• Title/Summary/Keyword: X rays

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The Role of Bone Scans in Routine Preoperative Evaluations of Non-Small Cell Lung Cancer Patients. (비소세포 폐암의 병기에 있어 통상적인 골 스캔의 역할)

  • 김영태;홍장미;이재익;이정상;성숙환;김주현
    • Journal of Chest Surgery
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    • v.35 no.9
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    • pp.659-663
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    • 2002
  • The objective of this study was to assess the usefulness of bone scans in routine preoperative examinations of patients with newly diagnosed non-small cell lung carcinoma. Material and Method: We reviewed the medical records of 258 patients who were newly diagnosed with non-small cell lung cancer in our hospital between January 2000 and December 2000. More than half of the patients (132) were deemed to be inoperable due to their advanced stage based on the CT scans. The remaining 126 patients were considered potentially operable. For these patients, clinical evaluation including the presence of bone pain, serum alkaline phosphatase, and calcium levels was used as clinical predictors of bone metastasis. All patients received bone scans. Bone X-rays, MRI or bone biopsy were performed to confirm the presence of bone metastasis. The usefulness of the bone scan was evaluated by comparing its power of predicting bone metastasis to that of the clinical information. Result: In all patients, the positive and negative predictive values of bone scans for the bone metastasis were 44%, and 99%, respectively. Those of the clinical information were 38% , and 94%. However, in potentially operable patients, the negative predictive value of the clinical information was as high as 99%. Conclusion: If newly diagnosed non-small cell lung cancer patients are presented as potentially operable on the basis of CT scan with no clinical evidence of distant metastases, curative resection could be considered without performing routine bone scans because of the low probability of bone metastasis. However, if there are positive clinical findings, further evaluations, including bone scan should be followed as metastasis will be documented in more than 30% of patients.

Clinical evaluation of Oriental Medicine treatment of Stable Compression Fracture by D.I.T.I. (D.I.T.I로 본 Stable Compression Fracture의 한의학적 치료효과)

  • Lee, Geon-Mok;Moon, Sung-Jae;Lee, Byung-Chul
    • Journal of Oriental Medical Thermology
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    • v.1 no.1
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    • pp.28-37
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    • 2002
  • Stable Compression Fractures(SCF hereafter) are most often caused by trauma such as traffic accidents. These SCFs usually occur in the thoracic and lumbar regions of the spinal cord. Human life spans have increased as a result of medical advances, which in turn has led to an increase in the elderly population. SCFs are divided into the categories of stable and unstable. The categories are determined through X-rays and P/Ex tests. The D.I.T.I. is then used to diagnose the severity and prognosis of the fracture injuries, and it allows an objective evaluation of the symptoms. This author researched 40 patients who were treated at Wonkwang University Oriental Medical Center from October 1995 to December 1996. The patients were diagnosed by X-ray as having SCFs and treated primarily with acupuncture. Both the changes in D.I.T.I. and patients' self-diagnoses of their conditions before and after treatment yielded the meaningful results which have been presented here. 1. 75% of those who suffer from Stable Compression Fractures are 60 years of older. Of those, the ratio of male to female is 1 to 4. This is due in part to the fact that many elderly women seek Oriental medicine treatment for conditions associated with advanced age. 2. 53.3% of these injuries occurred between T11 and L2. 3. 65% of patients were hospitalized for 10 to 29 days, and then able to be treated on an outpatiens basis. 4. The D.I.T.I. results showed 50% below $0.2^{\circ}C$, 30% between 0.3 and $0.5^{\circ}C$, 10% between 0.5 and $0.7^{\circ}C$, 10% between 0.7 and $0.9^{\circ}C$, and 0% over $0.9^{\circ}C$. 5. The results of treatment using Modified Evaluation System in Thoracolumbar Vertebral Fractures Method showed that 55% of patients achieved excellent recovery and 40% achived good recovery. After comparing the D.I.T.I. results before and after treatment, we found 50% of patients showed excellent recovery $({\Delta}T{\leq}0.2)$ and 40% showed good recovery$(0.2<{\Delta}T{\leq}0.5)$.

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The Fabrication and Evaluation of HgI2 Semiconductor Detector as High Energy X-ray Dosimeter Application (고에너지 X선 선량계 적용을 위한 TiO2 첨가된 요오드화수은 반도체 검출기 제작 및 평가)

  • Choi, Il Hong;Noh, Sung Jin;Park, Jung Eun;Park, Ji Koon;Kang, Sang Sik
    • Journal of the Korean Society of Radiology
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    • v.8 no.7
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    • pp.383-387
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    • 2014
  • In this paper, for a new detection system development with the better accurate dose evaluation and beam distribution imaging using the small field irradiation of linear accelerator, the compound semiconductor based detection sensors were fabricated and the performance evaluation was investigated. The special particle-in-binder sedimentation was used for a large area film sensor fabrication. The detection properties for high energy x-rays were investigated from a dark current, an output current, a rising time, a falling time, and response delay measurement. The experimental results, the $TiO_2$ mixed $HgI_2$ sensor showed the best electrical characteristics than $PbI_2$, PbO, pure $HgI_2$. Linearity, repeatability, and accuracy tests from LINAC were tested, the $TiO_2$ mixed $HgI_2$ sensor showed the better performance than the commercially available dosimetry devices.

Comparison of SUV for PET/MRI and PET/CT (인체 각 부위의 PET/MRI와 PET/CT의 SUV 변화)

  • Kim, Jae Il;Jeon, Jae Hwan;Kim, In Soo;Lee, Hong Jae;Kim, Jin Eui
    • The Korean Journal of Nuclear Medicine Technology
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    • v.17 no.2
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    • pp.10-14
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    • 2013
  • Purpose: Due to developed simultaneous PET/MRI, it has become possible to obtain more anatomical image information better than conventional PET/CT. By the way, in the PET/CT, the linear absorption coefficient is measured by X-ray directly. However in case of PET/MRI, the value is not measured from MRI images directly, but is calculated by dividing as 4 segmentation ${\mu}-map$. Therefore, in this paper, we will evaluate the SUV's difference of attenuation correction PET images from PET/MRI and PET/CT. Materials and Methods: Biograph mCT40 (Siemens, Germany), Biograph mMR were used as a PET/CT, PET/MRI scanner. For a phantom study, we used a solid type $^{68}Ge$ source, and a liquid type $^{18}F$ uniformity phantom. By using VIBE-DIXON sequence of PET/MRI, human anatomical structure was divided into air-lung-fat-soft tissue for attenuation correction coefficient. In case of PET/CT, the hounsfield unit of CT was used. By setting the ROI at five places of each PET phantom images that is corrected attenuation, the maximum SUV was measured, evaluated %diff about PET/CT vs. PET/MRI. In clinical study, the 18 patients who underwent simultaneous PET/CT and PET/MRI was selected and set the ROI at background, lung, liver, brain, muscle, fat, bone from the each attenuation correction PET images, and then evaluated, compared by measuring the maximum SUV. Results: For solid $^{68}Ge$ source, SUV from PET/MRI is measured lower 88.55% compared to PET/CT. In case of liquid $^{18}F$ uniform phantom, SUV of PET/MRI as compared to PET/CT is measured low 70.17%. If the clinical study, the background SUV of PET/MRI is same with PET/CT's and the one of lung was higher 2.51%. However, it is measured lower about 32.50, 40.35, 23.92, 13.92, 5.00% at liver, brain, muscle, fat, femoral head. Conclusion: In the case of a CT image, because there is a linear relationship between 511 keV ${\gamma}-ray$ and linear absorption coefficient of X-ray, it is possible to correct directly the attenuation of 511 keV ${\gamma}-ray$ by creating a ${\mu}$map from the CT image. However, in the case of the MRI, because the MRI signal has no relationship at all with linear absorption coefficient of ${\gamma}-ray$, the anatomical structure of the human body is divided into four segmentations to correct the attenuation of ${\gamma}-rays$. Even a number of protons in a bone is too low to make MRI signal and to localize segmentation of ${\mu}-map$. Therefore, to develope a proper sequence for measuring more accurate attenuation coefficient is indeed necessary in the future PET/MRI.

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Clinical Study on Cervical Pain with Focus on Sagittal Spinal Balance and Spinal Curvature (경항통과 척추 시상균형 및 만곡의 상관관계에 대한 임상적 연구)

  • Yi, Won-Il;Koh, Pil-Seong;Joh, Byung-Jin;Kwon, Sin-Ae;Lee, Jung-Woo;Song, Ji-Yeon;Seo, Byung-Kwan;Woo, Hyun-Su;Baek, Yong-Hyeon;Park, Dong-Suk;Nam, Sang-Soo
    • Journal of Acupuncture Research
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    • v.27 no.2
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    • pp.97-104
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    • 2010
  • Objectives : The authors aimed to determine the presence of relationships between cervical pain and cervical curvature, lumbar curvature, sacral slope and sagittal spinal balance. Methods : Medical records of outpatients who made their first visits to the Department of Acupuncture and Moxibustion in the Spine center at Kyung Hee East-West Neo Medical Center between September 1, 2008 and October 31, 2009 were evaluated. A total of 50 patients visiting within the time period had visited with a chief complaint of cervical pain, and had lateral entire spine X-rays taken. After excluding patients with previous spine operations, 46 patients were selected for the final analysis. The cervical lordotic angle(CLA), lumbar lordotic angle(LLA), Ferguson's angle(FA), and sagittal vertical axis(SVA) were measured on the lateral entire spine X-ray cuts, and the relationships between these values and patient gender, age, chief complaint, and duration of symptoms were assessed. Results : No significant difference was found in relationships between gender and measured values. SVA showed statistically significant correlation between age, but CLA, LLA, and FA was not. There was a significant difference in SVA between patients with only cervical pain and those with both cervical pain and low back pain. Patients with a duration of symptoms longer than 6 months showed a statistically significant difference in SVA with those who had shorter symptoms. Correlation analysis between measured values was statistically significant only between LLA and FA. Conclusions : Evaluation and treatment of sagittal imbalance should be considered in patients presenting with cervical pain if symptoms have persisted for over 6 months or have accompanying low back pain.

Monte Carlo Calculation on the Dose Modulation Using Dynamic Magnetic Fields for 10 MV X-rays (움직이는 자기장을 이용한 10 MV X-선의 선량변조에 관한 몬테칼로 계산)

  • Kim, Ki Hwan;Oh, Young Kee;Shin, Kyo Chul;Kim, Jhin Kee;Jeong, Dong Hyeok;Kim, Jeung Kee;Cho, Moon June;Kim, Sun Young
    • Progress in Medical Physics
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    • v.18 no.4
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    • pp.221-225
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    • 2007
  • Monte Carlo calculations were performed to demonstrate the dose modulation with dynamic magnetic fields in phantom. The goal of this study is to obtain the uniform dose distributions at a depth region as a target on the central axis of photon beam under moving transverse magnetic field. We have calculated the depth dose curves for two cases of moving magnetic field along a depth line, constant speed and optimal speed. We introduced step-by-step shift and time factor of the position of the electromagnet as an approximations of continuous moving. The optimal time factors as a function of magnetic field position were calculated by least square methods using depth dose data for static magnetic field. We have verified that the flat depth dose is produced by varying the speed of magnetic field as a function of position as a results of Monte Carlo calculations. For 3 T magnetic field, the dose enhancement was 10.1% in comparison to without magnetic field at the center of the target.

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GAMMA-RAY BURST FORMATION ENVIRONMENT: COMPARISON OF REDSHIFT DISTRIBUTIONS OF GRB AFTERGLOWS (감마선 폭발체의 생성 환경: 에너지 영역별 잔유휘광의 거리 분포 비교)

  • Kim, Sung-Eun;Chang, Heon-Young
    • Journal of Astronomy and Space Sciences
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    • v.22 no.4
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    • pp.377-384
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    • 2005
  • Since gamma-ray bursts(GRBs) have been first known to science societites in 1973, many scientists are involved in their studies. Observations of GRB afterglows provide us with much information on the environment in which the observed GRBs are born. Study of GRB afterglows deals with longer timescale emissions in lower energy bands (e.g., months or even up to years) than prompt emissions in gamma-rays. Not all the bursts accompany afterglows in whole ranges of waveleogths. It has been suggested as a reason for that, for instance, that radio and/or X-ray afterglows are not recorded mainly due to lower sensitivity of detectors, and optical afterglows due to extinctions in intergalactic media or self-extinctions within a host galaxy itself. Based on the idea that these facts may also provide information on the GRE environment, we analyze statistical properties of GRB afterglows. We first select samples of the redshift-known GRBs according to the wavelength of afterglow they accompanied. We then compare their distributious as a function of redshift, using statistical methods. As a results, we find that the distribution of the GRBs with X-ray afterglows is consistent with that of the GRBs with optical afterglows. We, therefore, conclude that the lower detection rate of optical afterglows is not due to extinctions in intergalactic media.

A Study on Perceptions by College Students of Radiology about the Knowledge, Attitudes and Behaviors of Radiation Exposure Management (방사선과 대학생이 방사선피폭관리에 대한 지식, 태도, 행위에 관한 연구)

  • Yeo, Jindong;Ko, Inho;Kim, Hye-Sook
    • Journal of the Korean Society of Radiology
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    • v.9 no.2
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    • pp.79-99
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    • 2015
  • Participants of this study were students of radiology who were attending colleges or universities located in Daegu and Gyeongbuk. This researcher conducted a questionnaire survey of those students from Feb. 3rd to 21st, 2014. The findings of the study can be summarized as follows. 1. Concerning the knowledge of radiation exposure management, the respondents' scores were highest in two items, or 'Materials based on lead or concrete may shield X-rays' and 'The sexual gland is very sensitive to radiation' and lowest in the item which says' 'Occupational radiation exposure dose should not exceed 20mSv a year in average on a 5-year period basis'. 2. The participants' scores for the attitudes of radiation exposure management were higher in two items, or 'Health examination should be made regularly in relation to radiation exposure' and 'Those who work within the area of irradiation should wear protective clothes' and lowest in the item which says 'Radiation exposure dose should be regularly measured for the calibration of the radiation system'. 3. For the behaviors of radiation exposure management, the surveyed students showed highest scores in two items, or 'When irradiating the patient, the radiator should be behind the protective barrier(plate)' and 'It is needed to receive the education of radiation exposure management regularly' While, their score for a behavior described in the item saying 'Before using the radiation system, it is needed to check whether the machine works normally.

Spectroscopic Characteristics of Ruby from Gorno-Badakhshan, Tajikistan (타지키스탄 고르노바다흐샨주 지역 루비에 대한 분광학적 특성 연구)

  • Chung, Sol Lim;Park, Jong Wan
    • The Journal of the Petrological Society of Korea
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    • v.22 no.1
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    • pp.1-8
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    • 2013
  • Physical properties, XRF, UV-Vis, FTIR studies were carried out in order to characterize gemological features of ruby from Tajikistan. Fluorescence reaction of the Tajikistan ruby to short wave ultraviolet was moderate to very strong in red and long wave ultraviolet rays was weakly detected. UV-visible analysis strong absorption bands at 468.5, 475, 476.5 nm and broaden bands at 550 nm were observed for ruby due to $Cr^{3+}$. According to FT-IR analysis, all rubies from Tajikistan showed the similar patterns and kaolinite peaks at 3500, 3617, 3630, $3677cm^{-1}$ and boehmite broaden absorption bands at 3085 and $3320cm^{-1}$. Inclusions in Tajikistan ruby are observed solid inclusions, negative crystals, needle and silk inclusions. These distinctive characteristics mentioned above can be used to identify the locality and source of ruby stones from Tajikistan.

Correlation between Deoxycytidineuria and CdR-aminohydrolase Activity following X-Irradiation (X線照射에 따르는 Deoxycytidineuria와 CdR-aminohydrolase의 活性變化와의 連關性)

  • Man Sik kang;Rhee, Juong-Gile;Cho, Joong-Myung
    • The Korean Journal of Zoology
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    • v.18 no.4
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    • pp.163-172
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    • 1975
  • This work was undertaken to elucidate some aspects of mechanisms underlying the increased deoxycytidineuria following irradiation in the mice, by observing Dische-positive substances liberated from thissues, the activity of CdR-aminohydrolase of tissues and the CdR excreted in the urine at various times after single whole-body exposure to 400 and 800 R of X-rays. The activity of CdR-aminohydrolase declined markedly at 1 hour in the small intestine and liver, followed by a gradual rise reaching a maximum at 3 days after irradiation. In the case of the spleen and blood, however, only a trace of activity was observed in the control and irradiated animals. The amount of Dische-positive substance liberated from the small intestine postirradiation was elevated from 3 to 12 hours, showing a maximum during 6 to 9 hours after irradiation. On the contrary, the activity of the enzyme in the liver, spleen and kidney was less than one twentieth that of the small intestine, suggesting a prediction that these organs are not attributable to the increased deoxycytidineuria. A maximum deoxycytidineuria was exhibited at 9-12 hours period, attributed a large amount of CdR to the small intestine, which might correlate with the change in the CdR-aminohydrolase activity. Radiation-induced CdR seems to be liberated from the small intestine into the blood when the CdR-aminohydrolase activity declines abruptly. Then, the CdR is rapidly subjected to a filtration in the kidney without undergoing a further degradation pathway in the blood.

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