• Journal of Korean Neurosurgical Society
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• 제43권6호
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• pp.288-293
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• 2008

Objective : Bone cement leakage is a well-known potential complication of percutaneous vertebroplasty (PVP) in patients with osteoporotic compression fracture. Even though there has been a controversy in the efficacy of antecedent venography to prevent this complication, many authors have performed intra osseous venography before bone cement injection. The goal of this study was to classify the venous drainage patterns of spine before PVP, and compare their patterns at different vertebral levels. Methods : The authors retrospectively reviewed 1,042 intraosseous venographic patterns in 321 patients with 574 osteoporotic compression fractures during six-year period in one institution. To classify venogram patterns, we selected simple lateral X-ray of spine taken immediately after injection of the contrast dye. We classified the venography patterns according to contrast leakage pattern and leakage direction as follows; trabecular (TR), trabecular anterior (TA), trabecular posterior (TP), trabecular anterior-posterior (TAP), trabecular lateral (TL), venous anterior(VA), venous posterior (VP), venous anterior-posterior (VAP), soft tissue (ST). Also, we compared venogram patterns according to different spinal levels. Results : In overall, the most common pattern was TP type accounting for 37.4% (390/1042) of all intraosseous venograms. This is followed by TAP in 21.5%, TR 17.4%, TA 116%, TL 5.8%, ST 4.1%, VA 1.2%, VP 0.6%, and VAP 0.4% in descending order of frequency. According to the spinal level, TR and TAP types were most common in thoracic spine (T6-T10), TP type was most common in thoraco-Iumbar spine (T11-L2), and TP and TAP types were most common in lumbo-sacral spine (L3-S1). Contrast dye leakage to soft tissue such as psoas muscle or disc were detected in 43 (4.1%) venograms. Direct venous drainage without staining of vertebral body was found in 23 (2.2%) venograms. The 8.3% of thoracic venogram showed direct venous drainage. Thoracic level showed a more tendency of direct venous drainage than other spine levels (p<001). Conclusion : The authors propose a new classification system of intra osseous venography during PVP. The trabecular-posterior (TP) type is most common through all spine, and venous-filling (V) type was most frequent in thoracic spine. Further study would be necessary to elucidate the efficacy of this classification system to prevent bone cement leakage during PVP.

• 정보처리학회논문지:소프트웨어 및 데이터공학
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• 제3권8호
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• pp.329-334
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• 2014

본 논문에서는 마이크로 CT 영상에서 해면뼈의 형태학적 분석을 위하여 해면뼈를 자동 분할하는 방법을 제안한다. 제안된 방법에서는 임계값을 이용하여 뼈 영역을 추출하고 뼈의 바깥쪽 경계선을 검출한다. 뼈 영역의 각 복셀에 대하여 구 정합을 적용하여 해당 복셀을 중심으로 하는 최대 크기의 구를 구한다. 이 구에 뼈의 바깥쪽 경계선이 포함되면 이 구에 포함된 복셀들은 치밀뼈로 분류되고 그렇지 않으면 해면뼈로 분류된다. 제안된 방법을 쥐의 15개 대퇴골 원위부 영상에 적용하였으며 사람이 수작업으로 분할한 결과와 비교 실험을 수행하였다. 분할된 해면뼈에 대하여 BV/TV, Tb.Th, Tb.Sp, Tb.N의 네 가지 형태학적 지표자를 측정하였다. 회귀분석과 Bland-Altman 방법으로 비교해본 결과 BV/TV, Tb.Th, Tb.Sp, Tb.N 모두 신뢰할 만한 수준의 범위 안에 있었다. 또한 구 정합 방법은 단순하게 구현할 수 있으면서도 3차원 정보를 이용함으로써 해면뼈를 정확하게 분할할 수 있음을 알 수 있었다.

• Journal of Korean Neurosurgical Society
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• 제65권2호
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• pp.204-214
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• 2022

Objective : Osteoporosis result from age-related decline in the number of osteoblast progenitors in the bone marrow. Probiotics have beneficial effects on the host, when administered in appropriate amounts. This study investigated the effects of probiotics expressing specific genes, especially the effects of genetically modified bone morphogenetic protein (BMP)-2-expressing Lactobacillus plantarum CJNU 3003 (LP) on ovariectomized rats. Methods : Twenty-eight female Wistar rats (250-300 g, 12 weeks old) were divided into four groups : the sham (control), the ovariectomy (OVX)-induced osteoporosis group (OVX), the OVX and LP (OVX/LP), OVX and genetically modified BMP-2-expressing LP (OVX/LP with BMP) groups. The three groups underwent bilateral OVX and two of these groups were administered two different types of LP via oral gavage daily. At 16 weeks post-OVX, blood was collected from the heart and the bilateral tibiae were extracted and were scanned by ex-vivo micro-computed tomography and stained with hematoxylin-and-eosin (H&E) and Masson's trichrome stain for pathological assessment. The serum levels of osteocalcin (OC), rat C-telopeptide of type I collagen (CTX-I), BMP-2, and receptor activator of nuclear factor-ĸB ligand (RANKL) were measured. Results : The 3D-micro-computed tomography images showed that the trabecular structure in the OVX/LP with BMP group was maintained compared with OVX and OVX/LP groups. No significant differences were detected in trabecular thickness (Tb.Th) between control and OVX/LP with BMP groups (p>0.05). Furthermore, a tendency toward increased BMD, trabecular bone volume, Tb.Th, and trabecular number and decreased trabecular separation was found in rats in the OVX/LP with BMP groups when compared with the OVX and OVX/LP groups (p>0.05). The H&E and Masson's trichrome stained sections showed a thicker trabecular bone in the OVX/LP with BMP group compared with the OVX and OVX/LP groups. There was no difference in serum levels of OC, CTX and RANKL control and OVX/LP with BMP groups (p>0.05). In contrast, significant differences were found in OC and CTX-1 levels between the OVX and OVX/LP with BMP groups (p<0.05). Conclusion : Our results showed that the expression of genetically modified BMP-2 showed inhibition effect for bone loss in a rat model of osteoporosis.

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2006년도 추계학술대회 논문집
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• pp.127-128
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• 2006

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2007년도 춘계학술대회 논문집
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• pp.701-702
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• 2007

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2004년도 춘계학술대회 논문요약집
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• pp.296-296
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• 2004

실험상의 어려움으로 인하여 생체역학 분야에서 유한요소법은 최선의 대안으로 여겨지고 있다. 또한, CT를 비롯한 여러 디지털 장비로부터 얻은 영상데이터를 이용하여 유한요소모델을 생성하는 방법으로 모델 생성 속도의 향상을 가져와 더욱 효율을 높이고 있다. 그러나, 일반 CT의 해상도를 가지고는 골(bone) 변화의 주를 이루고 있는 해면골(trabecular bone)의 변화를 파악하기에는 큰 어려움이 따른다. 이에 본 논문에서는 10~20$\mu\textrm{m}$ 정도까지의 해상도를 가지는 Micro-CT의 영상데이터를 이용하여 유한요소 모델을 생성하고 해석하여 보았다.(중략)

• 한국정밀공학회지
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• 제27권1호
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• pp.134-141
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• 2010

This study analyzed the regional morphological and mechanical characteristics of vertebrae by using micro-computed tomography (micro-CT) and micro finite element analysis (FEA). For the present study, the $12^{th}$ human thoracic vertebral bones (an 85-years female and a 48-years male) were used. These were scanned by using micro-CT. Structural parameters were evaluated from the acquired 20 image data for fifteen $4{\times}4mm^2$ regions (five regions in respective layers of superior, middle and inferior part) in the thoracic vertebral trabecular bones. $4{\times}4{\times}4mm^3$ cubic finite element models of each regions were created at $70{\mu}m$ voxel resolution to investigate effective modulus ($E^+$). The present study indicated that there were significant differences in morphological and elastic mechanical characteristics of each region. There are close relationship between effective modulus and structural model index (SMI) in the bone of the 48-years male and between effective modulus and bone volume fraction (BV/TV) in the bone of the 85-years female. In addition, the effective modulus of central regions is about 80% stiffer than that of lateral regions at transverse plane. These findings may be likely to explain the previous result that a change of loading distribution of the vertebral trabecular bones is caused by spinal curvature and nucleus pulpous degeneration of the intervertebral disc.

• 대한의용생체공학회:의공학회지
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• 제22권5호
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• pp.419-424
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• 2001

골다공증의 조기 발견 및 치료예후에도 영향을 미치는 망상골 구조의 영률(Young's Modulus)은 그 대상이 사람이므로 일반적인 인장 및 압축시험으로 구해내기는 불가능한 실정이다. 본 연구에서는 망상골 구조가 지니고 있는 영률을 평가함에 있어서 구형압입시험을 통하여 망상골 구조의 영률을 구하고자 하였으며 이를 전산화단층촬영(CT)에서부터 얻을 수 있는 밀도와 실제 측정해서 얻은 밀도와의 관계를 정량화하고자 한다. 31세 남성의 좌우 원위 대퇴골을 해부학적 좌표를 고려하여 고정한 다음 GE9800 CT장비를 사용하여 Imm간격으로 단층촬영을 실시하였으며. 각 영상으로부터 CT수(HU)를 구하였다 Dliamond saw를 사용하여 좌우 대퇴골으로부터 72개의 8mm 정방형 시편들을 추출하였으며. 제작한 구형압입시험기를 사용하여 각 시편의 IS. AP. 그리고 ML방향으로의 압입시험과 압축시험을 각각 실시하였으며, 이후 시편의 실제 겉보기 밀도를 측정하였다. 그 결과 IS방향의 영률이 AP 및 ML방향보다 유의하게 크게 나타났으며, AP방향의 영률 역시 ML방향보다 유의하게 큰 영률을 나타냄을 통하여 망상골의 직교성을 알 수 있었다. CT수와 각 방향의 영률과의 관계에서도 선형적 관계보다는 멱관계로 보다 더 잘 설명되어짐을 알 수 있었는데 이는 이전의 연구자들과 동일한 결과임을 알 수 있었다

• 한국멀티미디어학회논문지
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• 제17권3호
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• pp.342-352
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• 2014

본 논문에서는 마이크로 CT 영상에서 치밀뼈와 해면뼈의 자동 분할 방법을 제안하고 분할된 해면뼈의 형태학적 분석 방법의 구현에 대해 기술한다. 제안된 분할 방법에서는 임계값을 이용하여 뼈 영역을 추출한다. 그 다음에는, 뼈의 바깥 경계선부터 안쪽 방향으로 인접한 경계선을 찾아 치밀뼈 후보 영역을 설정한다. 치밀뼈 후보 영역들 중에서 평균 픽셀값이 최대가 되는 지점을 후보 영역을 탐색하여 치밀뼈를 제거한다. 분할된 해면뼈에 BV/TV, Tb.Th, Tb.Sp, Tb.N의 네 가지 형태학적 지표자들을 계산하는 방법을 VTK(Visualization ToolKit)와 구 정합 알고리즘을 이용하여 구현하였다. 구현된 방법을 쥐의 20개 대퇴골 근위부 영상에 적용하였으며 사람이 수작업으로 분할하는 방법과 비교 실험을 수행하였다. 실험 결과 네 가지 형태학적 지표자 모두 수작업으로 분할한 경우와 자동으로 분할한 경우 3% 이내의 평균 오차율을 보여 제안된 방법은 번거로운 수작업 분할 대신 사용될 수 있음을 알 수 있었다.

• 대한한방부인과학회지
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• 제19권1호
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• pp.81-96
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• 2006

Purpose : this study is to examine what are the effects of the Sintongchukeatang(SCT) on the ovariectomized rat model of postmenopausal osteoporosis. Methods : 12weeks Female Sprague-Dawley 30 rats of weighting 250-300g, were divided into three groups including the sham operation groups(10heads) and overiectomy groups(10heads). then we observed changes in the body weight serum metabolic products and femoral trabecular bone. Results : 1. The level of serum ALP activity in control group showed significant increase in comparison with sham, but that in SCT-treated was significantly decreased in comparison with control. 2. The level of serum GOT in control group showed no change in comparison with sham, but that in SCT-treated was significantly decreased in comparison with control. The level of serum GPT did not significant change among the three groups. 3. The level of serum estrogen in control group showed slightly decreased in comparison with sham, but that in SCT-treated showed no change in comparison with control. 4. Trabecular bone area as well as trabecular thickness in control group showed significant decrease in comparison with sham. Those in SCT-treated showed significant increase in comparison with control. 5. Trabecular separation only in SCT-treated showed significant decrease in comparison with control. 6. Osteoclast number and oseoblast surface in control group showed significant increase in comparison with sham. Those in SCT-treated showed significant decrease in comparison with control. Conclusion : SCT has shown to be capable of preventing and curing osteoporosis caused by old-aged and postmenopause.