• Journal of Korean Tunnelling and Underground Space Association
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• v.26 no.3
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• pp.255-280
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• 2024

If there are concerns about the stability of segment lining due to section deficiency or large deformation in shield TBM tunnel, reinforcement can be done through ground grouting outside the tunnel or by using steel plate reinforcement, ring beam reinforcement, or inner double layer lining inside the tunnel. Traditional analyses of shield TBM tunnels have been conducted using a continuum method that does not consider the segmented nature of segment lining. This study investigates the reinforcement mechanism for double layer reinforced sections with internal steel linings. By improving the modeling of segment lining, this study applies Break-joint mode (BJM), which considers the segmented characteristics of segment lining, to analyze the deformation characteristics of double layer reinforced sections. The results indicate that the existing concrete segment lining functioned similarly to ground reinforcement around the tunnel, rather than distribution the load. In general, both the BJM model considering the segmentation of segment lining and the continuum rigid method were similar deformation shapes and stress distributions of the lining under load. However, in terms of deformation, when the load strength exceeded the threshold, the deformation patterns of the two models differed.

• Journal of Gastric Cancer
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• v.6 no.4
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• pp.263-269
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• 2006

Purpose: The aim of this study was to investigate the causes of under-staging in patients with advanced gastric cancer that was proven to be unresectable after a laparotomy. Materials and Methods: We retrospectively analyzed 25 gastric cancer patients who had undergone a diagnostic laparotomy between 2001 and 2005. For the preoperative evaluation, spiral CT and multidetector-row CT were performed. We analyzed the clinicopathologic features of patients and compared the image findings and the results of surgery. The causes of under-staging were divided into 3 groups; patient factor, CT factor, and interpretation factor. Results: Grossly, there were 12 cases of Borrmann type-III tumors and 13 cases of Borrmann type-IV tumors. The most frequent histologic type was poorly differentiated adenocarcinomas (8 cases) and signet ring cell carcinomas (7 cases). There were 13 cases of adjacent organ invasion, and the pancreas was the most frequently invaded organ (9 cases). There were 17 cases of peritoneal metastasis, and 3 cases of distant lymph node metastasis. For the cause of under-staging, there were four cases of patient factor, 19 cases of interpretation factor, and 9 cases of CT factor. In three cases, the cause of under-staging could not be identified. Conclusion: CT interpretation factor was the most frequent cause of under-staging in the preoperative diagnosis with gastric cancer patients. Therefore, more cautious CT interpretation is necessary to avoid unnecessary laparotomies in gastric cancer patients.