• Title/Summary/Keyword: Medical Ultrasound

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International Health Project for Improving the Level of Mother and Child Health in Developing Countries: Focusing on KOICA CTS Cases in Vietnam (개발도상국 모자보건 수준 향상을 위한 국제보건사업: 베트남 KOICA CTS 사례를 중심으로)

  • Choung, Yoo-Chan;Shin, Jae-wan
    • Journal of Appropriate Technology
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    • v.6 no.1
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    • pp.45-50
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    • 2020
  • We developed the world's first wireless ultrasound diagnostic device. For the smooth delivery of pregnant women, the WHO requires four prior examinations, and the use of ultrasound diagnostic devices is essential for this purpose. However, income levels and medical facilities in developing countries are falling short. We conducted KOICA's CTS program in Vietnam using a self-developed radio ultrasound diagnostic device. We supplied Sonon300C, a portable wireless ultrasound diagnostic device, to health centers and hospitals in Huong-Hoa district, Vietnam, and conducted an outreach program in an effort to further enhance business performance. As a result, the rate of ultrasound diagnostics in the region reached 100% and the percentage of trained graduates increased to 59%.

Finite Element Analysis of Pressure Distribution by Ultrasound in Human Thigh Model (대퇴부 모델에서의 초음파 압력분포에 관한 유한요소 해석)

  • Choi, Ho-Seon
    • The Journal of Information Technology
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    • v.8 no.1
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    • pp.43-50
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    • 2005
  • Quantitative analysis for distribution of penetrating ultrasound in vivo is very important to determine the treatment region and method. In this paper, we constructed a simplified 2-D femoral region model that consists of skin-fat-muscle-bone layered system, and simulated the pressure distribution in the model in case of applying ultrasound using Finite Element Method(FEM). The ultrasound used in the simulation was assumed to be pulse wave and the pressure distribution was analyzed during only one period of pulse wave. In order to find the penetration depth, amplitude of pressure and sphere that ultrasound reaches in the model, we performed the simulation with varying the applied frequency, transducer size and amplitude of transducer's output. The result showed that applied frequency is inversely proportional to the penetration depth and amplitude of pressure but the amplitude of transducer's output is proportional to the amplitude of pressure in the model. Also, the sphere that ultrasound reaches was widened and the amplitude of pressure became larger as the transducer size became larger. This results were similar to that obtained from the previous model consisting of fat-muscle-bone layered system, but we observed that the pressure of ultrasound is decreased due to the decrements of pressure by the absorption coefficient of skin and the interference that depends on the reflection of ultrasound caused by the difference of acoustic impedance of skin and fat. Finally, we can infer that the model proposed in this study is closer to the realistic model than the previous ones. It shows that the results obtained from this study can be useful in designing the ultrasound treatment instrument or in setting up the treatment plan.

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A Scope of Work of Radiological Technologists for Ultrasound Examinations (초음파검사에 대한 방사선사 업무범위의 법적 고찰)

  • Lim, Chang Seon;Jin, Gye Hwan
    • Journal of the Korean Society of Radiology
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    • v.15 no.4
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    • pp.481-490
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    • 2021
  • There is no qualification system for sonographers in Korea. But the MEDICAL SERVICE TECHNOLOGISTS, ETC. ACT stipulates that radiological technologists can handle ultrasound equipment. However, there is controversy about the scope of the work allowed for radiological technologists to perform ultrasound examinations. Accordingly, the authoritative interpretation of the Ministry of Health and Welfare of Korea, the adjudication of administrative judgment, and the judgment of the courts were analyzed. As a result, the authoritative interpretation expresses that when a radiological technologist performs an ultrasound examination, a diagnosis and specific guidance should be made in real time while the doctor simultaneously watches the radiological technologist's images. In the adjudication of administrative judgment, it was decided that the handling of ultrasound-related equipment was the work of the radiological technologist. The court ruled that it was illegal for a radiological technologist to make a medical judgment on ultrasound examination. In the United States, Canada, etc., the sonographer independently conducts ultrasound examination according to the doctor's prescription, prepares a summary of what they saw and this is passed on to the doctor. Therefore, in Korea, there is a need for institutional improvement so that radiological technologists can perform ultrasound examinations according to doctors' prescriptions without real-time guidance.

Prediction of successful caudal epidural injection using color Doppler ultrasonography in the paramedian sagittal oblique view of the lumbosacral spine

  • Yoo, Seon Woo;Ki, Min-Jong;Doo, A Ram;Woo, Cheol Jong;Kim, Ye Sull;Son, Ji-Seon
    • The Korean Journal of Pain
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    • v.34 no.3
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    • pp.339-345
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    • 2021
  • Background: Ultrasound-guided caudal epidural injection (CEI) is limited in that it cannot confirm drug distribution at the target site without fluoroscopy. We hypothesized that visualization of solution flow through the inter-laminar space of the lumbosacral spine using color Doppler ultrasound alone would allow for confirmation of drug distribution. Therefore, we aimed to prospectively evaluate the usefulness of this method by comparing the color Doppler image in the paramedian sagittal oblique view of the lumbosacral spine (LS-PSOV) with the distribution of the contrast medium observed during fluoroscopy. Methods: Sixty-five patients received a 10-mL CEI of solution containing contrast medium under ultrasound guidance. During injection, flow was observed in the LSPSOV using color Doppler ultrasonography, following which it was confirmed using fluoroscopy. The presence of contrast image at L5-S1 on fluoroscopy was defined as "successful CEI." We then calculated prediction accuracy for successful CEI using color Doppler ultrasonography in the LS-PSOV. We also investigated the correlation between the distribution levels measured via color Doppler and fluoroscopy. Results: Prediction accuracy with color Doppler ultrasonography was 96.9%. The sensitivity, specificity, positive predictive value, and negative predictive value were 96.7%, 100%, 100%, and 60.0%, respectively. In 52 of 65 patients (80%), the highest level at which contrast image was observed was the same for both color Doppler ultrasonography and fluoroscopy. Conclusions: Our findings demonstrate that color Doppler ultrasonography in the LS-PSOV is a new method for determining whether a drug solution reaches the lumbosacral region (i.e., the main target level) without the need for fluoroscopy.

An Evaluation of Low Intensity Ultrasonic Characteristics for Arthritis Healing (저강도 초음파의 관절염 치료 적용성 평가)

  • Hong Sung-Min;Han Seung-Moo
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.29 no.6 s.237
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    • pp.787-794
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    • 2005
  • Nowadays chronic degenerative diseases such as arthritis are increasing rapidly, even though acute infectious diseases are decreasing due to the advance of modern medicine. Although many of remedies are developed for arthritis healing, there is no precise medical prescription, and pathogenesis is not examined exactly. In this study, we confirmed gene expression of BMP 1A, BMP 2B, osteonectin and MGP which are genes related with bone formation in osteoblast by using ultrasonic stimulation. Through this study, we also evaluated the fact that ultrasound could be applied to arthritis healing by making activated osteoblast induce remodeling of cartilage. As a result of this research, BMP 2B and MGP have higher rates of expression in specific ultrasound mode. In conclusion, it is expected that ultrasound could be used efficiently for healing arthritis if we use ultrasounds according to symptoms of arthritis on reasonable terms.

The Ultrasound Image Diagnosis using Statistical Characteristics and Neural Network (통계적 특성과 신경망을 이용한 초음파 화상진단)

  • Hong, Jeong-Woo;Kim, Sun-Il;Lee, Doo-Soo
    • Proceedings of the KOSOMBE Conference
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    • v.1992 no.11
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    • pp.26-28
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    • 1992
  • Texture analysis, one of the mage processing techniques, using statistical characteristics is applied to the ultrasound images, which are then classified into each types through neural network. This is a method to be used to diagnose ultrasound images automatically and objectively. First tone kinds of texture analysis techniques proposed already are used to classify ultrasound images and compared in terms of classification rate, and then a new technique if proposed which is invariant to multiplicative gain changes and image resolution.

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Laser induced ultrasound generation via reduced graphene oxide coated aluminum transmitter (환원된 산화 그래핀을 이용한 레이저 유도초음파의 64배 압력 상승 및 40dB 세기 상승)

  • Lee, Seok Hwan;Park, Mi-Ae;Yoh, Jai-Ick
    • Laser Solutions
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    • v.15 no.4
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    • pp.1-5
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    • 2012
  • We demonstrate that reduced graphene oxide (rGO) coated thin aluminum film is an effective optoacoustic transmitter for generating high pressure and high frequency ultrasound previously unattainable by other techniques. The rGO layer of different thickness is deposited between a 100 nm-thick aluminum film and a glass substrate. Under a pulsed laser excitation, the transmitter generates enhanced optoacoustic pressure of 64 times the aluminum-alone transmitter. A promising optoacoustic wave generation is possible by optimizing thermoelasticity of metal film and thermal conductivity of rGO in the proposed transmitter for laser-induced ultrasound (LIUS) applications.

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A study on Ultrasound Urine Alarm System for Incontinence Patients (뇨실금 환자를 위한 초음파 뇨의 경보 시스템에 관한 연구)

  • 최흥호;최창근;이응혁
    • Journal of Biomedical Engineering Research
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    • v.22 no.1
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    • pp.101-108
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    • 2001
  • 본 논문에서는 뇨실금 환자들에 대한 지원 기술의 일환으로 인체에 무해하고 비침습적인 초음파를 이용하여 배뇨시기를 알려주기 위한 재택용 뇨의 경보기용 뇨량검출 센서의 개발과 이를 이용한 방광 벽간거리와 뇨량과의 상관관계에 관하여 연구하였다. 개발된 센서는 인체내에 침투력이 가장 좋은 중심 주파수가 2.25 MHz인 초음파를 사용하여 분해능을 높여 오차를 감소시킬 수 있는 구조로 설계하였다. 이 센서를 이용하여 방광전.후벽간의 거리를 검출하여 이로부터 뇨량을 정량적으로 측정하기 위한 기초 실험을 실시하였다. 기초실험은 건강한 성인 남자 3명을 대상으로 초음파 뇨량검출 센서를 이용한 초음파 RF 반사신호 획득장치와 초음파 진단기에 의한 2가지 방법으로 이루어졌고 그 결과 뇨량과 벽간거리와의 사이에는 높은 상관성이 있음을 확인할 수 있었다. 결론적으로, 실험 결과를 토대로 하여 제작된 초음파 뇨의 센서를 부착한 초음파 뇨의 경보 시스템은 뇨실금 환자로 하여금 배뇨시기를 알려주는 경보 시스템으로 보건.복지적인 측면에서 현대사회에 기여할 공헌도가 매우 클 것이라 생각된다.

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