• 제목/요약/키워드: Treatment Technique

검색결과 3,884건 처리시간 0.037초

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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Ilizarov 술식을 이용한 심한 족부 변형의 치료 (Treatment for Severe Deformed Foot with Ilizarov Technique(2 cases))

  • 박용욱;이창주;정영기;유정한;박주혁
    • 대한족부족관절학회지
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    • 제2권1호
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    • pp.42-47
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    • 1998
  • The conventional surgical treatment for deformed foot has always consisted of massive soft tissue releases combined with varying methods of osteotomies and fusions to plantigrade functional foot. But, the resulting feet have often been foreshortened, stiff, and nothing more than a cosmetically acceptable but functionally poor foot. Now the techniques of distraction histogenesis has been given a new tool to apply to the complex foot deformity. We have recently experienced two cases of severe deformed feet and treated with Ilizarov technique. One patient had postcompartmental severe rigid equinocavovarus foot. And the other had traumatic severe rigid metatarsus abductus. The follow up periods were 14 and 28 months respectively. The feet were aesthetically pleasing. So, we believed that the Jlizarov technique is an excellent treating method for severe deformed foot.

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소구경 탄약 분해기술 및 장비개발 (Development of dissolvable technique and equipment for small caliver ammunition)

  • 구경화;이재화;김석;정현수
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2003년도 추계학술대회
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    • pp.1916-1920
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    • 2003
  • By development of dissolvable technique and equipment for warhead, empty cartridge and ammunition in small caliver, pollution of environment and waste of resources problems brought by existing incinerative abrogation can be fundamentally prevented. In addition, Automatic high-speed mechanically dissolving technique using indexing equipment developed in this study makes possible curtailment of manpower and recycling treatment of recources.

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Open and Closed Mouth Impression Techniques for Mandibular Implant Overdenture: Two Cases Report

  • Ha-Jin, Yoon;Jung-Yoon, Bae
    • Journal of Korean Dental Science
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    • 제15권2호
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    • pp.152-161
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    • 2022
  • Mandibular implant overdenture is a good treatment option for complete edentulous patients with restoring removable prosthesis. Mandibular implant overdenture with two implants and locator attachments is widely used. It is tissue-supported overdenture that is made with the concept of conventional complete denture fabrication. There are two patients who provided impressions by open mouth technique and closed mouth technique in each case. In both cases, mandibular implant overdentures were restored with functionally and aesthetically satisfying results.

Roadmapping technique in the hybrid operating room for the microsurgical treatment of complex intracranial aneurysms

  • Juan Luis Gomez-Amador;Cristopher G Valencia-Ramos;Marcos Vinicius Sangrador-Deitos;Aldo Eguiluz-Melendez;Gerardo Y Guinto-Nishimura;Alan Hernandez-Hernandez;Samuel Romano-Feinholz;Luis Alberto Ortega-Porcayo;Sebastian Velasco-Torres;Jose J Martinez-Manrique;Juan Jose Ramirez-Andrade;Marco Zenteno-Castellanos
    • Journal of Cerebrovascular and Endovascular Neurosurgery
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    • 제25권1호
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    • pp.50-61
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    • 2023
  • Objective: To describe the roadmapping technique and our three-year experience in the management of intracranial aneurysms in the hybrid operating room. Methods: We analyzed all patients who underwent surgical clipping for cerebral aneurysms with the roadmapping technique from January 2017 to September 2019. We report demographic, clinical, and morphological variables, as well as clinical and radiological outcomes. We further describe three illustrative cases of the technique. Results: A total of 13 patients were included, 9 of which (69.2%) presented with subarachnoid hemorrhage, with a total of 23 treated aneurysms. All patients were female, with a mean age of 47.7 years (range 31-63). All cases were anterior circulation aneurysms, the most frequent location being the ophthalmic segment of the internal carotid artery (ICA) in 11 cases (48%), followed by posterior communicating in 8 (36%), and ICA bifurcation in 2 (8%). Intraoperative clip repositioning was required in 9 aneurysms (36%) as a result of the roadmapping technique in the hybrid operating room. There were no residual aneurysms in our series, nor reported mortality. Conclusions: The roadmapping technique in the hybrid operating room offers a complementary tool for the adequate occlusion of complex intracranial aneurysms, as it provides a real time fluoroscopic-guided clipping technique, and clip repositioning is possible in a single surgical stage, whenever a residual portion of the aneurysm is identified. This technique also provides some advantages, such as immediate vasospasm identification and treatment with intra-arterial vasodilators, balloon proximal control for certain paraclinoid aneurysms, and simultaneous endovascular treatment in selected cases during a single stage.

적정기술 관점에서 보는 근관 충전 (Root Canal Obturation from the Viewpoint of Appropriate Technology)

  • 김선일
    • 대한치과의사협회지
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    • 제56권10호
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    • pp.567-571
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    • 2018
  • Obturation is a important procedure of root canal treatment. Canal filling should be both provide a hermetic seal for the root canal system and eliminate leakage channel from the oral cavity. Gutta-percha have been the standard material of choice for root canal obturation. Canal filling has been aimed at maximizing the amount of gutta-percha and minimizing the amount of sealer. However recently, single cone technique has been introduced that include calcium silicate-based sealer and single gutta-percha cone. It is important to select an obturation technique that offers consistency and is easy to use. From the standpoint of appropriate technology, the single cone technique is thought to be useful for general dentist.

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내전형 경련성 발성장애인에서 서동일 음성치료 기법의 적용 1례 (Application of Seo Dongil's Voice Technique in Patient with Adductor Spasmodic Dysphonia: A Case Study)

  • 서동일;유재연;정옥란;최홍식
    • 음성과학
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    • 제9권4호
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    • pp.39-47
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    • 2002
  • The purpose of this study was to investigate the effects of Seo Dongil's voice technique on voice quality in patient with adductor spasmodic dysphonia. One patient participated in the study. The subject was assessed acoustically (Ave Fo, Ave Int, percent speech time, percent silence time, percent voice time, percent voiceless time) and perceptually (GRBAS scales) in the first and last session. Dr. Speech (version 4.0, Tiger-DRS) was used to compare acoustic parameters of pre-and post-treatment. Seo Dongil's voice technique consisted of relaxation, breathing exercise and phonation exercise. The results were as follows: First, Seo Dongil's voice technique tented to be effective on decreasing voice break and voice stoppage in patient with adductor spasmodic dysphonia. Second, GRBAS scales showed that Seo Dongil's voice technique was effective on improving voice quality of patient with adductor spasmodic dysphonia.

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Modified Book Binding Technique (MBBT) for Intracorporeal Gastroduodenostomy in Totally Laparoscopic Distal Gastrectomy: Initial Experience

  • Kim, Jin Sung;Park, Eun Young;Park, Dong Jin;Kim, Gyu Yeol
    • Journal of Gastric Cancer
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    • 제19권3호
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    • pp.355-364
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    • 2019
  • Totally laparoscopic distal gastrectomy (TLDG) frequently involves the use of delta shaped gastroduodenostomy (DSG) for intracorporeal anastomosis. However, DSG has some drawbacks, and the book binding technique (BBT) was developed as a new technique to overcome these drawbacks. Subsequently, this technique was further improved with the development of modified book binding technique (MBBT). This study evaluated the safety and feasibility of MBBT in patients undergoing TLDG. Thirty-three patients who underwent TLDG with MBBT were retrospectively evaluated. The mean operation time was $277.6{\pm}37.1minutes$, including $51.9{\pm}15.7minutes$ for reconstruction. Two patients had anastomosis-related complications, one patient with stricture after leakage and 1 patient with stenosis. The former patient was treated with endoscopic balloon dilatation, and the latter was managed conservatively; neither required re-operation. MBBT is a safe and feasible technique, with acceptable surgical outcomes. It may be a good alternative option for the treatment of intracorporeal anastomosis in patients undergoing TLDG.