• Title/Summary/Keyword: Treatment Planning

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Tumor Motion Tracking during Radiation Treatment using Image Registration and Tumor Matching between Planning 4D MDCT and Treatment 4D CBCT (치료계획용 4D MDCT와 치료 시 획득한 4D CBCT간 영상정합 및 종양 매칭을 이용한 방사선 치료 시 종양 움직임 추적)

  • Jung, Julip;Hong, Helen
    • Journal of KIISE
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    • v.43 no.3
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    • pp.353-361
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    • 2016
  • During image-guided radiation treatment of lung cancer patients, it is necessary to track the tumor motion because it can change during treatment as a consequence of respiratory motion and cardiac motion. In this paper, we propose a method for tracking the motion of the lung tumors based on the three-dimensional image information from planning 4D MDCT and treatment 4D CBCT images. First, to effectively track the tumor motion during treatment, the global motion of the tumor is estimated based on a tumor-specific motion model obtained from planning 4D MDCT images. Second, to increase the accuracy of the tumor motion tracking, the local motion of the tumor is estimated based on the structural information of the tumor from 4D CBCT images. To evaluate the performance of the proposed method, we estimated the tracking results of proposed method using digital phantom. The results show that the tumor localization error of local motion estimation is reduced by 45% as compared with that of global motion estimation.

A SYSTEMATIC IMPLANT TREATMENT PLANNING AND CONCEPTS FOR CLINICAL SUCCESS (체계적인 임플랜트 치료 계획의 수립과 성공적인 임상을 위한 컨셉트)

  • Jeong Seung-Mi;Kim Se-Hoon;Yoo Je-Hyeon
    • The Journal of Korean Academy of Prosthodontics
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    • v.44 no.2
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    • pp.243-249
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    • 2006
  • Statement of problem: It is important to have a correct presurgical treatment plan before any implant surgery. It must contain substantial information about the patient concerned. However, the standard classification only notifies the dentist about various structural, pathological and physiological dimensions Due to diverse structure of the jaw bone, current standard classification does not tell spatial dimensions of the available bone for implant insertion sites. Purpose of study: The purpose of this study is to report the establishment of the systematic implant treatment plan and its clinical treatment using $Implan^(R)$ program which is based on ASCIi-classification that is available for future diagnosis and scale of treatment and for systematic implant insertion. Results: By assisting the systemic measurement of the available alveolus dimension during implant surgery, it was easy to set initial implant treatment plan. Conclusion: Using $Implan^(R)$ program which is based on ASCIi-classification system that allows the establishment of systemic implant treatment plan and successful clinical performance, it was possible to establish the founding or initial implant treatment plan , the acquisition of information, and the systematization of documentation.

Planning and Evaluation of Orthognathic surgery using CBCT imaging (임상가를 위한 특집 3 - CBCT를 이용한 악교정수술 계획 수립 및 평가)

  • Choi, Jeong-Ho
    • The Journal of the Korean dental association
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    • v.52 no.1
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    • pp.27-36
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    • 2014
  • The introduction of cone-beam computed tomography(CBCT) and computer software in dentistry has allowed orthodontists and maxillofacial surgeons to provide more accurate diagnosis and treatment. In this article, a facial asymmetry patient who had orthodontic treatment combined with orthognathic surgery using CBCT imaging is introduced and the way how CBCT imaging could be applied in clinical orthodontics and orthognathic surgery is explained. Also, evaluation of treatment outcomes using CBCT is suggested. More accurate, predictable and efficient surgical orthodontic planning and treatment are expected in the near future through cutting edge medical imaging including CBCT and CAD/CAM technologies.

Three-Dimensional Dose Distribution for the System of Linear Accelerator-based Stereotactic Radiosurgery (LINAC을 이용한 뇌정위적 방사선 수술에 대한 3 차원 선량분포)

  • Suh, Tae-Suk
    • Progress in Medical Physics
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    • v.2 no.2
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    • pp.121-128
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    • 1991
  • Radiosurgery treatment in the brain requires detailed information on three-dimensional dose distribution. A three-dimensional treatment planning is a prerequisite for treatment plan optimization. It must cover 3-D methods for representing the patient, the dose distributions, and beam settings. Three-dimensional dose models for non-coplanar moving arcs were developed using measured single beam data and efficient 3-D dose algorithms for circular fields. The implementation of three dimensional dose algorithms with stereotactic radiosurgery and the application of the algorithms to several cases are discussed.

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Physical Therapy Following Leg Lengthening and Deformity Correction by Ilizarov Method : Clinical Commentary (Ilizarov 술식을 이용한 하지 연장술 및 변형 교정술 후 물리치료)

  • Kim, Tae-Youl;Hwang, Tae-Yeun
    • Journal of Korean Physical Therapy Science
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    • v.1 no.2
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    • pp.355-365
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    • 1994
  • Ilizarov limb lengthening has been the new method to deal with a variety of orthopaedic problems. Ilizarov apparatus consists of stainless steel rings that surround the limb and are interconnected by threaded rods. Tensioned wires pierce the bone in the plane of each ring and are tightly attached to the ring. Ilizarov has reported distraction osteogenesis with the use of the typical fixator that allows functional loading. The purpose of this commentary is to introduce a four-stage rehabilitation protocol currently used by the authors in the physical therapy management of a post -limb lengthening. Each treament stage corresponds to a medical stage in the lengthening process. Treatment goals for each of the physical therapy treatment stage are presented to guide treatment planning. Two case examples are presented to illustrate the use of the management goals in treatment planning.

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Orthognathic treatment of facial asymmetry due to temporomandibular joint ankylosis

  • Gulsen, Ayse;Sibar, Serhat;Ozmen, Selahattin
    • Archives of Plastic Surgery
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    • v.45 no.1
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    • pp.74-79
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    • 2018
  • The aim of this study was to present a case series of the orthognathic treatment of facial asymmetry due to temporomandibular joint (TMJ) ankylosis and to characterize the current treatment modalities through a literature review. Four patients who presented with facial asymmetry due to TMJ ankylosis between 2010 and 2014 were included in this study. TMJ ankylosis was surgically treated before bimaxillary surgery with advancement genioplasty in some of the cases. In 2 cases, 3-dimensional (3D) models were used for diagnosis and treatment planning, as 3D models are very important tools for planning surgical maneuvers. Aesthetically pleasant facial symmetry and a good facial profile were obtained in all the cases.

A Simplified Treatment Algorithm of Frontal Sinus Fractures: A Paradigm Shift? (단순화된 전두동 골절 치료 알고리즘: 패러다임의 전환인가?)

  • Shinn, Myoung Soo;Song, Jung-Kook;Yun, Byung Min
    • Archives of Craniofacial Surgery
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    • v.12 no.1
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    • pp.1-5
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    • 2011
  • Purpose: The management of frontal sinus fractures and frontal sinus outflow tract (=FSOT) injuries is controversial. Traditional treatments include frontal sinus obliteration with a variety of material grafts, which all employ complicated algorithms for treatment planning. A simplified algorithm aiming for frontal sinus ventilation, however, can be achieved through the advanced technology of image guided endoscopic surgery and instruments. The authors explain this simplified treatment algorithm of frontal sinus fractures. Methods: The authors reviewed articles on the management of frontal sinus fractures. Results: Complicated treatment planning algorithms of frontal sinus fractures aiming for obliteration were replaced with a simplified algorithm aiming for ventilation of the frontal sinus. Conclusion: The authors suggest that a simplified algorithm can replace the complicated algorithms in selective cases.

Implant Fixture Installation in the Posterior Maxilla Using a Tooth-supported Surgical Template Based on Computer Assisted Treatment Planning (컴퓨터 보조 기반 치아 지지 서지컬 템프레이트를 이용한 상악구치부 임플란트 식립)

  • Kim, Soung Min;Kim, Myung Joo;Lee, Jee Ho;Myoung, Hoon;Lee, Jong Ho;Kim, Myung Jin
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.35 no.6
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    • pp.381-389
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    • 2013
  • Two patients with partial edentulous maxilla were scheduled to undergo installation of implant fixtures using a tooth-supported surgical template based on computer assisted treatment planning. After 3-dimensional (3D) computed tomographic scanning was transferred to the OnDemand3D (Cybermed Co., Seoul, Korea) software program for virtual planning, fixtures of MK III Groovy RP implant of the Br${\aa}$nemark System (Nobel Biocare AB Co., G$\ddot{o}$teborg, Sweden) was installed using the In2Guide (CyberMed Co., Seoul, Korea) tooth-supported surgical template with a Quick Guide Kit (Osstem Implant Co., Seoul, Korea) system in the posterior maxilla of each patient. Sinus floor elevation with a xenogenic bone graft procedure was also performed simultaneously in one patient. Fixture installations were completed successfully without complications, such as sinus mucosa perforation, bony bleedings, fenestrations, or others. During the last two-year follow-up period after prosthetics delivery, each implant was found to be fine with no other minor complications. The entire procedures are reported and the literatures on use of tooth-supported surgical template was reviewed.

Does cone-beam CT alter treatment plans? Comparison of preoperative implant planning using panoramic versus cone-beam CT images

  • Guerrero, Maria Eugenia;Noriega, Jorge;Castro, Carmen;Jacobs, Reinhilde
    • Imaging Science in Dentistry
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    • v.44 no.2
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    • pp.121-128
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    • 2014
  • Purpose: The present study was performed to compare the planning of implant placement based on panoramic radiography (PAN) and cone-beam computed tomography (CBCT) images, and to study the impact of the image dataset on the treatment planning. Materials and Methods: One hundred five partially edentulous patients (77 males, 28 females, mean age: 46 years, range: 26-67 years) seeking oral implant rehabilitation were referred for presurgical imaging. Imaging consisted of PAN and CBCT imaging. Four observers planned implant treatment based on the two-dimensional (2D) image data-sets and at least one month later on the three-dimensional (3D) image dataset. Apart from presurgical diagnostic and dimensional measurement tasks, the observers needed to indicate the surgical confidence levels and assess the image quality in relation to the presurgical needs. Results: All observers confirmed that both imaging modalities (PAN and CBCT) gave similar values when planning implant diameter. Also, the results showed no differences between both imaging modalities for the length of implants with an anterior location. However, significant differences were found in the length of implants with a posterior location. For implant dimensions, longer lengths of the implants were planned with PAN, as confirmed by two observers. CBCT provided images with improved scores for subjective image quality and surgical confidence levels. Conclusion: Within the limitations of this study, there was a trend toward PAN-based preoperative planning of implant placement leading towards the use of longer implants within the posterior jaw bone.