• Title/Summary/Keyword: X-선 단층 촬영

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The Effect of a Chest CT Scan on the Treatment and Diagnosis of Major Blunt Chest Trauma (흉부 둔상환자에서 흉부전산화단층촬영이 진단과 치료에 미치는 영향)

  • Park, Il-Hwan;Oh, Joong-Hwan;Lee, Chong-Kook
    • Journal of Chest Surgery
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    • v.42 no.2
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    • pp.226-232
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    • 2009
  • Background: Blunt chest trauma accounts for 90% of all chest traumas in Europe and the United States and this causes 20% of all trauma-related deaths. The major cause of morbidity and mortality after blunt chest trauma is undetected injuries. For this reason, chest computerized tomography has gained popularity for the evaluation of trauma, but it is expensive and it exposes patients to radiation. This study identified the clinical features associated with the diagnosic information obtained on a CT chest scan, as compared with a standard chest X-ray, for patients who sustained blunt trauma to the chest. This study also evaluated the role of a routine computed tomographic (CT) scan for these patients. The patients who had chest computed tomography done after the initial chest x-ray were analyzed separately for the presence of occult injuries. Material and Method: We studied 100 consecutive patients from November 2006 to July 2007: 74 patients after motor vehicle crashes and 26 patients after a fall from a height >2m. Simultaneous with the initial clinical evaluation, an anteroposterior chest radiograph and a helical chest CT scan were obtained for all the patients. The data extracted from the medical record included the vital signs, the interventions and the type and severity of injury (RTS). Result: Among the 100 cases, 79 patients showed at least more than one pathologic sign on their chest radiograph, and 21 patients had a normal chest radiograph. For 17 of the patients who had a normal chest X ray, the CT scan showed multiple injuries, which were pneumothorax, hemothorax, lung contusion, sternal fracture etc. This represents that a CT scan is statistically superior to a chest radiograph to diagnose the pathologic signs. But on the other hand, as for treatment, only 31 patients were diagnosed by CT scan and they were treated with chest tube insertion ect. 42 patients needed ony conservative management without invasive thoracosurgical treatment such as chest tube insertion or open thoracotomy. 27 patients were treated based on the diagnosis made by the chest radiograph and physical examination. Conclusion: Chest computerized tomography was significantly more effective than routine chest X-ray for detecting lung contusion, pneumothorax and mediastinal hematoma, as well as fractured ribs, scapula and, sternum. Although the occult findings increased, the number of patients who needed treatment was small. Therefore, we suggest making selective use of a CT scan to avoid its overuse in ERs.

Experimental Study of Freeze and Thaw Effect on Gas Diffusion Layer Using XRay Tomography (X-선 단층 촬영을 이용한 동결과 융해가 기체확산층에 미치는 영향에 대한 실험적 연구)

  • Je, Jun-Ho;Kim, Jong-Rok;Doh, Sung-Woo;Kim, Moo-Hwan
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.35 no.5
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    • pp.487-490
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    • 2011
  • We used X-ray tomography to carry out an experimental study to visualize the effect of freeze and thaw cycles on the gas diffusion layer (GDL) in a polymer electrolyte membrane fuel cell (PEMFC). A PEMFC has freeze and thaw cycles if the fuel cell is operating at a below-freezing ambient temperature. The cycle permanently deforms the fuel-cell capillary structures and reduces the ability of the cell to generate electric power and also reduces its service life. The GDL is the thickest capillary layer in the fuel cell, so it experiences the most deformation. The X-ray tomography facility at the Pohang Accelerator Laboratory was used to observe the structural changes in GDLs induced by a freeze and thaw cycle. We discuss the effects of these structural changes on the power production and service life of PEMFCs.

X-Ray Tomography Based Simulation Feasibility Analysis of Nuclear Fuel Pellets (핵연료 펠릿의 X-선 단층촬영 기반 시뮬레이션 타당성 해석)

  • Kim, Jae-Joon
    • Journal of the Korean Society for Nondestructive Testing
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    • v.30 no.4
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    • pp.324-329
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    • 2010
  • Fuel rods using in nuclear power plants consist of uranium dioxide pellets enclosed in zirconium alloy(zircaloy) tubes. It is vitally important for the pellet surface to remain free from pits, cracks and chipping defects after it is loaded into the tubes to prevent local hot spots during reactor operation. This paper investigates the feasibility study for detecting surface flaws of pellets contained within nuclear fuel rod through X-ray tomography simulation. Reconstructed images used by parallel and fan-beam filtered back projection method were presented and confirmed the accessibility between simulation data and MPS(missing pellet surface) image data.

The efficacy of computerized tomographic scan for chest trauma (흉부외상 환자에 대한 전산화 단층촬영의 효용성)

  • Roh, Hwan-Kyu;Choi, Ho;Kim, Young-Jin;Kim, Jung-Tae;Soh, Dong-Moon;Ryu, Han-Young;Lee, Cheol-Joo
    • Journal of Chest Surgery
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    • v.31 no.3
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    • pp.298-303
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    • 1998
  • Computerized tomography(CT) is an effective technique in the initial evaluation of the abdomen and head following blunt trauma. To evaluate the efficacy of CT of the thorax, a retrospective study comparing early thoracic CT scanning with initial chest roentgenogram (CXR) was carried out on 134 patients with blunt trauma on the chest. Among 134 patients, 45 patients had normal initial chest roentgenogram and 24 patients showed normal CT findings. Sensitivities of diagnosing pneumothorax and pleural effusion by CXR were low (46.2 and 62.9% respectively), whereas 71.4%(45/63) of patients had thoracostomy only by CXR. Although sometimes abused, CT of the thorax is effective in the initial diagnosis.

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Cone-Beam Microtomography and Its Application (원추형 빔 마이크로 단층촬영기술 및 그 응용)

  • Kim Ho-Kyung
    • Journal of the Korean Society for Precision Engineering
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    • v.22 no.3 s.168
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    • pp.7-14
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    • 2005
  • 본 논고에서는 microfocus X 선 발생장치와 평판형 영상센서를 이용한 micro-CT 시스템의 개발과 그 응용에 대해 소개하였다. 개발과 관련하여서는 영상센서 및 시스템의 동작원리뿐만 아니라 성능평가 결과에 대해서도 간단히 언급하였는데, 이와 같은 성능평가는 추후 개선된 혹은 새로운 설계 및 제작을 위해서는 필수적으로 수반되어야 할 부분이다. 개발된 micro-CT 시스템의 응용분야 소개와 관련하여서는 몇 가지 획득 영상을 토대로 바이오 영상과 산업용 영상에 관하여 언급하였다. 바이오 영상분야에서는 현재 세계적으로 유수 의료기기업체에서 이미 제작하여 판매하고 있으며, 대부분 X선 영상증배관 혹은 CCD(charge-coupled device)를 X 선 영상획득 센서로 사용한 반면, 본 논고에서 소개한 시스템은 평판형 영상센서를 사용했다는 점에서 차별성이 있다. Micro-CT 시스템의 산업용 영상분야로의 적용은 이제 시작 단계이며, 기존 라미노그라피 시스템을 대체하거나 혹은 새로운 응용으로 자리매김할 것으로 기대된다.

A Study on measurement of scattery ray of Computed Tomography (전산화 단층촬영실의 산란선 측정에 대한 연구)

  • Cho, Pyong-Kon;Lee, Joon-Hyup;Kim, Yoon-Sik;Lee, Chang-Yeop
    • Journal of radiological science and technology
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    • v.26 no.2
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    • pp.37-42
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    • 2003
  • Purpose : Computed tomographic equipment is essential for diagnosis by means of radiation. With passage of time and development of science computed tomographic was developed time and again and in future examination by means of this equipment is expected to increase. In this connection these authors measured rate of scatter ray generation at front of lead glass for patients within control room of computed tomographic equipment room and outside of entrance door for exit and entrance of patients and attempted to ind out method for minimizing exposure to scatter ray. Material and Method : From November 2001 twenty five units of computed tomographic equipments which were already installed and operation by 13 general hospitals and university hospitals in Seoul were subjected to this study. As condition of photographing those recommended by manufacturer for measuring exposure to sauter ray was use. At the time objects used DALI CT Radiation Dose Test Phantom fot Head (${\oint}16\;cm$ Plexglas) and Phantom for Stomache(${\oint}32\;cm$ Plexglas) were used. For measurement of scatter ray Reader (Radiation Monitor Controller Model 2026) and G-M Survey were used to Survey Meter of Radical Corporation, model $20{\times}5-1800$, Electrometer/Ion Chamber, S/N 21740. Spots for measurement of scatter ray included front of lead glass for patients within control room of computed tomographic equipment room which is place where most of work by gradiographic personnel are carried out and is outside of entrance door for exit and entrance of patients and their guardians and at spot 100 cm off from isocenter at the time of scanning the object. The results : Work environment within computed tomography room which was installed and under operation by each hospital showed considerable difference depending on circumstances of pertinent hospitals and status of scatter ray was as follows. 1) From isocenter of computed tomographic equipment to lead glass for patients within control room average distance was 377 cm. At that time scatter ray showed diverse distribution from spot where no presence was detected to spot where about 100 mR/week was detected. But it met requirement of weekly tolerance $2.58{\times}10^{-5}\;C/kg$(100 mR/week). 2) From isocenter of computed tomographic equipment to outside of entrance door where patients and their guardians exit and enter was 439 cm in average, At that time scatter ray showed diverse distribution from spot where almost no presence was detected to spot with different level but in most of cases it satisfied requirement of weekly tolerance of $2.58{\times}10^{-6}\;C/kg$(100 mR/week). 3) At the time of scanning object amount of scatter ray at spot with 100 cm distance from isocenter showed considerable difference depending on equipments. Conclusion : Use of computed tomographic equipment as one for generation of radiation for diagnosis is increasing daily. Compared to other general X-ray photographing field of diagnosis is very high but there is a high possibility of exposure to radiation and scatter ray. To be free from scatter ray at computed tomographic equipment room even by slight degree it is essential to secure sufficient space and more effort should be exerted for development of variety of skills to enable maximum photographic image at minimum cost.

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High Resolution Computerized Tomography System Using the Microfocus X-Ray for Inspection of Small Specimens (소형 물체의 검사를 위한 고해상도 미세 초점 X선 단층 촬영 시스템)

  • Kim, Young-Joo;Koo, Ja-Yong;Lee, Seung-S.;Kim, Whan-W.
    • Journal of the Korean Society for Nondestructive Testing
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    • v.18 no.3
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    • pp.181-190
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    • 1998
  • A computerized tomography system was developed using the X-ray source that has diameter of 5 micrometer. The system is used for the nondestructive testing of specimens with diameter below 20 mm. The convolution back projection algorithm was adopted for the reconstruction of cross sectional image, and the shape of the X-ray beam was let parallel beam or fan beam to compare each resultant image. Our CT system was constructed to operate based on the personal computer. The sectional images of the fabricated specimens were reconstructed and analyzed. The reconstructed images well coincided with real images taken with optical microscope and gave us enough reports on the defects in the ceramic specimen. The resolution of the system regarded as about $20{\sim}30$ micrometers.

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Removal of Ring Artifact in Computed Tomography (전산화단층촬영장치에서 링 아티팩트 제거)

  • Chon, Kwon Su
    • Journal of the Korean Society of Radiology
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    • v.9 no.6
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    • pp.403-408
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    • 2015
  • Hard X-ray has been widely used in medical and industrial fields because it can be applied to observe the inside of a sample. Computed tomography provides sectional images of the sample through the reconstruction of the projection images. The quality of sectional images strongly depends on that of projection images. Ring artifact appeared on the seconal image can be made by the abnormal pixels of the detector used. In this study, we examine the ring artifact ratio in the circle phantom as a function of detection error of the detector used in computed tomography. The ring artifact increased with the increment of detection error under parallel and fan beam geometries and strongly increased near the center of rotation. The corrections, dead pixel and flat field corrections, for the images taken with the detector are required before the image reconstruction process to reduce the ring artifact in the computed tomography.

Noninvasive Evaluation of Coronary Artery Bypass Graft Patency by Electron Beam Tomography (전자선 단층 촬영을 이용한 관상동맥 우회로 개존의 비침습적 평가)

  • 최규옥;김호석;조범구
    • Journal of Chest Surgery
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    • v.32 no.8
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    • pp.693-701
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    • 1999
  • Recently non-invasive diagnostic imaging replaced the invasive catheter angiography in the diagnosis of vascular disease. Catheter methods are now almost confined to the purpose of intervention. Coronary artery or coronary artery bypass graft still needs catheter technique because of small diameter and the cardiac motion. The last challenge for radiologists in this domain is to obtain a non-invasive imaging. Electron beam tomography(EBT) for high temporal resolution is able to obtain a coronary arteriogram or coronary artery bypass graft (CABG), of which CABG imaging is quite useful for the evaluation of patency. In our experience as well as others, the accuracy of EBT angiogram in evaluating CABG patency revealed that the accuracy of patency of saphenous vein grafts(SVG) is high due to relatively wide lumen, short and straight course and less influence from cardiac motion. The sensitivity and specificity of patency of SVGs were 92%, 97% respectively in the prospective evaluat on and 100% each in the retrospective evaluation. A false positive and a false negative case are rudimentary errors in the initial learing period. In contrast the analysis of left internal mammary artery(LIMA) graft was difficult due to the inherent small size and the adjacent surgical clips provoking beam-hardening artifact; therefore, the method of combining 3 dimensional reconstruction and flow mode study was important in improving the accuracy of LIMA patency. The sensitivity and specificity of LIMA patency were 100% and 80% in both prospective and retrospective evaluation. Therefore, EBT angiography is an accurate non-invasive diagnostic modality for evaluating the patency of CABG, particularly in SVGs. The accuracy can be improved with the improvement of the EBT and the development of the image reconstruction software.

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Study of the Production Method of the Framework of Lacquerware Inlaid with Mother-of-pearl Using X-ray Computed Tomography (엑스선 컴퓨터 단층면 조사를 통한 나전연상 백골의 제작기법 연구)

  • Park, Youngman;Yang, Seokjin
    • Conservation Science in Museum
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    • v.24
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    • pp.75-80
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    • 2020
  • X-ray computed tomography (X-ray CT), which is often applied to the investigation of the interior structures of cultural properties, is very useful for studying production methods used in lacquerware that would otherwise be difficult to observe with the naked eye. Lacquerware inlaid with mother-of-pearl is an important subject in the study of traditional Korean craft. However, it can be a challenge to specify the production methods used in the framework of a lacquerware item unless the object has been structurally damaged. Studies of lacquerware inlaid with mother-of-pearl have thus far focused on the techniques of lacquering and of inlaying the mother-of-pearl. Production methods for the framework of lacquerware has received little academic attention. This study conducted X-ray CT on a lacquerware item from the Joseon period to reveal the materials and woodworking techniques used for the framework. The study revealed that softwood was used for the framework, and the post (gidungmok) and apron (soemok) were joined using a three-way miter joint (sambang yeongwi jjaim). Other pieces were joined with nails.