• 대한한의학회지
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• 제43권3호
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• pp.94-105
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• 2022

Objectives: This study investigated public opinion on the use of modern diagnostic medical devices by Korean Medicine doctors. Methods: A questionnaire looking into perceptions on the use of modern medical devices was developed. It was distributed by a third party and data was collected. Results were analyzed through frequency analysis, chi-square analysis (χ²-test), frequency and cross analysis using R program. The measurement variable in the study was the respondent's perspectives and expectations on the use of modern diagnostic medical devices by Korean Medicine doctors. The maximum significance level was 0.05. Results: There were a total of 3,000 responses and 80.8% of the respondents replied that there is a need for government-level discussion on endowing rights to Korean Medicine doctors as supervisors for safety management of radiation generating devices. Also, 83.3% of the respondents agreed the use of ultrasound imaging equipment in Korean Medicine clinics should be legalized. Conclusions: According to this study, respondents strongly support the use of modern diagnostic medical devices by Korean Medicine doctors. This is the first study to investigate public opinion in this area and it provides a significant insight into the public needs and desires for a wider scope of practice for Korean Medicine in the healthcare system.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제24권1호
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• pp.19-29
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• 2021

Purpose: To assess parent perspectives of the current and potential future tests for their child with inflammatory bowel disease (IBD). Methods: New Zealand parents of a child with IBD were invited to complete an anonymous online survey. Experiences relating to their child's blood or faecal tests, medical imaging (abdominal ultrasound [US], abdominal computerised tomography [CT] and magnetic resonance enterography) and colonoscopy were collected. Perceived attitudes to potential future testing of urine, saliva, and breath, were sought. Results: Twenty-eight parents, 93% female completed the survey, and 86% were aged between 35 and 54 years. Baseline information was provided by parents for 27 of 28 children, 70.3% had Crohn's disease with a mean disease duration of 2.67 years. Blood tests were the most requested and completed tests, while CT was the least ordered and most refused test. Colonoscopy was rated as the least comfortable and generated the most worry. Explanation of test significantly improved parent's levels of understanding when their child had blood, faecal, imaging (US) or colonoscopy tests. Providing an explanation, test invasiveness and the impact of the blood results may have on their child's treatment significantly improved parents' comfort levels. However, explanation of colonoscopy generated a significant parental concerns. Saliva, urine and blood tests were chosen as the most preferred disease monitoring tests. Conclusion: Parents preferred any tests less invasive than colonoscopy for monitoring their child's IBD. Although providing explanation of their child's tests enhanced parents' understanding, it can also affect parents' levels of concern and comfort.

• 한방재활의학과학회지
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• 제31권3호
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• pp.95-104
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• 2021

Objectives The purpose of this study was to observe effectiveness of ultrasound-guided Soyeom pharmacopuncture therapy at acromioclavicular joint of shoulder in patients with anterior shoulder pain. Methods We analyzed medical records of 9 patients hospitalized with anterior shoulder pain who had admitted to Department of Korean Rehabilitation Medicine, College of Korean Medicine, Daejeon University from March 1, 2021 to June 13, 2021. 9 patients were treated the treatment of Soyeom pharmacopuncture therapy on acromioclavicular joint under ultrasonic guidance with Korean medicine treatment (such as herbal medicine, acupuncture, moxabustion, etc). The study was conducted as a retrospective observation study which analyze the patient's medical records. We used numeric rating scale (NRS) to evaluate pain reduction and the shoulder range of motion (ROM) to evaluate function improvement twice (before pharmacopuncture treatment and 5 days later treatment). Statistical analysis was performed using the IBM SPSS Statistics version 25 program (IBM Co., Armonk, NY, USA). Results The average of numeric rating scale reduced statistically significantly from 5.56±1.13 to 3.11±1.36 (p=0.004). The average of shoulder flexion ROM increased statistically significantly from 166.67±8.17° to 175.00±8.37° (p<0.05). And the average of shoulder abduction ROM increased statistically significantly from 158.57±20.35° to 172.86±12.53° (p<0.05). Both NRS and shouler ROM showed statistically significantly improve after treatment. Conclusions This study shows ultrasound-guided Soyeom pharmacopuncture therapy at acromioclavicular joint of shoulder has a meaningful clinical effect on the improving shoulder pain and ROM especially on flexion and abduction.

• 대한두경부종양학회지
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• 제38권2호
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• pp.29-32
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• 2022

Lipoma is one of the most common benign soft tissue tumors. However, giant lipomas compressing and deforming the neurovascular structure rarely occur in the lateral neck. A 70-year-old man visited our outpatient clinic for treatment of a visible painless neck mass that had been identified 2 years prior. Neck magnetic resonance imaging revealed that a 10 × 9 × 4 cm fatty mass located between the sternocleidomastoid and sternohyoid muscles invaded the carotid sheath. Under general anesthesia, the mass was excised without damage to the adjacent neurovascular structures. Upon histopathological examination, the mass was identified as a lipoma. During the surgery, enlargement of the internal jugular vein was observed under the resected mass. However, on ultrasound examination, the function of the internal jugular vein was evaluated as good. No recurrence or neurological and vascular complications were reported during a 6-month follow-up after the surgery. As a giant lipoma located in the deep layer of the lateral neck can deform important cervical structures, its impact on the surrounding structures should be carefully assessed preoperatively to minimize the rate of possible complications.

• 비파괴검사학회지
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• 제31권5호
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• pp.466-471
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• 2011

광 단층촬영기법은 의료영상진단 기기로 최근에 주목받고 있는 분야이다. 현재 병원 초음파보다 공간 해상도가 10-100배 우수하지만 침투깊이가 조직 내에서 1-2 mm로 얇기 때문에 인체 내 장기 이미징을 위하여서 반드시 내시경 기법을 동반하여야 한다. 본 연구를 통하여 고속 광 단층촬영기법을 소개하고 초소형 기전공학 기술을 바탕으로 개발된 내시경을 사용하여 New Zealand white rabbit의 식도와 위장 벽을 3차원으로 이미징한 결과를 고찰하였다. 개발된 내시경에는, 2축 스캔 반사경이 정전기력에 의하여 구동하는 구 동부 위에 위치하여, 입력광을 2축으로 스캔할 수 있도록 하는 구조를 포함하고 있다. 내시경의 외경은 6 mm이며 스캔 반사경의 직경은 1.2 mm 였다. 3.5초 동안 스캔하면서 3차원 이미지를 획득하였다. 3차원 이미지는 200개의 2차원 이미지를 쌓아서 구현되었으며 각각의 2차원 단면이미지는 $200{\times}500$ 픽셀들로 구성되었다. 이미지의 공간해상도는 공기 중에서 8 ${\mu}m$ 였다.

• 대한의용생체공학회:의공학회지
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• 제23권1호
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• pp.61-72
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• 2002

본 논문에서는 펄스 압축 방식을 사용하여 기본주파수 성분을 효과적으로 제거하는 새로운 고조파 영상 기법을 제안한다. 제안된 기법에 의한 시스템은 가중 쳐프 신호를 송신하고 각 어레이 소자에 수신된 RF 샘플은 송신신호의 고조파 성분에 정합된 상관기를 통과함으로써 고조파 성분만을 선택적으로 펄스 압축한다. 이 때. 기본주파수 성분과 고조파 성분의 상호상관 값은 -50㏈ 이하로 억제하였다. 제안된 기법은 한번의 송수시 과정으로 기본주파수 성분을 효과적으로 제거하여 프레임 율이 기존의 펄스 반전 방식보다 우수한 방식과 우수한 해상도와 신호 대 잡음비 (SNR : Signal to Noise Ratio)를 갖는 고조파 영상을 구현하기 위해 펄스 반전을 적용한 후 펄스 압축을 수행하는 방식으로 구성된다 일반적인 펄스 송신 방식에서는 고조파 성분은 송신음압의 크기가 어느 임계값 이상이 되면 더 이상 증가하지 않고 포화되기 때문에 SNR이 제한되는 단점이 있다. 그러나 제안된 기법은 송신 가중 쳐프 신호의 길이를 늘림으로써 고조파 영상의 SNR을 임의로 증가시킬 수 있다 새로운 시스템의 성능을 컴퓨터를 이용한 모의실험과 실제실험을 통하여 검증하였다

• Asian Pacific Journal of Cancer Prevention
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• 제16권18호
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• pp.8335-8338
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• 2016

Purpose: To make a comparison of single voxel magnetic resonance spectroscopy (SV-MRS) and dynamic contrast enhancement (DCE) MRI for differentiation of benign and malignant breast lesions in a sample of Iranian women. Materials and Methods: A total of 30 women with abnormal breast lesions detected in mammography, ultrasound, or clinical breast exam were examined with DCE and SV-MRS. tCho (total choline) resonance in MRS spectra was qualitatively evaluated and detection of a visible tCho peak at 3.2 ppm was defined as a positive finding for malignancy. Different types of DCE curves were persistent (type 1), plateau (type 2), and washout (type 3). At first, lesions were classified according to choline findings and types of DCE curve, finally being compared to pathological results as the standard reference. Results: this study included 19 patients with malignant lesions and 11 patients with benign ones. While 63.6 % of benign lesions (7 of 11) showed type 1 DCE curves and 36.4% (4 of 11) showed type 2, 57.9% (11of 19) of malignant lesions were type 3 and 42.1% (8 of 19) type 2. Choline peaks were detected in 18 of 19 malignant lesions and in 3 of 11 benign counterparts. 1 malignant and 8 benign cases did not show any visible resonance at 3.2 ppm so SV-MRS featured 94.7% sensitivity, 72.7 % specificity and 86.7% accuracy.Conclusions: The present findings indicate that a combined approach using MRS and DCE MRI can improve the specificity of MRI for differentiation of benign and malignant breast lesions.

• Physical Therapy Rehabilitation Science
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• 제8권4호
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• pp.218-224
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• 2019

Objective: This reliability study examined the effects of applying varying induced inward pressures using a transducer placed at 0° neutral ankle position (NEU) and 15° ankle dorsiflexion (DF) on tibialis anterior (TA) muscle thickness using a custom-made device with a force indicator during rehabilitative ultrasound imaging. Design: Cross-sectional study. Methods: Twenty-four healthy subjects were recruited in this study. Two examiners measured the muscle thickness of the TA at 0° NEU and 15° DF in 3 conditions of inward pressures (1.0 N, 2.0 N, and 4.0 N) using a custom-made holder. The muscle thickness was measured three times for each of the conditions arranged in random order. For intra- and inter-rater reliability, the intraclass correlation coefficients (ICCs) with 95% confidence intervals, standard error of measurement, minimal detectable change, and coefficient of variation were analyzed. One-way repeated measures analysis of variance was conducted for investigating changes of TA muscle thickness according to the inward pressures of the transducers. Results: The intra-rater reliability of TA muscle thickness measurement was excellent (ICC_3,1: 0.92-0.96) for all conditions (at both ankle joint angles per varying inward pressure). Likewise, the inter-rater reliability of TA muscle thickness measurement was excellent (ICC_2,1: 0.89-0.97) under same conditions. The mean of TA thickness showed the trend of decreasing significantly with increased inward pressures at all ankle joint angles (p<0.05). Conclusions: Use of this custom-made device with a force indicator is useful to accomplish the high intra- and inter-rater reliability of TA muscle thickness measurement at both ankle joint angles in reducing the measurement error.

• 한국음향학회지
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• 제29권8호
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• pp.476-482
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• 2010

전체 192개의 압전소자 중 64개를 동시 구동하여 빔을 형성하는 중심주파수 3.5 MHz인 선형배열 의료용 초음파프로브를 대상으로 일부의 압전소자가 결함으로 인해 동작하지 않을 때의 과도음장 및 점 표적에 대한 초음파 B-모드 영상을 시뮬레이션하여 정상 초음파프로브의 것과 비교 분석하였다. 그 결과, 결함소자의 수가 한 개에서 네 개로 증가함에 따라 주엽이 만드는 음장의 최대음압준위 및 그 -3 dB 폭은 정상일 때에 비해 선형적으로 감소하나, 초점심도는 거의 변화가 없고, 부엽에 의한 음장의 음압준위 상승으로 인해 주엽과 부엽과의 음압 차이는 감소하는 경향을 보였다. 이와 같은 음압준위의 변화는 점 표적에 대한 B-모드 영상에 영향을 주어 표적의 좌우에 허상을 만들며, 축 방향의 공간분해능은 거의 일정하나 측 방향으로는 다소 감소하는 경향을 나타내었다.

• 한국음향학회지
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• 제21권8호
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• pp.744-756
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• 2002

현재 복부용 초음파 진단장치에 가장 일반적으로 사용되고 있는 3.5 ㎒의 굴곡형 선형배열 (curved linear array) 탐촉자가 인체 중에 만드는 과도음장을 체계적으로 해석함으로써, 음장의 측면에서 보다 우수한 초음파 영상이 기대되는 탐촉자의 설계 파라메터를 도출하고자 시도하였다. 음장해석에 있어서는 방사파형을 일정하게 가정한 상태에서 탐촉자 요소의 크기, 곡률 반경, 개구내 압전소자에 대한 구동신호의 진폭 가중치 적용 등의 파라메터를 음장 형성의 지배적인 요소로서 고려하였다. 시뮬레이션의 결과, 탐촉자의 곡률 반경 및 개구높이를 줄이고 해밍 (Hamming) 창 형태의 진폭 가중치 적용을 실시함으로써 기존의 전형적인 탐촉자보다 부엽 (side lobe)의 영향이 적은 우수한 초음파 빔을 형성하는 새로운 탐촉자의 설계 파라메터가 얻어졌다.