• 한국의학물리학회지:의학물리
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• 제32권4호
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• pp.92-98
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• 2021

Purpose: This study automatically discriminates homogeneous and structure edge regions on computed tomography (CT) images, and it evaluates the noise level and edge preservation ratio (EPR) according to the different types of iterative reconstruction (IR). Methods: The dataset consisted of CT scans of 10 patients reconstructed with filtered back projection (FBP), statistical IR (iDose⁴), and iterative model-based reconstruction (IMR). Using the 10th and 85th percentiles of the structure coherence feature, homogeneous and structure edge regions were localized. The noise level was estimated using the averages of the standard deviations for five regions of interests (ROIs), and the EPR was calculated as the ratio of standard deviations between homogeneous and structural edge regions on subtraction CT between the FBP and IR. Results: The noise levels were 20.86±1.77 Hounsfield unit (HU), 13.50±1.14 HU, and 7.70±0.46 HU for FBP, iDose⁴, and IMR, respectively, which indicates that iDose⁴ and IMR could achieve noise reductions of approximately 35.17% and 62.97%, respectively. The EPR had values of 1.14±0.48 and 1.22±0.51 for iDose⁴ and IMR, respectively. Conclusions: The iDose⁴ and IMR algorithms can effectively reduce noise levels while maintaining the anatomical structure. This study suggested automated evaluation measurements of noise levels and EPRs, which are important aspects in CT image quality with patients' cases of FBP, iDose⁴, and IMR. We expect that the inclusion of other important image quality indices with a greater number of patients' cases will enable the establishment of integrated platforms for monitoring both CT image quality and radiation dose.

• Korean Journal of Radiology
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• 제20권1호
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• pp.94-101
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• 2019

Objective: To investigate the efficacy of motion-correction algorithm (MCA) in improving coronary artery image quality and measurement accuracy using an anthropomorphic dynamic heart phantom and 256-detector row computed tomography (CT) scanner. Materials and Methods: An anthropomorphic dynamic heart phantom was scanned under a static condition and under heart rate (HR) simulation of 50-120 beats per minute (bpm), and the obtained images were reconstructed using conventional algorithm (CA) and MCA. We compared the subjective image quality of coronary arteries using a four-point scale (1, excellent; 2, good; 3, fair; 4, poor) and measurement accuracy using measurement errors of the minimal luminal diameter (MLD) and minimal luminal area (MLA). Results: Compared with CA, MCA significantly improved the subjective image quality at HRs of 110 bpm (1.3 ± 0.3 vs. 1.9 ± 0.8, p = 0.003) and 120 bpm (1.7 ± 0.7 vs. 2.3 ± 0.6, p = 0.006). The measurement error of MLD significantly decreased on using MCA at 110 bpm (11.7 ± 5.9% vs. 18.4 ± 9.4%, p = 0.013) and 120 bpm (10.0 ± 7.3% vs. 25.0 ± 16.5%, p = 0.013). The measurement error of the MLA was also reduced using MCA at 110 bpm (19.2 ± 28.1% vs. 26.4 ± 21.6%, p = 0.028) and 120 bpm (17.9 ± 17.7% vs. 34.8 ± 19.6%, p = 0.018). Conclusion: Motion-correction algorithm can improve the coronary artery image quality and measurement accuracy at a high HR using an anthropomorphic dynamic heart phantom and 256-detector row CT scanner.

• Radiation Oncology Journal
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• 제35권2호
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• pp.180-184
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• 2017

Patients with locally advanced lung cancer and very limited pulmonary function (forced expiratory volume in 1 second $[FEV1]{\leq}1L$) have dismal prognosis and undergo palliative treatment or best supportive care. We describe two cases of locally advanced node-positive non-small cell lung cancer (NSCLC) patients with very limited lung function treated with induction chemotherapy and moderate hypofractionated image-guided radiotherapy (Hypo-IGRT). Hypo-IGRT was delivered to a total dose of 45 Gy to the primary tumor and involved lymph nodes. Planning was based on positron emission tomography-computed tomography (PET/CT) and four-dimensional computed tomography (4D-CT). Internal target volume (ITV) was defined as the overlap of gross tumor volume delineated on 10 phases of 4D-CT. ITV to planning target volume margin was 5 mm in all directions. Both patients showed good clinical and radiological response. No relevant toxicity was documented. Hypo-IGRT is feasible treatment option in locally advanced node-positive NSCLC patients with very limited lung function ($FEV1{\leq}1L$).

• 한국추진공학회:학술대회논문집
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• 한국추진공학회 2005년도 제25회 추계학술대회논문집
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• pp.469-474
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• 2005

전산화 단층촬영법을 이용하여 탄소/탄소 목삽입재의 밀도 분포를 평가 하였다. 전산화 단층촬영 법의 Beam hardening, 전기적 잡음 및 산란 X-ray의 영상을 토정하고 신호 대 잡음비를 높여 최적화할 때 측정된 제작된 탄소/탄소 복합재료의 밀도는 98.74%의 신뢰도 수준에서 ${\pm}0.01g/cm^3$ 분포를 갖는 것으로 평가 되었다. 전산화 단층촬영 결과의 검증은 탄소/탄소 목삽입재를 절단하며 수침법에 의한 밀도 측정과 주사전자현미경 관찰을 통하여 수행되었으며 단층촬영결과는 수침법에 의한 밀도 분포와 주사전자현미경의 결과와 일치하였다.

• Journal of Korean Neurosurgical Society
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• 제53권1호
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• pp.39-42
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• 2013

Objective : Obtaining real-time image is essential for neurosurgeons to minimize invasion of normal brain tissue and to prompt diagnosis of intracranial event. The aim of this study was to report our three-year experience with a mobile computed tomography (mCT) for intraoperative and bedside scanning. Methods : A total of 357 mCT (297 patients) scans from January 2009 to December 2011 in single institution were reviewed. After excluding postoperative routine follow-up, 202 mCT were included for analysis. Their medical records such as diagnosis, clinical application, impact on decision making, times, image quality and radiologic findings were assessed. Results : Two-hundred-two mCT scans were performed in the operation room (n=192, 95%) or intensive care unit (ICU) (n=10, 5%). Regarding intraoperative images, extent of resection of tumor (n=55, 27.2%), degree of hematoma removal (n=42, 20.8%), confirmation of catheter placement (n=91, 45.0%) and monitoring unexpected complications (n=4, 2.0%) were evaluated. A total of 14 additional procedures were introduced after confirmation of residual tumor (n=7, 50%), hematoma (n=2, 14.3%), malpositioned catheter (n=3, 21.4%) and newly developed intracranial events (n=2, 14.3%). Every image was obtained within 15 minutes and image quality was sufficient for interpretation. Conclusion : mCT is feasible for prompt intraoperative and ICU monitoring with enhanced diagnostic certainty, safety and efficiency.

• Imaging Science in Dentistry
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• 제47권3호
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• pp.199-207
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• 2017

Purpose: Evaluation of alveolar bone is important in the diagnosis of dental diseases. The periodontal ligament space is difficult to clearly depict in cone-beam computed tomography images because the reconstruction filter conditions during image processing cause image blurring, resulting in decreased spatial resolution. We examined different reconstruction filters to assess their ability to improve spatial resolution and allow for a clearer visualization of the periodontal ligament space. Materials and Methods: Cone-beam computed tomography projections of 2 skull phantoms were reconstructed using 6 reconstruction conditions and then compared using the Thurstone paired comparison method. Physical evaluations, including the modulation transfer function and the Wiener spectrum, as well as an assessment of space visibility, were undertaken using experimental phantoms. Results: Image reconstruction using a modified Shepp-Logan filter resulted in better sensory, physical, and quantitative evaluations. The reconstruction conditions substantially improved the spatial resolution and visualization of the periodontal ligament space. The difference in sensitivity was obtained by altering the reconstruction filter. Conclusion: Modifying the characteristics of a reconstruction filter can generate significant improvement in assessments of the periodontal ligament space. A high-frequency enhancement filter improves the visualization of thin structures and will be useful when accurate assessment of the periodontal ligament space is necessary.

• Journal of the Korean Wood Science and Technology
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• 제41권5호
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• pp.385-391
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• 2013

X-ray computed tomography is a very powerful nondestructive technique in safety inspection of historic timber building. But, in field, various testing condition makes it difficult to carry out X-ray CT testing. Limited size in X-ray digital detector is one of the problems. In this study, a pitch pine disk with two holes was used to know how imperfection in X-ray projection affects CT image resolution. Using various number of projections, CT image was reconstructed by filtered back projection method, and then it was investigated how many projection is required to identify the holes in different location. Two artificial holes could be differently detected according to their location in cross section of specimen. One hole in center part of specimen was identified using more than 9 radiographs, but the other one which located in outer part of cross section could not be detected until more than 36 projections were used. Even though there is data missing in outer part of cross section due to limited size of detector, the center part of CT image could be reconstructed well and the resolution of outer part became higher with increase of the number of projections. For field application, the number of projections for CT image reconstruction needs to be decided with consideration of another nondestructive testing and the location of interest.

• 대한방사선치료학회지
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• 제28권2호
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• pp.123-130
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• 2016

목 적 : Computerized imaging reference systems 동적팬텀을이용한 cone-beamcomputed tomography(CBCT) 영상과 four-dimensionalcomputed tomography(4DCT) 영상의 체적을 비교분석 하고자 한다. 대상 및 방법 : 동적팬텀 내에 직경 1, 2, 3 cm 노드를 각각 삽입하고, CT simulator와 TruebeamSTx X-ray Imaging system을 이용하여 4DCT 영상과 CBCT 영상을 얻었다. 4DCT 영상은 maximum intensity projection(MIP), minimum intensity projection(MinIP), 그리고 average intensity projection(AVG)영상으로 재구성 하고 노드의 체적은 Eclipse system의 CT ranger tool로 CT number를 설정하여 측정하였다. 결 과 : CBCT를 기준으로 노드1, 2, 3 cm의 체적을 비교하였을 때 4DCT의 MIP는 0.54~2.33, 5.16~8.06, 9.03~20.11 ml, MinIP는 0.00~1.48, 0.00~8.47, 1.42~24.85 ml, AVG는 0.00~1.17, 0.00~2.19, 0.04~3.35 ml의 차이를 보였다. 결 론 : 노드의 체적을 비교한 결과 CBCT 영상은 4DCT의 AVG 영상과 유사한 것으로 확인되었다.

• 융합정보논문지
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• 제11권7호
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• pp.189-194
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• 2021

어깨관절 컴퓨터 단층 검사 시 발생하는 노이즈 및 줄무늬 인공물에 있어 Boost3D 알고리즘 적용을 통해 노이즈 및 줄무늬 인공물 감소 효과를 알아보고자 하였다. 어깨관절이 포함된 흉부팬텀을 이용한 팬텀 연구와 2020년 9월부터 2020년 10월까지 어깨관절 컴퓨터단층검사를 실시한 35명에 대한 어깨관절 영상을 통해 임상 평가를 하였다. 평가는 Boost3D 알고리즘 적용 전 그룹과 후 그룹으로 나누어 노이즈 값, 신호 대 노이즈 비, 평균 대 표준편차 비 값을 분석하였다. 팬텀 영상 평가 및 임상 영상 평가에서 분석한 노이즈 값 및 평균 대 표준편차 비 값 모두 Boost3D 적용 후 그룹에서 통계적으로 유의하게 낮게 나타났다(p<0.05). 본 연구를 통해 Boost3D 적용을 통해 노이즈 및 줄무늬 인공물이 감소됨을 알 수 있었으며, 평균 대 표준편차 비 값이 높게 나타나 우수한 영상으로 판단할 수 있다. 어께관절 컴퓨터 단층 검사 시 Boost3D 알고리즘을 이용한다면 어깨관절 부위에서 발생할 수 있는 노이즈 및 줄무늬 인공물을 감소시킨 우수한 영상을 얻을 수 있을 것으로 생각된다.

• Journal of information and communication convergence engineering
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• 제2권3호
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• pp.167-171
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• 2004

The evolution of modern imaging modalities, followed by the rapid development of computer technology has introduced many new features in the communication networks used in medical facilities. Since it is very important to keep patient's record accurately, the ability to exchange medical data securely over the communication network is essential for any medical information. In this paper, therefore, we introduce some problems which occur from digitizing medical images such as MRI (Magnetic Resonance Imaging), CT (Computed Tomography), CR(Computed Radiography), etc., and then we propose a authentication mechanism for medical image verification using secret watermark images.