• Journal of Yeungnam Medical Science
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• v.39 no.3
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• pp.190-199
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• 2022

Ultrasound-guided injection is useful for managing thoracic spine and chest wall pain. With ultrasound, pain physicians perform the injection with real-time viewing of major structures, such as the pleura, vasculature, and nerves. Therefore, the ultrasound-guided injection procedure not only prevents procedure-related adverse events but also increases the accuracy of the procedure. Here, ultrasound-guided interventions that could be applied for thoracic spine and chest wall pain were described. We presented ultrasound-guided thoracic facet joint and costotransverse joint injections and thoracic paravertebral, intercostal nerve, erector spinae plane, and pectoralis and serratus plane blocks. The indication, anatomy, Sonoanatomy, and technique for each procedure were also described. We believe that our article is helpful for clinicians to conduct ultrasound-guided injections for controlling thoracic spine and chest wall pain precisely and safely.

• The Journal of Korean Orthopaedic Ultrasound Society
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• v.6 no.1
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• pp.10-14
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• 2013

Pilomatricoma is a benign skin tumor that develops from hair matrix cells. It most commonly occurs in the head and neck, followed by the upper extremities. Accuracy of preoperative diagnosis was low in previous studies and excisional biopsy was even performed frequently without imaging studies. We report a case of pilomatricoma of the shoulder that was easily diagnosed by ultrasound including color Doppler, which is a more useful imaging modality than computed tomography or magnetic resonance imaging scans not only because of its cost effectiveness but also because of the precise information obtained from mass contents.

• Journal of the Korean Society for Nondestructive Testing
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• v.32 no.5
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• pp.551-563
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• 2012

Medical ultrasound systems have been used since 1950s, and are now widely used in most hospitals as indispensable diagnostic imaging systems. Since array probe was introduced in 1970s, beamforming technology using electronic signal processing has been adopted to the medical ultrasound system, and has been improved. Beamforming is a important technology which defines the resolution of the ultrasound system. In this paper, the technologies are introduced from basic beamforming principles to current trend. They include principles of beamforming using array probe, basic theory, and practical implementation, and recent topics of synthetic aperture imaging, adaptive beamforming, 2-dimensional beamforming using 2-dimensional array are also introduced. These various technologies will improve system performances continuously by merging innovatively with various technologies in other fields.

• The Journal of the Acoustical Society of Korea
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• v.24 no.2
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• pp.78-86
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• 2005

This study considers the magnitude of the harmonic components radiated from the ultrasonic contrast agents (UCA) activated by a typical diagnostic ultrasound. The nonlinear dynamic response of UCA to a 2 MHz diagnostic ultrasound pulse was predicted using Gilmore Model. The elastic property of the shell membrane of the UCA was ignored in the numerical model. Simulation was carried out for the UCA varying from 1 - 9 $\mu$m in its initial radius and the driving diagnostic ultrasound whose mechanical index (MI) ranges from 0.125 to 8. The powers of the sub. ultra and second harmonics of the acoustic signal from the UCA activated were compared with that of the fundamental component. The results show that. if the UCA is bigger than its resonant size (2 $\mu$m in radius for the present case) the sub harmonic power was much bigger than the fundamental. In particular, the 2nd harmonic component currently used as an imaging parameter for the harmonic imaging, was predicted to be lower in power than both the sub and the ultra harmonic component. This study indicates that, for obtaining harmonic imaging with UCA, the sub or ultra harmonics could be taken as imaging parameters better than the 2nd harmonic component.

• Journal of Biomedical Engineering Research
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• v.23 no.6
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• pp.419-430
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• 2002

In this paper. we propose an efficient method for implementing hi-directional pixel-based focusing(BiPBF) based on a sparse array imaging technique. The proposed method can improve spatial resolution and frame rate of ultrasound imaging with reduced hardware complexity by synthesizing transmit apertures with a small number of sparsely distributed subapertures. As the distance between adjacent subapertures increases, however. the image resolution tends to decrease due to the elevation of grating lobes. Such grating lobes can be eliminated in conventional synthetic aperture imaging techniques. On the contrary, grating lobes arisen from employing sparse synthetic transmit apertures can not be eliminated, which has been shown analytically in this paper. We also propose the condition and method for suppressing the grating lobes below -40dB, which is generally required in practical imaging. by placing the transmit focal depth at a near depth and properly selecting the subaperture distance in Proportion to receive aperture size. The results of both the Phantom and in vivo experiments show that the proposed method implements two-wav dynamic focusing using a smaller number of subapertures, resulting in reduced system complexity and increased frame rate.

• Journal of Biomedical Engineering Research
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• v.26 no.1
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• pp.31-35
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• 2005

A novel synthetic aperture method for real-time three-way dynamic focusing is proposed, which provides lateral beam patterns represented as the product of Fourier transforms of transmit subaperture, receive subaperture, and a synthetic window function. In the proposed method, all array elements are fired individually and for each firing echo signals are recorded from all elements of a receive subaperture moving along an array with the transmit element. The three-way dynamic focusing is then achieved by employing a synthetic aperture algorithm for two-way dynamic focusing and a synthetic focusing method for transmit dynamic focusing. Both theoretical analysis and computer simulation results show that the proposed method produces ultrasound beams with improved lateral resolution at all depths compared to the conventional phased array imaging and synthetic aperture focusing methods.

• Clinical Pain
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• v.19 no.2
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• pp.64-69
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• 2020

Ultrasound (US) imaging is an efficient, easy to use, rapid, dynamic, noninvasive, with rare side-effects and inexpensive tool allowing for facilitated diagnosis and management of the painful shoulder. It also has advantages over other imaging modalities in the evaluation of the postoperative shoulder for rotator cuff integrity and correct anchor and suture placement, as well as rotator cuff analysis following repair surgery. Early postoperative tendons frequently had a hypo- echoic echo texture and the absence of a fibrillar pattern, which might be misinterpreted as recurrent tears. however, these features often normalized into tendons with an increased echo texture and the reappearance of a fibrillar pattern at 6 months. Based on these sequential findings, the US findings within 3 months after surgery should be interpreted with caution to accurately understand and monitor the repaired tendon status.

• Korean Journal of Radiology
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• v.21 no.8
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• pp.955-966
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• 2020

Ultrasound (US) is an attractive diagnostic approach to identify both common and uncommon nipple pathologies, such as duct ectasia, nipple abscess, nipple leiomyoma, nipple adenoma, fibroepithelial polyp, ductal carcinoma in situ (restricted to nipple), invasive carcinoma, and Paget's disease. US is the reliable first-line imaging technique to assess nipple pathologies. It is useful to identify and characterize nipple lesions. Additionally, we have presented the mammography and MRI outcomes correlated with histopathologic features for the relevant cases.

• The Journal of Korean Orthopaedic Ultrasound Society
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• v.1 no.1
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• pp.40-49
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• 2008

Hip joint is one of the most deeply located joint in human body. Moreover, most clinical symptoms of various hip diseases are vague and confusing. In these reasons, the imaging modalities of hip have been extensively studied and developed. From a plain radiograph to more complex MR arthrography, various techniques are now available. In this brief review, the long and short of imaging modalities and clinical examples of common hip diseases will be introduced. The most important significance of diagnostic imaging is its clinical relevance. It is because when we know the characteristics of the imaging modalities and the disease itself, the optimal approach to a patient can be achieved, but when we do not know, the expensive images can only be a meaningless picture.

• Imaging Science in Dentistry
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• v.42 no.2
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• pp.115-119
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• 2012

Today, ultrasound imaging is being widely used to assess soft tissue lesions in the maxillofacial region. However, ultrasound investigations of intra-osseous lesions are rare, especially for tumors of the jaws. This report emphasized the capability of this useful imaging modality in identification of the characteristics of malignant conditions involving the bone. Mesenchymal chondrosarcoama, one of the unusual malignant conditions of the jaw, was presented in a young male with significant facial swelling. Different imaging modalities parallel with the histopathologic investigation confirmed the diagnosis. Interestingly, destruction of the bony cortex and new bone formation with a characteristic "sun ray appearance", highly suggestive of sarcomas, was manifested on the ultrasonograph. Thus, this report presented the ultrasonographic features of chondrosarcoma of mandible and considered the ultrasonography to be a useful imaging modality to evaluate intra-osseous jaw lesions.