• Journal of KIISE:Software and Applications
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• v.27 no.3
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• pp.266-274
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• 2000

Medical image segmentation, which is essential in diagnosis and 3D reconstruction, is performed manually in most applications to produce accurate results. However, manual segmentation requires lots of time to segment, and is difficult even for the same operator to reproduce the same segmentation results for a region. To overcome such limitations, we propose a convenient and accurate semiautomatic segmentation method. The proposed method initially receives several control points of an ROI(Region of Interest Region) from a human operator, and then finds a boundary composed of a minimum cost path connecting the control points, which is the Live-wire method. Next, the boundary is modified to overcome limitations of the Live-wire, such as a zig-zag boundary and erosion of an ROI. Finally, the region is segmented by SRG(Seeded Region Growing), where the modified boundary acts as a blockage to prevent leakage. The proposed User-steered balloon method can overcome not only the limitations of the Live-wire but also the leakage problem of the SRG. Segmentation results of thigh muscles of the Visible Human are presented.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.11 no.2
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• pp.322-329
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• 2007

A single pixel photon counting type image sensor which is applicable for medical diagnosis with digitally obtained image and industrial purpose has been designed with $0.18{\mu}m$ triple-well CMOS process. The designed single pixel for readout chip is able to be operated by single supply voltage to simplify digital X-ray image sensor module and a preamplifier which is consist of folded cascode CMOS operational amplifier has been designed to enlarge signal voltage(${\Delta}Vs$), the output voltage of preamplifier. And an externally tunable threshold voltage generator circuit which generates threshold voltage in the readout chip has been newly proposed against the conventional external threshold voltage supply. In addition, A dark current compensation circuit for reducing dark current noise from photo diode is proposed and 15bit LFSR(Linear Feedback Shift Resister) Counter which is able to have high counting frequency and small layout area is designed.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.11 no.2
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• pp.330-336
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• 2007

A single pixel photon counting type image sensor which is applicable for medical diagnosis with digitally obtained image and industrial purpose has tern designed with $0.18{\mu}m$ triple-well CMOS process. The designed single pixel for readout chip is able to be operated by single supply voltage to simplify digital X-ray image sensor module and a preamplifier which is consist of folded cascode CMOS operational amplifier has been designed to enlarge signal voltage(${\Delta}Vs$), the output voltage of preamplifier. And an externally tunable threshold voltage generator circuit which generates threshold voltage in the readout chip has been newly proposed against the conventional external threshold voltage supply. In addition, A dark current compensation circuit for reducing dark current noise from photo diode is proposed and 15bit LFSR(Linear Feedback Shift Resister) Counter which is able to have high counting frequency and small layout area is designed.

• Journal of the Korean Society of Radiology
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• v.15 no.3
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• pp.345-353
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• 2021

Digital radiography imaging systems can also help diagnose lesions in patients, but if x-rays that enter the human body cause scatter x-ray due to interaction with substances, they affect the signal and noise characteristics of digital x-ray images. To regard the human body as polymethyl methacrylate (PMMA) and observe the properties of scattered x-ray generated from PMMA on x-ray images, we analyze signal and noise in the spatial domain as well as noise-power spectrum (NPS), and detective quantum efficiency (DQE) at zero frequency. As PMMA thickness increased, signals decreased, the noise increased, and NPS degradation was identified in overall spatial frequencies. Based on these characteristics, zero-frequency performance was also shown to be degraded. Comparative analysis with Monte-carlo simulations will need to be made to analyze the zero-frequency performance by scattered x-ray of indirect conversion-type x-ray detectors more quantitatively.

• Journal of the Korea Society of Computer and Information
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• v.26 no.3
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• pp.19-28
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• 2021

Esophagogastroduodenoscopy is a method commonly used for early diagnosis of upper gastrointestinal lesions. However, 10-20 percent of the gastric lesions are reported to be missed, due to human error. And countries including the US, the UK, and Japan, the World Endoscopy Organization (WEO) suggested guidelines about essential gastrointestinal parts to take pictures of so that all gastric lesions are observed. In this paper, we propose deep learning techniques for classification of anatomical sites, aiming for the system that informs practitioners whether they successfully did the gastroscopy without blind spots. The proposed model uses pre-processing modules and data augmentation techniques suitable for gastroscopy images. Not only does the experiment result with a maximum F1 score of 99.6%, but it also shows a error rate of less than 4% based on the actual data. Given the performance results, we found the model to be explainable with the potential to be utilized in the clinical area.

• Journal of Biomedical Engineering Research
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• v.43 no.6
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• pp.390-398
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• 2022

Ultrasound examination using ultrasound equipment is an ultrasound device that images human organs using sound waves and is used in various areas such as diagnosis, follow-up, and treatment of diseases. However, if the quality of ultrasound equipment is not guaranteed, the possibility of misdiagnosis increases, and the diagnosis rate decreases. Accordingly, The Korean Society of Radiology and Korea society of Ultrasound in Medicine presented guidelines for quality management of ultrasound equipment using ATS-539 phantom. The DenseNet201 classification algorithm shows 99.25% accuracy and 5.17% loss in the Dead Zone, 97.52% loss in Axial/Lateral Resolution, 96.98% accuracy and 20.64% loss in Sensitivity, 93.44% accuracy and 22.07% loss in the Gray scale and Dynamic Range. As a result, it is the best and is judged to be an algorithm that can be used for quantitative evaluation. Through this study, it can be seen that if quantitative evaluation using artificial intelligence is conducted in the qualitative evaluation item of ultrasonic equipment, the reliability of ultrasonic equipment can be increased with high accuracy.

• The Journal of the Korean bone and joint tumor society
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• v.18 no.2
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• pp.72-77
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• 2012

Purpose: Unplanned excision of a soft tissue sarcoma is defined as the operation performed for gross removal of a soft tissue sarcoma without regard for preoperative imaging or the necessity to removal a margin of normal tissue covering the cancer. We report our experience of treating primary soft tissue sarcoma after an unplanned excision. Materials and Methods: We retrospectively reviewed 31 patients referred to our hospital after unplanned excision at other hospitals for treatment of a STS. The clinical information was reviewed with a focus on the patient's age, gender, tumor location, tumor size, tumor depth, presumptive diagnoses at the previous surgery, refer hospital, definitive diagnosis, interval between the initial and additional surgery and local recurrence. Results: There were 19 males and 12 females with a median age of 48 years (range, 17-75 years) at the time of referral. Seventeen patients (54.8%) had tumors in their lower limb, 6 (19.4%) had tumors in their upper limb, and 8 (25.8%) had tumors in their trunk. Tumor depth could be determined for 8 patients (25.8%), with superficial and 22 deep tumors (71%). The medial interval between unplanned excision to re-excision ranged from 2 weeks to 1 year (median, 5 weeks). Local recurrence was detected in 2 patients. All patients were alive without metastasis at last follow up. Conclusion: Even in upper class general hospital, many unplanned excision had been performed, which is considered to be avoided. When the relatively huge mass located in deeper layer it requires enough preoperative imaging studies and biopsy.

• Journal of the Korean Society of Radiology
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• v.16 no.1
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• pp.15-23
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• 2022

3D printing technology is being used in various fields such as medicine and biotechnology, and materials containing metal powder are being commercialized through recent material development. Therefore, this study intends to analyze the photon spectrum during added filtration using 3D printing material during diagnostic X-ray examination through simulation. Among the Monte Carlo techniques, MCNPX (ver. 2.5.0) was used. First, the appropriateness of the photon spectrum generated in the simulation was evaluated through SRS-78 and SpekCalc, which are X-ray spectrum generation programs in the diagnostic field. Second, photon spectrum the same thickness of Al and Cu filters were obtained for characterization of 3D printing materials containing metal powder. In addition, the total photon fluence and average energy according to changes in tube voltage were compared and analyzed. As a result, it was analyzed that PLA-Al required about 1.2 ~ 1.4 times the thickness of the existing Al filter, and PLA-Cu required about 1.4 ~ 1.7 times the thickness of the Cu filter to show the same degree of filtration. Based on this study in the future, it is judged that it can be utilized as basic data for manufacturing 3D printing additional filters in medical fields.

• Journal of the Korean Society of Radiology
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• v.14 no.7
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• pp.1003-1011
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• 2020

This study aims to compare and evaluate the image differences between single and dual sources in applying a technique to reduce metal artifacts using dual energy CT. Discovery CT 256 (GE, USA) as a single source device and Somatom Definition Flash (Siemens Health Care, Forchheim, Germany) as a dual source device. The self-made phantom (pigs with medical titanium screws inserted) was quantitative and qualitatively evaluated under the same conditions by varying the dose under the same conditions using a dual energy CT. The evaluation method was compared by measuring SNR for metal artifacts (scattering, stripe) generated by metal inserts, divided around bones and around tissues. There was a difference in images in the method of reducing metal artifacts between single-source and dual-source devices. In a single source device, the linearized prosthesis by metal implantation showed a greater decrease than the image obtained from a double source device, and the surrounding tissue was well observed without interference from the artifact. In dual-source devices, scattering and stripe artifacts caused by metal inserts decreased more than on a single source device, and signals from adjacent tissues surrounding the metal implant were well observed without diminishing. If the examination is conducted separately between single source and dual source devices depending on whether the area to which the patient is intended to be viewed during the examination is adjacent to the metal insert or the total tissue surrounding the metal insert, it is believed that diagnostic helpful images can be obtained.

• Journal of the Korean Society of Radiology
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• v.13 no.7
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• pp.1015-1024
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• 2019

In the medical field, X-rays are essential in the diagnosis and treatment of diseases, and the use of X-rays continues to increase with the development of imaging technology, but X-rays have the disadvantage of radiation exposure. Although lead protection tools are used in clinical practice to protect against radiation exposure, lead is classified as a heavy metal and can cause harmful reactions such as lead poisoning. Therefore, the purpose of this study is to investigate the usefulness of the shield fabricated using materials of FDM (Fused Deposition Modeling) 3D printer. In order to confirm the filament's line attenuation factor, phantoms were fabricated using PLA, XT-CF20, Wood, Glow and Brass, and CT scan was performed. And the shielding sheet of 100 × 100 × 2 mm size was modeled, the dose and shielding rate was measured by using a diagnostic X-ray generator and irradiation dose meter, and the shielding rate with lead protection tools. As a result of the experiment, the CT number of the brass was measured to be the highest, and the shielding sheet was manufactured by using the brass. As a result of confirming with the diagnostic X-ray generator, the shielding rate was increased in the shielding sheet having a thickness of 6 mm upon X-ray irradiation under the condition of 100 kV and 40 mAs. It measured by 90% or more, and confirmed that the shielding rate is higher than apron 0.25 mmPb. As a result of this study, it was confirmed that the shield fabricated by 3D printing technology showed high shielding rate in the diagnostic X-ray region. there was.