• 대한관절경학회지
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• 제11권1호
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• pp.50-53
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• 2007

슬관절에서 원판형 연골은 주로 외측에 발생하는 것이 보통이며, 내측 원판형 연골의 경우 보고가 매우 드물다. 저자들은 슬관절 동통을 주소로 내원한 22세 여자에서 자기 공명 영상 및 관절경을 이용하여 내측 원판형 연골 및 수평 파열을 진단하고 관절경하 부분 절제술로 치료하였기에 보고하고자 한다.

• 치과방사선
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• 제21권2호
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• pp.157-163
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• 1991

The author has evaluated the panoramic image of the maxillary sinus according to the skull position. The lead foils were attached to the five walls of the maxillary sinus and the inferior turbinate individually. The skull was located in three positions; standard position, 20㎜ forward position and chin-down position. The obtained results were as follows: 1. In standard position, the medial wall was superimposed upon most of the panoramic antral image. The anterior wall and the posterolateral wall were superimposed upon the medial half and the lateral third respectively. 2. In forward position, the width of the panoramic antral image was diminished generally. The anterior wall was superimposed upon most of the panoramic antral image and the posterolateral wall appeared narrowly at the most lateral portion of the panoramic antral image. 3. In chin-down position, there was no significant difference in comparison to the standard position. 4. Inferior turbinate was not superimposed upon the panoramic antral image.

• 대한관절경학회지
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• 제10권1호
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• pp.95-98
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• 2006

원판형 연골은 주로 슬관절의 외측에 발생하는 것이 보통이며 드물게 내측에도 발생하는 것으로 알려져 있다. 그러나 내측 및 외측에 동시에 발생한 원판형 연골은 보고된 바가 없다. 저자들은 슬관절 동통을 주소로 내원한 15세 남자에서 자기 공명 영상 및 관절경을 이용하여 한쪽 슬관절에서 내측 및 외측에 동시에 발생한 원판형 연골을 진단하고 양측 모두에 대해 관절경하 부분 절제술로 치료하였기에 보고하고자 한다.

• 한국CDE학회논문집
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• 제15권1호
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• pp.33-42
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• 2010

In this study, new medial surface calculation methods using Voronoi diagrams are investigated for the point samples extracted on closed surface models. The medial surface is defined by the closure of all points having more than one closest point on the shape boundary. It is a one of essential geometric information in 3D and can be used in many areas such as 3D shape analysis, dimension reduction, freeform shape deformation, image processing, computer vision, FEM analysis, etc. In industrial parts, the idealized solid parts and shell shapes including sharp edges and vertices are frequently used. Other medial surface extraction methods using Voronoi diagram have inherent separation and branch problems, so that they are not appropriate to the sharp edged objects and have difficulties to be applied to industrial parts. In addition, the branched surfaces on sharp edges in shell shapes should be eliminated to obtain representative medial shapes. In order to avoid separation and branch problems, the new approach by analyzing the shapes and specially sampling on surfaces has been developed.

• 융합신호처리학회논문지
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• 제11권3호
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• pp.183-188
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• 2010

본 논문에서는 LoG scale-space를 이용한 그레이스케일 영상에서 연속패턴 라인 중심축 검출 기법을 제안한다. 제안된 기법은 LoG의 스케일 크기를 적응적으로 가변하여 라인 중심축을 검출하는 방법이다. 작은 스케일의 LoG 연산자는 라인의 에지점에서 영교차 특성이 나타나며, 영교차점을 중심으로 좌우에 +/- 극성을 가진 극점이 존재하게 된다. 즉 일정한 폭을 가지는 라인은 양쪽 가장자리에서 2개의 +극점을 가지게 된다. LoG의 확산동작을 반복함에 따라 스케일을 증가시키면 +극점은 라인 양쪽 에지영역에서 중심영역으로 이동하여 점진적으로 가까워져서 최종적으로 하나의 극점으로 중첩되어진다. 연속패턴 라인 중심축은 2개의 +극점이 중심영역에서 중첩되는 점이다. 제안하는 방법은 기존의 이진영상에서 적용되는 세선화 방법보다 강인하게 연속패턴 라인 중심축을 검출함을 확인하였다.

• 치과방사선
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• 제21권1호
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• pp.119-125
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• 1991

In the study of magnification of image in the focal trough of panoramic radiography, (Yoshida company Panoura - Eight - s), a series of 63 x-ray films were taken with the 8-19 metal pins placed in the holes of the plastic plate, measured and evaluated by 4 observes. The author analyzed the vertical and horizontal magnification rate in the corrected focal trough. Results were as follows: 1. For vertial measurements, magnification rates were minimum 10% maximum 36% and the magnification for image of medial side was larger than that of image of lateral side from image layer. 2. For horizontal measurements, magnification rates were minimum-14% maximum 46% and images of medial side from focal trough were magnified and images of lateral side from focal trough were retrenched. 3. When moved 10㎜ downward occlusal layer, interspace was somewhat narrow between the pins and upper sides of pins were horizontally magnified but images of the end parts of pins showed tapered form. 4. When moved 10㎜ downward from the occlusal layer, opposite images showed overlapping.

• 대한두개안면성형외과학회지
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• 제18권2호
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• pp.76-81
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• 2017

Background: A transcaruncular approach is typically used for reconstructions of medial wall fractures. However, others reported that a transconjunctival approach was conducive for securing an adequate surgical field of view. In this study, we aimed to examine the extent of repair of medial wall fracture via a transconjunctival approach. Methods: We retrospectively reviewed the medical records of 50 patients diagnosed as having medial wall fracture via preoperative computed tomography and who underwent surgery between March 2011 and February 2014. The fracture location was defined by dividing each of the anterior-posterior and superior-inferior distances into three compartments. Results: A transcaruncular approach was used in 7 patients, while the transconjunctival approach was performed in the remaining 43 patients. The transconjunctival approach enabled a relatively broad range of repair that partially included the front and back of the medial wall, and was successful in 86% of the entire study population. Conclusion: It is known that more than 50% of total cases of the medial wall fracture occur mainly in the middle-middle portion, a majority of which can be reconstructed via a transconjunctival approach. We used a transconjunctival approach in identifying the location of the fracture on image scans except for cases including the fracture of the superior portion in patients with medial wall fracture. If it is possible to identify the location of the fracture, a transconjunctival approach would be an useful method for the reconstruction in that it causes no damages to the lacrimal system and is useful in confirming the overall status of the floor.

• 대한정형외과 초음파학회지
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• 제2권1호
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• pp.7-12
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• 2009

목적: 초음파상 진단되는 내측 반월상 연골 탈출의 반월상 연골 파열과 관련된 의의에 대해 자기 공명 영상과 관절경 소견을 연계하여 알아보고자 하였다. 대상 및 방법: 슬관절 내측 반월상 연골의 파열이 있어 관절경적 수술을 시행하였던 32예로서 내측 반월상 연골 파열 14예, 내측 및 외측 동시 파열 18예를 대상으로 하였다. 반월상 연골 파열이 없는 내측 반월상 연골의 탈출의 정도는 자기공명 영상에서 반월상 연골 파열이 없는 24예를 대상으로 하였다. 내측 반월상 연골 탈출의 정도는 골극을 제외한 경골의 내측 관절선부터 내측 반월상 연골의 변연부까지 계측하였다. 단순 방사선 사진에서 Kellgren-Lawrence (K-L) 등급을 평가하였고, 관절경 수술 시에 병변의 위치를 평가하였다. 각각의 소견을 비교하여 자기 공명 영상과 초음파에서 반월상 연골의 탈출의 정도를 비교 분석하였다. 결과: 관절경 소견 상 반월상 연골 파열이 있는 군 전체, 내측 반월상 연골 파열이 있는 군, 내측 및 외측 반월상 연골이 동반 파열된 군 들과 파열이 없는 정상 군 사이에 통계학적으로 유의한 차이를 보였다(P<0.05). 결론: 초음파 영상에서 5 mm 이상의 탈출이 있을 때 반월상 연골 파열을 의심해야 할 것으로 생각된다.

• Archives of Plastic Surgery
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• 제34권1호
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• pp.44-51
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• 2007

Purpose: Blow-out fracture is one of the most common fractures in facial trauma. It is diagnosed by Computed Tomography(CT) scan, which is considered as the most effective diagnostic tool. Since, the Picture Archiving Communication System(PACS) has been provided recently to many hospitals, doctors are more familiar with imaging software of PACS. Because this software has many useful measuring tools, doctors can measure orbital structure easily and make a plan for treatment with its data. Therefore, authors intended to analyze the data of orbital structure measured with PACS imaging software and evaluate its usefulness. Methods: The charts and CT images of 100 patients, which were 50 patients with medial wall fracture and 50 patients with floor fracture, were reviewed. Patients were selected by pre-determined criteria and their CT images were measured with image software of PACS. 'Extraocular muscle thickness', 'Defect ratio'(ratio of defect area to normal area) and 'Globe position index' were measured and analyzed statistically. Results: The thickness of inferior rectus muscle and medial rectus muscle was simultaneously increased in acute-stage of blow-out fracture. The medial rectus muscle was more thickened in medial wall fracture and inferior rectus was more thickened in floor fracture, respectively. In acute blow-out fracture, globe position is exophthalmic rather than enophthalmic. Especially in floor fracture, numerical value summed up thickness of all extraocular muscle is correlated to the defect ratio and globe position index. Conclusion: Clinicians can decide globe position or presume defect ratio in inferior wall fracture by measurement of CT image in acute blow-out fracture using PACS.

• Clinical Pain
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• 제18권1호
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• pp.44-47
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• 2019

Lying on the side while falling asleep deeply after drinking or taking a sleeping pill can cause compressive neuropathy. We report a 70-year-old male patient of medial cord of left brachial plexus injury (BPI) after deep sleep. The mechanism of the injury might be compression and stretching of brachial plexus. The electrodiagnostic study was performed and the medial cord lesion of BPI was suggested. The ultrasonography image of compression site revealed the nerve swelling of medial cord of brachial plexus and median nerve at the mid-arm level. Pharmacologic treatment including oral prednisolone and exercise training were prescribed. On 6 months after initial visit, neurologic symptom and pain were improved but mild sequelae was remained.