• Title/Summary/Keyword: 척추만곡도

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Measurement of Spinal Curvature by Using Enhanced Hough Transform on X-ray Imaging (X-ray 영상에서 개선된 허프 변환을 이용한 척추만곡도 측정)

  • Jeong, Hyang su;Kim, Kwang Beak
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2018.05a
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    • pp.360-362
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    • 2018
  • 본 논문에서는 X-ray 영상에서 척추 영역을 추출 및 분석하여 척추만곡도를 자동으로 측정하는 방법을 제안한다. 제안된 방법은 X-ray 영상에서 어깨뼈와 골반뼈 등과 같이 필요 없는 영역을 제거한 ROI(Region of Interest) 영역을 추출하고, 추출된 ROI 영역에서 척추 에지를 검출하기 위해 가우시안-라플라시안(Laplacian of Gaussian) 필터를 적용하여 척추 에지를 검출한다. 추출된 척추 영역을 척추의 Apex를 기준으로 Above Apex와 Below Apex 영역으로 구분하고 허프 변환(Hough Transform) 기법을 적용하여 두 영역에 대한 ($r,{\theta}$) 허프 공간을 구한다. ($r,{\theta}$) 허프 공간에서 척추만곡도 측정에 필요한 수평 직선만을 검출하기 위하여 수직 직선을 나타내는 교점들의 영역을 제거하여 척추만곡도 측정에 필요한 영역을 추출한다. 제안된 척추 추출 방법을 다양한 X-ray 영상을 대상으로 실험한 결과, 전문의가 척추만곡도를 효과적으로 측정하고 분석할 수 있는 척추 영역이 추출된 것을 확인할 수 있었다.

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Evaluation of the Effect of Location and Direction of the Scoliotic Curve on Postural Balance of Patients with Idiopathic Scoliosis (특발성 척추측만증 환자의 척추 만곡 위치와 방향이 자세 균형에 미치는 영향성 평가)

  • Jung, Ji-Yong;Kim, Jung-Ja
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.4
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    • pp.341-348
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    • 2017
  • This study examined the effects of the location and direction of the scolioti curve on postural balance in patients with idiopathic scoliosis. Fifteen subjects were divided into three groups: right thoracic curve group, left lumbar curve group, and double curve group. The dynamic trunk motion (angle variation in the lumbar, thoracolumbar, lower thoracic and upper thoracic region) and plantar pressure distribution (maximum force and peak pressure) were assessed using an ultrasound-based motion analysis system and Emed-at platform system. From the results, it was confirmed that patients with idiopathic scoliosis showed postural imbalance with an increased angle and pressure asymmetry according to the location and direction of the scoliotic curve for dynamic trunk motion and plantar pressure distribution. In addition, there were differences in the postural balance pattern between the single curve and double curve groups. Further studies for developing a rehabilitation training device will be conducted to improve the postural control ability and trunk balance as well as treat scoliosis based on the results of this study.

지혜 깊어지는 건강 - 우리 아이를 위한 1분 건강 - 척추측만증 겨울방학, 아이의 척추를 점검하라

  • Kim, Ju-Hyeon
    • 건강소식
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    • v.35 no.12
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    • pp.28-29
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    • 2011
  • 각종 인터넷 포털 사이트를 검색하면 척추측만증에 대한 설명이 나오는데 대체로 척추측만증은 척추가 옆으로 심하게 굽은 증상. 통증은 없고 서서히 진행되는데 심하면 내장 압박을 비롯하여 여러 가지 장애를 일으키는 병으로 소개되고 있다. 하지만 척추측만증은 단순히 척추가 옆으로만 굽은 것을 말하는 것이 아니라 뒤에서 봤을 때 옆으로 만곡된 것 이외에도 척추 뼈 자체의 회전 변형을 동반한 3차원적인 척추기형을 말한다.

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Correction of Single Thoracic Adolescent Idiopathic Scoliosis Using Pedicle Screw Instrumentation: Comparison of Stainless Steel to Titanium Alloy Instruments (척추경 나사못 고정술을 이용한 단일 흉추 청소년기 특발성 척추 측만증의 치료: 스테인리스강과 티타늄 합금 기기의 비교)

  • Kim, Sung-Soo;Lim, Dong-Ju;Kim, Jung-Hoon;Choi, Byung-Wan;Kim, Hwi-Young;Lee, Jun-Seok
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.2
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    • pp.141-149
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    • 2019
  • Purpose: To compare the results of two different instruments made of stainless steel and titanium alloy for correction of single thoracic adolescent idiopathic scoliosis (AIS) using pedicle screw instrumentation. Materials and Methods: A total of 141 patients with single thoracic AIS treated with pedicle screw instrumentation and selective thoracic fusion were retrospectively reviewed after a follow-up of 2 years. The patients had a main thoracic curve of 40° to 75° and were divided into two groups based on instrument materials; S group (stainless steel, n=90) and T group (titanium alloy, n=51). The diameter of the stainless steel rod used was 7.0 mm while that of the titanium alloy rod was 6.35 mm or 6.0 mm. Standing long-cassette radiographic measurements including various coronal and sagittal parameters for the preoperative, early postoperative and 2-year postoperative followup were analyzed. There were no significant differences in the preoperative curve characteristics between the two groups. Results: In the S group, the preoperative main thoracic curve of 51.3°±8.4° was improved to 19.0°±7.6° (63.1% correction) and the lumbar curve of 32.3°±8.4° spontaneously decreased to 12.7°±8.2° (62.9% correction) at 2 years postoperatively. In the T group, the preoperative main thoracic curve of 49.5°±8.4° and the lumbar curve of 30.3°±8.9° was improved to 18.8°±7.4° (62.2% correction) and 11.3°±5.4° (63.3% correction), respectively. The corrections of coronal curves were not statistically different between the two groups (p>0.05). The thoracic kyphosis was changed from 16.8°±8.5° to 24.3°±6.1° in the S group and from 19.6°±11.2° to 26.6°±8.5° in the T group. There were no significant differences in the changes of sagittal curves, coronal and sagittal balances at the 2-year follow-up and the number of fused segments and used screws between the two groups (p>0.05). Conclusion: When conducting surgery for single thoracic AIS using pedicles screw instrumentation, two different instruments made of stainless steel and titanium alloy showed similar corrections for coronal and sagittal curves.

A Biomechanical Study on the Various Factors of Vertebroplasty Using Image Analysis and Finite Element Analysis (의료영상 분석과 유한요소법을 통한 추체 성형술의 다양한 인자들에 대한 생체 역학적 효과 분석)

  • 전봉재;권순영;이창섭;탁계래;이권용;이성재
    • Journal of Biomedical Engineering Research
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    • v.25 no.3
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    • pp.171-182
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    • 2004
  • This study investigates the biomechanical efficacies of vertebroplasty which is used to treat vertebral body fracture with bone cement augmentation for osteoporotic patients using image and finite element analysis. Simulated models were divided into two groups: (a) a vertebral body, (b) a functional spinal unit(FSU). For a vertebral body model, the maximum axial displacement was investigated under axial compression to evaluate the effect of structural integrity. The stiffness of each FE model simulated was normalized by the stiffness of intact model. In the case of FSU model, 3 types of compression fractures were formulated to assess the influence on spinal curvature changes. The FSU models were loaded under compressive pressure to calculate the change of spinal curvature. The results according to the various factors suggest that vertebroplasty has the biomechanical efficacy of the increment of structural reinforcement in a patient who has relatively high level of BMD and a patient with the amount of 15%, PMMA injection of the cancellous bone volume. The spinal curvatures after compression fracture simulation vary from 9$^{\circ}$ to 17$^{\circ}$ of kyphosis compared to that the spinal curvature of normal model was -2.8$^{\circ}$ of lordosis. These spinal curvature changes cause the severe spinal deformity under the same loading. As the degree of compressive fracture increases the spinal deformity also increases. The results indicate that vertebroplasty has the increasing effect of the structural integrity regardless of the amount of PMMA or BMD and the restoration of decreased vertebral body height may be an important factor when the compressive fracture caused the significant height loss of vertebral body.

Adult Idiopathic Scoliosis Treated by Acupuncture : A case report (침 치료로 호전된 특발성 척추 측만증 환자의 증례보고)

  • Jo, Jun-Young
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.7 no.1
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    • pp.21-25
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    • 2012
  • 목적: 이 증례 보고는 성인 특발성 측만증 환자에 있어서 등의 통증과 척추 만곡에 대한 침 치료의 효과를 보고하기 위한 것이다. 방법: 증례의 환자는 25세 여자 환자로 9년 동안 우측 흉추 측만증과 등과 허리의 통증이 있었다. 1주일에 3번, 3주간 침 치료를 시행했고, 치료 전후로 Whole spine x-ray를 촬영하였으며, 환자의 통증 정도를 Visual Analog Scale(VAS)로 평가하였다. 내원시 Cobb angle은 $22^{\circ}$였고, 관상면 균형은 -3.0cm, 쇄골각은 $-3.5^{\circ}$였다. VAS 8의 통증을 호소하였다. 결과: Cobb angle은 $5^{\circ}$ 감소하였고, 관상면 균형은 1.4cm, 쇄골각은 $1.7^{\circ}$ 회복되었다. 등과 허리의 통증은 VAS 8에서 VAS 3으로 감소하였다. 결론: 침 치료는 특발성 척추 측만증 환자에 있어서 등과 허리의 통증뿐만 아니라 척추 측만을 개선시키고 관상면 균형 회복에도 효과적이다.

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국내 양식어종에서 발생하는 바이러스성 신경괴사증(viral nervous necrosis)

  • 김석렬;김영진;김진도;정성주;오명주
    • Proceedings of the Korean Society of Fisheries Technology Conference
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    • 2001.05a
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    • pp.511-512
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    • 2001
  • VNN(viral nervous necrosis)는 종묘단계 및 양성장의 해산어 양식장에서 발생하는 바이러스성 질병으로 외견적으로 척추만곡, 이상유영, 체색흑화와 조직학적으로는 뇌와 망막에 공포 및 괴사를 형성하고, 또한 매우 높은 폐사율을 나타내는 질병으로 보고되어 있다. 이러한 질병은 성공적인 종묘의 생산 및 보급을 위해서 반드시 해결해야 할 사항이다. (중략)

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Development of Level Detecting Algorithm for Scoliosis using X-ray Image (X-ray 영상을 이용한 척추측만증 정도 검출 알고리즘 개발)

  • Park, Eun-Jeong;Jeong, Ju-Young;Lee, Ki-Young;Lee, Sang-Sik
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.4 no.4
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    • pp.242-249
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    • 2011
  • In this study, The degree of scoliosis, an algorithm that can automatically detect was developed. Developed system was used for X-ray imaging source. The formula for the degree of curvature of the spine of the S <0, and, L> 0 is satisfied with the condition $Y=SX^2+L$ is a function expression. X-axis length can be changed and applied equally in all spline function graph, and the slope is $S=-L/92^2$. The graph on the degree of scoliosis of the differential equation Y'= 2SX could see that the extracted spine wire for the classification and the classification of scoliosis, the degree is determined as the available algorithms.