• 대한디지털의료영상학회논문지
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• 제12권1호
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• pp.27-31
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• 2010

The purpose of this study was to investigated the usefulness of MR perfusion image comparing with SPECT image. A total of pediatric 30 patients(average age : 7.8) with Moyamoya disease were performed MR Perfusion with 32 channel body coil at 3T from March 01, 2010 to June 10, 2010. The MRI sequences and parameters were as followed : gradient Echo-planar imaging(EPI), TR/TE : 2000ms/50ms, FA : $90^{\circ}$, FOV : $240{\times}240$, Matrix : $128{\times}128$, Thickness : 5mm, Gap : 1.5mm. Images were obtained contrast agent administrated at a rate of 1mL/sec after scan start 10s with a total of slice 1000 images(50 phase/1 slice). It was measured with visual color image and digitize data using MRDx software(IDL version 6.2) and also, it was compared of measurement with values of normal and abnormal ratio to analyze hemodynamic change, and a comparison between perfusion MR with technique using Warm Color at SPECT examination. On MR perfusion examination, the color images from abnormal region to the red collar with rCBV(relative cerebral blood volume) and rCBF(relative cerebral blood flow) caused by increase cerebral blood flow with brain vascular occlusion in surrounding collateral circulation advancement, the blood speed relatively was depicted slowly with blue in MTT(Mean Transit Time) and TTP(Time to Peak) images. The region which was visible abnormally from MR perfusion examination visually were detected as comparison with the same SPECT examination region, would be able to confirm the identical results in MMD(Moyamoya disease)judgments. Hymo-dynamic change in MR perfusion examination produced by increase and delay cerebral blood flow. This change with digitize data and being color imaging makes enable to distinguish between normal and abnormal area. Relatively, MR perfusion examination compared with SPECT examination could bring an excellent image with spatial resolution without radiation expose.

• Journal of Korean Neurosurgical Society
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• 제52권4호
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• pp.359-364
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• 2012

Objective : Transpedicular screw fixation has some disadvantages such as postoperative back pain through wide muscle dissection, long operative time, and cephalad adjacent segmental degeneration (ASD). The purposes of this study are investigation and comparison of radiological and clinical results between interspinous fusion device (IFD) and pedicle screw. Methods : From Jan. 2008 to Aug. 2009, 40 patients underwent spinal fusion with IFD combined with posterior lumbar interbody fusion (PLIF). In same study period, 36 patients underwent spinal fusion with pedicle screw fixation as control group. Dynamic lateral radiographs, visual analogue scale (VAS), and Korean version of the Oswestry disability index (K-ODI) scores were evaluated in both groups. Results : The lumbar spine diseases in the IFD group were as followings; spinal stenosis in 26, degenerative spondylolisthesis in 12, and intervertebral disc herniation in 2. The mean follow up period was 14.24 months (range; 12 to 22 months) in the IFD group and 18.3 months (range; 12 to 28 months) in pedicle screw group. The mean VAS scores was preoperatively $7.16{\pm}2.1$ and $8.03{\pm}2.3$ in the IFD and pedicle screw groups, respectively, and improved postoperatively to $1.3{\pm}2.9$ and $1.2{\pm}3.2$ in 1-year follow ups (p<0.05). The K-ODI was decreased significantly in an equal amount in both groups one year postoperatively (p<0.05). The statistics revealed a higher incidence of ASD in pedicle screw group than the IFD group (p=0.029) Conclusion : Posterior IFD has several advantages over the pedicle screw fixation in terms of skin incision, muscle dissection and short operative time and less intraoperative estimated blood loss. The IFD with PLIF may be a favorable technique to replace the pedicle screw fixation in selective case.

• Journal of Korean Neurosurgical Society
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• 제46권6호
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• pp.532-537
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• 2009

Objective : Recently, motion preservation has come to the forefront of emerging technologies in spine surgery. This is the important background information of the emergence of cervical arthroplasty as an alternative to arthrodesis that offers the promise of restoring normal spinal movement and reduces a kinematic strain on adjacent segments. The study was designed to evaluate early surgical outcome and radiological effects of $Bryan^{(R)}$ cervical disc prosthesis. Methods : The authors retrospectively reviewed radiographic and clinical outcomes in 52 patients who received the $Bryan^{(R)}$ Cervical Disc prosthesis, for whom follow-up data were available. Static and dynamic radiographs were measured by computer to determine the angles formed by the endplates of the natural disc preoperatively, those formed by the shells of the implanted prosthesis, the angle of functional spine unit (FSU), and the C2-7 Cobb angle. The range of motion (ROM) was also determined radiographically, whereas clinical outcomes were assessed using Odom's criteria, visual analogue pain scale (VAS) and neck disability index (NDI). Results : A total of 71 $Bryan^{(R)}$ disc were placed in 52 patients. A single-level procedure was performed in 36 patients, a two-level procedure in 13 patients, and a three-level procedure in 3. Radiographic and clinical assessments were made preoperatively. Mean follow-up duration was 29.2 months, ranging from 6 to 36 months. All of the patients were satisfied with the surgical results by Odom's criteria, and showed significant improvement by VAS and NDI score (p < 0.05). The postoperative ROM of the implanted level was preserved without significant difference from preoperative ROM of the operated level (p < 0.05). 97% of patients with a preoperative lordotic sagittal orientation of the FSU were able to maintain lordosis. The overall sagittal alignment of the cervical spine was preserved in 88.5% of cases at the final follow up. Interestingly, preoperatively kyphotic FSU resulted in lordotic FSU in 70% of patients during the late follow up, and preoperatively kyphotic overall cervical alignment resulted in lordosis in 66.6% of the patients postoperatively. Conclusion : Arthroplasty using the $Bryan^{(R)}$ disc seemed to be safe and provided encouraging clinical and radiologic outcome in our study. Although the early results are promising, this is a relatively new approach, therefore long-term follow up studies are required to prove its efficacy and its ability to prevent adjacent segment disease.

• 한국의학물리학회지:의학물리
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• 제14권3호
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• pp.151-160
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• 2003

삼차원 입체조형방사선치료나 세기조절방사선치료와 같은 다엽시준기(Multileaf Collmator, MLC)를 이용하는 보다 복잡한 방사선 치료 기술은 다엽시준기의 위치 및 운동의 검증의 중요성을 증가시키고 있다. 이러한 다엽시준기의 검증은 신뢰성과 그동안 축척된 경험적 검증능력으로 인하여 주로 필름을 가지고 수행되어왔다. 그러나 전자포탈영상장치(Electornic Portal Imaging Device, EPID)의 사용의 편이성과 디지털 영상 제공 능력은 낮은 임상편이성, 효율성, 비용대 수익률에도 불구하고 정기적인 정도확립(Quality Assurance, QA)에 현실적인 필름의 대체재로 관심을 모아왔다. 본 연구에서는 EPI를 활용한 다엽시준기의 정기적인, 특히 일간 정도확립법을 개발하였다. 정기적 정도확립을 위한 전자포탈영상(Electronic Portal Imaing, EPI)의 적용가능성에 대한 검증은 방사선 조사시 동시에 획득된 필름과 다엽시준기의 제어장치에 입력한 다엽시준기의 처방과의 비교를 통해 수행되었다. 특별히 설계된 두가지 형태의 시험형(test pattern)이 영상 획득 및 비교에 적용되었다. 정성적인 온라인 육안 검증과 함께 윤곽 검출 알고리듬을 이용한 정량적인 오프라인 분석이 검증 절차에 이용되었다. 결론적으로, 본 연구에서 개발된 EPI를 이용한 다엽시준기의 일간 정도확립법은 필름의 정확도를 가지고 편리하게 수행될 수 있었다.

• 한국항공우주학회지
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• 제42권7호
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• pp.586-593
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• 2014

CNUSAIL-1은 태양돛을 탑재한 3U크기의 큐브위성이다. 주 임무는 저궤도에서 태양돛을 전개하는 것이며, 추가적으로 태양돛 전개와 태양돛 운용에 따른 위성의 자세/궤도변화를 확인하는 임무를 수행한다. 이를 위해, 위성의 각 시스템은 위성의 동적 데이터와 태양돛 작동 사진을 수집하고 지상국으로 전송한다. 본 논문에서는 이와 같은 임무를 수행하는 CNUSAIL-1의 태양돛 임무를 소개하고 시스템 개념설계 결과를 나타낸다. 탑재체인 태양돛의 구동 및 운용 원리를 구현하고, 버스시스템을 자세제어계, 통신계, 전력계, 명령 및 데이터 처리계, 구조 및 열 제어계로 나누어 개념 설계를 수행한다.

• 한국농림기상학회지
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• 제8권4호
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• pp.275-278
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• 2006

전자기후도의 대중홍보 및 사용자 접근성 개선을 위해 개방구조의 Google Earth 플랫폼 상에서 전자기후도를 시연할 수 있는 시스템을 구축하였다. 전국 56개 기상관서에서 1971-2000 기간 중 관측한 일 최고 및 최저기온자료를 토대로 270 m 해상도로 규모를 축소시킨 평년 전자기후도와 2011-2100 기간 중 예상 기온편차를 더한 미래 전자기후도, 이 자료에 근거하여 추정한 벚꽃개화기 분포도, 충북 청원지역에 한해 미세지형의 효과를 반영한 30 m 해상도 전자기후도 및 벚꽃개화일 예상도 등을 이미지 파일로 변환하였다. 이들을 이용하여 사용자와 상호작용 없이 현재, 20년후, 50년후, 80년후의 벚꽃개화일, 최저기온, 최고기온을 표현하는 시스템을 KML로 제작하였다. 이 시스템을 구현하기 위해 Windows XP 환경에서 Google Earth 4beta를 사용하였으며 Apache 2.2.3과 PHP 5.1.6 기반의 웹 서버를 구동하였다. 효과적인 시연을 위해 30인치 크기의 고해상도 대형 모니터를 사용하였으며 중첩될 이미지들도 이러한 해상도에 맞추어 제작되었다. 이 시스템을 이용한 전자기후도 시연회가 여러 차례 성공적으로 개최되었다.

• 한국콘텐츠학회논문지
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• 제18권2호
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• pp.178-187
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• 2018

본 연구는 인물사진의 화질 평가 요소들과 선호도와의 관계를 기반으로 감상자 중심의 인물사진 선호도 측정 프로그램의 모형을 제작하여 일반인 사용자의 높은 사용률을 목적으로 하는 제조사들에게 자동화된 제품설계 및 평가 모델을 개발하는 것을 목적으로 하였다. 이미지 평가를 진행하기 위하여 이미지의 화질 측정 항목을 객관적, 주관적 항목으로 나누고, 영상처리와 통계적 방법을 통하여 정확한 평가를 진행하였다. 이미지의 화질 측정 항목은 객관적 평가항목과 주관적 평가 항목으로 나눌 수 있다. 객관적 평가 항목에는 RSC 콘트라스트, 다이내믹 레인지, 노이즈를 선정하였고, 프로그램을 통해 그 수치 값을 통계적으로 분석하여 평가하였다. 주관적 평가 항목에는 노출, 컬러 톤, 인물의 구도, 인물의 위치, 아웃포커스를 선정하였고, 영상처리 방법을 적용하여 평가하였다. 본 연구에서 개발된 프로그램을 통해 측정된 결과와 실제 육안으로 확인한 결과가 동일하게 나타남으로서 정확도가 매우 높은 것으로 확인할 수 있었다. 하지만 개발된 프로그램은 인물의 안면이 인식 되어야 평가를 진행할 수 있기 때문에, 향후 연구를 통해 이미지 내에 사람이 존재하는 모든 종류의 인물사진을 평가할 수 있는 프로그램을 개발해야할 필요가 있을 것이다.

• 한국실내디자인학회논문집
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• 제21권2호
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• pp.84-91
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• 2012

The total data of observing interior space was divided into a few time frames for analysis. If we can understand the changing process of observation degree as the observation time passes, we will be able to analyse the characteristic and process of information obtainment in the case of space observation. For this purpose, the observation time was parted into 30 second units and the changing characteristic by time frame and observation area was analysed. The conclusion derived from this study is as the following: First, analysis of observation frequency and time on the basis of the average data of each subject showed that the observation time increased compared with the subject's frequency and the overall trend but that it was difficult for me to think there was a certain trend in the observation time of each subject. However, when I examined the time change by using the trend line which is a dynamic average line representing the observation time from the subjects as the trend element of time series, I could see the trend that the subject's observation time increased at a fixed rate as the frequency increased. Second, when I compared and analysed the average observation area at Area I set up by the time of 30 second unit and the observation area of Area I from the all data, I could see that the former had more degree of concentration at Area I. This analysis enabled me to get the degree of concentration on the observed area every time, and accordingly I could also see that when the data of intensive observation by time frame is analysed, the degree of concentration is dispersed for the subjects to observe very intensively or the area with overlapping observations each time frame can be seen as Area I out of the entire observation data. Third, when I analysed the observation characteristics by time frame at the 6 areas divided at 30 second unit at the rate of the number to the time of observation areas, I could see that as the observation time passed while the number of the observation areas defined as decreased the observation time increased, which means that when the area numbers decreases the area intensively observed by the subjects decreases as the time passes. In spit of that, the increase of time can be interpreted as more intensive observation of a specific area.

• Journal of Korean Neurosurgical Society
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• 제42권5호
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• pp.371-376
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• 2007

Objective : Balloon kyphoplasty can effectively relieve the symptomatic pain and correct the segmental deformity of osteoporotic vertebral compression fractures. While many articles have reported on the effectiveness of the procedure, there has not been any research on the factors affecting the deformity correction. Here, we evaluated both the relationship between postoperative pain relief and restoration of the vertebral height, and segmental kyphosis, as well as the various factors affecting segmental deformity correction after balloon kyphoplasty. Methods : Between January 2004 and December 2006, 137 patients (158 vertebral levels) underwent balloon kyphoplasty. We analyzed various factors such as the age and sex of the patient, preoperative compression ratio, kyphotic angle of compressed segment, injected PMMA volume, configuration of compression, preoperative bone mineral density (BMD) score, time interval between onset of symptom and the procedure, visual analogue scale (VAS) score for pain rating and surgery-related complications. Results : The mean postoperative VAS score improvement was $4.93{\pm}0.17$. The mean postoperative height restoration rate was $17.8{\pm}1.57%$ and the kyphotic angle reduction was $1.94{\pm}0.38^{\circ}$. However, there were no significant statistical correlations among VAS score improvement, height restoration rate, and kyphotic angle reduction. Among the various factors, the configuration of the compressed vertebral body (p=0.002) was related to the height restoration rate and the direction of the compression (p=0.006) was related with the kyphotic angle reduction. The preoperative compression ratio (p=0.023, p=0.006) and injected PMMA volume (p<0.001, p=0.035) affected both the height restoration and kyphotic angle reduction. Only the preoperative compression ratio was found to be as an independent affecting factor (95% CI : 1.064-5.068). Conclusion : The two major benefits of balloon kyphoplasty are immediate pain relief and local deformity correction, but segmental deformity correction achieved by balloon kyphoplasty does not result in additional pain relief. Among the factors that were shown to affect the segmental deformity correction, configuration of the compressed vertebral body, direction of the most compressed area, and preoperative compression ratio were not modifiable. However, careful preoperative consideration about the modifiable factor, the PMMA volume to inject, may contribute to the dynamic correction of the segmental deformity.

• Journal of Korean Neurosurgical Society
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• 제42권4호
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• pp.251-257
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• 2007

Objective : This multi-center clinical study was designed to determine the long-term results of patients who received a one-level posterior lumbar interbody fusion with expandable cage ($Tyche^{(R)}$ cage) for degenerative spinal diseases during the same period in each hospital. Methods : Fifty-seven patients with low back pain who had a one-level posterior lumbar interbody fusion using a newly designed expandable cage were enrolled in this study at five centers from June 2003 to December 2004 and followed up for 24 months. Pain improvement was checked with a Visual Analogue Scale (VAS) and their disability was evaluated with the Oswestry Disability Index. Radiographs were obtained before and after surgery. At the final follow-up, dynamic stability, quality of bone fusion, interveretebral disc height, and lumbar lordosis were assessed. In some cases, a lumbar computed tomography scan was also obtained. Results : The mean VAS score of back pain was improved from 6.44 points preoperatively to 0.44 at the final visit and the score of sciatica was reduced from 4.84 to 0.26. Also, the Oswestry Disability Index was improved from 32.62 points preoperatively to 18.25 at the final visit. The fusion rate was 92.5%. Intervertebral disc height, recorded as $9.94{\pm}2.69\;mm$ before surgery was increased to $12.23{\pm}3.31\;mm$ at postoperative 1 month and was stabilized at $11.43{\pm}2.23\;mm$ on final visit. The segmental angle of lordosis was changed significantly from $3.54{\pm}3.70^{\circ}$ before surgery to $6.37{\pm}3.97^{\circ}$ by 24 months postoperative, and total lumbar lordosis was $20.37{\pm}11.30^{\circ}$ preoperatively and $24.71{\pm}11.70^{\circ}$ at 24 months postoperative. Conclusion : There have been no special complications regarding the expandable cage during the follow-up period and the results of this study demonstrates a high fusion rate and clinical success.