• 한국염색가공학회지
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• 제25권3호
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• pp.215-222
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• 2013

The purpose of this study is to minimize fading fabrics of surgical gown by repeated severe laundering and sterilization condition. The study showed that the best conditions were reduction cleaning using sulphinic acid derivatives or glucose organic chemicals at $98^{\circ}C$ alkaline solutions. In these conditions, color difference values(dE) were below 1.0 that means unrecognizable color change by repeated laundering and sterilization. If it treated with only laundering, reduction cleaning conditions may adjust over $80^{\circ}C$ alkaline solution. In conclusion, it is needed to select the high-washing fastness dye and reduction cleaning using sulphinic acid derivatives or glucose organic chemicals at $98^{\circ}C$ alkaline solutions for removal unfixed dyes.

• Medical Lasers
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• 제9권2호
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• pp.103-109
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• 2020

Transoral microsurgery has come a long way as a go-to surgical intervention technique for head and neck cancers. This minimally invasive procedure had gained acceptance through comparative clinical studies against radical neck surgical procedures, radiotherapy, and chemotherapy. Laser technology has vastly improved the oncological outcomes of this procedure and brought about an appreciation of transoral laser surgery (TLM) as a mainstay for re-sectioning malignant tumors along the throat. As an established procedure, TLM has undergone several upgrades regarding the different energy devices used for cutting, ablation, and hemostasis. Continued advances in automation have eventually led to surgical robotics, resulting in the emergence of transoral robotic surgery (TORS) as a viable advanced alternative for TLM. Similarly, expansions and enhancements (image-based guidance, fluorescence spectroscopy, and advanced robotic system) have also been investigated as potential upgrades for TORS. This paper reviews a selection of publications on the significant technological advancements to TLM and TORS over the past five years.

• 대한의용생체공학회:의공학회지
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• 제41권4호
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• pp.154-164
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• 2020

Various simulator systems for surgery training have been developed and recently become more widely utilized with technology advancement and change in medical education adopting actively simulation-based training. The authors have developed tissue-instrument interaction modeling and graphical simulation algorithms for an arthroscopic surgery training simulator system. In this paper, we propose algorithms for basic surgical techniques, such as cutting, shaving, drilling, grasping, suturing and knot tying for rotator cuff surgery. The proposed method constructs a virtual 3-dimensional model from actual patient data and implements a real-time deformation of the surgical object model through interaction between ten types of arthroscopic surgical tools and a surgical object model. The implementation is based on the Simulation Open Framework Architecture (SOFA, Inria Foundation, France) and custom algorithms were implemented as pulg-in codes. Qualitative review of the developed results by physicians showed both feasibility and limitations of the system for actual use in surgery training.

• Imaging Science in Dentistry
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• 제44권2호
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• pp.155-160
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• 2014

Purpose: The purposes of this study were to develop a workstation computer that allowed intraoperative touchless control of diagnostic and surgical images by a surgeon, and to report the preliminary experience with the use of the system in a series of cases in which dental surgery was performed. Materials and Methods: A custom workstation with a new motion sensing input device (Leap Motion) was set up in order to use a natural user interface (NUI) to manipulate the imaging software by hand gestures. The system allowed intraoperative touchless control of the surgical images. Results: For the first time in the literature, an NUI system was used for a pilot study during 11 dental surgery procedures including tooth extractions, dental implant placements, and guided bone regeneration. No complications were reported. The system performed very well and was very useful. Conclusion: The proposed system fulfilled the objective of providing touchless access and control of the system of images and a three-dimensional surgical plan, thus allowing the maintenance of sterile conditions. The interaction between surgical staff, under sterile conditions, and computer equipment has been a key issue. The solution with an NUI with touchless control of the images seems to be closer to an ideal. The cost of the sensor system is quite low; this could facilitate its incorporation into the practice of routine dental surgery. This technology has enormous potential in dental surgery and other healthcare specialties.

• International Journal of Arrhythmia
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• 제19권3호
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• pp.285-339
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• 2018

Catheter ablation of atrial fibrillation (AF) is one of the most complex interventional electrophysiological procedures. The success of AF ablation is based in large part on freedom from AF recurrence based on electrocardiography (ECG) monitoring. Arrhythmia monitoring can be performed with the use of noncontinuous or continuous ECG monitoring tools. AF ablation is an invasive procedure that entails risks, most of which are present during the acute procedural period. However, complications can also occur in the weeks or months following ablation. Recognizing common symptoms after AF ablation and distinguishing those that require urgent evaluation and referral to an electrophysiologist is an important part of follow-up after AF ablation. This section reviews the complications associated with catheter ablation procedures performed to treat AF. The types and incidence of complications are presented, their mechanisms are explored, and the optimal approach to prevention and treatment is discussed. Finally, surgical and hybrid AF ablation technology and the indications for concomitant open or closed surgical ablation of AF, stand-alone and hybrid surgical ablation of AF are covered in this section.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제14권2호
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• pp.671-686
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• 2020

Due to the long training time and high training cost of traditional surgical training methods, the emerging virtual surgical training method has gradually replaced it as the mainstream. However, the virtual surgical system suffers from poor authenticity and high computational cost problems. For overcoming the deficiency of these problems, we propose an optimized model for the local compression deformation of soft tissue. This model uses a simulated annealing algorithm to optimize the parameters of the soft tissue model to improve the authenticity of the simulation. Meanwhile, although the soft tissue deformation is divided into local deformation region and non-deformation region, our proposed model only needs to calculate and update the deformation region, which can improve the simulation real-time performance. Besides, we define a compensation strategy for the "superelastic" effect which often occurs with the mass-spring model. To verify the validity of the model, we carry out a compression simulation experiment of abdomen and human foot and compare it with other models. The experimental results indicate the proposed model is realistic and effective in soft tissue compression simulation, and it outperforms other models in accuracy and real-time performance.

• 한국콘텐츠학회논문지
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• 제18권12호
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• pp.218-228
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• 2018

본 연구의 목적은 치의학 임상실습 장면에서 활용이 가능한 가상현실 기반의 치아발치 교육콘텐츠를 개발하는 것이다. 이러한 목적을 달성하기 위해 '학습내용 분석-설계모형 도출-개발-타당도 검증-수정 및 콘텐츠 완성'의 단계를 거쳐 치아발치 실습용 교육콘텐츠를 개발하였다. 연구결과, 3D모델링을 적용하여 환자의 안면해부학적 모델을 구축하고, 치아발치 수술과정 시나리오를 바탕으로 가상현실 기술을 적용한 단계별 수술장면을 에니메이션으로 구축하였다. 개발된 콘텐츠에 대한 전문가 평가를 실시하였으며, 인터페이스 타당도(M: 4.81, SD: 0.72)와 내용타당도(M:4.66, SD: 0.71)를 검증한 결과 타당하게 설계된 것으로 분석되었다. 따라서 개발된 치아발치 실습용 교육콘텐츠는 치의학 전공생의 임상수행 능력을 향상시키는데 적절한 도구로 판단된다. 본 연구를 토대로 의료 분야의 다양한 실습장면을 지원할 수 있는 가상현실 기술 기반의 교육용 콘텐츠 개발 연구가 활성화되기를 기대한다.

• Journal of Veterinary Science
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• 제23권3호
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• pp.46.1-46.8
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• 2022

Background: Stenting is an effective treatment option for tracheal collapse in dogs. Cross-braided tracheal stents are currently the norm in veterinary medicine, but cross-and-hook braided stents have recently been adopted in human medicine. We examined whether stents manufactured using this novel braiding technique provided additional advantages for the treatment of tracheal collapse in dogs. Objectives: To evaluate the outcomes of cross-and-hook braided stent implantation in the treatment of tracheal collapse in dogs. Methods: The medical records of 22 client-owned dogs that underwent luminal placement of cross-and-hook braided Fauna Stents for the treatment of tracheal collapse between January 2018 and July 2021 were examined and data on canine signalment, clinical signs, diagnostic test results, surgical outcomes, and postoperative complications were retrieved and analyzed statistically. Results: Twenty-six stents were surgically implanted, with 20 dogs (90.9%) receiving one stent and the remaining two (9.1%) receiving two or more stents. All dogs survived the procedure. The median survival time at a median follow-up of 990 days was 879 days. At the final follow-up examination, loss or mild improvement of cough was observed in all dogs. Conclusions: Compared with conventional lumen stents, the cross-and-hook braided Fauna Stent offered a higher survival rate and improved clinical symptoms in all patients. The results of this study suggest that the Fauna Stent may be a promising treatment option for dogs with tracheal collapse.

• 대한의용생체공학회:의공학회지
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• 제28권6호
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• pp.786-790
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• 2007

Up to now, surgeons have operated while peering at images which visualize the medical state of the patient such as MRI or CT images. On the other hand, direct-projected augmented reality technology liberates surgeons from the inconvenience by directly projecting medical information onto the patient's body. However surgeons still feel inconvenient when they mark surgical targets for planning an operation because they use an ink pen which is difficult to modify or delete and is also likely to be unsanitary. In this paper, we resolve these problems by proposing an interactive user interface based on direct-projected augmented reality technology and its validity is shown in experimental results.

• Journal of Korean Neurosurgical Society
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• 제60권3호
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• pp.289-293
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• 2017

An exoscope, high-definition video telescope operating monitor system to perform microsurgery has recently been proposed an alternative to the operating microscope. It enables surgeons to complete the operation assistance by visualizing magnified images on a display. The strong points of exoscope are the wide field of view and deep focus. It minimized the need for repositioning and refocusing during the procedure. On the other hand, limitation of magnifying object was an emphasizing weak point. The procedures are performed under 2D motion images with a visual perception through dynamic cue and stereoscopically viewing corresponding to the motion parallax. Nevertheless, stereopsis is required to improve hand and eye coordination for high precision works. Consequently novel 3D high-definition operating scopes with various mechanical designs have been developed according to recent high-tech innovations in a digital surgical technology. It will set the stage for the next generation in digital image based neurosurgery.