• 대한의용생체공학회:학술대회논문집
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• 대한의용생체공학회 1994년도 추계학술대회
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• pp.88-91
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• 1994

It is well known that multipoint and computerized intraoperative mapping systems improve the results of surgery for Wolff-Parkinson-White syndrome and show tremendous potential for opening an entirely new era of surgical intervention for the more common and lethal types of supraventricular tachyarrhythmias such as atrial flutter and atrial fibrillation. In addition, the ability to map and ablate the sometimes fleeting automatic atrial tachycardia is greatly enhanced by computerized mapping systems. In this study, we have developed 64 channel computerized data analysis system using microcomputer (Macintosh IIx) for basic research of electrophysiology and electrical propagation. The bipolar electrogram information is acquired from 64 cardiac sites simultaneously at a sampling rate of 1ksamples/sec with continuous and total data storage of up to 30 seconds. When the reference electrogram is selected and reference point is picked up, delay time from the reference point in displayed on two dimensional diagram of the heart. System design permits easy expansion to almost 256 simultaneous sites, This system is expected to enable us to study pathophysiology of cardiac arrhythmia and to improve the results of diagnosis and surgical treatment for cardiac arrhythmia.

• 한국산학기술학회논문지
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• 제14권12호
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• pp.6346-6352
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• 2013

직장암의 방사선치료는 정지된 영상을 이용하였다. 하지만 방사선치료 시 환자의 움직임이 발생된다. 이에 직장암 환자 14명을 대상으로 치료시간과 체형에 따른 기법별 자세오차를 비교하고자 하였다. 또한 평균오차에 대한 기법별 선량학적 변화량을 비교하였다. 비교를 통해 치료기법 선택의 기준을 마련하고자 하였다. 측정결과 3DCRT와 VMAT은 치료시간 및 자세오차가 비슷하였다. 이에 비해 IMRT는 치료시간이 약 2배, 자세오차는 약 4배 증가하였다. 체형에서는 비만형일수록 모든 치료기법에서 자세오차가 증가하였다. 선량평가에서는 소장측면에서는 동일한 오차에 대해 IMRT와 VMAT이 3DCRT에 비해 큰 폭의 선량증가를 보였다. 따라서 비만형인 직장암 환자의 경우 치료시간이 짧은 3DCRT를 적용하여야 한다. 소장의 피폭이 많을 경우에는 IMRT보다는 VMAT을 선택하여야 한다.

• Journal of Korean Neurosurgical Society
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• 제42권1호
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• pp.35-41
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• 2007

Objective : Determining the location of paraclinoid aneurysms for microsurgery is important for selecting treatment options, especially when deciding on the release of the dural ring in direct clipping. We examined the reliability of using the optic strut as an anatomical landmark for evaluating the location of paraclinoid aneurysms. Methods : Cadaveric dissection was performed to establish the relationship of the optic strut to the dural ring. Results from these anatomic studies were compared with the three-demensional computed tomographic angiographic [3D-CTA] findings of nine patients with ten paraclinoid aneurysms between May 2004 and October 2005. These, 3D-CTA results were then compared with intraoperative findings. Results : The inferior boundary of the optic strut accurately localized the point at the proximal dural ring in cadaveric study. The optic strut and its relationship to the aneurysms was well observed on the multiplanar reformats of 3D-CTA. During microsurgery, nine of ten aneurysms were verified to arise from distal to the upper surface of the optic strut. Two aneurysms that had arisen between the inferior and superior boundary of the optic strut were observed to lie within the carotid cave. One aneurysm which had arisen at the inferior boundary of the optic strut and directed inferiorly was observed to lie within the cavernous sinus just after the release of the proximal ring. Conclusion : The optic strut, as identified with multiplanar reformats of 3D-CTA, provided a reliable anatomic landmark for the proximal rings and an important information about the location of aneurysms around the anterior clinoid process (ACP). Therefore, 3D-CTA and the optic strut could become an invaluable tool and a landmark in the assessment of the location of paraclinoid aneurysms for microsurgery.

• Journal of Acupuncture Research
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• 제29권5호
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• pp.17-29
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• 2012

Objectives : The purpose of this study is to find the effects of Sa-Am lung tonifying acupuncture on radial pulse through the parameters difference. Methods : Forty healthy subjects participated in this study, acupuncture group and control group were divided. Compared various parameters of radial pulse between two groups, and the significantly changed 16 parameters ware measured using 3 dimensional pulse imaging system(DMP-3000) before, right after, 30 minutes after, and 60 minutes after acupuncture at Chon, Gwan, Cheok in acupucture group. Results : After lung tonifying acupuncture, radial pulse 16 parameters were showed changes significantly according to the time at each measuring location. 1. Heart rate, T2/T, T5, T5/T and W/T significantly decreased, W significantly increased. 2. Modulus of elasticity significantly decreased in left Cheok. 3. Amplitude of H4 significantly increased in left Gwan and right Cheok. 4. AIx, AIxHR significantly decreased in left Gwan and significantly increased in right Chon. 5. Area of pulse, area of W significantly increased in right Cheok. 6. Pulse energy, energy/min, EIx significantly decreased in left Cheok. 7. Maximum variation time of each parameter is showed different according to the parameter. Conclusions : Lung tonifying acupuncture exerts an influence on radial purse parameters. Further radial pulse change study on various acupuncture treatment is required.

• Imaging Science in Dentistry
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• 제46권3호
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• pp.179-184
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• 2016

Purpose: In the present study, we coined the term 'alveolar dome' and aimed to demonstrate the prevalence of alveolar domes through digital periapical radiographs. Materials and Methods: This study examined 800 digital periapical radiographs in regard to the presence of alveolar domes. The periapical radiographs were acquired by a digital system using a photostimulable phosphor (PSP) plate. The ${\chi}^2$ test, with a significance level of 5%, was used to compare the prevalence of alveolar domes in the maxillary posterior teeth and, considering the same teeth, to verify the difference in the prevalence of dome-shaped phenomena between the roots. Results: The prevalence of alveolar domes present in the first pre-molars was statistically lower as compared to the other maxillary posterior teeth (p<0.05). No statistically significant difference was observed in the prevalence of alveolar domes between the maxillary first and second molars. Considering the maxillary first and second molars, it was observed that the palatal root presented a lower prevalence of alveolar domes when compared to the distobuccal and mesiobuccal roots (p<0.05). Conclusion: The present study coined the term 'alveolar dome', referring to the anatomical projection of the root into the floor of the maxillary sinus. The maxillary first and second molars presented a greater prevalence of alveolar domes, especially in the buccal roots, followed by the third molars and second pre-molars. Although the periapical radiograph is a two-dimensional method, it can provide dentists with the auxiliary information necessary to identify alveolar domes, thus improving diagnosis, planning, and treatment.

• 대한구순구개열학회지
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• 제6권2호
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• pp.91-105
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• 2003

There are significant limitations in the precision of mandibular distraction in setting a desired occlusal and facial esthetic outcome. The purpose of this study is to present the simulation method for the distraction osteogenesis treatment planning. 3-D surgery simulation software programs V-works and V-Surgery(Cybermed, Seoul, Korea) were used from the 3D CT data in addition to the conventional data facial photography, panorama and cephalogram, dental cast model. We have utilized already for the various surgical procedures to get information preoperatively for the maxillofacial surgery like cancer localization and reconstructive surgery, orthognathic surgery and implant surgery in the department of Oral and Maxillofacial surgery, Seoul National University Hospital. On the software, bone cutting can be done at any place and any direction. Separated bone segment can be mobilized in all 3 dimensional direction. After the 3D simulation on the software program, mock surgery on the RP model can be performed. This planning method was applied to two hemifacial microsomia patients. With this protocol, we could simulate the movement of bony segment after maxillofacial distraction osteogenesis

• 대한치과교정학회지
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• 제50권5호
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• pp.324-335
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• 2020

Objective: To compare postoperative positional changes in the mandibular proximal segment between the conventional orthognathic surgery (CS) and the surgery-first approach (SF) using intraoral vertical ramus osteotomy (IVRO) in patients with Class III malocclusion. Methods: Thirty-eight patients with skeletal Class III malocclusion who underwent bimaxillary surgery were divided into two groups according to the use of preoperative orthodontic treatment: CS group (n = 18) and SF group (n = 20). Skeletal changes in both groups were measured using computed tomography before (T0), 2 days after (T1), and 1 year after (T2) the surgery. Three-dimensional (3D) angular changes in the mandibular proximal segment, condylar position, and maxillomandibular landmarks were assessed. Results: The mean amounts of mandibular setback and maxillary posterior impaction were similar in both groups. At T2, the posterior portion of the mandible moved upward in both groups. In the SF group, the anterior portion of the mandible moved upward by a mean distance of 0.9 ± 1.0 mm, which was statistically significant (p < 0.001). There were significant between-group differences in occlusal changes (p < 0.001) as well as in overjet and overbite. However, there were no significant between-group differences in proximal segment variables. Conclusions: Despite postoperative occlusal changes, positional changes in the mandibular proximal segment and the position of the condyles were similar between CS and SF, which suggested that SF using IVRO achieved satisfactory postoperative stability. If active physiotherapy is conducted, the proximal segment can be adapted in the physiological position regardless of the occlusal changes.

• 대한기계학회:학술대회논문집
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• 대한기계학회 2002년도 학술대회지
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• pp.169-172
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• 2002

When a plane shockwave reflects ken a concave wall, it is focused at a certain location, resulting in extremely high local pressure and temperature. This focusing is due to a nonlinear phenomenon of shock wave. The focusing phenomenon has been extensively applied to many diverse folds of engineering and medical treatment as well. In the current study, the focusing of shock wave over a reflector is numerically investigated using a CFD method. The Harten-Yee total variation diminishing (TVD) scheme is used to solve the unsteady, two-dimensional, compressible, Euler equations. The incident shock wave Mach number $M_{s}\;of\;1.1{\~}l.3$ is applied to the parabolic reflectors with several different depths. Detailed focusing characteristics of the shock wave are investigated in terms of peak pressure, gasdynamic and geometrical foci. The results obtained are compared with the previous experimental results. The results obtained show that the peak pressure of shock wave focusing and its location strongly depend on the magnitude of the incident shock wave and depth of parabolic reflector. It is also found that depending up on the depth of parabolic reflector, the weak shock wave focusing process can classified into three distinct patterns : the reflected shock waves do not intersect each other before and after focusing, the reflected shock waves do not intersect each other before focusing, but intersect after focusing, and the reflected shock waves intersect each other before and after focusing. The predicted Schlieren images represent the measured shock wave focusing with a good accuracy.

• 한국컴퓨터정보학회논문지
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• 제20권4호
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• pp.41-48
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• 2015

최근 3D 프린터의 보급과 함께 3D 모델에 대한 수요가 급증하고 있다. 그러나 3D 모델의 생성은 숙달된 전문가가 전문 소프트웨어를 이용하여 작성하여야 한다. 본 연구는 한 장의 2차원 정면 얼굴사진으로 부터 3D 모델링하는 방법에 대한 것으로 일반인들도 쉽게 3D모델을 생성할 수 있도록 한다. 사진으로부터 배경과 전경을 분리하고 분리한 전경 영역에 일정간격으로 2차원 상에 버텍스를 배치하고 배치한 버텍스 위치를 이미지의 계조 값과 눈썹과 코 등의 특성을 고려하여 버텍스를 3차원으로 확장한다. 전경과 배경을 분리하는 방법으로 에지정보를 사용하였으며 눈과 코의 위치를 찾기 위하여 Haar-like feature를 이용하는 AdaBoost 알고리즘을 사용하였다. 알고리즘으로 생성한 3D 모델은 수작업에 의한 후처리가 필요하지만 3D 프린터를 위한 콘텐츠 제공에 매우 유용하게 활용될 것이다.

• 한국정밀공학회지
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• 제23권4호
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• pp.176-182
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• 2006

Although several artificial disc designs have been developed for the treatment of discogenic low back pain, biomechanical changes with its implantation were rarely studied. To evaluate the effect of artificial disc implantation on the biomechanics of functional spinal unit, a nonlinear three-dimensional finite element model of L4-L5 was developed with 1-mm CT scan data. Biomechanical analysis was performed for two different types of artificial disc having constrained and unconstrained instant center of rotation(ICR), ProDisc and SB Charite III model. The implanted model predictions were compared with that of intact model. Angular motion of vertebral body, forces on the spinal ligaments and facet joint, and stress distribution of vertebral endplate for flexion-extension, lateral bending, and axial rotation with a compressive preload of 400N were compared. The implanted model showed increased flexion-extension range of motion compared to that of intact model. Under 6Nm moment, the range of motion were 140%, 170% and 200% of intact in SB Charite III model and 133%, 137%, and 138% in ProDisc model. The increased stress distribution on vertebral endplate for implanted cases could be able to explain the heterotopic ossification around vertebral body in clinical observation. As a result of this study, it is obvious that implanted segment with artificial disc suffers from increased motion and stress that can result in accelerated degenerated change of surrounding structure. Unconstrained ICR model showed increased in motion but less stress in the implanted segment than constrained model.