• Title/Summary/Keyword: Radiographic Education

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Wire-guided Localization Biopsy to Determine Surgical Margin Status in Patients with Non-palpable Suspicious Breast Lesions

  • Dogan, Lutfi;Gulcelik, M. Ali;Yuksel, Murat;Uyar, Osman;Reis, Erhan
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.10
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    • pp.4989-4992
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    • 2012
  • Purpose: Guide-wire localization (GWL) has been a standard technique for many years. Excision of nonpalpable malignant breast lesions with clear surgical margins reduces the risk of undergoing re-excision. The objective of the present study was to evaluate the efficacy of GWL biopsy for assessing surgical margins. Methods: This retrospective study concerned 53 patients who underwent GWL biopsy for non-palpable breast lesions and breast carcinoma diagnosed by histological examination. Age of the patients, tumour size, radiographic findings, breast density specifications, specimen volumes, menopausal status and family history of the patients and surgical margin status were recorded. Results: Median age was 53.3 years, median tumour size was 1.5 cm and median specimen volume was $71.5cm^3$. In fifteen patients (28%) DCIS and in 38 patients (72%) invasive ductal carcinoma was diagnosed. There was positive surgical margins in twenty eight (52.8%) patients. The median distance to the nearest surgical margin was 7.2 mm in clear surgical margins. Younger age and denser breast specifications were found as statistically significant factors for surgical margin status. Median age of the patients who had positive margins was 49.4 years where it was 56.9 years in the patients with negative margins (p=0.04). 79% of the patients with positive margins had type 3-4 pattern breast density according to BIRADS classification as compared to 48% in the patients who had negative margins (p=0.03). Some 38 patients who had positive or close surgical margins received re-excision (72%). Conclusion: Positive margin rates may be higher because of inherent biological differences and diffuse growth patterns in younger patients. There are also technical difficulties that are relevant to denser fibroglandular tissue in placing hooked wire. High re-excision rates must be taken into consideration while performing GWL biopsy in non-palpable breast lesions.

Effects of Welding Parameters on Porosity Formation in Weld Beads of Galvanized Steel Pipes produced with Gas Metal Arc Welding (아연도금강관의 가스메탈아크용접에서 용접인자가 기공형성에 미치는 영향)

  • Lim, Young-Min;Jang, Bok-Su;Koh, Jin-Hyun
    • Journal of Welding and Joining
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    • v.30 no.5
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    • pp.46-50
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    • 2012
  • This study was carried out to investigate the effect of welding parameters such as shielding gas compositions welding voltage and welding current on the pore formation in the weld beads of galvanized steel pipes produced with gas metal arc welding. The porosity was evaluated and rated by metallography and radiographic test in terms of weight percentage, number and distribution of pores in weld beads. The porosity increased with increasing welding voltage and current, in which Ar gas produced the most porosity while $Ar+5%O_2$ generated the least porosity. It was found that the porosity could be reduced by selection of the proper gas mixture composition such as $Ar+5%O_2$ and $Ar+10%CO_2$ and by using current (130~150A) and voltage(16~20V).

Development of a Medical Radiation Simulator System for Education and Proposal of a Research Model (교육용 의료방사선 시뮬레이터 시스템 개발 및 연구 모델 제안)

  • Chang-Hwa Han;Young-Hwang Jeon;Jae-Bok Han;Chang-gi Kong;Jong-Nam Song
    • Journal of the Korean Society of Radiology
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    • v.17 no.3
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    • pp.459-464
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    • 2023
  • Due to the development of advanced technology, a lot of digital radiographic equipment has been developed, which is very helpful for accurate diagnosis and treatment, and it is very important to train personnel who have acquired professional knowledge in order to use it safely and effectively. Students are exposed to the risk of radiation exposure in radiography training using diagnostic X-ray equipment, and some educational institutions do not use X-ray equipment due to management difficulties in accordance with the Nuclear Safety Act. As a solution to this, this study developed a medical radiation simulator for education that does not generate radiation by using a vision sensor and self-developed software. Through this, educational institutions can reduce the burden of administrative implementation according to the law, and students can obtain a high level of educational effects in a healthy practice environment without radiation exposure.

Analysis of Biomechanical Changes According to Mechanical Alignment of the Lower Limbs when Gait with a Material Handling (중량물 취급 보행 시 하지의 역학적 정렬에 따른 생체역학적 변화 분석)

  • Lee, Kyung-Ill;Lee, Chul-Gab;Song, Han-Soo;Hong, Wan-Ki
    • Korean Journal of Applied Biomechanics
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    • v.25 no.2
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    • pp.183-190
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    • 2015
  • Objective : Walking with a Material handling is an activity frequently undertaken by agricultural workers in Korea, due to the nature of their work. This study aimed to investigate differences in biomechanical variables according to the mechanical alignment of the lower limbs when walking with a heavy load, and to use this as basic data in the design of various working environments to reduce the skeletomuscular burden on the knee joint. Method : The study subjects comprised of 22 right-foot dominant adult men and women aged between 20 and 23 years. The subjects were divided into a varus or valgus group according to the mechanical alignment of the lower limb by using radiographic findings. The subjects walked without any load and with a load of 10%, 20%, or 30% of their body weight held in front of them. The Kwon3d XP program was used to calculate biomechanical variables. Results : The flexion/extension moment of the knee joint showed a decreasing trend with increased load, irrespective of the mechanical alignment of the lower limb, while the varus group did not show normal compensatory action when supported by one leg at the point of maximum vertical ground reaction force. In addition, in terms of the time taken, subjects showed no difficulties in one-foot support time up to 20%/BW, but at 30%/BW, despite individual differences, there was an increase in single limb. The increased load resulted in a decrease in the ratio of standing phase to ensure physical stability. The valgus group showed a trend of increasing the stability of their center of mass with increasing load, through higher braking power in the early standing phase. Conclusion : In conclusion, although there was no statistical difference in biomechanical variables according to the mechanical alignment of the lower limbs, the varus group showed a more irregular walking pattern with a Material handling than the valgus group, partially proving the association between lower limb alignment and walking with a Material handling.

Fibrous dysplasia of the maxilla in an elderly female: Case report on a 14-year quiescent phase

  • Lee, Byung-Do;Lee, Wan;Park, Yong-Chan;Kim, Myoung-Hyoun;Choi, Moon-Ki;Yoon, Jung-Hoon
    • Imaging Science in Dentistry
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    • v.46 no.4
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    • pp.259-265
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    • 2016
  • Fibrous dysplasia (FD) is an uncommon skeletal disorder in which normal bone is replaced by abnormal fibro-osseous tissue. Mainly, FD is found in children, and by adulthood it usually becomes quiescent. Our case showed FD of more than 14-year duration in the left maxilla. Our evaluation was that growth ceased in adulthood and had achieved the static stage. Because FD cases in elderly patients are rarely reported, we hereby present a monostotic FD case in a 65-year-old female. We presented sequential radiographic images and scintigraphic images of this case, and combined them with a literature review that emphasized the progression of the disease.

Radiological Evaluation of CT Contrast Medium Extravasation (CT 조영제 혈관외유출의 방사선학적 고찰)

  • Kweon, Dae-Cheol;Park, Chang-Hee;Jeong, Jae-Ho;Kang, Hui-Doo;Song, Woon-Heung
    • Korean Journal of Digital Imaging in Medicine
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    • v.10 no.2
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    • pp.39-49
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    • 2008
  • Extravasation of contrast material is a not infrequent complication of enhanced imaging studies and large volume extravasation may result in severe damage. Subcutaneous extravasation of the radiographic contrast medium is one of the complications of the contrast medium-enhanced procedures. Automated power injectors enable the contrast material to be delivered at a uniform high-flow-rate and as a nonfragmented bolus, and this is essential for many contrast material enhanced CT(computed tomography) applications. The major risk associated with the use of automated power injectors is the well known complication of contrast material extravasation at the injection site. Automated injection of CT contrast material can produce the compartment syndrome. Selection of the nonionic contrast material after careful evaluation of the intravenous administration site and monitoring of the patient during the use of a mechanical power injector may help minimize or prevent extravasation injuries. Early identification is important and conservative management is effective in most cases. Prevention of these injuries with the education of radiological technologist remains the ultimate aim.

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Transitioning from the Posterior Approach to the Direct Anterior Approach for Total Hip Arthroplasty

  • Cameron M. Metzger;Hassan Farooq;Jacqueline O. Hur;John Hur
    • Hip & pelvis
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    • v.34 no.4
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    • pp.203-210
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    • 2022
  • Purpose: Total hip arthroplasty (THA) using the direct anterior approach (DAA) is known to have a learning curve. The purpose of this study was to review cases where surgery was performed by an arthroplasty surgeon transitioning from the posterior approach (PA) to the DAA. We hypothesized similar complication rates and improvements in surgical duration over time. Materials and Methods: A review of 2,452 consecutive primary THAs was conducted. Surgical duration, length of stay (LOS), surgical complications, decrease in postoperative day (POD) 1 hemoglobin, transfusion rates, POD 0 and POD 1 pain scores, incision length, leg length discrepancy (LLD), and radiographic cup position were recorded. Results: No differences in surgical duration were observed after the first 50 DAA cases. A shorter LOS was observed for the DAA, and statistical difference was appreciated after the first 100 DAA cases. There were no differences in periprosthetic fractures. A higher rate of infections and hip dislocations were observed with the PA. The PA showed an association with higher transfusion rates without significant difference in POD 1 decrease in hemoglobin over the first 100 DAA cases. Similar POD 0 and POD 1 pain scores with a smaller incision were observed for the first 100 DAA cases. The DAA cohort showed less variation in cup inclination, version, and LLD. Conclusion: DAA is safe and non-inferior in terms of reduced LOS, smaller incision, and less variation in cup position. Fifty DAA cases was noted to be the learning curve required before no differences in duration between approaches were observed.

Epidemiologic Survey on Failed Eruption of Mandibular First Molar (매복된 하악 제1대구치의 매복 양상과 역학적 조사)

  • Kim, Sohyun;Kim, Youngjin;Kim, Hyunjung;Nam, Soonhyeun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.43 no.1
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    • pp.51-59
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    • 2016
  • The purpose of the present retrospective study was to analyze gender, age, awareness, etiology, and treatment choice in patients with failed eruption of the mandibular first molar. Radiographic material and dental records from 67 patients with 74 mandibular first molars with failed eruption treated during the years 2001-2014 were evaluated. As results, the prevalence of mandibular first molar with failed eruption was higher in males than females, and the average awareness age was 9.19 years old. The most common etiological cause was unknown, and the next most common causes were abnormal eruption pathway and odontogenic tumor in order. In this study, it is suggested that more dental education to children about the time of eruption of permanent tooth is required, and the importance of regular dental check-ups is emphasized during mixed dentition.

DIAGNOSIS AND TREATMENT PLAN OF MAXILLARY IMPACTED CANINE (상악매복견치의 진단 및 처치)

  • Kyung, Seung-Hyun;Hwang, Chung-Ju
    • The korean journal of orthodontics
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    • v.23 no.2 s.41
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    • pp.165-177
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    • 1993
  • Upper canine is important because it protects and maintains the stability of the dental arch and also, joins the anterior with the posterior teeth. The incidence of impaction of upper canine is the second most frequent next to the third molar because it takes a long period of time to develop, and has a complicated path of eruption, and erupts lately. After the age of 10, clinical and radioglaphic examination can be used in revealing the possibility of impaction and efforts should be put to reduce the side effects. To prevent impaction, selective extraction of primary canine at the age of 8 to 9 could be considered and prolonged retention of primary canine in oral cavity should be avoided at this time. Once the impaction is iden, the first stage of the treatment is to lcocalize the lesion by radiographic examination and According to the severity, orthodontic traction or autotransplantation should be considered and comprehensive diagnosis and treatment plan of malocclusion should be established. Generally, labial impaction is due to arch length discrepancy and palatal impaction is due to malposition or morphologic pathosis of lateral incisors rather than arch length discrepancy. In surgical procedure, peridontal problems should be considered and the minimum amount of bone and soft tissue should be reduced and direct bonding method of many attachment methods should be recommended. Especially in traction of labially impacted canine, it should be guided to erupt through the keratinized zone and proper forced magnitude should be applied. The importance of periodontal condition should always be in mind following the patient education to mintain the good oral hygiene at each stage of treatment. Properly managed impacted canine can provide function and esthetic by proper diagnosis and treatment if extraction of canine is not indicated.

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Analysis of Importance, Understanding Level and Needs by Subject of College Students Preparing for Radiological Technologists National Examination (방사선사 국가시험 준비를 위한 대학생들의 과목별 중요도와 이해도 수준 및 요구도 분석)

  • Young-Lock, Kim;Jae-Hong, Jung;Dae-Gun, Kim
    • Journal of radiological science and technology
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    • v.46 no.1
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    • pp.53-61
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    • 2023
  • The aim of this study analyzed the important level (IL) and understanding level (UL) including the Borich's need for students preparing of the national examination for radiological technologists at online open chatting room. A total of 254 survey were collected from a total of 1,016 students who used open chatting room from December 13 to December 16, 2022. A general characteristics were the age, gender, curriculum (3 or 4 years), grade and area. The IL, UL, learning satisfaction (LS), learning achievement (LA) and intention to continue using (ICU) were analyzed by using the 5 point Likert scale. There was no significant difference the LS, LA, and ICU according to general characteristics (p>0.05). There was a statistically significant difference a total of sixteen subjects based on the t-test results of the response values from the IL and UL (p<0.05). The total of ten subjects with the highest priority in the Locus for Focus models were the Ultrasonography, Human anatomy, Magnetic resonance imaging, Radiation therapy, Cardiovascular and intervention, Computed tomography, Human physiology, Radiographic imaging, Fluroscopic radiography, and Nuclear medicine) that the Borich's need was also the same as the top 10 ranked subjects. The LS (4.23±0.72), LA (4.18±0.73), and ICU (4.15±0.78) for open chatting room were high. This study identified the subjects most needed by college students by the Borich's need analysis. First, it is necessary to provide intensive education on subjects with high scores that are most needed by college students. Second, it is necessary to improve the teaching method for subjects with low need and low level of understanding.