• 항공우주시스템공학회지
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• 제18권1호
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• pp.37-45
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• 2024

본 논문에서는 쿼드로터형 드론의 제자리 비행 상태에서 제어부에 전달되는 수직 방향 진동을 저감하기 위한 수동적 진동 제어 방법에 따른 설계 방법을 제시하였다. 쿼드로터형 드론의 진동 해석을 위해 유한요소 기반 이산화 모델 및 번지 케이블을 이용한 지상진동시험 모사 모델을 구축하였다. 제자리 비행 상태에서의 하중을 부여하여 동특성 평가 및 공진 회피 설계를 위한 모드 해석을 수행하여 결과를 분석하였으며, 강제진동응답해석을 수행하여 제자리 비행 상태의 운용주파수 범위 내에서의 정상상 태응답을 도출하였다. 또한 감쇠 재료의 유무에 따른 진동 저감 효과를 비교하기 위해 동일한 조건내에서 제어부에 전달되는 진동을 유발할 수 있는 위치에 점성 감쇠 테이프를 적용하여 이에 따른 정상상태응답을 도출하고 감쇠 재료를 적용하였을 경우의 진동 저감 효과 및 부착 위치에 따른 진동 저감 효과를 평가하였다.

• Korean Journal of Radiology
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• 제22권12호
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• pp.1964-1973
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• 2021

Objective: To investigate the diagnostic performance of CT fractional flow reserve (CT-FFR) for myocardial bridging-related ischemia using dynamic CT myocardial perfusion imaging (CT-MPI) as a reference standard. Materials and Methods: Dynamic CT-MPI and coronary CT angiography (CCTA) data obtained from 498 symptomatic patients were retrospectively reviewed. Seventy-five patients (mean age ± standard deviation, 62.7 ± 13.2 years; 48 males) who showed myocardial bridging in the left anterior descending artery without concomitant obstructive stenosis on the imaging were included. The change in CT-FFR across myocardial bridging (ΔCT-FFR, defined as the difference in CT-FFR values between the proximal and distal ends of the myocardial bridging) in different cardiac phases, as well as other anatomical parameters, were measured to evaluate their performance for diagnosing myocardial bridging-related myocardial ischemia using dynamic CT-MPI as the reference standard (myocardial blood flow < 100 mL/100 mL/min or myocardial blood flow ratio ≤ 0.8). Results: ΔCT-FFR_systolic (ΔCT-FFR calculated in the best systolic phase) was higher in patients with vs. without myocardial bridging-related myocardial ischemia (median [interquartile range], 0.12 [0.08-0.17] vs. 0.04 [0.01-0.07], p < 0.001), while CT-FFR_systolic (CT-FFR distal to the myocardial bridging calculated in the best systolic phase) was lower (0.85 [0.81-0.89] vs. 0.91 [0.88-0.96], p = 0.043). In contrast, ΔCT-FFR_diastolic (ΔCT-FFR calculated in the best diastolic phase) and CT-FFR_diastolic (CT-FFR distal to the myocardial bridging calculated in the best diastolic phase) did not differ significantly. Receiver operating characteristic curve analysis showed that ΔCT-FFR_systolic had largest area under the curve (0.822; 95% confidence interval, 0.717-0.901) for identifying myocardial bridging-related ischemia. ΔCT-FFR_systolic had the highest sensitivity (91.7%) and negative predictive value (NPV) (97.8%). ΔCT-FFR_diastolic had the highest specificity (85.7%) for diagnosing myocardial bridging-related ischemia. The positive predictive values of all CT-related parameters were low. Conclusion: ΔCT-FFR_systolic reliably excluded myocardial bridging-related ischemia with high sensitivity and NPV. Myocardial bridging showing positive CT-FFR results requires further evaluation.

• 사물인터넷융복합논문지
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• 제10권2호
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• pp.85-91
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• 2024

본 논문에서는 테마파크, 메가 이벤트, 전시공연에 시공간을 넘어서 디지털 캔버스로 활용하고 있는 프로젝션 매핑에 대해서 연구하였다. 기존 고정된 대상에 사용하던 프로젝션 기술은 활용도에 있어서 움직이는 대상에 맵핑 하기 힘들다는 한계점이 있기 때문에 움직이는 피사체를 추적하여 매핑할 수 있는 기술과 동적으로 움직이는 대상을 기반으로 실시간 동적 프로젝션 매핑 시스템을 개발하여 공연, 전시, 테마파크 등 다양한 시장 대응이 가능하도록 관련 연구가 시급한 실정이다. 본문에서는 실시간 사물에 해당하는 요소를 추적할 수 있는 하드웨어 개발과 초고속 영상처리를 하여 딜레이 현상이 없는 시스템을 제시하고자 한다. 구체적으로 실시간 오브제 영상분석 및 프로젝션 포커싱 제어부 개발, 실시간 오브제 추적 시스템을 위한 통합 운영 시스템, 프로젝션 매핑을 위한 영상처리 라이브러리 개발을 구현한다. 본 연구는 최근 실시간 비전머신 기반의 검출 기술을 활용한 기술 집약적인 산업임과 동시에 첨단의 과학기술이 융합되어 연출되는 산업으로 활용도가 다양할 것으로 기대된다.

• 한국문헌정보학회지
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• 제58권1호
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• pp.99-122
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• 2024

본 연구는 사서학습공동체 운영 가능성과 성공적인 도입을 위해 사서학습공동체에 대한 사서의 인식 및 수요를 조사한 것이다. 이를 위해 도서관 현직 사서를 대상으로 온라인 설문조사를 실시하였고 총 474건의 응답을 수집하였다. 주요 분석 결과는 다음과 같다. 첫째, 사서학습공동체에 대해 사서는 매우 낮은 인식을 지니고 있었지만 사서학습공동체 운영의 취지와 의미에 대해서는 높이 평가하였다. 둘째, 사서학습공동체의 참여동기는 전문성 신장, 동료들과의 연대, 지적 호기심 충족 등의 순으로 나타났다. 셋째, 사서는 사서학습공동체의 궁극적 가치로 도서관 서비스 개선, 전문성 함양, 협력적 집단 탐구, 가치와 비전 공유의 순으로 응답했다. 넷째, 사서학습공동체의 성공요인은 구성원의 자발성, 구성원 간의 협력 문화, 일과시간 확보(주 1회), 지원 환경(예산, 공간 등) 등 순으로 나타났고, 실패 요인은 사서 업무 과중으로 인한 시간 부족, 구성원의 자발성 부족, 기관장의 무관심, 지원 환경(예산, 공간 등)의 부족으로 나타났다. 마지막으로 사서의 사서학습공동체 참여의지는 매우 높은 것으로 나타났으며, 관심있는 주제 또한 매우 다양하게 나타났다. 본 연구의 결과는 향후 사서학습공동체 운영 시, 실질적인 운영 방식의 결정이나 주제 선정 등의 기초자료로 활용할 수 있을 것이다.

• Korean Journal of Radiology
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• 제24권5호
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• pp.465-475
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• 2023

Objective: To evaluate the feasibility of ultrasound shear wave elastography (SWE) for predicting hepatic fibrosis and native liver outcomes in patients with biliary atresia. Materials and Methods: This prospective study included 33 consecutive patients with biliary atresia (median age, 8 weeks [interquartile range, 6-10 weeks]; male:female ratio, 15:18) from Severance Children's Hospital between May 2019 and February 2022. Preoperative (within 1 week from surgery) and immediate postoperative (on postoperative days [PODs] 3, 5, and 7) ultrasonographic findings were obtained and analyzed, including the SWE of the liver and spleen. Hepatic fibrosis, according to the METAVIR score at the time of Kasai portoenterostomy and native liver outcomes during postsurgical follow-up, were compared and correlated with imaging and laboratory findings. Poor outcomes were defined as intractable cholangitis or liver transplantation. The diagnostic performance of SWE in predicting METAVIR F3-F4 and poor hepatic outcomes was analyzed using receiver operating characteristic (ROC) analyses. Results: All patients were analyzed without exclusion. Perioperative advanced hepatic fibrosis (F3-F4) was associated with older age and higher preoperative direct bilirubin and SWE values in the liver and spleen. Preoperative liver SWE showed a ROC area of 0.806 and 63.6% (7/11) sensitivity and 86.4% (19/22) specificity at a cutoff of 17.5 kPa for diagnosing F3-F4. The poor outcome group included five patients with intractable cholangitis and three undergoing liver transplantation who showed high postoperative liver SWE values. Liver SWE on PODs 3-7 showed ROC areas of 0.783-0.891 for predicting poor outcomes, and a cutoff value of 10.3 kPa for SWE on POD 3 had 100% (8/8) sensitivity and 73.9% (17/23) specificity. Conclusion: Preoperative liver SWE can predict advanced hepatic fibrosis, and immediate postoperative liver SWE can predict poor native liver outcomes in patients with biliary atresia.

• Korean Journal of Radiology
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• 제23권1호
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• pp.112-123
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• 2022

Objective: To investigate the relationship between ¹⁸F-FDG PET/CT semi-quantitative parameters and the International Association for the Study of Lung Cancer, American Thoracic Society/European Respiratory Society (IASLC/ATS/ERS) histopathologic classification, including histological subtypes, proliferation activity, and somatic mutations. Materials and Methods: This retrospective study included 419 patients (150 males, 269 females; median age, 59.0 years; age range, 23.0-84.0 years) who had undergone surgical removal of stage IA-IIIA lung adenocarcinoma and had preoperative PET/CT data of lung tumors. The maximum standardized uptake values (SUVmax), background-subtracted volume (BSV), and background-subtracted lesion activity (BSL) derived from PET/CT were measured. The IASLC/ATS/ERS subtypes, Ki67 score, and epidermal growth factor/anaplastic lymphoma kinase (EGFR/ALK) mutation status were evaluated. The PET/CT semi-quantitative parameters were compared between the tumor subtypes using the Mann-Whitney U test or the Kruskal-Wallis test. The optimum cutoff values of the PET/CT semi-quantitative parameters for distinguishing the IASLC/ATS/ERS subtypes were calculated using receiver operating characteristic curve analysis. The correlation between the PET/CT semi-quantitative parameters and pathological parameters was analyzed using Spearman's correlation. Statistical significance was set at p < 0.05. Results: SUVmax, BSV, and BSL values were significantly higher in invasive adenocarcinoma (IA) than in minimally IA (MIA), and the values were higher in MIA than in adenocarcinoma in situ (AIS) (all p < 0.05). Remarkably, an SUVmax of 0.90 and a BSL of 3.62 were shown to be the optimal cutoff values for differentiating MIA from AIS, manifesting as pure ground-glass nodules with 100% sensitivity and specificity. Metabolic-volumetric parameters (BSV and BSL) were better potential independent factors than metabolic parameters (SUVmax) in differentiating growth patterns. SUVmax and BSL, rather than BSV, were strongly or moderately correlated with Ki67 in most subtypes, except for the micropapillary and solid predominant groups. PET/CT parameters were not correlated with EGFR/ALK mutation status. Conclusion: As noninvasive surrogates, preoperative PET/CT semi-quantitative parameters could imply IASLC/ATS/ERS subtypes and Ki67 index and thus may contribute to improved management of precise surgery and postoperative adjuvant therapy.

• Korean Journal of Radiology
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• 제20권5호
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• pp.791-800
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• 2019

Objective: To compare various models of diffusion-weighted imaging including monoexponential apparent diffusion coefficient (ADC), biexponential (fast diffusion coefficient [D_f], slow diffusion coefficient [D_s], and fraction of fast diffusion), stretched-exponential (distributed diffusion coefficient and anomalous exponent term [α]), and kurtosis (mean diffusivity and mean kurtosis [MK]) models in the differentiation of renal solid masses. Materials and Methods: A total of 81 patients (56 men and 25 women; mean age, 57 years; age range, 30-69 years) with 18 benign and 63 malignant lesions were imaged using 3T diffusion-weighted MRI. Diffusion model selection was investigated in each lesion using the Akaike information criteria. Mann-Whitney U test and receiver operating characteristic (ROC) analysis were used for statistical evaluations. Results: Goodness-of-fit analysis showed that the stretched-exponential model had the highest voxel percentages in benign and malignant lesions (90.7% and 51.4%, respectively). ADC, D_s, and MK showed significant differences between benign and malignant lesions (p < 0.05) and between low- and high-grade clear cell renal cell carcinoma (ccRCC) (p < 0.05). α was significantly lower in the benign group than in the malignant group (p < 0.05). All diffusion measures showed significant differences between ccRCC and non-ccRCC (p < 0.05) except D_f and α (p = 0.143 and 0.112, respectively). α showed the highest diagnostic accuracy in differentiating benign and malignant lesions with an area under the ROC curve of 0.923, but none of the parameters from these advanced models revealed significantly better performance over ADC in discriminating subtypes or grades of renal cell carcinoma (RCC) (p > 0.05). Conclusion: Compared with conventional diffusion parameters, α may provide additional information for differentiating benign and malignant renal masses, while ADC remains the most valuable parameter for differentiation of RCC subtypes and for ccRCC grading.

• Journal of Trauma and Injury
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• 제37권1호
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• pp.20-27
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• 2024

Purpose: Severe abdominal injuries often require immediate clinical assessment and surgical intervention to prevent life-threatening complications. In Jeju Regional Trauma Center, we have instituted a protocol for emergency department (ED) laparotomy at the trauma bay. We investigated the mortality and time taken from admission to ED laparotomy. Methods: We reviewed the data recorded in our center's trauma database between January 2020 and December 2022 and identified patients who underwent laparotomy because of abdominal trauma. Laparotomies that were performed at the trauma bay or the ED were classified as ED laparotomy, whereas those performed in the operating room (OR) were referred to as OR laparotomy. In cases that required expeditious hemostasis, ED laparotomy was performed appropriately. Results: From January 2020 to December 2022, 105 trauma patients admitted to our hospital underwent emergency laparotomy. Of these patients, six (5.7%) underwent ED laparotomy. ED laparotomy was associated with a mortality rate of 66.7% (four of six patients), which was significantly higher than that of OR laparotomy (17.1%, 18 of 99 patients, P=0.006). All the patients who received ED laparotomy also underwent damage control laparotomy. The time between admission to the first laparotomy was significantly shorter in the ED laparotomy group (28.5 minutes; interquartile range [IQR], 14-59 minutes) when compared with the OR laparotomy group (104 minutes; IQR, 88-151 minutes; P<0.001). The two patients who survived after ED laparotomy had massive mesenteric bleeding, which was successfully ligated. The other four patients, who had liver laceration, kidney rupture, spleen injury, and pancreas avulsion, succumbed to the injuries. Conclusions: Although ED laparotomy was associated with a higher mortality rate, the time between admission and ED laparotomy was markedly shorter than for OR laparotomy. Notably, major mesenteric hemorrhages were effectively controlled through ED laparotomy.

• 한국가스학회지
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• 제28권2호
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• pp.1-6
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• 2024

구형 디젤 엔진들을 대체할 수 있는 손쉬운 접근 방식은 CNG나 LPG와 같은 연료를 활용한 가스 엔진으로 대체하는 것이다. 그러나, LPG와 같은 연료는 대형 가스 엔진에 적용된 사례가 많지 않아서 CNG 연료를 기반으로 하는 가스 엔진에서의 성능을 예측하기가 쉽지 않다. 이에 본 연구에서는 CNG 기반 대형 가스 엔진에 LPG 연료를 적용하여 성능과 배출가스 특성이 어떠한지 살펴보았다. 특히, NOx 저감을 위해 널리 사용되는 EGR 적용 시에 어느 정도의 효과를 보이는지에 대해서도 시험을 통해 결과를 확인하였다. 그결과, LPG의 경우에는 심각한 노킹을 배제할 수준까지 운전 조건을 확보하였음에도 고부하에서 약한 수준의 노킹은 여전히 CNG보다는 빈도수가 높음을 알 수 있었고, 다만 고속 영역에서는 CNG와 유사한 출력 수준을 확보할 수 있었다. CNG보다는 빠른 연소 속도로 인해 LPG의 효율이 높았고, EGR 적용을 통해 NOx는 물론 동시에 약한 노킹의 빈도수를 동시에 저감 가능할 수 있음을 확인하였다.

• Korean Journal of Radiology
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• 제25권9호
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• pp.788-797
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• 2024

Objective: To investigate the potential association among preoperative breast MRI features, axillary nodal burden (ANB), and disease-free survival (DFS) in patients with early-stage breast cancer. Materials and Methods: We retrospectively reviewed 297 patients with early-stage breast cancer (cT1-2N0M0) who underwent preoperative MRI between December 2016 and December 2018. Based on the number of positive axillary lymph nodes (LNs) determined by postoperative pathology, the patients were divided into high nodal burden (HNB; ≥3 positive LNs) and non-HNB (<3 positive LNs) groups. Univariable and multivariable logistic regression analyses were performed to identify independent risk factors associated with ANB. Predictive efficacy was evaluated using the receiver operating characteristic (ROC) curve and area under the curve (AUC). Univariable and multivariable Cox proportional hazards regression analyses were performed to determine preoperative features associated with DFS. Results: We included 47 and 250 patients in the HNB and non-HNB groups, respectively. Multivariable logistic regression analysis revealed that multifocality/multicentricity (adjusted odds ratio [OR] = 3.905, 95% confidence interval [CI]: 1.685-9.051, P = 0.001) and peritumoral edema (adjusted OR = 3.734, 95% CI: 1.644-8.479, P = 0.002) were independent risk factors for HNB. Combined peritumoral edema and ultifocality/multicentricity achieved an AUC of 0.760 (95% CI: 0.707-0.807) for predicting HNB, with a sensitivity and specificity of 83.0% and 63.2%, respectively. During the median follow-up period of 45 months (range, 5-61 months), 26 cases (8.75%) of breast cancer recurrence were observed. Multivariable Cox proportional hazards regression analysis indicated that younger age (adjusted hazard ratio [HR] = 3.166, 95% CI: 1.200-8.352, P = 0.021), larger tumor size (adjusted HR = 4.370, 95% CI: 1.671-11.428, P = 0.002), and multifocality/multicentricity (adjusted HR = 5.059, 95% CI: 2.166-11.818, P < 0.001) were independently associated with DFS. Conclusion: Preoperative breast MRI features may be associated with ANB and DFS in patients with early-stage breast cancer.