• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2014.05a
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• pp.73-75
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• 2014

본 논문에서는 원본 초음파 영상에서 스케일을 측정한 후, 영상의 확대 비율을 분석하여 충수염 객체의 크기에 대한 범위를 설정한다. 제안된 방법은 초음파 영상에서 ROI 영역을 추출한 후, 사다리꼴 타입의 소속 함수를 이용한 Fuzzy 이진화와 8방향 윤곽선 추적 기법을 적용하여 잡음을 제거한 후에 근막을 추출한다. 추출된 복부 근육의 근막 하단 경계선을 Cubic Spline 보간법을 이용하여 근막의 하단 영역을 추출한다. 초음파 영상의 근막을 기준으로 근막 영역을 제거한 후, SOM(Self-Organizing Map) 알고리즘을 이용하여 충수염의 후보 영역을 추출한다. 추출된 충수염의 후보 영역에 8방향 윤곽선 추적기법을 적용하여 충수염을 추출한다. 제안된 방법을 초음파 영상에 적용하여 실험한 결과, 기존의 충수염 추출 방법보다 충수염 영역이 비교적 정확히 추출되고 충수염의 크기를 측정할 수 있는 것을 실험을 통하여 확인하였다.

• Proceedings of the Korean Society of Computer Information Conference
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• 2013.01a
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• pp.303-304
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• 2013

본 논문에서는 충수염을 추출하고 분석하는 방법을 제안한다. 충수염을 추출하는 과정은 복부 초음파 영상에서 End_in_search Stretching 기법, 블록 이진화, Grassfire, 팽창 연산을 이용하여 복부 근육의 최하단 근막 부분을 추출하여 제거한 후, 평균 이진화 기법을 적용하고 영상의 객체화 및 객체 제거를 통해 충수염을 추출한다. 제안된 방법을 복부 초음파 영상에 적용시킨 결과, 객관적이고 효율적으로 충수염이 추출됨을 확인할 수 있었다.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2015.10a
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• pp.239-241
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• 2015

본 논문에서는 클러스터 개수를 동적으로 생성하는 개선된 FCM을 적용하여 초음파 영상에서 충수염을 추출하는 방법을 제안한다. 초음파 영상에서 ROI 영역을 추출한 후, Max-Min 기반 이진화 기법을 적용한다. 이진화된 영상에서 근막 영역의 크기가 ROI 영역의 1/3이상을 차지한다는 정보를 이용하여 Labelling 기법을 적용하여 근막 영역을 추출한다. 근막의 최하단 좌표를 이용하여 근막의 하단 영역을 추출한 후, 근막의 하단 영역에서 객체들의 선명도를 높이기 위해 Blurring 기법과 Sharpening 기법을 적용한다. 충수염의 후보 영역을 추출하기 위해 FCM 알고리즘을 개선하여 양자화를 수행한다. 개선된 FCM 알고리즘으로 양자화를 수행하여 충수염의 후보 영역을 추출한다. 추출된 충수염의 후보 영역에서 8방향 윤곽선 추적 기법을 적용하여 객체들을 추출한다. 추출된 객체들 중에서 낮은 명암도를 가지고 초음파 전체 영상 크기의 1/3이하 되는 객체를 충수염으로 추출한다. 초음파 영상을 대상으로 제안된 방법을 적용하여 실험한 결과, 기존의 방법보다 충수염 영역의 추출률이 개선된 것을 확인하였다.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2012.10a
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• pp.84-85
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• 2012

본 논문에서는 충수염 영상 분석에 필요한 두께, 염증의 변화량 등의 자료를 객관적으로 측정할 수 있도록 하기 위해 초음파 영상에서 충수염을 추출하는 방법을 제안한다. 초음파 영상은 동일한 환경에서 영상을 촬영할 수 없기 때문에 객관적인 분석을 위해 초음파 영상을 표준화 한다. 본 논문에서 사용된 영상은 표준화된 초음파 영상을 대상으로 하였으며, 충수염 추출 과정은 표준화된 초음파 영상에서 최하단 근막을 추출한 뒤, 추출된 최하단 근막을 기준으로 충수를 추출한다. 제안된 방법을 초음파 영상을 대상으로 실험한 결과, 제안된 충수염 추출 방법이 측정자가 직접 충수염을 추출하여 분석하는 방법보다 효과적인 것을 확인할 수 있었다.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.16 no.11
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• pp.2382-2387
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• 2012

In this paper, we propose a new method to extract and analyze appendicitis from abdomen ultrasonographic image in order to measure the thickness of appendix and change of inflammation correctly. Since the ultrasonographic image has environmental effect in nature, we standardize the image first and the process of extracting appendicitis then extracts the bottom facia which has the critical role to find appendix area. The experiment with real appendicitis patient verifies that the proposed method is more effective than current field expert's naked eye inspection.

• Journal of the Korean Society of Radiology
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• v.84 no.5
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• pp.1047-1065
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• 2023

Multi-detector CT (MDCT) is a highly accurate diagnostic tool that is commonly used to evaluate appendicitis and its complications. The diagnosis of appendicitis based on MDCT findings can be difficult and challenging when the observed findings are inconsistent with the typical features. Atypical appendicitis includes a wide spectrum of features, such as variable positions of the appendix and cecum, complications, and unusual pathological findings of secondary appendicitis that mimic or induce appendicitis. Our pictorial essay describes the diverse spectrum of atypical appendicitis and appendicitis-like conditions in terms of location abnormalities, complications, and uncommon pathologies, including related tumors, reactive appendicitis, appendiceal diverticulitis, and IgG4-related disease. Through this essay, the readers can become more familiar with MDCT findings of atypical appendicitis.

• Pediatric Infection and Vaccine
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• v.25 no.1
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• pp.1-7
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• 2018

Purpose: This study aimed to determine which factors are related to perforated appendicitis. We also conducted a survey to identify the causative organism. Methods: From January 2011 to December 2014, 569 pediatric patients (322 male) younger than 19 years old who underwent an appendectomy due to acute appendicitis at Hallym University Sacred Heart Hospital were enrolled. Patients' medical records were reviewed retrospectively to determine their clinical manifestations, laboratory and imaging results, and pathogens. Results: About 127 patients (22%) had perforated appendicitis. The rate of perforated appendicitis in preschool, late childhood, and adolescent ages were 50%, 27%, and 16.8%, respectively. The risk factors of perforation were high C-reactive protein levels and the presence of appendiceal fecalith (P<0.001). Of the 24 samples of peritoneal fluid and periappendiceal pus that were collected intraoperatively, 16 were culture positive. The most common pathogen was Escherichia coli (n=10), and others were Pseudomonas aeruginosa, Streptococcus spp., and Staphylococcus spp. Conclusions: The perforation rate of appendicitis among patients younger than 5 years old was 50%, and this decreased in proportion with age. Clinicians should be aware of the possibility of perforation when patients with appendicitis have high C-reactive protein levels or the presence of appendiceal fecalith on imaging.

• 건강소식
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• v.18 no.2 s.183
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• pp.48-51
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• 1994

• Journal of Digital Convergence
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• v.10 no.7
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• pp.193-200
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• 2012

This study aims to provide an important base resource for the effective medical supply system construction by figuring out the characteristics and changes of admission medical use of gastritis in 160 middle treatment areas classified by 2008 patient examination resources, and by figuring out factors affecting on changes. As a result, in terms of admission rate according to sex and age standardization per small area, there were differences as EQ was 15.1 and CV was 0.4. Top 10 variations were mainly in rural areas. It showed significant positive relations between admission and the number of bed, doctor and special medical equipment per 10,000 population. It is recommended that the government set a priority in the management of regional bed supply and the distribution of efficient medical resources.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.10 no.1
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• pp.36-43
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• 2007

Purpose: The ultrasonography (USG) and computed tomography (CT) are popular diagnostic tools for the diagnosis of acute appendicitis in children, but there are many debates about their clinical significance. The purpose of this study is to clarify the clinical significance of USG, CT and follow-up CT performed subsequently to USG, especially in perforated acute appendicitis in children. Methods: We have reviewed 419 cases of surgically confirmed acute appendicitis in children under the age of sixteen, who had been treated in Inje University Ilsan Paik Hospital from March 2002 to February 2006. All the clinical data including the results of USG and CT were collected and analyzed. Results: Sensitivity, specificity, positive and negative predictive values of USG were 98.7%, 96.8%, 98.1%, 97.8% in non-perforation group and 90.8%, 100%, 100%, 81.9% in perforation group. Those of CT were 96.4%, 100%, 100%, 96.5% and 86.6%, 100%, 100%, 87.5% respectively. Those of follow-up CT after USG were 100%, 100%, 100%, 100% and 87.5%, 100%, 100%, 92.0% respectively. The duration of using antibiotics in seven patients showed positive correlation with the interval between two imaging studies (r=0.0472, p=0.019). There was no statistical significance of correlation when these imaging studies performed within 30 hours together. Conclusion: In most of the cases, single choice between USG and CT would be enough to diagnose the acute appendicitis in children. But, it may be helpful to perform CT as early as possible subsequently to USG when there is discrepancy between initial USG and clinical impression.