• 제목/요약/키워드: Radiographic examination

검색결과 563건 처리시간 0.02초

인공지능 기반 흉부 후전방향 검사에서 자세 평가 방법에 관한 연구 (Study of Posture Evaluation Method in Chest PA Examination based on Artificial Intelligence)

  • 황호성;최용석;이대원;김동현;김호철
    • 대한의용생체공학회:의공학회지
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    • 제44권3호
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    • pp.167-175
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    • 2023
  • Chest PA is the basic examination of radiographic imaging. Moreover, Chest PA's demands are constantly increasing because of the Increase in respiratory diseases. However, it is not meeting the demand due to problems such as a shortage of radiological technologist, sexual shame caused by patient contact, and the spread of infectious diseases. There have been many cases of using artificial intelligence to solve this problem. Therefore, the purpose of this research is to build an artificial intelligence dataset of Chest PA and to find a posture evaluation method. To construct the posture dataset, the posture image is acquired during actual and simulated examination and classified correct and incorrect posture of the patient. And to evaluate the artificial intelligence posture method, a posture estimation algorithm is used to preprocess the dataset and an artificial intelligence classification algorithm is applied. As a result, Chest PA posture dataset is validated with in over 95% accuracy in all artificial intelligence classification and the accuracy is improved through the Top-Down posture estimation algorithm AlphaPose and the classification InceptionV3 algorithm. Based on this, it will be possible to build a non-face-to-face automatic Chest PA examination system using artificial intelligence.

치근단 병소를 가진 영구치의 보존적 치수 치료 (CONSERVATIVE ENDODONTIC TREATMENT OF PERMANENT TEETH WITH PERIAPICAL LESIONS : CASE REPORTS)

  • 윤영미;이난영;이상호
    • 대한소아치과학회지
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    • 제38권3호
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    • pp.276-283
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    • 2011
  • 최근 미성숙 영구치의 치근단 유두에서 존재하는 미분화 줄기세포가 새로 발견되었고 이 줄기세포들은 치근 상아질의 형성에 관여하는 법랑모세포의 근원으로 보여진다. 미성숙 영구치를 다룰때 이 줄기세포들의 보존은 치근의 지속적인 형성을 완성시키게 한다. 따라서 치근단 염증을 동반한 미성숙 영구치에서 치근단의 최소한의 침습으로 임상 및 방사선적 치유 양상을 관찰할 수 있었기에 보고하고자 한다. 본 증례는 조선대학교 치과대학병원 소아치과에 내원한 만 10세 남아(하악 우측 소구치), 만 8세 여아(상악 좌측 소구치)에서 임상 및 방사선 검사결과 치수괴사와 치근단 농양으로 진단된 영구치에서 치근단부위의 기구조작을 제한하고 MTA(Mineral Trioxide Aggregate)를 치수강내에 적용하였다. 정기적으로 관찰한 결과 치근단 농양의 치유와 치근 발육 및 성장의 양상이 관찰되었다. 치수괴사와 치근단 농양을 가진 영구치에서 치근단부위의 치수 및 치유두를 보호함으로써 관찰기간동안 양호한 예후를 보였으며, 이는 어린환자의 미성숙영구치에서 보존적 치수치료의 시도에 대한 보다 많은 임상적 검증 및 장기간의 고찰이 필요할 것이다.

치성낭종으로부터 유래된 편평상피세포암종 (SQUAMOUS CELL CARCINOMA ARISING FROM RESIDUAL ODONTOGENIC CYST;Report of a Case & Review of Literatures)

  • 김용각;박형국;권혁진;현재훈
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제19권2호
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    • pp.209-214
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    • 1997
  • Odontogenic cysts are relatively common pathologic lesions found in the oral and perioral structures, but the case of squamous cell carcinoma arising from those cysts are very uncommon. After first reported of that case in 1889 by Herman, Schwimmer collected 56 cases of previously reported squamous cell carcinoma arising in residual odontogenic cyst during about past one century. More than 60% of cases of carcinoma developing in odontogenic cysts arising in inflammatory periapical or residual cyst, and these tumors are usually well-differentiated with relatively good prognosis, and often are diagnosed as benign lesion in radiographic or clinical examination, therefore definitive diagnosis must be made by histologic examintation. We report a case and review the literatures, in our case, 78-year old woman were clinically and radiographically diagnosed as residual odontogenic cyst. But in histologic examination after enucleation of lesion, mass of squamous cell carinoma were observed, but in other area, typical cyst wall and lining epithelium were observed. And in some area, carcinoma in situ and invading squamous cell carcinoma into the lining epithelium were also observed.

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악관절원판 천공의 임상적, 방사선적 및 외과적 비교연구 (EVALUATION OF MENISCUS PERFORATION IN THE TMJ;CLINICAL, ARTHROGRAPHIC AND SURGICAL FINDINGS)

  • 김형곤;박광호;김준배;주재동
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제12권1호
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    • pp.202-209
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    • 1990
  • A retrospective study of 498 patients (591 joints) who had diagnosed as having internal derangement of the temporomandibular joint by history, clinical examination, and arthrography were evaluated. 66 patients (70 joints) were diagnosed as having meniscus perforation between the joint compartments. In those patients with pain (11 joints : 15.7%), pain and crepitation (24 joints : 34.3%), pain, crepitation and LOM (31 joints : 44.3%), and painless crepitation with LOM (4 joints : 5.7%) complained clinically. All these patients who had perforation showed irregularity in outline of the contrast material, bone contour-contrast material gaps, flattening of cortical layer of articular eminence. On the 20 joints treated surgically, 17 joints were found to have meniscus perforation at the time of surgery which correlated with their pre-operative radiographic and clinical diagnosis. Three joints could not found perforation of meniscus. This study was designed to examine of the incidences of the meniscus perforation in the above patients and to assess the diagnostic accuracy of arthrography by comparing the results with the finding of direct examination at TMJ surgery.

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석회화치성낭양 변화를 동반한 법랑모세포섬유치아종 (Ameloblastic fibro-odontoma with a change of calcifying odontogenic cyst)

  • 권혁록;한진우;이진호;최항문;박인우;이석근
    • Imaging Science in Dentistry
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    • 제31권3호
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    • pp.181-184
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    • 2001
  • Thirteen-year-old girl complaining of the swelling and pain on the left midface visited our dental hospital. On the radiographic examination, well-defined radiolucent lesion with hyperostotic border was found in the left maxilla accompanying with the external root resorption of the involved teeth and the displaced second molar. CT showed calcified bodies, thinning of hard palate, inferior orbital wall and lateral wall of nasal fossa, and thinning and perforation of the buccal plate of the maxilla. Enucleation and curettage of the lesion and nasoantrostomy was carried out and histopathologic examination mainly showed a solid tumor tissue composed of odontogenic epithelium and pulp tissues admixed with dentin and enamel formation. And some part of reduced follicular epithelium of tooth germ showed a change mimicking calcifying odontogenic cyst. Taken together, we concluded the lesion is an ameloblastic fibro-odontoma with a change of calcifying odontogenic cyst.

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개의 척수연화증 진단 2례 (Myelomalacia in 2 Dogs)

  • 성윤상;엄기동;이해운;이정민;장동우;이근우;장광호;오태호
    • 한국임상수의학회지
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    • 제21권2호
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    • pp.177-180
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    • 2004
  • Lower motor neuron signs of hind limbs, anus and bladder were identified by history taking and physical examination in the 6.8 year-old mongrel dog and 2.6 year-old Cocker spaniel. The Cocker spaniel, also showed gradual cranial migration of neurologic deficit including respiratory paralysis. On plain radiography and myelography, intervertebral disc extrusion between L2 and L3, the infiltration of contrast medium into the spinal cord and cord swelling were found in the mongrel dog, and infiltration of contrast medium like hollowness of cord parenchyma was observed in the Cocker spaniel. On the basis of clinical signs and radiographic findings, they were diagnosed tentatively as acute myelomalacia. The Cocker spaniel died of respiratory paralysis on the following day. Decompressive surgery was performed on the mongrel dog and the extensive necrosis and hemorrhage were found at surgery. It was euthanized with the owner's consent because of the perceived poor prognosis. Histopathologic examination after autopsy confirmed acute diffuse hemorrhagic myelomalacia with the swelling and the inflammation of axon, showing hemorrhagic changes in the white matter and the grey matter.

Tibial Plateau Leveling Osteotomy Combined with Tibial Tuberosity Transposition in a Dog with Medial Patellar Luxation and Cranial Cruciate Ligament Rupture

  • Kim, Ji-hye;Park, Jiyoung;Jeong, Seong Mok;Lee, Haebeom
    • 한국임상수의학회지
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    • 제34권5호
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    • pp.366-369
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    • 2017
  • A 30 kg, 6-year-old spayed female Samoyed dog was referred with a history of intermittent weight-bearing lameness in her right hindlimb for 3 weeks. The patient hadsurgery to correct a medial patellar luxation in the same limb 3 years prior. Based on the physical examination and radiographic findings, MPL and CCLR of the right hindlimb were diagnosed. Pre-surgical arthroscopy examination was performed, revealing a complete rupture of the cranial cruciate ligament, medial caudal meniscal tears and fibrotic cartilagechanges on the trochlear groove. An arthroscopy-assisted partial meniscectomy was used to repair themedial caudal meniscus. To correct the tibial plateau angle and medial patellar luxation, a tibial plateau leveling osteotomy (TPLO) was performed. A tibial tuberosity transposition (TTT) was performed to realignthe quadriceps mechanism with the trochlear block recession followed by soft tissue reconstruction. The post-surgical recovery was uneventful, and the patient was weight-bearing with normal ambulation on the repaired limb. There were no complications, and the implants were well positioned at the last follow-up. The clinical outcome of the caseindicates that combining TPLO with TTTis a good surgical option for treatingconcurrent CCLR and MPL.

Surgical Repair of Proximal Humeral Fracture in Common Kestrel (Falco tinnunculus)

  • Jang, Jin-ho;Lee, Moon-hee;Park, Young-seok;Kim, Moon-jung;Yun, Young-min
    • 한국임상수의학회지
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    • 제35권2호
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    • pp.46-49
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    • 2018
  • A common kestrel was admitted to Chungnam wild animal rescue center, having been unable to fly. On the physical examination, the bird was presented with contusion and swelling on its right humerus closed fraction and had pain response. Radiographic examination was explicitly revealed closed fracture on right proximal humerus. Its closed fracture was reduced with tie-in fixator and figure-of-eight tension band, and inserted pins on its right humerus surgery were removed on the $14^{th}$ day after the surgery. As Falco tinnunculus was able to move its wings from Day $21^{st}$ day, its rehabilitation was done at outdoor facility and it was successfully released. Proximal humerus reduction with tie-in fixator and the wire was a success, and this treatment with reference to this study will be surely effective to support the other wildbird's reduction stability.

강직성 척추염에 수반된 양측성 측두하악관절 강직 (Ankylosing Spondylitis Associated with Bilateral TMJ Ankylosis)

  • 송주섭;고광준
    • Imaging Science in Dentistry
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    • 제30권3호
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    • pp.217-222
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    • 2000
  • A 31-year-old male with the complaint of severe limitation of mouth opening was referred to our department of Chonbuk National University Hospital. The physical status of the patient was hyposthenic. Extraoral examination showed no condylar movement of the both temporomandibular joints, no pain, no facial swelling or paresthesia. Intraoral examination showed several cervical caries on the upper anterior teeth, and gingival swelling on the whole dentition. Transcranial view showed no condylar movement, and narrowing of joint spaces. Chest P-A view showed straightening of thoracic, lumbar spine, and squaring of vertebrae of the same spines. Conventional lateral radiograph of cervical spine showed calcification of the intervertebral ligament. Computed tomograph showed extensive bone formation between temporal bone and the condylar head at both sides. Laboratory findings showed positive reaction on HLA-B27 histocompatibility antigen and increased level of IgA, IgG, ESR. Based on the clinical, radiographic, and the laboratary findings, final diagnosis was made as bony ankylosis of the both temporomandibular joints secondary to ankylosing spondylitis.

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장제요법에 의한 말의 백선병 치료 1례 (Treatment of White Line Disease by Therapeutic Shoeing in Horse)

  • 양영진;신상경;윤성욱;조길재
    • 한국임상수의학회지
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    • 제30권5호
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    • pp.394-398
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    • 2013
  • 중간정도의 파행과 열감을 가진 3세된 더러브렛 암말에서 방사선 및 발굽 검사를 통해 우전지 발굽이 백선병으로 진단되었다. 장제요법 (제벽 절제, 변형 히트바 편자 장착)을 적용한 결과 4개월 후 파행이나 열감이 없었으며 8개월 후에는 조교와 경주에 출주하였다. 국내에서 사육중인 말에서 발생되고 있는 백선병 치료에 장제요법이 좋은 치료법임을 확인하였다.