• Title/Summary/Keyword: Vascular

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Study on the Patterns of Helicopter Emergency Medical Services in Ullung Island (울릉도 지역의 헬리콥터를 이용한 응급환자 후송 실태)

  • Kim, Tae-Hun;Lim, Hyun-Sul;Lee, Kwan
    • Journal of agricultural medicine and community health
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    • v.27 no.1
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    • pp.115-123
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    • 2002
  • Objective: The aim of this study was to evaluate the patterns of helicopter emergency medical services (HEMS) in Ullung Island. Methods : The authors reviewed the records from emergency room diaries and the lists of helicopter transfers in the Ullung Public Health Medical Center over the 5-year period from Jan 1, 1997 to Dec 31, 2001. Results : One hundred thirteen cases were transferred by helicopters in 88 flights. According to year, the number of flights was 13(14.8%) and the number of cases was 15(13.3%) in 1997; 17(19.3%) and 21(18.6%) in 1998; 18(20.5%) and 20(17.7%) in 1999; 17(19.3%) and 20(17.7%) in 2000; and 23(26.1%) and 37(32.7%) in 2001. According to the kind of helicopter, the number of flights was 46(52.3%) and the number of cases was 60(53.1%) by Maritime police; and 19(21.6%) and 28(25.1%) by 119 rescue. According to time zone, there were no night flights. According to sex and age, there were 75 male cases(66.4%) and 28 cases(28.3%) of patients aged sixty years and over. The number of flights was 11(12.5%) and the number of cases was 15(13.3%) in November; 10 flights(11.4%) and 14 cases(12.4%) in March; and 7 cases(8.0%) in each of September, October and April. The most common season of helicopter transfer cases was autumn. According to transfer area, there were 48 cases (42.5%) in Pohang city, Gyeonsangbukdo; 35(31.0%) in Gangnung city, Gangwondo; and 17(15.0%) in Daegu metropolitan city. According to condition, there were 27 cases(23.9%) of cerebro-vascular accident, 13(11.5%) of fracture and 11(9.7%) of head injury. According to admission department, there were 42 cases(37.2%) in Neurosurgery, 21(18.6%) in Internal Medicine and 13(11.5%) in Orthopedic Surgery. According tothe Korea Standard Classification of Disease(3-KSCD), circulatory systemic disease(IX) and injury, intoxication and others (XIX) were the two most frequent categories with 34 cases(30.1%) each, followed by digestive system disease (XI) with 23 cases(20.4%). Conclusions : HEMS in Ullung Island leave much to be desired. Helicopters cannot make a night flight and are not equipped with medical facilities. HEMS in islands such as Ullung Island are essential. We hope that night flights, equipment-monitoring systems for emergency patients in the helicopters, and a law related to HEMS in the island will all be established.

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The Relationship between Coronary Risk Factors and Coronary Calcium Score Detected by Computed Tomography Coronary Angiography in Korean Middle Aged Men (다중절편 방사선단층촬영 결과에 기반한 한국 중년 남성에서의 관상동맥 석회화와 심혈관질환 위험인자와의 연관성)

  • Park, Seung-Hyun;Kim, Young-Wook;Chae, Chang-Ho;Kim, Ja-Hyun;Kang, Yune-Sik;Park, Yong Whi;Jeong, Baek Geun
    • Journal of agricultural medicine and community health
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    • v.39 no.1
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    • pp.25-36
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    • 2014
  • Objectives: The objective of this study was to investigate the relationship between coronary artery calcification and risk factors of cardiovascular disease with multidetector computed tomography. Methods: Data were collected from 5,899 males between 30 and 59 years old by interview, survey, physical examination, blood test, and multidetector computed tomography in the university hospital from January 2010 to December 2011. We confirmed the coronary artery calcium scores of subjects by multidetector computed tomography and identified risk factors of cardiovascular disorders. We investigated the relationship between coronary artery calcification and risk factors of cardiovascular disorders. Results: Mean calcium score of the coronary arteries in 5,899 participants was 8.20, and 773 participants (13.1%) exhibited coronary artery calcification. The presence of coronary artery calcification was correlated to risk factors of cardiovascular disease (age, blood pressure, triglyceride, HDL cholesterol, LDL cholesterol, glucose, Apolipoprotein A-1, Apolipoprotein B, body mass index, waist circumference) and risk assessment tools of cardiovascular disorders. Significant predicted factors of coronary artery calcification had different patterns in each age group (30-39, 40-49, 50-59 years old). Conclusions: We confirmed the relationship between coronary artery calcification and either typical risk factors of cardiovascular disease or risk assessment tools of cardiovascular disease. In addition, we also observed that the pattern of these factors varied according to age. Therefore, age-related variation needs to be considered in management strategies to prevent cardiovascular disease.

Evaluation of TOF MR Angiography and Imaging for the Half Scan Factor of Cerebral Artery (유속신호증강효과의 자기공명혈관조영술을 이용한 뇌혈관검사에서 Half Scan Factor 적용한 영상 평가)

  • Choi, Young Jae;Kweon, Dae Cheol
    • Journal of the Korean Magnetics Society
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    • v.26 no.3
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    • pp.92-98
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    • 2016
  • To aim of this study was to assess the full scan and half scan of imaging with half scan factor. Patients without a cerebral vascular disease (n = 30) and were subject to the full scan half scan, and set a region of interest in the cerebral artery from the three regions (C1, C2, C3) in the range of 7 to 8 mm. MIP (maximum intensity projection) to reconstruct the images in signal strength SNR (signal to noise ration), PSNR (peak signal noise to ratio), RMSE (root mean square error), MAE (mean absolute error) and calculated by paired t-test for use by statistics were analyzed. Scan time was half scan (4 minutes 53 seconds), the full scan (6 minutes 04 seconds). The mean measurement range (7.21 mm) of all the ROI in the brain blood vessel, was the SNR of the first C1 is completely scanned (58.66 dB), half-scan (62.10 dB), a positive correlation ($r^2=0.503$), for the second C2 SNR is completely scanned (70.30 dB), half-scan (74.67 dB) the amount of correlation ($r^2=0.575$), third C3 of a complete scan SNR (70.33 dB), half scan SNR (74.64 dB) in the amount of correlation between the It was analyzed with ($r^2=0.523$). Comparative full scan with half of SNR ($4.75{\pm}0.26dB$), PSNR ($21.87{\pm}0.28dB$), RMSE ($48.88{\pm}1.61$), was calculated as MAE ($25.56{\pm}2.2$). SNR is also applied to examine the half-scans are not many differences in the quality of the two scan methods were not statistically significant in the scan (p-value > .05) image takes less time than a full scan was used.

지리산지 침광혼효림과 상록침엽수림내에 분포하는 임상선태류식생의 군락생태학적 연구

  • 송종석
    • Journal of Plant Biology
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    • v.38 no.3
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    • pp.305-317
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    • 1995
  • The bryophyte communities on the forest floor of the mixed coniferous, deciduous broad-leaf forest and the evergreen coniferous forest of cool temperate and subalpine zones in Chiri Mountains with the highest peak (Cheonwangbong 1915 m) in south-central part of the Korean Peninsula were investigated from the phytosociology viewpoint. As a result, five bryophyte communities were recognized, considering the species composition of vascular vegetation; A. Sasamorpha borealis-Abies koreana/Dicranum scoparium-Plagiothecium silvaticum community, B. Bosta minor-Abies koreana/Anomodon rugelii-Plagiomnium cuspidatum community, C. Abies koreana/Hylocomiopsis ovicarpa-Entodon rubicundus community, D. Abies koreana-Picea jezoensis/Hylocomiopsis ovicarpa-Thuidium kanedae community, E. Abies koreana-Pieea jezoensis/Hylocomium splendens-Pleurozium sehreberi community. Among these, the communities A, B, C and D were distributed in the mixed coniferous and deciduous broad-leaf forest of lower altitudes (1200 to 1700 m) and characterized by the elements of the cool temperate zone. They were confimled as synusies belonging to the Fraxino-Abietetum koreanae Song 1988. The community E was distributed in higher altitudes (1700 m to near the summit) and characterized by the species group of the holarctic elements, e.g. Hyloeomium splendens, Pleurozium sehreberi, Dieranum majus, etc. limited in subarctic; subalpine and arctic; alpine zones. The community E was confirmed as a synusie of the Abieti koreanae-Piceetum jezoensis Song 1991 belonging the Vaecinio-Pieeetea Br.-BI. 1939. Up to date many investigator have described the coniferous forest distibuted above 1200 m in Chiri mountauns as the forest vegetation of subalpine zone. However, from the results of the present study, the boundary of the mixed forest and the true subalpine coniferous forest was elucidated to be ca. 1700 m phytosociologically. Species richness was highest in the community E, and the other four communities showed a similar species richness. Among the species diversity indices, H' and D were high in the communities Band E, low in the communities A and C, and medium in the community D. The values of J' decreased with the increase in altitudes and the community E showed the lowest value. The result of Bray-Curtis ordination revealed that the diversity analysis and the division of the above two forest zones are justifiable. The taxa of the bryophyte communities were composed of 25 families, 46 genera, 73 species, 1 subspecies and 2 varieties.

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Morpho-anatomical Characteristics of Different Panicles in Low and High Tillering Rices (벼 소얼성과 다얼성 품종에서 분얼별 이삭의 형태 해부학적 특성)

  • Kim, Je-Kyu;B.S. Vergara
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.36 no.6
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    • pp.568-575
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    • 1991
  • The morpho-anatomical characteristics of panicle in rice plant is generally correlated with the number of spikelets and grain weight per panicle. For the increase of grain yield potential in rice, a low -tillering plant type with large panicles has been suggested as an ideotype. This study was conducted to investigate the panicle morphology and peduncle anatomy of different tillers within a plant in low -and high-tillering cultivars and their relationships on the number of spikelets and grain weight per panicle. A low-tillering, large panicled IR25588 was compared with a high-tillering. small panicled IR58. IR25588 had more inner(IVB) and outer vascular bundles (OVB). bigger peduncle diameter and peduncle thickness just below the panicle neck node than IR58. The top six tillers(M. P1, P2, P3. P4 and S1P2) within a plant had more IVB and OVB. larger peduncle diameter and thickness than the rest of the tillers in both cultivars. Tillers that emerged earlier had more IVB and OVB than tillers that emerged Jater. The total number of primary and secondary rachis-branches of IR25588 was much higher than that of IR58. IR25588 had more number of spikelets per panicle than IR58. and the top six panicles showed more spikelets per panicle than the rest of the panicles in both cultivars. The peduncle diameter was more important than peduncle thickness on the spikelet differentiation and panicle weight. especially in low-tillering cultivars. The number of IVB and OVB were highly correlated with the number of rachis-branches. spikelets and grain weight per panicle. The number of spikelets per IVB and spikelets per primary branch were higher in IR25588 than IR58 indicating the higher sink strength in low -tillering with large panicled cultivars than in high-tillering with small panicled cultivars. Based on the morpho-anatomical characteristics of a low-tillering cultivar and the top six tillers within a plant. the present results could be support that 'a low-tillering sturdy culms with large panicles' is an ideo-type of rice plant for increasing grain yield potential.potential.

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Effect of Concentrated Dangyooja-derived Flavonoids Extract Added to Citrus Beverage on Obesity and Blood Lipids in Rats (당유자 유래 Flavonoids 농축액이 첨가된 감귤 음료의 쥐 비만 및 혈중 지질에 미치는 영향)

  • Choi, Young-Hun;Lee, Young-Jae;Lee, Sun-Yi;Chae, Chi-Won;Park, Suk-Man;Kim, Sang-Suk;An, Hyun-Joo;King, Dale;Han, Chang-Hoon;Hong, Hyun-Ju
    • Horticultural Science & Technology
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    • v.30 no.2
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    • pp.214-219
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    • 2012
  • This study aimed to develop a new type of functional citrus beverage (Citurs-F) containing flavonoids extracted from the young fruits of satsuma mandarin ($Citrus$ $unshiu$) and matured fruits of Jeju native dangyooja ($C.$ $grandis$). We made beverages that contained 30% of satsuma mandarin extract with different percentages of concentrated dangyooja-derived flavonoid extracts. In sensory evalution, the highest response indices of color, taste and aroma were from the beverages based on the 30% young fruit extracts plus 15% (Citrus-F-15) and 20% (Citrus-F-20) flavonoids extract from the dangyooja using the KILO prep. In the changes of body weight after oral administration of the Citrus-F, the rat group with HF diet plus the Citrus-F decreased the body weight compared to the rat group fed only HF diet. This effect was to be continued for 9 weeks until the end of experiment. In the lipid content in blood, the rat group with oral administration of citrus extractions merely tended to resolve it in serum test. However, all the 0.1% Citrus-F-15 and Citrus-F-20 treated rat groups from the beginning or after 5 weeks appeared the lowest lipid contents in the blood. In the cholesterol contents, the rat group feeding the KILO-prep's extraction from the beginning weren't significantly recognized them in the group but the rat group feeding 0.1% Citrus-F-15 acted to reduce in the cholesterol contents from 5 weeks. The results indicated that the Citrus-F-15 with rich flavonoids might be main source alleviating the vascular diseases and obesity in human diet.

Life Form and Naturalization Characteristics of Naturalized Plants in Upland Fields of South Korea (우리나라 밭경작지 귀화식물의 생활형과 정착 특성)

  • Kim, Myung-Hyun;Cho, Kwang-Jin;Oh, Young-Ju;Yang, Dongwoo;Lee, Wook-Jae;Park, Sangkyu;Choi, Soon-Kun;Eo, Jinu;Kim, Min-Kyeong;Na, Young-Eun
    • Korean Journal of Environmental Biology
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    • v.34 no.2
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    • pp.63-72
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    • 2016
  • The objective of this study was to identify the life form characteristics, naturalized degree and introduction period of naturalized plants on upland fields in South Korea. The survey sites were selected in 222 upland fields over 9 provinces where are relatively dry soil conditions and are disturbed continuously by farming practices. It seemed that these uplands maintain good condition for the invasion and settlement of alien plants. Field surveys were carried out twice from May to June and from August to September in 2013. The vascular plants of the upland fields were listed into 539 taxa which contain 103 families, 320 genera, 448 species, 2 subspecies, 74 varieties and 15 forms. Ninety nine taxa were naturalized plants composed of 23 families, 64 genera, 91 species and 8 varieties. The urbanization index and naturalized index is 30.65% and 18.37%, respectively. Among total 99 naturalized plants, Compositae (30 taxa) was the most dominant family, and followed by Gramineae (14 taxa). On the basis of dormancy form, 78 taxa were belong to Th (Therophyte). In radicoid form, $R_5$ plants (86 taxa) and $R_3$ plants (14 taxa) were dominantly distributed. In disseminule form, $D_4$ including 63 taxa and $D_2$ containing 26 taxa were dominant. On the basis of growth form, erect form (e) containing 26 taxa was dominant. In conclusion, life form spectrum was $Th-R_5-D_4-e$ type. According to life form analysis, naturalized degree and introduction period, alien plants with unique characteristics may have high ability to settle and spread nationwide after inflow into South Korea. It needs further to observe some plant species with or without ecological features such as widely disseminated seeds by wind or water, high seed productivity, long life-span seeds, high germination rate of seeds, or non-dormant germinable seed.

Effect of Unilateral Renal Perfusion of Cyclosporine and Mitomycin on Rat's Kidney (Cyclosporine과 Mitomycin의 일측성 신관류로 초래되는 백서 신병변에 관한 연구)

  • Baek Seung In;Lim Hyun Suk;Shin Weon Hye;Ko Cheol Woo;Koo Ja Hoon;Kwak Jung Sik
    • Childhood Kidney Diseases
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    • v.2 no.2
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    • pp.138-144
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    • 1998
  • Purpose : The use of cyclosporine and mitomycin in various immunologic or neoplastic disorders has been known to cause wide-ranged nephrotoxic effects including thrombotic microangiopathy. However, the mechanism of nephrotoxicity of these drugs has not been studied adequately, so that present experimental study has been undertaken to find out whether these drugs can cause direct damage to the kidney and to clarify the pathogenetic mechanism of nephrotoxic effect of these drugs. Materials and methods : Sprague-Dawley rats weighing 250-300 gm were used for experimental animals and unilateral renal perfusion technique, modified from the method described by Hoyer et al was used. Isolation of left kidney from systemic circulation was made by clamping aorta and left renal vein and a hole was punctured in the anterior wall of the left renal vein. Cyclosporine (2.5 mg in 4 ml solution) and mitomycin (1.6 mg in 4ml solution) were infused through left renal artery and normal saline was used in control rats. Forty-eight hours after infusion of the drugs, animals were sacrificed and left kidney removed and processed for histologic examination. Total ischemic time of left kidney was less than 15 minutes: Results : Cyclosporine-perfused group showed severe swelling of glomerular endothelial ceil along with swelling of glomerular epithelial cell and interstitial vascular endothelial cell. Mitomycin-perfused group also showed severe swelling of glomerular endothelial and epithelial cells. And in addition to these findings, they demonstrated platelets aggregation, swelling and degranulation of platelets and fibrin accumulation in some of the capillaries, indicating occurrance of thrombotic microangiopathy. Conclusion : present experiment indicates that cyclosporine and mitomycin can cause direct toxic injury to renal endothelial cell. And this direct toxic damage to endothelial cell seems to be an important initiating event for the development of thrombotic microangiopathy.

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Usefulness of Flow Composite Image in Raynaud Scan ($^{201}Tl$) ($^{201}Tl$을 이용한 레이노 검사에서 동적 Composite 영상의 유용성)

  • Kim, Dae-Yeon;Shin, Gyoo-Seol;Oh, Eun-Jung;Kim, Gun-Jae
    • The Korean Journal of Nuclear Medicine Technology
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    • v.14 no.1
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    • pp.101-104
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    • 2010
  • Purpose: Raynaud scan is divided to flow, blood pool and local-delay image. Usually, we evaluate comparison through blood pool and local-delay image. We will evaluate about usability when comparative observe blood image and local-delay image in Raynaud scan that used $^{201}Tl$ as making flow image to one sheet of images. Materials and Methods: We have selected 29 Raynaud phenomenon patients aged 14~68 years who visited department of vascular surgery between Feb. 2008 and Aug. 2009. An intravenous injection $^{201}Tl$ of 111 MBq (3 mCi) to opposite side diagonal line limbs above an internal auditing department. Equipment used Philips gamma camera forte A-Z, and collimator used LEHR. Matrix size set up to each $64{\times}64$, $128{\times}128$, $256{\times}256$ and zoom factor used to full field. Protocol of dynamic is 2 second to 155 frames. Blood pool and delay count to 300 second. We set up ROI by a foundation to data acquired in PEGASYS processing program. Each results were analyzed with the SPSS 12.0 statistical software. Results: Each averages of count ratio (Rt / Lt) to have been given at composite image, a blood pool image, delay images analyzed at Raynaud phenomenon patients is $1.25{\pm}0.39$, $1.20{\pm}0.33$, $1.11{\pm}0.17$. The sample analysis results of blood pool image and delay image contented itself with p<0.029. Also, there don't have been each difference, and blood pool image, delay image regarding composite image was able to know. Conclusion: We were able to give help for comparison to evaluate a blood pool image and a local delay image at the Raynaud scan which used $^{201}Tl$ while making a flow image to one sheet image. Identification to be visual too was possible. If you are proceeded a researcher that there was further depth, you are more appropriate for, and you may get useful information.

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Comparison on the Error Rates of Calibration Modes in Intervention (인터벤션에서 Calibration Mode에 대한 오차율 비교)

  • Kong, Chang gi;Ryu, Young hwan
    • Journal of the Korean Society of Radiology
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    • v.14 no.5
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    • pp.619-626
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    • 2020
  • This study aimed to identify the error rates in Catheter Calibration Mode, Auto Calibration Mode, and Segment Calibration Mode among many calibration modes as a quantitative evaluation tool used for predicting the diameter and length of balloon or stent in percutaneous intravascular balloon dilatation or stent insertion. Our experiment was conducted with Copper Wire of 2 mm × 80 mm (diameter × length) manufactured elaborately for quantitative evaluation in calibration and Metal Ball of 5, 10, 15, 30, and 40 mm and Acryl Phantom of 25 mm, 50 mm, 75mm, 100 mm, 125 mm, 150mm, 175 mm, and 200 mm. At each height, subtraction images were acquired with a cineangiograph and Stenosis Analysis Tool as a software provided by the equipment company was used for measurement. To evaluate the error rates in Catheter Calibration Mode, Copper Wire was put on each acryl phantom before shooting. Copper Wire of 2 mm in diameter was set as a diameter for catheter, and Copper Wire of 8 mm in length was measured with Multi-segments. As a result, the error rates appeared at 1.13 ~ 5.63%. To evaluate the error rates in Auto Calibration Mode, the height of acryl was entered at each height of acryl phantom and the length of 8 mm Copper Wire was measured with Multi-segments and as a result, the error rates appeared at 0 ~ 0.26%. To evaluate the error rates in Segment Calibration Mode, each metal ball on the floor of table was calibrated and the length of 8 mm Copper Wire on each acryl phantom was measured and the length of 8 mm Copper Wire depending on the changes of acryl phantom height was measured with Mutli-segments and as a result, the error rates appeared at 1.05 ~ 19.04%. And in the experiment on OID changes in Auto Calibration Mode, the height of acryl phantom was fixed at 100mm and OID only changed within the range of 450 mm ~ 600 mm and as a result, the error rates appeared at 0.13 ~ 0.38%. In conclusion, it was found that entering the height values in Auto Calibration Mode, among these Calibration Modes for evaluating quantitative vascular dimensions provided by the software was the calibration method with the least error rates and it is thus considered that for calibration using a metal ball or other objects, putting them in the same height as that of treatment sites before calibrating is the method that can reduce the error rates the most.