• 제목/요약/키워드: Treatment Technique

검색결과 3,871건 처리시간 0.033초

후리에 표시자를 이용한 포탈영상과 시뮬레이터 영상의 자동결합 (Automatic Image Matching of Portal and Simulator Images Using courier Descriptors)

  • 허수진
    • 대한의용생체공학회:의공학회지
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    • 제18권1호
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    • pp.9-16
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    • 1997
  • We develop an automatic imaging matching technique for combining portal image and simulator image for improvements in localization of treatment in radiation therapy. Fusion of images from two imaging modalities is treated as follows. We archive images thxough a frame-yabber. The simulator and portal images are edge detected and enhanced with interpolated adaptive histouam equalization and combined using geometrical parameters relating the coordinates of two image data sets which are calculated using Fourier descriptors. We don't use any kind of imaging markers for patient's convenience. clinical use of this image matching technique for treatment planning will result in improvements in localization of treatment volumes and critical structures. These improvements will allow greater sparing of normal tissues and more precise delivery of energy to the desired irradiation volume.

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바닥의 미끄럼 방지기술에 관한 실험적 검토 (Experimental Examination of Nonslip Technique of Floors)

  • 신윤호;백권혁;최수경
    • 한국건축시공학회:학술대회논문집
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    • 한국건축시공학회 2009년도 춘계 학술논문 발표대회 학계
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    • pp.235-238
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    • 2009
  • The study of our investigating and analyzing through experiments the performance on nonslip techniques, which has been nationally applied and represented, showed the following results. 1) In wearing shoes condition, regardless the shape of the surface and surface condition of the object, it satisfied the performance standard in cleaned and dried condition and the pulverulent body mixed liquid dispersed moisture condition. However, for the case of the non-slip agent treatment, not likely as the non-slip tape treatment case, the effect was not approved as it shows almost the same CSR as none treatment. 2) In bare foot condition, it satisfied the performance standard in most of the objects except for the Ceramic tile (A), Ceramic tile (B), pure and soapy water dispersed condition.

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MIPPO 수기를 이용한 원위 경골 골간단 골절의 치료 (Treatment of Distal Tibial Metaphyseal Fracture Using MIPPO Technique)

  • 이호승;김정재;오세관;안형선
    • 대한족부족관절학회지
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    • 제8권2호
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    • pp.166-170
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    • 2004
  • Purpose: To evaluate the results of MIPPO (minimal invasive percutaneous plate osteosynthesis) technique for distal tibial metaphyseal fractures. Materials and Methods: It is a retrospective study of 13 patients who were treated by MIPPO technique for distal tibial metaphyseal fractures from Jan. 2001 to Jan. 2003. The average age was 46.7 years and mean follow-up period was 13.3 months. According to AO classification, there were 8 cases of A1, 3 cases of A2, 1 case of B1 and 1 case of C2. One case of A1 was a Gustilo-Anderson type I open fracture and fibular fractures were combined in 12 cases. We applied anatomical reduction and internal fixation for the fibular fractures and internal fixation on the medial side of the tibia by MIPPO technique for distal tibial metaphyseal fractures. Clinical results were evaluated using radiographic results, Neer score, the starting time of postoperative exercise and clinical complications. Results: According to the Neer score, all cases showed satisfactory results. Active ankle ROM was started at average 2.4 weeks ($2{\sim}4$ weeks) and full weight bearing ambulation at average 5.2 weeks ($4{\sim}8$ weeks) postoperatively. Union of fractures was obtained by average 14.4 weeks ($8{\sim}18$ weeks) postoperatively. Two cases showed $5^{\circ}$ limitation of motion without functional deficits and other cases showed satisfactory ROM results. One case had $6^{\circ}$ valgus deformity without functional deficits. There were not any other complications like soft tissue problems and delayed-or non-union. Conclusion: MIPPO technique for the treatment of distal tibial metaphyseal fractures is a feasible technique with a good clinical outcomes.

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UNSM 기술을 이용한 초경의 기계적 특성변화 (Changes in Mechanical Properties of WC-Co by Ultrasonic Nanocrystal Surface Modification Technique)

  • 이승철;김준형;김학두;최갑수;아마노프 아웨즈한;편영식
    • Tribology and Lubricants
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    • 제31권4호
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    • pp.157-162
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    • 2015
  • In this study, an ultrasonic nanocrystalline surface modification (UNSM) technique is applied to tungsten carbide-cobalt (WC-Co) to extend the service life of carbide parts used in press mold. The UNSM technique modifies the structure, reduces the surface roughness, increases the surface hardness, induces the compressive residual stress, and increases the wear resistance of materials by introducing severe plastic deformation. The surface roughness, hardness, and compressive residual stress of WC after UNSM treatment improve by about 42, 10, and 71%, respectively. A wear test under dry conditions is used to assess the effectiveness of the UNSM technique on the friction and wear behavior of WC. The UNSM technique is found to reduce the WC friction coefficient by approximately 21% and enhance the wear resistance by approximately 85%. The improved friction and wear behavior of WC may be mainly attributed to the increased hardness and compressive residual stress. Moreover, the WC specimen is treated by UNSM technique using three different WC, silicon nitride (Si3N4) and stainless steel (STS304) balls. The surface treated by WC balls shows the highest hardness when compared with treatment by stainless steel and silicon nitride balls. According to the obtained results, the UNSM technique is believed to increase the durability of the carbide component by improving the friction and wear behavior.

뒤통수밑근 억제기법과 조합기법이 넙다리뒤근 단축 대상자의 넙다리뒤근 유연성에 미치는 영향 (Effect of suboccipital muscle inhibition and combination technique on the flexibility of hamstring in individuals with shortened hamstring)

  • 김태훈;구봉오;윤삼원;이정훈
    • PNF and Movement
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    • 제13권1호
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    • pp.31-37
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    • 2015
  • Purpose: The purpose of this study is to compare changes in the flexibility of hamstring muscles which are relaxed on suboccipital muscle through suboccipital muscle inhibition and combination technique. Methods: Thirty sample subjects (16 male and 14 female) were randomly divided into an experimental group (n=15) and a control group (n=15). 1. Suboccipital muscle inhibition: Suboccipital muscles of the patients were placed on a bed. The occipital region was placed on a therapist's fingers, and the posture was maintained for three minutes before remeasurement. 2. Treatment with combination technique (body bolster and wooden pillow): Wooden pillows were placed where the participants could relax the posterior arch of the atlas; additional body bolsters were also placed to avoid high pressure, and the treatment was maintained for three minutes before remeasurement. Results: There was a statistical difference in finger floor distance (FFD) and straight leg raise (SLR) results for those treated with SMI (P<0.05). There was no statistical difference in FFD and SLR results for those treated with the combination technique (P>0.05). Conclusion: Between the two intervention methods; the suboccipital muscle inhibition technique was more effective in increasing the flexibility of subjects with a shortened hamstring than was the combination technique.

근에너지기법(Muscle Energy Technique)과 Schroth Method를 이용한 특발성 척추 측만증 호전 1례 (A Clinical Case of Muscle Energy Technique and Schroth Method for Idiopathic Scoliosis)

  • 이성준;박재현;남수현;강준혁
    • 한방재활의학과학회지
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    • 제24권3호
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    • pp.173-179
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    • 2014
  • The purpose of this study is to report the effect of muscle energy technique (MET) and Schroth method on idiopathic scoliosis. A patient with idiopathic scoliosis was treated by MET and Schroth method. To investigate the outcome of the patient's improvement, we observed the X-ray of cervical, thoracic, lumbar spine. And Cobb's angle, correctability, visual analog scale (VAS) were used to measure changes during treatment. After treatment, Cobb's angle and correctability, VAS were improved significantly. MET and Schroth method are proved to be helpful to improve idiopathic scoliosis. And, further studies will be needed.

경추간판 접근법에 의한 내장 신경 차단 -증례 보고- (Splanchnic Nerve Block with Transdiscal Approach -A case report-)

  • 나영두;이정구;장영호;정정길
    • The Korean Journal of Pain
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    • 제10권1호
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    • pp.89-92
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    • 1997
  • Neurolytic splanchnic nerve block is effective for treatment of intractable upper abdominal cancer pain. Conventional approach for splanchnic nerve block is conducted in the prone position to ensure proper orientation and to allow insertion of needles on each side of the vertebral body. However, the prone position has some technical disadvantages as this position is frequently poorly tolerated by a majority of patients with advanced cancer due to severe abdominal pain, ascites and so on. Male patient, 53-year old with transverse colon cancer, carcinomatosis peritonei and $L_1,\;L_2$ vertebral body metastasis, was admitted for treatment of severe right upper quadrant and right iliac crest pain. We performed neurolytic splanchnic nerve block with transdiscal technique in the lateral decubitus position under fluoroscopic guidance, and well noted the usefulness and the advantage of this technique. The benefits of this technique are safe, simple and effective because the lateral position is better tolerated by patients and makes bony landmarks more accessible during fluoroscopy.

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심장압전에 대한 Seldinger 방법을 이용한 심낭배액술 -2례 보고- (Drainage with the Seldinger Technique for Cardiac Tamponade)

  • 김종원;박서완;김병준
    • Journal of Chest Surgery
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    • 제29권10호
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    • pp.1152-1156
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    • 1996
  • 총 대퇴동맥 거대동맥류는 드문 질환이며, 수술 시기를 놓치면 하지 절단을 초래하거나 사망할수도 있기 때문에 적절한 시기에 반드시 수술적 치료를 하여야 한다. 환자는 72세 남자로 입원 20일 전부터 생긴, 좌측 서혜부 박동성 종괴를 주소로 입원하였다 전산화 단층 촬영과 디 지탈 감쇄조영술로 총 대퇴동맥 거대동맥류를 진단하고 응급수술을 시행하였다. 수술은 동맥류를 절제하고 표재성 및 심부 대퇴동맥을 PTFE (Gore-tex) 인조혈관을 이용하여 연결하였다. 동맥류 원인은 병리 조직검사상 동맥 경화성으로 밝혀졌다.

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Quantitative Evaluation of Setup Error for Whole Body Stereotactic Radiosurgery by Image Registration Technique

  • Kim, Young-Seok;Yi, Byong-Yong;Kim, Jong-Hoon;Ahn, Seung-Do;Lee, Sang-wook;Im, Ki-Chun;Park, Eun-Kyung
    • 한국의학물리학회:학술대회논문집
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    • 한국의학물리학회 2002년도 Proceedings
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    • pp.103-105
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    • 2002
  • Whole body stereotactic radiosurgery (WBSRS) technique is believed to be useful for the metastatic lesions as well as relatively small primary tumors in the trunk. Unlike stereotactic radiosurgery to intracranial lesion, inherent limitation on immobilization of whole body makes it difficult to achieve the reliable setup reproducibility. For this reason, it is essential to develop an objective and quantitative method of evaluating setup error for WBSRS. An evaluation technique using image registration has been developed for this purpose. Point pair image registrations with WBSRS frame coordinates were performed between two sets of CT images acquired before each treatment. Positional displacements could be determined by means of volumetric planning target volume (PTV) comparison between the reference and the registered image sets. Twenty eight sets of CT images from 19 WBSRS patients treated in Asan Medical Center have been analyzed by this method for determination of setup random error of each treatment. It is objective and clinically useful to analyze setup error quantitatively by image registration technique with WBSRS frame coordinates.

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변형된 Neviaser 술식을 이용한 견봉쇄골관절 탈구의 치료 (The Treatment of the Acromioclavicular Dislocation using the Modified Neviaser Method)

  • 한수일;김준석;이영국
    • Clinics in Shoulder and Elbow
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    • 제4권1호
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    • pp.24-29
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    • 2001
  • Purpose: To describe a technique of the modified Neviaser method and to evaluate the clinical outcome of the technique in the treatment of the complete acromioclavicular joint dislocation, Materials and Method: We evaluated 20 patients who were treated by a modified Neviaser method from June 1996 to January 1999, They were followed up for a minimum of two years. The operative technique includes fixation of the acromioclavicular joint, repair of coracoclavicular ligament and transfer of the anterolateral band of coracoacromial ligament. Results: The 20 patients were evaluated clinically using Kang's criteria. The satisfactory results obtained in 85%. The mean coracoclavicular interval ratio was decreased from 2.22 preoperatively to 1.07 postoperatively. At the time of two year follow-up, the mean ratio was 1.20. There was no definite complication such as re-dislocation of the joint. Conclusion: In above type 3 acromioclavicular dislocation, the modified Neviaser method provided the advantage of strong and stable fixation with a low complication rate. Therefore, it is thought to be one of the useful operative technique.

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