• Title/Summary/Keyword: 복부 CT 영상

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Study on Optimum Contrast Medium Quantity during Abdominal CT using Dual Energy Technique (복부 CT 검사 시 이중에너지 기법을 통한 적정한 조영제 양에 관한 연구)

  • Kang, Min;Choi, Namgil;Han, Jaebok;Kim, Wook;Jang, Yeongill;Song, Jongnam
    • Journal of the Korean Society of Radiology
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    • v.9 no.1
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    • pp.9-16
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    • 2015
  • The purpose of this study is finding optimum contrast medium quantity during abdominal CT using dual energy technique. The study subjects are 30 patients who had received general single energy abdominal CT and received double energy technique follow-up abdominal CT. dual energy technique abdominal CT images were obtained after setting contrast medium quantities at 30%, 40%, 50%, 60% and 70% of contrast medium quantity at the time of single energy technique. Then the contrast enhancement (Hounsfield Unit; HU) was estimated by setting-up the regions of interest at aorta, inferior vena cava, hepatic portal vein and hepatic parenchymal. The obtained values were compared to the values of the same parts measured during single energy technique abdominal CT. The results of the study were as following. The 60% set up group had HU in aorta : $210.80{\pm}13.609$, IVC : $190.40{\pm}25.215$, hepatic portal vein : $198.40{\pm}21.232$ and hepatic parenchymal : $119.20{\pm}7.98$, The single energy abdomianl CT images had HU in aorta : $205.40{\pm}16.426$, IVC : $188.20{\pm}21.476$, hepatic portal vein : $195.40{\pm}22.744$ and hepatic parenchymal : $121.00{\pm}6.595$. Therefore, it is possible to obtain contrast enhancement by dual energy technique abdominal CT similar to the same by single energy technique abdominal CT by setting-up the quantity of contrast medium at 60% of contrast medium at the time of single energy technique abdominal CT. Based on the result of this study, it is possible to decrease existing quantity of contrast medium by _% and the injection velocity can be also decreased. Accordingly, it is believed that the result of study would be quite useful for patients who have renal function disorder, weak vein or side effect of contrast medium in the past.

Liver Tumor Detection Using Texture PCA of CT Images (CT영상의 텍스처 주성분 분석을 이용한 간종양 검출)

  • Sur, Hyung-Soo;Chong, Min-Young;Lee, Chil-Woo
    • The KIPS Transactions:PartB
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    • v.13B no.6 s.109
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    • pp.601-606
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    • 2006
  • The image data amount that used in medical institution with great development of medical technology is increasing rapidly. Therefore, people need automation method that use image processing description than macrography of doctors for analysis many medical image. In this paper. we propose that acquire texture information to using GLCM about liver area of abdomen CT image, and automatically detects liver tumor using PCA from this data. Method by one feature as intensity of existent liver humor detection was most but we changed into 4 principal component accumulation images using GLCM's texture information 8 feature. Experiment result, 4 principal component accumulation image's variance percentage is 89.9%. It was seen this compare with liver tumor detecting that use only intensity about 92%. This means that can detect liver tumor even if reduce from dimension of image data to 4 dimensions that is the half in 8 dimensions.

Assessment of Systemic Arterial Thromboembolism with Multi-Slice Spiral CT in a Dog (개에서 다중나선형 CT촬영에 의한 동맥혈전색전증의 평가)

  • Shin, Seung-Ho;Lee, Ki-Chang
    • Journal of Veterinary Clinics
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    • v.24 no.2
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    • pp.208-213
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    • 2007
  • A 15 kg 6-year-old intact male Jindo dog with a history of a respiratory distress, hindlimb paralysis with necrosed skin of dorsal digit for three weeks was referred to Animal Medical Center, Chonbuk National University. Heartworm infection was identified by kit examination. In plain thoracic radiographs, dilated pulmonary arteries reverse D sign and focal interstitial pattern was compatible with heartworm infection and possible pulmonary thromboembolism. Abdominal radiographs showed poor serosal detail indicating fluid accumulation within peritoneal cavity. No evidence of musculoskeletal abnormalities was found. Ultrasonography presented focal wedge-shaped hyperechogenecity on the both poles of left kidney, weak or absent pulse on the distal to the external iliac artery as well as ascites and irregular liver margin. Multi-organ failure was strongly supposed by blood profile including leukocytosis, anemia, hemoglobinuria bililubinemia, hypoalbuminemia, imbalance of electrolytes, and increased hepatic and renal function values. Interestingly, the glucose level is remarkably lower in pelvic limb compared to thoracic limb. Suspected pulmonary thromboembolism, renal infarction and femoral arterial embolization causing hindlimb paralysis and dermatic necrosis were confirmed by 3D reconstructed CT imaging. Prior to taking a consideration of euthanasia, interventional radiology was experimentally attempted but failed due to not recovered from general anesthesia. Early and accurate diagnosis of thromboembolism is valuable and 3D reconstructed CT images might be very useful to show the correct way to treat effectively.

Segmentation of Liver on MDCT Image (MDCT 영상에서 간의 추출)

  • Seo Jeongjoo;Ryu Gangmin;Fei Yang;Park Jongwon
    • Proceedings of the Korean Information Science Society Conference
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    • 2005.07b
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    • pp.802-804
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    • 2005
  • 제안된 연구에서는 기존의 일반 CT(Computerized tomography) 영상이 아닌 MDCT(Multi Detector CT) 영상을 이용하여 장기 추출에 관한 연구를 진행하였다. 조영제를 이용한 복부 MDCT 영상으로부터 모폴로지(morphology) 기법을 통해 간에 근접한 노이즈를 제거하고, 기존의 Otsu threshold를 개선하여 간의 명암값 분포를 구분할 수 있는 임계치를 구하였다. 찾아진 임계치를 이용하여 영상을 이진화하고, 최종적으로 위치정보를 이용하여 간에 해당하는 부분들을 추출하였다. 이러한 방식은 명암값과 위치정보를 이용하여 간을 추출한 후 다시 노이즈 문제를 해결하는 기존의 알고리즘과 비교했을 때, 처리 방식이 단순해지고 속도가 향상되었다. 추출된 간은 간 이식술이나 절제술에 필요한 간 내부의 혈관 인식과 간의 부분체적 계산 연구에 중요한 정보로 사용될 수 있을 것이다.

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Automatic Liver Segmentation by using Gray Value Portion in Enhanced Abdominal CT Image (조영제를 사용한 복부CT영상에서 명암값 비율을 이용한 간의 자동 추출)

  • Yu, Seung-Hwa;Jo, Jun-Sik;No, Seung-Mu;Sin, Gyeong-Suk;Park, Jong-Won
    • Journal of the Institute of Electronics Engineers of Korea SP
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    • v.38 no.2
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    • pp.179-190
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    • 2001
  • In this proposed study, observing and analyzing contrast enhanced abdominal CT images, we segmented the liver automatically. We computed the ratio of each gray value from the estimated gray value range. With the average value of mesh image, we distinguished the liver from the noise parts. We divided the region based on immersion simulation. The threshold value is determined from the mesh image which is generated from each gray value portion of the liver and is used in dividing the liver to the noise region. To get the outline of the liver, we generated template image which represents the lump of the liver, and subtracted it from the binary image. With the results we use the proposed algorithm using 8-connectivity instead of the present opening algorithm, to reduce the processing time. We computed the volume from the segmented organ size and presented a clinical demonstration with the animal experiment

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Evaluation of Image Quality and Radiation Dose for Filtered Back-Projection and Iterative Reconstruction Algorithm in Abdominal Computed Tomography Protocol (복부 CT 프로토콜에서 필터 보정 역투영법과 반복적 재구성기법에 따른 화질 및 선량에 관한 연구)

  • Oh, Jeong-Min;Seo, Hyeon-Ji;Kim, Yung-Kyoon;Han, Dong-Kyoon
    • Journal of the Korean Society of Radiology
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    • v.15 no.7
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    • pp.1065-1072
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    • 2021
  • In Computed Tomography, abdominal examination showed the highest proportion of use, and effort of reducing the radiation dose is required. Recently introduced Iterative Reconstruction(IR) is repetitive reconstruction technique of Computed Tomography. SIEMENS' IR, ADMIRE and GE's IR, ASIR-V, were used in this examination. Noise, % Contrast, and High contrast resolution were measured by using ACR phantom for image quality evaluation. In addition, CTDIvol and DLP displayed in the CT device were used for dose evaluation. When FBP and IR were compared, stage 2 to stage 5 of ADMIRE and 10, 30, 50, 70, and 90% of ASIR-V were applied, noise could be reduced from a minimum of 0.46 to a maximum of 2.38 in ADMIRE compared to FBP, and noise from a minimum of 0.51 to a maximum of 2.5 in ASIR-V compared to FBP. Also, % Contrast and High contrast resolution of FBP and IR were no statistical difference. When IR was used for abdominal CT examination, the radiation dose of ADMIRE is reduced by 25.39% compared to the radiation dose of FBP. Also, the radiation dose of ASIR-V is reduced by 16.61% compared to the radiation dose of FBP. In conclusion, it is believed that if IR is applied during abdominal CT examination, the radiation dose can be reduced without deteriorating the image quality.

Dose Reduction and Image Quality Assessment of the CareDose 4D Technique on Abdomen Liver Computed Tomography (복부 간 CT 검사에서 CareDose 4D 사용에 따른 선량 감소 및 화질 평가)

  • Seok, Jong-Min;Jeon, Woo-Jin;Park, Young-Joon;Lee, Jin
    • Journal of the Korean Society of Radiology
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    • v.11 no.3
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    • pp.109-115
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    • 2017
  • The purpose of this study was to evaluate the clinical efficacy of 128 MDCT (multi-detector computed tomography) for reducing the CareDose 4D dose and comparing the image quality with the fixed tube current technique. For this purpose, we conducted the phantom and clinical studies to evaluate the exposure dose and image of the subject before and after applying the CareDose 4D system in abdominal examination using 128 MDCT. In the phantom study, ROI (Region of interest) was located at the center, 3, 6, 9, 12 o'clock, into two groups: group A without CareDose 4D and Group B applied were measured. In the clinical study, ROI was located at the liver 8 segments, divided into two groups too. The measured items were CT number, noise, and dose length product (DLP) dose. The result of CTDIvol (CT Dose Index volume) measurements in phantom and clinical studies were lower than those before CareDose 4D application, and dose and effective dose were also measured lower (p<.05). There was no difference in CT number before and after application (p>.05). In conclusion, using CareDose 4D, we can obtain optimal image information without deteriorating image quality while reducing patient dose.

Quality Assessment for Elbow CT scan by positioning and respiratory control (팔꿈치관절 CT검사에서 환자 자세 및 호흡에 따른 화질평가)

  • Lim, Jong-Chun;Park, Sang-Hyun;Lee, In-Jae
    • Journal of the Institute of Electronics and Information Engineers
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    • v.54 no.7
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    • pp.110-114
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    • 2017
  • Because the arm can't be sutured due to fracture during a elbow CT scan, a CT scan is proceeded in a state of abdomen and L-spire are overlapped which beam hardening artifact is done many times, and it often lowers the quality of elbow CT images. So there are many difficulties in reading and due to increase in radiation dose from it, the number of patient's exposure keeps increasing. In this research, it plans to improve the quality of the images by avoiding overlap with abdomen, and increasing the number of photon overlapped with lung field which the line attenuation is relatively small. The way of experiment is based on patient's right elbow and place him as head first position, then place his elbow at L2-3 level in supine position, turn about 30 degrees to the left in non-control breathing and in supine position, and compared with full inspiration after overlapping with lung. After figuring out the average value and standard deviation data using Image J program 5 times each for 16, 128 channels, the evaluation is proceeded by measuring each of CNR, MSR are statistically analyzed using SPSS program. Therefore, through positioning and inspiration during elbow CT scan, the way of inspection minimized the exposure radiation dose, and seems to be meaningful in a way to improve the quality of the images.

Usability Evaluation of Applied Low-dose CT When Examining Urinary Calculus Using Computed Tomography (컴퓨터 단층촬영을 이용한 요로결석 검사에서 저선량 CT의 적용에 대한 유용성 평가)

  • Kim, Hyeon-Jin;Ji, Tae-Jeong
    • The Journal of the Korea Contents Association
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    • v.17 no.6
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    • pp.81-85
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    • 2017
  • The aim of this study was to evaluate the usability of applied Low dose Computed Tomography(LDCT) protocol in examining urinary calculus using computed tomography. The subjects of this study were urological patients who visited a medical institution located in Busan from June to December 2016 and the protocol used in this study was Adaptive Statistical Iterative Reconstruction: low-dose CT with 50% Adaptive Statistical Iterative Reconstruction (ASIR). As results of quantitative analysis, the mean pixel value and standard deviation within kidney region of image(ROI)of the axial image were $26.21{\pm}7.08$ in abdomen CT pre scan and $20.03{\pm}8.16$ in low-dose CT. Also the mean pixel value and standard deviation within kidney ROI of the coronal image were $22.07{\pm}7.35$ in abdomen CT pre scan and $21.67{\pm}6.11$ in low dose CT. The results of qualitative analysis showed that four raters' mean values of observed kidney artifacts were $19.14{\pm}0.36$ when using abdomen CT protocol and $19.17{\pm}0.43$ in low-dose CT, and the mean value of resolution and contrast was $19.35{\pm}0.70$ when using abdomen CT protocol and $19.29{\pm}0.58$ in low-dose CT. Also the results of a exposure dose analysis showed that the mean values of CTDIvol and DLP in abdomen CT pre scan were 18.02 mGy and $887.51mGy{\cdot}cm$ respectively and the mean values of CTDIvol and DLP when using low-dose CT protocol were 7.412 mGy and $361.22mGy{\cdot}cm$ respectively. The resulting dose reduction rate was 58.82% and 59.29%, respectively.