• Journal of Korean Foot and Ankle Society
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• v.26 no.4
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• pp.157-162
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• 2022

Total ankle arthroplasty has become a viable motion-preserving alternative to ankle arthrodesis, especially in the last two decades. Recent improvements have been achieved in the strength of implant design and surgical technique. Nevertheless, addressing preoperative deformities is essential for successful outcomes of total ankle arthroplasty. Residual malalignment can produce instability and edge loading, causing acceleration of polyethylene wear, followed by osteolysis and an increased risk of revision surgery. Therefore, the accompanying deformities and their correction techniques need to be comprehensively elucidated and understood. In this article, we provide a review of the application of total ankle arthroplasty in arthritis with coronal plane varus and valgus deformities.

• Korean Journal of Radiology
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• v.22 no.7
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• pp.1044-1053
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• 2021

Objective: Motion-corrected averaging with a single-shot technique was introduced for faster acquisition of late-gadolinium-enhancement (LGE) cardiovascular magnetic resonance (CMR) imaging while free-breathing. We aimed to evaluate the image quality (IQ) of free-breathing motion-corrected single-shot LGE (moco-ss-LGE) in patients with hypertrophic cardiomyopathy (HCM). Materials and Methods: Between April and December 2019, 30 patients (23 men; median age, 48.5; interquartile range [IQR], 36.5-61.3) with HCM were prospectively enrolled. Breath-held single-shot LGE (bh-ss-LGE) and free-breathing moco-ss-LGE images were acquired in random order on a 3T MR system. Semi-quantitative IQ scores, contrast-to-noise ratios (CNRs), and quantitative size of myocardial scar were assessed on pairs of bh-ss-LGE and moco-ss-LGE. The mean ± standard deviation of the parameters was obtained. The results were compared using the Wilcoxon signed-rank test. Results: The moco-ss-LGE images had better IQ scores than the bh-ss-LGE images (4.55 ± 0.55 vs. 3.68 ± 0.45, p < 0.001). The CNR of the scar to the remote myocardium (34.46 ± 11.85 vs. 26.13 ± 10.04, p < 0.001), scar to left ventricle (LV) cavity (13.09 ± 7.95 vs. 9.84 ± 6.65, p = 0.030), and LV cavity to remote myocardium (33.12 ± 15.53 vs. 22.69 ± 11.27, p < 0.001) were consistently greater for moco-ss-LGE images than for bh-ss-LGE images. Measurements of scar size did not differ significantly between LGE pairs using the following three different quantification methods: 1) full width at half-maximum method; 23.84 ± 12.88% vs. 24.05 ± 12.81% (p = 0.820), 2) 6-standard deviation method, 15.14 ± 10.78% vs. 15.99 ± 10.99% (p = 0.186), and 3) 3-standard deviation method; 36.51 ± 17.60% vs. 37.50 ± 17.90% (p = 0.785). Conclusion: Motion-corrected averaging may allow for superior IQ and CNRs with free-breathing in single-shot LGE imaging, with a herald of free-breathing moco-ss-LGE as the scar imaging technique of choice for clinical practice.

• Journal of the Korean Society of Radiology
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• v.18 no.1
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• pp.45-52
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• 2024

In this study, an AI-based algorithm was developed to prevent image quality deterioration and reading errors due to patient movement in PET/CT examinations that use radioisotopes in medical institutions to test cancer and other diseases. Using the Mothion Free software developed using, we checked the degree of correction of movement due to breathing, evaluated its usefulness, and conducted a study for clinical application. The experimental method was to use an RPM Phantom to inject the radioisotope 18F-FDG into a vacuum vial and a sphere of a NEMA IEC body Phantom of different sizes, and to produce images by directing the movement of the radioisotope into a moving lesion during respiration. The vacuum vial had different degrees of movement at different positions, and the spheres of the NEMA IEC body Phantom of different sizes produced different sizes of lesions. Through the acquired images, the lesion volume, maximum SUV, and average SUV were each measured to quantitatively evaluate the degree of motion correction by Motion Free. The average SUV of vacuum vial A, with a large degree of movement, was reduced by 23.36 %, and the error rate of vacuum vial B, with a small degree of movement, was reduced by 29.3 %. The average SUV error rate at the sphere 37mm and 22mm of the NEMA IEC body Phantom was reduced by 29.3 % and 26.51 %, respectively. The average error rate of the four measurements from which the error rate was calculated decreased by 30.03 %, indicating a more accurate average SUV value. In this study, only two-dimensional movements could be produced, so in order to obtain more accurate data, a Phantom that can embody the actual breathing movement of the human body was used, and if the diversity of the range of movement was configured, a more accurate evaluation of usability could be made.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.32 no.1A
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• pp.1-10
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• 2012

Along with the development of coasts, islands and mountains, the demand of long-span bridges increases which, in turn, brings forth the construction of cable-supported bridges like suspension and cable-stayed bridges. There are various types of statically indeterminate structures widely applied that supported the main girder with stay cables, main cables, hanger cables with aesthetic structural appearance. As to the cable-supported bridges, the health monitoring of a bridge can be identified by measuring tension force on cable repeatedly. The tension force on cable is measured either by direct measurement of stress of cable using load cell or hydraulic jack, or by vibration method estimating tension force using cable shape and measured dynamic characteristics. In this study, a method to estimate dynamic characteristics of hanger cables by using a digital image processing is suggested. Digital images are acquired by a portable digital camcorder, which is the sensor to remotely measure dynamic responses considering convenient and economical aspects for use. A digital image correlation(DIC) technique is applied for digital image processing, and an image transform function(ITF) to correct the geometric distortion induced from the deformed images is used to estimate subpixel. And, the correction of motion of vision-based measurement system using a fixed object in an image without installing additional sensor can be enhanced the resolution of dynamic responses and modal frequencies of hanger cables.

• Progress in Medical Physics
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• v.24 no.3
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• pp.191-197
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• 2013

Upon radiation treatment, it is the important factor to monitor the patient's motion during radiation irradiated, since it can determine whether the treatment is successful. Thus, we have developed the system in which the patient's motion is monitored in real time and moving treatment position can be automatically corrected during radiation irradiation. We have developed the patient's position monitoring system in which the patient's position is three dimensionally identified by using two CCD cameras which are orthogonal located around the isocenter. This system uses the image pattern matching technique using a normalized cross-correlation method. We have developed the system in which trigger signal for beam on and off is generated by quantitatively analyzing the changes in a treatment position through delivery of the images taken from CCD cameras to the computer and the motor of moving couch can be controlled. This system was able to automatically correct a patient's position with the resolution of 0.5 mm or less.

• Journal of Korean Foot and Ankle Society
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• v.18 no.2
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• pp.56-61
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• 2014

Purpose: This study was conducted among patients with moderate to severe hallux valgus who underwent distal chevron osteotomy and groups of patients with or without Akin osteotomy were compared for evaluation of the relationship between their radiological and clinical outcomes. Materials and Methods: From January 2009 to January 2012, among patients with moderate to severe hallux valgus who underwent distal chevron osteotomy at our institution, 28 cases with additional Akin osteotomy and 35 cases without Akin osteotomy available to follow up of more than one year were included in this study. For radiologic evaluation, hallux valgus angle, 1, 2 intermetatarsal angle, and hallux interphalangeal angle were measured before and after surgery. For clinical assessment, visual analogue scale score, American Orthopaedic Foot and Ankle Society score, subjective satisfaction of the patients, and passive range of motion of the first metatarsophalangeal joints were evaluated. Results: At the final follow up, correction of valgus hallux angle and 1, 2 intermetatarsal angle was obtained from radiation results of both groups and it was found that patients who underwent Akin osteotomy showed radiographically larger angle correction but less subjective satisfaction. Conclusion: Patients with moderate to severe hallux valgus who underwent distal chevron osteotomy showed not only functional but also radiographically satisfactory results, and patients who underwent additional Akin osteotomy showed decreased subjective satisfaction. Therefore, if an incongruent first metatarsophalangeal joint is not observed, distal chevron osteotomy without Akin osteotomy seems preferable.

• Smart Structures and Systems
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• v.16 no.2
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• pp.295-328
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• 2015

In recent years the monitoring of structural behavior through acquisition of vibrational data has become common practice. In addition, recent advances in sensor development have made the collection of diverse dynamic information feasible. Other than the commonly collected acceleration information, Global Position System (GPS) receivers and non-contact, optical techniques have also allowed for the synchronous collection of highly accurate displacement data. The fusion of this heterogeneous information is crucial for the successful monitoring and control of structural systems especially when aiming at real-time estimation. This task is not a straightforward one as measurements are inevitably corrupted with some percentage of noise, often leading to imprecise estimation. Quite commonly, the presence of noise in acceleration signals results in drifting estimates of displacement states, as a result of numerical integration. In this study, a new approach based on a time domain identification method, namely the Unscented Kalman Filter (UKF), is proposed for correcting the "drift effect" in displacement or rotation estimates in an online manner, i.e., on the fly as data is attained. The method relies on the introduction of artificial white noise (WN) observations into the filter equations, which is shown to achieve an online correction of the drift issue, thus yielding highly accurate motion data. The proposed approach is demonstrated for two cases; firstly, the illustrative example of a single degree of freedom linear oscillator is examined, where availability of acceleration measurements is exclusively assumed. Secondly, a field inspired implementation is presented for the torsional identification of a tall tower structure, where acceleration measurements are obtained at a high sampling rate and non-collocated GPS displacement measurements are assumed available at a lower sampling rate. A multi-rate Kalman Filter is incorporated into the analysis in order to successfully fuse data sampled at different rates.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.29 no.1C
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• pp.72-82
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• 2004

This paper proposes more robust error concealment techniques (ECTs) for MPEG-2 intra coded frame. MPEG-2 source coding algorithm is very sensitive to transmission errors due to the use of variable-length coding. The transmission errors are corrected by error correction scheme, however, they cannot be revised properly. Error concealment (EC) is used to conceal the errors which are not corrected by error correction and to provide minimum visual distortion at the decoder. If errors are generated in intra coded frame, that is the starting frame of GOP, they are propagated to other inter coded frames due to the nature of motion compensated prediction coding. Such propagation of error may cause severe visual distortion. The proposed algorithm in this paper utilizes the spatio-temporal information of neighboring inter coded frames to conceal the successive slices errors occurred in I-frame. The proposed method also overcomes the problems that previous ECTs reside. The proposed algorithm generates consistent performance even in network where the violent transmission errors frequently occur. Algorithm is performed in MPEG-2 video codec and we can confirm that the proposed algorithm provides less visible distortion and higher PSNR than other approaches through simulations.

• The KIPS Transactions:PartB
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• v.12B no.5 s.101
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• pp.543-552
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• 2005

This paper proposes the extraction of coronary arteries based on DSA(Digital Subtraction Angiography) through a texture analysis of background in the angiography. DSA is a well established modality for the visualization of coronary arteries. DSA involves the subtraction of a mask image - an image of the heart before injection of contrast medium - from live image. However, this technique is sensitive to the movement of background and can result to a wrong detection by the variance of background gray-level intensity between two images. Therefore, this paper solves a structural problem resulted from a background movement bV selecting an image which has the least difference of movement through an analysis of the similarity of background texture and proposes a method to extract only the blood vessel efficiently through local gray-level correction of the selected image. Using the coronary angiogram of 5 patients clinical data, we proved that the proposed method has the lower false-detection rate, approximately $2\%$, and the higher accuracy than the existing methods.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.8 no.2
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• pp.13-24
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• 1988

A geometrically nonlinear analysis procedure for plane frame structures in order to study the static and dynamic post-buckling behavior of these structures subjected to circulatory forces is presented. The elastic and geometric stiffness matrices, the mass matrix and load correction stiffness matrix are derived from the extended virtual work principle, where the tangent stiffness matrix becomes non-symmetric due to the effects of non-conservative circulatory forces. The dynamic analysis of plane frame structures subjected to circulatory forces in pre- and post-buckling ranges is carried out by integrating the equations of motion directly by the numerically stable Newmark method. Numerical results are presented in order to demonstrate the vality and accuracy of the proposed procedure.