• Journal of Korean Neurosurgical Society
• /
• 제55권6호
• /
• pp.383-386
• /
• 2014

Objective : Symptomatic thoracic disc herniation often requires prompt surgical treatment to prevent neurological deterioration and permanent deficits. Anterior approaches offer direct visualization and access to the herniated disc and anterior dura but require access surgeons and are often associated with considerable postoperative pain and pulmonary complications. A disadvantage with using posterior approaches in the setting of central calcified thoracic disc herniation however, has been the limited visualization of anterior dura and difficulty to accurately assess the extent of decompression. Methods : We report our experience with intraoperative ultrasound (US) guidance during a modified posterior transpedicular approach for removal of a central calcified thoracic disc herniation with a review of pertinent literature. Results : The herniated thoracic disc was successfully removed with posterior approach with the aid of intraoperative US. The patient had significant neurological improvement at three months follow-up. Conclusion : Intraoperative ultrasound is a simple yet valuable tool for real-time imaging during transpedicular thoracic discectomy. Visualization provided by intraoperative US increases the safety profile of posterior approaches and may make thoracotomy unnecessary in a selected group of patients, especially when a patient has existing pulmonary disease or is otherwise not medically fit for the transthoracic approach.

• 한국음향학회지
• /
• 제31권8호
• /
• pp.580-589
• /
• 2012

이 논문에서는 휴대용, 또는 저가형 초음파진단기에 비교적 고급 기능인 도플러 갭 필링 모드를 적용하고자할 때 적합한 알고리즘들을 찾아보았고, 그 결과 미러링 기반, 또는 자기회귀 모델 기반의 알고리즘들을 찾을 수 있었다. 또, 계산량이 지나치게 많아지지 않는 범위 내에서, 그러한 알고리즘들의 성능의 문제점을 보완하여 더욱 개선시켰다. 수정된 알고리즘들은 인공적으로 발생시킨 도플러 신호 및 실제 초음파장비를 써서 인체로부터 획득한 도플러 데이터를 써서 시뮬레이션 및 실험을 함으로써 유효성을 확인하였다.

• Asian Pacific Journal of Cancer Prevention
• /
• 제15권21호
• /
• pp.9113-9116
• /
• 2014

Purpose: : To assess the clinic value of application of laparospic ultrasonography (LU) in partial nephrectomy of small renal cell carcinoma. Materials and Methods: From 2007 to 2011, 28 small renal cell carcinoma patients in ou clinic underwent laparoscopic partial nephrectomy with LU. For comparison with preoperative conventional ultrasound and CT, we collected ultrasonic performance of the affected side kidney, renal tumor location, size, echo change, blood supply situation and the relationship with the surrounding tissue. Results: LU could more clearly show the tumor interior structure and blood supply, as well as the relationship with the surrounding tissue. It also can provided doctor assistance with real-time tumor resection, reducing operative complications. Conclusions: LU can clearly show tumor internal structure and blood supply, which is helpful for explicit diagnosis. Moreover, it supplies accurate information for surgeons and assists surgery. Therefore LU has an important guiding value in partial nephrectomy for small renal cell carcinoma.

• 대한의용생체공학회:의공학회지
• /
• 제30권3호
• /
• pp.233-240
• /
• 2009

Using a spatial compound imaging technique in a medical ultrasound imaging system, the average speed of sound in a medium of interest is measured, and imaging of its distribution is implemented. When the brightness reaches the highest level in an ultrasonic image obtained as the speed of sound used in focusing is varied, it turns out that the focusing has been accomplished satisfactorily and that the speed of sound which has been adopted becomes the sought-after average speed of sound. Because spatial compound imaging provides many different views of the same object, the adverse effect of erroneous speed-of-sound estimation tends to be more severe in compound imaging than in plain B-mode imaging. Thus, in compound imaging, the average speed of sound even in the case of speckled images can be accurately estimated by observing the brightness change due to different speeds of sound employed. Using this new method that offers spatial diversity, we can construct an image of the speed of sound distribution in a phantom embedded with a 10-mm diameter plastic cylinder whose speed of sound is different from that of the background. The speed of sound in the cylinder is found to be different from that of the surrounding medium.

• 대한의용생체공학회:의공학회지
• /
• 제43권6호
• /
• pp.369-374
• /
• 2022

Purpose: Focused ultrasound is an emerging technology for treating the brain locally in a noninvasive manner. In this study, we have investigated the influence of skull properties on simulating transcranial pressure field. Methods: A 3D computational model of transcranial focused ultrasound was constructed using female and male CT data to solve for intracranial pressure. For heterogeneous model, the acoustic properties were calculated from CT Hounsfield units based on a porosity. The homogeneous model assigned constant acoustic properties for the single-layered skull. Results: A computational model was validated against empirical data. The homogeneous models were then compared with the heterogeneous model, resulted in 10.87% and 7.19% differences in peak pressure for female and male models respectively. For the focal volume, homogeneous model demonstrated more than 94% overlap compared with the heterogeneous model. Conclusion: Homogeneous model can be constructed using MR images that are commonly used for the segmentation of the skull. We propose the possibility of the homogeneous model for the simulating transcranial pressure field owing to comparable focal volume between homogeneous model and heterogeneous model.

• Clinical and Experimental Pediatrics
• /
• 제58권4호
• /
• pp.136-141
• /
• 2015

Purpose: Continuous intravenous access is imperative in emergency situations. Ultrasound-guided internal jugular vein (IJV) catheterization was investigated in critically ill pediatric patients to assess the feasibility of the procedure. Methods: Patients admitted to the pediatric intensive care unit between February 2011 and September 2012 were enrolled in this study. All patients received a central venous catheter from attending house staff under ultrasound guidance. Outcome measures included successful insertion of the catheter, cannulation time, number of cannulation attempts, and number and type of resulting complications. Results: Forty-one central venous catheters (93.2%) were successfully inserted into 44 patients (21 males and 23 females; mean age, $6.54{\pm}1.06$ years). Thirty-three patients (75.0%) had neurological disorders. The right IJV was used for catheter insertion in 34 cases (82.9%). The mean number of cannulation attempts and the mean cannulation time was $1.57{\pm}0.34$ and $14.07{\pm}1.91$ minutes, respectively, the mean catheter dwell time was $14.73{\pm}2.5$ days. Accidental catheter removal was observed in 9 patients (22.0%). Six patients (13.6%) reported complications, the most serious being catheter-related sepsis, which affected 1 patient (2.3%). Other complications included 2 reported cases of catheter malposition (4.6%), and 1 case each of arterial puncture (2.3%), pneumothorax (2.3%), and skin infection (2.3%). Conclusion: The results suggest that ultrasound-guided IJV catheterization can be performed easily and without any serious complications in pediatric patients, even when performed by visiting house staff. Therefore, ultrasound-guided IJV catheterization is strongly recommended for critically ill pediatric patients.

• 비파괴검사학회지
• /
• 제28권2호
• /
• pp.101-111
• /
• 2008

의료용 초음파 영상 시스템에서 스트레인 영상 기법은 병변 주위의 조직보다 단단한 성질을 가지는 암이나 종양을 영상화할 수 있다. 준정적인 압축(quasistatic compression) 방법을 이용하여 스트레인 영상을 얻는 방법은, 조직에 변형을 가하기 전의 초음파 신호를 기준으로 하여 변형을 가한 후에 얻어진 초음파 신호 사이의 변위를 계산하고, 이를 공간 미분하여 스트레인을 구한다. 본 논문에서 변위의 계산은 복소 기저대역 신호의 자기상관(autocorrelation)을 계산하여 위상차로부터 구하고, 위상차를 시간 혹은 거리로 변환할 때 발생하는 오차를 중심주파수 편차를 보상하여 줄였다. 조작자의 손 움직임의 영향을 줄이기 위해 모든 스캔라인의 변위를 정규화시키는 알고리즘을 적용하여 균일한 스트레인 영상을 얻었다. 제안한 스트레인 영상 기법을 초음파 영상 진단기에서 실시간 동작하도록 구현하였다.

• 대한의용생체공학회:의공학회지
• /
• 제41권5호
• /
• pp.195-202
• /
• 2020

Needle detection in ultrasound images is sometimes difficult due to obstruction of fat tissues. Accurate needle detection using continuous ultrasound (CUS) images is a vital stage of treatment planning for tissue biopsy and brachytherapy. The main goal of the study is classified into two categories. First, new detection model, i.e. D-Attention Unet, is developed by combining the context information of 3D medical data and CUS images. Second, the D-Attention Unet model was compared with other models to verify its usefulness for needle detection in continuous ultrasound images. The continuous needle images taken with ultrasonic waves were converted into still images for dataset to evaluate the performance of the D-Attention Unet. The dataset was used for training and testing. Based on the results, the proposed D-Attention Unet model showed the better performance than other 3 models (Unet, D-Unet and Attention Unet), with Dice Similarity Coefficient (DSC), Recall and Precision at 71.9%, 70.6% and 73.7%, respectively. In conclusion, the D-Attention Unet model provides accurate needle detection for US-guided biopsy or brachytherapy, facilitating the clinical workflow. Especially, this kind of research is enthusiastically being performed on how to add image processing techniques to learning techniques. Thus, the proposed method is applied in this manner, it will be more effective technique than before.

• Journal of Magnetics
• /
• 제22권1호
• /
• pp.55-59
• /
• 2017

The purpose of this study was to quantitatively evaluate image quality using intensity profile, coefficient of variation (COV), and peak signal to noise ratio (PSNR) with respect to noise reduction techniques in the ultrasound images. For that purpose, we compared with the median filter, Rudin-Osher-Fatemi (ROF), Anscombe and proposed patch group prior based denoising (PGPD) techniques. To evaluate image quality, the Shepp-Logan phantom and the ultrasound image were acquired using simulation and experiment, respectively. According to the results, the difference of intensity profile using PGPD technique is lowest compared with original Shepp-Logan phantom. In simulation, the measured COV was 0.249, 0.198, 0.198, 0.177, and 0.080 using noisy, median, ROF, Anscombe and PGPD technique, respectively. Also, in experimental image, the measured COV was 0.245, 0.230, 0.231, 0.242 and 0.187 using noisy, median, ROF, Anscombe and PGPD technique, respectively. Especially, when we used PGPD technique, the PSNR has highest value in both simulation and experiment. In this study, we performed simulation and experiment study to compare various denoising techniques in the ultrasound image. We can expect the PGPD technique to improve in medical diagnosis with excellent noise reduction.

• 비파괴검사학회지
• /
• 제32권5호
• /
• pp.551-563
• /
• 2012

초음파진단기는 1950년대부터 사용되기 시작했고 그 동안 꾸준한 기술 발전을 통해 현재 대부분의 병원에서 필수불가결한 영상진단장비로 널리 활용되고 있다. 1970년대 초음파진단기에 어레이 프로브가 사용되기 시작한 이래로 전자적 신호처리를 통한 빔포밍 기술이 초음파진단기에 적용되었고, 꾸준히 개선되어 왔다. 빔포밍 기술은 초음파진단기의 해상도를 결정짓는 중요한 신호처리 기술이다. 이 논문에서는 이 빔포밍 기술의 원리부터 최근 동향까지 간략히 소개하고자 한다. 여기에는 어레이 프로브(array probe)를 사용하는 빔포밍의 원리, 기본적 이론, 실제 구현 등이 포함되고, 또 최근 기술 중 합성구경영상(synthetic aperture imaging: SAI), 적응형 빔포밍(adaptive beamforming), 2차원 어레이 프로브를 사용하는 2차원 빔포밍 기술 등의 주제도 소개한다. 이런 다양한 빔포밍 기술들은 다양한 다른 분야의 기술들과 여러 가지 형태로 발전적으로 융합하면서 시스템의 성능을 지속적으로 향상시켜 갈 것이다.