• 대한정형외과학회지
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• 제56권1호
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• pp.1-13
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• 2021

전방십자인대 재건수술 술기는 최근 20년간 많은 발전을 이뤘으며 결과가 과거에 비해 크게 향상되었다. 전방십자인대의 해부학적 이해 또한 20년 전과 현재가 다르며 이에 맞추어 수술 방법 또한 변화하고 있다. 이중다발 개념은 여전히 유효하나 리본 형태의 전방십자인대 모양, 직접 섬유, 간접 섬유가 그 개념을 서서히 대체하고 있다. 등장점 개념은 더 이상 존재하지 않으며 단일다발 해부학적 재건, 이중다발 해부학적 재건, 잔류조직 보존술식, 직각터널 술식 등 다양한 수술 방법들이 행해지고 있으며 논문을 통해 검증되고 있다. 이식건의 종류에 있어서도 자가건인 골-슬개건-골, 슬건, 대퇴사두근건, 동종건에 대한 관심이 시간에 따라 변화하고 있으며 이런 변화는 현재 진행형이다.

• Nuclear Engineering and Technology
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• 제53권7호
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• pp.2341-2347
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• 2021

Because single-photon emission computed tomography (SPECT) is one of the widely used nuclear medicine imaging systems, it is extremely important to acquire high-quality images for diagnosis. In this study, we designed a super-resolution (SR) technique using dense block-based deep convolutional neural network (CNN) and evaluated the algorithm on real SPECT phantom images. To acquire the phantom images, a real SPECT system using a^99mTc source and two physical phantoms was used. To confirm the image quality, the noise properties and visual quality metric evaluation parameters were calculated. The results demonstrate that our proposed method delivers a more valid SR improvement by using dense block-based deep CNNs as compared to conventional reconstruction techniques. In particular, when the proposed method was used, the quantitative performance was improved from 1.2 to 5.0 times compared to the result of using the conventional iterative reconstruction. Here, we confirmed the effects on the image quality of the resulting SR image, and our proposed technique was shown to be effective for nuclear medicine imaging.

• Physical Therapy Rehabilitation Science
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• 제11권1호
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• pp.1-7
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• 2022

Objective: The purpose of this study was to assess the validity of the global rating of knee function as a measure of participation restrictions experienced during activities of daily living and sports by patients with a history of anterior cruciate ligament reconstruction (ACLR). Design: Cross-sectional study. Methods: Forty-three subjects (33 males, 10 females, age=20.3 ± 1.3 years), at a mean of 31.2 ± 14.4 months following ACLR, participated in this study. During testing, subjects were first asked to provide a global rating of function by assessing their level of knee function on a 0 to 100 scale, with 0 points representing complete loss of function due to their knee injury and 100 points representing their level of function prior to their knee injury. After providing a global rating of function, subjects completed the Knee Outcome Survey (KOS) Activities of Daily Living Scale (ADLS) and Sports Activity Scale (SAS), which served as the measure of participation restrictions in this study. Results: Pearson product correlations revealed moderate relationships between the global rating of function and the ADLS (r=0.66, p<0.0001) and SAS (r=0.69, p<0.0001). Conclusions: The global rating of knee function provides a valid measure of participation restrictions experienced during activities of daily living and sports by patients with a history of ACLR.

• Nuclear Engineering and Technology
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• 제55권10호
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• pp.3700-3708
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• 2023

The stochastic origin ensembles method with resolution recovery (SOE-RR) has been proposed to reconstruct proton-induced prompt gammas (PGs), and the reconstructed PG image was used for range verification. However, due to low detection efficiency, the number of valid events is low. Such a low-count condition can degrade the accuracy of the SOE-RR method for proton range verification. In this study, we proposed two strategies to improve the reconstruction of the SOE-RR algorithm for low-count PG imaging. We also studied the number of iterations and repetitions required to achieve reliable range verification. We simulated a proton beam (10⁸ protons) irradiated on a water phantom and used a two-layer Compton camera to detect 4.44-MeV PGs. Our simulated results show that combining the SOE-RR algorithm with restricted volume (SOE-RR-RV) can reduce the error of the estimation of the Bragg peak position from 5.0 mm to 2.5 mm. We also found that the SOE-RR-RV algorithm initialized using a back-projection image could improve the convergence rate while maintaining accurate range verification. Finally, we observed that the improved SOE-RR algorithm set for 60,000 iterations and 25 repetitions could provide reliable PG images. Based on the proposed reconstruction strategies, the SOE-RR algorithm has the potential to achieve a positioning error of 2.5 mm for low-count PG imaging.

• Archives of Plastic Surgery
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• 제49권3호
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• pp.332-338
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• 2022

Background Postmastectomy radiotherapy (PMRT) is allegedly associated with a higher risk of complications of combined nipple-sparing or skin-sparing mastectomy and subpectoral direct-to-implant immediate breast reconstruction ([N]SSM/SDTI-IBR). For this reason, this combination is usually advised against or, even, refused in women who need to undergo PMRT. Because this advice has never been justified, we assessed the short-term complications that may potentially be associated with PMRT after [N]SSM/SDTI-IBR. Methods We compared the complications requiring reintervention and implant loss occurring after 273 [N]SSM/SDTI-IBR that were exposed to PMRT within the first 16 postoperative weeks (interventional group) to those occurring in 739 similarly operated breasts that were not (control group). Additionally, we compared the fraction of complications requiring reintervention occurring after the onset of radiotherapy in the interventional group to that occurring after a comparable postoperative period in the control group. Results The fraction of breasts requiring unscheduled surgical reinterventions for complications and the loss of implants did not differ significantly between both groups but significantly more reinterventions were needed among the controls (p = 0.00). The fraction of events after the onset of radiotherapy in the interventional group was higher than the fraction of events after 6.2 weeks in the control group, but not significantly so. Conclusion We found no prove for the alleged increase of short-term complications of adjuvant radiotherapy. Therefore, we advise that these should not be considered valid arguments to advice against [N]SSM/SDTI-IBR.

• 대한후두음성언어의학회지
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• 제24권2호
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• pp.102-106
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• 2013

The cure rates for early stage laryngeal cancer are similar between laser cordectomy and radiation therapy. As well as the survival outcome, one of the main measures of success in treatment of early laryngeal cancer is voice outcome. Many studies have demonstrated that laser cordectomy and radiation therapy to be equivalent with regard to vocal outcome, whereas others favor radiation. Although such as somewhat disadvantages of voice outcome, laser cordectomy still remains a valid option. Since the patients who treated with laser may benefit from additional phonosurgery to improve postoperative vocal outcome. In this article, we reviewed the techniques of phonosurgery which can be used for laryngeal reconstruction after laser cordectomy. The indications for using each technique are discussed, with particular attention paid to functional outcomes following these reconstructive efforts.

• Structural Engineering and Mechanics
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• 제21권6호
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• pp.621-634
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• 2005

A direct transfer substructure method is presented in this paper for analyzing the dynamic characteristics and the seismic random responses of a series reactor. This method combines the concept of FRF (frequency response function) and the transfer matrix algorithm with the substructure approach. The inner degrees of freedom of each substructure are eliminated in the process of reconstruction and the computation cost is reduced greatly. With the convenient solution procedure, the dynamic characteristics analysis of the structure is valid and efficient. Associated with the pseudo excitation algorithm, the direct transfer substructure method is applied to investigating the seismic random responses of the series reactor. The numerical results demonstrate that the presented method is efficient and practicable in engineering. Finally, a precise time integration method is employed in performing a time-history analysis on the series reactor under El Centro and Taft earthquake waves.

• 대한두개안면성형외과학회지
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• 제11권1호
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• pp.53-57
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• 2010

연부조직만으로 경구개를 재건하는데 있어서는 환자군을 적절히 선택하는 것이 중요하며 골재건이 필요하지 않은 Okay 분류 Ia와 Ib가 주요한 적응증이 된다. 하악이나 구강저부 결손을 재건하는 것과는 다르게 경구개 결손은 구강과 비강 점막층을 동시에 수복할 수 있는 피판이 이상적이다. 이중 저자들은 전완유리피판에 전상판화 방법을 좀 더 안정적으로 시행, 경구개 전층을 성공적으로 재건하였으며, 특히 저작과 연하 등 기능적 측면뿐 아니라 경구개 및 비강의 점막을 함께 복원할 수 있는 해부학적인 장점이 있는 피판임을 확인하여 문헌고찰과 함께 보고하는 바이다.

• 한국정보통신학회논문지
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• 제18권10호
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• pp.2417-2426
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• 2014

간접 시선 추적 시스템은 적외선 조명을 각막에 반사시켜 그 모습을 카메라로 촬영하여 얻은 이미지에서 시선을 계산한다. 적외선 조명이 각막에 반사되어 이미지에 나타난 점을 글린트라고 한다. 최근 간접 추적 시스템은 머리의 움직임에 민감하지 않고 캘리브레이션 과정을 거치지 않도록 하기 위해 여러 개의 적외선 조명, 즉 여러개의 글린트를 사용하는 경우가 많다. 하지만 실험 도중 글린트의 일부가 보이지 않을 수 있는데, 이러한 경우 해당 프레임에서는 시선 계산을 할 수 없게 된다. 본 논문에서는 여러 개의 적외선 조명을 사용하는 시선 추적 시스템에서 여러 가지 이유로 유실되거나 인식이 어려운 글린트의 모습을 살펴본 후, 인식이 가능한 나머지 글린트 위치를 이용하여 이러한 글린트의 위치를 복원하는 알고리즘을 제안한다. 이 알고리즘을 통해 시선 추적 시 유효한 이미지 프레임의 개수를 증가 시키고, 복원 단계에서 글린트의 위치 변형 모델을 이용하여 글린트의 왜곡 또한 보정하여 시선 추적 결과의 오차도 줄일 수 있다.

• 방송공학회논문지
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• 제28권3호
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• pp.302-313
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• 2023

본 연구는 과학기술정보통신부가 2017년부터 1조원 이상을 투자한 'AI Hub 댐' 사업에서 구축된 인공지능 모델 학습데이터의 품질관리를 자동화할 수 있는 프레임워크의 개발을 목표로 한다. 자율주행 개발에 사용되는 AI 모델 학습에는 다량의 고품질의 데이터가 필요하며, 가공된 데이터를 검수자가 데이터 자체의 이상을 검수하고 유효함을 증명하는 데는 여전히 어려움이 있으며 오류가 있는 데이터로 학습된 모델은 실제 상황에서 큰 문제를 야기할 수 있다. 본 논문에서는 이상 데이터를 제거하는 신뢰할 수 있는 데이터셋 정제 프레임워크를 통해 모델의 인식 성능을 향상시키는 전략을 소개한다. 제안하는 방법은 인공지능 학습용 데이터 품질관리 가이드라인의 지표를 기반으로 설계되었다. 한국정보화진흥원의 AI Hub을 통해 공개된 자율주행 데이터셋에 대한 실험을 통해 프레임워크의 유효성을 증명하였고, 이상 데이터가 제거된 신뢰할 수 있는 데이터셋으로 재구축될 수 있음을 확인하였다.