• 대한물리의학회지
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• 제16권2호
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• pp.45-52
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• 2021

PURPOSE: This study examined the imaging procedure of pectoralis minor muscle thickness and assessed the intra- and inter-rater reliability of the muscle thickness measured by two raters using rehabilitative ultrasound imaging (RUSI) in healthy individuals. METHODS: Fifteen participants (aged 21 - 28, seven females, and eight males) were involved in the study. The primary rater palpated the coracoid process and the fourth rib, defined as the width of the index finger lateral to the sternum to avoid breast tissues, and lined the two landmarks. The second examiner checked 1 / 3 (1st point) and 1 / 2 (2nd point) of the line length as measurement points. The two raters obtained right side muscle images of the participants at a standardized sitting position using RUSI with a 7.5 MHz linear transducer at 40mm depth. For intra-rater reliability, the principal rater took three images per point and tried to take one more with an interval. For the inter-rater reliability, the other rater performed the same tasks as the principal rater on the same day. The reliability was analyzed using the intra-class correlation coefficient (ICC), the standard error of the measurement (SEM), and Bland and Altman plots. RESULTS: The reliability at all points was excellent for the same rater (ICC_3,1 = .973 - .978, SEM = .042 - .046), and between raters (ICC_2,1 = .939 - .959, SEM = .059 - .097). CONCLUSION: These findings show that the RUSI could be reliable for examining the pectoralis minor muscle thickness in healthy individuals at all measurement sites.

• Investigative Magnetic Resonance Imaging
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• 제20권4호
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• pp.259-263
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• 2016

Primary diffuse large B-cell lymphoma of the seminal vesicle is an extremely rare disorder, with only two cases reported in the English literature. Here, we present imaging findings of a case of primary diffuse large B-cell lymphoma of the seminal vesicle. On transrectal ultrasonography, the mass presented as a 3.0-cm-sized heterogeneous, hypoechoic lesion in the right seminal vesicle. Computed tomography (CT) revealed a mass with rim-like enhancement in the right seminal vesicle. On magnetic resonance imaging (MRI), the tumor showed iso-signal intensity on T1-weighted images and heterogeneously intermediate-high signal intensity on T2-weighted images. The tumor showed rim-like and progressive enhancement with non-enhancing portion on dynamic scanning. Diffusion restriction was observed in the mass. On fluorodeoxyglucose positron emission tomography-computed tomography (FDG PET/CT) imaging, a high standardized uptake value (maxSUV, 23.5) by the tumor was noted exclusively in the right seminal vesicle.

• 대한정형외과 초음파학회지
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• 제1권1호
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• pp.40-49
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• 2008

고관절은 인체에서 가장 깊이 위치라는 관절인데다가 고관절에 생긴 병변에 의한 증상은 대부분 모호하고 혼란스럽다. 이러한 이유로 고관절의 영상검사에 대한 연구와 개발은 매우 활발하게 진행되었다. 그 결과 현재는 단순 방사선 사진으로부터 복잡한 자기공명관절조영술에 이르기까지 다양한 방법이 사용되고 있다. 이 간단한 글에서 저자는 각 영상 검사법의 장단점과 흔한 고관절 질환의 영상 진단에 대해 다루고자 한다. 이러한 고관절의 영상 검사법의 중요성은 그것이 임상적인 연관이 있을 때뿐이다. 만일 우리가 각 검사법과 해당 질환들의 특성을 잘 알고 있다면 환자에 대한 가장 이상적인 접근이 가능할 것이지만 그렇지 못하다면 비싼 영상 검사는 의미 없는 그림에 지나지 않을 것이기 때문이다.

• 한국의학물리학회지:의학물리
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• 제2권1호
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• pp.3-16
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• 1991

Abstract. An area of particularly rapid technological growth in the last 15 years has been medical imaging (conventional X-ray, ultrasound, X-ray computed tomography (CT), magnetic resonance imaging (MRI). As the number and complexity of imaging studies rises, it becomes ever more important to distribute these images and the associated diagnoses in a timely and cost-effective fashion. The purpose of this paper is to describe the requirements for a future digital radiology system which will efficiently handle the large volume of images that generated, add new functionality to improve productivity of physicians, technologists, and other health care providers, and provide enough flexibility to allow the system to grow as medical image technology grows.

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

• 대한의용생체공학회:의공학회지
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• 제7권2호
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• pp.133-138
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• 1986

Abstract In a conventional digital sector scan system in the ultrasound medical imaging, the sampling space is in the polar coordinates while the display space is in the cartesian coordinates, which necessitates a coordinate transformation process resultion process resulting the overall system very complex and bulky. In this paper we propose a new architecture of the Digital-Scan-Converter (DSC) for the ultrasound sector scan system in which sampling space is the same as the display space, so the data are displayed as they are acquired without any interpola- tion process required. To implement the above real time DSC. two frequency synthesizes with very high switching time and a low-pass filter are required. The former determines the precise location of the data points and the latter fills the gap betw- een pixels in the horizontal direction.

• 대한물리의학회지
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• 제8권2호
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• pp.231-238
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• 2013

PURPOSE: The purpose of this study is to find out the thickness variation of the superficial and deep abdominal muscles by measuring the thickness of the abdominal muscles. METHODS: 35 young, healthy adults(24 mens and 11 womens) participated in this study. The first, when only bridge exercise we had measured the thickness of their abdominal muscles by the ultrasound. The second, when the abdominal drawing-in during maintaining the bridge exercise we had measured the thickness of their abdominal muscles by the ultrasound. A pared t-test was used to determine a statistical significance for the thickness variation of the superficial and deep abdominal muscles. RESULTS: Results of before and after comparative analysis. The surperficial muscles(rectus abdominis, external obilique) statistically significantly reduced in the thickness and the deep muscle(transeverse abdominis) statistically significantly increased in the thickness. CONCLUSION: We have shown that the abdominal drawing-in exercise during maintaining the bridge exercise was effective to increase in strengthening abdominal deep muscle selectively.

• 한국방사선학회논문지
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• 제17권5호
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• pp.693-699
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• 2023

초음파는 의료분야에서 비파괴적 및 비침습적인 질병 진단에 널리 활용되고 있다. 진단의료영상의 질병진단 정확도를 향상시키기 위하여 공간 분해능을 향상시키는 것은 매우 중요하다. 본 연구에서는 초음파 영상에서의 초고분해능 합성곱 신경망 알고리즘 (super resolution convolutional neural network, SRCNN)을 모델링하여 적용 가능성을 분석하고자 한다. 연구는 Field II 시뮬레이션과 open source로 제공되는 임상 간 혈관종 초음파 영상을 사용한 실험 연구로 수행되었다. 제안하는 SRCNN 알고리즘은 저분해능 (low resolution, LR)에서 고분해능 (high resolution)으로 end-to-end 방식의 학습이 적용될 수 있도록 모델링하였다. 시뮬레이션 결과 Field II 프로그램을 통한 팬텀 영상에서의 반치폭 값은 SRCNN을 사용하였을 때 LR에 비하여 41.01% 향상되는 것을 확인하였다. 또한, 최대신호대잡음비 (peak to signal to noise ratio, PSNR)와 구조적 유사도 지표 (structural similarity index, SSIM)) 평가 결과는 시뮬레이션과 실제 간 혈관종 영상에서 SRCNN이 가장 우수한 값으로 도출되었다. 결론적으로 SRCNN의 초음파 영상에서의 적용 가능성을 증명하였고, 나아가 다양한 진단의료분야에서의 사용이 가능할 것으로 기대한다.

• 대한의용생체공학회:의공학회지
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• 제7권1호
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• pp.41-44
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• 1986

The objective of tissue characterization is to provide quantitative information about the physical state of tissue interrogated by an ultrasound beam. In the computer simulation, it was found that the echoes were composed of the interferences of the ultrasonic waves reflected from both sides of the thin object, and could be separated by the spectral correlation method. Also, the phantom study demonstrates that thickness of the thin acryl layer beyond the resolution of common ultrasonic imaging systems can be measured- using this method.

• Clinics in Shoulder and Elbow
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• 제23권2호
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• pp.80-85
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• 2020

Background: Atelocollagen has been studied for restoration of rotator cuff tendon. In this study, we attempted to evaluate the clinical outcome of ultrasound-guided atelocollagen injection in an outpatient clinic for patients with partial rotator cuff tear. Methods: We recruited 42 outpatients who visited our hospital from May 2019 to September 2019. Atelocollagen injection was performed in patients with partial rotator cuff tear diagnosed by magnetic resonance imaging and ultrasound. American Shoulder and Elbow Surgeons (ASES), Constant, Korean Shoulder Score (KSS) and Simple Shoulder Test (SST) scores, and range of motion were assessed before injection and after 2 months. Statistically, we analyzed the clinical results using the Wilcoxon signed-rank test. Results: Finally, 15 patients were enrolled for analysis. There was no significant difference between pre- and post-injection in terms of range of motion, ASES (57.0 vs. 60.4), Constant (56.4 vs. 58.9), KSS (64.6 vs. 68.5), and pain-visual analog scale (4.2 vs. 3.7), except function-visual analog scale (F-VAS; 6.3 vs. 7.1) and SST (6.6 vs. 6.9). A significant difference was found in SST (P=0.046) and F-VAS (P=0.009). According to the ultrasound results at 2 months, we found hyperechoic materials in three of seven patients. The most common complication of atelocollagen injection was post-injection pain (53%, 8/15). Conclusions: Ultrasound-guided atelocollagen injection for partial rotator cuff tear showed no significant change in terms of clinical outcomes, except for F-vas and SST score. Tendon regeneration was not clear due to the remnants of atelocollagen present at 2-month follow-up ultrasound. There seems to be alarming post-injection pain for 2 to 3 days in the patients who received atelocollagen injection in an outpatient clinic.