significant(P>0.05) Results : The results of this study showed that Horse-back riding Simulation Machine training, after training, had meaningful difference of TUG, BBS and COPA. Conclusion : This study showed that Horse-back riding Simulation Machine training increased balance ability that resulted in enhancement of motor performance.

• 대한의용생체공학회:의공학회지
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• 제15권4호
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• pp.455-464
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• 1994

The intelligent trajectory control method that controls moving direction and average velocity for a prosthetic arm is proposed by pattern recognition and force estimations using EMG signals. Also, we propose the real time trajectory planning method which generates continuous accelleration paths using 3 stage linear filters to minimize the impact to human body induced by arm motions and to reduce the muscle fatigue. We use combination of MLP and fuzzy filter for pattern recognition to estimate the direction of a muscle and Hogan's method for the force estimation. EMG signals are acquired by using a amputation simulator and 2 dimensional joystick motion. The simulation results of proposed prosthetic arm control system using the EMG signals show that the arm is effectively followed the desired trajectory depended on estimated force and direction of muscle movements.

• 대한의용생체공학회:의공학회지
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• 제20권6호
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• pp.531-537
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• 1999

본 연구에서는 FFT와 파라메트릭 방법에 의한 혈류 추정방법을 연구하고 디지털 신호처리 프로세서를 이용하여 레이저 도플러 혈률계를 구현하였다. 레이저 도플러 혈류계는 피부의 모세혈류의 흐름을 측정할수 있는 장비로서 다양한 분야에 활용이 가능하다. 구현된시스템은 TI사의 TMS320C32 DSP를 사용하였으며, 전력 스펙트럼의 모멘트값을 이용하여 혈류를 추정하였다. 혈류 추정 값은 매 0.5초마다 그래픽 사용자 인터페이스를 통해서 표시하도록 하였다. 시스템의 성능을 평가하기 위해서 혈류 시뮬레이터에 흐르는 혈류를 계단함수, 삼각함수, 사인함수로 제어하여 그 결과를 비교하였으며 인체 부위에 따른 혈류를 측정하였다. 실험결과 구현된시스템의 혈류 추정성 및 재현성이 보장되고있음을 확인할수 있었다.