• 대한치과의사협회지
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• 제52권10호
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• pp.596-601
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• 2014

Computer-aided surgery is popular and useful in the field of oral and maxillofacial surgery, because of the possibility of simulation with a high accuracy. In all aspects of surgery, proper planning facilitates more predictable operative results, however before the use of virtual planning, much of this relied on 2-dimensional (2-D) imaging for treatment planning on a 3-dimensional (3-D) object and surgical trial and error. With real-time instrument positioning and clear anatomic identification, a computer-assisted navigation system (CANS) is exceptionally helpful in maxillofacial surgery. These techniques enable performing precise bony ablation and reconstruction, and also decrease surgical time and donor site defect.

• 한국IT서비스학회지
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• 제11권sup호
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• pp.165-176
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• 2012

Context-Awareness system provides an appropriate service to user by recognizing situation from surrounding environment. There are many successful studies on this framework, but still has some limitations. In this paper, we are describing a context-awareness middleware that can enhance the limitation of the previous approaches. We first defined a new concept of context-awareness environment as a social intelligence. This concept implies that intelligent objects can make relationships, can aware of situation from surrounding environment, and can collaborate to accomplish a given task. The significance of the study is as follows. First, the system is capable of multi context-awareness since it is designed with a structure that supports multiple lines of reasoning. Second, the system is capable of context planning by adapting AI planning mechanism. Third, the system is capable of making the intelligent objects as a group for collaboration, and provides adaptive service to user. We have developed a prototype of the system and tested with a virtual scenario.

• 제어로봇시스템학회논문지
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• 제17권6호
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• pp.513-520
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• 2011

This paper presents the motion planning of robotic vehicles for the path tracking and the obstacle avoidance. To follow the given path, the vehicle moves through the turning radius obtained through the pure pursuit method, which is a geometric path tracking method. In this paper, we assume that the vehicle is equipped with a 2D laser scanner, allowing it to avoid obstacles within its sensing range. The turning radius for avoiding the obstacle, which is inversely proportional to the virtual force, is then calculated. Therefore, these two kinds of the turning radius are used to generate the steering angle for the front wheel of the vehicle. And the vehicle reduces the velocity when it meets the obstacle or the large steering angle using the potentials of obstacle points and the steering angle. Thus the motion planning of the vehicle is done by planning the steering angle for the front wheels and the velocity. Finally, the performance of the proposed method is tested through simulation.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제33권2호
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• pp.158-165
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• 2011

A 73-year-old Korean female patient with a fully edentulous mandible was planned to have five implant fixtures installed in the anterior mandible for the fixed prosthesis. After 3-dimensional (3D) computed tomographic scanning was transferred to OnDemand3D$^{(R)}$ (Cybermed Co., Seoul, Korea) software program for the virtual planning, five fixtures of MK III Groovy RP implants of Branemark System$^{(R)}$ (Nobel Biocare AB Co., Goteborg, Sweden) were installed in the anterior mandible between both mental foramens using In2Guide$^{(R)}$ (CyberMed Co., Seoul, Korea) mucosa-supported surgical template with Quick Guide Kit$^{(R)}$ (Osstem Implant Co., Seoul, Korea) systems. Fixture installations were completed successfully without any complications, such as mental nerve injury, bony bleedings, fenestrations and other unexpected events. Postoperative computed tomographic scans were aligned and fused to the planned implant, then angular and linear deviations were compared with the planned virtual implants. The mean angular deviation between the planned and actual implant axes was $3.42{\pm}1.336^{\circ}$. The mean distance between the planned and actual implant at the neck area was $0.544{\pm}0.290$ mm horizontally and $0.118{\pm}0.079$ mm vertically. The average distance between the planned and actual implant at the apex area was $1.166{\pm}0.566$ mm horizontally and $0.14{\pm}0.091$ mm vertically. These results could be considered more precise and accurate than previous reports, and even our recent results. The entire procedures of this case are reported and reviewed.

• Journal of International Society for Simulation Surgery
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• 제4권1호
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• pp.9-12
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• 2017

Purpose Surgery for separating craniopagus twins involves many critical issues owing to complex anatomical features. We demonstrate a 3D printed model and virtual reality (VR) technologies that could provide valuable benefits for surgical planning and simulation, which would improve the visualization and perception during craniopagus surgery. Material & Methods We printed a 3D model extracted from CT images of craniopagus patients using segmentation software developed in-house. Then, we imported the 3D model to create the VR environment using 3D simulation software (Unity, Unity Technologies, CA). We utilized the HTC Vive (HTC & Valve Corp) head-mount-display for the VR simulation. Results We obtained the 3D printed model of craniopagus patients and imported the model to a VR environment. Manipulating the model in VR was possible, and the 3D model in the VR environment enhanced the application of user-friendly 3D modeling in surgery for craniopagus twins. Conclusion The use of the 3D printed model and VR has helped understand complicated anatomical structures of craniopagus patients and has made communicating with other medical surgeons in the field much easier. Further, interacting with the 3D model is possible in VR, which enhances the understanding of the craniopagus surgery as well as the success rate of separation surgery while providing useful information on diagnosing and surgery planning.

• 한국컴퓨터정보학회논문지
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• 제14권11호
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• pp.31-40
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• 2009

가장 많이 활용하는 청소로봇의 청소기법은 크게 랜덤기법과 바둑판식기법으로 나눌 수 있다. 랜덤기법을 이용한 청소로봇은 장애물을 만날 때까지 직진 방향으로 청소를 수행하며, 장애물을 만나면 일정한 각도로 회전한 후 다시 직진 방향으로 청소를 수행한다. 랜덤기법은 중복적인 청소를 수행하는 문제가 빈번히 발생하며, 청소를 완료하는 데 오래 시간이 소요되는 단점이 있다. 바둑판식기법을 이용한 청소로봇은 장애물을 만날 때까지 직진 방향으로 청소를 수행하며, 장애물을 만나면 직진과 회전을 이용하여 청소가 수행되지 않은 위치로 이동하고, 이전에 청소를 수행한 방향의 반대로 청소를 수행한다. 바둑판식기법은 청소공간을 조밀하게 청소하며 진행하기 때문에 장애물이 없거나 작은 공간에서 작업 성능이 뛰어나다. 그러나 바둑판식기법으로 장애물이 있거나 복잡한 공간을 청소할 때는 청소시간이 증가한다. 그러므로 청소의 효율성을 증가시키기 위해서는 작업공간을 정확히 파악하여 청소를 계획적으로 진행해야 한다. 본 논문에서 제안한 가상지도 기반 청소로봇은 작업공간을 효율적으로 청소하는 특성을 갖는다. 시뮬레이션을 통해 제안한 기법의 효율성을 측정하였다.

• 한국의학물리학회지:의학물리
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• 제14권2호
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• pp.90-98
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• 2003

목적 : 척수에 전이가 가능한 뇌종양 치료를 위한 두개척수 방사선치료를 전산화단층촬영장치(volumetric spiral CT)와 입체조준장치(CT simulator) 및 3차원 조형치료계획장치(3D conformal planning system)를 이용한 두개척수 방사선치료계획 방법을 개발하고 기하학적 검증을 통하여 유용성과 정확성을 평가한다. 방법 : 연세암센터 방사선종양학과에서 두개척수 방사선치료를 받은 환자 11명을 대상으로 전산화 단층촬영을 이용한 입체 모의치료계획과 3차원 방사선조형치료를 시행하였다. 중증의 뇌종양 환자의 두경부는 두부고정틀(thermoplastic mask, $Aquaplast^{R}$)로 고정시키고, 전신은 $Vac-Loc$ $Aquaplast^{R}$ (전성물산, 한국)으로 고정한 후 전산화단층촬영장치(Spiral CT)를 이용하여 전신체적영상(volumetric image)을 얻었다. 환자자세의 재현성 확인 및 검증을 위해 두부에 세 개의 점과 전신에 기준선 및 기준점 등을 표시하였다. 이후 입체조준장치(CT-simulator)의 가상현실영상(virtual fluoroscopy)에서 인체의 크기와 방향에 제약이 없고 치료 침대와 고정기구에 대한 시각장애를 제거함으로써 자유롭게 모의치료를 할 수 있었으며, 조사면과 선속을 결정하고 디지털화재구성사진(digitally reconstructed radiography, DRR)과 디지털화합성사진(digitally composited radiography, DCR)을 통하여 분해능이 좋은 화질의 투시 및 모의치료영상을 획득하였다. 기하학적 검증은 치료중심점 이동시 얻은 모의치료영상과 첫 치료 시에 얻은 조사면 검증 사진(port verification film) 등을 전산화단층촬영영상으로부터 재구성한 DRR 영상과 시각적, 정량적으로 비교, 분석 였다. 결론 : 입체조준장치와 3차원 방사선치료계획 장치 등을 이용하여 두개척수 방사선 치료계획을 신속하고 정확하게 원활히 수행할 수 있었다. 가상현실영상에서 대부분의 설계작업이 이루어지므로 환자의 자세고정을 요하는 시간은 전신체적 영상을 얻는 10분 이내이므로 환자의 불편을 줄일 수 있을 뿐 아니라 모의치료과정 중의 체위 변동 변수를 제거할 수 있었다. 또한 전산화단층촬영영상을 얻음으로써 중요정상조직인 안구, 척수 등을 정확하게 설정할 수 있었고, 조사면 결정과 차폐의 정확성을 증진시킬 수 있었다. 환자자세오차는 디지털화재구성사진과 치료 시마다 얻은 포트필름에서 치료중심점과 척수 사이의 거리를 측정하여 3 mm 이내의 정확성을 얻을 수 있었다. CT조준장치를 이용한 중추신경계의 방사선 입체조형치료는 가상현실모의치료계획으로 두개척수의 방사선치료를 정확하고 용이하게 실현할 수 있었다.

• 대한치과교정학회지
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• 제51권5호
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• pp.321-328
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• 2021

Objective: To examine the accuracy of computer-aided intraoperative navigation (Ci-Navi) in bimaxillary orthognathic surgery by comparing preoperative planning and postoperative outcome. Methods: The study comprised 45 patients with congenital dentomaxillofacial deformities who were scheduled to undergo bimaxillary orthognathic surgery. Virtual bimaxillary orthognathic surgery was simulated using Mimics software. Intraoperatively, a Le Fort I osteotomy of the maxilla was performed using osteotomy guide plates. After the Le Fort I osteotomy and bilateral sagittal split ramus osteotomy of the mandible, the mobilized maxilla and the distal mandibular segment were fixed using an occlusal splint, forming the maxillomandibular complex (MMC). Real-time Ci-Navi was used to lead the MMC in the designated direction. Osteoplasty of the inferior border of the mandible was performed using Ci-Navi when facial symmetry and skeletal harmony were of concern. Linear and angular distinctions between preoperative planning and postoperative outcomes were calculated. Results: The mean linear difference was 0.79 mm (maxilla: 0.62 mm, mandible: 0.88 mm) and the overall mean angular difference was 1.20°. The observed difference in the upper incisor point to the Frankfort horizontal plane, midfacial sagittal plane, and coronal plane was < 1 mm in 40 cases. Conclusions: This study demonstrates the role of Ci-Navi in the accurate positioning of bone segments during bimaxillary orthognathic surgery. Ci-Navi was found to be a reliable method for the accurate transfer of the surgical plan during an operation.

• International Journal of Contents
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• 제12권1호
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• pp.25-43
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• 2016

An agent-centric event planning method is proposed for providing pedagogical experiences in an immersed environment. Two-level planning is required at in a macro-level (i.e., inter-event level) and an intra-event level to provide realistic experiences with the objective of learning declarative knowledge. The inter-event (horizontal) planning is based on search, while intra-event (vertical) planning is based on hierarchical decomposition. The horizontal search is dictated by several realistic types of association between events besides the conventional causality. The resulting schematic plan is further augmented by conditions associated with those agents cast into the roles of the events identified in the plan. Rather than following a main story plot, all the events potentially relevant to accomplishing an initial goal are derived in the final result of our planning. These derived events may progress concurrently or digress toward a new main goal replacing the current goal or event, and the plan could be merged or fragmented according to their respective lead agents' intentions and other conditions. The macro-level coherence across interconnected events is established via their common background world existing a priori. As the pivotal source of event concurrency and intricacy, agents are modeled to not only be autonomous but also independent, i.e., entities with their own beliefs and goals (and subsequent plans) in their respective parts of the world. Additional problems our method addresses for augmenting pedagogical experiences include casting of agents into roles based on their availability, subcontracting of subsidiary events, and failure of multi-agent event entailing fragmentation of a plan. The described planning method was demonstrated by monitoring implementation.

• 대한방사선치료학회지
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• 제11권1호
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• pp.53-59
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• 1999

The aim of this study is to improve the accuracy of field placement and junction between adjacent fields and block shielding through the use of a computed tomography(CT) simulator and virtual simulation. The information was acquired by assessment of Alderson Rando phantom image using CT simulator (I.Q. Xtra - Picker), determination of each field by virtual fluoroscopy of voxel IQ workstation AcQsim and colored critical structures that were obtained by contouring in virtual simulation. And also using a coronal, sagittal and axial view can determine the field and adjacent field gap correctly without calculation during the procedure. With the treatment planning by using the Helax TMS 4.0, the dose in the junction among the adjacent fields and the spinal cord and cribriform plate of the critical structure was evaluated by the dose volume histogram. The pilot image of coronal and sagittal view took about 2minutes and 26minutes to get 100 images. Image translation to the virtual simulation workstation took about 6minutes. Contouring a critical structure such as cribriform plate, spinal cord using a virtual fluoroscopy were eligible to determine a correct field and shielding. The process took about 20 minutes. As the result of the Helax planning, the dose distribution in adjacent field junction was ideal, and the dose level shows almost 100 percentage in the dose volume histogram of the spinal cord and cribriform plate CT simulation can get a correct therapy area due to enhancement of critical structures such as spinal cord and cribriform plate. In addition, using a Spiral CT scanner can be saved a lot of time to plan a simulation therefore this function can reduce difficulties to keep the patient position without any movements to the patient, physician and radiotherapy technician.