• 제목/요약/키워드: Off-line Diagnosis

검색결과 44건 처리시간 0.023초

Optimization of exposure parameters and relationship between subjective and technical image quality in cone-beam computed tomography

  • Park, Ha-Na;Min, Chang-Ki;Kim, Kyoung-A;Koh, Kwang-Joon
    • Imaging Science in Dentistry
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    • 제49권2호
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    • pp.139-151
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    • 2019
  • Purpose: This study was performed to investigate the effect of exposure parameters on image quality obtained using a cone-beam computed tomography (CBCT) scanner and the relationship between physical factors and clinical image quality depending on the diagnostic task. Materials and Methods: CBCT images of a SedentexCT IQ phantom and a real skull phantom were obtained under different combinations of tube voltage and tube current (Alphard 3030 CBCT scanner, 78-90 kVp and 2-8 mA). The images obtained using a SedentexCT IQ phantom were analyzed technically, and the physical factors of image noise, contrast resolution, spatial resolution, and metal artifacts were measured. The images obtained using a real skull phantom were evaluated for each diagnostic task by 6 oral and maxillofacial radiologists, and each setting was classified as acceptable or unacceptable based on those evaluations. A statistical analysis of the relationships of exposure parameters and physical factors with observer scores was conducted. Results: For periapical diagnosis and implant planning, the tube current of the acceptable images was significantly higher than that of the unacceptable images. Image noise, the contrast-to-noise ratio (CNR), the line pair chart on the Z axis, and modulation transfer function (MTF) values showed statistically significant differences between the acceptable and unacceptable image groups. The cut-off values obtained using receiver operating characteristic curves for CNR and MTF 10 were useful for determining acceptability. Conclusion: Tube current had a major influence on clinical image quality. CNR and MTF 10 were useful physical factors that showed significantly associations with clinical image quality.

경주 분황사 모전석탁의 암석학적 풍화와 보존과학적 훼손도 진단 (Weathering and Deterioration Diagnosis for Conservation Sciences of Stone Pagoda in the Bunhwangsa Temple,Gyeongju, Korea)

  • 이정은;이찬희;이명성;김영택
    • 한국문화재보존과학회:학술대회논문집
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    • 한국문화재보존과학회 2004년도 제20회 발표논문집
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    • pp.92-100
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    • 2004
  • The host rocks of brick-shaped stone pagoda in the Bunhwangsa temple are lots of kinds andesitic rocks, which has gone through mechanical and chemical weathering. As the overall observation, the pagoda is serious damages by air pollutants, and the northeast parts show the much advanced state of turning white, while the southeast parts are heavily cracked in the materials. The rocks of brick-shaped pagoda body are in a relatively stable condition of weathering and damage except for the abrasion and cracks of the corners. The rocks of the pagoda roof suffer from more symptoms including multiple peel-offs, exfoliation, cracks forming round lines, and falling off stone pieces. The pagoda roof rocks are dominated by the thriving leafy lichens and mosses, especially, there are higher plants (selaginella involvens, dandelions) taking root actively between the brick stones and content mortar. There are even light gray precipitates like stalactites between the rocks of the body, In particular, the 1st and 2nd floor in the east side and the body parts in the north side are the most serious. Their major minerals are calcite, gypsum and clay minerals. The rocks of the stylobate and the tabernacle in all the four directions are composed mainly of granitic rocks. The materials consisting of the tabernacles show the severe splits and distortion, which causes the structural instability. The stylobate rocks are heavily contaminated by some weeds with the often marks of inorganic contamination by secondary hydroxides. The central part of the east stylobate has been sinking, while that of the 1st floor west stylobate is protruded nesting a line of cracks. Accordingly, the inside of the tabernacle is always humid with the constant introduction of rainwater. The stone lion standing in the southeast and northeast side are alkali granite, while that in the southwest and northwest lithic tuff. Each of the stone lion also coated with various colored lichens, mosses, algae, bacteria and bryophyte. The external materials of the pagoda have deteriorated the functions of the rocks and made the loss, falling off, and biological contamination even worse due to the surface weathering. Thus it's urgent to come up with scientific restoration and conservation measures through clinical tests.

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Phase II Study of Pemetrexed as Second or Third Line Combined Chemotherapy in Patients with Colorectal Cancer

  • Wu, Xue-Yan;Huang, Xin-En;You, Shan-Xi;Lu, Yan-Yan;Cao, Jie;Liu, Jin;Xiang, Jin
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권3호
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    • pp.2019-2022
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    • 2013
  • Purpose: To investigate the safety and efficacy of pemetrexed combined with chemotherapy as second or third line in patients with stage IV colorectal cancer (CRC). Patients and Methods: This trial was conducted to evaluate the effectiveness and safety of pemetrexed given to patients with recurrent or metastatic colorectal carcinoma who previously received 5-FU-based chemotherapy. All patients were required to have a histological diagnosis of colorectal adenocarcinoma with measurable metastatic disease and prior chemotherapy. Patients received pemetrexed at a dose of 500 $mg/m^2$ by 10 minute infusion on day 1, repeated every 21 days. Doses were modified depending on nadir counts. Combined chemotherapy included Oxaliplatin, Irinotecan and cis-platinum. Results: Thirty patients were enrolled and twenty-nine were evaluable for response. One patient did not have repeat radiological testing to determine response because he went off study after only one cycle of treatment for economic reasons. For 29 evaluable patients, 1 partial response, 6 stable disease and 22 progressive disease were recorded. Response rate was 3.45% (1/29). All responses occurred in patients receiving a starting dose of pemetrexed 500 $mg/m^2$. Median time to progression for all eligible patients was 2.5 months. The most common toxicities experienced were mild to moderate fever, hepatic damage, myelosuppression, nausea, vomiting, constipation, abdominal pain, diarrhea, and skin rash. Conclusion: Pemetrexed at 500 $mg/m^2$ given every three weeks combined with chemotherapy is associated with moderate response and good tolerability in patients with stage IV CRC.

산사태발생지(山沙汰發生地)와 피해위험지(被害危險地)의 환경학적(環境學的) 해석(解析)과 예방대책(豫防對策) -평창지구(平昌地區)를 중심(中心)으로- (Environmental Interpretation on soil mass movement spot and disaster dangerous site for precautionary measures -in Peong Chang Area-)

  • 마상규
    • 한국산림과학회지
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    • 제45권1호
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    • pp.11-25
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    • 1979
  • 1979년(年) 8월(月) 4일(日)과 5일(日)에 걸쳐 강원도 평창지구에 많은 사태(沙汰)가 발생된 바 있었다. 이 지역(地域)을 답사할 기회를 통해 산사태에 대한 조사연구(調査硏究)가 부족(不足)하고 예방대책(豫防對策)이 미약하다는 사실을 알게 되었다. 이에 현지답사시(現地踏査時) 얻었던 자료(資料)와 기 연구자들의 보고서 등을 참조로 하여 우리나라 산사태(山沙汰)의 발생조직과예방대책을 살펴본 결과는 다음과 같았다. 1. 지난 6년간(年間)의 자료(資料)로 1일(日)200mm이상(以上), 1시간당(時間當) 60mm이상(以上)의 호우지대(豪雨地帶)를 보면 횡성, 원주, 영동, 무주, 남원과 순천을 연결하는 서부지역과 경상남도의 남부해안지방(南部海岸地方)에 분포(分布)되 있다. 이 원인(原因)은 산맥(山脈)과 저기압(低氣壓)의 방향(方向)에 영향을 받은 것으로 사료(思料)된다. 2, 호우(豪雨)의 정점(頂點)의 분포(分布)는 야간에 나타나며 이 시점에서 산사태(山沙汰)를 일으키고 막대한 피해(被害)를 주는 것 같다. 3. 평창지역(平昌地域)의 산사태(山沙汰)는 화강암(花崗巖)의 조사질양토(粗砂質壤土)와 석회암(石灰巖) 정암(貞岩)의 점토질토양(粘土質土壤)에서 발생(發生)하며 토석류(土石流)는 기암면(基岩面)이나 석회암토양(石灰巖土壤)에서 나타나는 반시(盤尸)을 따라 일어나고 있었다. 4. 이들 암석(岩石)에서 유래한 토양(土壤)의 투수력(透水力)은 빠른 것 같으며 화강암토양(花崗巖土壤)은 토성(土性)의 영향으로 석회암토양(石灰岩土壤)은 토양구조(土壤構造), 폐식(廢植)의 높은 함량(含量)과 근계(根系)의 영향 때문이다. 5. 산사태발생(山沙汰發生)의 근원지의 지형(地形)은 대부분 곡두(谷頭)의 요형지(凹型地)와 산복 상부의 요형(凹型)지에서 나타나고 있다. 이는 유거수(流去水)의 집수력(集水力)때문인것 같고 이 지점의 토양단면(土壤斷面)을 보면 석회암지대(石灰岩地帶)는 혼연성토양(混淵性土壤), 화강암지대(花崗岩地帶)는 발(髮)한 심토호(深土戶)으로 되있다. 6. 산사태지(山沙汰地)의 경사도(傾斜度)는 대부분 $25^{\circ}$이상(以上)에서 나타났고 경사위치(傾斜位置)는 산복상부의 6~9부 능선에서 나타났다. 7. 산사태지(山沙汰地)의 식피(植被)는 대부분 화전(火田)경작지, 화전초지(火田草地), 화전조림지(火田造林地), 황폐지(荒廢地)의 불량임분(不良林分)과 미림목지(未林木地)이었다. 일부 성림지(成林地)(중경목지)에도 나타났으나 대개 표상(表上)에 암석시(岩石尸)이 있는 지역이다. 8. 산사태위험도(山沙汰危險度)는 몇가지 환경인자(環境因子)로 즉 식피(植被), 경사도(傾斜度), 경사형태(傾斜形態) 및 위치(位置), 기암(基岩)과 분포형태(分布形態), 토양단면(土壤斷面)의 특성(特性) 등(等)으로 추정이 가능할 것 같다. 9. 가옥피해(家屋被害)는 대부분 다음과 같은 지형(地形)에서 나타나고 있다. 충적추(沖積錐)와 선상지요형사면(扇狀地凹型斜面)의 산록, 곡간(谷間)이나 야계변(野溪邊)의 소단구(小段丘)와 붕적토지(崩積土地) 등(等)이다. 가옥피해위험지(家屋被害危險地)는 항공사진으로 가옥(家屋)주위의 지형상태(地形狀態)를 참고를 하면 판정(判定)이 가능할 것 같다. 10. 산사태(山沙汰)의 예방대책(豫防對策)으로 위험지(危險地)의 진단기술(診斷技術)의 개발(開發), 현지조사(現地調査)를 통해 가능한 조속(早速)히 예방사방(豫防砂防)이 이루어져야 할 것이다. 가옥(家屋)과 부락(部落)의 피해예방대책(被害豫防對策)이 수립(樹立) 실행(實行)하여야 되며 재해방비림(災害防備林)의 조성책(造成策)이 고려되어야 할 것이다. 11. 산사태(山沙汰)에 의한 가옥(家屋)과 부락(部落)의 피해위험도(被害危險度)를 판정(判定)하여 지도사업(指導事業)을 통해 알려 주어야 한다. 12. 사태위험지(沙汰危險地)의 계벌작업(階伐作業), 화전경작(火田耕作), 연료채취(燃料採取)를 철저히 금지(禁止)시키고 피해위험지(被害危險地)의 가옥(家屋)신축을 규제시켜야 될 것이다. 따라서 산림경영계획(山林經營計劃)의 편성시 산사태(山沙汰)여부 토양침식(土壤浸蝕)과 홍수문제(洪水問題)들이 고려되어야 하며 재해예방대책(災害豫防對策)이 포함되어야 할 것이다.

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