• Title/Summary/Keyword: Skull

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Quantitative localization of impacted mesiodens using panoramic and periapical radiographs

  • Choi, Hang-Moon;Han, Jin-Woo;Park, In-Woo;Baik, Jee-Seon;Seo, Hyun-Woo;Lee, Joo-Hyun;Park, Ho-Won
    • Imaging Science in Dentistry
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    • v.41 no.2
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    • pp.63-69
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    • 2011
  • Purpose : The purpose of this study was to evaluate a new technique for localizing impacted mesiodens using its horizontal magnification ratio on panoramic radiographs. Materials and Methods : Location-magnification equation of a panoramic equipment was obtained from horizontal magnification ratio of a metal ball which was located variable positions from the center of image layer at interval of 2 mm. Panoramic radiographs were obtained from a skull phantom with a metal ball which was a substitute for impacted mesiodens and was embedded 10mm(Group 1), 15mm(Group 2), and 20mm(Group 3) posterior to the central incisor. Each group obtained 7 panoramic radiographs at variable positions and one periapical radiograph. Three methods were used to estimate the actual width of the incisors and the balls which were used to calculate the magnification ratio. The methods included using the actual incisor width and the calculated ball width (Method 1), using the actual incisor width and the ball widths measured on periapical radiograph (Method 2), and using the incisor and the ball widths measured on periapical radiograph (Method 3). The location of the metal ball was calculated by using the location-magnification equation. Results : The smallest difference between the calculated and the actual distance was $0.1{\pm}0.7 \;mm$ in Group 1/ Method 3. The largest difference was $-4.2{\pm}1.6 \;mm$ in Group 3/Method 2. In all groups, method 3 was the most accurate. Conclusion : Quantitative localization of impacted mesiodens is possible by using panoramic radiograph.

MORPHOMETRICS OF ALVEOLAR PROCESS AND ANATOMICAL STRUCTURES AROUND INFERIOR MAXILLARY SINUS FOR MAXILLARY IMPLANTATION (임플랜트 시술을 위한 치조돌기와 상악동 주변 구조물의 형태계측적 연구)

  • Park, Ju-Jin;Lee, Young-Soo;Paik, Doo-Jin;Park, Won-Hee;Yoo, Dong-Yeob
    • The Journal of Korean Academy of Prosthodontics
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    • v.45 no.2
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    • pp.228-239
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    • 2007
  • Statement of problem: Following tooth loss, the edentulous alveolar process of maxilla is affected by irreversible reabsorption process, with progressive sinus pneumatization leads to leaving inadquate bone height for placement of endosseous implants. Grafting the floor of maxillary sinus by sinus lifting surgery and augmentation of autologous bone or alternative bone material is a method of attaining sufficient bone height for maxillary implants placement and has proven to be a highty successful. Purpose: This study was undertaken to clarify the morphometric characteristics of inferior maxillary sinus and alveolar process for installation of implants. Material and method: Nineteen skulls (37 sinuses, 10M / 9F) obtained from the collection of the department of anatomy and cell biology of Hanyang medical school were studied. The mean age of the deceased was 69.9 years (range 44 to 88 years). The distance between alveolar border and inferior sinus margin at each tooth, the height of alveolar process and the thickness of cortical bone of the outer and inner table of alveolar process and the inferior wall of maxillary sinus were measured. Results and Conclusion: 1. The septum of inferior maxillary sinus were observe 28 sides (76.%) and located at the third molar (52.6%) and the second molar (26.3%). The deepest points of inferior border of maxillary sinus were located the first or second molar. The distance between alveolar margin and the deepest point of inferior maxillary sinus is $9.7{\pm}4.9mm$. 2. The length of the outer table of alveolar process were $4.9\sim28.2mm$ and the shortest point was between the first and the second molors. The thickness of them were $0.9\sim3.2mm$. The length of the inner table of alveolar process were $7.4\sim25.8mm$ and the shortest point was between the first and the second molars. The thickness of the were $0.9\sim4.6mm$. The results of this study are useful anatomical data for installing of maxillary implants.

Bizzare Parosteal Osteochondromatous Proliferation (Nora's lesion) which affects Humeral Shaft -A Case Report- (상완골 간부에 발생한 기괴 방골성 골연골성 증식증 - 1례 보고-)

  • Kim, Kyung-Tae;Lee, Song;Kim, Jin-Hak;Ji, Mi-Kyung;Park, Joon-Seong;Park, Kwan-Young
    • The Journal of the Korean bone and joint tumor society
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    • v.10 no.2
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    • pp.142-146
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    • 2004
  • Bizzare parosteal osteochondromatous proliferation is a rare lesion, tends to frequently recur. It was first described in 1983, when Nora and his colleagues reported 35 examples of a proliferative lesion involving small bones of the hand and the feet. It was regarded as occurring only in the small bones of the hand and the feet initially, but from then on, other authors have been reported cases including those involving long bones, skull and maxilla. We experienced a case of bizzare parosteal osteochondromatous proliferation which affects the humeral shaft in a 14-year-old male patient. Radiographs showed calcified mass measuring $4{\times}3$ cm in size and attached to the underlying cortex, which had a broad stalk base. Histologically, it showed hypercellular cartilage maturation to the trabecular bone and plump amount of fibrous stroma in the spaces around the bony trabeculae. Bizzare parosteal osteochondromatous proliferation is a relatively rare lesion, but has a recurrent behavior and histologically tends to be mistaken for malignancy. It can be treated by excision.

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Diagnosis and Management of Lymphoplasmacytic Rhinitis in a Cat (림포형질세포성 비염에 이환된 고양이의 진단과 치료)

  • Kang, Min-Hee;Park, Hee-Myung
    • Journal of Veterinary Clinics
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    • v.28 no.4
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    • pp.438-441
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    • 2011
  • A 7-year-old castrated, domestic shorthair cat was presented with a 2-year history of chronic nasal discharge and sneezing. Upon presentation, bilateral mucopurulent nasal discharge and stertorous respiration were marked. Physical examination revealed a tachypnea. Oral examination was unremarkable and chest radiology was normal. Findings of nasal cytology and skull radiology were not specific and further imaging technique, endoscopic examination and histopathology was performed for a definite diagnosis. Fluid, and/or soft tissue opacity was found in bilateral nasal cavity, nasopharyngeal regions and right side tympanic bulla through the CT scan. No evidence of neoplasia was revealed. A rigid rhinoscopy, flexible bronchoscopy and otoscopy was used for the visualization of the lesions and tissue biopsy biopsy was performed for histopathology. On histopathological examination, the nasal mass consisted mainly of large numbers of plasma cells and lymphocytes. And the final diagnosis was lymphoplasmacytic rhinitis based on histopathologic examination. Long term management with oral cyclosporine (5 mg/kg, BID) was safe and successful in this cat. This is the first case report described clinical and diagnostic characteristic features of feline lymphoplasmacytic rhinitis and its clinical outcome using oral cyclosporine in Korea.

Studies on body types by body growth and blood chemical values in the Jindo dog II. Body types by body growth in Jindo dogs (진도견의 혈액화학치 및 성장에 따른 체형에 관한 연구 II. 진도견의 성장에 따른 체형)

  • Kim, Woo-kwon;Lee, Jae-hong;Kim, Ja-suk
    • Korean Journal of Veterinary Research
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    • v.29 no.3
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    • pp.275-281
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    • 1989
  • This investigation was conducted on 249 Jindo dogs aging from 2 to 12 months to determine body type and external appearance of the dogs. The results of this investigation were as follows. 1. The withers height of male dogs growed rapidly during the period between 2 months and 7 months of age, and was 22.94cm and 49.77cm, respectively. Afterward the growth rate slowed down up to 12 months, 53.33cm. The growth rate of female was similar to male, and the withers height was 22.91cm, 46.81cm, 48.70cm at 2, 6 and 12 months of age. 2. For male and female the body length was 27.21, 27.23cm at 2 months, 51.40cm, 51.62cm at 6 months, 58.33, 52.15cm at 12 months, respectively. Growth rate of the body length was very rapid from 2 to 6 months of age, but afterwards the growth rate was slow and somewhat retarded. 3. For male and female, the withers height to body length ratio was 100 : 109.4 and 100 : 107.1 in 12 months old group. 4. Cross over between the sexes in growth rate occurred between 5.3 to 6.5 months of age for wither height, between 6.0 to 7.2 months for hody length, respectively. 5. The average chest girths of male and female were 31.46, 30.46cm at 2 months, 54.92, 52.20cm at 7months, 60.25, 57.90cm at 12months, respectively. The growth rate of chest girth was rapid between 2 to 7 months of age and gradual between 7 to 12 months. 6. The average skull lengths of male and female were 11.76, 11.32cm at 2 months, 21.83, 19.60cm at 12 months, respectively. The average head widths of male and female were 8.37, 7.94cm at 2 months, 15.47, 12.46cm at 12 months. 7. Erected type of ear was completed from oblique type at 6 months in male and 7 months in female. On our detailed examinations, we concluded that Jindo dogs completed their growth at 6 to 7 months of age.

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The Effects of D-Ribose Supplementation on the Production of Blood Fatigue Factors after Maximal Intensity Exercise (리보오스 보충이 최대강도 운동 후 혈중 피로물질 생성에 미치는 영향)

  • Lee, Yul-Hyo;Shin, Ki-Ok;Kim, Keun-Soo;Kim, Young-Il;Woo, Jin-Hee
    • Journal of Life Science
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    • v.21 no.5
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    • pp.729-733
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    • 2011
  • The purpose of this study was to examine the effect of D-ribose supplementation on the changes of blood fatigue substances (lactate, ammonia, phosphate and hypoxanthine) after maximal exercise performance in college male students. The experimental trials of each subject were divided into the following conditions: placebo supplement trial and D-ribose supplement trial. The subjects exercised using a Concept II Indoor rowing ergometer for 2,000 m Single Skull event. The subjects ingested 200 mg/kg of D-ribose after breakfast, lunch, dinner, as well as thirty minutes before exercising, for six days. Blood fatigue substances were continuously measured before exercise, immediately after exercise, and thirty minutes after exercise. The results indicated a significant difference in blood phosphate and hypoxanthine levels between the two experimental trials in the 30 minute recovery period (p<0.05). However, there were no significant differences in blood lactate and phosphate levels between the two experimental trials. The results of our study suggest that D-ribose supplementation during maximal rowing exercise for 7~8 minutes may contribute to the improvement of metabolic responses as a beneficial ergogenic aid accelerating fatigue clearance.

Complications Following Transradial Cerebral Angiography : An Ultrasound Follow-Up Study

  • Yoon, Wonki;Kwon, Woo-Keun;Choudhri, Omar;Ahn, Jaegeun;Huh, Hanyong;Ji, Choel;Do, Huy M.;Mantha, Aditya;Jeun, Sin-Soo
    • Journal of Korean Neurosurgical Society
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    • v.61 no.1
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    • pp.51-59
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    • 2018
  • Objective : The feasibility and usefulness of transradial catheterization for coronary and neuro-intervention are well known. However, the anatomical change in the catheterized radial artery (RA) is not well understood. Herein, we present the results of ultrasonographic observation of the RA after routine transradial cerebral angiography (TRCA). Methods : Patients who underwent routine TRCA with pre- and post-procedure Doppler ultrasonography (DUS) of the catheterized RA were enrolled. We then recorded and retrospectively reviewed the diameter and any complicated features of the RA observed on DUS, and the factors associated with the diameter and complications were analyzed. Results : A total of 223 TRCAs across 181 patients were enrolled in the current study. The mean RA diameter was 2.48 mm and was positively correlated with male gender (p<0.001) and hypertension (p<0.002). The median change in diameter after TRCA was less than 0.1 mm (range, -1.3 to 1.2 mm) and 90% of changes were between -0.8 and +0.7 mm. Across 228 procedures, there were 12 cases (5.3%) of intimal hyperplasia and 22 cases (9.6%) of asymptomatic local vascular complications found on DUS. Patients with abnormal findings on the first procedure had a smaller pre-procedural RA diameter than that of patients without findings (2.26 vs. 2.53 mm, p=0.0028). There was no significant difference in the incidence of abnormal findings for the first versus subsequent procedures (p=0.68). Conclusion : DUS identified the pre- and post-procedural diameter and local complications of RA. Routine TRCA seems to be acceptable with regard to identifying local complications and changes in RA diameter.

CLEIDOCRANIAL DYSPLASIA WITH FAMILIAL HISTORY - A CASE REPORT (가족력을 보이는 쇄골두개 이형성증에 관한 증례보고)

  • Hwang, Ji-Young;Choi, Sung-Chul;Lee, Keung-Ho;Kim, Kwang-Chul;Park, Jae-Hong
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.4 no.2
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    • pp.82-87
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    • 2008
  • Cleidocranial dysplasia (CCD) is an autosomal dominant skeletal dysplasia and is caused by mutation in the CBAFA1 gene of 6p21 chromosome band. Patients with CCD express skeletal dysplasia such as hypoplastic/aplastic clavicle, brachycephalic skull, midface hypoplasia and moderate short stature. In addition to skeletal dysplasia, specific symptoms may appear in respiratory organs, auditory area, and the more distinguished, dentition. Dental findings include: delayed eruption of permanent tooth, multiple supernumerary tooth more than five, malocclusion, etc. In Patients presenting excessive SNT, complications of SNT could be prevented and will be managed through pertinently timed treatment such as tooth extraction, using space maintainer, and orthodontic management after early diagnosis. This case is about the treatment of eruption disorders in permanent teeth owing to SNT in CCD patients, who are three family members in the $3^{rd}$ generation inherited from maternal grandfather through atavism. We performed the extraction of numerous SNT and orthodontic treatment on them in this case. On evaluating panoramic and cephalometric views, some classical signs of skeletal dysplasia due to CCD were recognized in a pool of three patients, the clavicle was distinctively displayed in all patients.

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Assessment of Attenuation Correction Algorithms With a $^{137}$Cs Point Source (Cs-137 점선원을 이용한 감쇠보정기법들에 대한 평가)

  • Bong, Jung-Kyun;Kim, Hee-Joung;Park, Hae-Jung;Kwon, Yun-Youn;Son, Hye-Kyoung;Yun, Mi-Jin;Lee, Jong-Doo;Jung, Hae-Jo
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2004.11a
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    • pp.96-99
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    • 2004
  • The objective of this study is to assess attenuation correction algorithms utilized in a multipurpose whole-body GSO PET scanner. Four different types of phantoms were tested using different types of attenuation correction techniques. FOV (Field of View) of 256mm was used for brain PET imaging. For compensating attenuation, transmission data of a $^{137}$Cs point source were acquired after the F-18 emission source was infused to the phantoms. Scatter correction were peformed. Reconstructed images of the phantoms were assessed. In addition, reconstructed images of a normal subject were compared and assessed by nuclear medicine physicians. As a result, decreased intensity at the central portion of the attenuation map with cylindrical phantom was noticed during use of the measured attenuation correction. On the other hand, segmentation or remapping attenuation correction provided uniform phantom image. the images reconstructed from the clinical brain data explained the attenuation of a skull, at though reconstructed images of the phantoms couldn't explain it. in conclusion, the complicated and improved attenuation correction methods were required to obtain the better accuracy of the quantitative brain PET images. Our study will be useful in improving quantitative brain PET imaging modalities with attenuation correction of $^{137}$Cs transmission source.

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Acceptance Testing and Commissioning of Robotic Intensity-Modulated Radiation Therapy M6 System Equipped with InCiseTM2 Multileaf Collimator

  • Yoon, Jeongmin;Park, Kwangwoo;Kim, Jin Sung;Kim, Yong Bae;Lee, Ho
    • Progress in Medical Physics
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    • v.29 no.1
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    • pp.8-15
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    • 2018
  • This work reports the acceptance testing and commissioning experience of the Robotic Intensity-Modulated Radiation Therapy (IMRT) M6 system with a newly released $InCise^{TM}2$ Multileaf Collimator (MLC) installed at the Yonsei Cancer Center. Acceptance testing included a mechanical interdigitation test, leaf positional accuracy, leakage check, and End-to-End (E2E) tests. Beam data measurements included tissue-phantom ratios (TPRs), off-center ratios (OCRs), output factors collected at 11 field sizes (the smallest field size was $7.6mm{\times}7.7mm$ and largest field size was $115.0mm{\times}100.1mm$ at 800 mm source-to-axis distance), and open beam profiles. The beam model was verified by checking patient-specific quality assurance (QA) in four fiducial-inserted phantoms, using 10 intracranial and extracranial patient plans. All measurements for acceptance testing satisfied manufacturing specifications. Mean leaf position offsets using the Garden Fence test were found to be $0.01{\pm}0.06mm$ and $0.07{\pm}0.05mm$ for X1 and X2 leaf banks, respectively. Maximum and average leaf leakages were 0.20% and 0.18%, respectively. E2E tests for five tracking modes showed 0.26 mm (6D Skull), 0.3 mm (Fiducial), 0.26 mm (Xsight Spine), 0.62 mm (Xsight Lung), and 0.6 mm (Synchrony). TPRs, OCRs, output factors, and open beams measured under various conditions agreed with composite data provided from the manufacturer to within 2%. Patient-specific QA results were evaluated in two ways. Point dose measurements with an ion chamber were all within the 5% absolute-dose agreement, and relative-dose measurements using an array ion chamber detector all satisfied the 3%/3 mm gamma criterion for more than 90% of the measurement points. The Robotic IMRT M6 system equipped with the $InCise^{TM}2$ MLC was proven to be accurate and reliable.