• Title/Summary/Keyword: radiologic

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ACCURACY OF PREOPERATIVE ASSESSMENTS FOR CERVICAL LYMPH NODE METASTASIS IN ORAL CANCER (구강암 경부임파절 전이에 대한 술전 평가의 정확성)

  • Lee, Jae-Jun;Nam, Woong;Cha, In-Ho
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.32 no.2
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    • pp.151-156
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    • 2006
  • Purpose : The aim of this study was to determine the accuracy of clinical and radiologic assessments in detecting positive cervical lymph nodes in oral cancer. Materials and Methods : We had reviewed the preoperative clinical, radiologic and postoperative histopathologic reports of 46 patients who had been diagnosed as oral cancer and underwent surgical excision combined with neck dissection (52 sides of neck) in the Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University from the July 1, 1992 to the April 30, 1999. Results : The results were as follows 1. The male to female ratio was 4.38 : 1 and the mean age was 57. 2. Sensitivity values for the preoperative assessment of cervical lymph node metastasis in oral cancer were 62.5 % in clinical examination and 50.0 % in radiologic assessments. Specificity values were 77.8 % in clinical examination and 94.4 % in radiologic assessments. 3. False positive values were 44.4 % in clinical examination and 20.0 % in radiologic assessments. False negative values were 17.6 % in clinical and 19.0% in radiologic assessments. 4. Overall efficiency values were 73.1 % in clinical examination and 80.8 % in radiologic assessments. Summary : There were some limits on the accuracy of clinical and radiologic assessments in the preoperative detection of the cervical lymph nodes in oral cancer. To improve the accuracy, it is important to communicate between clinician and radiologist, and adjunctive diagnostic measures, ultrasound and fine needle aspiration cytology, were helpful increasing the overall efficiency. In the high risk sites (oral tongue and floor of the mouth) the false negative value is higher and the overall efficiency in radiologic evaluation is lower than those of the low risk sites (gingiva and alveolar ridge, retromolar trigone and buccal mucosa ). The elective neck dissection should be considered in the high risk sites.

A Study on Enforcement Effects of Radiation Safety Control Regulations for Diagnostic X-ray Equipments (진단용 방사선안전관리 현황에 관한 연구)

  • Sung, Mo-Il;Park, Myeong-Hwan;Kwon, Duk-Moon;Lee, Joon-Il
    • Journal of radiological science and technology
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    • v.22 no.1
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    • pp.73-78
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    • 1999
  • The purposes of this study are to analyze the realities after enforcements of safety control regulations for diagnostic X-ray equipments and to suggest means for an improvement of low radiation safety control. A questionnaire survey for medical radiologic technologists was carried out to determine enforcement effects of the safety control regulations. The results of analysis from the survey are as follows. That is, most of the respondents realized the importance of the radiation safety control system, but about a half of them revealed that the regulations were not well observed in accordance with their purposes. Only 43.9% of the respondents took an active part in quality control and safety control of radiation. And respondents responsibility, sex, age, and knowledge for safety control were important indicators for observations of the regulations. Trainings for the safety control regulations are needed to ensure safety control and proper usage of diagnostic X-ray equipments. And management of organizations using diagnostic X-ray equipments have to understand and stress the importance of radiation safety control system.

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RADIOLOGIC VARIABLES AFFECTING EXTRACTION OF I MPATCTED MANDIBULAR THIRD MOLARS (매복 하악 제3대구치의 외과적 발거에 영향을 미치는 방사선학적 변수)

  • Kim, Dong-Hyun;Park, Sung-Bin;Chang, Ic-Jun;Song, Jae-Chul;Chin, Byung-Rho
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.23 no.3
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    • pp.238-243
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    • 2001
  • Purpose : The purpose of this study was to determine radiologic variables affecting extraction of impacted mandibular third molar. Materials and Methods : This study was investigated on 44 consecutive extractions of unilateral impacted mandibular third molars (Male;34, Female;10, Mean age;24.98, Age range;19-35). Fourteen radiologic variables, which were actual value except only one, were evaluated to establish their relation to the operation time. The Pearson correlation coefficient and Stepwise procedures for regression analysis were carried out. Results : Eight variables (depth, angulation, ramus width, relationship to the second molar, distal ramus depth, mesial ramus depth, mesial periodontal ligament width and follicle) showed a statistically significant relation to the operation time(Pearson correlation coefficient, p<0.05). Two variables, depth and mesial periodontal ligament width, showed the most powerful and just relation to the operation time($r^2$ = 0.349, p<0.05). Conclusion : This study shows that our results can help general practioner to estimate the operation time of extraction of impacted mandibular third molars by measuring two radiologic variables ; depth and mesial periondontal ligament width.

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Report of Radiologic Education Effect Case in First-year Students at University Using Concept Map (개념 지도를 이용한 저학년 대상의 방사선학 교육 효과 사례 보고)

  • Seoung, Youl-Hun
    • Journal of radiological science and technology
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    • v.42 no.6
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    • pp.491-496
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    • 2019
  • The purpose of this study was to apply a concept map to the first-year students of radiologic science and report its effects. The concept map is a visual representation of a major concept and related linking statements. Concept maps are useful tools for students to construct and organize content they have learned. The subjects of this study were first-year grade and at one university in Chungbuk, Korea. They were divided into active and passive participant groups in the class. And they were evaluated the educational effects such as satisfaction, fidelity, learning achievement, and interest before and after using the concept map. As a result, the passive participant group significantly increased the educational effect except for satisfaction, and the active participant group significantly increased the educational effect in all variables (p<0.05). These results showed that concept mapping, which induces first-year grade students to participate in class, could be helpful in radiologic education. It is expected to be used as basic data in various radiologic educational methodology studies in the future.

Significant radiologic factors related to clinical outcomes after arthroscopic rotator cuff retear repair

  • Joo, Min-Su;Kim, Jeong-Woo
    • Clinics in Shoulder and Elbow
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    • v.25 no.3
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    • pp.173-181
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    • 2022
  • Background: Healing of the tendon itself is not always related to successful clinical outcomes after rotator cuff repair. It was hypothesized that certain radiologic factors affecting clinical outcomes could exist in case of the retear after arthroscopic rotator cuff repair (ARCR) and the radiologic factors could help predict clinical process. The purpose of this study was to identify the radiologic factors associated with clinical outcomes of the retear after ARCR. Methods: Between January 2012 and December 2019, among patients with sufficient footprint coverage for ARCR, 96 patients with Sugaya classification 4 or higher retear on follow-up magnetic resonance imaging were included. The association between clinical outcomes such as American Shoulder and Elbow Surgeons (ASES) score, Constant score and range of motion and radiologic variables such as initial tear dimension, retear dimension, variance of tear dimension, critical shoulder angle, acromial index, and acromiohumeral distance was analyzed. Results: Preoperatively, the ASES and Constant scores were 59.81±17.02 and 64.30±15.27, respectively. And at the last follow-up, they improved to 81.56±16.29 and 78.62±14.16, respectively (p<0.01 and p<0.01). In multiple linear regression analysis, the variance of the mediolateral dimension of tear had statistically significant association with the ASES and Constant scores (p<0.01 and p=0.01). Conclusions: In patients with the retear after ARCR, the variance in the mediolateral dimension of tear had significantly negative association with the clinical outcomes. This could be considered to be reference as relative criteria and needed more sample and mechanical study.

Analysis of question-inquire test on the Clinical Specialist system in Radiologic Technologist (전문 방사선사 제도에 관한 설문조사 분석)

  • Yoon Chul Ho;Park Soung Ock
    • Journal of The Korean Radiological Technologist Association
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    • v.27 no.2
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    • pp.269-279
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    • 2001
  • A men who has obtain a license of radiotechnologist from the government engaging in the Dept. of radiology as a technologist at various hospitals. They can engage in various part such as Diagnosis radiology, Radiation therapy, Sonography and Nuclear medic

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A Study on the Preparation of $MgB_4O_7$ Thermoluminescent Phosphors and X-ray Dosimetry ($MgB_4O_7$ 열형광체의 제작과 X선의 선량측정에 관한 연구)

  • Song, Jea-Heung;Noh, Kyung-Suk;Lee, Deog-Kyu;Koo, Hyo-Geun
    • Journal of radiological science and technology
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    • v.21 no.2
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    • pp.47-52
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    • 1998
  • Tissue-equivalent $MgB_4O_7$ TL phosphors were prepared and the effects of Lantanides series activators on TLD properties of the phosphors were studied. The glow curve of TLD increased TL intensity and the peak temperature is low that is, the heating rate is $10^{\circ}C/sec$. The activation energy of the main peak estimated by the peak shape method. By these methods, the estimated activation energies were $0.76{\sim}1.55eV$ respectively. The TL phosphors prepared in this work may be utilized to radiation sensor elements because of this high sensitivity to X-ray.

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Foreign Bodies in the Chest: How Come They Are Seen in Adults?

  • Tae Jung Kim;Jin Mo Goo;Min Hoan Moon;Jung-Gi Im;Mi-Young Kim
    • Korean Journal of Radiology
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    • v.2 no.2
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    • pp.87-96
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    • 2001
  • The radiologic and clinical findings of foreign bodies in the chest of children are well recognized. Foreign bodies in adults are infrequent, however, and the radiologic findings of these unusual circumstances have rarely been described. We classified various thoracic foreign bodies into three types according to their cause: Type I, Aspiration, Type II, Trauma or Accident; Type III, Iatrogenic. This pictorial essay will illustrate the radiologic findings and consequences of thoracic foreign bodies in adults, which have rarely been described in the radiologic literature. The clinical significance of thoracic foreign bodies will be also be discussed.

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Predictable Risk Factors for Adjacent Segment Degeneration After Lumbar Fusion

  • Hyun, Seung-Jae;Kim, Young-Baeg;Hong, Hyun-Jong;Kwon, Jeong-Taik;Suk, Jong-Sik;Min, Byung-Kook
    • Journal of Korean Neurosurgical Society
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    • v.41 no.2
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    • pp.88-94
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    • 2007
  • Objective : The aim of this study is to investigate predictable risk factors for radiologic degeneration of adjacent segment after lumbar fusion and preoperative radiologic features of patients who underwent additional surgery with adjacent segment degeneration. Methods : Between January 1995 and December 2002, 201 patients who underwent lumbar fusion for degenerative conditions of lumbar spine were evaluated. We studied radiologic features, the method of operation, the length of fusion, age, sex, osteoporosis, and body mass index. Special attention was focused on, preoperative radiologic features of patients who required additional surgery were studied to detect risk factors for clinical deterioration. Results : Follow-up period ranged from 3 to 11 years. In our study, 61 [30%] patients developed adjacent segment degeneration, and 15 [7%] patients required additional surgery for neurologic deterioration. Age, the postoperative delay, facet volume, motion range, laminar inclination, facet tropism, and preexisting disc degeneration of adjacent segment considered as possible risk factors. Among these, laminar inclination and preexisting disc degeneration of adjacent segment were significantly correlated with clinical deterioration. Conclusion : The radiologic degeneration of adjacent segment after lumbar fusion can be predicted in terms of each preoperative radiologic factor, age and the postoperative delay. Laminar inclination and preexisting disc degeneration of adjacent segment have shown as strong risk factors for neurologic deterioration. Thus, careful consideration is warranted when these risk factors are present.

A Method for Simultaneous Measurement of Air Kerma, Half Value Layer and Tube Potential in Quality Control Procedure of Diagnostic x ray units

  • Katoh, Tsuguhisa;Saitoh, Hidetoshi;Ohtani, Hiroki;Negishi, Tooru;Myojoyama, Atsushi;Ohno, Yuusuke;Sasaki, Takehito
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2002.09a
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    • pp.294-297
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    • 2002
  • For the quality control procedure of diagnostic x ray units, a method for simultaneous measurement of air kerma, half value layer and tube potential was developed utilizing a computed radiography system for intraoral radiography and film badge case. The response of average pixel values under the windows were calibrated by x rays generated at tube potentials from 40 to 140 kV with filtration from 1.5 to 3.7 mmAl. The calibration curves for half value layer and tube potential were derived as functions of attenuation factors by the 1.4 mmAl filter and the 0.2 mmCu filter. The energy dependency of the open window response was corrected by the calibration factor as a function of the attenuation factor by the 1.4 mmAl filter. The uncertainty of the estimated half value layer, tube potential and air kerma were 0.2 mmAl, 3.6 % and 5 %, respectively. It was thus suggested that this system could be applied to quality control program to detect the variation of working condition of x ray units in clinical use.

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