• Title/Summary/Keyword: 임상 CT

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Computed Tomography Technology (컴퓨터단층촬영(CT) 기술 동향)

  • Lee, J.W.;Lee, S.Y.;Yoo, D.H.
    • Electronics and Telecommunications Trends
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    • v.25 no.4
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    • pp.60-68
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    • 2010
  • CT는 종래의 엑스선 촬영 기법으로 얻은 인체 내부의 투영 데이터를 컴퓨터로 재구성하여 단층영상을 만들어 내는 기술이다. 1972년 최초의 상용화 CT가 개발된 이후로 촬영 속도 개선의 측면에서 비약적인 발전을 이루었다. 겐트리 구동 방식의 발전과 Spiral CT, MDCT 기술의 도입이 스캔 시간 단축에 큰 역할을 하였다. 특히 MDCT의 개발로 다양한 임상적 활용이 가능해졌다. 한편 O-arm CT 기술은 CT를 공간적 제약에서 벗어나게 하였다. 이는 CT가 수술실 현장에서 활용될 수 있다는 임상적 의미를 가진다. O-arm CT는 즉석에서 활용되어야 하므로 촬영과 동시에 영상이 실시간으로 재구성되는 것도 중요하다. 최근에 도입되기 시작한 GPU 프로그래밍 기술은 고성능 GPU 하드웨어의 발전을 등에 업고 실시간 CT 재구성을 가능하게 할 것으로 보인다.

Accuracy and Usefulness of Volume Measurement using CT and Ultrasound Scan Data (CT 및 초음파 스캔 데이터를 이용한 체적 측정의 정확도 및 유용성)

  • Kim, Hyeon-Ju;Lee, Hoo-Min;Yoon, Joon
    • Journal of the Korean Society of Radiology
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    • v.16 no.3
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    • pp.289-294
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    • 2022
  • In this study, the accuracy and usefulness of volume measurement were investigated as a phantom experiment using CT and USG scan data and a clinical trial using patient scan data. As a result, there was no significant difference between the volume of the actual round phantom of various volumes for both the CT and ultrasound devices (p>0.05). As a result of statistical analysis, it was analyzed that there was no significant difference (p>0.05). Clinical application of this result requires more clinical trials, but if a CT or ultrasound device is selected and applied in consideration of patient radiation exposure, the examiner's scanning technology, and CT reconstruction experience, the basic data in terms of the usefulness of volume measurement using CT scan image is considered to have application value.

Analysis for Correlation of Standardized Uptake Value in Fusion Imaging Scanner (융합영상장비의 표준섭취계수 상관관계 분석)

  • Kim, Jin-Eui;Kim, Jung-Soo;Choi, Nam-Gil;Han, Jae-Bok
    • Journal of the Korean Society of Radiology
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    • v.12 no.5
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    • pp.593-601
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    • 2018
  • Recently in nuclear medicine, to improve diagnostic value, SUV, semi-quantitative indicator used in PET-CT, is adopted in SPECT-CT. Therefore, this research analyzed correlation of $SUV_{max}$ of two scanners through phantom test, and evaluated possibility of clinical application. Radiopharmaceuticals ($^{18}F$, $^{99m}Tc$) were injected with the ratios of 8:1 and 4:1, considering background radioactivity, into the phantom manufactured with 6 globes of different sizes, and, based on clinical protocol, positive phases were acquired with PET-CT and SPECT-CT scanners, and interesting areas were divided into ROI and VOI, and $SUV_{max}$ of them were measured, and analyzed. Tests found out no statistically significant difference in $SUV_{max}$ measured with two scanners (P>0.05). Thus, $SUV_{max}$ of PET-CT and SPECT-CT had a certain correlation within significant levels, and were evaluated as the same. Accordingly, it seems that $SUV_{max}$ quantitative analysis using SPECT-CT can provide significant diagnostic information as the case of PET-CT.

A Study on the PET/CT Fusion Imaging (PET/CT 결합영상진단 검사에 관한 연구)

  • Kim, Jong Gyu
    • Korean Journal of Clinical Laboratory Science
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    • v.36 no.2
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    • pp.193-198
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    • 2004
  • PET/CT combines the functional information from a positron emission tomography (PET) exam with the anatomical information from a computed tomography (CT) exam into one single exam. A CT scan uses a combination of x-rays and computers to give the radiologist a non-invasive way to see inside your body. One advantage of CT is its ability to rapidly acquire two-dimensional pictures of your anatomy. Using a computer these 2-D images can be presented in 3-D for in-depth clinical evaluation. A PET scan detects changes in the cellular function - how your cells are utilizing nutrients like sugar and oxygen. Since these functional changes take place before physical changes occur, PET can provide information that enables your physician to make an early diagnosis. The PET exam pinpoints metabolic activity in cells and the CT exam provides an anatomical reference. When these two scans are fused together, your physician can view metabolic changes in the proper anatomical context of your body. PET/CT offers significant advantages including more accurate localization of functional abnormalities, and the distinction of pathological from normal physiological uptake, and improvements in monitoring treatment. A PET/CT scan allows physicians to measure the body's abnormal molecular cell activity to detect cancer (such as breast cancer, lung cancer, colorectal cancer, lymphoma, melanoma and other skin cancers), brain disorders (such as Alzheimer's disease, Parkinson's disease, and epilepsy), and heart disease (such as coronary artery disease).

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Effective Searching of Clinical Terms from Standard Clinical Terminology (표준 의학용어 체계에서의 효과적인 용어 검색 방안)

  • Ryu, Wooseok
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2014.05a
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    • pp.323-325
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    • 2014
  • SNOMED CT is a standard clinical terminology which is to efficiently record, manage and utilize clinical records during clinical processes. However, huge expressive power of SNOMED CT makes it difficult to select appropriate terms during short consultation hours. In addition, true meaning of a written record using the terminology may be misunderstood or even distorted since one clinical meaning could be expressed in a variety of ways. This paper analyzes such known problems in a database point of view, and presents effective selection methods of similar terminologies to mitigate the problem.

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Computed Tomographic Images of Vertebral Disc Herniation in Dogs (개에서 컴퓨터 단층 촬영 검사를 통한 추간판 탈출증 진단례)

  • 이기창;송경진;권정국;최민철
    • Journal of Veterinary Clinics
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    • v.20 no.4
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    • pp.519-522
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    • 2003
  • An appearance of herniated intervertebral disc into thoracolumbar vertebral canal was evaluated in two patients using computed tomography (CT). Before CT scanning, plain radiography and myelography were performed in both cases. CT images were compared to those of myelography. Dogs were positioned in sternal recumbency under inhalation anesthesia and transverse slices with 2 mm thickness were obtained around thoracolumbar region. The transverse CT images were examined using both vertebral and spiral window mode. The most common findings on CT images were loss of vertebral canal epidural fat, bulging of vertebral canal disc margins, displacement of spinal cord and flatted vertebral canal. Whereas, narrowed intervertebral disc space and simple extradural pattern were the main findings on plain and contrast radiographs. CT imges showed the extent of the herniated disc lesion, type II intervertebral disc hernation, and the displacement of spinal cord in detail in both occations. It is considered that degree and precise localization of the intervertebral disc herniation and subtle lesion of spinal cord could be identified accurately using computed tomography.

A Requirement of a Search Browser for Effective Searching of Clinical Terminology (효과적인 의학용어 검색을 위한 검색 브라우저의 요건)

  • Ryu, Wooseok
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2014.10a
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    • pp.416-417
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    • 2014
  • SNOMED CT is a standard clinical terminology to provide a standardized way for recording and managing of clinical records in EMR systems. However, because of its huge expressive power, it is very difficult to consistently record patients' status such as diagnosis and procedure. The reason is that one clinical meaning can be expressed in variety of ways using multiple terminologies and vice versa. This paper proposes a novel requirement of effective search browser for SNOMED CT terminologies by analyzing duplicated or similar terminologies.

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Using MIM Software 3-D PET / CT imaging for the evaluation of radiation therapy on the clinical application of research (MIM 소프트웨어를 이용한 3-D PET/CT 영상의 방사선치료 평가를 위한 임상적용에 관한 연구)

  • Lee, SangHo
    • Journal of the Korean Society of Radiology
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    • v.9 no.4
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    • pp.249-255
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    • 2015
  • In this study, through the additional information of the PET / CT images by utilizing the basic data of TPS clinical application on the basis of the image re-forming synthetic function, the True-D technology and MIM software for continued research and development in combination, based on the combination-work between the respective images, reducing the time and cost of useful reading in clinical wide use of image width, efficient, effective tool for tumor targeting at diagnosis and radiation therapy by use as, by using the precise therapeutic effect determination, the time taken to read in the clinical, unnecessary and expect to a can reduce the additional examination by the creation of tumor patients read reports and PACS such asWe expect to be utilized for compatibility development with other software to evaluate the performance of PET / CT equipment.

3-dimensional virtual Endoscopy의 임상적용

  • Sin, In-Cheol
    • Korean Journal of Digital Imaging in Medicine
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    • v.4 no.1
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    • pp.58-61
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    • 1998
  • 현재 국내에서는 Virtual CT endoscopy가 초기단계에 있으므로 앞으로 많은 임상 경험과 data의 축적을 쌓는 것이 중요하다고 보여진다. Virtual CT endoscopy는 조직학적 검사를 위한 병변부위의 조직검사가 불가능한 단점을 갖고 있으나 내시경 검사와 거의 비슷한 소견을 얻을 수 있어 앞으로 병변의 진단 뿐 아니라 병변의 치료 후 추적 검사로도 유용하게 이용되리라 사료된다.

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Comparison of Quantitative Relationship between Real-Time PCR and Acid Fast Bacilli Staining for Diagnosis of Pulmonary Tuberculosis (폐결핵 진단을 위한 실시간중합효소연쇄반응과 AFB 염색진단검사의 정량적 연관성 비교)

  • Jung, Taewon;Kim, Sang-Ha;Kim, Sunghyun;Choi, Jae-Sun;Kim, Young-Kwon
    • Korean Journal of Clinical Laboratory Science
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    • v.52 no.4
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    • pp.335-341
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    • 2020
  • This study investigates the association of the AFB stain with the cycle threshold (Ct) value of the Cobas TaqMan MTB test (CTM test, Roche Diagnostics, Basel, Switzerland), and it establishes the base data for semi-quantitative identification of M. tuberculosis by the Ct value. CTM test were simultaneously conducted on 8,389 specimens submitted to the Samsung Medical Center from January 2015 to December 2015, and the results were analyzed and compared retrospectively investigates the association of the AFB stain with the Ct value of the CTM test, and it establishes the base data for semi-quantitative identification of M. tuberculosis by the Ct value. The Ct values for 135 positive specimens of the CTM were inversely correlated with the AFB stain (rs=-0.545, P<0.01). When the Ct value of the CTM test and the time to positivity (TTP) of the mycobacteria cultures were verified based on the AFB stain, they were found to have a positive correlation (rs=0.136, P<0.01). The negative correlation between the CTM test and the AFB stain grade was demonstrated. The clinical significance was verified by applying these criteria to the clinical results. The semi-quantitative criteria of this study can be used to facilitate the rapid isolation of patients with active tuberculosis and infection control in the hospital.