• 제목/요약/키워드: scanner

검색결과 2,025건 처리시간 0.034초

다양한 부위에서의 감소된 두께가 지르코니아 크라운의 파절 저항에 미치는 영향 (The effect of reduced thickness in different regions on the fracture resistance of monolithic zirconia crowns)

  • 라일라 아부카보스;박재억;이원섭
    • 대한치과보철학회지
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    • 제60권2호
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    • pp.135-142
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    • 2022
  • 목적: 이번 연구의 목적은 단일구조 지르코니아(monolithic zirconia) 크라운의 서로 다른 부위에서, 감소된 지르코니아의 두께가 파절 저항성에 미치는 복합적인 영향을 평가하기 위한 것이다. 재료 및 방법: 실험을 위해 7개의 니켈-크롬 다이를 제작하였다. 다이는 하악 제 1대구치를 치아 형성한 지대치 3D 모델을 바탕으로 제작되었다. 지대치는 1.5 mm 교합면 삭제를 시행하였고, 변연은 1.0 mm의 deep chamfer로 형성하였다. 이 지대치 형태를 바탕으로 지르코니아 블록(Luxen Zirconia)를 사용하여, 교합면 두께는 0.3 mm, 0.5 mm, 1.5 mm, 축면 두께는 0.3 mm, 0.5 mm, 1.0 mm로 설정한 63개의 지르코니아 크라운을 제작하였다. 이 크라운은 니켈 크롬 다이에 레진 시멘트를 이용하여 접착하였다. 그 다음, electronic universal testing machine을 사용하여 크라운이 파절될 때까지 load-to fracture 시험을 진행하였다. 이후 scanning electron microscope (SEM)를 사용하여 크라운의 파절 형태를 관찰하였다. 통계 분석을 위해 Two-way ANOVA 방법을 사용하였고, 이에 대하여 Tuckey HSD test로 사후 검정을 시행하였다(P < .05). 결과: 모든 지르코니아 크라운의 평균 파절 저항 값은 구치부의 평균 저작력보다 큰 값을 나타냈다. 또한 Two-way ANOVA 결과, 지르코니아 크라운의 교합면 두께와 축면 두께는 파절 저항에 통계적으로 유의한 영향을 미치는 것으로 나타났다(P < .05). 그러나, 지르코니아의 축면 두께가 0.5 mm 이상일 때, 파절 저항에 미치는 영향은 통계적으로 유의한 차이를 보이지 않았다. 나타난 파괴 양상은 균열의 전파 양상에 따라 크라운의 부분 파절 또는 완전 파절로 나타났다. 결론: 이번 연구의 한계 내에서, 극도로 감소된 두께를 가진 CAD-CAM 단일구조 지르코니아 크라운은 구치부 교합력을 견딜 수 있는 적절한 파절 저항을 보였다. 또한, 지르코니아 크라운의 교합면 두께와 축면 두께는 파절 저항에 유의미한 영향을 나타냈으며 복합적인 결과를 보였다.

Sensory Information Processing

  • Yoshimoto, Chiyoshi
    • 대한의용생체공학회:의공학회지
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    • 제6권2호
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    • pp.1-8
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    • 1985
  • The wall shear stress in the vicinity of end-to end anastomoses under steady flow conditions was measured using a flush-mounted hot-film anemometer(FMHFA) probe. The experimental measurements were in good agreement with numerical results except in flow with low Reynolds numbers. The wall shear stress increased proximal to the anastomosis in flow from the Penrose tubing (simulating an artery) to the PTFE: graft. In flow from the PTFE graft to the Penrose tubing, low wall shear stress was observed distal to the anastomosis. Abnormal distributions of wall shear stress in the vicinity of the anastomosis, resulting from the compliance mismatch between the graft and the host artery, might be an important factor of ANFH formation and the graft failure. The present study suggests a correlation between regions of the low wall shear stress and the development of anastomotic neointimal fibrous hyperplasia(ANPH) in end-to-end anastomoses. 30523 T00401030523 ^x Air pressure decay(APD) rate and ultrafiltration rate(UFR) tests were performed on new and saline rinsed dialyzers as well as those roused in patients several times. C-DAK 4000 (Cordis Dow) and CF IS-11 (Baxter Travenol) reused dialyzers obtained from the dialysis clinic were used in the present study. The new dialyzers exhibited a relatively flat APD, whereas saline rinsed and reused dialyzers showed considerable amount of decay. C-DAH dialyzers had a larger APD(11.70$\pm$1.32mmHg/min)compared to CF dialyzers(4.32$\pm$0.55mmHg/min)(p<0.05). However, there was no observable difference in the UFR between the two dialyzers. Neither APD nor UFR showed any significant increase with an increasing number of reuses for up to more than 20reuses. A substantial number of failures observed in APD(larger than 20mmHe/min)on the reused dialyzers(2 out of 40 CP and S out 26 C-DAK) were attributed to the Possible damage on the fibers. The CF 15-11 HFDs which failed APD test did not show changes in the UFR compared to normal dialyzers indicating that APD is a more sensitive test than UFR test to evaluate the integrity of the fibers. 30527 T00401030527 ^x For quantitative measurement of reflected light from a clinical diagnostic strip, a prototype old reflectance photometer was designed. The strip loader and cassette were made to obtain more accurate reflectance parameters. The strip was illuminated at 45˚c through optical fiber and the intensity of reflected light was determined at rectanguLat angle using a photodiode. The kubelka-munk coefficient and reflection optical density were determined ar four different wavelengths(500, 550, 570 and 610nm) for blood glucose strip. For higher concentration than 300mg/41 about glucose, a saturation state of abforbance was observed at 500, 550 and 570nm. The correlation between glucose concentration and parameters was the best at 610nm. 30535 T00401030535 ^x Radiation-induced fibrosarcoma tumors were grown on the flanks of C3H mice. The mice were divided into two groups. One group was injected with Photofrin II, intravenously (2.5mg/kg body weight). The other group received no Photofrin II. Mice from both groups were irradialed for approximately 15 minutes at 100, 300, or 500 mW/cm2 with the argon (488nm/514.5 nm), dye(628nm) and gold vapor (pulsed 628 nm) laser light. A photosensitizer behaved as an added absorber. Under our experimental conditions, the presence of Photolfrin II increased surface temperature by at least 40% and the temperature rise due to 300 mW/cm2 irradiation exceeded values for hyperthermia. Light and temperature distributions with depth were estimated by a computer model. The model demonstrated the influence of wavelength on the thermal process and proved to be a valuable tool to investigate internal temperature rise. 30536 T00401030536 ^x We investigated the structural geometry of thirty-eight Korean femurs. The purpose of this study is to identify major geometrical differences between Korean femurs 3nd others that we believe belong to Caucasians so that we would be able to get insights into the femoral component design that fits Asians including Koreans. We utilized computerized tomography (CT) images of femurs extracted from cadavers. The CT images were transformed into bitmap data by using a film scanner, and then analyzed by using a commercially available software called Image v.1.0 and a Macintosh IIci computer.The resulting data were compared with already published data. The major results show that the geometry of the Korean femurs is significantly different from that of Caucasians: (1) the anteversion angle and the canal flare index are greater by the amount of approximately 8˚ and 0.5, respectively, (2) the shape of the isthmus cross section is more round, and (3) the distance between the teaser trochanter and the proximal border of the isthmus is shelter by about 15 mm. The results suggested that the femoral component suitable for Asians should be different from the currently-used components designed and manufactured mostly by European or American companies. 30537 T00401030537 ^x It is well known that nonlinear propagation characteristics of the wave in the tissue may give very useful information for the medical diagnoisis. In this paper, a new method to detect nonlinear propagation characteristics of the internal vibration in the tissue for the low frequency mechanical vibration by using bispectral analysis is proposed. In the method, low frequency vibration of f0( = 100Hz) is applied on the surface of the object, and the waveform of the internal vibration x (t) is measured from Doppler frequency modulation of silmultaneously transmitted probing ultrasonic waves. Then, the bispectra of the signal x (t) at the frequencies (f0, f0) and (f0, 2f0) are calculated to estimate the nonlinear propagation characteristics as their magnitude ratio, w here since bispectrum is free from the gaussian additive noise we can get the value with high S/N. Basic experimental system is constructed by using 3.0 MHz probing ultrasonic waves and the several experiments are carried out for some phantoms. Results show the superiority of the proposed method to the conventional method using power spectrum and also its usefulness for the tissue characterization. 30541 T00401030541 ^x This paper describes the implementation of a computerized radial pulse diagnosis by aids of a clinical expert. On this base, we composed of the radial pulse diagnosis system in korean traditional medicine. The system composed of a radial pulse wave detection system and a radial pulse diagnosis system. With a detection system, we detected Inyoung and Cheongu radial pulse wave and processed it. Then, we have got the characteristic parameters of radial pulse wave and also quantified that according to the method of Inyoung-Cheongu Comparison Radial Pulse Diagnosis. We defined the jugement standard of radial pulse diagnosis system and then we confirmed the possibility for realization of automatic radial pulse diagnosis in korean traditional medicine. 30545 T00401030545 ^x Microspheres are expected to be applied to biomedical areas such as solid-phase immunoassays, drug delivery systems, immunomagnetic cell separation. To synthesize microspheres for biomedical application, "two stage shot growth method" was developed. The uniformity ratio of synthesized microspheres was always smaller than 1.05. And the surface charge density (or the number of ionizable functional groups) of the microspheres synthesized by "two stage shot growth method" was 6~13 times higher than that of the microspheres synthesized by conventional seeded batch copolymerization. As a previous step for biomedical application, adsorption experiments of bovine albumin on microspheres were carried out under various conditions. The maximum adsorbed amount was obtained in the neighborhood of pH 4.5. Isoelectric point of bovine albumin is pH 5.0, so experimental result shows that it shifted to acid area. The adsorption isotherm was obtained, the plateau region was always reached at 2.Og/L (bulk concentration of bovine albumin).The effect of the kind and the amount of surface functional group was also examined. 30575 T00401030575 ^x A medical image workstation was developed using multimedia technique. The system based on PC-486DX was designed to acquire medical images produced by medical imaging instruments and related audio information, that is, doctors' reporting results. Input information was processed and analyzed, then the results were presented in the form of graph and animation. All the informations of the system were hierarchically related with the image as the apex. Processing and analysis algorithms were implemented so that the diagnostic accuracy could be improved. The diagnosed information can be transferred for patient diagnosis through LAN(local area network). 30592 T00401030592 ^x In the conventional infrared imaging system, complex infrared lens systems are usually used for directing collimated narrow infrared beams into the high speed 2-dimensional optic scanner. In this paper, a simple reflective infrared optic system with a 2-dimensional optic scanner is proposed for the realization of medical infrared thermography system. It has been experimentally proven that the intfrared thermography system composed of the proposed optic system has the temperature resolution of 0.1˚c under the spatial resolution of lmrad, the image matrix size of 256 X 240, and tile imaging time of 4 seconds. 30593 T00401030593 ^x In this paper, MIIS (Medical Image Information System) has been designed and implemented using INGRES RDBMS, which is based on a client/server architecture. The implemented system allows users to register and retrieve patient information, medical images and diagnostic reports. It also provides the function to display these information on workstation windows simultaneously by using the designed menu-driven graphic user interface. The medical image compression/decompression techniques are implemented and integrated into the medical image database system for the efficient data storage and the fast access through the network. 30594 T00401030594 ^x In this paper, computerized BEAM was implemented for the space domain analysis of EEG. Trans-formation from temporal summation to two-dimensional mappings is formed by 4 nearest point inter-polaton method. Methods of representation of BEAM are two. One is dot density method which classify brain electrical potential 9 levels by dot density of gray levels and the other is colour method which classify brain electrical 12 levels by red-green colours. In this BEAM, instantaneous change and average energy distribution over any arbitrary time interval of brain electrical activity could be observed and analyzed easily. In the frequency domain, the distribution of energy spectrum of a special band can easily be distinguished normality and abnormality. 30608 T00401030608 ^x Laboratory information system (LIS) is a key tool to manage laboratory data in clinical pathology. Our department has developed an information system for routine hematology using down-sized computer system. We have used an IBM 486 compatible PC with 16MB main memory, 210 MB hard disk drive, 9 RS-232C port and 24 pin dot printer. The operating system and database management system were SCO UNIX and SCO foxbase, respectively. For program development, we used Xbase language provided by SCO foxbase. The C language was used for interface purpose. To make the system use friendly, pull-down menu was used. The system connected to our hospital information system via application program interface (API), so the information related to patient and request details is automatically transmitted to our computer. Our system interfaced with fwd complete blood count analyzers(Sysmex NE-8000 and Coulter STKS) for unidirectional data tansmission from analyzer to computer. The authors suggests that this system based on down-sized computer could provide a progressive approach to total LIS based on local area network, and the implemented system could serve as a model for other hospital's LIS for routine hematology. 30609 T00401030609 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed a composite that is consisted of calcium phosphate and collagen. To use as the structural matrix of the composite, collagen was purified from human umbilical cord. The obtained collagen was treated by pepsin to remove telopeptides, and finally, the immune-free atelocollagen was produced: The cross linked atelocollagen was highly resistant to the collagenase induced collagenolysis. The cross linked collagen demonstrated an improved tensile strength. 30618 T00401030618 ^x This paper is a study on the design of adptive filter for QRS complex detection. We propose a simple adaptive algorithm to increase capability of noise cancelation in QRS complex detection with two stage adaptive filter. At the first stage, background noise is removed and at the next stage, only spectrum of QRS complex components is passed. Two adaptive filters can afford to keep track of the changes of both noise and QRS complex. Each adaptive filter consists of prediction error filter and FIR filter The impulse response of FIR filter uses coefficients of prediction error filter. The detection rates for 105 and 108 of MIT/BIH data base were 99.3% and 97.4% respectively. 30619 T00401030619 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed and produced a composite that is consisted of calcium phosphate and collagen. Human umbilical cord origin pepsin treated type I atelocollagen was used as the structural matrix, by which sintered or non-sintered carbonate apatite was encapsulated to form an inorganic-organic composite. With cross linking atelocollagen by UV ray irradiation, the resistance to both compressive and tensile strength was increased. Collagen degradation by the collagenase induced collagenolysis was also decreased. 30620 T00401030620 ^x We have developed a monoleaflet polymer valve as an inexpensive and viable alternative, especially for short-term use in the ventricular assist device or total artificial heart. The frame and leaflet of the polymer valve were made from polyurethane, To evaluate the hemodynamic performance of the polymer valve a comparative study of flow dynamics past a polymer valve and a St. Jude Medical prosthetic valve under physiological pulsatile flow conditions in vitro was made. Comparisons between the valves were made on the transvalvular pressure drop, regurgitation volume and maximum valve opening area. The polymer valve showed smaller regurgitation volume and transvalvular pressure drop compared to the mechanical valve at higher heart rate. The results showed that the functional characteristics of the polymer valve compared favorably with those of the mechanical valve at higher heart rate. 30621 T00401030621 ^x Explosive evaporative removal process of biological tissue by absorption of a CW laser has been simulated by using gelatin and a multimode Nd:YAG laser. Because the point of maximun temperature of laser-irradiated gelatin exists below the surface due to surface cooling, evaporation at the boiling temperature is made explosively from below the surface. The important parameters of this process are the conduction loss to laser power absorption (defined as the conduction-to-laser power parameter, Nk), the convection heat transfer at the surface to conduction loss (defined as Bi), dimensionless extinction coefficient (defined as Br.), and dimensionless irradiation time (defined as Fo). Dependence of Fo on Nk and Bi has been observed by experiment, and the results have been compared with the numerical results obtained by solving a 2-dimensional conduction equation. Fo and explosion depth (from the surface to the point of maximun temperature) are increased when Nk and Bi are increased.To find out the minimum laser power for explosive evaporative removal process, steady state analysis has been also made. The limit of Nk to induce evaporative removal, which is proportional to the inverse of the laser power, has been obtained. 30622 T00401030622 ^x N1 and N2 gross neural action potentials were measured from the round window of the guinea pig cochlea at the onset of the acoustic stimuli. N1-N2 audiograms were made by means of regulating stimulant intensities in order to produce constant N1-N2 potentials as criteria for different input tone pip frequencies. The lowest threshold was measured with an input tone pip I5 dB SPL in intensity and 12 KHz in frequency when the animal was in normal physiological condition. The procedure of experimental measurements is explained in detail. This experimental approach is very useful for the investigation of the Cochlear function. Both noN1inear and active functions of the Cochlea can be monitored by N1-N2 audiograms. 30623 T00401030623 ^x In electrical impedance tomography(EIT), we use boundary current and voltage measurements toprovide the information about the cross-sectional distribution of electrical impedance or resistivity. One of the major problems in EIT has been the inaccessibility of internal voltage or current data in finding the internal impedance values. We propose a new image reconstruction method using internal current density data measured by NMR. We obtained a two-dimensional current density distribution within a phantom by processing the real and imaginary MR images from a 4.77 NMR machine. We implemented a resistivity mage reconstruction algorithm using the finite element method and sensitivity matrix. We presented computer simulation results of the mage reconstruction algorithm and furture direction of the research. 30624 T00401030624 ^x A new method of digital image analysis technique for discrimination of cancer cell was presented in this paper. The object image was the Thyroid eland cells image that was diagnosed as normal and abnormal (two types of abnormal: follicular neoplastic cell, and papillary neoplastic cell), respectively. By using the proposed region segmentation algorithm, the cells were segmented into nucleus. The 16 feature parameters were used to calculate the features of each nucleus. A9 a consequence of using dominant feature parameters method proposed in this paper, discrimination rate of 91.11% was obtained for Thyroid Gland cells. 30625 T00401030625 ^x An electrical stimulator was designed to induce locomotion for paraplegic patients caused by central nervous system injury. Optimal stimulus parameters, which can minimize muscle fatigue and can achieve effective muscle contraction were determined in slow and fast muscles in Sprague-Dawley rats. Stimulus patterns of our stimulator were designed to simulate electromyographic activity monitored during locomotion of normal subjects. Muscle types of the lower extremity were classified according to their mechanical property of contraction, which are slow muscle (msoleus m.) and fast muscle (medial gastrocneminus m., rectus femoris m., vastus lateralis m.). Optimal parameters of electrical stimulation for slow muscles were 20 Hz, 0.2 ms square pulse. For fast muscle, 40 Hz, 0.3 ms square pulse was optimal to produce repeated contraction. Higher stimulus intensity was required when synergistic muscles were stimulated simultaneously than when they were stimulated individually. Electrical stimulation for each muscle was designed to generate bipedal locomotion, so that individual muscles alternate contraction and relaxation to simulate stance and swing phases. Portable electrical stimulator with 16 channels built in microprocessor was constructed and applied to paraplegic patients due to lumbar cord injury. The electrical stimulator restored partially gait function in paraplegic patients. 30626 T00401030626 ^x Two-Dimensional modelling of the Cochlear biomechanics is presented in this paper. The Laplace partial differential equation which represents the fluid mechanics of the Cochlea has been transformed into two-dimensional electrical transmission line. The procedure of this transformation is explained in detail. The comparison between one and two dimensional models is also presented. This electrical modelling of the basilar membrane (BM) is clearly useful for the next approach to the further. Development of active elements which are essential in the producing of the sharp tuning of the BM. This paper shows that two-dimension model is qualitatively better than one-dimensional model both in amplitude and phase responses of the BM displacement. The present model is only for frequency response. However because the model is electrical, the two-dimensional transmission line model can be extended to time response without any difficult. 30627 T00401030627 ^x A method has been proposed for the fully automatic detection of left ventricular endocardial boundary in 2D short axis echocardiogram using geometric model. The procedure has the following three distinct stages. First, the initial center is estimated by the initial center estimation algorithm which is applied to decimated image. Second, the center estimation algorithm is applied to original image and then best-fit elliptic model estimation is processed. Third, best-fit boundary is detected by the cost function which is based on the best-fit elliptic model. The proposed method shows effective result without manual intervention by a human operator. 30628 T00401030628 ^x The intelligent trajectory control method that controls moving direction and average velocity for a prosthetic arm is proposed by pattern recognition and force estimations using EMG signals. Also, we propose the real time trajectory planning method which generates continuous accelleration paths using 3 stage linear filters to minimize the impact to human body induced by arm motions and to reduce the muscle fatigue. We use combination of MLP and fuzzy filter for pattern recognition to estimate the direction of a muscle and Hogan's method for the force estimation. EMG signals are acquired by using a amputation simulator and 2 dimensional joystick motion. The simulation results of proposed prosthetic arm control system using the EMf signals show that the arm is effectively followed the desired trajectory depended on estimated force and direction of muscle movements. 30638 T00401030638 ^x A new neural network architecture for the recognition of patterns from images is proposed, which is partially based on the results of physiological studies. The proposed network is composed of multi-layers and the nerve cells in each layer are connected by spatial filters which approximate receptive fields in optic nerve fields. In the proposed method, patterns recognition for complicated images is carried out using global features as well as local features such as lines and end-points. A new generating method of matched filers representing global features is proposed in this network. 30659 T00401030659 ^x An implementation scheme of the magnetic nerve stimulator using a switching mode power supply is proposed. By using a switching mode power supply rather than a conventional linear power supply for charging high voltage capacitors, the weight and size of the magnetic nerve stimulator can be considerably reduced. Maximum output voltage of the developed magnetic nerve stimulator using the switching mode power supply is 3, 000 volts and switching time is about 100 msec. Experimental results or human nerve stimulations using the developed stimulator are presented. 30768 T00401030768 ^x In this paper, we describe the design methodology and specifications of the developed module-based bedside monitors for patient monitoring. The bedside monitor consists of a main unit and module cases with various parameter modules. The main unit includes a 12.1" TFT color LCD, a main CPU board, and peripherals such as a module controller, Ethernet LAN card, video card, rotate/push button controller, etc. The main unit can connect at maximum three module cases each of which can accommodate up to 7 parameter modules. They include the modules for electrocardiograph, respiration, invasive blood pressure, noninvasive blood pressure, temperature, and SpO2 with Plethysmograph.SpO2 with Plethysmograph.

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High Resolution HC$_3$N Observations toward the Central Region of Sagittarius B2

  • H.S-Ching;Oh, M.ishi;M.Morimoto
    • 한국우주과학회:학술대회논문집(한국우주과학회보)
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    • 한국우주과학회 1993년도 한국우주과학회보 제2권2호
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    • pp.17-17
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    • 1993
  • The wall shear stress in the vicinity of end-to end anastomoses under steady flow conditions was measured using a flush-mounted hot-film anemometer(FMHFA) probe. The experimental measurements were in good agreement with numerical results except in flow with low Reynolds numbers. The wall shear stress increased proximal to the anastomosis in flow from the Penrose tubing (simulating an artery) to the PTFE: graft. In flow from the PTFE graft to the Penrose tubing, low wall shear stress was observed distal to the anastomosis. Abnormal distributions of wall shear stress in the vicinity of the anastomosis, resulting from the compliance mismatch between the graft and the host artery, might be an important factor of ANFH formation and the graft failure. The present study suggests a correlation between regions of the low wall shear stress and the development of anastomotic neointimal fibrous hyperplasia(ANPH) in end-to-end anastomoses. 30523 T00401030523 ^x Air pressure decay(APD) rate and ultrafiltration rate(UFR) tests were performed on new and saline rinsed dialyzers as well as those roused in patients several times. C-DAK 4000 (Cordis Dow) and CF IS-11 (Baxter Travenol) reused dialyzers obtained from the dialysis clinic were used in the present study. The new dialyzers exhibited a relatively flat APD, whereas saline rinsed and reused dialyzers showed considerable amount of decay. C-DAH dialyzers had a larger APD(11.70${\pm}$1.32mmHg/min)compared to CF dialyzers(4.32${\pm}$0.55mmHg/min)(p<0.05). However, there was no observable difference in the UFR between the two dialyzers. Neither APD nor UFR showed any significant increase with an increasing number of reuses for up to more than 20reuses. A substantial number of failures observed in APD(larger than 20mmHe/min)on the reused dialyzers(2 out of 40 CP and S out 26 C-DAK) were attributed to the Possible damage on the fibers. The CF 15-11 HFDs which failed APD test did not show changes in the UFR compared to normal dialyzers indicating that APD is a more sensitive test than UFR test to evaluate the integrity of the fibers. 30527 T00401030527 ^x For quantitative measurement of reflected light from a clinical diagnostic strip, a prototype old reflectance photometer was designed. The strip loader and cassette were made to obtain more accurate reflectance parameters. The strip was illuminated at 45˚c through optical fiber and the intensity of reflected light was determined at rectanguLat angle using a photodiode. The kubelka-munk coefficient and reflection optical density were determined ar four different wavelengths(500,550,570 and 610nm) for blood glucose strip. For higher concentration than 300mg/41 about glucose, a saturation state of abforbance was observed at 500,550 and 570nm. The correlation between glucose concentration and parameters was the best at 610nm. 30535 T00401030535 ^x Radiation-induced fibrosarcoma tumors were grown on the flanks of C3H mice. The mice were divided into two groups. One group was injected with Photofrin II, intravenously (2.5mg/kg body weight). The other group received no Photofrin II. Mice from both groups were irradialed for approximately 15 minutes at 100,300, or 500 mW/cm2 with the argon (488nm/514.5 nm), dye(628nm) and gold vapor (pulsed 628 nm) laser light. A photosensitizer behaved as an added absorber. Under our experimental conditions, the presence of Photolfrin II increased surface temperature by at least 40% and the temperature rise due to 300 mW/cm2 irradiation exceeded values for hyperthermia. Light and temperature distributions with depth were estimated by a computer model. The model demonstrated the influence of wavelength on the thermal process and proved to be a valuable tool to investigate internal temperature rise. 30536 T00401030536 ^x We investigated the structural geometry of thirty-eight Korean femurs. The purpose of this study is to identify major geometrical differences between Korean femurs 3nd others that we believe belong to Caucasians so that we would be able to get insights into the femoral component design that fits Asians including Koreans. We utilized computerized tomography (CT) images of femurs extracted from cadavers. The CT images were transformed into bitmap data by using a film scanner, and then analyzed by using a commercially available software called Image v.1.0 and a Macintosh IIci computer.The resulting data were compared with already published data. The major results show that the geometry of the Korean femurs is significantly different from that of Caucasians: (1) the anteversion angle and the canal flare index are greater by the amount of approximately 8˚ and 0.5, respectively, (2) the shape of the isthmus cross section is more round, and (3) the distance between the teaser trochanter and the proximal border of the isthmus is shelter by about 15 mm. The results suggested that the femoral component suitable for Asians should be different from the currently-used components designed and manufactured mostly by European or American companies. 30537 T00401030537 ^x It is well known that nonlinear propagation characteristics of the wave in the tissue may give very useful information for the medical diagnoisis. In this paper, a new method to detect nonlinear propagation characteristics of the internal vibration in the tissue for the low frequency mechanical vibration by using bispectral analysis is proposed. In the method, low frequency vibration of f0( = 100Hz) is applied on the surface of the object, and the waveform of the internal vibration x (t) is measured from Doppler frequency modulation of silmultaneously transmitted probing ultrasonic waves. Then, the bispectra of the signal x (t) at the frequencies (f0, f0) and (f0, 2f0) are calculated to estimate the nonlinear propagation characteristics as their magnitude ratio, w here since bispectrum is free from the gaussian additive noise we can get the value with high S/N. Basic experimental system is constructed by using 3.0 MHz probing ultrasonic waves and the several experiments are carried out for some phantoms. Results show the superiority of the proposed method to the conventional method using power spectrum and also its usefulness for the tissue characterization. 30541 T00401030541 ^x This paper describes the implementation of a computerized radial pulse diagnosis by aids of a clinical expert. On this base, we composed of the radial pulse diagnosis system in korean traditional medicine. The system composed of a radial pulse wave detection system and a radial pulse diagnosis system. With a detection system, we detected Inyoung and Cheongu radial pulse wave and processed it. Then, we have got the characteristic parameters of radial pulse wave and also quantified that according to the method of Inyoung-Cheongu Comparison Radial Pulse Diagnosis. We defined the jugement standard of radial pulse diagnosis system and then we confirmed the possibility for realization of automatic radial pulse diagnosis in korean traditional medicine. 30545 T00401030545 ^x Microspheres are expected to be applied to biomedical areas such as solid-phase immunoassays, drug delivery systems, immunomagnetic cell separation. To synthesize microspheres for biomedical application, "two stage shot growth method" was developed. The uniformity ratio of synthesized microspheres was always smaller than 1.05. And the surface charge density (or the number of ionizable functional groups) of the microspheres synthesized by "two stage shot growth method" was 6~13 times higher than that of the microspheres synthesized by conventional seeded batch copolymerization. As a previous step for biomedical application, adsorption experiments of bovine albumin on microspheres were carried out under various conditions. The maximum adsorbed amount was obtained in the neighborhood of pH 4.5. Isoelectric point of bovine albumin is pH 5.0, so experimental result shows that it shifted to acid area. The adsorption isotherm was obtained, the plateau region was always reached at 2.Og/L (bulk concentration of bovine albumin).The effect of the kind and the amount of surface functional group was also examined. 30575 T00401030575 ^x A medical image workstation was developed using multimedia technique. The system based on PC-486DX was designed to acquire medical images produced by medical imaging instruments and related audio information, that is, doctors' reporting results. Input information was processed and analyzed, then the results were presented in the form of graph and animation. All the informations of the system were hierarchically related with the image as the apex. Processing and analysis algorithms were implemented so that the diagnostic accuracy could be improved. The diagnosed information can be transferred for patient diagnosis through LAN(local area network). 30592 T00401030592 ^x In the conventional infrared imaging system, complex infrared lens systems are usually used for directing collimated narrow infrared beams into the high speed 2-dimensional optic scanner. In this paper, a simple reflective infrared optic system with a 2-dimensional optic scanner is proposed for the realization of medical infrared thermography system. It has been experimentally proven that the intfrared thermography system composed of the proposed optic system has the temperature resolution of 0.1˚c under the spatial resolution of lmrad, the image matrix size of 256 X 240, and tile imaging time of 4 seconds. 30593 T00401030593 ^x In this paper, MIIS (Medical Image Information System) has been designed and implemented using INGRES RDBMS, which is based on a client/server architecture. The implemented system allows users to register and retrieve patient information, medical images and diagnostic reports. It also provides the function to display these information on workstation windows simultaneously by using the designed menu-driven graphic user interface. The medical image compression/decompression techniques are implemented and integrated into the medical image database system for the efficient data storage and the fast access through the network. 30594 T00401030594 ^x In this paper, computerized BEAM was implemented for the space domain analysis of EEG. Trans-formation from temporal summation to two-dimensional mappings is formed by 4 nearest point inter-polaton method. Methods of representation of BEAM are two. One is dot density method which classify brain electrical potential 9 levels by dot density of gray levels and the other is colour method which classify brain electrical 12 levels by red-green colours. In this BEAM, instantaneous change and average energy distribution over any arbitrary time interval of brain electrical activity could be observed and analyzed easily. In the frequency domain, the distribution of energy spectrum of a special band can easily be distinguished normality and abnormality. 30608 T00401030608 ^x Laboratory information system (LIS) is a key tool to manage laboratory data in clinical pathology. Our department has developed an information system for routine hematology using down-sized computer system. We have used an IBM 486 compatible PC with 16MB main memory, 210 MB hard disk drive, 9 RS-232C port and 24 pin dot printer. The operating system and database management system were SCO UNIX and SCO foxbase, respectively. For program development, we used Xbase language provided by SCO foxbase. The C language was used for interface purpose. To make the system use friendly, pull-down menu was used. The system connected to our hospital information system via application program interface (API), so the information related to patient and request details is automatically transmitted to our computer. Our system interfaced with fwd complete blood count analyzers(Sysmex NE-8000 and Coulter STKS) for unidirectional data tansmission from analyzer to computer. The authors suggests that this system based on down-sized computer could provide a progressive approach to total LIS based on local area network, and the implemented system could serve as a model for other hospital's LIS for routine hematology. 30609 T00401030609 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed a composite that is consisted of calcium phosphate and collagen. To use as the structural matrix of the composite, collagen was purified from human umbilical cord. The obtained collagen was treated by pepsin to remove telopeptides, and finally, the immune-free atelocollagen was produced: The cross linked atelocollagen was highly resistant to the collagenase induced collagenolysis. The cross linked collagen demonstrated an improved tensile strength. 30618 T00401030618 ^x This paper is a study on the design of adptive filter for QRS complex detection. We propose a simple adaptive algorithm to increase capability of noise cancelation in QRS complex detection with two stage adaptive filter. At the first stage, background noise is removed and at the next stage, only spectrum of QRS complex components is passed. Two adaptive filters can afford to keep track of the changes of both noise and QRS complex. Each adaptive filter consists of prediction error filter and FIR filter The impulse response of FIR filter uses coefficients of prediction error filter. The detection rates for 105 and 108 of MIT/BIH data base were 99.3% and 97.4% respectively. 30619 T00401030619 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed and produced a composite that is consisted of calcium phosphate and collagen. Human umbilical cord origin pepsin treated type I atelocollagen was used as the structural matrix, by which sintered or non-sintered carbonate apatite was encapsulated to form an inorganic-organic composite. With cross linking atelocollagen by UV ray irradiation, the resistance to both compressive and tensile strength was increased. Collagen degradation by the collagenase induced collagenolysis was also decreased. 30620 T00401030620 ^x We have developed a monoleaflet polymer valve as an inexpensive and viable alternative, especially for short-term use in the ventricular assist device or total artificial heart. The frame and leaflet of the polymer valve were made from polyurethane, To evaluate the hemodynamic performance of the polymer valve a comparative study of flow dynamics past a polymer valve and a St. Jude Medical prosthetic valve under physiological pulsatile flow conditions in vitro was made. Comparisons between the valves were made on the transvalvular pressure drop, regurgitation volume and maximum valve opening area. The polymer valve showed smaller regurgitation volume and transvalvular pressure drop compared to the mechanical valve at higher heart rate. The results showed that the functional characteristics of the polymer valve compared favorably with those of the mechanical valve at higher heart rate. 30621 T00401030621 ^x Explosive evaporative removal process of biological tissue by absorption of a CW laser has been simulated by using gelatin and a multimode Nd:YAG laser. Because the point of maximun temperature of laser-irradiated gelatin exists below the surface due to surface cooling, evaporation at the boiling temperature is made explosively from below the surface. The important parameters of this process are the conduction loss to laser power absorption (defined as the conduction-to-laser power parameter, Nk), the convection heat transfer at the surface to conduction loss (defined as Bi), dimensionless extinction coefficient (defined as Br.), and dimensionless irradiation time (defined as Fo). Dependence of Fo on Nk and Bi has been observed by experiment, and the results have been compared with the numerical results obtained by solving a 2-dimensional conduction equation. Fo and explosion depth (from the surface to the point of maximun temperature) are increased when Nk and Bi are increased.To find out the minimum laser power for explosive evaporative removal process, steady state analysis has been also made. The limit of Nk to induce evaporative removal, which is proportional to the inverse of the laser power, has been obtained. 30622 T00401030622 ^x N1 and N2 gross neural action potentials were measured from the round window of the guinea pig cochlea at the onset of the acoustic stimuli. N1-N2 audiograms were made by means of regulating stimulant intensities in order to produce constant N1-N2 potentials as criteria for different input tone pip frequencies. The lowest threshold was measured with an input tone pip I5 dB SPL in intensity and 12 KHz in frequency when the animal was in normal physiological condition. The procedure of experimental measurements is explained in detail. This experimental approach is very useful for the investigation of the Cochlear function. Both noN1inear and active functions of the Cochlea can be monitored by N1-N2 audiograms. 30623 T00401030623 ^x In electrical impedance tomography(EIT), we use boundary current and voltage measurements toprovide the information about the cross-sectional distribution of electrical impedance or resistivity. One of the major problems in EIT has been the inaccessibility of internal voltage or current data in finding the internal impedance values. We propose a new image reconstruction method using internal current density data measured by NMR. We obtained a two-dimensional current density distribution within a phantom by processing the real and imaginary MR images from a 4.77 NMR machine. We implemented a resistivity mage reconstruction algorithm using the finite element method and sensitivity matrix. We presented computer simulation results of the mage reconstruction algorithm and furture direction of the research. 30624 T00401030624 ^x A new method of digital image analysis technique for discrimination of cancer cell was presented in this paper. The object image was the Thyroid eland cells image that was diagnosed as normal and abnormal (two types of abnormal: follicular neoplastic cell, and papillary neoplastic cell), respectively. By using the proposed region segmentation algorithm, the cells were segmented into nucleus. The 16 feature parameters were used to calculate the features of each nucleus. A9 a consequence of using dominant feature parameters method proposed in this paper, discrimination rate of 91.11% was obtained for Thyroid Gland cells. 30625 T00401030625 ^x An electrical stimulator was designed to induce locomotion for paraplegic patients caused by central nervous system injury. Optimal stimulus parameters, which can minimize muscle fatigue and can achieve effective muscle contraction were determined in slow and fast muscles in Sprague-Dawley rats. Stimulus patterns of our stimulator were designed to simulate electromyographic activity monitored during locomotion of normal subjects. Muscle types of the lower extremity were classified according to their mechanical property of contraction, which are slow muscle (msoleus m.) and fast muscle (medial gastrocneminus m., rectus femoris m., vastus lateralis m.). Optimal parameters of electrical stimulation for slow muscles were 20 Hz, 0.2 ms square pulse. For fast muscle, 40 Hz, 0.3 ms square pulse was optimal to produce repeated contraction. Higher stimulus intensity was required when synergistic muscles were stimulated simultaneously than when they were stimulated individually. Electrical stimulation for each muscle was designed to generate bipedal locomotion, so that individual muscles alternate contraction and relaxation to simulate stance and swing phases. Portable electrical stimulator with 16 channels built in microprocessor was constructed and applied to paraplegic patients due to lumbar cord injury. The electrical stimulator restored partially gait function in paraplegic patients. 30626 T00401030626 ^x Two-Dimensional modelling of the Cochlear biomechanics is presented in this paper. The Laplace partial differential equation which represents the fluid mechanics of the Cochlea has been transformed into two-dimensional electrical transmission line. The procedure of this transformation is explained in detail. The comparison between one and two dimensional models is also presented. This electrical modelling of the basilar membrane (BM) is clearly useful for the next approach to the further. Development of active elements which are essential in the producing of the sharp tuning of the BM. This paper shows that two-dimension model is qualitatively better than one-dimensional model both in amplitude and phase responses of the BM displacement. The present model is only for frequency response. However because the model is electrical, the two-dimensional transmission line model can be extended to time response without any difficult. 30627 T00401030627 ^x A method has been proposed for the fully automatic detection of left ventricular endocardial boundary in 2D short axis echocardiogram using geometric model. The procedure has the following three distinct stages. First, the initial center is estimated by the initial center estimation algorithm which is applied to decimated image. Second, the center estimation algorithm is applied to original image and then best-fit elliptic model estimation is processed. Third, best-fit boundary is detected by the cost function which is based on the best-fit elliptic model. The proposed method shows effective result without manual intervention by a human operator. 30628 T00401030628 ^x The intelligent trajectory control method that controls moving direction and average velocity for a prosthetic arm is proposed by pattern recognition and force estimations using EMG signals. Also, we propose the real time trajectory planning method which generates continuous accelleration paths using 3 stage linear filters to minimize the impact to human body induced by arm motions and to reduce the muscle fatigue. We use combination of MLP and fuzzy filter for pattern recognition to estimate the direction of a muscle and Hogan's method for the force estimation. EMG signals are acquired by using a amputation simulator and 2 dimensional joystick motion. The simulation results of proposed prosthetic arm control system using the EMf signals show that the arm is effectively followed the desired trajectory depended on estimated force and direction of muscle movements. 30638 T00401030638 ^x A new neural network architecture for the recognition of patterns from images is proposed, which is partially based on the results of physiological studies. The proposed network is composed of multi-layers and the nerve cells in each layer are connected by spatial filters which approximate receptive fields in optic nerve fields. In the proposed method, patterns recognition for complicated images is carried out using global features as well as local features such as lines and end-points. A new generating method of matched filers representing global features is proposed in this network. 30659 T00401030659 ^x An implementation scheme of the magnetic nerve stimulator using a switching mode power supply is proposed. By using a switching mode power supply rather than a conventional linear power supply for charging high voltage capacitors, the weight and size of the magnetic nerve stimulator can be considerably reduced. Maximum output voltage of the developed magnetic nerve stimulator using the switching mode power supply is 3,000 volts and switching time is about 100 msec. Experimental results or human nerve stimulations using the developed stimulator are presented. 30768 T00401030768 ^x In this paper, we describe the design methodology and specifications of the developed module-based bedside monitors for patient monitoring. The bedside monitor consists of a main unit and module cases with various parameter modules. The main unit includes a 12.1" TFT color LCD, a main CPU board, and peripherals such as a module controller, Ethernet LAN card, video card, rotate/push button controller, etc. The main unit can connect at maximum three module cases each of which can accommodate up to 7 parameter modules. They include the modules for electrocardiograph, respiration, invasive blood pressure, noninvasive blood pressure, temperature, and SpO2 with Plethysmograph.

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전자선 치료 시 Bolus를 적용한 경우 표면선량의 Treatment Planning System(TPS) 계산 값과 실제 측정값의 비교 (Comparison of Treatment Planning System(TPS) and actual Measurement on the surface under the electron beam therapy with bolus)

  • 김병수;박주영;박병석;송용민;박병수;송기원
    • 대한방사선치료학회지
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    • 제26권2호
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    • pp.163-170
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    • 2014
  • 목 적 : 표재성 종양 치료를 위하여 선택한 전자선은 bolus와 동시에 사용할 경우 표면선량에 급격한 변화를 보이게 되며 이는 치료결과의 중요한 변수로 작용할 수 있다. 이에 본 논문에서는 전자선 치료에서 bolus가 적용될 경우 표면선량을 좌우할 수 있는 4 가지 변수에 따른 치료계획시스템(Treatment Planning System, TPS)의 표면선량 계산 값과 실제 측정값을 비교 분석하였다. 대상 및 방법 : 치료계획시스템(Pinnacle 9.2, philips, USA)과 실제 측정값을 비교하기 위하여 실제 치료 시 주로 발생되는 4가지 변수(A: bolus 두께 - 3, 5, 10 mm, B: 조사야 크기 - $6{\time}6$, $10{\time}10$, $15{\time}15cm2$, C: 에너지 - 6, 9, 12 MeV, D: 겐트리 각도 - 0, $15^{\circ}$)를 설정하였다. 16 cm 두께의 solid water phantom을 이용하여 bolus(Action Products, USA) 없이 전산화단층촬영(lightspeed ultra 16, General Electric, USA)을 시행하였고 치료 계획은 TPS 상에서 각각 3, 5, 10 mm bolus를 생성하여 A, B, C, D를 조합한 총 54개의 beam으로 계획하였다. 이때 SSD 100 cm, 300 MU를 조사하였고 TPS와 실제 측정값을 비교 분석하기 위해 EBT3 film(International Specialty Products, NJ, USA)을 이용해 iso-center에 위치시켜 2회 반복 측정하였다. 측정된 film은 디지털 평판 스캐너(Expression 10000XL, EPSON, USA)와 선량 농도 분석시스템(Complete Version 6.1, RIT, USA)을 사용하여 각각의 평균값과 표준편차 값으로 분석하였다. 결 과 : bolus 두께에 따른 값은 3, 5, 10 mm에서 실제 측정된 값이 TPS의 계산 값보다 각각 101.41%, 99.58%, 101.28%, 표준편차는 각각 0.0219, 0.0115, 0.0190 으로 나타났다. 조사야 크기에 따른 실제 측정값은 $6{\time}6$, $10{\time}10$, $15{\time}15cm2$ 각각 계산 값에 비해 99.63%, 101.40%, 101.24%, 표준편차는 0.0138, 0.0176, 0.0220 으로 나타났다. 에너지에 따른 값은 상대적으로 6, 9, 12 MeV 각각 99.72%, 100.60%, 101.96%, 표준편차는 0.0200, 0.0160, 0.0164로 나타났다. 빔 각도에 따른 실제 측정값은 계산된 값에 비하여 0, $15^{\circ}$에서 각각 100.45%, 101.07%, 표준편차는 0.0199, 0.0190 으로써 $15^{\circ}$에서 $0^{\circ}$보다 0.62% 높게 측정되었다. 결 론 : 본 논문에서 사용한 변수에 따른 계산 값과 측정값을 분석한 결과 5 mm bolus, $6{\time}6cm2$ 조사야, 저 에너지 전자선, $0^{\circ}$ 겐트리 각도에서 TPS로 계산한 값이 측정값에 더 가까웠지만 다른 변수를 적용한 비교에서도 최대 2% 오차범위 내에 포함되는 결과를 보였다. 전자선과 bolus를 동시에 사용하는 경우 본 논문에서 선택된 변수의 범위를 벗어난다면 각각의 변수에 따라 실제 측정값이 TPS와 달라질 수 있기 때문에 정확한 표면선량에 대한 QA를 반드시 실시해야 한다.

대전원교학생대가배점중요성적감지화타문광고가배점지후적만의도지간적차거대타문구매행위적영향(大专院校学生对咖啡店重要性的感知和他们光顾咖啡店之后的满意度之间的差距对他们购买行为的影响) (The Effect of the Gap between College Students' Perception of the Importance of Coffee Shops and Their Satisfaction after Patronizing Coffee Shops on Their Purchasing Behavior)

  • Lee, Won-Ok
    • 마케팅과학연구
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    • 제19권4호
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    • pp.1-10
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    • 2009
  • 本研究的目的是对咖啡店的 "重要性"(顾客在光顾咖啡店以前的感知)和积极或消极的 "满意度"(顾客在光顾咖啡店以后的感受)之间的差距进行分类, 并分析这些差距对对购买行为的影响. 为此, 我使用重要性和满意度之间的差距作为选择咖啡店的解释变量, 并通过使用有序Probit模型(OPM)来实证分析差距对购买行为(整体满意度和愿意到再次光顾)的影响方向和大小. 先前使用IPA的研究评估了差距影响的方向和大小的象限, 但是在分析差距对顾客的影响方面却失败了. 在本研究中, 我评估了积极和消极的差距对顾客满意度和愿意去再光顾的影响. 通过使用OPM,我量化了积极和消极的差距对顾客整体满意度和愿意去再光顾的影响. 每个人的支出, 光顾的频率和购买咖啡的地方对顾客整体满意度有最积极的影响. 光顾的频率, 在每人的支出之后, 然后是购买咖啡的地方对顾客整体满意度有最积极的影响. 因此每个人的支出和光顾的频率对顾客整体满意度有最积极的影响. 这一发现意味着一个在咖啡店每次或每周花费5000韩元的顾客的实际的满意度越高(差距), 其整体满意度和愿意去再光顾就越高. 虽然经济效益对总体满意度和愿意去再光顾有显著影响, 但是大专和大学的学生仍然愿意去咖啡馆并愿意消费5000韩元, 因为他们不只是购买咖啡本身而且将咖啡店作为其他活动的场所, 例如工作, 和朋友见面或是放松的地方. 学院和大学的学生还可以在咖啡店通过个人电脑上网, 看电影, 学习, 因此, 咖啡馆应对顾客提供适当的设施和服务. 咖啡店品牌的积极差距对愿意去再光顾有积极的影响表明顾客满意度越高, 顾客越愿意去再光顾. 另一方面, 这一因素的消极差距意味着顾客满意度越低, 顾客再光顾的意愿也越低. 因此, 在本研究中, 与其他评估的因素相比, 品牌因素对满意度有较大的影响. 鉴于国内咖啡文化变得越来越高级, 大专院校的学生对这一趋势也很敏感, 所以学生有很多可选择的品牌. 在韩国最高级的咖啡店, 外墙是玻璃建造的并可以打开, 内部是充满异国情调的开放式厨房. 这些高级咖啡店作为标志的功能复合大专院校学生的品味. 韩国咖啡店已成为一个文化品牌. 从品牌因素来看, 为了让顾客觉得这些咖啡店是高级的, 高质量的设备和提供更好服务的措施应当建立起来. 韩国咖啡馆作为蓬勃发展的行业品牌竞争加剧的结果表明, 提供与竞争对手不同的额外服务是有必要的. 顾客可以免费使用扫描仪. 另一个可以用来提高品牌的战略是提供和经营为集体学习而准备的讨论会议室. 如果咖啡馆采取这些类型的策略, 学院/大学的学生将更有可能认为他们承担的费用是值得的, 随后, 他们将可能更满足这些咖啡馆的品牌, 并更愿意再次光顾. 性别和学习年数对总体满意度和再光顾的意愿有最消极的营销. 女学生比男学生更容易满足和再光顾. 三, 四年级的学生比一, 二年级的学生更容易满足和再光顾. 喝咖啡的学生, 单独在咖啡店看书, 用笔记本电脑是很容易被注意到的. 高年级学生为了有效地利用时间用于自我发展和寻找工作往往独自光顾咖啡店. 从积极的差距来看, 经济效率这一因素对总体满意度和愿意再光顾有最大的影响. 与咖啡价格一起, 学生实际满意度(差距)越高, 总体满意度和再光顾的意愿也越高. 有消极差距的经济效率队再光顾有消极营销的结果表明较小的消极差距可以让再光顾的意愿更高. 在持续恶化的市场环境中, 坐落在大专院校附近的咖啡店采取诸如积分或会员卡, 和信用卡 公司的战略联盟, 发展套餐菜单或季节菜单和免费咖啡服务这些战略来提高竞争力. 就消极差距而言产品功率也有消极的影响, 这表明较高的负差距会导致较低的再光顾的意愿. 因为还有更多的客户比前几十年, 在这十年里更喜欢咖啡, 新一代的客户, 即学院/大学的学生, 希望除了咖啡还有更重菜单项目. 因此, 咖啡店应当增加配菜项目, 如华夫饼, 糕, 蛋糕, 三明治和沙拉. 例如, 星巴克韩国正在努力加强卖草莓糕, 艾草香味, 南瓜产品, 并提供免费的咖啡或奶油. 总而言之, 咖啡馆应注重提高其经济效率, 品牌和产品功率, 以加强大专院校学生的满意度. 由于店铺毗邻学大专院校可享受地缘优势, 就经济效率, 品牌和产品功率而言提供不同的服务, 很可能会提高客户满意度和回访. 咖啡厅的品牌, 因此, 应不断创新和变化, 以满足顾客的愿望. 由于这项研究只是针对在首尔的大专院校的学生, 需要针对不同地区和年龄组的比较研究来概括本研究的结果和建议.

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$[^{11}C]Raclopride$ PET을 이용한 흡연에 의한 도파민 유리 영상 연구 (Smoking-Induced Dopamine Release Studied with $[^{11}C]Raclopride$ PET)

  • 김유경;조상수;이도훈;류혜정;이은주;류창형;정인순;홍수경;이재성;서홍관;정재민;이원우;김상은
    • 대한핵의학회지
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    • 제39권6호
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    • pp.421-429
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    • 2005
  • 목적: 흡연에 보상 강화 효과는 흡연 시에 담배 내에 포함되어 있는 니코틴 성분에 의한 선조체에서의 도파민 유리가 중심 역할을 할 것으로 생각된다. 지금까지의 여러 동물실험 에서 니코틴과 도파민의 상호 관계와 니코틴에 의한 도파민 유리가 연구되었다. 이 연구에서는 $[^{11}C]raclopride$ PET을 이용하여 생체에서 흡연에 의한 도파민 유리를 영상화 하고자 하였다. 대상 및 방법: 비흡연자이거나 과거 흡연력이 있으나 1년 이상의 금연을 시행한 5 명의 정상인 남자를 대상으로 하였고, 이들의 평균 연령은 24세 이었다. 도파민 D2 수용체 영상을 위한 방사성 리간드인 $[^{11}C]raclopride$를 볼루스+연속 주입법에 의하여 주사하면서 120 분간 30개의 동적 영상($3{\times}20$초, $2{\times}60$초, $2{\times}120$초, $1{\times}180$초, $22{\times}300$초)을 얻었다. 영상 촬영 시작 50분에 니코틴 함량 1mg의 담배를 피도록 하였으며, 담배를 피우기 직전과 흡연시작 5분 후부터 흡연에 의하여 흡수된 혈중 니코틴 농도를 측정하기 위하여 일정 간격으로 정맥혈 샘플을 획득하였다. 30 개의 프레임은 인접 프레임과의 정합에 의하여 움직임을 보정하였고, 움직임이 보정된 120분 간의 동적 영상을 합하여 평균 영상을 만든 다음, 뇌 MRI와 공간 정합을 하였다. 평균 영상과 MRI 의 공간 정합 정보를 이용하여, 각 프레임을 MRI 에 공간 정합시켜, 공간 정합된 동적 영상에서 선조체에 MRI 정보를 이용하여 좌우 각각 3 개의 관심 영역(ventral striatum : VST, precomissural dorsal caudate; caudate nucleus; precommissural putamen; anterior putamen)과 소뇌에 관심영역을 설정하였고, 동적 영상으로부터 각 관심 영역 별로 시간-농도 곡선을 구하였다. $[^{11}C]raclopride$주사 후 선조체에서의 리간드 특이적 결합에 의한 항정상태(statedy state) 에 도달한 후 흡연전 평형 상태(equilibrium state)인 30-50 분과 흡연 후 재평형에 도달한 70-90분 영상에서 각 관심 영역에서의 방사성 농도를 구하였고, 조직비 방법에 근거하여 기저상태 및 흡연 상태의 방사성 리간드의 수용체 결합능 (binding potential;BP)을 구하였다($BP=C_{ROI}/C_{cerebellum}-1$). 흡연에 의한 도파민의 유리는 흡연 전후의 $[^{11}C]raclopride$의 수용체 결합능의 변화율로 계산하였다. 흡연에 의한 혈중 니코틴의 상승은 흡연후 90 분간의 혈중 니코틴의 축적 농도로 계산되었으며, 흡연에 의한 $[^{11}C]raclopride$의 수용체 결합능의 감소율과 혈중 니코틴의 축적 농도와의 상관관계를 스피어만 상관분석법(Spearman's correlation)에 의하여 알아보았다. 결과: 흡연에 의한 선조체에서의 평균 $[^{11}C]raclopride$의 수용체 결합능의 변화는 미상핵에서 4.7%, 전피각에서 4.0%, 복측 선조체에서 7.8% 의 감소를 보여 흡연에 의한 선조체내 도파민 유리를 정량화 하였다. 특히 선조체에서의 도파민 유리에 의한 수용체 결합능의 감소는 흡연에 의한 혈중 니코틴의 축적 농도와 양의 상관관계를 보였다(rho=0.9, p=0.04). 결론: $[^{11}C]raclopride$ PET을 이용하여 비흡연 정상인에서 흡연에 의한 도파민 유리를 영상화 및 정량화 하였고, 흡연에 의한 선조체내 도파민 유리는 흡연시 흡수된 니코틴의 축적 농도와 상관관계를 가짐을 보였다. 이 연구에서의 확립된 방법과 결과는 앞으로 흡연자에서 니코틴에 의한 도파민 신경계의 활성화 연구에 기여할 것이다.

Lung Perfusion scan에서 SPECT-CT의 Q-Metrix방법과 평면영상 결과 산출방법에 대한 비교평가 (CComparative evaluation of the methods of producing planar image results by using Q-Metrix method of SPECT/CT in Lung Perfusion Scan)

  • 하태환;임정진;도용호;조성욱;노경운
    • 핵의학기술
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    • 제22권1호
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    • pp.90-97
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    • 2018
  • 폐 관류 스캔은 방사성 물질의 폐동맥 내 미세색전증을 이용하여 폐색전증의 진단에 이용되고 있으며, 만성 폐쇄성 질환이나 국소 폐 관류평가 및 조기 폐암발견 등에 이용된다. 또한 폐암환자에서의 수술 및 방사선 치료 전, 후 국소 폐 기능 예측을 위하여 이용된다. 이를 위하여 관류의 정확한 정량화가 필요하다. 이에 본 연구에서는 모든 병변 및 장기에 추적자의 흡수율 정량화가 가능한 SPECT/CT의 Q-Metrix (GE Healthcare, USA)프로그램을 활용하여 실제로 많이 이용되고 있는 평면영상의 두 가지 결과 산출 방법에 대한 상관관계 및 각 엽의 차이를 비교 평가하고자 한다. Discovery NM/CT 670 scanner (GE Healthcare, USA)장비에서 2015년 5월 1일부터 2016년 9월 13일까지 수술 전 폐암환자 50명을 대상으로 시행하였다. 환자에 대하여 $^{99m}Tc-MAA$(macro aggregated albumin) 185 MBq (5 mCi)를 정맥 주사하였고 후면 영상(Posterior view)을 기준으로 전면, 우측면, 좌측면, 우후사면, 좌후사면 영상을 획득하였다. 평면 폐 관류검사 직후 SPECT/CT를 시행하였고 영상의 Processing은 GE사 Xeleris 3.1 Workstation에서 시행하였다. 후방사면 방법은 오른 엽과 왼 엽에 사각형의 관심영역을 설정하였고 RPO영상은 3엽, LPO영상은 2엽으로 나누어 각 엽에 대한 흡수율을 얻었다. 전후 방법은 오른 엽, 왼 엽에 각각 3개의 사각형의 ROI를 설정하여 흡수율을 구하였고 왼 엽은 2엽으로 구분되어 Left middle lobe은 Left upper lobe로 포함시켜 결과를 산출하였다. Q-Metrix Method는 CT영상에 직접 관심 영역(Region of interests, ROI)을 설정하였다. 시상면(Sagittal)영상에서 2개의 Slice마다 ROI를 설정하였고 관심부피(Volume of interest, VOI)를 이용하여 체적에 대한 흡수율을 분석하였다. 통계 분석은 SPSS version 23.(SPSS Inc. USA)를 이용하여 분석하였다. Q-Metrix 방법과 후방사면 방법의 흡수율에 대한 일치 상관관계는 Right upper lobe(RUL)는 0.663, Right middle lobe(RML)는 0.623, Right lower lobe(RLL)는 0.702이고 Left upper lobe(LUL)는 0.754, Left lower lobe(LLL)는 0.823로 가장 높은 상관관계를 보였다. 전후 방법은 RML는 0.035로 흡수율이 증가되어 가장 낮은 상관관계를 보였고, RUL는 0.224, RLL는 0.447로 흡수율이 감소되었다. 왼 엽에서 LUL는 0.643, LLL는 0.456로 나타났다. 전체적인 상관관계는 후방사면 방법은 0.795로 높은 상관관계를 보였고, 전후 방법은 0.161로 나타났다. 각 엽의 차이는 Q-Metrix방법 평균${\pm}$표준편차는 RUL, RML, RLL순서대로 각각 $20.12{\pm}6.21$, $10.86{\pm}3.83$, $24.57{\pm}7.80$이고 LUL, LLL는 각각 $24.34{\pm}6.47$, $20.12{\pm}7.11$로 나타났다. 동일한 순서대로 후방사면 방법의 오른 엽은 $17.4{\pm}5.0$, $10.5{\pm}3.6$, $27.3{\pm}6.0$이었고, 왼 엽은 $21.6{\pm}4.8$, $23.1{\pm}6.6$으로 나타났다. 전후 방법에 대한 오른 엽의 평균${\pm}$표준편차는 $11.6{\pm}4.5$, $26.9{\pm}6.2$, $17.8{\pm}4.2$이고, 왼엽은 $28.4{\pm}4.8$, $15.4{\pm}5.6$로 나타났다. 본 논문에서 Q-Metrix방법에 대한 평면영상의 두 가지 방법 간에는 차이가 있는 것으로 보였다. 전후 방법의 RML는 과대평가 되었으며 RML, RLL는 상대적으로 과소평가 되었고, 모든 엽에서는 통계적으로 유의한 차이가 있었다(P<0.05). 후방사면 방법은 전후 방법보다 4배정도의 높은 상관관계를 보였고, oblique영상을 활용하여 흡수율이 과대, 과소평가가 되는 것을 줄일 수 있었다. SPECT/CT검사를 시행하지 않거나 planar image 획득 시 후방사면 방법을 이용하면 보다 실용적인 결과 값을 기대할 수 있을 것으로 생각된다. 또한 많은 환자에 대한 데이터 분석과 호흡에 대한 보정, 객관적인 방법으로 관심영역을 설정한다면 보다 정확한 결과를 산출할 수 있을 것이라 사료된다.

PET/CT 검사에서 냉소 인공물 발생 시 산란 제한 보정 알고리즘 적용에 따른 영상 평가 (A study on evaluation of the image with washed-out artifact after applying scatter limitation correction algorithm in PET/CT exam)

  • 고현수;류재광
    • 핵의학기술
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    • 제22권1호
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    • pp.55-66
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    • 2018
  • PET/CT 검사에서 환자의 움직임이나 높은 비방사능에 의해 냉소 인공물(washed-out artifact)이 발생하여 육안적 판독 및 정량평가의 정확성을 감소시킬 가능성이 있다. GE PET/CT 장비의 산란 제한 보정 알고리즘은 영상에 발생한 냉소 인공물을 제거하여 영상을 회복시켜주는 알고리즘이다. 본 연구의 목적은 팬텀 실험을 통해 높은 비방사능에 의해 냉소 인공물이 발생한 영상에 산란 제한 보정 알고리즘을 적용하였을 때 기존의 정량 값으로 회복 가능한 비방사능의 역치 값을 측정하고, 냉소 인공물이 발생한 임상 환자 영상에 산란 제한 보정 알고리즘을 적용하여 보정 전과 후의 영상을 비교 분석하고자 한다. $^{68}Ge$ 실린더 팬텀 영상에 냉소 인공물을 발생시키기 위해 임의의 $^{18}F$ 선원의 비방사능이 20 ~ 20,000 kBq/ml 가 되도록 20 단계로 분주하고 $^{18}F$ 선원의 CT 영상과 PET 영상간에 불일치(mis-registration) 정도가 없을 때, 불일치가 각각 1, 2, 3, 4 cm 일 때의 영상을 획득하였다. 또한 본원에서 $^{18}F-FDG$ Fusion Whole Body PET/CT 검사를 시행한 환자 중 유치 도뇨관 내에 높은 비방사능에 의해 냉소 인공물이 발생한 34명의 환자를 대상으로, CT 영상과 PET 영상간의 불일치 정도(cm), 인공물을 발생시키는 원인이 되는 비방사능의 수치(kBq/ml), 인공물이 발생한 단면 내 근육에서의 $SUV_{mean}$, 인공물이 발생한 단면 내 병변에서의 $SUV_{max}$, 인공물이 발생하지 않은 단면 내 병변에서의 $SUV_{max}$를 측정하였다. 통계는 보정 전과 후의 차이를 비교하기 위해 대응 표본 t 검정을 시행하였다. 팬텀 실험에서는 $^{18}F$ 선원의 비방사능이 커질수록 $^{68}Ge$ 실린더 팬텀의 $SUV_{mean}$가 감소하였다. 불일치 거리가 커질수록 $SUV_{mean}$가 급격히 저하 되었지만 반대로 보정 효과는 더 크게 나타났다. 비방사능 50 kBq/ml 이하에서는 모든 조건에서 육안적으로도 냉소 인공물이 발생하지 않았으며 $SUV_{mean}$에도 차이가 없었다. 불일치가 없을 때와 1 cm 차이가 있을 때는 120 kBq/ml 이하부터 산란 제한 보정 알고리즘을 적용 할 때 기존 $SUV_{mean}$(0.95)와 동일하게 회복 되었고, 2 cm와 3 cm 차이에서는 100 kBq/ml 이하부터, 4 cm 차이에서는 80 kBq/ml 이하부터 기존 $SUV_{mean}$와 동일하게 회복 되었다. 임상 환자 34명의 영상을 분석한 결과, 불일치 평균 거리는 2.02 cm 이었고, 냉소 인공물을 발생시키는 평균 비방사능은 490.15 kBq/ml 이었다. 인공물이 발생한 단면 내 근육의 $SUV_{mean}$와 병변의 $SUV_{max}$는 보정 전 후 각각 통계적으로 유의한 차이가 있었지만(t=-13.805, p=0.000) (t=-2.851, p=0.012), 인공물이 발생하지 않은 단면 내 병변의 $SUV_{max}$는 통계적으로 유의한 차이가 없었다(t=-1.173, p=0.250). GE PET/CT 장비의 산란 제한 보정 알고리즘은 임상 검사에서 환자의 심한 움직임뿐만 아니라 높은 비방사능의 미세한 움직임에 의해 발생한 냉소 인공물을 제거하여 영상을 회복해 주는 알고리즘이다. 냉소 인공물이 발생 하였을 때 산란제한 보정 알고리즘 적용 후 그 원인이 되는 비방사능의 수치, CT 영상과 PET 영상의 불일치 거리 등을 감안하여 영상을 분석한다면 냉소 인공물 부위의 재촬영 없이, 육안적 판독 및 정량 값을 더 정확하게 평가 하는데 도움이 될 것으로 사료 된다.

소동물 폐종양의 정량적 개선을 위한 내부 움직임 평가 (Estimation of Internal Motion for Quantitative Improvement of Lung Tumor in Small Animal)

  • 유정우;우상근;이용진;김경민;김진수;이교철;박상준;유란지;강주현;지영훈;정용현;김병일;임상무
    • 한국의학물리학회지:의학물리
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    • 제22권3호
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    • pp.140-147
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    • 2011
  • 이 연구에서는 폐종양의 정량적 개선을 위하여 분자체를 이용하여 내부 움직임을 측정하고 평가된 데이터를 기반으로 소동물 PET 영상내의 폐종양을 국소화하고자 하였다. 소동물 폐 영역의 내부 움직임은 방사성물질을 흡착한 분자체를 이용하여 소동물 폐 영역에 부착함으로써 구현하였다. 폐 영역의 내부 움직임 표적으로 사용된 분자체는 약 37 kBq의 Cu-64를 흡착시켜 폐종양을 모사하였다. 소동물 PET 영상은 Siemens Inveon 스캐너를 이용하여 획득하였으며 외부 움직임 데이터는 트리거 생성 장치인 BioVet을 이용하였다. SD-Rat PET 영상은 $^{18}F$-FDG 37 MBq/0.2 mL을 미정맥으로 주사하고 60분 후 20분간 데이터를 획득하였다. 리스트모드 데이터의 각 선응답은 외부 트리거 장치에 의해 획득된 트리거신호를 이용하여 2 bin에서 16 bin으로 사이노그램을 획득하였다. 획득된 사이노그램 데이터는 OSEM 2D 알고리즘을 이용하여 4회의 반복으로 재구성하였다. 종양의 정량적 분석을 위한 PET 영상은 종양을 묘사한 분자체 영역에 관심영역을 설정하고 계수와 SNR 그리고 FWHM을 이용하여 평가하였다. 움직임 표적으로 사용된 분자체의 크기는 $1.59{\times}2.50mm$이었으며, 기준 영상으로 획득한 체외 분자체 수직 및 수평 FWHM은 $2.91{\times}1.43mm$이었다. 정적영상과 4 bin 그리고 8 bin 영상에서의 수직 FWHM은 각각 3.90 mm, 3.74 mm, 3.16 mm이었으며 수평 FWHM은 각각 2.21 mm, 2.06 mm, 1.60 mm이었다. 정적영상, 4 bin, 8 bin, 12 bin 그리고 16 bin의 계수 값은 각각 4.10, 4.83, 5.59, 5.38, 5.31이었다. 정적영상, 4 bin, 8 bin, 12 bin 그리고 16 bin의 SNR은 4.18, 4.05, 4.22, 3.89, 3.58이었다. FWHM은 게이트 수의 증가에 따라 계속 향상됨을 확인하였다. 그러나 계수 값과 SNR은 게이트 수의 증가에 따라 계속 향상되지 않고 특정 bin 수에서 가장 높은 값을 보여 소동물 폐 영역에서의 종양 영상화시 SNR의 손실을 최소화하면서 향상된 계수 값을 얻을 수 있는 게이트 수를 획득하였다. 내부 움직임 측정은 최적화된 종양 국소화 영상을 획득할 수 있으며 외부 움직임 모니터링 시스템을 사용하지 않고 장기별 움직임 예측 모델링을 위한 유용한 방법이 될 것으로 기대된다.

Lung Ventilation SPECT에서 LEAP Collimator의 유용성에 관한 연구 (The Study on Usefulness of LEAP Collimator in Lung Ventilation SPECT)

  • 김정수;김수미;김진의;이재성;이동수
    • 핵의학기술
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    • 제16권2호
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    • pp.18-24
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    • 2012
  • Lung SPECT는 planar scan 보다 깊이 위치한 병변을 명확히 보여주며 보다 예민한 것으로 보고되고 있다. 그러나 ventilation SPECT는 정맥주사를 통해 방사성의약품을 주입하는 perfusion SPECT와 다르게 환자의 호흡을 통해 흡입시키므로, 원활한 호흡이 불가능한 환자의 경우 목적 장기에 방사성의약품의 섭취율이 저하되고 검사에 유효한 적정count/rate가 낮아지므로 필연적으로 검사시간이 길어지게 되어 이에 수반되는 여러 문제로 인하여 실제 임상에 적용하기 어려운 실정이다. 따라서 본 연구는 고감도(high sensitivity) 특성을 지닌 AP (All Purpose) 혹은 GP (General Purpose) collimator를 사용하여 low count/rate 환자의 검사시간을 단축시킴으로써 lung ventilation SPECT 임상적용 가능성과 유용성을 평가하였다. 정상 성인 남녀 4명($24.3{\pm}0.95$세)을 실험대상으로 Technegas 370 MBq을 흡입시키고, E.cam SPECT를 사용하여 count/rate를 측정한 후, LEUHR, LEHR, LEAP collimator를 장착하여 300counts acquisition 조건으로 ANT, POST, LPO, RPO, both-LAT 총 6 view의 lung ventilation planar scan 하였다. 동일 실험 대상자를 본원에서 사용하던 기존 프로토콜을 적용하여 70 kcounts/view acquisition 조건으로 high counting mode SPECT를 시행하고, 같은 방법으로 7kcounts/view acquisition하여 비교 실험인 low counting mode SPECT를 시행한 후 모든 실험의 결과를 lung segmentation ratio와 검사 소요시간을 통해 비교하여 분석하였다. 각 실험군 사이의 상관관계를 분석하기 위해 paired t-test를 시행하였고, p값이 0.05를 초과할 때 실험의 통계적 의미가 있는 것으로 판단하였다. 모든 자료의 통계처리는 SPSS ver. 20을 사용하였으며, 각 실험 결과는 산술 및 기하 평균(mean)을 구하고${\pm}$표준편차(SD)를 산출하였다. 실험 결과 lung planar scan은 300 kcounts/6 iew를 acquisition하여 총 1,800 kcounts를 획득하였다. 반면 7 kcounts/view로 acquisition한 low counting mode SPECT의 경우 collimator 종류에 따라서 최소 773 kcounts에서 최대 1,106 kcounts를 획득하였고, 70 kcounts/view로 acquisition한 high counting mode SPECT의 경우 collimator 종류에 따라서 최소 7,984 kcounts에서 최대 10,222kcounts를 획득하였다. 모든 실험 자료를 통해 실험대상 4명의 lung segmentation ratio를 산출하고, 평균값과 표준편차를 계산한 결과, LT:RT lung ratio는 순서대로 각각 45.5:54.5 (${\pm}0.26$), 45.4:54.6 (${\pm}0.40$), 50.1:49.9 (${\pm}0.28$), 49.4:50.6 (${\pm}0.57$)이었다. 따라서 정량분석한 결과 planar scan과 low, high counting mode SPECT사이 collimator 종류에 의한 lung segmentation ratio는 오차 범위내에 모두 존재하였다. 보다 자세한 분석을 위해 기존의 LEHR collimator를 장착한 planar scan과 비교 실험인 LEAP collimator를 장착한 low counts mode SPECT를 통계처리한 결과 p-value가 0.10이상으로 두 실험의 결과는 통계적으로 유의하였다. 실험에 소요된 시간을 분석한 결과 planar scan은 LEUHR, LEHR, LEAP collimator 순서로 각각 $1803{\pm}268$ sec, $915{\pm}162$ sec, $501{\pm}134$ sec이었고, 비교실험인 low counting mode SPECT는 $1125.5{\pm}103.6$ sec, $900{\pm}64$ sec, $740{\pm}0$ sec 이었으며, 본원에서 사용하던 기존 프로토콜인 high counting mode SPECT는 $5794.5{\pm}946.5$ sec, $3620{\pm}397.9$ sec, $2020{\pm}104.5$ sec이었다. 관심실험인 LEAP collimator를 장착한low counting mode SPECT의 검사 소요시간 740 sec에 비하여, 기존 본원의 프로토콜인 LEHR collimator를 장착한 high counting mode SPECT의 검사 소요시간 평균은 3620sec이므로, 약 5배 정도 시간 단축이 가능한 것으로 조사되었으며, 모든 실험의 정량분석 결과도 임상적으로 유의한 것으로 분석되었다. 결국 high sensitivity LEAP collimator를 장착하여 lung SPECT를 시행하면, 임상적으로 유의한 정량분석 결과를 얻을 수 있으며, 동시에 검사시간을 효과적으로 단축시킬 수 있음을 의미한다.

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