• Title/Summary/Keyword: X-ray, Computed Tomography

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NEXUS and the Canadian Cervical Spine Rule as a Screening Tool for Computed Tomography Evaluation in Patients with Cervical Spine Injury (경추 손상 환자에서 전산화 단층 촬영 시행을 위한 임상적 기준 : NEXUS 기준과 Canadian cervical spine rule)

  • Choi, Yang Hwan;Cho, Junho;Choa, Minhong;Park, Yoo Seok;Chung, Hyun Soo;Chung, Sung Pil
    • Journal of Trauma and Injury
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    • v.21 no.1
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    • pp.15-21
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    • 2008
  • Purpose: National Emergency X-Radiography Utilization Study (NEXUS) criteria and the Canadian Cervical Spine rule (CCR) are commonly used in cervical trauma patients to determine whether a plain cervical X-ray should be performed. However, plain cervical X-rays are so inaccurate that cervical spine computed tomography (CT) is often considered as a screening test. We studied the usefulness of the NEXUS criteria and the CCR for determining the need for a CT evaluation in the emergency department (ED). Methods: This prospective observational study was conducted from January 2007 to March 2008. Plain X-ray and CT scans of the cervical spine were performed on blunt trauma patients with neck pain. The relevancy of CT was examined using the NEXUS criteria and the CCR. Sensitivity, specificity, positive predicted value, and negative predicted value analyses were performed to diagnose the cervical spine injury. Results: During the study period, 284 patients were enrolled in this study. The sensitivity, specificity, positive predicted value, and negative predicted value of the NEXUS criteria were 87.5%, 1.1%, 5.0%, and 60.0% respectively, while those of the CCR were 87.5%, 8.2%, 5.3%, and 91.6%. There were two missed fracture cases when the NEXUS criteria and the CCR were applied independently, however, no cases were missed when both were applied. Conclusion: This study suggests the NEXUS and the CCR in combination can be used as a guide to CT evaluation for cervical spine injury in the ED.

Three-dimensional imaging modalities in endodontics

  • Mao, Teresa;Neelakantan, Prasanna
    • Imaging Science in Dentistry
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    • v.44 no.3
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    • pp.177-183
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    • 2014
  • Recent research in endodontics has highlighted the need for three-dimensional imaging in the clinical arena as well as in research. Three-dimensional imaging using computed tomography (CT) has been used in endodontics over the past decade. Three types of CT scans have been studied in endodontics, namely cone-beam CT, spiral CT, and peripheral quantitative CT. Contemporary endodontics places an emphasis on the use of cone-beam CT for an accurate diagnosis of parameters that cannot be visualized on a two-dimensional image. This review discusses the role of CT in endodontics, pertaining to its importance in the diagnosis of root canal anatomy, detection of periradicular lesions, diagnosis of trauma and resorption, presurgical assessment, and evaluation of the treatment outcome.

Bone height measurements of implant sites : Comparison of panoramic radiography and spiral computed tomography (임플란트 매식부의 고경 평가 : 파노라마 촬영법과 나선형 전산화 단층촬영법의 계측 비교)

  • Cho Bong-Hae
    • Imaging Science in Dentistry
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    • v.32 no.2
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    • pp.61-66
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    • 2002
  • Purpose: To compare the bone height of implant sites measured using panoramic radiography and spiral CT. Materials and Methods : The available bone height was determined for 263 maxillary and mandibular implant sites in 59 patients. Distortion was calculated using the metal bar for the panoramic radiographs. Results: Significant differences in mean bone height between the two imaging modalities were found in maxillary and mandibular anterior regions (p<0.05). The mean difference in bone height recorded by the two techniques was smallest in the maxillary and mandibular molar areas (0.8 mm), and greatest in the mandibular anterior region (1.3 mm). With the exception of the mandibular anterior region, ninety percent of all the sites showed measurement differences within 2 mm. Conclusion: A safety margin of 2 to 3 mm is called for when utilizing panoramic radiography, otherwise additional imaging modality such as computed tomography is necessary to obtain accurate measurements.

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Computed Tomography-Aided Diagnosis of Nasal Adenocarcinoma Treated with Rhinotomy and Radiation Therapy in a Dog (CT 진단 후 비절개술 및 방사선요법으로 치료한 개의 비강 선암의 발생례)

  • 홍성혁;김명철
    • Journal of Veterinary Clinics
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    • v.19 no.2
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    • pp.256-259
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    • 2002
  • A 39 kg, 7-year-old male Labrador Retriever dog with a 3-month history of epistaxis, sneezing, and nasal discharge was referred to the Veterinary Medical Center of the Tokyo University. On the plain X-ray and computed tomography (CT) of the head showed increased density of the soft tissue in the left nasal cavity and the tumor infiltrated to nasal septum. The tumor mass removed by rhinotomy. Histopathological examination of the mass revealed adenocarcinoma. Four weeks after the surgery, the radiation therapy was performed twice a week for f weeks. 4 months after surgery, the dog had a recurrence in nasal cavity and administered carboplatin 300 mg/$m^2$ twice. However, the tumor had no response to chemotherapy, additional surgery and additional radiation therapy, and the dog was euthanized at the owner's request. At necropsy, metastatic proliferation was confirmed in the lung, lymph nodes and nasal cavity.

Patient Radiation Exposure Dose in Computed Tomography (전산화단층촬영장치에서 환자피폭선량)

  • Cho, Pyong Kon
    • Journal of the Korean Society of Radiology
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    • v.9 no.2
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    • pp.109-115
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    • 2015
  • In case of a CT examinations, there is a difference in the distribution of radiation dose from that of general X-ray equipments, and it has been known to cause a great radiation exposure during the examinations. However, owing to its high reliability on the accuracy of a examinations result, its use has increased continuously. In consideration of such a circumstance, the CT equipment, radiation dose during CT examinations, diagnostic reference level, and solutions to reduce radiation dose were mentioned on the basis of previously reported data.

A 30-year neglected foreign body mimicking a maxillary fracture

  • Lee, Wang Seok;Park, Eun Soo;Kang, Sang Gue;Tak, Min Sung;Kim, Chul Han
    • Archives of Craniofacial Surgery
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    • v.20 no.3
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    • pp.195-198
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    • 2019
  • A-50-year-old male patient presented with complaint of tenderness on the left malar area after traffic accident. Our first impression on him was zygomatic fracture, we did radiologic work-up and physical examination on him. But, on the computed tomography scan, there was no fracture or discontinuity on his facial bone. The computed tomography scan was revealed a 4-cm long foreign body in left maxillary sinus with a large amount of fluid collection. After thorough history taking from him, we reveal the patient had a history of trauma 30 years back on the left zygomatic area with a chopstick. The foreign body was removed via transoral approach with the endoscopic assist. There was no complication after operation.

Pericardial Recess: Computed Tomography Findings of Varying Disorders (심낭오목: 다양한 질환에서의 CT 소견)

  • Jinho Seo;Youngtong Kim;Sungshick Jou;Chanho Park
    • Journal of the Korean Society of Radiology
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    • v.81 no.6
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    • pp.1364-1376
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    • 2020
  • A pericardial recess is frequently seen in patients undergoing chest computed tomography (CT). It is important to be aware of the normal anatomy of the pericardium as it is often mistaken for normal variants and/or disease. Therefore, we will describe the anatomy and location of the pericardial recess and the specific findings in various diseases associated with the pericardial recess.

Analysis of Secondary Battery Based on Image Processing of Computed Tomography (CT 기반 영상처리를 이용한 이차전지의 분석)

  • Jea-Seok Oh;Sang-Yeol Lee;Yoon-Gi Yang;Keun-Ho Rew
    • Journal of Information Technology Applications and Management
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    • v.29 no.6
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    • pp.13-21
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    • 2022
  • In this study, we presented a method to inspect the mechanical defects of 4680 type lithium-ion batteries through image processing method. The raw X-ray images are filtered with CLAHE, then Radon inverse transformations are calculated to reconstruct 3D computed tomography of the battery. Using Haar-cascade, the ROI is targeted automatically, and the template matchings are applied twice. The variations of contrast between template and background show the appropriate values for detecting tabs. It was shown that the proposed algorithm can detect all the tab inside the battery and the distances between tabs. Finally, we successfully found the geometrical defects of battery.

Basic principles and applications of $^{18}F$-FDG-PET/CT in oral and maxillofacial imaging: A pictorial essay

  • Omami, Galal;Tamimi, Dania;Branstetter, Barton F.
    • Imaging Science in Dentistry
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    • v.44 no.4
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    • pp.325-332
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    • 2014
  • A combination of positron emission tomography (PET) with $^{18}F$-labeled fluoro-2-deoxyglucose ($^{18}F$-FDG) and computed tomography ($^{18}F$-FDG-PET/CT) has increasingly become a widely used imaging modality for the diagnosis and management of head and neck cancer. On the basis of both recent literature and our professional experience, we present a set of principles with pictorial illustrations and clinical applications of FDG-PET/CT in the evaluation and management planning of squamous cell carcinoma of the oral cavity and oropharynx. We feel that this paper will be of interest and will aid the learning of oral and maxillofacial radiology trainees and practitioners.

Oral cancer diagnosed using PET/CT: A case report (PET/CT를 이용하여 진단한 구강암의 증례)

  • Kim Young-Hee;Yang Byoung-Eun;Cho Young-Min;Kim Seong-Gon
    • Imaging Science in Dentistry
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    • v.36 no.2
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    • pp.111-116
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    • 2006
  • PET/CT is a new imaging technology that combines high-quality Positron Emission Tomography (PET) and Computed Tomography (CT). This imaging provides simultaneous anatomical and metabolic information. Therefore PET/CT is useful diagnostic modality for early detection of malignant tumor, accurate staging, decision on therapeutic plan, monitoring response to therapy and rapid detection of recurrence. We report oral and maxillofacial cancers diagnosed by using PET/CT and the usefulness of PET/CT in the evaluation of postoperative recurrence.

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