• Title/Summary/Keyword: X -ray Computed

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Small Solitary Ground-Glass Nodule on CT as an Initial Manifestation of Coronavirus Disease 2019 (COVID-19) Pneumonia

  • Tianyi Xia;Jiawei Li;Jiao Gao;Xunhua Xu
    • Korean Journal of Radiology
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    • v.21 no.5
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    • pp.545-549
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    • 2020
  • The 2019 novel coronavirus (2019-nCoV) outbreak in Wuhan, Hubei Province, China in 2019 led to large numbers of people being infected and developing atypical pneumonia (coronavirus disease 2019, COVID-19). Typical imaging manifestations of patients infected with 2019-nCoV has been reported, but we encountered an atypical radiological manifestation on baseline computed tomography (CT) images in three patients from Wuhan, China infected with the 2019-nCoV. Surprisingly, the only similar CT finding was a solitary sub-centimeter ground-glass nodule adjacent to bronchovascular bundles, which could be easily overlooked. In addition, the follow-up images in these patients showed how COVID-19 pneumonia evolved from these small nodules. The radiologic manifestation of the three cases will expand contemporary understanding of COVID-19.

Variation of Physical and Microstructural Properties of Limestone caused by Artificial Freezing and Thawing (인공 동결-융해 풍화에 따른 석회암의 물성 및 미세구조 변화 분석)

  • Park, Jihwan;Park, Hyeong-Dong
    • Tunnel and Underground Space
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    • v.25 no.5
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    • pp.435-449
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    • 2015
  • Physical and microstructural properties of Pungchon and Maggol limestone were investigated quantitatively during 50 cycles of artificial freezing and thawing test. There were decrease in dry weight and P,S-wave velocity, and increase in absorption rate in both rock types. Porosity, pore volume, equivalent diameter, throat thickness and pore orientation were analyzed using X-ray computed tomography images. Porosity increased, and initiation and expansion of pores were investigated as weathering progresses. Physical and microstructural variation in Maggol limestone was larger than that of Pungchon limestone because Maggol limestone has more pores and microcracks at initial state. As this study analyzes physical and microstructural properties of rock specimens comprehensively, it can be applied to further rock weathering study and can be used as fundamental data of construction and resource development in cold regions.

Rapid Rigid Registration Method Between Intra-Operative 2D XA and Pre-operative 3D CTA Images (수술 중 촬영된 2D XA 영상과 수술 전 촬영된 3D CTA 영상의 고속 강체 정합 기법)

  • Park, Taeyong;Shin, Yongbin;Lim, Sunhye;Lee, Jeongjin
    • Journal of Korea Multimedia Society
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    • v.16 no.12
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    • pp.1454-1464
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    • 2013
  • In this paper, we propose a rapid rigid registration method for the fusion visualization of intra-operative 2D XA and pre-operative 3D CTA images. In this paper, we propose a global movement estimation based on a trilateration for the fast and robust initial registration. In addition, the principal axis of each image is generated and aligned, and the bounding box of the vascular shape is compared for more accurate initial registration. For the fine registration, two images are registered where the distance between two vascular structures is minimized by selective distance measure. In the experiment, we evaluate a speed, accuracy and robustness using five patients' data by comparing the previous registration method. Our proposed method shows that two volumes can be registered at optimal location rapidly, and robustly comparing with the previous method.

A Recurrent Spontaneous Pneumomediastinum (재발된 자발성 종격동기종)

  • Lim, Eun-Ju;Park, Yong Bum;Kim, Chang-Hwan;Park, Dong Sun;Kim, Min Guan;Kim, Chul-Hong;Park, Sang Myon;Lee, Jae Young;Mo, Eun Kyung
    • Tuberculosis and Respiratory Diseases
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    • v.59 no.6
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    • pp.696-699
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    • 2005
  • Spontaneous pneumomediastinum(SPM) is an uncommon disease that is defined as the nontraumatic presence of free air in the mediastinum without any apparent underlying disease. We report a case of recurrent spontaneous pneumomediastinum without any direct precipitating cause. A 21-year-old woman was admitted to hospital suffering from chest pain that occurred during walking (?). She had previously been well. She did not complain of cough or vomiting prior to this presentation. Upon admission, the physical examination and Electrocardiogram findings were normal. The chest x-ray and chest computed-tomography showed a pneumomediastinum. She was successfully managed conservatively. Twenty seven months later, she was readmitted with chest pain, which again occurred during the same activity. The recurrent SPM was confirmed by the chest x-ray and chest computed-tomography. She was managed in the same manner as before and made an uneventful recovery. This is the first case of recurrent SPM in Korea.

Generalized Pulp Stones of Primary Dentition in a Patient with Molar-Incisor Malformation : A Case Report (Molar-Incisor Malformation 환자의 유치열 내 전반적인 치수석 관찰의 증례 보고)

  • Lee, Dongyun;Shin, Jisun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.47 no.3
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    • pp.337-343
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    • 2020
  • Molar-incisor malformation (MIM) is a new type of root anomaly reported recently. The characteristics of MIM are dysplastic root formations, constriction of pulp chambers and presence of calcified matrices at the level of cementoenamel junction in permanent first molars and primary second molars. In some cases, permanent maxillary incisors are also affected. The permanent first molars of the patient in this case report were affected with MIM. Generalized pulp stones were observed in overall primary dentition. Micro-computed tomography (micro-CT) imaging and scanning electron microscope-energy dispersive X-ray spectrometer analysis were performed on the extracted mandibular first molar and maxillary primary second molar of the patient. Micro-CT images revealed the discontinuity of enamel directly connected to an accessory canal of the root.

Correlation between Bone Mineral Density Measured by Dual-Energy X-Ray Absorptiometry and Hounsfield Units Measured by Diagnostic CT in Lumbar Spine

  • Lee, Sungjoon;Chung, Chun Kee;Oh, So Hee;Park, Sung Bae
    • Journal of Korean Neurosurgical Society
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    • v.54 no.5
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    • pp.384-389
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    • 2013
  • Objective : Use of quantitative computed tomography (CT) to evaluate bone mineral density was suggested in the 1970s. Despite its reliability and accuracy, technical shortcomings restricted its usage, and dual-energy X-ray absorptiometry (DXA) became the gold standard evaluation method. Advances in CT technology have reduced its previous limitations, and CT evaluation of bone quality may now be applicable in clinical practice. The aim of this study was to determine if the Hounsfield unit (HU) values obtained from CT correlate with patient age and bone mineral density. Methods : A total of 128 female patients who underwent lumbar CT for back pain were enrolled in the study. Their mean age was 66.4 years. Among them, 70 patients also underwent DXA. The patients were stratified by decade of life, forming five age groups. Lumbar vertebrae L1-4 were analyzed. The HU value of each vertebra was determined by averaging three measurements of the vertebra's trabecular portion, as shown in consecutive axial CT images. The HU values were compared between age groups, and correlations of HU value with bone mineral density and T-scores were determined. Results : The HU values consistently decreased with increasing age with significant differences between age groups (p<0.001). There were significant positive correlations (p<0.001) of HU value with bone mineral density and T-score. Conclusion : The trabecular area HU value consistently decreases with age. Based on the strong positive correlation between HU value and bone mineral density, CT-based HU values might be useful in detecting bone mineral diseases, such as osteoporosis.

Suggestion of the morphological characteristic parameters according to the Lee's physical constitution theory using X-ray computed tomography (X선 CT화상을 이용한 사상체질의 형태학적 특징 파라메타의 제안)

  • Jo, Bong-Kwan;Bae, Jong-Il;Ko, Byung-Hee;Saito, Masao
    • Proceedings of the KOSOMBE Conference
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    • v.1993 no.11
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    • pp.13-16
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    • 1993
  • In this paper the morphological characteristic parameters according to the Lee's physical constitution theory are suggested using the X-ray computed tomography. The Lee's physical constitution theory is classify into 4 physical constitutional types by the relative degree of visceral function: those are macro-negative(strong liver- weak lung), micro-negative(strong kidney- weak spleen), micro-positive(strong spleen- weak kidney) and macro-positive(string lung- weak liver). The morphological characteristic parameters are the following. The AA-line is the distance between Rt. & Lt. acupuncture point keug-cheun. The BB-line is the length of lung. The CC-line is the longest width of thorax. The DD-line is the vertical distance between the CC-line and the EE-line. The EE-line is the distance between the Rt. and Lt. anterior superior iliac spines. As the results macro-negative(strong liver-weak lung) has the longest CC-line and the short BB-line. Micro-negative(strong kidney-weak spleen) has the longest EE-line and the short CC-line. Micro-positive(strong spleen-weak kidney) has the longest DD-line and the short BB-line. And macro-positive(strong lung-weak kidney) has the longest BB-line and the short EE-line.

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An Analysis of Pore Network of Drilling Core from Pohang Basin for Geological Storage of CO2 (이산화탄소 지중저장을 위한 포항분지 시추코어의 공극구조 분석)

  • Park, Jihwan;Park, Hyeong-Dong
    • Tunnel and Underground Space
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    • v.26 no.3
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    • pp.181-191
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    • 2016
  • In geological storage of $CO_2$, the behavior of $CO_2$ is influenced by pore network of rock. In this study, the drilling cores from Pohang Basin were analyzed quantitatively using three-dimensional images acquired by X-ray micro computed tomography. The porosities of sandstone specimens around 740 m-depth (T1), 780 m-depth (T2) and 810 m-depth (T3) which were target strata were 25.22%, 23.97%, 6.28%, respectively. Equivalent diameter, volume, area, local thickness of pores inside the sandstone specimens were analyzed. As a result, the microstructural properties of T1 and T2 specimens were more suitable for geological storage of $CO_2$ than those of T3 specimens. The result of the study can be used as input data of the site for decision of injection condition, flow simulation and so on.

Comparison of Based on Histogram Equalization Techniques by Using Normalization in Thoracic Computed Tomography (흉부 컴퓨터 단층 촬영에서 정규화를 사용한 다양한 히스토그램 평준화 기법을 비교)

  • Lee, Young-Jun;Min, Jung-Whan
    • Journal of radiological science and technology
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    • v.44 no.5
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    • pp.473-480
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    • 2021
  • This study was purpose to method that applies for improving the image quality in CT and X-ray scan, especially in the lung region. Also, we researched the parameters of the image before and after applying for Histogram Equalization (HE) such as mean, median values in the histogram. These techniques are mainly used for all type of medical images such as for Chest X-ray, Low-Dose Computed Tomography (CT). These are also used to intensify tiny anatomies like vessels, lung nodules, airways and pulmonary fissures. The proposed techniques consist of two main steps using the MATLAB software (R2021a). First, the technique should apply for the process of normalization for improving the basic image more correctly. In the next, the technique actively rearranges the intensity of the image contrast. Second, the Contrast Limited Adaptive Histogram Equalization (CLAHE) method was used for enhancing small details, textures and local contrast of the image. As a result, this paper shows the modern and improved techniques of HE and some advantages of the technique on the traditional HE. Therefore, this paper concludes that various techniques related to the HE can be helpful for many processes, especially image pre-processing for Machine Learning (ML), Deep Learning (DL).

Fractal dimension analysis on CBCT scans for detecting low bone mineral density in postmenopausal women

  • Carvalho, Bruno Fontenele;de Castro, Julia Goncalves Koehne;de Melo, Nilce Santos;Figueiredo, Paulo Tadeu de Souza;Moreira-Mesquita, Carla Ruffeil;de Paula, Ana Patricia;Sindeaux, Rafael;Leite, Andre Ferreira
    • Imaging Science in Dentistry
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    • v.52 no.1
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    • pp.53-60
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    • 2022
  • Purpose: The aim of this study was to compare the fractal dimension (FD) measured at 2 bone sites (second cervical vertebra and mandible) on cone-beam computed tomography (CBCT). The research question was whether FD could serve as an accessory tool to refer postmenopausal women for densitometric analysis. Therefore, the reliability and accuracy of FD were evaluated. Materials and Methods: In total, 103 postmenopausal women were evaluated, of whom 52 had normal bone mineral density and 51 had osteoporosis, according to dual X-ray absorptiometry of the lumbar spine and hip. On the CBCT scans, 2 regions of interest were selected for FD analysis: 1 at the second cervical vertebra and 1 located at the mandible. The correlations between both measurements, intra- and inter-observer agreement, and the accuracy of the measurements were calculated. A P value less than 0.05 was considered to indicate statistical significance for all tests. Results: The mean FD values were significantly lower at the mandibular region of interest in osteoporotic patients than in individuals with normal bone mineral density. The areas under the curve were 0.644 (P=0.008) and 0.531 (P=0.720) for the mandibular and vertebral sites, respectively. Conclusion: FD at the vertebral site could not be used as an adjuvant tool to refer women for osteoporosis investigation. Although FD differed between women with normal BMD and osteoporosis at the mandibular site, it demonstrated low accuracy and reliability.