• Title/Summary/Keyword: patient positioning

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The Development of Real Time Automatic Patient Position Correction System during the Radiation Therapy Based on CCD: A Feasibility Study (CCD기반의 방사선치료 중 실시간 자동 환자 위치보정 시스템 개발: 타당성 연구)

  • Shin, Dongho;Chung, Kwangzoo;Kim, Meyoung;Son, Jaeman;Yoon, Myonggeun;Lim, Young Kyung;Lee, Se Byeong
    • Progress in Medical Physics
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    • v.24 no.3
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    • pp.191-197
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    • 2013
  • Upon radiation treatment, it is the important factor to monitor the patient's motion during radiation irradiated, since it can determine whether the treatment is successful. Thus, we have developed the system in which the patient's motion is monitored in real time and moving treatment position can be automatically corrected during radiation irradiation. We have developed the patient's position monitoring system in which the patient's position is three dimensionally identified by using two CCD cameras which are orthogonal located around the isocenter. This system uses the image pattern matching technique using a normalized cross-correlation method. We have developed the system in which trigger signal for beam on and off is generated by quantitatively analyzing the changes in a treatment position through delivery of the images taken from CCD cameras to the computer and the motor of moving couch can be controlled. This system was able to automatically correct a patient's position with the resolution of 0.5 mm or less.

Latissimus Dorsi Myocutaneous Flap in Head and Neck Reconstruction (활배근피판을 이용한 두경부 재건술)

  • Kim Kwang-Hyun;Surg Myung-Whun;Jinn Tae-Hoon
    • Korean Journal of Head & Neck Oncology
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    • v.6 no.2
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    • pp.71-78
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    • 1990
  • The reconstruction of huge surgical defect is one of the major problems in the surgical treatment of the cancer of the head and neck. The latissimus dorsi myocutaneous flap, which is one of the most versatile myocutaneous flap, is a reliable method of reconstruction for extensive wounds in the head and neck. Due to the difficult patient positioning, its uses are reserved for the extensive defects or for the cases in which other traditional flaps have failed. The authors successfully reconstructed large surgical defects in the head and neck region using LDMC flap in five patients.

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A Study of the Functional Anatomy of the Hand (손의 기능 해부에 대한 연구)

  • Park, Young-Han;Lee, Hyo-Jeong
    • Journal of Korean Physical Therapy Science
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    • v.13 no.1
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    • pp.61-74
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    • 2006
  • This study about functional anatomy of the hand. hand injuries are among the most common problems confronting patient, physical therapist and physicians. physical therapist should know about normal hand function and anatomical structure for hand injury, clinical reasoning and intervention. physical therapist should know about the Skeletal of the hand, Function of The Hand, Nerves of the hand, Sensation of the Hand, Intrinsic muscle, Power and Balance and Functional Position of the Hand. In this article, we discuss the physiologic properties of hand structure, biomechanical observation in hand function, sensation and nerves, hand positioning.

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The Optimum leaf width of Multileaf Collimator (Multileaf Collimator의 적정 폭에 관한 연구)

  • 이병용;조병철;장혜숙
    • Progress in Medical Physics
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    • v.5 no.2
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    • pp.49-55
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    • 1994
  • Multileaf Collimator is an essential tool for conformal therapy. We have measured the scallop penumbars of a poligon-shape field produced by Multileaf Collimator(MLC) with various leaf widths and the penumbra from conventional block, and compared the difference between them for the energy of photons, leaf widths, and angle of filed edges in order to find out the optimum leaf width. In addition, we have simulated a treatment of 20 factionations with errors of patient positioning. Optimum cost-benefit balanced leaf width is 8 mm.

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CLINICAL CONSIDERATION OF INDIRECT BONDING TECHNIQUE (INDIRECT BONDING TECHNIQUE에 대한 고찰)

  • Lee, Kyung Hwan;Kim, Sang Cheol
    • The korean journal of orthodontics
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    • v.19 no.2
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    • pp.155-163
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    • 1989
  • Indirect bonding is done by placing the brackets on a model in the laboratory and using a template or tray to transfer the laboratory positioning to the teeth. The advantages of this technique are 1. decreased chair time 2. less patient discomfort 3. accuracy of a attachment placement 4. good adaptation of attachment to tooth contour 5. occlusal relationship of brackets and opposing teeth can be checked The disadvantages of the technique are 1. complex laboratory procedure 2. sometimes difficult on very short clinical crowns 3. teeth with crowns, large buccal restoration will not bond 4. may not be fitted close, if poor adaptation 5. likely to be disturbed setting Several indirect bonding techniques have proved reliable in clinical practice. However, they differ in the way the brackets are attached temporarily to the model, the type of transfer tray or other mechanism used, the adhesive or sealant employed, whether segmented or full bonding used, and the way the transfer is removed so as not to exert excessive force on a still maturing bond.

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Computer-Assisted Mandibular Reconstruction with Monocortical DCIA Flap; A Case Report

  • Moon, Seong-Yong
    • Journal of International Society for Simulation Surgery
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    • v.2 no.2
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    • pp.83-86
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    • 2015
  • Recently, computer-assisted surgery is popular for performing well-planned operations. Computer-aided navigation system is helpful in maxillofacial surgery with real time instrument positioning and clear anatomic identification. Generally, segmental mandibulectomy and reconstruction flap surgery have done by extra-oral approach such as, submandibular approach. This case report describes performing intra-oral segmental mandibulectomy and reconstruction with monocortical deep circumflex iliac artery (DCIA) flap and CT guided implant surgery by using computer-aided surgical guide and navigation for managing ameloblastoma in a 31 years old female patient.

Extraction of Impacted Supernumerary Teeth with Navigation System

  • Kim, Ji-Hyoung;Yoo, Byung-Woo;Moon, Seong-Yong
    • Journal of International Society for Simulation Surgery
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    • v.3 no.2
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    • pp.74-76
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    • 2016
  • Computer-aided navigation system is helpful in maxillofacial surgery with real time instrument positioning and clear anatomic identification. Generally, completely impacted tooth extraction surgery have e high risk by iatrogenic injury such as, adjacent tooth injury, normal anatomical structure injury. This case report describes performing extraction of impacted supernumerary teeth on anterior maxilla by using the navigation system in a 15 years old male patient.

Present Status of the Proton Therapy Project at the Wakasa Wan Energy Research Center

  • Kyo Kume;Shigekazu Fukuda;Sadayoshi.Fukumoto;Hisakazu Hamachi;Ha, Takashi.segawa;Satoshi Hatori;Yutaka Hayashi;Go Kagiya;Shuji Kakiuchi
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2002.09a
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    • pp.171-173
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    • 2002
  • Present status of the proton therapy project at the Wakasa Wan Energy Research Center, Japan, is reported. Construction of the accelerator system was finished in 2001, followed by some trials of the production of the flat clinical irradiation field for the clinical usage. After the patient positioning system with X-ray CT was verified, the first clinical trial was started for two patients with prostate cancer.

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Identifying Unusual Days

  • Kim, Min-Kyong;Kotz, David
    • Journal of Computing Science and Engineering
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    • v.5 no.1
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    • pp.71-84
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    • 2011
  • Pervasive applications such as digital memories or patient monitors collect a vast amount of data. One key challenge in these systems is how to extract interesting or unusual information. Because users cannot anticipate their future interests in the data when the data is stored, it is hard to provide appropriate indexes. As location-tracking technologies, such as global positioning system, have become ubiquitous, digital cameras or other pervasive systems record location information along with the data. In this paper, we present an automatic approach to identify unusual data using location information. Given the location information, our system identifies unusual days, that is, days with unusual mobility patterns. We evaluated our detection system using a real wireless trace, collected at wireless access points, and demonstrated its capabilities. Using our system, we were able to identify days when mobility patterns changed and differentiate days when a user followed a regular pattern from the rest. We also discovered general mobility characteristics. For example, most users had one or more repeating mobility patterns, and repeating mobility patterns did not depend on certain days of the week, except that weekends were different from weekdays.

Median Nerve Injuries Caused by Carpal Tunnel Injections

  • Kim, Hyun Jung;Park, Sang Hyun
    • The Korean Journal of Pain
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    • v.27 no.2
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    • pp.112-117
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    • 2014
  • Local steroid injections are widely used for diagnostic and therapeutic purposes in the management of carpal tunnel syndrome. The median nerve injury is the most serious complication in association with carpal tunnel injections although the incidence is low. A median nerve injury will be presented with shooting pain at the injection time along with other sensory distortion, motor weakness and muscle atrophy. The management includes a conservative treatment and a surgical exploration. Carpal tunnel injections should be used at a minimum only. If such steroid injection is required, an appropriate needle positioning is vital for the nerve injury prevention. The patient should not be heavily sedated and should be encouraged to inform experiences of numbness/paresthesia during the procedure immediately.