• Journal of Information Processing Systems
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• v.12 no.4
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• pp.741-753
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• 2016

In the medical fields, many efforts have been made to develop and improve Hospital Information System (HIS) including Electronic Medical Record (EMR), Order Communication System (OCS), and Picture Archiving and Communication System (PACS). However, materials generated and used in medical fields have various types and forms. The current HISs separately store and manage them by different systems, even though they relate to each other and contain redundant data. These systems are not helpful particularly in emergency where medical experts cannot check all of clinical materials in the golden time. Therefore, in this paper, we propose a process to build an integrated data model for medical information currently stored in various HISs. The proposed data model integrates vast information by focusing on medical images since they are most important materials for the diagnosis and treatment. Moreover, the model is disease-specific to consider that medical information and clinical materials including images are different by diseases. Two case studies show the feasibility and the usefulness of our proposed data model by building models about two diseases, acute myocardial infarction (AMI) and ischemic stroke.

• Proceedings of the KOSOMBE Conference
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• v.1995 no.05
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• pp.235-238
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• 1995

In this paper, we propose an effective coding method of the angiography by using the scalable structure in the frequency domain for MPACS(Medical Picture Archiving and Communication System). We employed the subband decomposition method and MPEG-2 system which is the international standard coding method of the general moving picture. After the subband decomposition is applied to split an input image into 4 bands in the spatial frequency domain, the motion compensated DPCM coding method of MPEG-2 is carried out for each subband. As a result, an easily controllable coding Structure is accomplished by composing the compound hit stream for each subband group. Follows are the simulation results of the proposed sheme for the angiography. A scalable structure which can be easily controlled for a loss of transmission or the band limit can be accomplisbed in the MPEG-2 stucture by the subband decomposition minimizing the side information. And by reducing the search area of the motion vector between -4 and 3, the processing speed of a codec is enhanced by more than two times without a loss of the picture quality compare with the conventional DCT coefficients decompositon method. And the processing speed is considerably improved in the case of the parallel construction of each subband in the hardware.

• 제어로봇시스템학회:학술대회논문집
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• 2001.10a
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• pp.181.2-181
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• 2001

Stereo PACS (Picture Archiving and Communication System) is not available yet because of some limitations of medical stereo image software and viewing devices. As a stereo PACS viewer, we designed two functions. One is selecting and viewing a multiplexed stereo image directly, and the other is selecting a stereo pair image (left and right sides both) and merging the stereo pair image into a multiplexed image in software. For the medical image compression of 3-D stereo endoscopic images, we used JPEG and Wavelet compression and to determine an acceptable compression rate using PSNR (Peak Signal-to-Noise Ratio). As a result, we got the conclusion that medically acceptable image compression rate should have the PSNR of above about 40[dB] (JPEG (5:1), Wavelet (10:1)).

• Journal of the Korean Society of Radiology
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• v.15 no.2
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• pp.139-145
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• 2021

This study is to confirm the range of tube voltage for Chest X-ray in DR system by comparing with dose area product (DAP) and effective dose in efficient detector exposure index (DEI) range. GE definium 8000 was used to for the phantom study. The range of tube voltage is 60~130 kVp and of mAs is 2.5~40 mAs. The acquired images were classified into efficient DEI groups, then calculated effective dose with DAP by using a PC-Based Monte Carlo Program 2.0. The signal to noise ratio (SNR) was measured at 4 regions, including the thoracic spine, the lung area with the ribs, the lung area without the ribs, and the liver by using Picture Archiving and Communication System. The significance of the group for each tube voltage was verified by performing the kruskal-wallis test and the mann-whitney test as a post-test. When set to 4 groups dependned on the tube voltage, DAP showed significant differences; 60 kVp and 80 kVp, and 60 kVp and 90 kVp (p= 0.034, 0.021). Effective dose exhibited no statistically significant differences from the all of the group (p>0.05). SNR exhibited statistically significant differences from the all of the group in the liver except compared to 80 kVp and 90 kVp (p<0.05). Therefore, high tube voltages of 100 kVp or more need to be reconsidered in terms of patient dose and imaging in order to represent an appropriate chest X-ray image in a digital system.

• Journal of the Korean Society of Radiology
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• v.15 no.3
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• pp.321-327
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• 2021

Wrist PA-grip view is used to diagnose triangular fibrocartilage complex (TFCC) tear because it can easily diagnose damage to the surrounding wrist ligaments. However, despite advances in radiology equipment, distortion of images due to geometric elements still has many limitations. In this paper, we propose a method that can minimize the distortions of images by analyzing the distortions occurring in the wrist PA-grip view. A source of image distance (SID) were set at 130 cm and 150 cm for comparison with 110 cm. Depending on the SID, the phantom of wrist was moved at 0, 2, 4, 6, 8, and 10 cm in the X-axis and Y-axis directions, respectively. For quantitative evaluation, the difference of distance between the radius and ulna was measured in picture archiving and communication system (PACS) system. As a qualitative evaluation, survey was conducted among 20 radiologic technologists who examined the Wrist PA-grip view. The Kruskal Wallis test was performed to compare the distortion according to the phantom movement in the X-axis and Y-axis directions based on the SID, and the Tukey test was performed as a post-test. In the quantitative evaluation results, the measured values obtained in the X-axis was not significantly different in all groups (p>0.05). The measured values obtained in the Y-axis was significantly different in the most groups (p<0.05). Therefore, to reduce distortion while maintaining image quality, we recommend what examine the SID at 150 cm than 110 cm.

• Proceedings of the Korea Information Processing Society Conference
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• 2004.11a
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• pp.595-598
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• 2004

현재 급속하게 이루어지고 있는 의료영상저장전송 시스템의 보급으로 컴퓨터를 이용한 의료영상분야의 발전이 가속도를 받고 있다. 그러나 업체마다 통신관련 프로토콜 적용에 다소 차이가 존재하기 때문에 이후 도입해야 하는 CAD(Computer Aided Diagnosis) 등 분야로의 확장에 문제가 있다. 본 연구에서는 의료영상저장전송 시스템을 확장하고자 하는 경우에 고려해야 할 사항들에 대해서 제안하고 이를 토대로 새로운 의료영상저장전송 시스템을 구축하였다.

• Proceedings of the Korean Society of Computer Information Conference
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• 2020.01a
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• pp.5-6
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• 2020

현대 의학에서 의료 영상은 수많은 영상처리 의료기기의 핵심이다. PACS(Picture Archiving Communication System)를 통해 관리되는 의료 영상 자료들은 요청에 따라 저장, 검색 및 전송을 수행하여 신속한 의료 서비스를 가능하게 한다. 그러나 만약에 관리자의 실수로 의료 영상 데이터가 바뀐다면 이는 사용자로 하여금 불편함과 낮은 신뢰성을 야기한다. 그리하여 본 논문에서는 서포트 벡터 머신 기반의 HOG(Histogram of Oriented Gradients) 특징 벡터를 이용하여 X-ray와 MRI(Magnetic Resonance Imaging) 사진을 분류하고 의료 영상 분류의 가능성을 제시하는 것을 목표로 한다.

• 전기의세계
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• v.34 no.9
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• pp.548-552
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• 1985

서울대학교 병원에서는 약2년간의 이분야에 대한 기초 및 임상연구 결과를 토대로 하여 D.S.R.System을 개발하고 있다. 현재 개발하고 있는 Systme은 다음과 같다. 1) X선 발생장치 및 Control부분 2) 산란효과 제거를 위한 fore-slit 및 after-slit과 구동장치 3) X선을 광신호로 변환하기 위한 rare earth screen과 광신호를 전기적인 신호로 변환시키기 위한 photo-diode array detector의 결합체, 4) data 수집부분, 증폭장치와 A/D변환기, 고속 data 저장용 기억장치 부분 5) data 처리와 display를 위한 Bit-slice processor 5) Picture Archiving and Communication Systems (PACS) 이러한 부분 이외에 SNR을 향상시키고 좁은 부위의 region of interest를 보다 정확하게 관찰하기 위해서 511p/mm의 고밀도 선형검출기를 병행으로 사용하고 있다. 이 선형검출기를 이용하여 일부의 영상을 관찰하여 그 결과를 Wiener filter 등의 방법의 매개변수 선정에 이용하여 전체적인 영상의 질을 향상시키고자 하는 것이다.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.41
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• pp.6.1-6.10
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• 2019

Background: Osteomyelitis is an intraosseous inflammatory disease characterized by progressive inflammatory osteoclasia and ossification. The use of quantitative analysis to assist interpretation of osteomyelitis is increasingly being considered. The objective of this study was to perform early diagnosis of osteomyelitis on digital panoramic radiographs using basic functions provided by picture archiving and communication system (PACS), a program used to show radiographic images. Methods: This study targeted a total of 95 patients whose symptoms were confirmed as osteomyelitis under clinical, radiologic, pathological diagnosis over 11 years from 2008 to 2017. Five categorized patients were osteoradionecrosis, bisphosphonate-related osteonecrosis of jaw (BRONJ, suppurative and sclerosing type), and bacterial osteomyelitis (suppurative and sclerosing type), and the control group was 117 randomly sampled. The photographic density in a certain area of the digital panoramic radiograph was determined and compared using the "measure area rectangle," one of the basic PACS functions in INFINITT PACS^® (INFINITT Healthcare, Seoul, South Korea). A conditional inference tree, one type of decision making tree, was generated with the program R for statistical analysis with SPSS^®. Results: In the conditional inference tree generated from the obtained data, cases where the difference in average value exceeded 54.49 and the difference in minimum value was less than 54.49 and greater than 12.81 and the difference in minimum value exceeded 39 were considered suspicious of osteomyelitis. From these results, the disease could be correctly classified with a probability of 88.1%. There was no difference in photographic density value of BRONJ and bacterial osteomyelitis; therefore, it was not possible to classify BRONJ and bacterial osteomyelitis by quantitative analysis of panoramic radiographs based on existing research. Conclusions: This study demonstrates that it is feasible to measure photographic density using a basic function in PACS and apply the data to assist in the diagnosis of osteomyelitis.

• The Journal of the Korea Contents Association
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• v.11 no.6
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• pp.270-278
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• 2011

The purpose of this study was to compare acute and chronic LBP patient in twenties and forties, respectively by size measure paraspinal muscle (cross-sectional area; CSA). CSA of paraspinal muscle (psoas, multifidus, erector muscle) size was measured by free-handling technique of the picture archiving and communication system(PACS) using MRI at the level(lower end-plate of L4) in twenties(9 males, 10 females) and forties(9 males, 8 females) in acute and chronic LBP patient. The results of this study showed no significantly difference between acute and chronic LBP (p>0.05) in twenties patients. However, there was significant difference between acute and chronic LBP (p<0.05) in forties patients. Also, there was significant difference in paraspinal muscle CSA between chronic LBP patients in twenties and chronic LBP patients in forties (p<0.05). This study showed that paraspinal muscle atrophy was observed in forties with various cause, but Not chronic LBP patients in twenties. Accordingly it is required for chronic LBP patients in forties to minimize trunk muscle atrophy through immediate back muscle dynamic exercise and early functional activity.