• 대한족부족관절학회지
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• 제8권2호
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• pp.191-194
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• 2004

Purpose: Anatomic configuration of the ankle joint is useful information during various ankle procedures. This study was prospectively designed to investigate the sagittal inclination pattern of the ankle joint. Materials and Methods: Lateral standing ankle radiographs from one-hundred people (age: $17{\sim}68$, M:F=45:55) and magnetic resonance (MR) sagittal ankle images from twenty-four people (age: $16{\sim}65$, M:F=14:10) were studied. Post-traumatic, arthritic, or grossly deformed ankles at any reason were excluded. The posterior inclination angle (PIA) of the distal tibia was measured and compared between the lateral and the medial segment. Results: On plain radiographic data, the average PIA of the distal tibia was $6.14^{\circ}{\pm}3.56^{\circ}$ (range $0^{\circ}$ to $14^{\circ}$) in the lateral segment and $13.16^{\circ}{\pm}3.05^{\circ}$ (range $6^{\circ}$ to $22^{\circ}$) in the medial segment. On MR imaging data, the average PIA of the distal tibia was $5.08^{\circ}{\pm}4.26^{\circ}$ (range $1^{\circ}$ to $10^{\circ})$ in the lateral segment and $10.16^{\circ}{\pm}4.87^{\circ}$(range $5^{\circ}$ to $17^{\circ}$) in the medial segment. The PIA between two segments was significantly different. Conclusion: The sagittal configuration of the medial area ankle joint and the lateral area ankle joint has difference in the degree of posterior inclination and shape of curvature.

• 한국멀티미디어학회논문지
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• 제11권3호
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• pp.292-300
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• 2008

본 논문에서는 점진적인 화소 확장을 이용하여 영상 내에 존재하는 선분을 찾아내는 선분 추출 알고리즘을 제안한다. 본 논문에서 제안하는 선분 추출 방법에서는 기존의 선분 추출 방법인 허프 변환 기반 방법이나 선분의 그룹화 기반 방법과는 다른 접근법을 사용하였다. 영상이 입력되면 케니 테두리를 구하고, 테두리 화소 중 임의의 점을 선택하여 선분을 근사화 시킨 기본 직선을 만든 후, 선택된 점에서 임의의 반경 내에 있는 테두리 화소들을 선택한다. 직선과의 거리 오차와 기울기 각의 오차를 이용하여 선택된 화소에 가중치를 부여한다. 가중치 합 비교에 의해 선택된 화소들이 떨어져 있는지를 판별한 후, 가중치를 적용한 최소자승법에 의해 선 맞춤을 하여 선분을 구하게 된다. 제안된 알고리즘은 기존에 제안된 방법들과 결과를 비교하였으며, 계산 속도가 빠르면서 실제 존재하는 선분 추출이 가능하다는 것을 실험 결과를 통해 제시한다.

• Journal of Korean Neurosurgical Society
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• 제42권3호
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• pp.184-190
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• 2007

Objective : The authors retrospectively analyzed clinical and radiographic features of patients who developed symptomatic adjacent segment degeneration (ASD) that required re-operation. Methods : From 1995 to 2004, among 412 patients who underwent posterior lumbar fusion surgery, the authors experienced twenty-six patients who presented symptomatic ASD. Records of these patients were reviewed to collect clinical data at the first and second operations. Results : The patients were 9 males and 17 females whose mean age was $63.5{\pm}8.7$ years. Among 319 one segment and 102 multi-segment fusions, 16 and 10 patients presented ASD, respectively. Seventeen ASDs were noticed at the cephalad to fusion (65%), eight at the caudad (31%), and one at the cephalad and caudad, simultaneously (4%). All patients underwent decompression surgery. Nine patients underwent additional fusion surgeries to adjacent degenerated segments. In 17 patients who underwent only decompression surgery without fusion, the success rate was 82.4%. In fusion cases. the success rate was observed as 55.5%. There were no statistically significant factors to be related to development of ASD. However, in cases of multi-level fusion surgery, there was a tendency toward increasing ASD. Conclusion : Multi-segment fusion surgery could be associated with a development of ASD. In surgical treatment of symptomatic ASD, selective decompression without fusion may need to be considered as a primary procedure, which could reduce the potential risk of later occurrence of the other adjacent segment disease.

• Journal of Korean Neurosurgical Society
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• 제45권2호
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• pp.81-84
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• 2009

Objective : Many biomechanical and clinical studies on adjacent segment degeneration (ASD) have addressed cranial segment. No study has been conducted on caudal segment degeneration after upper segment multiple lumbar fusions. This is a retrospective investigation of the L5-S1 segment after spinal fusion at and above L4-5, which was undertaken to analyze the rate of caudal ASD at L5-S1 after spinal fusion on and above L4-5 and to determine that factors that might have influenced it. Methods : The authors included 67 patients with L4-5, L3-5, or L2-5 posterior fusions. Among these patients, 28 underwent L4-5 fusion, 23 L3-5, and 16 L2-5 fusions. Pre- and postoperative radiographs were analyzed to assess degenerative changes at L5-S1. Also, clinical results after fusion surgery were analyzed. Results : Among the 67 patients, 3 had pseudoarthrosis, and 35 had no evidence of ASD, cranially and caudally. Thirteen patients (19.4%) showed caudal ASD, 23 (34.3%) cranial ASD, and 4 (6.0%) both cranial and caudal ASD. Correlation analysis for caudal ASD at L5-S1 showed that pre-existing L5-S1 degeneration was most strongly correlated. In addition, numbers of fusion segments and age were also found to be correlated. Clinical outcome was not correlated with caudal ASD at L5-S1. Conclusion : If caudal and cranial ASD are considered, the overall occurrence rate of ASD increases to 50%. The incidence rate of caudal ASD at L5-S1 was significantly lower than that of cranial ASD. Furthermore, the occurrence of caudal ASD was found to be significantly correlated with pre-existing disc degeneration.

• 한국정보통신학회논문지
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• 제15권10호
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• pp.2223-2230
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• 2011

심전도는 심근허혈, 부정맥, 심근경색과 같은 심장질환의 진단에 이용된다. 특히 심근허혈은 ST 세그먼트의 형태 변화가 나타나는데, 이러한 변화는 일시적으로 나타나며 특별한 증상을 동반하지 않는다. 따라서 지속적인 모니터링을 통해서 ST의 일시적인 변화를 검출하는 것이 매우 중요하다. 이에 본 연구에서는 심근허혈 진단을 위한 ST세그먼트 형태 분류 알고리즘을 제안한다. 이는 전처리 과정과 적응가변형 문턱치를 통해 R파와 각 특징점을 검출 한 후 S와 T파사이의 굴곡점으로부터 특정한 기울기 정보를 추출하여 ST의 기울기 기준점과 비교함으로써, 검출된 ST를 6가지 형태로 분류하는 방법이다. 개발된 알고리즘은 심전도로부터 ST 레벨 변화 구간을 검출하고, 검출된 구간에 대해서도 ST의 형태를 분류함으로써 심전도 레벨 변화뿐만 아니라 형태에 대한 정보도 제공한다. 제안한 알고리즘의 심근허혈 패턴 진단 성능을 평가하기 위해서 European ST 데이터베이스를 사용하였다. 성능 평가 결과 가장 높은 분류성공률은 99.4%이며, 낮은 성공률은 68.48%를 나타내었다.

• 대한치과교정학회지
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• 제50권5호
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• pp.324-335
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• 2020

Objective: To compare postoperative positional changes in the mandibular proximal segment between the conventional orthognathic surgery (CS) and the surgery-first approach (SF) using intraoral vertical ramus osteotomy (IVRO) in patients with Class III malocclusion. Methods: Thirty-eight patients with skeletal Class III malocclusion who underwent bimaxillary surgery were divided into two groups according to the use of preoperative orthodontic treatment: CS group (n = 18) and SF group (n = 20). Skeletal changes in both groups were measured using computed tomography before (T0), 2 days after (T1), and 1 year after (T2) the surgery. Three-dimensional (3D) angular changes in the mandibular proximal segment, condylar position, and maxillomandibular landmarks were assessed. Results: The mean amounts of mandibular setback and maxillary posterior impaction were similar in both groups. At T2, the posterior portion of the mandible moved upward in both groups. In the SF group, the anterior portion of the mandible moved upward by a mean distance of 0.9 ± 1.0 mm, which was statistically significant (p < 0.001). There were significant between-group differences in occlusal changes (p < 0.001) as well as in overjet and overbite. However, there were no significant between-group differences in proximal segment variables. Conclusions: Despite postoperative occlusal changes, positional changes in the mandibular proximal segment and the position of the condyles were similar between CS and SF, which suggested that SF using IVRO achieved satisfactory postoperative stability. If active physiotherapy is conducted, the proximal segment can be adapted in the physiological position regardless of the occlusal changes.

• Journal of Korean Neurosurgical Society
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• 제46권4호
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• pp.340-345
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• 2009

Objective : We investigated the locations of compressing vessels in hemifacial spasm. To approach compression sites, we described and evaluated the efficacy of the infranuchal infrafloccular (INIF) approach. Methods : A retrospective review of 31 consecutive patients who underwent microvascular decompression (MVD) through INIF with a minimum follow-up of 1 year was performed. Along the intracranial facial nerve, we classified the compression sites into the transitional zone (TRZ), the central nervous system (CNS) segment and the peripheral nervous system (PNS) segment. The INIF approach was used to inspect the CNS segment and the TRZ. Subdural patch graft technique was used in order to achieve watertight dural closure. The cranioplasty was performed using polymethylmethacrylate. The outcome and procedure-related morbidities were evaluated. Results : Twenty-nine patients (93%) showed complete disappearance of spasm. In two patients, the spasm was resolved gradually in 2 and 4 weeks, respectively. Late recurrence was noted in one patient (3%). The TRZ has been identified as the only compression site in 19 cases (61.3%), both the TRZ and CNS segment in 11 (35.5%) and the CNS segment only in 1 (3.2%). There was no patient having a compressing vessel in the PNS segment. Infection as a result of cerebrospinal fluid leak occurred in one patient (3%). Delayed transient facial weakness occurred in one patient. Conclusion : The TRZ and the CNS segment were more vulnerable area to the compression of vessels. We suggest that surgical avenue with the INIF approach provides early identification of this area.

• 한국의류학회지
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• 제17권4호
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• pp.608-621
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• 1993

The Purposes of this study were 1)to find the body surface total line and segment line significantly(${\alpha}$=0.05) changed by the leg movement including all movement direction of hip joint, knee joint and ankle joint for the more functional clothing. 2)to classify them into 3 types-expansion type, contraction type, expansion & contraction type, and 3)to identify the characteristics of the body surface length changes. 10 Crosswise and 5 lengthwise body surface total lines and 48 crosswise & 39 lengthwise body surface segment lines of 26 female college students aged from 18 to 24 years were measured directly on the body surface and were analyzed by ANOVA & Multiple Comparison Test (Tukey). The results were as following : Body surface total lines significantly changed were all the body surface total lines except abdoman girth, 1/2thigh girth of lower leg and ankle girth, and these were classified into 3 types : Center front leg line belonged to expansion & contraction type, whereas lateral leg line, legscye girth, and total crotch length belonged to contraction type. The rest belonged to expansion type. Knee girth showed maximum expansion, whereas center front leg line showed maximum contraction. Body surface total lines have shown large expansion crosswise whereas lengthwise they have mainly shown contraction. At least more than one component segment line of each body surface total lines except abdoman girth and ankle girth have shown significant change. Top segment of inner leg line showed maximum expansion. whereas just below top segment of center front leg line showed maximum contraction. Crosswise all the body surface segment lines have shown expansion except inner back segments of thigh girth and 1/2thigh girth of upper leg which have shown contraction. Lengthwise they have shown both expansion and contraction according to the location of front or back, and below or upper 1/2thigh girth line except the component segment lines of lateral leg line, which has shown contraction only.(cf. figure 2. figure 3. and table 2-2).

• 한국터널지하공간학회 논문집
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• 제19권2호
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• pp.179-194
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• 2017

쉴드터널의 세그먼트 라이닝 단면 설계는 일반적으로 빔-스프링 모델을 사용하여 이루어지며, 산정되는 단면력은 모델구성요소인 작용하중, 지반반력계수, 세그먼트 조인트 위치 및 강성 등의 영향을 받는다. 국내 쉴드터널 세그먼트라이닝의 설계는 해외에서 사용되고 있는 구조해석 모델과 이음부 강성을 주로 이용하고 있으며, 기존 설계에서 사용하고 있는 구조해석 모델이나 조인트 강성을 적합여부 검토 없이 관행적으로 사용해오고 있다. 본 연구에서는 쉴드터널 세그먼트 라이닝의 부재력을 산정하기 위해 필요한 지반반력계수, 모델링 방법 등 빔-스프링 모델의 기본 구성요소들에 대한 비교 검토를 통하여 세그먼트 라이닝 설계법을 구성하는 기본 요소들의 적용방법을 제안하였다.

• 한국터널지하공간학회 논문집
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• 제17권1호
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• pp.11-23
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• 2015

본 연구에서는 쉴드터널의 볼트 체결 방식의 문제점을 개선하기 위해 강연선 긴장력을 이용한 새로운 세그먼트 체결 기술을 개발하였다. 현장 조립 시험시공을 통해 세그먼트 전단키가 세그먼트 틸팅 공정에서 가이드 역할을 하여 볼트 체결 방식보다 조립 시간이 더 단축되는 것을 확인하였다. 그리고 세그먼트 조립 공정의 소요공기 측정결과 볼트 체결 방식은 1개의 세그먼트 공급에서 체결까지 420초가 소요되었고, 강연선 체결 방식은 400초가 소요되었는데, 강연선 자동화 장치를 이용할 경우 기존 볼트 체결 방식에 비해 60초의 소요공기 감소효과가 있는 것으로 나타났다. 또한, BIM을 활용한 쉴드TBM 연동 강연선 자동화 시스템 모델링은 쉴드TBM 설계, 굴진 계획, 공법 프로세스 파악, 시공 관리 등에서 효과적으로 활용될 수 있을 것으로 판단된다.