• 대한의용생체공학회:의공학회지
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• 제28권3호
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• pp.423-428
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• 2007

Programmable FIR filters are used in various signal processing tasks in medical ultrasound imaging, which are one of the major factors increasing hardware complexity. A widely used method to reduce the hardware complexity of a programmable FIR filter is to encode the filter coefficients in the canonic signed digit (CSD) format to minimize the number of nonzero digits (NZD) so that the multipliers for each filter coefficients can be replaced with fixed shifters and programmable multiplexers (PM). In this paper, a new structure for programmable FIR filters with a improved frequency response and a reduced hardware complexity compared to the conventional shift-and-add architecture using PM is proposed for implementing a very small portable ultrasound scanner. The CSD codes are optimized such that there exists at least one common nonzero digit between neighboring coefficients. Such common digits are then implemented with the same shifters. For comparison, synthesisable VHDL models for programmable FIR filters are developed based on the proposed and the conventional architectures. When these filters have the same hardware complexity, pass-band ana stop-band ripples of the proposed filter are lower than those of the conventional filter by about $0.01{\sim}0.19dB$ and by about $5{\sim}10dB$, respectively. For the same filter performance, the hardware complexity of the proposed architecture is reduced by more than 20% compare to the conventional SaA architecture.

• Physical Therapy Rehabilitation Science
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• 제5권1호
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• pp.47-52
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• 2016

Objective: This study surveyed the perceptions of physical therapists on muscle re-education through visual feedback obtained from rehabilitative ultrasound imaging (RUSI). Design: Survey. Methods: For this study, 500 physical therapists who participated in a refresher training held by the Seoul City Association in March 2015 were selected for a questionnaire-based survey. Subjects were randomly selected targets physiotherapists who participated in a refresher training.The questionnaire had 21 items in total. Questions 1 to 15 could be answered by everyone. However, questions 16 to 21 could be answered only by people who used RUSI. Results: The majority of respondents were aged 20 to 30 years. Respondents in their twenties, thirties, forties, and fifties accounted for 32.4%, 40.2%, 21.9%, and 5.6%respectively. Therapists with careers spanning one to 5 years accounted for 27.8%, while those with careers spanning 5 to 10 years and 10 to 15 years accounted for 34.6% and 17.0%, respectively. Those with careers over 20 years accounted for 9.2%. The types of work have not been various including work related to the nervous system (49.0%), the musculoskeletal system (41.5%), sports (0.7%), juvenile physical therapy (4.2%), and others (4.6%). Conclusions: In this study, we examined the perceptions of physical therapists on rehabilitation ultrasound imaging used in muscle re-education. We also examined how to use this technique. Many therapists who participated in the refresher training were found to be unaware of RUSI. In the future, further investigations on RUSI for muscle re-education are required through refresher training or training lectures at the national level.

• 전자공학회논문지
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• 제51권12호
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• pp.66-71
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• 2014

본 논문에서는 초음파 의료 영상 시스템을 위한 아날로그 front-end 집적회로를 $0.18-{\mu}m$ 표준 CMOS 반도체 공정을 이용하여 설계하였다. 제안 된 front-end 회로는 2.6 MHz에서 15-V 고전압 펄스 신호를 생성하는 송신부와 고전압 차단 스위치 및 저전력 저잡음 증폭기에 해당하는 수신부를 모두 포함하고 있으며, 동작 모드에 따라서 송신부의 출력 드라이버를 수신단의 스위치 회로로 재구성이 가능하도록 설계를 하여 기존 front-end 회로와 비교하였을 때 한 채널 당 70% 이상의 칩 면적을 줄일 수 있다. 설계 된 단일 채널 front-end회로는 $0.045mm^2$ 이하의 작은 칩 면적을 차지함으로써 다중 어레이 방식의 초음파 의료 영상 시스템에 적용 시 작은 면적으로 구현이 가능하다.

• Journal of Acupuncture Research
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• 제33권4호
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• pp.165-180
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• 2016

Objectives : This study is aimed to report the effectiveness of ultrasound-guided bee venom pharmacopuncture in rotator cuff disease patients. Methods : We treated 4 rotator cuff disease patients with ultrasound-guided bee venom pharmacopuncture and integrative Korean Medical Treatment. The Numeric Rating Scale(NRS), Shoulder Pain And Disability Index(SPADI), and Range Of Motion(ROM) were applied as outcome measures. Results : Comparing before and after treatment, both NRS and SPADI scores were decreased, and ROM was increased in all cases. And adverse events about bee venom pharmacopuncture have not been observed. Conclusion : This study shows ultrasound-guided bee venom pharmacopuncture has a meaningful clinical effect on the improving shoulder pain, disability and ROM.

• 대한의용생체공학회:의공학회지
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• 제5권1호
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• pp.85-92
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• 1984

A new architecture of the Digital Scan Converter (DSC) for the linear-scan ultrasound medical imaging systems is proposed and its hardware implementation is reported. While the conventional DSC merely displays the acquisited data and does nor allow access to the frame memory, it is possible, in the new system, to access to the frame memory for further imaging processing so as to obtain useful information for medical diagnosis. Image processing can be performed either by a special pupose processor, or by VAX 11/780. The system is made to operate asyncronously to increase the frame rate with tags assigned to the data. The proposed DSC was designed to be used without much modification for the sector scan system as well.

• Imaging Science in Dentistry
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• 제49권4호
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• pp.301-306
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• 2019

Purpose: This report presents a procedure for performing power Doppler ultrasound-guided sialography using the phenomenon of increased blood flow and illustrates its application to practical patient cases. Materials and Methods: The salivary gland was scanned using ultrasound equipment (GE LOGIQ5 Expert^® device; GE Medical Systems, Milwaukee, WI, USA) to identify pathological findings related to the patient's chief complaint. To identify the orifice of the main duct, it should be cannulated using a lacrimal dilator. After inserting the catheter into the cannulated main duct, the position of the catheter within the duct was confirmed by ultrasound. A contrast agent was injected until the patient felt fullness, and ultrasound (B-mode) was used to confirm whether the contrast agent filled the main canal and secondary and tertiary ducts. Then, power Doppler ultrasound was performed to determine whether the salivary gland had increased blood flow. Results: In 2 cases in this report, a power Doppler ultrasound scan showed a significant increase in blood flow after contrast medium injection, which was not observed on a preoperative scan. Conclusion: Power Doppler ultrasound was found to be a simple, safe, and effective tool for real-time sialography monitoring.

• Asian Pacific Journal of Cancer Prevention
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• 제14권12호
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• pp.7731-7736
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• 2013

Aim: To compare the agreement of screening breast mammography plus ultrasound and reviewed mammography alone in asymptomatic women. Materials and Methods: All breast imaging data were obtained for women who presented for routine medical checkup at National Cancer Institute (NCI), Thailand from January 2010 to June 2013. A radiologist performed masked interpretations of selected mammographic images retrieved from the computer imaging database. Previous mammography, ultrasound reports and clinical data were blinded before film re-interpretation. Kappa values were calculated to assess the agreement between BIRADS assessment category and BIRADS classification of density obtained from the mammography with ultrasound in imaging database and reviewed mammography alone. Results: Regarding BIRADS assessment category, concordance between the two interpretations were good. Observed agreement was 96.1%. There was moderate agreement in which the Kappa value was 0.58% (95%CI; 0.45, 0.87). The agreement of BI-RADS classification of density was substantial, with a Kappa value of 0.60 (95%CI; 0.54, 0.66). Different results were obtained when a subgroup of patients aged ${\geq}60$ years were analyzed. In women in this group, observed agreement was 97.6%. There was also substantial agreement in which the Kappa value was 0.74% (95%CI; 0.49, 0.98). Conclusions: The present study revealed that concordance between mammography plus ultrasound and reviewed mammography alone in asymptomatic women is good. However, there is just moderate agreement which can be enhanced if age-targeted breast imaging is performed. Substantial agreement can be achieved in women aged ${\geq}60$. Adjunctive breast ultrasound is less important in women in this group.

• 융합신호처리학회논문지
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• 제15권2호
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• pp.64-69
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• 2014

초음파(Ultrasound) 시스템은 진단의학분야, 수중통신, 센서네트워크 등 현대산업분야에 광범위하게 사용되는 복잡한 무선 신호처리 시스템 중 하나이다. 최근에는 초음파 시스템의 소형화가 본격화 되고 있다. 본 논문에서는 소형화되고, 모바일화 되는 진단 초음파시스템에 적합한 혼성 저잡음증폭기(Low Noise Amplifier, LNA)를 개발 하였다. 제안된 LNA는 5dB이하의 낮은 잡음특성을 가지고, 다양한 초음파 변환기(Transducer)의 임피던스매칭을 위해 피드백 저항값들을 전기적으로 조정할 수 있도록 설계하였다. 주파수는 10kHz에서 150MHz까지 초음파주파수 전 대역을 지원할 수 있고, 슬립모드를 지원한다. 시스템의 특성에 맞춰 각각의 변환기를 통해 -17.8dB-29.5dB의 이득을 갖는다. 기존의 LNA와 비교해서 비슷한 성능에 소모전력은 최대 90%를 줄일 수 있었다.

• 대한의용생체공학회:의공학회지
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• 제19권2호
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• pp.171-176
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• 1998

본 연구에서는 뼈의 특성을 파악하는 초음파감쇠 파라미터를 재평가하였다. 초음파 속도, 특정 주파수(0.5MHz)에서의 초음파감쇠 및 광역 밴드 초음파감쇠와 같은 초음파 파라미터들을 해면골 입방체 시편의 세 직교방향(전/후, 내/외, 상/하)에서 측정하였다. 그리고 컴퓨터 영상장치를 사용하여 골밀도를 측정했으며, 골 시편의 무게와 부피를 이용하여 외형밀도도 함께얻었다. 이와같이 구해진 외형밀도와 초음파 속도로부터 초음파 탄성영률을 계산하였다. 주파수 0.5MHz에서의 초음파감쇠와 광역밴드감쇠는 골밀도 및 세 직교방향의 초음파 영률과 서로 관련시켜 연관성을 조사하였다. 그 결과 특정 주파수 초음파감쇠가 골밀도 및 탄성영률을 평가하는 능력에 있어서 광역밴드 감쇠보다 우수함을 알 수 있었다. 따라서 광역밴드 초음파감쇠를 측정하여 골의 상태를 평가하는 형행 초음파 진단 기법이 재검토 되어야 하며 본 연구에서 증명된 특정주파수(0.5MHz) 초음파감쇠를 이용하여 골 다공증 진단 예측율을 향상시킬 수 있다.

• The Korean Journal of Pain
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• 제28권2호
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• pp.122-128
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• 2015

Background: Caudal epidural injections have been commonly performed in patients with low back pain and radiculopathy. Although caudal injection has generally been accepted as a safe procedure, serious complications such as inadvertent intravascular injection and dural puncture can occur. The present prospective study was designed to investigate the influence of the depth of the inserted needle on the success rate of caudal epidural blocks. Methods: A total of 49 adults scheduled to receive caudal epidural injections were randomly divided into 2 groups: Group 1 to receive the caudal injection through a conventional method, i.e., caudal injection after advancement of the needle 1 cm into the sacral canal (n = 25), and Group 2 to receive the injection through a new method, i.e., injection right after penetrating the sacrococcygeal ligament (n = 24). Ultrasound was used to identify the sacral hiatus and to achieve accurate needle placement according to the allocated groups. Contrast dyed fluoroscopy was obtained to evaluate the epidural spread of injected materials and to monitor the possible complications. Results: The success rates of the caudal injections were 68.0% in Group 1 and 95.8% in Group 2 (P = 0.023). The incidences of intravascular injections were 24.0% in Group 1 and 0% in Group 2 (P = 0.022). No intrathecal injection was found in either of the two groups. Conclusions: The new caudal epidural injection technique tested in this study is a reliable alternative, with a higher success rate and lower risk of accidental intravascular injection than the conventional technique.