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3-D Conformal Radiotherapy for CNS Using CT Simulation (입체조준장치를 이용한 중추신경계의 방사선 입체조형치료 계획)

  • 추성실;조광환;이창걸
    • Progress in Medical Physics
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    • v.14 no.2
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    • pp.90-98
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    • 2003
  • Purpose : A new virtual simulation technique for craniospinal irradiation (CSI) that uses a CT-simulator was developed to improve the accuracy of field and shielding placement as well as patient positioning. Materials and Methods : A CT simulator (CT-SIM) and a 3-D conformal radiation treatment planning system (3D-CRT) were used to develop CSI. The head and neck were immobilized with a thermoplastic mask while the rest of the body was immobilized with a Vac-Loc. A volumetric image was then obtained with the CT simulator. In order to improve the reproducibility of the setup, datum lines and points were marked on the head and body. Virtual fluoroscopy was performed with the removal of visual obstacles, such as the treatment table or immobilization devices. After virtual simulation, the treatment isocenters of each field were marked on the body and on the immobilization devices at the conventional simulation room. Each treatment fields was confirmed by comparing the fluoroscopy images with the digitally reconstructed radiography (DRR) and digitally composited radiography (DCR) images from virtual simulation. Port verification films from the first treatment were also compared with the DRR/DCR images for geometric verification. Results : We successfully performed virtual simulations on 11 CSI patients by CT-SIM. It took less than 20 minutes to affix the immobilization devices and to obtain the volumetric images of the entire body. In the absence of the patient, virtual simulation of all fields took 20 min. The DRRs were in agreement with simulation films to within 5 mm. This not only reducee inconveniences to the patients, but also eliminated position-shift variables attendant during the long conventional simulation process. In addition, by obtaining CT volumetric image, critical organs, such as the eyes and the spinal cord, were better defined, and the accuracy of the port designs and shielding was improved. Differences between the DRRs and the portal films were less than 3 m in the vertebral contour. Conclusion : Our analysis showed that CT simulation of craniospinal fields was accurate. In addition, CT simulation reduced the duration of the patient's immobility. During the planning process. This technique can improve accuracy in field placement and shielding by using three-dimensional CT-aided localization of critical and target structures. Overall, it has improved staff efficiency and resource utilization by standard protocol for craniospinal irradiation.

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Validation of Surface Reflectance Product of KOMPSAT-3A Image Data: Application of RadCalNet Baotou (BTCN) Data (다목적실용위성 3A 영상 자료의 지표 반사도 성과 검증: RadCalNet Baotou(BTCN) 자료 적용 사례)

  • Kim, Kwangseob;Lee, Kiwon
    • Korean Journal of Remote Sensing
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    • v.36 no.6_2
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    • pp.1509-1521
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    • 2020
  • Experiments for validation of surface reflectance produced by Korea Multi-Purpose Satellite (KOMPSAT-3A) were conducted using Chinese Baotou (BTCN) data among four sites of the Radical Calibration Network (RadCalNet), a portal that provides spectrophotometric reflectance measurements. The atmosphere reflectance and surface reflectance products were generated using an extension program of an open-source Orfeo ToolBox (OTB), which was redesigned and implemented to extract those reflectance products in batches. Three image data sets of 2016, 2017, and 2018 were taken into account of the two sensor model variability, ver. 1.4 released in 2017 and ver. 1.5 in 2019, such as gain and offset applied to the absolute atmospheric correction. The results of applying these sensor model variables showed that the reflectance products by ver. 1.4 were relatively well-matched with RadCalNet BTCN data, compared to ones by ver. 1.5. On the other hand, the reflectance products obtained from the Landsat-8 by the USGS LaSRC algorithm and Sentinel-2B images using the SNAP Sen2Cor program were used to quantitatively verify the differences in those of KOMPSAT-3A. Based on the RadCalNet BTCN data, the differences between the surface reflectance of KOMPSAT-3A image were shown to be highly consistent with B band as -0.031 to 0.034, G band as -0.001 to 0.055, R band as -0.072 to 0.037, and NIR band as -0.060 to 0.022. The surface reflectance of KOMPSAT-3A also indicated the accuracy level for further applications, compared to those of Landsat-8 and Sentinel-2B images. The results of this study are meaningful in confirming the applicability of Analysis Ready Data (ARD) to the surface reflectance on high-resolution satellites.

Validation of Surface Reflectance Product of KOMPSAT-3A Image Data Using RadCalNet Data (RadCalNet 자료를 이용한 다목적실용위성 3A 영상 자료의 지표 반사도 성과 검증)

  • Lee, Kiwon;Kim, Kwangseob
    • Korean Journal of Remote Sensing
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    • v.36 no.2_1
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    • pp.167-178
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    • 2020
  • KOMPSAT-3A images have been used in various kinds of applications, since its launch in 2015. However, there were limits to scientific analysis and application extensions of these data, such as vegetation index estimation, because no tool was developed to obtain the surface reflectance required for analysis of the actual land environment. The surface reflectance is a product of performing an absolute atmospheric correction or calibration. The objective of this study is to quantitatively verify the accuracy of top-of-atmosphere reflectance and surface reflectance of KOMPSAT-3A images produced from the OTB open-source extension program, performing the cross-validation with those provided by a site measurement data of RadCalNet, an international Calibration/Validation (Cal/Val) portal. Besides, surface reflectance was obtained from Landsat-8 OLI images in the same site and applied together to the cross-validation process. According to the experiment, it is proven that the top-of-atmosphere reflectance of KOMPSAT-3A images differs by up to ± 0.02 in the range of 0.00 to 1.00 compared to the mean value of the RadCalNet data corresponding to the same spectral band. Surface reflectance in KOMPSAT-3A images also showed a high degree of consistency with RadCalNet data representing the difference of 0.02 to 0.04. These results are expected to be applicable to generate the value-added products of KOMPSAT-3A images as analysisready data (ARD). The tools applied in thisstudy and the research scheme can be extended as the new implementation of each sensor model to new types of multispectral images of compact advanced satellites (CAS) for land, agriculture, and forestry and the verification method, respectively.

Whole pelvic intensity-modulated radiotherapy for high-risk prostate cancer: a preliminary report

  • Joo, Ji Hyeon;Kim, Yeon Joo;Kim, Young Seok;Choi, Eun Kyung;Kim, Jong Hoon;Lee, Sang-Wook;Song, Si Yeol;Yoon, Sang Min;Kim, Su Ssan;Park, Jin-Hong;Jeong, Yuri;Ahn, Hanjong;Kim, Choung-Soo;Lee, Jae-Lyun;Ahn, Seung Do
    • Radiation Oncology Journal
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    • v.31 no.4
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    • pp.199-205
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    • 2013
  • Purpose: To assess the clinical efficacy and toxicity of whole pelvic intensity-modulated radiotherapy (WP-IMRT) for high-risk prostate cancer. Materials and Methods: Patients with high-risk prostate cancer treated between 2008 and 2013 were reviewed. The study included patients who had undergone WP-IMRT with image guidance using electronic portal imaging devices and/or cone-beam computed tomography. The endorectal balloon was used in 93% of patients. Patients received either 46 Gy to the whole pelvis plus a boost of up to 76 Gy to the prostate in 2 Gy daily fractions, or 44 Gy to the whole pelvis plus a boost of up to 72.6 Gy to the prostate in 2.2 Gy fractions. Results: The study cohort included 70 patients, of whom 55 (78%) had a Gleason score of 8 to 10 and 50 (71%) had a prostate-specific antigen level > 20 ng/mL. The androgen deprivation therapy was combined in 62 patients. The biochemical failure-free survival rate was 86.7% at 2 years. Acute any grade gastrointestinal (GI) and genitourinary (GU) toxicity rates were 47% and 73%, respectively. The actuarial rate of late grade 2 or worse toxicity at 2 years was 12.9% for GI, and 5.7% for GU with no late grade 4 toxicity. Conclusion: WP-IMRT was well tolerated with no severe acute or late toxicities, resulting in at least similar biochemical control to that of the historic control group with a small field. The long-term efficacy and toxicity will be assessed in the future, and a prospective randomized trial is needed to verify these findings.

Role of Stem Cell Factor on the Recruitment of Mast Cells in the Development of Liver Fibrosis Induced by Bile Duct Ligation in the Rat (담관 결찰에 의한 간섬유증 발생에서 비만세포 동원에 미치는 Stem Cell Factor의 역할)

  • Jekal, Seung Joo;Ramm, Grant A.
    • Korean Journal of Clinical Laboratory Science
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    • v.36 no.2
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    • pp.163-172
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    • 2004
  • Mast cells (MCs) have been implicated in the pathogenesis of tissue fibrosis. However, the role of MC in the development of liver fibrosis has not been fully elucidated. Stem cell factor (SCF) is known to recruit MCs to the liver following injury as it induces mast cell proliferation, survival and differentiation from resident tissue precursors. This study examines the interaction between activated hepatic stellate cells (HSCs) and MCs in rat fibrotic liver, and SCF production by HSCs during culture in vitro. Rats were studied 4, 7, 14 and 21 days after bile duct ligation (BDL). Fibrogenesis was assessed by a measurement of collagen stained with sirius red F3B. Activated HSCs and MCs were identified by ${\alpha}$-smooth muscle actin (${\alpha}-SMA$) immunohistochemical and alcian blue staining and measured by a computerized image analysis system. SCF production was determined in rat HSC cultures using Western blotting. Mild fibrotic changes were noted in BDL rat livers as early as 4 days after induction of cholestasis. Significant expansion and organization of fibrous tissue has occurred in day 14 BDL rats which progressed to bridging fibrosis by day 21. In BDL rats, both a large number of activated HSCs and MCs were detected in portal tracts and fibrous septa. Both area of activated HSCs infiltration and density of MCs were significantly higher in all BDL group compared with Shams. In BDL rats, both areas of activated HSCs infiltration and density of MCs were no significant difference between day 4 and 7 and were significantly higher in day 14. However, the areas of activated HSCs infiltration were significantly lesser in day 21 and the densities of MCs were significantly higher in day 21 compared with day14 BDL. In BDL rats, both areas of activated HSCs infiltration and density of MCs were highly correlated with areas of fibrosis. Western blotting showed that SCF protein was consistently produced in activated HSCs by culture on plastic and freshly isolated HSCs expressed relatively little 30kD SCF compared to late primary culture activated HSCs (day 14) and passaged HSCs. These results suggest that HSCs activated in vitro produce SCF, and may play an important role in recruiting mast cells to the liver during injury and fibrosis.

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A Study on the Improvement of UAV based 3D Point Cloud Spatial Object Location Accuracy using Road Information (도로정보를 활용한 UAV 기반 3D 포인트 클라우드 공간객체의 위치정확도 향상 방안)

  • Lee, Jaehee;Kang, Jihun;Lee, Sewon
    • Korean Journal of Remote Sensing
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    • v.35 no.5_1
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    • pp.705-714
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    • 2019
  • Precision positioning is necessary for various use of high-resolution UAV images. Basically, GCP is used for this purpose, but in case of emergency situations or difficulty in selecting GCPs, the data shall be obtained without GCPs. This study proposed a method of improving positional accuracy for x, y coordinate of UAV based 3 dimensional point cloud data generated without GCPs. Road vector file by the public data (Open Data Portal) was used as reference data for improving location accuracy. The geometric correction of the 2 dimensional ortho-mosaic image was first performed and the transform matrix produced in this process was adopted to apply to the 3 dimensional point cloud data. The straight distance difference of 34.54 m before the correction was reduced to 1.21 m after the correction. By confirming that it is possible to improve the location accuracy of UAV images acquired without GCPs, it is expected to expand the scope of use of 3 dimensional spatial objects generated from point cloud by enabling connection and compatibility with other spatial information data.

Effect of Saline Flush on the Enhancement of Vascular and Liver via Saphenous Vein for Abdominal CT in Dogs

  • Kim, Song Yeon;Hwang, Tae Sung;An, Soyon;Hwang, Gunha;Go, Woohyun;Lee, Jong Bong;Lee, Hee Chun
    • Journal of Veterinary Clinics
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    • v.38 no.3
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    • pp.135-142
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    • 2021
  • The aim of this study was to evaluate the contrast effect if a saline flush following low-volume contrast medium bolus improves vascular and parenchymal enhancement using a saphenous vein in abdominal CT for small animals. Six clinically healthy beagle dogs underwent abdominal contrast-enhanced CT. They were divided into nine groups (each group, n = 6), according to the volume of contrast medium 1, 2, and 3 mL/kg, and volume of the saline solution 0, 5, and 10 mL. Dynamic CT scanning was performed at the hepatic hilum level. The maximum contrast enhancement, time to maximum enhancement, and time to equilibrium phase were calculated from the time attenuation curves. Mean attenuation values for all groups were measured in the aorta, portal vein, and liver. After contrast enhancement, grading of image quality regarding surrounding artifacts and evaluation of the hepatic hilum structures was performed. For comparison of the effect of the contrast material and saline solution doses, differences in mean attenuation values between the contrast medium 2 mL/kg without saline flush group and the remaining groups, and between contrast medium 3 mL/kg without saline flush group and the remaining groups, were analyzed for statistical significance. There were no significant differences between with and without saline flushing at the same contrast medium dose groups. There were no significant differences in peak values between the 3 mL/kg dose of contrast medium alone and the 2 mL/kg dose of contrast medium with saline solution flush. However, there was a significant difference in peak values between the 3 mL/kg dose of the contrast medium without the saline flush group and the 2 mL/kg dose of the contrast medium alone group. Grades of the artifacts were not significantly different in the saline flush regardless of the dose of the contrast medium. Using 2 mL/kg of contrast medium with saline solution flush resulted in similar liver parenchyma attenuation, compared with using 3 mL/kg of contrast medium without saline solution flush. In CT evaluation of hepatic parenchymal diseases, using 2 mL/kg of contrast medium with saline solution flush may yield decreased risk of contrast nephropathy and cost-saving.

A Study on the Relationship between Camera and Subject for Visualization of Image - A Focus on the Status of Watch a Movie with Small Mobile Device - (영상의 시각화를 위한 카메라와 피사체의 상관관계 연구 - 스마트폰 사용자의 영상 시청 현황을 중심으로 -)

  • Ko, Hyun-Wook
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.5
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    • pp.119-126
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    • 2019
  • Watching movies is common on a big screen like a theater or on a big-screen TV. nowadays, small platform such as mobile devices is increasing rapidly for watch a movie. These changes are deeply related to the advent of Internet-based video streaming services such as OTT. OTT's development has provided in free video viewing system without using the set-top box is free from the limitations of time and space. Leading the market is Netflix[1], which started its business with Internet-based DVD rental service. Netflix, which is growing in tandem with the mobile market, had 193.26[2] million members as of the end of 2018. Other OTT participating companies include content-based Pooq, TVing, platform-based Olleh TV Mobile, Oksusu and LTE video portal. The size of such new growth projects has grown gradually, with 25.4 percent of all smartphone users currently watching video content with small mobile devices. Therefore, de-largeization, it is thought that visual language is needed for viewing small mobile devices that are capable of OTT services. To this end, this paper will identify the problem in viewing popular video content with small mobile devices and Survey and study its impact on viewers using the questionnaire.

Extraction and Utilization of DEM based on UAV Photogrammetry for Flood Trace Investigation and Flood Prediction (침수흔적조사를 위한 UAV 사진측량 기반 DEM의 추출 및 활용)

  • Jung-Sik PARK;Yong-Jin CHOI;Jin-Duk LEE
    • Journal of the Korean Association of Geographic Information Studies
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    • v.26 no.4
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    • pp.237-250
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    • 2023
  • Orthophotos and DEMs were generated by UAV-based aerial photogrammetry and an attempt was made to apply them to detailed investigations for the production of flood traces. The cultivated area located in Goa-eup, Gumi, where the embankment collapsed and inundated inundation occurred due to the impact of 6th Typhoon Sanba in 2012, was selected as rhe target area. To obtain optimal accuracy of UAV photogrammetry performance, the UAV images were taken under the optimal placement of 19 GCPs and then point cloud, DEM, and orthoimages were generated through image processing using Pix4Dmapper software. After applying CloudCompare's CSF Filtering to separate the point cloud into ground elements and non-ground elements, a finally corrected DEM was created using only non-ground elements in GRASS GIS software. The flood level and flood depth data extracted from the final generated DEM were compared and presented with the flood level and flood depth data from existing data as of 2012 provided through the public data portal site of the Korea Land and Geospatial Informatix Corporation(LX).

Prognostic Value of Sarcopenia and Myosteatosis in Patients with Resectable Pancreatic Ductal Adenocarcinoma

  • Dong Wook Kim;Hyemin Ahn;Kyung Won Kim;Seung Soo Lee;Hwa Jung Kim;Yousun Ko;Taeyong Park;Jeongjin Lee
    • Korean Journal of Radiology
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    • v.23 no.11
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    • pp.1055-1066
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    • 2022
  • Objective: The clinical relevance of myosteatosis has not been well evaluated in patients with pancreatic ductal adenocarcinoma (PDAC), although sarcopenia has been extensively researched. Therefore, we evaluated the prognostic value of muscle quality, including myosteatosis, in patients with resectable PDAC treated surgically. Materials and Methods: We retrospectively evaluated 347 patients with resectable PDAC who underwent curative surgery (mean age ± standard deviation, 63.6 ± 9.6 years; 202 male). Automatic muscle segmentation was performed on preoperative computed tomography (CT) images using an artificial intelligence program. A single axial image of the portal phase at the inferior endplate level of the L3 vertebra was used for analysis in each patient. Sarcopenia was evaluated using the skeletal muscle index, calculated as the skeletal muscle area (SMA) divided by the height squared. The mean SMA attenuation was used to evaluate myosteatosis. Diagnostic cutoff values for sarcopenia and myosteatosis were devised using the Contal and O'Quigley methods, and patients were classified according to normal (nMT), sarcopenic (sMT), myosteatotic (mMT), or combined (cMT) muscle quality types. Multivariable Cox regression analyses were conducted to assess the effects of muscle type on the overall survival (OS) and recurrence-free survival (RFS) after surgery. Results: Eighty-four (24.2%), 73 (21.0%), 75 (21.6%), and 115 (33.1%) patients were classified as having nMT, sMT, mMT, and cMT, respectively. Compared to nMT, mMT and cMT were significantly associated with poorer OS, with hazard ratios (HRs) of 1.49 (95% confidence interval, 1.00-2.22) and 1.68 (1.16-2.43), respectively, while sMT was not (HR of 1.40 [0.94-2.10]). Only mMT was significantly associated with poorer RFS, with an HR of 1.59 (1.07-2.35), while sMT and cMT were not. Conclusion: Myosteatosis was associated with poor OS and RFS in patients with resectable PDAC who underwent curative surgery.