• Title/Summary/Keyword: 컴퓨터 방사선

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(Automatic detection of pulmonary nodules in X-ray chest images) (흉부 X선 영상에서의 폐 노쥴 자동 탐지 기법)

  • Sung, Won;Kim, Eui-Jung;Park, Jong-Won
    • Journal of the Korea Computer Industry Society
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    • v.3 no.9
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    • pp.1279-1286
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    • 2002
  • Generally, radiologists can fail to detect pulmonary nodules in up to 30%. If an automatic system can inform the radiologists of thelocations of the doubtful nodules in the X-ray chest images, the frequency of mistakenly observed numbers of the nodules can be potentially reduced. This software is using morphological filtering and two feature-extraction techniques. The morphological filtering is the first process, which subsequently adds the operations of erosion and dilation to the original images so that this process can transform the original X-ray chest images into manageable ones. The false-positives are frequently being mistaken as nodules but actually these are not real nodules. The second process is the two feature-extraction techniques which are used to reduce the false-positives. Therefore, this system will make more effective detection of pulmonary nodules by reducing the false-positives when applied to the X-ray chest images which is difficult to get accurate detection.

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Radiographic evaluation of marginal bone level alteration around narrow implants placed in narrow alveolar ridge using guided flapless surgery (폭이 좁은 치조골에서 컴퓨터가이드를 이용한 무절개 임플란트 수술로 식립한 narrow implant의 방사선학적 평가)

  • Jeong, Seung-Mi;Choi, Byung-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.4
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    • pp.306-312
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    • 2020
  • Purpose: The aim of this study was to compare radiographic outcomes around narrow-diameter implants placed using guided flapless surgery at longer than 6 month post-placement. Materials and methods: A total of 12 implants were assessed in 12 patients for the sites where 0.5 - 1.5 mm labial bone was covering the implants, using CBCT. Results: A statistically significant preservation of crestal bone was observed in the narrow-diameter implants. Conclusion: Guided flapless implant surgery may be important in preventing bone loss around the narrow-diameter implants that are placed in narrow alveolar ridges.

Radiation Safety Management Guidelines for PET-CT: Focus on Behavior and Environment (PET-CT의 방사선안전관리 가이드라인 개발: 행위와 환경을 중심으로)

  • Jung, Jin-Wook;Han, Eun-Ok
    • Journal of Radiation Protection and Research
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    • v.36 no.3
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    • pp.140-147
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    • 2011
  • Our purpose is to specify behavior and environmental factors aimed at reducing the exposed dosage caused by PET-CT and to develop radiation safety management guidelines adequate for domestic circumstances. We have used a multistep-multimethod as the methodological approach to design and to carry out the research both in quality and quantity, including an analysis on previous studies, professional consultations and a survey. The survey includes responses from 139 practitioners in charged of 109 PET-CTs installed throughout Korea(reported by the Korean Society of Nuclear Medicine, 2010). The research use 156 questions using Cronbach's ${\alpha}$ (alpha) coefficients which were: 0.818 for "the necessity of setting and installing the radiation protective environment"; 0.916 for "the necessity of radiation protection", "setting and installing the radiation protective environment"; and 0.885 for "radiation protection". The check list, derived from the radiation safety management guidelines focused on behavior and environment, was composed of 20 items for the radiation protective environment: including 5 items for the patient; 4 items for the guardian; 3 items for the radiologist; and 8 items applied to everyone involved; for a total of 26 items for the radiation protective behavior including: 12 items for the patient; 1 item for the guardian, 7 items for the radiologist; and 6 items applied to everyone involved. The specific check list is shown in(Table 5-6). Since our country has no safety management guidelines of its own to reduce the exposed dosage caused by PET-CTs, we believe the guidelines developed through this study means great deal to the field as it is not only appropriate for domestic circumstances, but also contains specific check lists for each target who may be exposed to radiation in regards to behavior and environment.

A study of Brachytherapy for Intraocular Tumor (안구내 악성종양에 대한 저준위 방사선요법에 관한 연구)

  • Ji, Gwang-Su;Yu, Dae-Heon;Lee, Seong-Gu;Kim, Jae-Hyu;Ji, Yeong-Hun
    • The Journal of Korean Society for Radiation Therapy
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    • v.8 no.1
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    • pp.19-27
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    • 1996
  • I. Project Title A Study of Brachytherapy for intraocular tumor II. Objective and Importance of the project The eye enucleation or external-beam radiation therapy that has been commonly used for the treatment of intraocular tumor have demerits of visual loss and in deficiency of effective tumor dose. Recently, brachytherapy using the plaques containing radioisotope-now treatment method that decrease the demerits of the above mentioned treatment methods and increase the treatment effect-is introduced and performed in the countries, Our purpose of this research is to design suitable shape of plaque for the ophthalmic brachytherapy, and to measure absorbed doses of Ir-192 ophthalmic plaque and thereby calculate the exact radiation dose of tumor and it's adjacent normal tissue. III. Scope and Contents of the project In order to brachytherapy for intraocular tumor, 1. to determine the eye model and selected suitable radioisotope 2. to design the suitable shape of plaque 3. to measure transmission factor and dose distribution for custom made plaques 4. to compare with the these data and results of computer dose calculation models IV. Results and Proposal for Applications The result were as followed. 1. Eye model was determined as a 25mm diameter sphere, Ir-192 was considered the most appropriate as radioisotope for brachytherapy, because of the size, half, energy and availability. 2. Considering the biological response with human tissue and protection of exposed dose, we made the plaques with gold, of which size were 15mm, 17mm and 20mm in diameter, and 1.5mm in thickness. 3. Transmission factor of plaques are all 0.71 with TLD and film dosimetry at the surface of plaques and 0.45, 0.49 at 1.5mm distance of surface, respectively. 4. As compared the measured data for the plaque with Ir-192 seeds to results of computer dose calculation model by Gary Luxton et al. and CAP-PLAN (Radiation Treatment Planning System), absorbed doses are within ${\pm}10\%$ and distance deviations are within 0.4mm Maximum error is $-11.3\%$ and 0.8mm, respectively. As a result of it, we can treat the intraocular tumor more effectively by using custom made gold plaque and Ir-192 seeds.

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The Structure of Korean Radiation Oncology in 1997 (국내 병원 별 방사선치료의 진료 구조 현황(1997년 현황을 중심으로 한 선진국과의 비교 구))

  • Kim Mi Sook;Yoo Seoung Yul;Cho Chul Koo;Yoo Hyung Jun;Yang Kwang Mo;Je Young Hoon;Lee Dong Hun;Lee Dong Han;Kim Do Jun
    • Radiation Oncology Journal
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    • v.17 no.2
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    • pp.172-178
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    • 1999
  • Purpose : To measure the basic structural characteristics of radiation oncology facilities in Korea during 1997 and to compare personnel, equipments and patient loads between Korea and developed countries. Methods and Materials : Mail serveys we conducted in 1998 and data on treatment machines, personnel and peformed new patients were collected. Responses were obtained from the 100 percent of facilities. The consensus data of the whole country were summarized using Microsoft Excel program. Results: In Korea during 1997, 42 facilities delivered megavoltage radiation theraphy with 71 treatment machines, 100 radiation oncologists, 26 medical physicist, 205 technologists and 19,773 new patients. Eighty nine percent of facilities in Korea had linear accelators at least 6 MeV maximum photon energy. Ninety five percent of facilities had simulators while five percent of facilities had no simulator, Ninety one percent of facilities had computer planning systems and eighty three percent of facilities reported that they had a written quality assurance program. Thirty six percent of facilities had only one radiation oncologist and thirty eight percent of facilities had no medical physicists. The median of the distribution of annual patients load of a facility, patients load per a machine, patients load per a radiation oncologist, patients load per a therapist and therapists per a machine in Korea were 348 patients per a year, 263 patients per a machine, 171 patients per a radiation oncologist, 81 patients per a therapist, and 3 therapists per a machine respectively. Conclusions : The whole scale of the radiation oncology departments in Korea was smaller than Japan and USA in population ratio regard. In case of hardware level like linear accelerators, simulators and computer planning systems, there was no big differences between Korea and USA. The patients loads of radiation oncologists and therapists had no significant differences as compared with USA. However, it was desirable to consider the part time system in USA because there were a lot of hospitals which did not employ medical physicists.

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Analysis of Relationship Between Injection Dose and Exposure Dose in PET/CT Scan: Initial Study (PET/CT에서 방사성 의약품 주입량이 방사선 피폭에 미치는 영향분석: 초기연구)

  • Park, Hoon-Hee;Lyu, Kwang-Yeul
    • Journal of radiological science and technology
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    • v.34 no.4
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    • pp.351-357
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    • 2011
  • The $^{18}F$-FDG is one of the widely used isotopes for PET/CT scans. Dose amount injected to the patient depends on the characteristics of PET/CT systems. Obviously, the technologists who contact with patients would be exposed as well. In this study, we evaluated the exposed dose of the technologist who works on the PET/CT scanner. The exposed dose were measured every month with the TLDs from 6 technologists. Each technologist is shift-worker who manages 3 different PET/CT systems(Scanner 1(S1): 0.15 mCi/kg, Scanner 2(S2): 0.17 mCi/kg, Scanner 3(S3): 0.12 mCi/kg). The average exposed doses of technologists for each PET/CT system were measured as 0.76 mSv for S1, 0.93 mSv for S2 and 0.47 mSv for S3. The maximum dose was 1.12 mSv and minimum was 0.42 mSv. The results showed that there was a correlation between exposed dose and PET/CT system(p<0.005). Less injected dose for patient occurs less exposed dose for technologist. Various studies for the low dose PET/CT system are required for not only the patient but also the technologist.

A Measurement Method for Cervical Neural Foraminal Stenosis Ratio using 3-dimensional CT (3차원 컴퓨터단층촬영상을 이용한 신경공 협착률 측정방법)

  • Kim, Yon-Min
    • Journal of the Korean Society of Radiology
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    • v.14 no.7
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    • pp.975-980
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    • 2020
  • Cervical neural foraminal stenosis is a very common spinal disease that affects a relatively large number of people of all ages. However, since imaging methods that quantitatively provide neural foraminal stenosis are lacking, this study attempts to present quantitative measurement results by reconstructing 3D computed tomography images. Using a 3D reconstruction software, the surrounding bones were removed, including the spinous process, transverse process, and lamina of the cervical spine so that the neural foramen were well observed. Using Image J, a region of interest including the neural foramen area of the 3D image was set, and the number of pixels of the neural foramen area was measured. The neural foramen area was calculated by multiplying the number of measured pixels by the pixel size. In order to measure the widest area of the neural foramen, it was measured between 40-50 degrees in the opposite direction and 15-20 degrees toward the head. The measured cervical neural foramen area showed consistent measurement values. The largest measured area of the right neural foramen C5-6 was 12.21 ㎟, and after 2 years, the area was measured to be 9.95 ㎟, indicating that 18% stenosis had progressed. Since 3D reconstruction using axial CT scan images, no additional radiation exposure is required, and the area of stenosis can be objectively presented. In addition, it is good to explain to patients with neural stenosis while viewing 3D images, and it is considered a good method to be used in the evaluation of the progression of stenosis and post-operative evaluation.

A Comparison for Cervical Neural Foraminal Area by 3-dimensional CT in Normal Adults (3차원 컴퓨터단층촬영상을 이용한 정상 성인의 경추 신경공 면적 비교)

  • Kim, Yon-Min
    • Journal of radiological science and technology
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    • v.44 no.6
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    • pp.623-627
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    • 2021
  • Cervical foraminal stenosis is a disease in which the nerves that pass from the spinal canal to the limbs are narrowed and the nerves are compressed or damaged. Due to the lack of an imaging method that provides quantitatively stenosis, this study attempted to evaluate the area of the cervical vertebrae by reconstructing a three-dimensional computed tomography image, and to determine the area of the neural foramen in normal adults to calculate the stenosis rate. Using a three-dimensional image processing program, the surrounding bones including the posterior spinous process, lateral process, and lamellar bones of the cervical vertebra were removed so that the neural foramen could be observed well. A region of interest including the neural foraminal area of the three-dimensional image was set using ImageJ, and the number of pixels in the neural foraminal area was measured. The neural foraminal area was calculated by multiplying the number of measured pixels by the pixel size. To measure the largest neural foraminal area, it was measured between 40~50 degrees in the opposite direction and 15~20 degrees toward the head. The average area of the right C2-3 foramen was 44.32 mm2, C3-4 area was 34.69 mm2, C4-5 area was 36.41 mm2, C5-6 area was 35.22 mm2, C6-7 area was 36.03 mm2. The average area of the left C2-3 foramen was 42.71 mm2, C3-4 area was 32.23 mm2, C5-6 area was 34.56 mm2, and C6-7 area was 31.89 mm2. By creating a reference table based on the neural foramen area of normal adults, the stenosis rate of patients with neural foraminal stenosis could be quantitatively calculated. It is expected that this method can be used as basic data for the diagnosis of cervical vertebral foraminal stenosis.

Synthesis of contrast CT image using deep learning network (딥러닝 네트워크를 이용한 조영증강 CT 영상 생성)

  • Woo, Sang-Keun
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2019.01a
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    • pp.465-467
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    • 2019
  • 본 논문에서는 영상생성이 가능한 딥러닝 네트워크를 이용하여 조영증강 CT 영상을 획득하는 연구를 수행하였다. CT는 고해상도 영상을 바탕으로 환자의 질병 및 암 세포 진단에 사용되는 의료영상 기법 중 하나이다. 특히, 조영제를 투여한 다음 CT 영상을 획득되는 영상을 조영증강 CT 영상이라 한다. 조영증강된 CT 영상은 물질의 구성 성분의 영상대비를 강조하여 임상의로 하여금 진단 및 치료반응 평가의 정확성을 향상시켜준다. 하지많은 수의 환자들이 조영제 부작용을 갖기 때문에 이에 해당되는 환자의 경우 조영증강 CT 영상 획득이 불가능해진다. 따라서 본 연구에서는 조영증강 영상을 얻지 못하는 환자 및 일반 환자의 불필요한 방사선의 노출을 최소화 하기 위하여 영상생성 딥러닝 기법을 이용하여 CT 영상에서 조영증강 CT 영상을 생성하는 연구를 진행하였다. 영상생성 딥러닝 네트워크는 generative adversarial network (GAN) 모델을 사용하였다. 연구결과 아무런 전처리도 거치지 않은 CT 영상을 이용하여 영상을 생성하는 것 보다 히스토그램 균일화 과정을 거친 영상이 더 좋은 결과를 나타냈으며 생성영상이 기존의 실제 영상과 영상의 구조적 유사도가 높음을 확인할 수 있다. 본 연구결과 딥러닝 영상생성 모델을 이용하여 조영증강 CT 영상을 생성할 수 있었으며, 이를 통하여 환자의 불필요한 방사선 피폭을 최소하며, 생성된 조영증강 CT 영상을 바탕으로 정확한 진단 및 치료반응 평가에 기여할 수 있을거라 기대된다.

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