• 전기전자학회논문지
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• 제26권1호
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• pp.27-35
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• 2022

본 논문은 낮은 연산 복잡도를 지니는 초음파 혈관 패턴 영상 알고리즘을 제안한다. 제안하는 혈관 패턴 영상 알고리즘은 혈류의 흐름 만 감지하여 혈관 패턴을 영상화하는 알고리즘이며 손가락 혈관의 패턴 영상을 추출하는 실시간 신호처리 하드웨어에 적용할 수 있다. 기존의 초음파 의료영상장비의 혈류영상 모드와 달리 제안하는 알고리즘은 혈류의 흐름 만 감지하여 영상으로 복원한다. 즉, 제안하는 영상 알고리즘은 I/Q 복조를 사용하지 않으며 클러터 필터의 출력 신호의 절대 값을 누적하는 방식으로 혈류 흐름의 유무를 검출하기 때문에, 알고리즘의 구조가 비교적 간단하다. 제안하는 영상 알고리즘의 복잡도를 검증하기 위해, Field-II 프로그램을 이용하여 손가락 혈관을 모사하는 시뮬레이션 모델을 구현하였다. 행위모사 시뮬레이션을 통해, 제안하는 알고리즘의 연산시간이 일반적인 color-flow 모드보다 약 54배 작은 것으로 확인되었다. 제안하는 영상 알고리즘에서 요구되는 주요 구성 블록과 연산량을 고려할 때, 제안하는 알고리즘은 FPGA 또는 ASIC과 같은 하드웨어에 구현되기에 용이하다.

• 대한의용생체공학회:의공학회지
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• 제28권6호
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• pp.777-785
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• 2007

In this paper, Finger-Toe Index (FTI) is proposed as an analytic parameter for the characterization of arterial vessel. Different from the currently being employed pulse wave velocity (PWV) information of the volume pulse wave measured from 4 arterial channels, the proposed FTI uses the ratio of the shorter of the two up-stroke time of PPG from fingers ($UT_{finger}$) and that of PPG (Photoplethysmography) from toes ($UT_{toe}$). To verify the usefulness of the proposed method, Finger-Toe Indexes were derived from the volume pulse waves acquired from 50 people under examination aged from 12 to 81 years old, and they were then compared with blood pressure ankle-brachial index (ABI). It was successfully demonstrated that the arterial stiffness can be estimated with respect to age and FTI is more strongly correlated with the pulse transit time than ABI. From the regression analysis, we also found that FTI has significant correlation PWV for a quantitative index of arterial stiffness and provides more accurate information than ABI for the characterization of arterial vessel.

• Archives of Reconstructive Microsurgery
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• 제12권2호
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• pp.105-111
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• 2003

It has been known that the vessels of the finger tip are very small and have many branches, so the anastomosis of this vessel is very difficult. But when this operation achieves success, the replanted finger tip provides adequate soft tissue, restoration of the length, sensory and nail. The authors describe the result of finger tip replantation in 94 patients, 103 finger tips, from October 1999 to June 2002. We performed the salvage procedure in all cases. The success rate of finger tip replantation was 74.8%. We achieved higher success rate, when we succeeded anastomosis of the central artery. The function of the replanted fingers was good. The average TAM was 80% and patient satisfaction was high. We be live that we can achieve higher success rate by anastomosing central artery and performing delicate salvage procedure.

• 대한한의학회지
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• 제41권4호
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• pp.72-77
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• 2020

Objectives: This study was carried out to concrete the concept of Hand Gworeum Skin referred in Suwen of Huangdi Neijing. Methods: The Hand Gworeum Meridian was labeled with latex in the body surface of the cadaver, subsequently dissecting a superficial fascia and muscular layer in order to observe internal structures. Results: Skin histologically encompasses a common integument and a immediately below superficial fascia, this study established the skin boundary with adjacent structures such as relative muscle, tendon as its compass. The realm of the Hand Gworeum Skin is as follows: The skin close to the nipple on the 4th intercostal space, the interceps of biceps brachii muscle, the cubital surface at ulnad of bicipital aponeurosis, the anterior surface of the forearm, between flexor carpi radialis and palmaris longus(from wrist crease to 5chon above), the palm between the 3rd and 4th metacarpals on the cross part with the palm crease, the radiod from the middle finger nail(or the end of middle finger). The realm of the Hand Gworeum Skin is situated on between Hand Taeeum Skin and Hand Soeum Skin in front of arm. Conclusion: The realm of Hand Gworeum Skin from the anatomical viewpoint seems to be the skin area outside the superficial fascia or the muscle involved in the pathway of the Hand Gworeum Meridian vessel, Collateral Meridian vessel, and Meridian muscle, being considered adjacent vessels or nerves at the same time.

• Archives of Plastic Surgery
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• 제36권1호
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• pp.46-50
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• 2009

Purpose: Finger injury by green onion cutting machine is one of the common hand injuries in the kitchen. It has a unique feature: there are multiple parellel laceration 3 - 5 mm wide. There are two directions of injuries(vertical, oblique). It may involve bone, tendon, nerve, and vessel injuries. We discuss its management and the long - term progress. Methods: We have treated six patients from 2003 to 2007. We carried out low tension approximation with thin suture materials to avoid ischemia and performed the additional operation as nail bed repair, tenorrhaphy, open reduction, vessel anastomosis, and composite graft. We reviewed the record of initial injury and collected the follow - up record. Results: They were all middle aged - women who had worked in the kitchen. Right hand was dominent over left hand. The ratio of the directions was 3 : 3 (vertical : oblique). They were all competely healed although there were three atrophy, four hyperesthesia, and one nail deformity. Conclusion: Finger injury by green onion cutting machine is a unique pattern of laceration with various accompanied injuries. It may look like a severe form of injury, but in most cases have relatively favorable progress. We have to perform careful examination of accompanied injuries and carry out the proper management. First and foremost, the user especially in the middle aged women should be warned to be careful in handling this risky machine.

• 대한의용생체공학회:학술대회논문집
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• 대한의용생체공학회 1998년도 추계학술대회
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• pp.125-126
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• 1998

Pulse conduction velocity is determined by areterial compliance, which is changed by lateral pressure of arterial wall. Hydrostatic pressure of the limb vessel is changed by body position, especially in elevated arm. The arterial pulse in the finger causes the blood volume to change, changing the optical density of the blood. Photoplethysmograph of index finger was obtained by LED and phototransistor. Pulse transmission time(PTT) was measured by the interval between the peak of ECG R wave and the peak of the finger plethysmogram. PTT was increased by upward position of arm, and decreased by downward position of the arm compared to horizontal position. This result suggests that relationship between finger plethysmography and postural change could be applied to evaluate clinical cardiovascular status.

• 대한의용생체공학회:의공학회지
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• 제30권2호
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• pp.129-134
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• 2009

The ideal method which measures a blood vessel of senility and degree of arteriosclerosis is to measure compliance of arterial and condition of blood circulation at the periphery. In these days vascular stiffness have been assessed by analyzing PTT (pulse transit time) from ECG and PPG. PTT is that between toe and finger each subject estimated through ECG and PPG signals. Two parameters, which are related to PWV, were tested with the time delay between the finger and toe. PWV is a variation of quantity which is associated with vascular stiffness. These researches which use PTT and PWV don't consider the blood vessel characteristic of an individual. In this current research, we have used with the blood vessel characteristic of an individual. That is an assessment of vascular stiffness using the variation of quantity in PWV with the changes of position in the subject. PWV variation increased as functions of the subject's age. The increase of the PWV variation parameters with age is attributed to the direct decrease of the blood vessel compliance with different position. The quantity of variation estimated by experimental results is that old age's (75.78${\pm}$7.75) case is 113.68% and young age's (26.47${\pm}$2.04) case is 85.69%. We proved and presented about estimation of vascular stiffness of possibility by this result.

• Archives of Reconstructive Microsurgery
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• 제13권2호
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• pp.107-116
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• 2004

Flaps are necessary, when important structures such as bone, tendon, nerve and vessel are exposed. Arterialized venous free flap is suited to the coverage of finger and hand because the thickness of venous flap is thin. Authors performed 65 cases arterialized venous free flap for the soft tissue reconstruction of the hand and finger. The size of donor defect were from $1{\times}1cm\;to\;7{\times}12cm$. The mean flap area was $9.1cm^2$. The recipient sites were finger tip in 34 cases, finger shaft in 29 cases and hand in 2 cases. The donor sites were volar aspect of distal forearm in 40 cases, thenar area in 17 cases and foot dorsum in 6 cases. The types of arterialized venous free flap were A-A type in 4 cases and A-V type in 61 cases. The length of afferent vein was from 0.5 cm to 3 cm (mean 1.7 cm) and efferent vein was from 1 cm to 10 cm (mean 2.2 cm). 58 flaps(89.2%) survived eventually. 42 flaps(64.6%) survived totally without any complication. 8 flaps(12.3%) showed the partial necrosis but they were healed without any additional operations. 8 flaps (12.3%) showed the partial necrosis requiring the additional skin graft. We had a satisfactory result by using arterialized venous free flap for the soft tissue reconstruction of finger and hand. We believe that volar aspect of distal forearm, thenar area, foot dorsum are suited as a donor site and the short length of the flap pedicle, the strong arterail inflow affect the survival rate of arterialized venous free flaps.

• 정보처리학회논문지:소프트웨어 및 데이터공학
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• 제7권9호
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• pp.345-350
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• 2018

본 연구는 지정맥 인식에 중요한 정맥 패턴 특징검출을 위한 알고리즘이다. 특징검출 알고리즘은 패턴인식 시 인식결과에 많은 영향을 끼치므로 중요하다. 인식률은 손가락 위치 변화에 따라 기준도 변화되므로 저하되는 특징을 가지고 있다. 또한, 손가락에 적외선 광을 조사하여 획득한 영상은 영상 배경과 혈관 패턴을 분리하기에 어렵고, 영상 전처리과정을 수행하므로 검출시간이 증대되는 특징을 가지고 있다. 이를 위해, 제시하는 알고리즘은 영상 전처리과정이 없이 수행되어 검출 시간을 줄일 수 있고, 지정맥 영상에 SWDA(Shifted Waveform Data Analysis) 알고리즘을 적용하여 손가락 마디 위치 및 정맥 패턴 검출이 가능한 특징을 가지고 있다. 적외선 투과율이 낮아 상대적으로 어두운 정맥 영상도 검출 오류 최소화가 가능한 특징을 보였다. 또한, 손가락 마디 위치는 분류 단계에서 기준으로 활용하면 인식률 저하를 보완할 수 있는 특징을 가지고 있다. 추후 손바닥, 손목 등 신체 여러 인식분야에 제안하는 알고리즘을 적용한다면 생체 특징 검출 정확도 향상 및 인식 수행 시간 감소에 기여할 것으로 기대된다.

• 한국정보통신학회논문지
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• 제17권2호
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• pp.423-430
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• 2013

최근 손등이나 손바닥, 손가락의 정맥 혈관 패턴정보를 이용하여 개인을 인증하는 기술은 훼손, 복제 및 위조가 불가능하다는 장점으로 인해 연구가 활발하게 진행 중이다. 정맥영상은 피부층과 내부 골격등에 의한 빛의 산란 및 불균일한 내부 조직 때문에 정맥 영역이 뚜렷하게 나타나지 않아, 영상처리 방법을 통해 정맥 영역을 정확하게 분리하는 것이 어렵다. 특히 한 장의 영상에서도 밝기가 균일하지 않아서 지역 영역 단위로 다른 이진 임계치를 사용함으로 인해 처리시간이 오래 걸리고 혈관의 불연속면이 발생한다는 문제가 있다. 이를 해결하기 위해 본 논문에서는 조명 정규화 기반의 고속 정맥 영역 추출 방법을 제안한다. 본 연구는 기존의 방법에 비해 다음과 같은 장점을 가지고 있다. 첫째, 정맥영상의 불균일한 조명을 제거하기 위해 저역통과필터를 통해 조명 성분을 취득하고 이를 통해 조명성분이 균일한 영상을 얻었다. 둘째, 조명 정규화 영상으로부터 단일 임계치를 통해 얻어진 이진 영상의 처리를 통해 혈관 경로를 추출함으로써, 처리시간을 단축하였다. 실험을 통해 기존 방법들에 비해 혈관 영역 추출 정확도가 상승하고, 처리속도가 단축된 결과를 얻을 수 있었다.