• 대한두개안면성형외과학회지
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• 제22권4호
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• pp.177-182
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• 2021

Background: Although prompt surgery after an orbital fracture is preferable, the actual timing of surgery in real-world settings varies. Therefore, this study investigated the outcomes of implant surgery for inferior orbital wall fractures by comparing three groups according to the time interval between the injury and surgery. Methods: A retrospective review was conducted of patients' medical charts and initial computed tomography images from 2009 to 2020. The time to treatment was chosen by patients or their guardians based on the patients' comorbidities and the physician's explanation. The patients were divided into three groups according to the time of surgery (group 1: 3-7 days, group 2: 8-14 days, group 3: 15 or more days). Data were collected on age, the time interval until surgery, the dimensions of the defect, the operation time, the follow-up period, and the postoperative paresthesia score (ranging from 0 to 10). The outcomes were evaluated using a 4-point scale: 4=good (no complications), 3=fair (no subjective symptoms), 2=poor (remaining paresthesia), and 1=very poor (strabismus and/or enophthalmos). Results: The study included 85 patients with unilateral fractures who underwent surgery from 3 to 93 days after injury. The overall score distribution of the surgical outcomes was as follows: good=63, fair=7, poor=6, and very poor=9. The three groups showed no significant differences in the transverse dimension of the injury (p=0.110) or the anteroposterior dimension (p=0.144). In groups 1, 2, and 3, the postoperative outcome scores were 3.84±0.37, 3.63±0.87, and 2.93±1.33 (p=0.083), and the percentage of patients with good outcomes was 84%, 81.25%, and 57.14%, respectively. Conclusion: Performing surgery using an artificial implant within 2 weeks of the injury showed better outcomes and fewer postoperative complications than when treatment was delayed.

• Korean Journal of Radiology
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• 제22권9호
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• pp.1481-1489
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• 2021

Objective: To construct a CT-based Fagotti scoring system by analyzing the correlations between laparoscopic findings and CT features in patients with advanced ovarian cancer. Materials and Methods: This retrospective cohort study included patients diagnosed with stage III/IV ovarian cancer who underwent diagnostic laparoscopy and debulking surgery between January 2010 and June 2018. Two radiologists independently reviewed preoperative CT scans and assessed ten CT features known as predictors of suboptimal cytoreduction. Correlation analysis between ten CT features and seven laparoscopic parameters based on the Fagotti scoring system was performed using Spearman's correlation. Variable selection and model construction were performed by logistic regression with the least absolute shrinkage and selection operator method using a predictive index value (PIV) ≥ 8 as an indicator of suboptimal cytoreduction. The final CT-based scoring system was internally validated using 5-fold cross-validation. Results: A total of 157 patients (median age, 56 years; range, 27-79 years) were evaluated. Among 120 (76.4%) patients with a PIV ≥ 8, 105 patients received neoadjuvant chemotherapy followed by interval debulking surgery, and the optimal cytoreduction rate was 90.5% (95 of 105). Among 37 (23.6%) patients with PIV < 8, 29 patients underwent primary debulking surgery, and the optimal cytoreduction rate was 93.1% (27 of 29). CT features showing significant correlations with PIV ≥ 8 were mesenteric involvement, gastro-transverse mesocolon-splenic space involvement, diaphragmatic involvement, and para-aortic lymphadenopathy. The area under the receiver operating curve of the final model for prediction of PIV ≥ 8 was 0.72 (95% confidence interval: 0.62-0.82). Conclusion: Central tumor burden and upper abdominal spread features on preoperative CT were identified as distinct predictive factors for high PIV on diagnostic laparoscopy. The CT-based PIV prediction model might be useful for patient stratification before cytoreduction surgery for advanced ovarian cancer.

• Korean Journal of Radiology
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• 제25권1호
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• pp.74-85
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• 2024

Objective: Idiopathic intracranial hypertension (IIH) is a condition of unknown etiology associated with venous sinus stenosis. This study aimed to develop a magnetic resonance venography (MRV)-based radiomics model for predicting a high trans-stenotic pressure gradient (TPG) in IIH patients diagnosed with venous sinus stenosis. Materials and Methods: This retrospective study included 105 IIH patients (median age [interquartile range], 35 years [27-42 years]; female:male, 82:23) who underwent MRV and catheter venography complemented by venous manometry. Contrast enhanced-MRV was conducted under 1.5 Tesla system, and the images were reconstructed using a standard algorithm. Shape features were derived from MRV images via the PyRadiomics package and selected by utilizing the least absolute shrinkage and selection operator (LASSO) method. A radiomics score for predicting high TPG (≥ 8 mmHg) in IIH patients was formulated using multivariable logistic regression; its discrimination performance was assessed using the area under the receiver operating characteristic curve (AUROC). A nomogram was constructed by incorporating the radiomics scores and clinical features. Results: Data from 105 patients were randomly divided into two distinct datasets for model training (n = 73; 50 and 23 with and without high TPG, respectively) and testing (n = 32; 22 and 10 with and without high TPG, respectively). Three informative shape features were identified in the training datasets: least axis length, sphericity, and maximum three-dimensional diameter. The radiomics score for predicting high TPG in IIH patients demonstrated an AUROC of 0.906 (95% confidence interval, 0.836-0.976) in the training dataset and 0.877 (95% confidence interval, 0.755-0.999) in the test dataset. The nomogram showed good calibration. Conclusion: Our study presents the feasibility of a novel model for predicting high TPG in IIH patients using radiomics analysis of noninvasive MRV-based shape features. This information may aid clinicians in identifying patients who may benefit from stenting.

• Structural Engineering and Mechanics
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• 제63권4호
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• pp.551-565
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• 2017

In this paper, an analytical approach is proposed for determining vibration characteristics of cracked non-uniform continuous Timoshenko beam carrying an arbitrary number of spring-mass systems. This method is based on the Timoshenko beam theory, transfer matrix method and numerical assembly method to obtain natural frequencies and mode shapes. Firstly, the beam is considered to be divided into several segments by spring-mass systems and support points, and four undetermined coefficients of vibration modal function are contained in each sub-segment. The undetermined coefficient matrices at spring-mass systems and pinned supports are obtained by using equilibrium and continuity conditions. Then, the overall matrix of undetermined coefficients for the whole vibration system is obtained by the numerical assembly technique. The natural frequencies and mode shapes of a cracked non-uniform continuous Timoshenko beam carrying an arbitrary number of spring-mass systems are obtained from the overall matrix combined with half-interval method and Runge-Kutta method. Finally, two numerical examples are used to verify the validity and reliability of this method, and the effects of cracks on the transverse vibration mode shapes and the rotational mode shapes are compared. The influences of the crack location, depth, position of spring-mass system and other parameters on natural frequencies of non-uniform continuous Timoshenko beam are discussed.

• 한국복합재료학회:학술대회논문집
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• 한국복합재료학회 2002년도 추계학술발표대회 논문집
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• pp.127-130
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• 2002

The 2.5 vol% TiNi/6061Al composites were fabricated by permanent mold casting, and its microstructures and tensile test for the cold rolled composites with maximum 50% reduction ratio were investigated. In the case of TiNi fiber with 2mm interval in preform, the interface bonding of fabricated composites were good. EPMA analysis results were found the small amount of Mg, Si segregated interface of diffusion layer. Transverse section of TiNi fiber was decreased with increasing reduction ratio and 40% reduction ratio was observed microcrack from TiNi fiber. And the tensile strength of composites at 38% reduction ratio was 194MPa. In the case of over 38% reduction ratio, the decrease of the tensile strength was due to TiNi fiber rupture by excess working. The fracture mode was appeared brittle fracture with increasing reduction ratio

• 소음진동
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• 제7권2호
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• pp.209-214
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• 1997

균열을 가진 회전축은 고조파성분이 진동에 나타나는 특징을 갖는다. 이 고조파성분을 균열탐지에 활용하기 위하여는 이들이 크게 발생되는 회전수를 이용할 필요가 있다. 2차고조파공진속도를 정의하여 이 속도에서의 균열과 불균형질량 방위각에 따른 고조파 진동 특성을 단순회전체에서 설명하였다. 이 특성을 이용하여 균열의 위치를 나타낼 수 있는 알고리즘을 만들고 수치실험을 하여 타당성을 보였다.

• 한국소음진동공학회논문집
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• 제12권2호
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• pp.132-140
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• 2002

A simply supported pipe conveying fluid and the moving masses upon it constitute this vibrational system. The equation of motion is derived by using Lagrange's equation. The influence of the velocity and the inertia force of the moving masses and the velocities of fluid flow in the pipe have been studied on the dynamic behavior of a simply supported pipw by numerical method. The velocities of fluid flow are considered within its critical values of the simply supported pipe without the moving masses upon it. Their coupling effects on the transverse vibration of a simply supported pipe are inspected too. The dynamic deflection of the simply supported pipe conveying fluid is increased by a coupling of the moving masses and the velocities of the moving masses and the fluid flow. When four or five regular interval masses move on the simply supported pipe conveying fluid, the amplitude of the simply supported pipe conveying fluid is small at low velocity of the masses, but at high velocity of the masses the deflection of midspan of the pipe is increased by coupling with the numbers and magnitude of the masses. The time which produce the maximum dynamic deflection of the simply supported pipe is delayed according to the increment of the number of moving masses.

• 한국재료학회지
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• 제11권12호
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• pp.1028-1034
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• 2001

The 2.5 vol% TiNi/6061Al composites were fabricated by permanent mold casting. The microstructures and tensile test for the cold rolled composites with maximum 50% reduction ratio were investigated. In the case of TiNi fiber with 2mm interval in preform, the interface bonding of fabricated composites were good, interface diffusion layer of this composites was made by the mutual diffusion. Transverse section of TiNi fiber was decreased with increasing reduction ratio and longitudinal section of TiNi fiber showed multiple wave phenomenon. And the tensile strength of composites at 38% reduction ratio was the most high. In the case of over 38% reduction ratio, the decrease of the tensile strength was due to TiNi fiber rupture by excess working. The fracture mode was appeared brittle fracture with increasing reduction ratio.

• Composites Research
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• 제16권4호
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• pp.29-35
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• 2003

본 논문에서는 직물 복합재료의 제조된 드레이핑 헬맷의 등가 토우 두께, 종방향 토우의 진폭, 토우 간격 등의 여러 가지 토우 파라메터들을 관찰하고, 현미경 관찰을 통해 직물 복합재료 구조의 각 방향에 따른 미세 변형을 서로 비교하였다. 또한 이러한 관찰 결과들을 동일한 토우 구조를 가지는 견직물 시편을 이용한 일방향 편향 인장실험, 이축 인장실험 결과와 비교하였으며, 오토클레이브에서 경화된 여러 가지 선형 조건을 가진 시편들과도 비교하였다. 직물 복합재료(새틴 직물 복합재료)로 제작된 드레이핑 힐멧으로부터 현미경 관찰 시편을 얻었으며, 각 시편의 종방향과 횡방향에 대해 각각 관찰하였다 관찰 결과로 부터, 토우 방향에 따른 서로 다른 변형 패턴을 확인할 수 있었으며 드레이핑 공정 중 금형의 기하학적 조건이 직물 복합재료의 변형에 미치는 영향을 확인하였다.

• 한국해양공학회지
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• 제30권3호
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• pp.169-176
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• 2016

Considering the artificial reef (AR) canyon intervals facilitated by flatly distributed placement models, the wake volumes of 25 AR sets were characterized through the following works. First, twenty-five different canyon intervals were established to investigate how the intervals affect the wake volumes of the AR placement models, each with nine cube-type ARs. Second, the element-based finite-volume method was used to facilitate flow analyses. Third, the so-called wake volume concept was adopted, and finally a reasonable placement interval was found based on the size of the wake volumes and the associated unit propagation indices. From the analysis results, it was found that a maximum wake volume of 25.18 m³ was generated when the longitudinal and transverse intervals were fixed at 6 m and 0 m, respectively. Thus, to magnify the wake volume, it is recommended that artificial reefs be placed at intervals of 6 m (3 times the reef length) in the flow direction, with no intervals in the normal direction, implicitly indicating that an intensively stacked placement model is a better option to efficiently secure a larger wake volume for the cube-type ARs.