• Journal of the Korean Society of Radiology
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• v.16 no.6
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• pp.709-718
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• 2022

We evaluated the effect of high-density aluminum, titanium, and steel metal inserts on computed tomography (CT) numbers and radiation treatment plans for Tomotherapy. CT images were obtained using a cylindrical TomoPhantom comprising cylindrical rods of various densities and metal inserts. Three CT image sets were evaluated for image quality as the mean CT number and standard deviation. Dose evaluation also performed. The reference values did not significantly differ between the CT image sets with the corrected metal inserts. The higher-density material exhibited the largest difference in the mean CT number and standard deviation. The conformity index at Iterative-Metal Artifact Reduction (iMAR) was approximately 20% better than that of non-iMAR. No significant target or organ at risk dose difference was observed between non-iMAR and iMAR. Therefore, iMAR is helpful for target or organ at risk delineation and for reducing uncertainty for three-dimensional conformal radiation therapy in Tomotherapy.

• Journal of the Korean Society of Radiology
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• v.17 no.2
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• pp.185-190
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• 2023

This study designed and produced stimuli in the form of canned images of fun humor, character, quirky, and sexy humor, and measured the signal values (SI) of the hippocampus associated with memory through fMRI analysis. The results of 20 participants showed that there were differences in SI values according to gender and age, and the fun humor image stimuli had the highest SI values. Men showed higher SI values for fun humor image stimuli, while women showed higher SI values for character humor image stimuli. In addition, those in their 20s showed higher SI values for fun humor image stimuli, while those in their 30s showed higher SI values for quirky humor image stimuli. Considering these findings, it is expected that more effective results can be obtained by utilizing fun humor images and characters in package design.

• Journal of the Korean Society of Radiology
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• v.18 no.5
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• pp.447-454
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• 2024

In this study, we compared the dose using the DAP (Dose Area Product) and Air kerma values across the five most frequently used views in percutaneous coronary intervention, We also evaluated the images based on Contrast to Noise Ratio (CNR) and Signal to Noise Ratio (SNR). Compared to the control group, which did not use magnification, reducing the Field of View (FOV) for magnification resulted in a statistically significant increase in the average DAP and average Air kerma values across all five views. However, no statistically significant difference was observed between the control group and the magnification method that used the Live zoom function. When comparing the CNR of the magnification method using the Live zoom function and the magnification method by reducing the FOV, it was confirmed that the average CNR and average SNR values were significantly improved in all but one of the 15 points. Therefore, it was confirmed that the magnification method using the Live zoom function improved the image quality without increasing the dose.

• Imaging Science in Dentistry
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• v.46 no.4
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• pp.285-290
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• 2016

In this report, we describe the incidental finding of an oropharyngeal mass in a patient who presented with a chief complaint of temporomandibular pain. The patient was initially evaluated by an otorhinolaryngologist for complaints of headaches, earache, and sinus congestion. Due to worsening headaches and trismus, he was further referred for the management of temporomandibular disorder. The clinical evaluation was uneventful except for limited mouth opening (trismus). An advanced radiological evaluation using magnetic resonance imaging revealed a mass in the nasopharyngeal/oropharyngeal region. The mass occupied the masticatory space and extended superioinferiorly from the skull base to the mandible. A diagnostic biopsy of the lesion revealed a long­standing human papilloma virus (HPV­16)­positive squamous cell carcinoma of the oropharynx. This case illustrates the need for the timely radiological evaluation of seemingly innocuous orofacial pain.

• Imaging Science in Dentistry
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• v.43 no.3
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• pp.209-213
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• 2013

It has been a challenge to establish the accurate diagnosis of developmental tooth anomalies based on periapical radiographs. Recently, three-dimensional imaging by cone beam computed tomography has provided useful information to investigate the complex anatomy of and establish the proper management for tooth anomalies. The most severe variant of dens invaginatus, known as dilated odontome, is a rare occurrence, and the cone beam computed tomographic findings of this anomaly have never been reported for an erupted permanent maxillary central incisor. The occurrence of talon cusp occurring along with dens invaginatus is also unusual. The aim of this report was to show the importance of cone beam computed tomography in contributing to the accurate diagnosis and evaluation of the complex anatomy of this rare anomaly.

• The Journal of the Korean dental association
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• v.48 no.10
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• pp.724-728
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• 2010

Accurate analysis of facial asymmetry prior to any orthognathic or orthodontic treatment plan is essential in ensuring good treatment result. Dental CBCT (Cone-beam Computed Tomography) provides as actual three-dimensional measurements of distance and angle without any radiographic magnification as medical CT provides, while its field of view is limited to the oral and maxillofacial area. CBCT is a useful tool for the diagnosis of facial asymmetry. The coordinates of facial landmarks are obtained from the 3D reconstruction software which enables the establishment of perpendicular planes and the identification of the landmarks. Then, the bilateral discrepancies of the landmarks are obtained as spherical polar coordinates which can show the amount of asymmetry and its direction. A method of 3D analysis of facial asymmetry using CBCT is introduced in this report.

• Imaging Science in Dentistry
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• v.45 no.3
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• pp.181-185
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• 2015

Numerous cases of enamel renal syndrome have been previously reported. Various terms, such as enamel renal syndrome, amelogenesis imperfecta and gingival fibromatosis syndrome, and enamel-renal-gingival syndrome, have been used for patients presenting with the dental phenotype characteristic of this condition, nephrocalcinosis or nephrolithiasis, and gingival findings. This report describes a case of amelogenesis imperfecta of the enamel agenesis variety with nephrolithiasis in a 21-year-old male patient who complained of small teeth. The imaging modalities employed were conventional radiography, cone-beam computed tomography, and renal sonography. Such cases are first encountered by dentists, as other organ or metabolic diseases are generally hidden. Hence, cases of amelogenesis imperfecta should be subjected to advanced diagnostic modalities, incorporating both dental and medical criteria, in order to facilitate comprehensive long-term management.

• Imaging Science in Dentistry
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• v.50 no.4
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• pp.353-357
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• 2020

The canalis sinuosus (CS) and its accessory canals (ACs) are anatomical structures in the anterior maxilla. These structures are often neglected when planning implant surgery because their clinical significance is still not well-defined. After a retrospective evaluation of 194 patients rehabilitated with dental implants in the anterior maxilla, 3 patients were identified who presented unexpected chronic neurosensory disturbances without any clinical signs supportive of implant failure. Tomographic assessment using cone-beam computed tomography (CBCT) revealed the invasion of the CS and ACs by dental implants, which appeared to explain the patients' symptoms. The purpose of this report was to familiarize practicing dentists and specialists with the CS and its ACs. Unanticipated neurosensory symptoms after implant placement in the anterior maxilla justify the use of CBCT to rule out an injury to this neurovascular bundle.

• Imaging Science in Dentistry
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• v.52 no.2
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• pp.231-238
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• 2022

Intraosseous xanthoma of the mandible is a rare benign disorder. A 17-year-old male patient presented with a suspected abscess in the right mandibular third molar, detected on a panoramic radiograph. The patient had no history of systemic or lipid-related metabolic diseases and complained of no specific symptoms or pain. A radiographic examination revealed a heterogeneous radiolucency extending from the apical to the distal aspect of the right mandibular third molar tooth germ. The lesion measured 9 × 16 × 24 mm (antero-posterior × mediolateral × supero-inferior) and showed a relatively well-defined, multilocular, foamy appearance with hyperostotic borders spreading to the inferior alveolar nerve canal. After excisional biopsy, a diagnosis of central xanthoma was made. The lesion recurred, and intraoral vertical ramus osteotomy was done near the lesion. For the treatment of xanthoma of the mandible, extensive and delicate surgical treatment under general anesthesia should be considered.

• Journal of the Korean Society of Radiology
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• v.12 no.6
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• pp.769-776
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• 2018

According IEC 60601-1 ed3.1 and IEC 60601-2-45 regulation, diagnostic X-ray equipment should be display to measured and calculated air kerma area product. On the clinical X ray equipment, air kerma area product dosimeter would like to have an evidence for dosimeter accuracy and energy dependency. This study was performed to indirect calibration and energy dependency test for attached type air kerma area product (KAP) dosimeter by RQR standards beam quality. On the RQR5 beam quality, attached KAP dosimeter error showed -7.5%, respectably. On the RQR9 beam quality, attached KAP dosimeter error showed -10.4%, respectably. All RQR beam quality, average absolute error was $8.30%{\pm}2.85%$, respectably. On this study, attached KAP dosimeter was satisfied to IEC 60580 and AAPM TG 190. This calibration method of KAP dosimeter will help to performance maintain for clinical KAP dosimeter.