Background The increasing number of bilateral breast cancer patients has been accompanied by a growing need for bilateral mastectomy with immediate reconstruction. However, little research has investigated the complications and aesthetic outcomes related to bilateral reconstruction. Therefore, we analyzed retrospective data comparing the outcomes of bilateral reconstruction using deep inferior epigastric perforator (DIEP) flaps or implants. Methods This study included 52 patients (24 DIEP group and 28 implant group) who underwent bilateral mastectomy with immediate reconstruction between 2010 and 2020. Patient demographics, surgical characteristics, and complications were recorded. The difference between the left and right position of the nipple-areolar complex with respect to the sternal notch point at the clavicle was measured, and breast symmetry was evaluated. Results The average weight of breasts reconstructed with DIEP flaps (417.43±152.50 g) was higher than that of breasts with implants. The hospitalization period and operation time were significantly longer in the DIEP group. Early complications were significantly more common in the implant group (36.53%) than in the DIEP group. The angles between the nipples and the horizontal line were 1.09°±0.71° and 1.75°±1.45° in the DIEP and implant groups, respectively. Conclusions Although the surgical burden is lower, breast reconstruction using implants requires greater attention with respect to implant positioning, asymmetry, and complications than DIEP flap reconstruction. DIEP flap reconstruction has a prolonged operation time and a high risk of flap failure, but yields excellent cosmetic results and does not require intensive follow-up. Patients should be consulted to determine the most suitable option for them.
Objective: To examine the accuracy of computer-aided intraoperative navigation (Ci-Navi) in bimaxillary orthognathic surgery by comparing preoperative planning and postoperative outcome. Methods: The study comprised 45 patients with congenital dentomaxillofacial deformities who were scheduled to undergo bimaxillary orthognathic surgery. Virtual bimaxillary orthognathic surgery was simulated using Mimics software. Intraoperatively, a Le Fort I osteotomy of the maxilla was performed using osteotomy guide plates. After the Le Fort I osteotomy and bilateral sagittal split ramus osteotomy of the mandible, the mobilized maxilla and the distal mandibular segment were fixed using an occlusal splint, forming the maxillomandibular complex (MMC). Real-time Ci-Navi was used to lead the MMC in the designated direction. Osteoplasty of the inferior border of the mandible was performed using Ci-Navi when facial symmetry and skeletal harmony were of concern. Linear and angular distinctions between preoperative planning and postoperative outcomes were calculated. Results: The mean linear difference was 0.79 mm (maxilla: 0.62 mm, mandible: 0.88 mm) and the overall mean angular difference was 1.20°. The observed difference in the upper incisor point to the Frankfort horizontal plane, midfacial sagittal plane, and coronal plane was < 1 mm in 40 cases. Conclusions: This study demonstrates the role of Ci-Navi in the accurate positioning of bone segments during bimaxillary orthognathic surgery. Ci-Navi was found to be a reliable method for the accurate transfer of the surgical plan during an operation.
The Transactions of The Korean Institute of Electrical Engineers
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v.67
no.12
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pp.1690-1698
/
2018
Recent advances in ICT technology have transformed many of our daily lives and attracted a lot of attention to personal health. Heart beat measurement that reflects cardiac activities has been used in various fields such as exercise evaluation and psychological state evaluation for a long time, but its utilization method is limited due to its differentiation from clinical electrocardiogram. Therefore, in this study, we could observe the change of the measured signal according to the change of the distance and the position of the measuring electrodes which are non-standard electrode configuration. Based on the electric dipole model of the heart, correlation with clinical electrocardiogram could be confirmed by synthesizing multiple surface potentials measured with a shorter electrode distance than standard one. From the electromagnetic point of view, the distance between the measuring electrodes corresponds to the distance that the electric potential by the cardiac electric dipole moves, and the electric potential measured at the body surface is proportional to the moving distance of the electric potential. Therefore, it is preferable to make the distance between electrodes as long as possible, and to position the measuring electrode close to the ventricle rather than the atrium. In addition, it was found that standard electrocardiographic waveforms could be synthesized by using arithmetic sum of multiple measuring electrodes due to the relationship of electrical dipole vectors, which is obtained by dividing and positioning a plurality of measuring electrodes on a reference electrode line, such as Lead-I, Lead-II direction. Also, we obtained a significant Pearson correlation coefficient ($r=0.9113{\pm}0.0169$) as a result of synthetic experiments on four subjects.
Objectives: The purpose of this study is to evaluate dental hygiene students' recognition of safety management and phantom practice in dental radiology. Methods: The study subjects were 409 students in six regions who completed a dental radiology practice course and had on-job experience more than once. After understanding the study purpose and contents, they answered a questionnaire. The main jobs in dental radiology were analyzed. Results: As a result, regarding the most difficult aspects of dental radiology practice, "it is impossible to irradiate the mouth directly with X-rays" was the most common response (29.1%). Regarding the question "what is the main role of students in dental radiology practice?", the answer "it is shooting simulations using phantoms" accounted for 59.7% of responses. The most difficult regions in bisecting and paralleling radiography with a phantom were found to be the maxillary & mandibular molars and premolars. The most difficult technique was reported to be locating XCP maintenance to fit inside the mouth for both molars and premolars. The most difficult region to perform bitewing radiography using the phantom was the molar region (2.87), and the most difficult to perform occlusal radiography approaches were maxillary anterior general occlusal radiography (2.92) and mandibular cross-sectional occlusal radiography (3.00). Conclusions: The most technically difficult point in bitewing and occlusal radiography was the correct positioning of the vertical and horizontal angles. Radiography practice was considered to be more effective than previous mutual practice in terms of analysis of anatomical structures and patient treatment methods. Therefore, it will be necessary to improve policy regarding dental radiography practice at the department of dental hygienics and revise the necessary laws and regulations.
Journal of the Korean Association of Geographic Information Studies
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v.25
no.4
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pp.200-209
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2022
Providing real-time location information is emerging as a major goal of the national industry. In order to provide such real-time location information (3D spatial information), it is essential to develop a technology for a satellite positioning method. Therefore, the country continues to make efforts to increase satisfaction with the needs of consumers by introducing the Network RTK GNSS method. In this study, among the Network RKT GNSS(Global Navigation Satellite System) methods provided by the National Geographic Information Service, continuous observation and single observation were measured at the integrated reference point using VRS(Virtual Reference Station) and FKP(Flӓachen-Korrektur Parameter) to evaluate accuracy. In addition, we aim to maximize efficiency by presenting accuracy on the rapidly increasing Network RTK GNSS method in the field.
Proceedings of the Korean Society of Near Infrared Spectroscopy Conference
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2001.06a
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pp.1267-1267
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2001
The existing fruit sorter has the method of tilting tray and extracting fruits by the action of solenoid or springs. In peaches, the most sort processing is supported by man because the sorter make fatal damage to peaches. In order to sustain commodity and quality of peach non-destructive, non-contact and real time based sorter was needed. This study was performed to develop peach sorter using near-infrared spectroscopy in real time and nondestructively. The prototype was developed to decrease internal and external damage of peach caused by the sorter, which had a way of extracting tray with it. To decrease positioning error of measuring sugar contents in peaches, fiber optic with two direction diverged was developed and attached to the prototype. The program for sorting and operating the prototype was developed using visual basic 6.0 language to measure several quality index such as chlorophyll, some defect, sugar contents. The all sorting result was saved to return farmers for being index of good quality production. Using the prototype, program and MLR(multiple linear regression) model, it was possible to estimate sugar content of peaches with the determination coefficient of 0.71 and SEC of 0.42bx using 16 wavelengths. The developed MLR model had determination coefficient of 0.69, and SEP of 0.49bx, it was better result than single point measurement of 1999's. The peach sweetness grading system based on NIR reflectance method, which consists of photodiode-array sensor, quartz-halogen lamp and fiber optic diverged two bundles for transmitting the light and detecting the reflected light, was developed and evaluated. It was possible to predict the soluble solid contents of peaches in real time and nondestructively using the system which had the accuracy of 91 percentage and the capacity of 7,200 peaches per an hour for grading 2 classes by sugar contents. Draining is one of important factors for production peaches having good qualities. The reason why one farm's product belows others could be estimated for bad draining, over-much nitrogen fertilizer, soil characteristics, etc. After this, the report saved by the peach grading system will have to be good materials to farmers for production high quality peaches. They could share the result or compare with others and diagnose their cultural practice.
The Journal of The Korea Institute of Intelligent Transport Systems
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v.23
no.1
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pp.123-133
/
2024
Existing autonomous driving technology has been developed based on sensors attached to the vehicles to detect the environment and formulate driving plans. On the other hand, it has limitations, such as performance degradation in specific situations like adverse weather conditions, backlighting, and obstruction-induced occlusion. To address these issues, cooperative autonomous driving technology, which extends the perception range of autonomous vehicles through the support of road infrastructure, has attracted attention. Nevertheless, the real-time analysis of the 3D centroids of objects, as required by international standards, is challenging using single-lens cameras. This paper proposes an approach to detect objects and estimate the centroid of vehicles using the fixed field of view of road infrastructure and pre-measured geometric information in real-time. The proposed method has been confirmed to effectively estimate the center point of objects using GPS positioning equipment, and it is expected to contribute to the proliferation and adoption of cooperative autonomous driving infrastructure technology, applicable to both vehicles and road infrastructure.
Choi, Young Se;Park, Hyo Kuk;Kim, Se Young;Kim, Joo Ho;Lee, Sang Kyoo;Yoon, Jong Won;Cho, Jung Heui
The Journal of Korean Society for Radiation Therapy
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v.29
no.2
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pp.53-64
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2017
Purpose: To evaluate the usefulness of the $HexaPOD^{TM}$ evo RT system(6DoF couch) and the tendency of dose difference according to size of rotational direction error for volumetric rotational modulated radiotherapy(V-MAT) in patients with long target lengths. Therefore, it is suggested to recommend the need for rotational error correction. Materials and Methods: Ten patients with Esophagus cancer or Breast cancer including SCL treated with HexaPOD 6DoF(Six-Degree of Freedom) couch were included in this study. 6DoF couch was used to measure the difference in dose according to the rotation error in the directions of Rx(pitch), Ry(roll), and Rz(yaw). Each rotation error was applied. Positioning variation on x, y and z axis was verified and random variations were made by 6DoF couch with positioning variation. Modified DQA is conducted and point dose and gamma value are analyzed and compared. In addition, after applying the rotation error every $1^{\circ}$ to treatment plans of each target with a diameter of 3 cm, 5, 10, 15, and 20 cm respectively, gamma passing rate is being monitored by its aspect of change according to types and sizes of the target length and rotation error. Results: Mean error of the point dose and Gamma passing rate when the position variation was applied were $2.50{\pm}1.11%$ and $84.1{\pm}7.39%$ in the Rx direction, $2.36{\pm}1.16%$, and $81.0{\pm}8.49%$ in the Ry, $2.35{\pm}1.10%$ and $84.4{\pm}6.99%$ in the Rz direction, respectively. As a result of analysis on gamma passing rate according to types and sizes of the target length and rotation error, the gamma passing rate tended to decrease with increasing rotation error in the Rx and Rz directions except Ry direction. In particular, the lowest gamma passing rate (74.2 %) was in the case of $2.5^{\circ}$ rotation error in Rz direction of the target of 10 cm. Conclusion: The correction of the rotational error is needed for volumetric modulated radiotherapy of the treatment area with a long target length, and the use of 6DoF couch will improve the reproducibility of the patient position and the quality of the treatment.
Kim, Young-Rok;Park, Eun-Seo;Park, Sang-Young;Choi, Kyu-Hong;Hwang, Yoo-La;Kim, Hae-Yeon;Lee, Byoung-Sun;Kim, Jae-Hoon
Journal of Astronomy and Space Sciences
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v.26
no.1
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pp.89-98
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2009
In this study, the YLPODS (Yonsei Laser-ranging Precision Orbit Determination System) is developed for POD using SLR (Satellite Laser Ranging) NP (Normal Point) observations. The performance of YLPODS is tested using SLR NP observations of TOPEX/POSEIDON and CHAMP satellite. JPL's POE (Precision Orbit Ephemeris) is assumed to be true orbit, the measurement residual RMS (Root Mean Square) and the orbit accuracy (radial, along-track, cross-track) are investigated. The validation of POD using GPS (Global Positioning System) raw data is achieved by YLPODS performance and highly accurate SLR NP observations. YGPODS (Yonsei GPS-based Precision Orbit Determination System) is used for generating GPS based precise orbits for TOPEX/POSEIDON. The initial orbit for YLPODS is derived from the YGPODS results. To validate the YGPODS results the range residual of the first adjustment of YLPODS is investigated. The YLPODS results using SLR NP observations of TOPEX/POSEIDON and CHAMP satellite show that the range residual is less than 10 cm and the orbit accuracy is about 1 m level. The validation results of the YGPODS orbits using SLR NP observations of the TOPEX/POSEIDON satellite show that the range residual is less than 10 cm. This result predicts that the accuracy of this GPS based orbits is about 1m level and it is compared with JPL's POE. Thus this result presents that the YLPODS can be used for POD validation using SLR NP observations such as STSAT-2 and KOMPSAT-5.
Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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v.37
no.6
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pp.525-533
/
2019
There are two feature collection methods in digital mapping using the UAV (Unmanned Aerial Vehicle) Photogrammetry: vectorization and stereo plotting. In vectorization, planar information is extracted from orthomosaics and elevation value obtained from a DSM (Digital Surface Model) or a DEM (Digital Elevation Model). However, the exact determination of the positional accuracy of 3D features such as ground facilities and buildings is very ambiguous, because the accuracy of vectorizing results has been mainly analyzed using only check points placed on the ground. Thus, this study aims to review the possibility of 3D spatial information acquisition and digital map production of vectorization by analyzing the corner point coordinates of different layers as well as check points. To this end, images were taken by a Phantom 4 (DJI) with 3.6 cm of GSD (Ground Sample Distance) at altitude of 90 m. The outcomes indicate that the horizontal RMSE (Root Mean Square Error) of vectorization method is 0.045 cm, which was calculated from residuals at check point compared with those of the field survey results. It is therefore possible to produce a digital topographic (plane) map of 1:1,000 scale using ortho images. On the other hand, the three-dimensional accuracy of vectorization was 0.068~0.162 m in horizontal and 0.090~1.840 m in vertical RMSE. It is thus difficult to obtain 3D spatial information and 1:1,000 digital map production by using vectorization due to a large error in elevation.
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