• 제목/요약/키워드: Medical Ultrasound

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초음파 의료영상에서 ATS 535H 팬텀을 이용한 해상력 특성 평가 (Evaluation of the Resolution Characteristics by Using ATS 535H Phantom for Ultrasound Medical Imaging)

  • 민정환;정회원;강혜경
    • 대한방사선기술학회지:방사선기술과학
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    • 제46권1호
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    • pp.15-21
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    • 2023
  • This study was purpose to assessment of the resolution characteristics by using ATS 535H Basic quality assurance (QA) phantom for ultrasound. The ultrasound equipment was used Logiq P6 (Ultrasound, GE Healthcare System, Chicago, IL, USA). And the ultrasound transducer were used Convex 4C (4~5.5 MHz), Linear 11L (10~13 MHz), Sector 3SP (3~5.5 MHz) probe. As for the noise power spectrum (NPS) comparison results by using ATS 535H Basic QA ultrasound phantom and Convex 4C, Linear 11L, Sector 3SP probe. The NPS value of the Convex 4C probe image was 0.0049, Linear 11L probe image was 0.0049, Sector 3SP probe image was 0.1422 when the frequency is 1.0 mm-1. The modulation transfer function (MTF) comparison results by using ATS 535H Basic QA ultrasound phantom and Linear 11L probe the MTF value of the 3 cm focus image was 0.7511 and 4 cm focus image was 0.9001 when the frequency is 1.0 mm-1. This study was presented characteristics of spatial resolution a quantitative evaluation methods by using ultrasound medical images for QA of ultrasound medical QA phantom. The quality control (QC) for equipment maintenance can be efficiently used in the clinic due to the quantitative evaluation of the NPS and MTF as the standard methods. It is meaningful in that it is applied mutatis mutandis and presented the results of physical resolution characteristics of the ultrasound medical image.

Ultrasound-Guided Radiofrequency Ablation in Tertiary Hyperparathyroidism: A Prospective Study

  • Erya Deng;Tingting Jiang;Huihui Chai;Ning Weng;Hongfeng He;Zhengxian Zhang;Chengzhong Peng;Wenwen Yue;Huixiong Xu
    • Korean Journal of Radiology
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    • 제25권3호
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    • pp.289-300
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    • 2024
  • Objective: To prospectively evaluate the outcomes of ultrasound (US)-guided radiofrequency ablation (RFA) in tertiary hyperparathyroidism (THPT). Materials and Methods: Patients with THPT underwent RFA between September 2017 and January 2022. Laboratory parameters, including serum intact parathyroid hormone (iPTH) levels, were monitored for 48 months after RFA and compared with the levels at baseline. Complications related to RFA and changes in hyperparathyroidism-related clinical symptoms were recorded before and after RFA. Results: A total of 42 patients with THPT were recruited for this study. Ultimately, 36 patients with renal failure and 2 patients who underwent successful renal transplantation (male:female, 17:21; median age, 54.5 years) were enrolled. The follow-up time was 21.5 ± 19.0 months in the 36 patients with renal failure. In these 36 patients, iPTH levels were significantly decreased to 261.1 pg/mL at 48 months compared with the baseline value of 1284.9 pg/mL (P = 0.012). Persistent hyperparathyroidism, defined as iPTH levels maintained at > 585.0 pg/mL for 6 months after treatment, occurred in 4.0% of patients (1/25). Recurrent hyperparathyroidism, defined as iPTH levels > 585.0 pg/mL after 6 months, were 4.0% (1/25) and 0.0% (0/9) at 6 months and 4 years after treatment, respectively. In two patients with THPT after successful renal transplantation, iPTH decreased from the baseline value of 242.5 and 115.9 pg/mL to 171.0 and 62.0 pg/mL at 6 months after treatment. All complications resolved within 6 months of ablation without medical intervention, except in 10.5% (4/38) patients with permanent hypocalcemia. The overall symptom recovery rate was 58.8% (10/17). The severity scores for bone pain, arthralgia, and itchy skin associated with hyperparathyroidism improved after treatment (P < 0.05). Conclusion: US-guided RFA is an effective and safe alternative to surgery in the treatment of patients with TPTH and improves hyperparathyroidism-related clinical symptoms.

의료용 초음파 B-모드 영상을 위한 신호처리 (Signal Processing in Medical Ultrasound B-mode Imaging)

  • 송태경
    • 비파괴검사학회지
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    • 제20권6호
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    • pp.521-537
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    • 2000
  • 초음파 영상은 의료진단을 위한 영상기기 중 가장 널리 쓰이고 있는 방법으로 전자공학에 있어서 DSP 및 VLSI 분야의 기술발전에 힘입어 보다 효율적이고 복잡한 기법들의 적용이 가능하여져 90년대에 이르러 시스템의 성능이 매우 빠르게 발달되었다. 본 논문은 의료진단용 초음파 영상장치에서 사용되는 주요 디지털 신호처리 기법과 시스템 구현 기술에 대하여 기술하였다. 구체적으로는 일반적인 초음파 영상장치의 구조 및 신호처리 기법을 소개하고, 90년대에 개발된 디지털 초음파 영상장치의 기술적인 내용을 그 기술 동향과 전망과 함께 다루었다. 특히 초음파 영상의 화질을 결정하는 가장 중요한 요소인 해상도를 증대하기 위한 모든 초음파 집속 기법을 표현할 수 있는 통합 합성 구경 모형을 제시하고, 이론적인 해석을 통하여 초음파 영상을 위한 어레이 신호처리 기법들을 구분하고 각 방법들에 대한 특성을 조사하였나. 본 논문에서 소개된 신호처리 기법들은 초음파를 이용한 비파괴 검사 분야에 유용하게 적용될 수 있는 것 들이다.

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Special Issue for Biomedical Ultrasound: Towards Further Advances in Fundamentals and Applications by Comprehensive Reviews

  • Kim, Yong-Tae
    • The Journal of the Acoustical Society of Korea
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    • 제29권3E호
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    • pp.107-110
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    • 2010
  • In this paper, the rationale and contents of the special issue of the Journal of the Acoustical Society of Korea regarding comprehensive reviews on past, present and future of biomedical ultrasound are described. Brief descriptions of invited articles are given, and efforts by all contributing authors are gratefully acknowledged.

전국 소동물 병원의 초음파 진단기기 및 활용도 현황조사 (Survey on Utilization of Ultrasonographic Machine in Small Animal Clinics in South Korea)

  • 장진화;백민지;장동우
    • 한국임상수의학회지
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    • 제28권4호
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    • pp.408-414
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    • 2011
  • This study was carried out to analyze the utilization of ultrasound machines in animal hospitals and focused on surveying the present condition of diagnostic ultrasound on veterinary medicine in South Korea. Total 279 veterinary hospitals were surveyed with e-mail questionnaires or telephone survey. E-mail questionnaires consist of 17 items of questions including existence of ultrasound machine, types of ultrasound machine, ultrasound examination costs, frequency, purposes, other diagnostic imaging equipments, and referring system of ultrasound. Telephone surveys asked about the existence of the ultrasound machine and types of the ultrasound machine to 279 animal hospitals. Two hundred and seventy-one out of 279 animal hospitals holds ultrasound machine. Seventy-two percents clinics purchased used ultrasonographic machines and mean years after the date of manufacture is 7.5 years and the proportion of superannuated machines are relatively high. Also many clinicians prefer single organ scanning rather than general scan technique and more than 60% of clinics perform ultrasonographic examination less than 5 times a week. Clinics located in Seoul area tend to have more expensive and brand-new ultrasonographic machines and the distribution of radiology specialist are higher in this area. Problems associated with the present condition were oversupply of machines, unequal distribution of the medical equipment in different localities, ineffective use of the medical equipment, and high percentage of old poor-quality medical equipments. There should be a viable alternative proposal to control amount and quality of the ultrasound machines. Also, the improved management system for the ultrasound machine is required.

Shorter Distance Between the Nodule and Capsule has Greater Risk of Cervical Lymph Node Metastasis in Papillary Thyroid Carcinoma

  • Wang, Qiu-Cheng;Cheng, Wen;Wen, Xin;Li, Jie-Bing;Jing, Hui;Nie, Chun-Lei
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권2호
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    • pp.855-860
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    • 2014
  • Background: The purpose of this study was to assess the relationship between different sonographic features of papillary thyroid carcinoma (PTC) on high-frequency ultrasound and cervical lymph node metastasis (CLNM). Materials and Methods: We enrolled 548 patients who underwent initial surgery for PTC between May 2011 and December 2012 in our hospital at diagnosis. The sonographic features of 513 PTC nodules in 513 eligible patients, who had single PTC nodules in their thyroid glands, were retrospectively investigated. All patients with a suspect malignant nodule (d<0.5cm) among multiple nodules were initially diagnosed by fine-needle aspiration biopsy (FNAB) to ascertain if the suspect nodule was PTC. The final diagnosis of all the thyroid nodules and existence of CLNM were based on postoperative pathology. Patients were divided into two groups: a positive group with CLNM (224 nodules) and a negative group without CLNM (289 nodules). The following factors were investigated: gender, age, echogenicity, echotexture, size, shape, location, margin, contour, calcification morphology, distance between the nodule and pre- or post-border of the thyroid capsule, vascularity and the differences between the two groups. Results: Correlation analysis showed that shorter distances between the nodule and pre- or postborder of thyroid capsule resulted in greater risk of CLNM (Spearman correlation coefficient=-0.22, p<0.0001). The significant factors in multivariate analysis were age<45yrs, larger size (d>1cm), "wider than tall" shape, extrathyroid extension and mixed flow (internal and peripheral) (p<0.05, OR=0.406, 2.093, 0.461, 1.610, 1.322). Conclusions: Significant sonographic features of PTC nodules in preoperative high-frequency ultrasound are crucial for predicting CLNM.

Ultrasound-guided interventions for controlling the thoracic spine and chest wall pain: a narrative review

  • Park, Donghwi;Chang, Min Cheol
    • Journal of Yeungnam Medical Science
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    • 제39권3호
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    • pp.190-199
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    • 2022
  • Ultrasound-guided injection is useful for managing thoracic spine and chest wall pain. With ultrasound, pain physicians perform the injection with real-time viewing of major structures, such as the pleura, vasculature, and nerves. Therefore, the ultrasound-guided injection procedure not only prevents procedure-related adverse events but also increases the accuracy of the procedure. Here, ultrasound-guided interventions that could be applied for thoracic spine and chest wall pain were described. We presented ultrasound-guided thoracic facet joint and costotransverse joint injections and thoracic paravertebral, intercostal nerve, erector spinae plane, and pectoralis and serratus plane blocks. The indication, anatomy, Sonoanatomy, and technique for each procedure were also described. We believe that our article is helpful for clinicians to conduct ultrasound-guided injections for controlling thoracic spine and chest wall pain precisely and safely.

ISDN(Integrated Services Digital Network)을 통한 멀티미디어 원격 초음파 영상 전달 시스템 구현에 관한 연구 (A Study on the Implementation of Multimedia Remote Ultrasound Image Transfer System through ISDN)

  • 이영훈;민경선
    • 대한의용생체공학회:의공학회지
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    • 제17권1호
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    • pp.33-42
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    • 1996
  • A multimedia remote ultrasound image transfer system for tole-medical services was implemented. The image data of the ultrasound scanner system of the slave is compressed using image compression system. It is transferred to the master PC via ISDN UNI(User-Network Interface) and decompressd by image decompression system. The total system is composed of three parts; first, the image capture card which transfers bidirection- al data between ultrasound scanner system and PC, second, image compression and decompression card, finally, ISDN TA(Terminal Adaptor) card for transferring the image. This system has a easy user interface because it is executed on the basis of MS-WINDOWS. So it is capable of serving medical services at a remote place.

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로봇 지원 원격 초음파 영상진단을 위한 마스터-슬레이브 시스템의 개발 (Development of Master-slave System for Robot-assisted Remote Ultrasound Diagnosis)

  • 서준호;조장호;권오원
    • 로봇학회논문지
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    • 제12권4호
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    • pp.395-401
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    • 2017
  • In this paper, we introduce a robot-assisted medical diagnostic system that enables remote ultrasound (US) imaging to be applied to the conventional telemedicine, which has been possible only with interviewing or a visual exam. In particular, a master-slave robot system is developed that ultrasonic diagnosis specialist can control the position and orientation of US probe in the remote place. The slave robot is designed to be compact, lightweight, and hand-held so that it can easily transfer to the remote healthcare center. Moreover, 6-degree-of-freedom (DOF) probe motion is possible by the robot design based on Stewart platform. The master device is also based on a similar structure of the slave robot. To connect master and slave system in the wide area network (WAN) environment, a hardware CODEC was developed. In this paper, we introduce the detail of each component and the results of the recent experiments conducted in the remote sites by the developed robotic ultrasound imaging system.

Effect of Korean Medicine Treatment Combined with Conventional Medicine in Patients Diagnosed with Plantar Fasciitis

  • Jeong, Seong Heon;Jang, Kwon-Jun;Moon, Hyang-Ran;Jo, On You;Lee, Ji Yoon;Yang, Jung Min;Choi, Saerom;Yoon, Min Ji;Shin, Gwangsoon;Kim, Hyo-Rim
    • Journal of Acupuncture Research
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    • 제39권2호
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    • pp.145-149
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    • 2022
  • This study examined the effectiveness of Korean-Western cooperative treatment for patients with plantar fasciitis. Fifty patients received Korean medicine treatments (acupuncture, pharmacopuncture, herbal medicine) and Western medicine treatments (polydeoxyribonucleotide, and extracorporeal shock wave therapy). Evaluation methods used were comparison before and after ultrasound (P9), and numeric rating scale scores. Results revealed a significant improvement in the level of pain and evaluation of improvement using ultrasound. Moreover, it was suggested that Korean-Western cooperative medicine treatment may be effective for the treatment of plantar fasciitis.