• Korean Journal of Radiology
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• 제22권10호
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• pp.1730-1741
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• 2021

Objective: Although thermal ablation is effective in treating low-risk papillary thyroid microcarcinomas (PTMCs), comparison of treatment outcomes between thermal ablation and surgery has not yet been systematically evaluated. This study aimed to compare the efficacy and safety of thermal ablation and surgery for the treatment of low-risk PTMCs. Materials and Methods: Ovid-MEDLINE and EMBASE databases were searched for studies reporting comparisons of treatment results between thermal ablation and surgery for patients with low-risk PTMC published up to April 6, 2020. The analysis evaluated the efficacy (local tumor recurrence, occurrence of new tumor, metastasis, and rescue surgery) and safety (complication rate) of thermal ablation and surgery. Results: This systematic review included four studies with a total of 339 PTMCs in 339 patients who underwent thermal ablation and 320 PTMCs in 314 patients who underwent surgery. There was no local tumor recurrence or distant metastasis in either group. There was no significant difference in the pooled proportion of lymph node metastasis (2.6% with thermal ablation vs. 3.3% with surgery, p = 0.65), occurrence of new tumors (1.4% with thermal ablation vs. 1.3% with surgery, p = 0.85), or rescue surgery (2.6% with thermal ablation vs. 1.6% with surgery, p = 0.62). However, the pooled complication rate was significantly higher in the surgery group than in the ablation group (3.3% with thermal ablation vs. 7.8% with surgery, p = 0.03). Conclusion: Both thermal ablation and surgery are effective and safe options for the management of low-risk PTMCs, with thermal ablation achieving a lower complication rate. Therefore, thermal ablation may be considered as an alternative treatment option for low-risk PTMC in patients who refuse surgery and active surveillance or are ineligible for surgery.

• Korean Journal of Radiology
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• 제22권9호
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• pp.1490-1496
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• 2021

• 한국추진공학회:학술대회논문집
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• 한국추진공학회 2010년도 제34회 춘계학술대회논문집
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• pp.113-122
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• 2010

고체추진기관의 연소 환경에서 복잡한 형상을 갖는 내열 복합재료의 온도, 밀도분포 및 삭마두께를 예측할 수 있는 방법을 개발하였다. 복합재료의 내부 열반응은 Arrhenius 모델을 이용하였으며, 표면 삭마반응은 Zvyagin 이론을 사용하였다. 표면 삭마에 의한 경계조건 및 격자 이동은 상용해석 코드에서 활용되는 Rezoning-remeshing 기법을 사용하였다. 형상이 복잡한 부품으로 이루어진 2차원 축대칭 노즐 조립체에 적용된 방법은 향후 3차원 FEM 열구조 해석에 활용을 목표로 발전될 것이다.

• Journal of the Korean Physical Society
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• 제73권9호
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• pp.1289-1294
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• 2018

The present study aims to investigate experimentally and theoretically thermal ablation in soft tissues by using high intensity focused ultrasound (HIFU) to assess tissue damage during HIFU thermotherapy. The HIFU field was calculated by solving the axisymmetric Khokhlov-Zabolotskaya-Kuznetsov equation from the frequency-domain perspective. The temperature field was calculated by solving Pennes' bioheat transfer equation, and the thermal dose required to create a thermal lesion was calculated by using the thermal dose formula based on the thermal dose of a 240-min exposure at $43^{\circ}C$. In order to validate the simulation results, we performed thermal ablation experiments in a tissue-mimicking phantom and ex-vivo porcine liver for two different HIFU source conditions by using a 1.1-MHz, single-element, spherically focused HIFU transducer. The small difference between the measured and the predicted lesion sizes suggests that the implementation of the numerical model used here should be modified to iteratively allow for temperature-dependent changes in the physical properties of tissues.

• Korean Journal of Radiology
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• 제25권1호
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• pp.33-42
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• 2024

Focal enhancement typically suggests local tumor progression (LTP) after renal cell carcinoma is percutaneously ablated. However, evaluating findings that are false positive or negative of LTP is less familiar to radiologists who have little experience with renal ablation. Various imaging features are encountered during and after thermal ablation. Ablation procedures and previous follow-up imaging should be reviewed before determining if there is LTP. Previous studies have focused on detecting the presence or absence of focal enhancement within the ablation zone. Therefore, various diagnostic pitfalls can be experienced using computed tomography or magnetic resonance imaging examinations. This review aimed to assess how to read images during or after ablation procedures, recognize imaging features of LTP and determine factors that influence LTP.

• 한국추진공학회지
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• 제3권2호
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• pp.37-47
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• 1999

본 논문은 노즐내열재의 삭마로 인해 야기된 형상변화를 고려하면서 로켓노즐 내열재의 삭마량 및 온도분포를 해석하는 열반응해석에 대해 기술하였다. 열반응 해석에서 표면 삭마는 Zvyagin의 모델을, 내부 열분해는 Yaroslavtseva의 모델을 사용하였다. 노즐내열재의 형상변화로 인한 경계면 이동을 고려하기 위하여 변형가능한 유한요소 격자를 사용하였다. 본 수치해석기법의 타당성을 입증하기 위해 로켓 노즐내열재에 대해 열해석을 수행하였으며, 그 결과 수치해는 실험결과와 잘 일치함을 보였다. 노즐내열재에서의 시간에 따른 온도변화 및 삭마량을 계산하고 고찰하였으며 또한 탄소/탄소 내열재 및 탄소/페놀릭 내열재의 열반응상수가 노즐내열재의 삭마량에 미치는 영향에 대해서 검토하였다.

• Korean Journal of Radiology
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• 제24권2호
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• pp.86-94
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• 2023

Objective: To compare Octopus multipurpose (MP) electrodes, which are capable of saline instillation and direct tissue temperature measurement, and conventional electrodes for radiofrequency ablation (RFA) in porcine livers in vivo. Materials and Methods: Sixteen pigs were used in this study. In the first experiment, RFA was performed in the liver for 6 minutes using Octopus MP electrodes (n = 15 ablation zones) and conventional electrodes (n = 12 ablation zones) to investigate the effect of saline instillation. The ablation energy, electrical impedance, and ablation volume of the two electrodes were compared. In the second experiment, RFA was performed near the gallbladder (GB) and colon using Octopus MP electrodes (n = 12 ablation zones for each) with direct tissue temperature monitoring and conventional electrodes (n = 11 ablation zones for each). RFA was discontinued when the temperature increased to > 60℃ in the Octopus MP electrode group, whereas RFA was performed for a total of 6 minutes in the conventional electrode group. Thermal injury was assessed and compared between the two groups by pathological examination. Results: In the first experiment, the ablation volume and total energy delivered in the Octopus MP electrode group were significantly larger than those in the conventional electrode group (15.7 ± 4.26 cm³ vs. 12.5 ± 2.14 cm³, p = 0.027; 5.48 ± 0.49 Kcal vs. 5.04 ± 0.49 Kcal, p = 0.029). In the second experiment, thermal injury to the GB and colon was less frequently noted in the Octopus MP electrode group than that in the conventional electrode group (16.7% [2/12] vs. 90.9% [10/11] for GB and 8.3% [1/12] vs. 90.9% [10/11] for colon, p < 0.001 for all). The total energy delivered around the GB (2.65 ± 1.07 Kcal vs. 5.04 ± 0.66 Kcal) and colon (2.58 ± 0.57 Kcal vs. 5.17 ± 0.90 Kcal) were significantly lower in the Octopus MP electrode group than that in the conventional electrode group (p < 0.001 for all). Conclusion: RFA using the Octopus MP electrodes induced a larger ablation volume and resulted in less thermal injury to the adjacent organs compared with conventional electrodes.

• 한국추진공학회:학술대회논문집
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• 한국추진공학회 2011년도 제37회 추계학술대회논문집
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• pp.565-569
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• 2011

고체추진기관의 연소 환경에서 노즐 조립체의 온도, 삭마두께를 고려한 2차원 축대칭 열구조 해석을 하였다. 복합재료의 내부 열반응은 Arrhenius 모델을 이용하였으며, 표면 삭마반응은 Zvyagin 이론을 사용하였다. 표면 삭마에 의한 경계조건 및 격자 이동은 상용해석 코드에서 활용되는 Rezoning-remeshing 기법을 사용하였다. 형상이 복잡한 부품으로 이루어진 2차원 축대칭 노즐 조립체에 적용된 방법은 향후 3차원 FEM 열구조 해석에 활용을 목표로 발전될 것이다.

• International Journal of Computer Science & Network Security
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• 제23권2호
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• pp.183-192
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• 2023

Radiofrequency ablation (RFA) is an alternative treatment for liver cancer to the surgical intervention preferred by surgeons. However, the main challenge remains the use of RF for the ablation of large tumours (i.e., tumours with a diameter of >3 cm). For large tumours, RFA takes a large duration in the ablation process compared with surgery, which increases patient pain. Therefore, RFA for large tumours is not preferred by surgeons. The currently materials used in RF electrodes, such as the nickeltitanium alloy (nitinol), are characterized by low thermal and electrical conductivities. On the other hand, the use of materials that have high thermal and electrical conductivities, such as titanium aluminide alloy (gamma titanium), produces more thermal energy for tumours. In this paper, we developed a cool-tip RF electrode model that uses nickel-titanium alloy and replaced it with titanium aluminide alloy by using the finite element model (FEM). The aim of this paper is to study the effect of the thermal and electrical conductivities of gamma titanium on the ablation volume. Results showed that the proposed design of the electrode increased the ablation rate by 1 cm³ /minute and 6.3 cm³/10 minutes, with a decrease in the required time ablation. Finally, the proposed model reduces the ablation time and damages healthy tissue while increasing the ablation volume from 22.5% cm³ to 62.5% cm³ in ten minutes compared to recent studies.

• 한국추진공학회:학술대회논문집
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• 한국추진공학회 2009년도 춘계학술대회 논문집
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• pp.311-314
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• 2009

고체추진기관의 연소 환경에서 복잡한 형상을 갖는 내열 복합재료의 온도 및 밀도분포를 예측할 수 있는 방법을 개발하였다. 복합재료의 내부 열반응은 Arrhenius 모델을 이용하였으며, 표면 삭마반응은 Zvyagin 이론을 사용하였다. 표면 삭마에 의한 경계조건 및 격자 이동은 Rezoning 기법을 사용하였으며 열분해에 의한 흡열반응 효과는 열분해 가스의 조성비에 기준한 유효 비열 값을 이용하여 계산되었다. 형상이 복잡한 부품으로 이루어진 2차원 축대칭 노즐 조립체에 적용된 방법은 향후 3차원 FEM 열구조 해석에 활용을 목표로 발전될 것이다.