• Title/Summary/Keyword: Multi-modality

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Development of a multi-modal imaging system for single-gamma and fluorescence fusion images

  • Young Been Han;Seong Jong Hong;Ho-Young Lee;Seong Hyun Song
    • Nuclear Engineering and Technology
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    • v.55 no.10
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    • pp.3844-3853
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    • 2023
  • Although radiation and chemotherapy methods for cancer therapy have advanced significantly, surgical resection is still recommended for most cancers. Therefore, intraoperative imaging studies have emerged as a surgical tool for identifying tumor margins. Intraoperative imaging has been examined using conventional imaging devices, such as optical near-infrared probes, gamma probes, and ultrasound devices. However, each modality has its limitations, such as depth penetration and spatial resolution. To overcome these limitations, hybrid imaging modalities and tracer studies are being developed. In a previous study, a multi-modal laparoscope with silicon photo-multiplier (SiPM)-based gamma detection acquired a 1 s interval gamma image. However, improvements in the near-infrared fluorophore (NIRF) signal intensity and gamma image central defects are needed to further evaluate the usefulness of multi-modal systems. In this study, an attempt was made to change the NIRF image acquisition method and the SiPM-based gamma detector to improve the source detection ability and reduce the image acquisition time. The performance of the multi-modal system using a complementary metal oxide semiconductor and modified SiPM gamma detector was evaluated in a phantom test. In future studies, a multi-modal system will be further optimized for pilot preclinical studies.

Surgical Intervention of Undifferentiated Cardiac Sarcoma with Metastases (원격전이된 미분화성 심장육종의 수술치험)

  • 신재승;김학제;최영호;김현구;백만종
    • Journal of Chest Surgery
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    • v.33 no.5
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    • pp.432-435
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    • 2000
  • We report a case of primary undifferentiated cardiac sarcoma. The tumor originated from the left atrial free wall with multi-organ metastases, e.g., lung, and adrenal gland. The patient gradually grew worse with dyspnea and hemoptysis because of the obstructed left atrial outflow. Surgical resection of the left atrial sarcoma was undertaken to save the patient's life, followed by chemotherapy and brain irradiation as adjuvant therapy. The prognosis of cardiac sarcoma with metastases is very poor. However, in patients with hemodynamic instability, surgical intervention could be a therapeutic modality as palliation.

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The Current Status of Adenovirus-based Cancer Gene Therapy

  • Shirakawa, Toshiro
    • Molecules and Cells
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    • v.25 no.4
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    • pp.462-466
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    • 2008
  • Adenoviruses are the most commonly used gene-delivery vectors due to the efficiency of their in vivo gene transfer. Since 1993, about 300 protocols using an adenoviral vector have been performed, although they have yet to be proven effective in clinical trials. The adenovirus-based vector has been continuously improved by modification of the adenoviral genome and capsid, and novel adenovirus-delivery systems, such as the carrier-cell delivery system, have been recently proposed. Adenovirus-based cancer gene therapy is fast becoming one component of a multi-modality treatment approach to advanced cancer, along with surgery, radiotherapy, and chemotherapy.

FLIR and CCD Image Fusion Algorithm Based on Adaptive Weight for Target Extraction (표적 추출을 위한 적응적 가중치 기반 FLIR 및 CCD 센서 영상 융합 알고리즘)

  • Gu, Eun-Hye;Lee, Eun-Young;Kim, Se-Yun;Cho, Woon-Ho;Kim, Hee-Soo;Park, Kil-Houm
    • Journal of Korea Multimedia Society
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    • v.15 no.3
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    • pp.291-298
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    • 2012
  • In automatic target recognition(ATR) systems, target extraction techniques are very important because ATR performance depends on segmentation result. So, this paper proposes a multi-sensor image fusion method based on adaptive weights. To incorporate the FLIR image and CCD image, we used information such as the bi-modality, distance and texture. A weight of the FLIR image is derived from the bi-modality and distance measure. For the weight of CCD image, the information that the target's texture is more uniform than the background region is used. The proposed algorithm is applied to many images and its performance is compared with the segmentation result using the single image. Experimental results show that the proposed method has the accurate extraction performance.

Extreme Multi-Level Percutaneous Vertebroplasty for Newly Developed Multiple Adjacent Compression Fractures

  • Kim, Han-Woong;Song, Jae-Wook;Kwon, Austin;Kim, In-Hwan
    • Journal of Korean Neurosurgical Society
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    • v.45 no.6
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    • pp.378-380
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    • 2009
  • Osteoporotic patients who undergo percutaneous vertebroplasty (PVP) have the risk of a repeated collapse of their adjacent vertebral body due to alteration of load transfer into the adjacent vertebral body. The authors have experienced a rare case of repeated osteoporotic vertebral compression fractures (VCF) resulting in extreme multi-level PVP. A 74-year-old female developed severe back pain after slipping down one month ago. Her X-ray and MR images indicated a T11 VCF. She underwent successful PVP with polymethylmethacrylate (PMMA). Two weeks later, she returned to our hospital due to a similar back pain. Repeated X-ray and MR images showed an adjacent VCF on T12. A retrial of PVP was performed on T12, which provided immediate pain relief. Since then, repeated collapses of the vertebral body occurred 12 times in 13 levels within a 24-month period. Each time the woman was admitted to our hospital, she was diagnosed of newly developed VCFs and underwent repeated PVPs with PMMA, which finally eased back pain. Based on our experience with this patient, repeated multiple PVP is not dangerous because its few and minor complications. Therefore, repeated PVP can serve as an effective treatment modality for extreme-multi level VCFs.

Automated Emotional Tagging of Lifelog Data with Wearable Sensors (웨어러블 센서를 이용한 라이프로그 데이터 자동 감정 태깅)

  • Park, Kyung-Wha;Kim, Byoung-Hee;Kim, Eun-Sol;Jo, Hwi-Yeol;Zhang, Byoung-Tak
    • KIISE Transactions on Computing Practices
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    • v.23 no.6
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    • pp.386-391
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    • 2017
  • In this paper, we propose a system that automatically assigns user's experience-based emotion tags from wearable sensor data collected in real life. Four types of emotional tags are defined considering the user's own emotions and the information which the user sees and listens to. Based on the collected wearable sensor data from multiple sensors, we have trained a machine learning-based tagging system that combines the known auxiliary tools from the existing affective computing research and assigns emotional tags. In order to show the usefulness of this multi-modality-based emotion tagging system, quantitative and qualitative comparison with the existing single-modality-based emotion recognition approach are performed.

A Data Broadcasting Service Design Guideline based on the Survey on Viewer's Modality of Using Data Broadcasting Services (데이터방송 서비스 이용행태에 대한 설문조사를 기반으로 한 데이터방송 서비스 기획 가이드라인)

  • Ko, Kwangil
    • Journal of Korea Game Society
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    • v.12 no.6
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    • pp.25-32
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    • 2012
  • Due to the development of the digital technology, the digital broadcasting is changing to a multi-entertainment platform that can operate data (broadcasting) services (such as games, weather information, and stock trading services) as well as traditional broadcasting contents. Most of the data services, however, failed to get satisfactory results because of the inconvenience in operating the services using a TV remote controller and the failure of gaining the viewer's interests in the competition with the broadcasting contents. The paper introduces a survey on the viewer's modality of using a data service and, based on the survey result, proposes a design guideline that makes a data service minimally interrupt a viewer watching a broadcasting content.

Clinical evaluation of Laser-Assisted New Attachment Procedure® (LANAP®) surgical treatment of chronic periodontitis: a retrospective case series of 1-year results in 22 consecutive patients

  • Raymond A. Yukna
    • Journal of Periodontal and Implant Science
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    • v.53 no.3
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    • pp.173-183
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    • 2023
  • Purpose: Treatment for periodontitis has evolved over the years as new technologies have become available. Currently, lasers seem attractive as a treatment modality, but their effectiveness needs to be verified. The purpose of this project was to evaluate Laser Assisted New Attachment Procedure® (LANAP®) surgery as a single treatment modality. Methods: As part of a mandatory training program for periodontists and other dentists, 22 consecutive patients diagnosed with moderate to severe periodontitis (probing depth [PD] up to 11 mm) were treated with the LANAP® surgical approach using a 1064-nm Nd:YAG laser as part of a multi-step protocol. Following single-session active therapy, they were entered into a maintenance program. Their clinical status was re-evaluated at 12-18 months following surgery. Results: All 22 patients completed the 12- to 18-month follow-up. PD, clinical attachment level, and furcation (FURC) showed substantial improvement. Recession was minimal (mean, 0.1 mm), while 93.5% of PD measurements were 3 mm or less at re-evaluation. Furthermore, 40% of grade 2 FURC closed clinically. Conclusions: Within the limits of this case series, LANAP® was found to be an effective, minimally invasive, laser surgical therapy for moderate to advanced periodontitis.

A New Training System for Improving Postural Balance Using a Tilting Bed

  • Yu, Chang-Ho;Kwon, Tae-Kyu;Ryu, Mun-Ho;Kim, Nam-Gyun
    • Journal of Biomedical Engineering Research
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    • v.28 no.1
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    • pp.117-126
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    • 2007
  • In this paper, we propose an early rehabilitation training system for the improvement of postural balance with multi-modality on a tilting bed. The integration of the visual, somatosensory and vestibular functions is significant to for maintaining the postural control of the human body. However, conventional rehabilitation systems do not provide multi-modality to trainees. We analyzed the characterization of postural control at different tilt angles of an early rehabilitation training system, which consists of a tilting bed, a visual feedback, a computer interface, a computer, and a force plate. The software that we developed for the system consists of the training programs and the analysis programs. To evaluate the characterization of postural control, we conducted the first evaluation before the beginning of the training. In the following four weeks, 12 healthy young and 5 healthy elderly subjects were trained to improve postural control using the training programs with the tilting bed. After four weeks of training, we conducted the second evaluation. The analysis programs assess (center of pressure) COP moving time, COP maintaining time, and mean absolute deviation of the trace before and after training at different tilt angles on the bed. After 4 weeks, the COP moving time was reduced, the COP maintaining time was lengthened, and the mean absolute deviation of the trace was lowered through the repeated use of vertical, horizontal, dynamic circle movement training programs. These results show that this system improves postural balance and could be applied to clinical use as an effective training system.

Clinical Assessment of Intracranial Mesenchymal Tumors with Relevant to Non-meningothelial Tumors (두개강내 원발성 간엽성 종양에 대한 임상 고찰)

  • Yi, Hyeong Joong;Kim, Choong Hyun;Bak, Koang Hum;Kim, Young Soo;Kim, Jae Min;Ko, Yong;Oh, Suck Jun;Kim, Kwang Myung
    • Journal of Korean Neurosurgical Society
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    • v.29 no.1
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    • pp.44-50
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    • 2000
  • Objective : A few anecdotal cases of mesenchyme-derived tumors which grow into a cranial cavity have been reported that disclosed a dismal prognosis, due to their critical location, aggressive biological behavior, and high rate of surgical morbidity. The aim of this study is to search clinical factors related to these tumors. Methods : Eight patients who underwent surgical removal of intracranial mesenchymal tumors between January 1993 and December 1997 were studied retrospectively. The tumors included are three chordomas, two chondrosarcomas, two rhabdomyosarcomas, and one hemangiopericytoma. Authors compared clinical features, treatment, and results of our cases with reported cases. The mean follow-up period was 20.5 months. Results : All cases showed nonspecific, location-related clinical findings and arose from sphenopetroclival region. Single stage operation was performed in 4 cases, and skull base approaches in 3 cases. Adjuvant therapies were done in 2 cases. Recurrence was seen in 3 cases(37.5%), and 3 patients died. Interdisciplinary approach with otologic surgeon was done in 2 cases. Conclusion : Recent advancement of refined tactics has made these tumors amenable and provides prolongation of progression-free survival. These are modified skull base approaches, multi-modality treatment options, and inter-disciplinary team approaches. Good results may be expected for these mesenchymal tumors by aggressive resection and adjuvant therapies according to their biological nature.

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