• Title/Summary/Keyword: 의료영상 진단

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A Study to Acquire Sharp Images in the Haas(Skull PA Axial Projection) (Haas 촬영법에서 선예한 영상 획득을 위한 연구)

  • Ahn, Jun-Ho;Han, Jae-Bok;Song, Jong-Nam;Kim, In-Soo
    • Journal of the Korean Society of Radiology
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    • v.16 no.3
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    • pp.319-325
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    • 2022
  • The Study In order to obtain a sharpness Image from Skull PA axial projection (Haas) in a head axial X-ray Examination, this study changed the posture angle using Skull Phantom and evaluated the image subjectively to 5 radiologists who worked in the Department of Imaging at University Hospital. In the prone position, the head was lowered 4 cm from the back of the head, entered 25° toward the head, and the image evaluation score was high with 20 points, such as the back bone, dorsum sellae projected in the large hole, and posterior clinoid process. In addition, the score significance was verified, and the Cronbach Alpha value was evaluated to have good reliability of 0.789. As a result of calculating the signal-to-noise ratio (SNR) by setting the region of interest (ROI) of the image, it was the highest at 5.957 for 25° incident at the back of the head and 6.430 for 30° incident at the back of the head. As a result of the study, in order to obtain a sharp image of the back of the head bone, dorsum sellae, and posterior clinoid process when shooting in the axial direction after the head, it is filmed by tilting 25° toward the head from 4 cm below the back of the head. In order to obtain a sharp image of rock pyramid symmetry, petrous ridge, sagittal suture, and lambdoid suture, it is thought that it will be helpful for clinical use if you shoot it 8cm down from the back of the head and tilt it 30° toward the head.

Application of an imaging plate to relative dosimetry of clinical x-ray beams (Imaging Plate를 이용한 의료용 광자선의 선량측정)

  • 임상욱;여인환;김대용;안용찬;허승재;윤병수
    • Progress in Medical Physics
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    • v.11 no.2
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    • pp.117-122
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    • 2000
  • The IP(imaging plate) has been widely used to measure the two-dimensional distribution of incident radiation since it has a high sensitivity, reusability, a wide dynamic range, a high position resolution. Particularly, the easiness of acquiring digitized image using IP poses a strong merit because recent trend of data handling prefers image digitization. In order to test its usefulness in photon beam dosimetry, we measured the off-axis ratio(OAR) on portal planes and percent depth dose(PDD) within a phantom using IP, and compared the results with the data based on EGS4 Monte Carlo particle transport code, ion-chambers, conventional films. For the measurement, we used 6 MV X-rays, various field sizes. As a result, IP showed significant deviation from ion-chamber measurement: a significant overresponse, 100% greater than that of ion-chamber measurement at deep part of the phantom. Filtration of low-energy scattered photons at deep part of the phantom using 0.5 mm thick lead sheets did improve the result, only to the unacceptable extent. However, portal dose measurement showed possibilities of If as a dosimeter by showing errors less than 5%, as compared with film measurement.

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The signal property and structure design of CsI:Na/a-Se for diagnostic x-ray imaging (진단 X선 영상을 위한 CsI:Na/a-Se 구조설계 및 신호특성)

  • Park, Ji-Koon;Heo, Ye-Ji;Park, Jeong-Eun;Park, Sang-Jin;Kim, Hyun-Hee;No, Ci-Chul;Kang, Sang-Sik
    • Journal of the Korean Society of Radiology
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    • v.3 no.4
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    • pp.35-38
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    • 2009
  • Flat-panel x-ray detectors using a phosphor and photoconductor material have been used for application in various medical modalities. In this study, the monte carlo simulation, optical and x-ray response characteristics were investigated in the conversion structure obtained by a columnar CsI:Na scintillation layer with a photosensitive amorphous selenium layer. Firstly, from the measurement of luminescent spectrum of CsI:Na and absorption spectrum of a-Se layer, the signal conversion characteristics are analysed. And also, the x-ray sensitivity is measured and compared with conventional a-Se($500{\mu}m$) as a function of electrical field. From the experimental result, the x-ray sensitivities of the CsI:Na($180{\mu}m$)/a-Se($30{\mu}m$) detector and the a-Se($500{\mu}m$) detector were $7.31nC/mR-cm^{2}$ and $3.95nC/mR-cm^{2}$at an electric field of $10V/{\mu}m$, respectively.

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A Study on the Usefulness of Copper Filter in Single X-ray Whole Spine Lateral using 3D Printer (단일조사 whole spine Lateral 검사에서 3D 프린터로 제작한 구리 필터 유용성 연구)

  • Kwon, Kyung-Tae;Yoon, Dayeon;Shin, Rae-Un;Han, Bong-Ju;Yoon, Myeong-Seong
    • Journal of the Korean Society of Radiology
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    • v.14 no.7
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    • pp.899-906
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    • 2020
  • The WSS lateral examination is important for diagnosing spinal disorders. Recently, long-length detectors for large-area diagnose have been popularized to effectively reduce the exposure dose and examination time. It can be applied very efficiently to examinations of patients with high risk of falls, children, and adolescents. However, since the image is acquired through a single irradiation, the volume of cervical vertebra is relatively smaller than the lumbar due to the geometrical anatomy of the spine. Therefore, this study intends to fabricate an additional filter using 3D printing technology and copper filament to obtain uniform image quality in the WSS lateral examination and to analyze the results. 3D printing technology is able to easily print a desired shape, so it is widely used in the entire industrial field, and recently, a copper filament has been developed to confirm the possibility as an additional filter. In the WSS lateral examination, CNR and SNR were excellently measured when the additional filter was applied, confirming the possibility of using the additional filter.

Comparative Analysis of Understanding and Satisfaction of MRI Patients after Leaflet Training (리플릿 교육 후 MRI 환자의 이해도 및 만족도 비교분석)

  • Park, Chang-Hee;Han, Sang-Hyun
    • Journal of the Korean Society of Radiology
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    • v.16 no.2
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    • pp.123-129
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    • 2022
  • Recently, the penetration rate of Magnetic Resonance Imaging (MRI) is higher than the average among OECD member countries, and the number of MRI scans is increasing. However, MRI scans take longer than other medical devices, and patient movement must be minimized. Therefore, patient discomfort always follows. When the examination is performed in the discomfort of the patient, it is difficult to perform an accurate examination, and it is difficult to obtain an image of diagnostic value. So, in the past, the patient was asked to read the written guide for the risk and cooperation of MRI, but it was composed of technical terms and difficult-to-understand sentences, so it was difficult to understand. The purpose of this study is to supplement these problems and increase the understanding of MRI scans to help acquire images of diagnostic value. In addition, it is intended to evaluate the excellence of leaflet education by evaluating the understanding and satisfaction of patients. As shown in the results of this study, understanding and satisfaction scores were higher after education than before leaflet education, and it was found that there was a difference in understanding according to academic background. However, there was no difference in the number of MRI scans. That is, there was no difference in the number of inspections due to leaflet education. In the future, leaflet education will be widely used for MRI examination, and it is necessary to study the qualitative evaluation of images after leaflet education in the future.

Evaluation of Image Quality and dose with the Change of kVp and BMI in the Liver CT (CT 검사 시 관전압과 BMI 변화에 따른 화질 및 피폭평가)

  • Kim, Dong-Hyun;Ko, Sung-Jin;Kang, Se-Sik;Kim, Jung-Hoon;Choi, Seok-Yoon;Kim, Changsoo
    • The Journal of the Korea Contents Association
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    • v.13 no.6
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    • pp.331-338
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    • 2013
  • CT for follow-up visits because of liver disease, body mass index (BMI) and kVp according to the change of the image quality and radiation dose to evaluate for changes. March 2010 to June 2011 at Pusan P University Hospital, abdominal CT scans a patient BMI (Body Mass Index. Less BMI) index was less than 25 in the treatment of subjects had a 48-person Noise and SNR at 100kVp abdominal image is lager than the 120kVp image. CTDI volume value at by the analysis of the radiation dose is 4.47mGy(100kVp) and 9.01mGy(120kVp). So CTDIvol in 100kVp is smaller than CTDIvol in 120kVp(decrease by 44.1%). And, effective dose is 7.1mSv(100kVp) and 12.51mSv(120kVp). So effective dose in 100kVp is smaller than effective dose in 120kVp(decrease by 43%). Evaluation of image quality is that Unacceptable 0 person, Suboptimal 0 person, Adequate 0 person, Good 1 person, Excellent 47 person. In case of repeatly patient, we examinate abdomianl CT scan by using low kVp and body mass index less than 25. We can has good quality image and benefit of low radiation dose.

Quantitative Evaluation of Image Quality using Automatic Exposure Control & Sensitivity in the Digital Chest Image (디지털 흉부영상에서 자동노출제어 및 감도변화를 이용한 영상품질의 정량적인 평가)

  • Lee, Jin-Soo;Ko, Seong-Jin;Kang, Se-Sik;Kim, Jung-Hoon;Kim, Dong-Hyun;Kim, Changsoo
    • The Journal of the Korea Contents Association
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    • v.13 no.8
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    • pp.275-283
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    • 2013
  • The patient radiation dose is different depending on selection of Ion chamber when taking Chest PA which using AEC. In this paper, we studied acquiring the best diagnostic images according to selection of Ion chamber on AEC mode as well as minimizing patient radiation dose. Experimental methods were selection of Ion chamber and change of sensitivity under the same conditions as Chest PA projection. At AEC mode, two upper ion chambers sensors and one lower ion chamber sensor were divided into 7 cases according to selection of on/off. after measuring five times respectively, we obtained average value and calculated exposure dose. Image assessment was done with measured Modulation Transfer Function, Peak Signal to Noise Ratio, Root Mean Square, Signal to Noise Ratio, Contrast to Noise Ratio, Mean to Standard deviation Ratio respectively. In exposure assessment results, selection of two upper chambers was the lowest. In resolution assessment results, image of two upper chambers had the second high spatial frequency at sensitivity at 625(High) was 1.343 lp/mm. RMS value of image selecting two upper chambers was low secondly. SNR, CNR, MSR were the high value secondly. As the sensitivity was increased, radiation dose was decreased but better image could be obtained on image quality. In order to obtain the best medical images while minimizing the dose, usage of two upper ion chambers is considered to be clinically useful at sensitivity 625(High).

A Hippocampus Segmentation in Brain MR Images using Level-Set Method (레벨 셋 방법을 이용한 뇌 MR 영상에서 해마영역 분할)

  • Lee, Young-Seung;Choi, Heung-Kook
    • Journal of Korea Multimedia Society
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    • v.15 no.9
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    • pp.1075-1085
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    • 2012
  • In clinical research using medical images, the image segmentation is one of the most important processes. Especially, the hippocampal atrophy is helpful for the clinical Alzheimer diagnosis as a specific marker of the progress of Alzheimer. In order to measure hippocampus volume exactly, segmentation of the hippocampus is essential. However, the hippocampus has some features like relatively low contrast, low signal-to-noise ratio, discreted boundary in MRI images, and these features make it difficult to segment hippocampus. To solve this problem, firstly, We selected region of interest from an experiment image, subtracted a original image from the negative image of the original image, enhanced contrast, and applied anisotropic diffusion filtering and gaussian filtering as preprocessing. Finally, We performed an image segmentation using two level set methods. Through a variety of approaches for the validation of proposed hippocampus segmentation method, We confirmed that our proposed method improved the rate and accuracy of the segmentation. Consequently, the proposed method is suitable for segmentation of the area which has similar features with the hippocampus. We believe that our method has great potential if successfully combined with other research findings.

Gaussian Noise Reduction Method using Adaptive Total Variation : Application to Cone-Beam Computed Tomography Dental Image (적응형 총변이 기법을 이용한 가우시안 잡음 제거 방법: CBCT 치과 영상에 적용)

  • Kim, Joong-Hyuk;Kim, Jung-Chae;Kim, Kee-Deog;Yoo, Sun-K.
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.49 no.1
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    • pp.29-38
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    • 2012
  • The noise generated in the process of obtaining the medical image acts as the element obstructing the image interpretation and diagnosis. To restore the true image from the image polluted from the noise, the total variation optimization algorithm was proposed by the R.O. F (L.Rudin, S Osher, E. Fatemi). This method removes the noise by fitting the balance of the regularity and fidelity. However, the blurring phenomenon of the border area generated in the process of performing the iterative operation cannot be avoided. In this paper, we propose the adaptive total variation method by mapping the control parameter to the proposed transfer function for minimizing boundary error. The proposed transfer function is determined by the noise variance and the local property of the image. The proposed method was applied to 464 tooth images. To evaluate proposed method performance, PSNR which is a indicator of signal and noise's signal power ratio was used. The experimental results show that the proposed method has better performance than other methods.

Computed Tomography of the Left Atrium and Left Atrial Appendage: A Pictorial Essay on the Anatomy, Normal Variants, and Pathology (좌심방과 좌심방이의 전산화단층촬영 소견: 해부학, 정상변이 및 질환에 관한 임상화보 )

  • Minji Song; Sung Jin Kim;Hyun Jung Koo;Moon Young Kim;Jin Young Yoo
    • Journal of the Korean Society of Radiology
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    • v.81 no.2
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    • pp.272-289
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    • 2020
  • Current advances in CT techniques allow thorough evaluation of the beating heart. The strengths of cardiac CT relative to echocardiography and magnetic resonance imaging are its high availability in most institutions, rapid production of high-quality images, and outstanding delineation of the anatomy. For many normal variants and pathologic conditions, such as thrombi, masses, and congenital abnormalities of the left atrium, CT findings are sufficient to make a presumptive diagnosis. Assessments of the left atrium and left atrial appendage are particularly important for the management of atrial fibrillation, as various catheter-based procedures are aimed at the mechanical and electrical isolation of these structures. CT offers information crucial to a successful catheter-based procedure or surgery. Therefore, a comprehensive review of the geometry (shape, size, and relative position), along with various CT imaging features of pathologic states, should be provided in radiology reports to be of clinical value.