• Title/Summary/Keyword: visualization methods

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Long Term Outcomes of Laser Conization for High Grade Cervical Intraepithelial Neoplasia in Thai Women

  • Wongtiraporn, Weerasak;Laiwejpithaya, Somsak;Sangkarat, Suthi;Benjapibal, Mongkol;Rattanachaiyanont, Manee;Ruengkhachorn, Irene;Chaopotong, Pattama;Laiwejpithaya, Sujera
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.18
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    • pp.7757-7761
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    • 2014
  • Aim: To report long term outcomes of laser conization for high grade cervical intraepithelial neoplasia (CIN) in Thai women. Materials and Methods: A retrospective cohort study was conducted in patients undergoing laser conization due to abnormal cervical cytology suggesting neoplasia during 1989 to 1994 and having follow-up data until December 2010. Conization was performed under colposcopy using a 0.5-mm $CO_2$ laser beam with power density of $18,000-20,000watts/cm^2$, and the surgical base was vaporized using a low power defocused beam. The follow-up protocol included cervical cytology and colposcopy. Long term outcome measures were failure rate (persistence and recurrence), post-conization status of transformation zone, and obstetric outcomes. Results: Of 104 patients undergoing conization, 71 had therapeutic conization for high grade CIN and were followed up for a median time of 115 (range 12-260) months. There was one case of persistent and one of recurrent disease comprising a failure rate of 2.8%. The post treatment transformation zone was well visualized in 68.3% of 63 patients with an intact uterus. Sixteen patients achieved 25 pregnancies; none had second trimester miscarriage. The obstetric outcomes were unremarkable. Conclusions: Laser conization under colposcopic visualization for the treatment of high grade CIN in Thai women has a low failure rate of 2.8%. The post-conization transformation zone could not be evaluated completely in approximately 30% of cases; therefore the follow-up protocol should include both cytology and colposcopy. Obstetric outcomes are not adversely affected by this therapeutic procedure.

Diagnostic Utility of Tc-99m DISIDA Hepatobiliary Scintigraphy in the Diagnosis of Biliary Atresia (담도폐쇄증 진단에서 DISIDA 간담도주사의 진단적 의의)

  • Lee, Byeong-Seon;Choi, Bo-Hwa;Kim, Kyung-Mo;Kim, Jae-Seung;Moon, Dae-Hyeok
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.3 no.1
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    • pp.63-67
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    • 2000
  • Purpose: Biliary atresia, one of the major causes of neonatal cholestais, is an idiopathic, serious disorder, affecting the newborn that results in complete obstruction of biliary tract. Successful reestablishment of bile flow is dependent on early surgical intervention, early diagnosis is imperative. The authors evaluate the utility of Tc-99m-labeled diisoprpyliminodiacetic acid (DISIDA) hepatobiliary scintigraphy in the diagnosis of biliary atresia. Methods: From January, 1995 to August, 1999, total 60 patients with neonatal cholestasis underwent Tc-99m DISIDA hepatobiliary scintigraphy at Asan Medical Center. Results: The undelying causes of neonatal cholestasis were biliary atresia in 14, neonatal hepatitis in 33, intrahepatic bile duct paucity in 9, and total parenteral nutrition induced cholestasis in 4. All patient with biliary atresia were interpreted correctely in DISIDA hepatobiliary scintigraphy, showing 100% sensitivity. Of the 46 patients with neonatal hepatitis and other causes, 37 patients had intestinal radioactivity showing 80% specificity. Conclusion: Visualization of DISIDA in the intestinal tract indicates patency of the biliary ducts and excludes the diagnosis of biliary atresia. But the absence of intestinal excretion on the DISIDA hepatobiliary scintigraphy dose not necessarily indicate biliary atresia.

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Portal Placement for Thoracoscopic Right Middle Lung Lobectomy with One-Lung Ventilation in Beagle Dogs (비글견에서 편측성 분리폐 환기를 이용한 흉강경 우중폐엽 절제술을 위한 포트 위치)

  • Park, Ji Young;Lee, Hae-Beom;Jeong, Seong Mok
    • Journal of Veterinary Clinics
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    • v.32 no.1
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    • pp.9-15
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    • 2015
  • Purpose of this study is to determine the reasonable portal approach for thoracoscopic right middle lung lobectomy in small sized dogs under 10 kg. Ten healthy beagle dogs weighing $8.67{\pm}0.49kg$ were included. Under general anesthesia, one-lung ventilation (1LV) was achieved using endobronchial blocker with guidance of fiber-optic bronchoscope. Two portal approaches were used; 8-6-10 intercostal space (ICS) and 8-6-5 ICS approach. Thoracoscopic right middle lung lobectomy was performed using endoscopic linear self-cutting stapler and specimen retrieval bag. Each approach was evaluated by scoring 0; bad, 1; endurable, 2; good, 3; excellent in following five category, 1) visualization, 2) triangulation; instrumental sword fighting in the thoracic cavity, 3) approach to hilar pedicle; application of stapler, 4) any obstacles in applicating Lap Bag, and 5) the operator's convenience. Favorable working space was secured by 1LV and thoracoscopic right middle lung lobectomy was successfully completed in all dogs. There was no need to change the portal location and iatrogenic complication. Most of scores were good to excellent in both approaches. Consequently, both approaches are feasible methods for thoracoscopic right middle lung lobectomy with one lung ventilation using endoscopic linear self-cutting stapler in dogs weighing less than 10 kg.

A Spatial Statistical Approach to Residential Differentiation (II): Exploratory Spatial Data Analysis Using a Local Spatial Separation Measure (거주지 분화에 대한 공간통계학적 접근 (II): 국지적 공간 분리성 측도를 이용한 탐색적 공간데이터 분석)

  • Lee, Sang-Il
    • Journal of the Korean Geographical Society
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    • v.43 no.1
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    • pp.134-153
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    • 2008
  • The main purpose of the research is to illustrate the value of the spatial statistical approach to residential differentiation by providing a framework for exploratory spatial data analysis (ESDA) using a local spatial separation measure. ESDA aims, by utilizing a variety of statistical and cartographic visualization techniques, at seeking to detect patterns, to formulate hypotheses, and to assess statistical models for spatial data. The research is driven by a realization that ESDA based on local statistics has a great potential for substantive research. The main results are as follows. First, a local spatial separation measure is correspondingly derived from its global counterpart. Second, a set of significance testing methods based on both total and conditional randomization assumptions is provided for the local measure. Third, two mapping techniques, a 'spatial separation scatterplot map' and a 'spatial separation anomaly map', are devised for ESDA utilizing the local measure and the related significance tests. Fourth, a case study of residential differentiation between the highly educated and the least educated in major Korean metropolitan cities shows that the proposed ESDA techniques are beneficial in identifying bivariate spatial clusters and spatial outliers.

Optimal Input Database Construction for 3D Dredging Quantification (3차원 준설물량 산출을 위한 최적의 입력DB 구축방안)

  • Gang, ByeungJu;Hwang, Bumsik;Park, Heonwoo;Cho, Wanjei
    • Journal of the Korean GEO-environmental Society
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    • v.19 no.5
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    • pp.23-31
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    • 2018
  • The dredging project became more important with the recent construction of off shore structures and reclamation projects. Accordingly, more exact quantitative estimation of the dredged amount should be required. The sub-sea ground information can be obtained generally by the boring investigation and the dredged amount can be estimated based on the depth or the deeper bound of a ceratin layer via 3D visualization program. During the estimation process, the input DB should be constructed with 1D elevation information from boring investigation for the spatially approximated distribution of a deeper bound of each ground layer. The input DB can be varied with the application of the borings and the approximation targets. Therefore, the 3D visualized ground profile and dredged amounts are compared on the actively dredged sites, vicinity of Saemangeum area and outer port area in Gunsan with regard to the input DB construction methods. Conclusively, the input DB based on the spatially approximated depths show higher precision results and more reasonable 3D visualized ground profiles.

The Usefulness of the 3-D Overlapped Reconstruction MR Angiographic Technique in Patients with Hemifacial Spasm - A Preliminary Study (반얼굴 연축 환자에서 삼차원 중첩 자기공명 혈관 조영술 기법의 유용성-초기 보고)

  • Lee, Yoon-Mi;Park, Sun-Won;Pyun, Hae-Wook;Yoon, Myung-Kwan;Kim, Eun-Young;Suh, Chang-Hae;Lim, Myung-Kwan
    • Investigative Magnetic Resonance Imaging
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    • v.11 no.1
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    • pp.33-38
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    • 2007
  • Purpose : To investigate the applicability of the new three-dimensional overlapped reconstruction MR angiography (3-D ORMRA) technique in patients with hemifacial spasm and to compare the new 3-D reconstruction images with conventional MRA source images. Materials and Methods : The study group comprised 27 patients with surgically proven hemifacial spasm. In all patients, conventional MRA source images and 3-D fast imaging employing steady-state acquisition (FIESTA) images were obtained prospectively. After 3-D MR angiographic images were obtained, the 3-D MRA and FIESTA images were overlapped at the workstation by using GE A/W 4.2 add/sub software. We analyzed the relationship between the offending vessels and root exit zone of the facial nerve using both 3-D ORMRA images and conventional MRA source images. Results : In 25 of 27 patients, the offending vessel at the REZ of the facial nerve could be correctly identified on conventional MRA source images. In all patients, the presumed offending vessels depicted by the overlapped 3-D reconstruction MRA image corresponded well with the intraoperative findings. The 3-D reconstruction image showed more clear visualization of the spatial relationship between the offending vessels and the root exit zone of the facial nerve. Conclusion : The overlapped 3-D reconstruction MR angiography technique is very useful and informative in patients with hemifacial spasm, as compared with conventional MRA angiography technique.

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Comparison of an Axillo-Breast Approach and Only-Axillary Approach in Robotic Endoscopic Thyroidectomy (로봇 내시경 갑상선 절제술의 액와-유륜 접근법과 유일-액와 접근법의 비교)

  • Won, Tae Wan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.10
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    • pp.6985-6991
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    • 2015
  • Purpose: Various new techniques in thyroid surgery have been developed to improve visualization and reduce risk of complications. New approaches for robotic endoscopic thyroidectomy help to prevent neck scarring and improve surgical ergonomics. The purpose of this study was to compare the efficacy and adventages of an axillo-breast approach (AB group) and an only-axillary approach (OA group) in robotic endoscopic thyroidectomy. Methods: Between November 2008 and July 2014, axillo-breast approach was performed in 128 patients and only-axillary approach was performed in 128 patients for robotic endoscopic thyroidectomy. We compared tumor characteristics, surgical outcomes, and postoperative complications between the two approaches. The homogeneity between two groups of general characteristics was analyzed by independent t-test, fisher's exact test, Chi-square test. Results: There were no differences in terms of tumor characteristics, extent of thyroidectomy, retrieved nodes, and postoperative complications between the two approaches. The patients in OA group can avoid breast scar. Conclusion: Our techniques of AB and OA approaches for robotic endoscopic thyroidectomy are safe, feasible, and cosmetically excellent procedures. Also the OA approach for robotic endoscopic thyroidectomy is an attractive surgical option for patients with thyroid tumor who want an avoid breast scar.

A New Method of Registering the XML-based Clinical Document Architecture Supporting Pseudonymization in Clinical Document Registry Framework (익명화 방법을 적용한 임상진료문서 등록 기법 연구)

  • Kim, Il-Kwang;Lee, Jae-Young;Kim, Il-Kon;Kwak, Yun-Sik
    • Journal of KIISE:Software and Applications
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    • v.34 no.10
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    • pp.918-928
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    • 2007
  • The goal of this paper is to propose a new way to register CDA documents in CDR (Clinical Document Repository) that is proposed by the author earlier. One of the methods is to use a manifest archiving for seamless references and visualization of CDA related files. Another method is to enhance the CDA security level for supporting pseudonymization of CDA. The former is a useful method to support the bundled registration of CDA related files as a set. And it also can provide a seamless presentation view to end-users, once downloaded, without each HTTP connection. The latter is a new method of CDA registration which can supports a do-identification of a patient. Usually, CDA header can be used for containing patient identification information, and CDA body can be used for diagnosis or treatment data. So, if we detach each other, we can get good advantages for privacy protection. Because even if someone succeeded to get separated CDA body, he/she never knows whose clinical data that is. The other way, even if someone succeeded to get separated CDA header; he/she doesn't know what kind of treatment has been done. This is the way to achieve protecting privacy by disconnecting association of relative information and reducing possibility of leaking private information. In order to achieve this goal, the method we propose is to separate CDA into two parts and to store them in different repositories.

A Study on the Application Method of 3-Dimensional Modeling Data (3차원 모델 링 데이터의 활용방법에 관한 연구)

  • 김현성;김낙권
    • Archives of design research
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    • v.14
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    • pp.109-119
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    • 1996
  • One of the most important factors in the work environment of the industrial design is the design process which can systematically synthesize the informations of related fields. Because the computer technology is being radically developed, industrial should not only positively be able to cope with new technologies, but also should positively be able to take part in the development of the integrated system for the process by the new technologies. Recently in the industrial design field, designers are often using the computer~applied-3D modeling techniques in the development process of industrial design products, especially in the visualization level of the design development. In this paper, we studied the workstation modeling process to understand the computer~applied-3D modeling and presented the methods of transfer of the 3D-modeling data of a workstation(SGI) to the AutoCAD data of a personal computer which is generally being used as a drawing tool in mechanism parts. Through the development process of an electronic taxi meter as a practical case study, we check the possibility whether the 3D-modeling data transferred from an industrial design part to a mechanism part can directly be used as the mechanism data. For this, we transferred the 3D-modeling data of an electronic taxi meter created with a workstation(SGI) to the AutoCAD data of a personal computer and checked the usefulness of data transferred from an industrial design part to a mechanism part. Through these processes of data transfer, we aimed to find out the basic principles which can be rationally applied to a mechanism part or a production part.

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Manufacture Lenticular Map of Golf Courses Using Digital Orthophoto (수치정사영상을 이용한 렌티큘러 코스맵 제작)

  • Kim, Kam-Lae;Cheong, Hae-Jin;Cho, Won-Woo
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.25 no.5
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    • pp.475-482
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    • 2007
  • Most golfers believe that knowing yardages will improve their score. Certainly it helps with club selection. But, simple "Graphic" yardage guides being notorious for error and inaccuracies, which a serious golfer will pick immediately, only serve to erode the players enjoyment and ultimately, golf course satisfaction. Someone believes with low-level aerial photographic images, golfer will be impressed with the accuracy of the depiction, helping them play a more confident game. But, there are no mapping products in true 3-D available in the world that allows a golfer to determine shot distances in yards or meters. So, we suggest an lenticular technology for real 3-D display as a viable alternative to conventional image map solution. This technology is an image display method for the generation of multi-image effects like 3D visualization or animation. This methodology is cutting edge stereoscopic image which overcomes the limitation of conventional photo tech by recomposing and producing 3 dimensional images. A significant strength of this methods its versatility concerning display effects. The main use of the hardcopy 3-D lenticular displays is in the fields of science, education, planning, and representation. This paper gives a concise overview of the lenticular foil technology and describes the production of the true 3-D yardage book of golf courses. For this study, 3-D effects are achieved and evaluated with the lenticular display by incorporation multiple synthetic images based on digital topographic terrain model and by using the two images of the actual stereopair.