• Clinics in Shoulder and Elbow
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• 제7권1호
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• pp.14-22
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• 2004

Purpose: To evaluate a usefulness of the simple radiograph in the patients with chronic shoulder pain 50 years and older. Material and method: 1152 patients with chronic shoulder pain and 100 asymptomatic individuals were involved in this study. All patients were 50 years and older. We excluded patients who had a history of fracture or dislocation. Radiographic interpretation was performed on a shoulder AP view, an axillary view and a supraspinatus outlet view. For statistical analysis, a chi-square test was performed. A p value of <0.05 was considered statistically significant. Results: Abnormal radiologic findings were identified in 369(32%) out of 1152 patients with a shoulder pain: greater tuberosity sclerosis, acromial sclerosis, subacromial osteophytes are common abnormal radiologic findings. A rotator cuff tear or impingement syndrome was identified on a final diagnosis in 61(85.2%) out of the 76 patients with radiologic abnormalities in both greater tuberosity and acromion (p<0.05). Abnormal radiologic findings were identified in 18% of the asymptomatic individuals. Conclusion: Simple radiographic analysis is an important primary diagnostic tool in patients (50 years and old) with chronic shoulder pain.

• 대한방사선기술학회지:방사선기술과학
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• 제33권4호
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• pp.313-320
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• 2010

본 연구의 목적은 병원에서 근무하고 있는 방사선사의 직무요구와 소진간의 관계에서 감성지능의 조절효과를 파악하는데 있다. 본 연구의 결과를 요약하면 첫째, 둘째, 방사선사의 직무요구(역할갈등, 인지요구, 업무량)가 소진(감정고갈, 개인성취감저하, 비인격화)에 유의한 영향을 미치는 변수로 나타났다. 인지요구와 업무량이 감정고갈에 유의한 영향을 미쳤으며, 역할갈등과 업무량은 개인성취감 저하에 유의한 영향을 미쳤다. 그리고 역할갈등과 인지 요구는 비인격화에 유의한 영향을 미치는 것으로 나타났다. 셋째, 직무요구(역할갈등, 인지요구, 업무량)와 소진(감정고갈, 개인성취감저하, 비인격화)과의 관계에서 감성지능의 조절효과를 검증하였는데, 검증결과 인지요구와 개인성취감저하 관계에서 감성지능의 조절효과가 있었다. 그리고 역할갈등과 비인격화 관계에서 감성지능의 조절효과가 있었고, 인지요구와 비인격화 관계에서 감성지능의 조절효과가 있는 것으로 나타났다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권18호
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• pp.8613-8618
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• 2016

Background: The symptoms of small bowel malignancies are mild and frequently nonspecific, thus patients are often not diagnosed until the disease is at an advanced stage. Moreover, the lack of sufficient studies and available data on small bowel cancer makes diagnosis difficult, further delaying proper treatment for these patients. In fact, only a small number of published studies exist, and there are no studies specific to Thailand. Radiologic and endoscopic studies and findings may allow physicians to better understand the disease, leading to earlier diagnosis and improved patient outcomes. Objective: To retrospectively analyze the clinical, radiologic, and endoscopic characteristics of small bowel cancer patients in Thailand's Siriraj Hospital. Materials and Methods: This retrospective analysis included 185 adult patients (97 men, 88 women; mean age = $57.6{\pm}14.9$) with pathologically confirmed small bowel cancer diagnosed between January 2006 and December 2013. Clinical, radiologic, and endoscopic findings were collected and compared between each subtype of small bowel cancer. Results: Of the 185 patients analyzed, gastrointestinal stromal tumor (GIST) was the most common diagnosis (39.5%, n=73). Adenocarcinoma was the second most common (25.9%, n = 48), while lymphoma and all other types were identified in 24.3% (n = 45) and 10.3% (n = 19) of cases, respectively. The most common symptoms were weight loss (43.2%), abdominal pain (38.4%), and upper gastrointestinal bleeding (23.8%). Conclusions: Based on radiology and endoscopy, this study revealed upper gastrointestinal bleeding, an intra-abdominal mass, and a sub-epithelial mass as common symptoms of GIST. Obstruction and ulcerating/circumferential masses were findicative of adenocarcinoma, as revealed by radiology and endoscopy, respectively. Finally, no specific symptoms were related to lymphoma.

• 대한방사선기술학회지:방사선기술과학
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• 제35권4호
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• pp.309-314
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• 2012

Digital Radiography(DR) 시스템은 임상현장에서 아날로그 시스템을 대체하고 널리 이용되고 있다. DR을 이용하여 얻어진 X선 영상의 해상력을 결정짓는 요소에는 이용되는 검출기의 고유 해상력, 피사체의 대조도 및 특성, X선 선질, X선원의 산란, DR 검출기의 성능, X선 변환효율 및 초점의 크기, 피사체의 움직임 등이 있다. DR 검출기를 구성하는 요소에는 X선 포획 요소, 커플링 요소, 정보수집 요소가 있는데 이들은 시스템의 성능에 영향을 미치며, 그 성능은 해상력으로 평가된다. 의료영상 시스템의 해상력은 촬영대상물의 조직 간의 해부학적 영상을 구분하는 능력을 나타낸다. 해상력 평가를 위해 Modulation Transfer Function(MTF)이 보편적으로 이용되고, MTF는 입력 공간주파수 성분에 대한 출력 공간주파수 성분의 비를 나타내는데, 수학적으로 MTF는 Point Spread Function(PSF) 입력에 대한 시스템의 주파수 응답이며 Edge Phantom을 이용한 결과 영상에서 추출된 Line Spread Function(LSF)을 Fourier Transform하면 얻을 수 있다. 일반적으로 임상현장에서 의료영상시스템의 이용 및 관리의 책임은 방사선사가 맡고 있지만, MTF를 측정하기 위해서는 공학적, 수학적 기초 및 C, Fortran, Matlab등의 프로그램 작성 능력이 필요하기 때문에 비 공학도는 정확한 측정이 불가능하다. 의료영상 시스템의 성능 관리 및 최상의 상태를 유지하기 위해 시스템의 성능평가가 이뤄져야 하는데, 이를 위해 본 연구에서는 비공학도가 해상력 성능평가를 할수 있도록 ImageJ 및 Excel을 이용하여 해상력 평가를 할 수 있도록 방법을 제시하고, 제안된 방법을 이용해 계산된 결과와 프로그래밍을 이용해 계산된 결과의 비교를 통해 본 논문에서 제시하는 방법의 유용성을 확인하였다.

• 대한방사선기술학회지:방사선기술과학
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• 제35권3호
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• pp.201-210
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• 2012

본 연구는 일반적인 서번트 리더십 관점에서 방사선사가 인지하는 서번트 리더십을 조명해 보고 이를 토대로 임상에 근무하는 방사선사의 조직효과를 높이기 위한 방안뿐 만 아니라 방사선사의 근무조건 개선 및 향상을 위한 방안을 제시하고 하였다. 모집단은 부산소재의 병원에 근무하는 290명의 방사선사를 대상으로 설문을 통해 진행하였다. 회수된 자료에 대한 분석은 SPSS/PC+Win13 버전을 사용하였으며, 집단 간 차이검증을 위해 일원분산분석(one-way, ANOVA)을 시행하였다. 배경인자에 따른 서번트 리더십은 기혼에 비해 미혼이, 연령은 20대 이상에서, 근무부서는 핵의학과가 타 집단에 비해 비교적 높은 수치를 나타냈다. 또한 근무형태는 정규직이, 병원 유형에서는 대학병원이 점수가 높게 나타났으며 방사선사가 된 동기에서는 취업전망을 선택한 군에서 높게 나타났다. 병원조직은 효율적인 인력관리를 통해 조직의 역량과 성과를 높여야 한다. 병원 조직구성원중 하나인 방사선사에게 평등한 공동체의 일원으로서 정직과 신뢰에 기초한 참된 권위를 바탕으로 공동체를 위하여 봉사하는 서번트 리더십은 미래사회가 요구하는 참된 리더십의 새로운 모델임을 확인하였다.

• 대한방사선기술학회지:방사선기술과학
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• 제42권6호
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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.

• Investigative Magnetic Resonance Imaging
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• 제22권2호
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• pp.119-122
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• 2018

Neurogenic weakness, ataxia and retinitis pigmentosa (NARP) syndrome is a rare maternally inherited mitochondrial disorder. Radiologic findings in NARP syndrome are varied; they include cerebral and cerebellar atrophy, basal ganglia abnormalities, and on rare occasions, leukoencephalopathy. This article describes an extremely rare case of NARP syndrome mimicking mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes (MELAS).

• 한국방사선학회논문지
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• 제16권5호
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• pp.661-672
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• 2022

COVID-19를 발생시키는 SARS-CoV2 바이러스가 발생한 후 전염병은 전 세계로 확산되며, 감염 사례와 사망자의 수가 빠르게 증가함에 따라 의료자원의 부족 문제가 야기되었다. 이것을 해결하려는 방법으로 인공지능을 활용한 흉부 X-ray 검사가 일차적인 진단 방법으로 관심을 받게 되었다. 본 연구에서는 인공지능을 통한 COVID-19 판독 방식들에 대해 종합적으로 분석하는 것에 목적을 두고 있다. 이 목적을 달성하기 위해 292개의 논문을 일련의 분류 방법을 거처 수집했다. 이러한 자료들을 토대로 Accuracy, Precision, Area Under Curve(AUC), Sensitivity, Specificity, F1-score, Recall, K-fold, Architecture, Class를 포함한 성능 측정정보를 분석했다. 그 결과로 평균 Accuracy, Precision, AUC, Sensitivity, Specificity 값은 각각 95.2%, 94.81%, 94.01%, 93.5%, 93.92%로 도출되었다. 연도별 성능 측정정보는 점차 증가하는 값을 나타냈고 이 외에도 Class 수, 이미지 데이터 수에 따른 변화율, Architecture 사용 비율, K-fold에 관한 연구를 진행했다. 현재 인공지능을 활용한 COVID-19의 진단은 독자적으로 사용되기에는 여러 문제가 존재하지만, 의사의 보조수단으로써 사용됨에는 부족함이 없을 것으로 예상된다.

• Journal of Korean Neurosurgical Society
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• 제29권7호
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• pp.899-903
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• 2000

Objective : Object : A 7-year retrospective clinical and MRI study was reviewed to evaluate the characteristics of pineal cyst. We evaluated results of clinical and radiologic change of pineal cyst during follow up period. Patients and Methods : From 1992 to 1999, 50 patients with pineal cyst were visited for evaluation. Follow up clinical information was obtained from patients or clinical record through phone conversation. also radiologic findi-ngs of pineal cyst in mid-sagittal MRI were reviewed in detail. Results : Pineal cysts were usually asymptomatic and detected incidentally during evaluation of other diseases. Sagittal MRI is the most useful diagnostic test. The radiologic findings of pineal cyst were isointensity on T1WI comared to CSF and slightly high signal intensity on T2WI. Cyst wall was variably enhanced on Gad-enhanced T1WI. The average size of cyst was $13.9{\times}13.0mm$. The pineal cyst was classified into five groups according to previous report. Long term behavior of these lesions are not apparent, but in our study they showed no specific changes in clinical and radiological aspects during 25 months. Conclusion : Although long-term follow up results are needed, the pineal cyst are considered as normal variants. In our 25 months follow up results, there was no rapid change of cyst both clinically and radiologically. Therefore, frequent radiologic evaluation seems unnecessary except type III pineal cyst.

• Korean Journal of Radiology
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• 제22권3호
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• pp.415-424
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• 2021

Objective: To determine whether noncontrast computed tomography (NCCT) models based on multivariable, radiomics features, and machine learning (ML) algorithms could further improve the discrimination of early hematoma expansion (HE) in patients with spontaneous intracerebral hemorrhage (sICH). Materials and Methods: We retrospectively reviewed 261 patients with sICH who underwent initial NCCT within 6 hours of ictus and follow-up CT within 24 hours after initial NCCT, between April 2011 and March 2019. The clinical characteristics, imaging signs and radiomics features extracted from the initial NCCT images were used to construct models to discriminate early HE. A clinical-radiologic model was constructed using a multivariate logistic regression (LR) analysis. Radiomics models, a radiomics-radiologic model, and a combined model were constructed in the training cohort (n = 182) and independently verified in the validation cohort (n = 79). Receiver operating characteristic analysis and the area under the curve (AUC) were used to evaluate the discriminative power. Results: The AUC of the clinical-radiologic model for discriminating early HE was 0.766. The AUCs of the radiomics model for discriminating early HE built using the LR algorithm in the training and validation cohorts were 0.926 and 0.850, respectively. The AUCs of the radiomics-radiologic model in the training and validation cohorts were 0.946 and 0.867, respectively. The AUCs of the combined model in the training and validation cohorts were 0.960 and 0.867, respectively. Conclusion: NCCT models based on multivariable, radiomics features and ML algorithm could improve the discrimination of early HE. The combined model was the best recommended model to identify sICH patients at risk of early HE.