• Title/Summary/Keyword: 영상진단

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Diffus ion-Weighted MR Imaging of Spinal Cord Infarction (척수경색의 확산강조자기공명영상)

  • 김윤정;서정진;임남열;정태웅;김윤현;박진균;정광우;강형근
    • Investigative Magnetic Resonance Imaging
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    • v.6 no.2
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    • pp.166-172
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    • 2002
  • Purpose : To evaluate the usefulness of diffusion-weighted imaging(DWI) and quantitative apparent diffusion coefficient (ADC) maps in the patients with spinal cord infarction. Materials and methods : We studied 6 patients presented symptoms with spinal cord infarction, retrospectively (3 men and 3 women). We obtained multi-shot echo planar-based, DWI using 1.5T MR scanner at 5.4 mean days after the onset of ischemic symptoms. In six patients, signal intensity was acquired at conventional b value $1000s/\textrm{mm}^2$). The ADC value for the normal spinal cord and for infarcted lesions was measured from the trace ADC maps by using regions of interest positioned over the spinal cord. We analyzed signal intensity of lesion on MRI and DWI, and compared with ADC values in infarcted lesions and normal site. Results : T1-weighted MR image showed isosignal intensity in four of six patients and low signal intensity in two of six. T2-weighted MR image demonstrated high signal intensity in all of six. All DWI were considered to be diagnostic. All of six depicted a bright signal intensity on DWI. ADC values of infarcted lesion were measured lower than that of normal spinal cord on ADC map. The differences in ADC values between infarcted and normal spinal cord were significantly different (p<0.05). Conclusion : It is possible to obtain DWI and ADC map of the spinal cord and DWI may be useful in the early diagnosis and localization of lesion site in patients with spinal cord infarction.

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Gender Difference of Accuracy in Detecting Coronary Artery Disease by Myocardial Perfusion SPECT (디피리다몰 심근관류 SPECT를 이용한 관동맥질환 진단에 있어 남녀간의 진단율 비교)

  • Min, Jung-Jun;Bom, Hee-Seung;Song, Ho-Cheon;Jeong, Hwan-Jeong;Kim, Ji-Yeul
    • The Korean Journal of Nuclear Medicine
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    • v.32 no.2
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    • pp.129-136
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    • 1998
  • Purpose: Myocardial SPECT is an effective test for detecting coronary artery disease in the general population. But the diagnostic accuracy between sexes is not defined. The purpose of this study is to compare the diagnostic accuracy between males and females. Materials and Methods: One hundred and seventy seven male and 98 female patients who underwent myocardial SPECT within 1 month of coronary angiography were studied. Myocardial SPECTS were considered abnormal if fixed or reversible perfusion defects were detected. Stenosis severity of ${\geq}$ 50% luminal diameter reduction of any artery defined coronary artery disease (CAD). Results: Overall sensitivity for detection of CAD was 98% in men and 97% in women (p=not significant). However, specificities, accuracies, and positive predictive values (PPV) in men and women were 49% vs 31% (p<0.05), 81% vs 57% (p<0.01), 78% vs 48% (p<0.01), respectively. Diagnostic accuracies for detection of right coronary artery disease were not different in both sexes, however, accuracies for detection of left anterior descending artery disease and left circumflex artery disease were significantly lower in female (p<0.05). Conclusion: A significant difference of diagnostic accuracy between sexes, especially in LAD and LCx disease, was noted. Artifacts from breast attenuation might be a cause for the lower diagnostic accuracy in female.

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A study of the high resolution Ultrasound Diagnostic system for Dermatology (피부학(Dermatology)을 위한 고해상도 초음파 진단 장치에 관한 연구)

  • Lew, Jeom-Soo;Lim, Chun-Sung;Kim, Young-Kil
    • Journal of the Korean Institute of Telematics and Electronics S
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    • v.35S no.6
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    • pp.66-71
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    • 1998
  • High spatial resolution ultrasonic imaging is necessary in several fields of investigation, in order to permit greater precision of clinical diagnosis in the dermatology, ophthalmology etc. We present a B-mode scan system using sector scanning probe of 20MHz center frequency. This developed system allow the high resolution image of 250${\mu}m$ in lateral and 80${\mu}m$ in axial, which of display the size of a $5mm {\times} 5mm$ image with 20 frames/sec. We have shown the images of various structural elements of the human skin and of the nail. We have compared the skin images obtained for each of the different age and we have shown in a general with the age, the atrophy of the skin thickness and the appearance of the abnormal hypoechogene band under epidermis (named SENEB : Sub Epidermal Non Echogene Band).

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Construction of Medical Image-Based Learning Data Support Platform for Machine Learning and Its Application of Sarcopenia Data AI (머신러닝을 위한 의료영상기반 학습 데이터 지원 플랫폼 구축 및 근감소증 데이터 AI 응용)

  • Kim, Ji-Eon;Lim, Dong Wook;Yu, Yeong Ju;Noh, Si-Hyeong;Lee, ChungSub;Kim, Tae-Hoon;Jeong, Chang-Won
    • Annual Conference of KIPS
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    • 2021.11a
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    • pp.434-436
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    • 2021
  • 의료산업은 진단 및 치료 위주의 기술개발이 진행되어왔다. 최근 의료 빅데이터를 기반으로 진단, 치료 및 재활뿐만 아니라 예방과 예후관리까지 지원하는 의료서비스에 대한 패러다임이 변화되고 있다. 특히, 여러 의료 중심의 플랫폼 기술 가운데 객관적인 진단지표를 가지고 있는 의료영상을 기반으로 인공지능 학습에 적용하여 진단 및 예측을 중심으로 한 플랫폼 개발이 진행되고 있다. 하지만, 인공지능 연구에는 많은 학습 데이터가 요구될 뿐만 아니라 학습에 적용하기 위해서는 데이터 특성에 따른 전처리 기술과 분류 작업에 많은 시간 소요되어 이와 같은 문제점을 해결할 수 있는 방법들이 요구되고 있다. 따라서, 본 논문은 인공지능 학습까지 적용하기 위한 의료영상 데이터에 대한 확장 모델을 개발하여 공통적인 조건에 따라 의료영상 데이터가 표준화되어 변환하며, 자동화 시스템 구조에 따라 데이터가 분류·저장되어 인공지능 학습까지 지원할 수 있는 플랫폼을 제안하고자 한다. 그리고 근감소증 학습데이터 관리 및 적용 결과를 통해 플랫폼의 수행성을 검증하였다. 향후 제안한 플랫폼을 통해 의료데이터에 대한 전처리, 분류, 관리까지 지원함으로써 CDM 확장 표준 의료데이터 플랫폼으로 활용 가능성을 보였다.

Traumatic Rupture of the Right Hemidiaphragm: Scintigraphic Diagnosis (외상성 우측 횡경막 파열의 간신티그램 진단)

  • Park, Young-Ha;Lee, Myung-Hee;Chung, Soo-Kyo;Shinn, Kyung-Sub;Bahk, Yong-Whee
    • The Korean Journal of Nuclear Medicine
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    • v.21 no.1
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    • pp.69-73
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    • 1987
  • 외상에 의한 횡경막파열은 신속한 진단이 매우 어렵다. 이는 임상증상 및 일반적인 방사선학적 소견이 특이성이 없고, 많은 다른 외상이 동반되어 임상적으로나 방사선학적으로 진단하기 힘들기 때문이다. 더우기 외상성 청경막파열은 좌측에 비해 우측에서는 매우 드물다. 저자들은 임상경사와 단순 흉부-X선 사진상에서 진단이 어려웠던 우측 외상성 횡경막 파열등 3예에 매해서 간신티그램을 시행하여 몇가지 특징적 소견을 관찰할 수 있었다. 즉 간신티그램 상에서 관찰된 횡경막파열의 특징적인 소견은 1) 청경막 탈출에 의한 간우엽의 융기 2) 융기부 기저부의 예각형성 그리고 3) 횡경막교약에 의한 띠모양의 냉소이었다. 그러나 이들 3가지 소견은 반드시 모두가 나타나지 않을 뿐만 아니라 같은 환자에서도 신티영상의 촬영방향에 따라 나타나는 수도 있고 나타나지 않을 수도 있었다. 그러므로 우측 횡경막내 외상성파열로 인한 간 등의 허니아를 진단하기 위해서는 다각도로 신티영상 촬영을 하여야 할 것이다.

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Development of Medical Examination and Treatment System for Dental Clinic (치과병원 전산화를 위한 통합 진료 시스템 구축)

  • 채옥삼;강승훈
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.40 no.2
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    • pp.26-37
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    • 2003
  • Unlike a medical doctor, a dentist performs all the tasks necessary for diagnosis and treatment of a disease all by himself. To increase the diagnostic accuracy, dentists need an efficient working environment providing much more integrated information of clinical data and radiographic image. In this paper, we propose an integrated environment for the dental hospital. It provides paperless and filmless hospital environment by integrating seamlessly three major operations for the dental hospital including patient record generation and management, clinical image acquisition and analysis, and treatment planning and simulation. This system also allows clinicians to provide more predictable dental care for the patients by supporting instant access to all the clinical data and quantitative data analysis.

The value of Dedicated Tc-99m MIBI Scintimammography in the Evaluation of Patients with Palpable Breast Lesions in Comparison with Mammography: Preliminary Result (만져지는 유방 병소를 평가하는데 있어 Tc-99m MIBI 유방스캔과 유방촬영 술의 비교: 예비 결과)

  • Cho, Arthur;Cho, Ho-Jin;Yun, Mi-Jin;Park, Byeong-Woo;Kim, Min-Jung;Kim, Eun-Kyung;Kang, Won-Jun;Lee, Jong-Doo
    • Nuclear Medicine and Molecular Imaging
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    • v.43 no.1
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    • pp.48-54
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    • 2009
  • Purpose: There are few studies evaluating the usefulness of dedicated high-resolution scintimammography and no studies using delayed washout with this dedicated high resolution scintimammography for the evaluation of breast lesions. We underwent this study to evaluate the clinical usefulness of Tc-99m MIBI in evaluating patients with palpable breast lesions using dedicated high-resolution scintimammography. Materials and Methods: This study included 19 patients with 23 palpable breast lesions who underwent mammography. Tc-99m MIBI was taken to further characterize these lesions. Scintimammography images were acquired with standard craniocaudal and mediolateral oblique views and delayed images were additionally taken. Final conclusions were based on histopathology, either by biopsy or mastectomy results. Results: Eighteen lesions were malignant and five were benign. Mammography was indeterminate for thirteen lesions, nine of those were malignant. Mammography also categorized one lesion as benign in a dense breast, but scintimammography and pathology results showed malignancy. Of the five benign lesions, two were visible on scintimammography, but delayed images showed washout. Conclusion: Based on our preliminary results, dedicated high resolution scintimammography seems to be very useful in characterizing palpable lesions that were indeterminate or negative on mammography.

A Study on Selection of Optimal Imaging Diagnostic Device for Cerebral Angiography: Focusing on MRA, CTA, and DSA Imaging Diagnosis Devices (뇌혈관 검사 시 최적의 영상 진단장치 선정에 관한 연구: MRA, CTA, DSA, 영상 진단장치 중심으로)

  • Byun, Jung-Su;Goo, Eun-Hoe
    • Journal of the Korean Society of Radiology
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    • v.11 no.7
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    • pp.637-645
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    • 2017
  • The objective of this study was to find the optimum test device for the cerebral blood vessels by comparing and analyzing the SNR and CNR methods for images of three devices (i.e., MRA, CTA, and DSA). The study targeted 90 patients who underwent cerebral angiography from November 2016 to May 2017. The measuring parts were measured by using Rt MCA, Lt MCA, and ACA Image J. The results of quantitative analysis showed that the mean SNR of MRA, the CNR of MRA, the signal strength of MRA, the mean SNR of CTA, the CNR of CTA, the signal strength of CTA, the SNR of DSA, the CNR of DSA, and the signal strength of DSA were evaluated as 254.87, 178.13, 326.81, 74.75, 62.2, 356.66, 26.85, 25.89, and 4400.69, respectively (p<0.05). As a result, both SNR and CNR methods measured it in the order of MRA>CTA>DSA. Statistical significance was determined by using ANOVA analysis at p<0.05 and Bonferroni method was used as a post-hoc analysis SPSS. In conclusion, the results of this study revealed that the optimum imaging devices were MRA, CTA, and DSA after evaluating randomly selected patients with cerebrovascular disease.