• Title/Summary/Keyword: Occlusion areas

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CT Angiography-Derived RECHARGE Score Predicts Successful Percutaneous Coronary Intervention in Patients with Chronic Total Occlusion

  • Jiahui Li;Rui Wang;Christian Tesche;U. Joseph Schoepf;Jonathan T. Pannell;Yi He;Rongchong Huang;Yalei Chen;Jianan Li;Xiantao Song
    • Korean Journal of Radiology
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    • v.22 no.5
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    • pp.697-705
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    • 2021
  • Objective: To investigate the feasibility and the accuracy of the coronary CT angiography (CCTA)-derived Registry of Crossboss and Hybrid procedures in France, the Netherlands, Belgium and United Kingdom (RECHARGE) score (RECHARGECCTA) for the prediction of procedural success and 30-minutes guidewire crossing in percutaneous coronary intervention (PCI) for chronic total occlusion (CTO). Materials and Methods: One hundred and twenty-four consecutive patients (mean age, 54 years; 79% male) with 131 CTO lesions who underwent CCTA before catheter angiography (CA) with CTO-PCI were retrospectively enrolled in this study. The RECHARGECCTA scores were calculated and compared with RECHARGECA and other CTA-based prediction scores, including Multicenter CTO Registry of Japan (J-CTO), CT Registry of CTO Revascularisation (CT-RECTOR), and Korean Multicenter CTO CT Registry (KCCT) scores. Results: The procedural success rate of the CTO-PCI procedures was 72%, and 61% of cases achieved the 30-minutes wire crossing. No significant difference was observed between the RECHARGECCTA score and the RECHARGECA score for procedural success (median 2 vs. median 2, p = 0.084). However, the RECHARGECCTA score was higher than the RECHARGECA score for the 30-minutes wire crossing (median 2 vs. median 1.5, p = 0.001). The areas under the curve (AUCs) of the RECHARGECCTA and RECHARGECA scores for predicting procedural success showed no statistical significance (0.718 vs. 0.757, p = 0.655). The sensitivity, specificity, positive predictive value, and the negative predictive value of the RECHARGECCTA scores of ≤ 2 for predictive procedural success were 78%, 60%, 43%, and 87%, respectively. The RECHARGECCTA score showed a discriminative performance that was comparable to those of the other CTA-based prediction scores (AUC = 0.718 vs. 0.665-0.717, all p > 0.05). Conclusion: The non-invasive RECHARGECCTA score performs better than the invasive determination for the prediction of the 30-minutes wire crossing of CTO-PCI. However, the RECHARGECCTA score may not replace other CTA-based prediction scores for predicting CTO-PCI success.

Complete denture rehabilitation of edentulous patient using mandibular suction denture: a clinical report (완전 무치악 환자에서 하악 흡착 의치를 통한 총의치 수복 증례)

  • Lim, Seo-Ryeon;Seo, Yoon-Hee;Kim, Hyun-Young;Song, Young-Gyun;Lee, Joon-Seok
    • The Journal of Korean Academy of Prosthodontics
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    • v.52 no.4
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    • pp.346-351
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    • 2014
  • Suction dentures enhance retention and support by forming negative pressure temporarily at the internal surface of denture base at times of swallowing and chewing because the areas surrounding the denture flanges are sealed by mobile mucosa. In this case, an 81-year-old male visited for new dentures. Considering the high expectations for retention and masticatory efficiency of dentures, fabricating complete dentures with suction dentures was planned. Preliminary impression was taken without applying pressure on retromolar pad area and diagnostic cast was fabricated. Afterwards, individual tray was made and final impression was taken, at the same time, gothic arch tracing was done to acquire centric relation and vertical dimension. Then, anatomic teeth were placed on maxilla and non-anatomic teeth were placed on mandible forming lingualized occlusion. Consequently, restoring a complete edentulous patient with complete dentures using mandibular suction denture resulted in recovering satisfying retention and function.

Enhanced Reconstruction of Heavy Occluded Objects Using Estimation of Variance in Volumetric Integral Imaging (VII) (Volumetric 집적영상에서 분산 추정을 이용한 심하게 은폐된 물체의 향상된 복원)

  • Hwang, Yong-Seok;Kim, Eun-Soo
    • Korean Journal of Optics and Photonics
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    • v.19 no.6
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    • pp.389-393
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    • 2008
  • Enhanced reconstruction of heavy occluded objects was represented using estimation of variance in computational integral imaging. The system is analyzed to extract information of enhanced reconstruction from an elemental images set. To obtain elemental images with enhanced resolution, low focus error, and large depth of focus, synthetic aperture integral imaging (SAII) utilizing a digital camera has been adopted. The focused areas of the reconstructed image are varied with the distance of the reconstruction plane. When an occluded object is occluded heavily, an occluded object can not be reconstructed by removing the occluding object. To obtain reconstruction of the occluded object by remedying the effect of heavy occlusion, the statistical technique has been adopted.

A SURVER OF THE ACTUAL CONDITIONS ON THE PRODUCTION OF DENTAL PROSTHESIS (치과보철기공물 제작실태에 관한 조사연구)

  • Bae, Jung-Soo;Chung, Moon-Kyu
    • The Journal of Korean Academy of Prosthodontics
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    • v.33 no.2
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    • pp.358-394
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    • 1995
  • The author studied the actual conditions on the production of dental prosthesis made in laboratories, and also studied interrelationships between dentists and laboratory technicians in both personal and technical aspects. Two hundred-eighty four technicians, work in dental laboratories presently, were surveyed via mail and direct contact during the period from June 1 to June 30 and August 27 to August 28 in 1994 respectively. The obtained results were as follows : 1. Among the respondents, 90.5% we re working in commercial dental laboratories and their laboratories were mainly located in the Seoul area(40.9%, P<0.05). The numbers of employees in these laboratories were less than 10 persons(70.0%, P<0.01), and 75.9% of these laboratories have been in operation less than 15 years. 2. Most laboratory procedures were accomplished according to established disciplines. However, procedures such as die trimming in fixed restorations and the qualifications of the people designing removable partial dentures were not. Other problem areas were boxing of the working cast, the person determining the posterior palatal seal area, selection and arrangement of artificial teeth, occlusion rim correction and laboratory remounting of the processed denture in complete denture restorations. 3. Only half of the requesting dentists could send work authorizations to the laboratories with their work and even so, its contents were quite lacking. Consequently, there must be some standards in writing work authorization. 4. Technicians most desired clean and accurate impressions in fixed and removable dentures, and enough tooth reduction in porcelain fused to metal restorations. 5. For the establishment of better relationships between dentist and dental technician, the respondents desired the establishment of equal footing first(33.5%), and frequent conversations and muture understanding second(25.9%).

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Esthetic prosthesis for a patient with the maxillary diastema: a case report (상악의 치간이개를 가진 환자에서의 심미보철 수복 증례)

  • Park, Jae-Ho;Kim, Hyeran;Yun, Kwi-Dug;Shin, Jin-Ho;Lim, Hyun-Pil
    • Journal of Dental Rehabilitation and Applied Science
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    • v.33 no.4
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    • pp.314-320
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    • 2017
  • In the treatment of esthetically important areas such as maxillary anterior teeth, they should be corresponded with surrounding tissues, and shape of the smile line, soft tissue, and hard tissue, also the anatomical shape and proportion of the teeth should be considered as well. Esthetic analysis includes facial analysis which evaluates the proper parallelism between the occlusal plane and the horizontal reference line, dentolabial analysis which assesses the position of the incisal edge and the coherence between the occlusal plane and the commissural line, tooth analysis which evaluates not only esthetics but also morphology and appearance for proper function, and gingival analysis which forms ideal outline of gingival margins. A maxillary anterior diastema can be esthetically restored through the systematic diagnostic approach and treatment planning, and orthodontic, prosthetic, and conservative treatment can be applied for the treatment.

View Morphing for Generation of In-between Scenes from Un-calibrated Images (비보정 (un-calibrated) 영상으로부터 중간영상 생성을 위한 뷰 몰핑)

  • Song Jin-Young;Hwang Yong-Ho;Hong Hyun-Ki
    • Journal of KIISE:Computer Systems and Theory
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    • v.32 no.1
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    • pp.1-8
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    • 2005
  • Image morphing to generate 2D transitions between images may be difficult even to express simple 3D transformations. In addition, previous view morphing method requires control points for postwarping, and is much affected by self- occlusion. This paper presents a new morphing algorithm that can generate automatically in-between scenes from un-calibrated images. Our algorithm rectifies input images based on the fundamental matrix, which is followed by linear interpolation with bilinear disparity map. In final, we generate in-between views by inverse mapping of homography between the rectified images. The proposed method nay be applied to photographs and drawings, because neither knowledge of 3D shape nor camera calibration, which is complex process generally, is required. The generated in-between views can be used in various application areas such as simulation system of virtual environment and image communication.

A Simple Method for Predicting Hippocampal Neurodegeneration in a Mouse Model of Transient Global Forebrain Ischemia

  • Cho, Kyung-Ok;Kim, Seul-Ki;Cho, Young-Jin;Sung, Ki-Wug;Kim, Seong Yun
    • The Korean Journal of Physiology and Pharmacology
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    • v.10 no.4
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    • pp.167-172
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    • 2006
  • In the present study, we developed a simple method to predict the neuronal cell death in the mouse hippocampus and striatum following transient global forebrain ischemia by evaluating both cerebral blood flow and the plasticity of the posterior communicating artery (PcomA). Male C57BL/6 mice were anesthetized with halothane and subjected to bilateral occlusion of the common carotid artery (BCCAO) for 30 min. The regional cerebral blood flow (rCBF) was measured by laser Doppler flowmetry. The plasticity of PcomA was visualized by intravascular perfusion of India ink solution. When animals had the residual cortical microperfusion less than 15% as well as the smaller PcomA whose diameter was less than one third compared with that of basilar artery, neuronal damage in the hippocampal subfields including CA1, CA2, and CA4, and in the striatum was consistently observed. Especially, when mice met these two criteria, marked neuronal damage was observed in CA2 subfield of the hippocampus. In contrast, after transient BCCAO, neuronal damage was consistently produced in the striatum, dependent more on the degree of rCBF reduction than on the plasticity of PcomA. The present study provided simple and highly reproducible criteria to induce the neuronal cell death in the vulnerable mice brain areas including the hippocampus and striatum after transient global forebrain ischemia.

Analysis of Ventricular Electromechanical Characteristics by Lesions in Sudden Myocardial Infraction: Computer Simulation Study (급성 심근경색 병변에 따른 심실의 전기 역학적 특성 분석: 컴퓨터 시뮬레이션 연구)

  • Baek, Dong Geun;Jeong, Da Un;Lim, Ki Moo
    • Journal of Biomedical Engineering Research
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    • v.38 no.6
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    • pp.313-320
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    • 2017
  • Myocardial infarction is a disease caused by stenosis of the coronary arteries. The high risk of sudden cardiac death due to myocardial infarction has triggered related researches that have been actively studied so far. However, these studies focused on the clinical results, which are mainly based on observations of symptoms due to infarction through electrocardiograms. Therefore, in this study, we tried to analyze the behavior of heart according to the position and volume of infarction lesion through the computer simulation study using three dimensional ventricular models. In order to implement infarction, commercial software was used to simulate cell necrosis due to blockage of a specific coronary. In addition, the conduction block due to infarction was mimicked by reducing the electrical conduction in the infarcted area, which was 100 times less than the electrical conduction of the whole ventricular lattice implemented by the finite element analysis method. Thus, this study classified the infarcted cases into the upper, middle, lower, and apex according to lattice data of eight different infraction areas. In other words, we assumed that myocardial infarction would have inherent electro-dynamic characteristics depending on the location and extent, and analyzed the ventricular electromechanical responses for infarction lesions using a three dimensional cardiac physiome model. The results showed that the volume of infarction did not directly affect the cardiac responses, but the location of the infarction lesions could influence the ventricular pumping efficiency. These suggest that the occlusion of specific coronary arteries may have a fatal effect on the decline in ventricular performance. In conclusion, although location of myocardial infarction lesions is considered to be an important variable to be considered clinically rather than lesion size, quantitative predictions should be made more in the future considering physiological factors such as lesion location and direction of myocardial fiber at that location.

The interpretation of tooth wear - literature review (치아 마모의 해석-논문 고찰)

  • Hwang, Soo-Jeong;Seo, Min-Seock
    • Journal of Dental Rehabilitation and Applied Science
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    • v.34 no.3
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    • pp.137-146
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    • 2018
  • Tooth wear is a multifactorial condition, leading to the loss of dental hard tissues. While for many years, tooth wear was a condition of little interest in daily clinical practice, nowadays this is changed. Tooth wear is becoming increasingly significant in maintaining the long-term health of the dentition. This becomes especially important when the dentition is kept relatively intact in the contemporary ageing population, and edentulism is decreasing. There is also evidence that the prevalence of tooth wear is growing. It is a natural consequence of the unidirectionality of tooth wear that it is frequently used as a means of individual age estimation. Tooth wear was very serious in ancient populations up to the medieval period. Tooth wear is thus studied in a wide variety of areas. The purpose of this paper is to summarize and analyze the many issues surrounding tooth wear through recent studies in various fields and to search for future research direction.

Implant hybrid prosthetic treatment in Down syndrome patient: a case report (다운증후군 환자에서 임플란트 하이브리드 보철 치료 증례)

  • Kim, Mi-Gyeong;Kim, Jae-Hoon;Lee, Ha-Rim;Jang, Eun-Sun;Kim, Hee-Jung;Lee, Gyeong-Je
    • Journal of Dental Rehabilitation and Applied Science
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    • v.34 no.3
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    • pp.225-231
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    • 2018
  • Down syndrome patients generally have poor oral hygiene due to lack of awareness and ability to perform oral care, and there is a high risk of tooth loss. Also, they are characterized by small and irregular teeth and oligodontia, which makes it difficult to do prosthetic treatment. This article reports a case of implant hybrid prosthesis treatment of maxillary edentulous area in Down syndrome patient. The external shape of the final prosthesis was determined by using the mandibular artificial teeth to reflect the oligodontia of the mandible and the pontic areas were adjusted to facilitate oral hygiene care. As a result, aesthetically and functionally satisfactory results were obtained.