• Title/Summary/Keyword: 전산화단층영상검사

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기능성 3차원적 후두 전산화 촬영을 이용한 후두질환의 진단

  • 박영학;김형태;송창은;최혁기;조승호
    • Proceedings of the KSLP Conference
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    • 2003.11a
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    • pp.162-163
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    • 2003
  • 후두의 기능으로는 하기도의 보호, 호흡, 발성, 흉강의 고정 등이 있다. 이 중 발성은 성대의 진동에 의한 성대음이 입술까지의 성도(vocal tract) 및 비강에서의 조음과 공명 과정을 거치면서 이루어진다. 후두 질환을 진단하는 방법으로 간접 후두경, 단순 X-선 검사, 굴곡성 후두경(flexible fiberscope), 후두원시경(telescope), 전산화 단층 촬영, 자기공명영상 등이 사용되어 왔다. (중략)

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Squamous Cell Carcinoma in the Base of the Tongue in a Dog (개의 혀 뿌리에서 발생한 편평세포암종)

  • Kim, Se-Eun;Kim, Seung-Hyun;Shim, Kyung-Mi;Bae, Chun-Sik;Kang, Seong-Soo
    • Journal of Veterinary Clinics
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    • v.33 no.1
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    • pp.30-33
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    • 2016
  • It is difficult to detect and diagnose a mass at the tongue base, particularly if the mass is located under normal appearing mucosa. Computed tomography (CT), particularly post-contrast images, is useful to evaluate a tongue mass and adjacent structures including cervical lymph nodes. Nevertheless, a definitive diagnosis of a mass is obtained by histopathological examination. In this case, we describe a mass arising from the tongue body to the root in a dog. The patient was referred with ptyalism and an eating disorder. An oral examination was performed, and decreased tongue motility was observed. CT scanning was performed, and a lingual mass was detected. A lingual mass sample was collected by biopsy at the postmortem 2 months later. A histopathological examination was performed, and the lingual mass was diagnosed as squamous cell carcinoma.

Comparison of Bone Volume Measurements Using Conventional Single and Dual Energy Computed Tomography (전산화단층영상검사에서 단일에너지와 이중에너지를 이용한 뼈 부피측정의 비교)

  • Kim, Yung-kyoon;Park, Sang-Hoon;Kim, Yon-Min
    • Journal of radiological science and technology
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    • v.40 no.2
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    • pp.253-259
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    • 2017
  • The study examines changes in calcium volume on born by comparing two figures; one is measured by dual energy computed tomography(DECT) followed by applying variation in monochromatic energy selection(keV), material decomposition(MD), and material suppressed iodine(MSI) analysis, and the other is measured by conventional single source computed tomography(CSCT). For this study, based on CSCT images taken by using human mimicked phantom, 70, 100, 140 keV and MSI, MD material calcium weighting(MCW) and MD material iodine weighting(MIW) of DECT were applied respectively. Then calculated calcium volume was converted to Agatston score for comparison. Volume of human mimicked phantom was in inverse proportion to keV. The volume decreased while keV increased(p<0.05). The most similar DECT volumes were reconstructed at 70 keV, the difference was showed $35.8{\pm}12.2$ for rib, femur ($16.1{\pm}24.1$), pelvis($13.7{\pm}18.8$), and spine($179.0{\pm}61.8$). However, the volume of MSI was down for each organ; the volume of rib was 5.55%, femur(76.34%), pelvis(55.16%) and spine(87.58%). The volume of MSI decreased 55.9% for rib, femur(80.7%), pelvis(69.6%) and spine(54.2%) while MD MIW reduced for rib(83.51%), femur(87.68%), pelvis(86.64%), and spine(82.62%). With the results, the study found that outcomes were affected by the method which examiners employed. When using DECT, calcium volume of born dropped with keV increased. It also found that the most similar DECT images were reconstructed at 70 keV. The results of experiments implied that the users of MSI and MD should be cautious of errors as there are big differences in scores between those two methods.

The Evaluation of the Radiation Dose and Image Quality Through the Change of the Tube Voltage in Cerebral CT Angiography (전산화단층촬영장치를 이용한 뇌 혈관조영 검사에서 관전압 변화에 따른 방사선량과 영상의 질 평가)

  • LEE, Ji-Won;Jung, Kang-Kyo;Cho, Pyong-Kon
    • Journal of radiological science and technology
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    • v.38 no.2
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    • pp.121-126
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    • 2015
  • To image diagnosis in neurovascular diseases using Multi-Detector Computed Tomography(MDCT), injected the same contrast material when inspecting Brain Computed Tomography Angiography(BCTA) to examine radiation dose and Image quality on changing Cerebral Artery CT number by tube voltage. Executed an examination with same condition[Beam Collimation $128{\times}0.6mm$, Pitch 0.6, Rotation Time 0.5s, Slice Thickness 5.0mm, Increment 5.0mm, Delay Time 3.0sec, Care Dose 4D(Demension ; D)] except for tube voltage on 50 call patients for BCTA and divided them into two groups (25 people for a group, group A: 80, group B: 120kVp). From all the acquired images, set a ROI(Region of Interest) on four spots such as left cerebral artery, right cerebral artery, posterior cerebral artery and cerebral parenchyma to compare quantitative evaluation, qualitative evaluation and effective dose after measuring CT number value from Picture Archiving Communications System(PACS). Evaluating images with CT number acquired from BCTA examination, images with 80 kVp was 18% higher in Signal to Noise Ratio and 19% in Contrast to Noise Ratio than those with 120 kVp. It was seen that expose dose was decreased by over 50% with tube voltage 80 kVp than with 120 kVp. Group A (25 patients) was examination with tube voltage 80kVp while group B with 120 kVp to examine radiation dose and Image quality. It is considered effective to inspect with lower tube voltage than with conventional high kVp, which can reduce radiation dose without any affect on diagnosis.

In the examination of PET/CT, Breast-tool production and availability of using FRP to check for breast disease. (양전자방출전산화단층촬영 검사에서 유방 질환 환자를 검사하기 위해 유리섬유강화플라스틱을 이용한 유방 틀의 제작 및 유용성)

  • Kim, Gab-Jung;Jeon, Min-Cheol;Han, Man-Seok;Seo, Sun-Youl;Kim, Nak-Sang;Bae, Won-Gyu
    • Journal of the Korea Convergence Society
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    • v.8 no.9
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    • pp.175-181
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    • 2017
  • The purpose of this study is to evaluate the breast tool to improve the diagnostic value of the image in the breast examination. Breast tool was made of using FRP. And then it was compared by radioactivity counting rate and image. In the evaluation of the Breast tool, the left and right counts per $1{\mu}Ci$ are 185 counts and 189 counts, respectively. The image obtained in the prone position was close to the circle. To increase diagnostic value of image, it is considered to use Breast-tool in the breast examination.

The Comparison of Usefulness between MDCT Angiography and DSA in the Diagnosis of Intracranial Aneurysm (뇌 동맥류 진단에 있어 디지털 감산 혈관조영술과 다중검출기 전산화단층촬영 혈관조영술의 유용성 비교)

  • Khang, Hyun-Soo;Seo, Sun-Youl;Han, Dong-Kyoon;Kwon, Soo-Il;Shim, Su-Jung;Cho, Sam-Ju
    • Progress in Medical Physics
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    • v.22 no.4
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    • pp.184-189
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    • 2011
  • The purpose of this study was to compare the image between DSA and MDCT Angiography and to examine whether MDCT Angiography could be useful as a screening test for the diagnosis of cerebral aneurysm in patients who were diagnosed with cerebral aneurysm on DSA. Of patients who were diagnosed with cerebral aneurysm DSA at University Hospital, 194 patients who concomitantly underwent MDCT Angiography were enrolled in the current retrospective study. The methods for analyzing cerebral aneurysm were to analyze the presence of cerebral aneurysm on DSA and MDCT Angiography. In cases in which it exceeded 1, the corresponding cases were classified as narrow-neck aneurysms. In otherwise cases, they were classified as wide-neck aneurysms. Thus, a comparative analysis could be performed to ascertain if cases were narrow-neck or wide-neck aneurysms. As compared with DSA, the sensitivity of MDCT Angiography for cerebral aneurysm was measured to be 97.4%. The degree of consistency between narrow-neck and wide-neck aneurysms was 90.2% and the proportion of undetectable an at MDCT Angiography was 2.54%. mean size was 2.4 mm. It is expected that a non-invasive diagnostic modality for a screening test for cerebral aneurysm, MDCT Angiography might be a very useful regimen as compared with an invasive one, DSA.

Solitary Plasmacytoma of the Bone: Radiologic Findings (골단일 형질세포종 : 방사선학적 소견)

  • Yoon, Choon-Sik;Kim, Myung-Joon;Ahn, Chang-Soo;Suh, Jin-Suck;Shin, Kyoo-Ho
    • The Journal of the Korean bone and joint tumor society
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    • v.6 no.2
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    • pp.61-68
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    • 2000
  • Purpose : We examined the patients to evaluate the radiologic findings of solitary plasmacytoma of the bone. Materials and Methods : We retrospectively reviewed radiologic findings of 9 cases with solitary plasmacytoma of the bone (SPB) for recent 5 years, but 2 cases were not included this study due to an abnormal finding of bone marrow and another 2 cases were not included due to an abnormal manifestations of computed tomography (n=1) and MRI (n=1). Results : Among 5 cases, 4 cases had an osteolytic bone destruction and 1 case had an osteosclerotic bone destruction on the plain radiograph. Computed tomography and MRI showed more informations about trabeculated bone destruction and the soft-tissue extension of the lesion comparing to plain radiographs. The MRI finding of SPB in 4 cases showed a relatively high signal intensity on T1-weighted image and intermediate signal intensity on T2-weighted image, on which the signal intensity of the lesion is slightly higher than that of the muscle. One case had an extensive soft-tissue involvement and multiple necrosis, which presented iso to low signal intensity on T1-weighted image and high heterogeneous signal intensity on T2-weighted image. The Gadolinium-enhanced T1-weighted images of 5 cases showed diffusely strong enhancement of the lesion except on the necrosis areas. Conclusion : Computed tomography and MRI may present some characteristics of SPB and demonstrate another foci of plasma cell infiltrates, so these can be helpful for the diagnosis and treatment of SPB.

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Body Fat Segmentation of Abdominal CT Image (복부전산화단층영상의 체지방 분할방법)

  • Choi, Seokyoon
    • Journal of the Korean Society of Radiology
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    • v.13 no.3
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    • pp.489-493
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    • 2019
  • Obesity is increasing in our country due to lack of lifestyle and physical activity. Semi-automatic program is used in existing fat calculation program using computed tomography. Although methods for solving related problems have been proposed, this study proposes an algorithm using morphology operation and We want to solve the problem with a new method that has a simple procedure and a relatively small amount of computation. As a result of repetition of erosion and expansion Automatic fat mass calculation can be done in the future by using the developed partitioning result. By providing an accurate segmentation tool, it will be helpful to doctors and reduce the expense and inspection cost of retesting. through morphology operation, it was found that the problem was solved from the image.Automatic fat mass calculation can be done in the future by using the developed partitioning result. By providing an accurate segmentation tool, it will be helpful to doctors and reduce the expense and inspection cost of retesting.

Comparison of Circular vs Non-Circular Orbit Data Acquistion using Single Head Single Photon Emission Computed Tomography (SPECT) (단일검출기 단일광자방출 전산화단층촬영술에서 원형(Circular)과 비원형(Non-circular) 회전방식 자료획득(Data Acquisition)의 비교)

  • Sohn, Hyung-Sun;Shinn, Kyung-Sub
    • The Korean Journal of Nuclear Medicine
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    • v.29 no.1
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    • pp.118-124
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    • 1995
  • 단일광자방출전산화 단층촬영술을 이용한 영상정보를 효과적으로 얻기 위하여 고려되어야 할 사항으로는 1) 조준기(collimator)의 선택, 2) 기질(matrix)의 크기, 3) 회전각의 수 (number of angles), 4) 360도 또는 180도 획득(acquisition), 5) continuous 또는 step& shoot, 6) 원형 또는 비원형회전 등이 있다. 저자들은 비원형회전으로 검체와 검출기 사이의 거리를 단축시킴으로써 직선성, 균일성, 대조도, 해상력에 미치는 영향을 알아보기 위하여 원형회전 방법과 비교하여 다음과 같은 결과를 얻었다. (1) 비원형회전을 하여도 균일성(uniformity)과 직선성(linearlity)을 유지한다. (2) 균일성, 대조도(contrast), 해상력(resolution)들이 비원형 회전을 한 경우에 보다 더 개선되었다. (3) 영상 획득시간은 비원형회전인 경우에 더 소요되었다. (매스캔 당 10분) 따라서 검사자는 영상 화질의 개선효과와 상반되는 보정(calibration)과 설치(set-up)에 소요되는 시간(매스캔당 10분이상)을 비교하여 자료획득(data acquisition) 회전방법을 선택하여야한다.

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A Study on measurement of scattery ray of Computed Tomography (전산화 단층촬영실의 산란선 측정에 대한 연구)

  • Cho, Pyong-Kon;Lee, Joon-Hyup;Kim, Yoon-Sik;Lee, Chang-Yeop
    • Journal of radiological science and technology
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    • v.26 no.2
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    • pp.37-42
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    • 2003
  • Purpose : Computed tomographic equipment is essential for diagnosis by means of radiation. With passage of time and development of science computed tomographic was developed time and again and in future examination by means of this equipment is expected to increase. In this connection these authors measured rate of scatter ray generation at front of lead glass for patients within control room of computed tomographic equipment room and outside of entrance door for exit and entrance of patients and attempted to ind out method for minimizing exposure to scatter ray. Material and Method : From November 2001 twenty five units of computed tomographic equipments which were already installed and operation by 13 general hospitals and university hospitals in Seoul were subjected to this study. As condition of photographing those recommended by manufacturer for measuring exposure to sauter ray was use. At the time objects used DALI CT Radiation Dose Test Phantom fot Head (${\oint}16\;cm$ Plexglas) and Phantom for Stomache(${\oint}32\;cm$ Plexglas) were used. For measurement of scatter ray Reader (Radiation Monitor Controller Model 2026) and G-M Survey were used to Survey Meter of Radical Corporation, model $20{\times}5-1800$, Electrometer/Ion Chamber, S/N 21740. Spots for measurement of scatter ray included front of lead glass for patients within control room of computed tomographic equipment room which is place where most of work by gradiographic personnel are carried out and is outside of entrance door for exit and entrance of patients and their guardians and at spot 100 cm off from isocenter at the time of scanning the object. The results : Work environment within computed tomography room which was installed and under operation by each hospital showed considerable difference depending on circumstances of pertinent hospitals and status of scatter ray was as follows. 1) From isocenter of computed tomographic equipment to lead glass for patients within control room average distance was 377 cm. At that time scatter ray showed diverse distribution from spot where no presence was detected to spot where about 100 mR/week was detected. But it met requirement of weekly tolerance $2.58{\times}10^{-5}\;C/kg$(100 mR/week). 2) From isocenter of computed tomographic equipment to outside of entrance door where patients and their guardians exit and enter was 439 cm in average, At that time scatter ray showed diverse distribution from spot where almost no presence was detected to spot with different level but in most of cases it satisfied requirement of weekly tolerance of $2.58{\times}10^{-6}\;C/kg$(100 mR/week). 3) At the time of scanning object amount of scatter ray at spot with 100 cm distance from isocenter showed considerable difference depending on equipments. Conclusion : Use of computed tomographic equipment as one for generation of radiation for diagnosis is increasing daily. Compared to other general X-ray photographing field of diagnosis is very high but there is a high possibility of exposure to radiation and scatter ray. To be free from scatter ray at computed tomographic equipment room even by slight degree it is essential to secure sufficient space and more effort should be exerted for development of variety of skills to enable maximum photographic image at minimum cost.

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