• Title/Summary/Keyword: 판독시간

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Effects of Nasal Continuous Positive Airway Pressure Application on Sympathetic Activation : Power Spectrum Analysis of Electrocardiogram in Obstructive Sleep Apnea Syndrome (폐쇄성 수면무호흡증에서 지속적 상기도 양압술 시행이 교감신경계 활성도에 끼치는 영향 : 심전도 스펙트럼 분석)

  • Youn, Tak;Park, Hae-Jeong;Kim, Eui-Joong;Jeong, Do-Un
    • Sleep Medicine and Psychophysiology
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    • v.7 no.1
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    • pp.43-50
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    • 2000
  • Objectives: Obstructive sleep apnea syndrome(OSAS) is known to be associated with the changes of autonomic nervous system (ANS). Nasal continuous positive airway pressure(nCPAP) treatment was found to correct abnormal ANS changes in OSAS but it remains to be further clarified. We aimed to assess the effects of nCPAP on ANS manifested on electrocardiogram, using spectrum analysis in the subjects with OSAS. Methods: Digital polysomnography was performed in 18 patients with OSAS(mean age $43.7{\pm}16.6$ years ; 17 males, 1 female ; mean respiratory disturbance index (RDI) $48.6{\pm}20.9$) for one baseline and another CPAP nights. From each night, 300 continuous beats of ECGs without artifact were chosen from both stage 2 sleep and REM sleep and they were used for power spectrum analysis. We compared between baseline and CPAP nights the heart rate variability including VLF(very low frequency power), LF (low frequency power), HF(high frequency power), R-R means, R-R variance, and LF/HF ratio, using Wilcoxon signed ranks test. Results: In all patients, nCPAP proved to be effective in relieving apneas and snoring. During nCPAP night compared with baseline night, decreases in VLF(p<0.05), LF(p<0.01), and R-R variance(p<0.05) were found in stage 2 sleep, and decreased LF(p<0.05) was found in REM sleep. No significant differences in each sleep stage were found in other variables between the two nights. Conclusion: Our findings suggest that OSAS increases the activity of sympathetic nervous system and nCPAP application effectively decreases the activity. And nCPAP does not appear to influence the parasympathetic nervous activity in OSAS.

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Methodology to Apply Low Spatial Resolution Optical Satellite Images for Large-scale Flood Mapping (대규모 홍수 매핑을 위한 저해상도 광학위성영상의 활용 방법)

  • Piao, Yanyan;Lee, Hwa-Seon;Kim, Kyung-Tak;Lee, Kyu-Sung
    • Korean Journal of Remote Sensing
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    • v.34 no.5
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    • pp.787-799
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    • 2018
  • Accurate and effective mapping is critical step to monitor the spatial distribution and change of flood inundated area in large scale flood event. In this study, we try to suggest methods to use low spatial resolution satellite optical imagery for flood mapping, which has high temporal resolution to cover wide geographical area several times per a day. We selected the Sebou watershed flood in Morocco that was occurred in early 2010, in which several hundred $km^2$ area of the Gharb lowland plain was inundated. MODIS daily surface reflectance product was used to detect the flooded area. The study area showed several distinct spectral patterns within the flooded area, which included pure turbid water and turbid water with vegetation. The flooded area was extracted by thresholding on selected band reflectance and water-related spectral indices. Accuracy of these flooding detection methods were assessed by the reference map obtained from Landsat-5 TM image and qualitative interpretation of the flood map derived. Over 90% of accuracies were obtained for three methods except for the NDWI threshold. Two spectral bands of SWIR and red were essential to detect the flooded area and the simple thresholding on these bands was effective to detect the flooded area. NIR band did not play important role to detect the flooded area while it was useful to separate the water-vegetation mixed flooded classes from the purely water surface.

Role of Rest Redistribution Imaging in T1-201 Reinjection Imaging Technique (탈륨 재주사영상법에서 휴식기재분포영상의 의의)

  • Bom, Hee-Seung;Song, Ho-Chun;Kim, Ji-Yeul;Jeong, Myung-Ho;Kang, Jung-Chaee
    • The Korean Journal of Nuclear Medicine
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    • v.27 no.2
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    • pp.191-194
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    • 1993
  • Apparent washout of T1-201 may occur between redistribution and reinjection images. To examine the frequency of it, we prospectively compared 4-hour redistribution and reinjection images in 63 consequent patients. All patients underwent pharmacological stress test using 0.56 mg/kg dipyridamole. Immediately after the 4-hour redistribution images, 1 mCi T1-201 was injected at rest, and images were reacquired 10 minutes after reinjection. The stress, redistribution, and reinjection images were then analyzed semiquantitatively (0=no uptake, 1=faint uptake, 2=mildly diminished uptake, 3=normal uptake). Of the 100 abnormal myocardial regions on the stress images, 54 showed either complete or partial reversibility on 4-hour redistribution images. After reinjection 11(21.2%) of these regions demonstrated apparent T1-201 washout due to low differential uptake of the tracer. Such lesions would appear irreversible if redistribution imaging is not performed before reinjection. Thus 4-hour redistribution imaging should be performed for assessment of myocardial ischemia and viability.

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Noninvasive Evaluation of Coronary Artery Bypass Graft Patency by Electron Beam Tomography (전자선 단층 촬영을 이용한 관상동맥 우회로 개존의 비침습적 평가)

  • 최규옥;김호석;조범구
    • Journal of Chest Surgery
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    • v.32 no.8
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    • pp.693-701
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    • 1999
  • Recently non-invasive diagnostic imaging replaced the invasive catheter angiography in the diagnosis of vascular disease. Catheter methods are now almost confined to the purpose of intervention. Coronary artery or coronary artery bypass graft still needs catheter technique because of small diameter and the cardiac motion. The last challenge for radiologists in this domain is to obtain a non-invasive imaging. Electron beam tomography(EBT) for high temporal resolution is able to obtain a coronary arteriogram or coronary artery bypass graft (CABG), of which CABG imaging is quite useful for the evaluation of patency. In our experience as well as others, the accuracy of EBT angiogram in evaluating CABG patency revealed that the accuracy of patency of saphenous vein grafts(SVG) is high due to relatively wide lumen, short and straight course and less influence from cardiac motion. The sensitivity and specificity of patency of SVGs were 92%, 97% respectively in the prospective evaluat on and 100% each in the retrospective evaluation. A false positive and a false negative case are rudimentary errors in the initial learing period. In contrast the analysis of left internal mammary artery(LIMA) graft was difficult due to the inherent small size and the adjacent surgical clips provoking beam-hardening artifact; therefore, the method of combining 3 dimensional reconstruction and flow mode study was important in improving the accuracy of LIMA patency. The sensitivity and specificity of LIMA patency were 100% and 80% in both prospective and retrospective evaluation. Therefore, EBT angiography is an accurate non-invasive diagnostic modality for evaluating the patency of CABG, particularly in SVGs. The accuracy can be improved with the improvement of the EBT and the development of the image reconstruction software.

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Land Cover Classification Using UAV Imagery and Object-Based Image Analysis - Focusing on the Maseo-myeon, Seocheon-gun, Chungcheongnam-do - (UAV와 객체기반 영상분석 기법을 활용한 토지피복 분류 - 충청남도 서천군 마서면 일원을 대상으로 -)

  • MOON, Ho-Gyeong;LEE, Seon-Mi;CHA, Jae-Gyu
    • Journal of the Korean Association of Geographic Information Studies
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    • v.20 no.1
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    • pp.1-14
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    • 2017
  • A land cover map provides basic information to help understand the current state of a region, but its utilization in the ecological research field has deteriorated due to limited temporal and spatial resolutions. The purpose of this study was to investigate the possibility of using a land cover map with data based on high resolution images acquired by UAV. Using the UAV, 10.5 cm orthoimages were obtained from the $2.5km^2$ study area, and land cover maps were obtained from object-based and pixel-based classification for comparison and analysis. From accuracy verification, classification accuracy was shown to be high, with a Kappa of 0.77 for the pixel-based classification and a Kappa of 0.82 for the object-based classification. The overall area ratios were similar, and good classification results were found in grasslands and wetlands. The optimal image segmentation weights for object-based classification were Scale=150, Shape=0.5, Compactness=0.5, and Color=1. Scale was the most influential factor in the weight selection process. Compared with the pixel-based classification, the object-based classification provides results that are easy to read because there is a clear boundary between objects. Compared with the land cover map from the Ministry of Environment (subdivision), it was effective for natural areas (forests, grasslands, wetlands, etc.) but not developed areas (roads, buildings, etc.). The application of an object-based classification method for land cover using UAV images can contribute to the field of ecological research with its advantages of rapidly updated data, good accuracy, and economical efficiency.

Traffic Lights Detection Based on Visual Attention and Spot-Lights Regions Detection (시각적 주의 및 Spot-Lights 영역 검출 기반의 교통신호등 검출 방안)

  • Kim, JongBae
    • Journal of the Institute of Electronics and Information Engineers
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    • v.51 no.6
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    • pp.132-142
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    • 2014
  • In this paper, we propose a traffic lights detection method using visual attention and spot-lights detection. To detect traffic lights in city streets at day and night time, the proposed method is used the structural form of a traffic lights such as colors, intensity, shape, textures. In general, traffic lights are installed at a position to increase the visibility of the drivers. The proposed method detects the candidate traffic lights regions using the top-down visual saliency model and spot-lights detect models. The visual saliency and spot-lights regions are positions of its difference from the neighboring locations in multiple features and multiple scales. For detecting traffic lights, by not using a color thresholding method, the proposed method can be applied to urban environments of variety changes in illumination and night times.

PDA Transmission of Medical Images by CDMA (CDMA에 의한 의료영상의 PDA전송)

  • Lee, Myong-Ho;Lim, Jae-Dong;Ahn, Bung-Ju;Lee, Hwun-Jae;Lee, Sang-Bock
    • Journal of the Korean Society of Radiology
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    • v.1 no.2
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    • pp.13-22
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    • 2007
  • The purpose of this study was to survey a development of the wireless transmission system of medical images for ubiquitous medicine. There have been many changes in medical equipments and medical record medical treatment and medical record within hospital and PACS(Picture Archiving Communication System) which is picture management system for patients can be typical cases. It is difficult to use these automated medical systems unless they are within hospital and in case of rapid image reading in the emergency cases or in absence of doctor, it is difficult to perform it immediately. The present study implemented an image transmission system using CDMA connection so that images in the server can be viewed at any time and in any place. Remote wireless diagnosis based on medical images using PDA is applicable to medical areas that require mobility, and the use of PDA can be an ideal alternative for point of care. The use of PDA enables prompt and accurate access to digital medical images, which in turn reduces medical accidents and improves the quality of medical services through high productivity and efficiency of medical practitioners' works. It also enables quick response to patients' demands and high-quality medical services and, consequently, patients' high satisfaction.

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Recent Perspectives on Oncoplastic Breast Surgery in Korea (우리나라의 종양성형학적 유방암 수술에 대한 최신 동향)

  • Kang, Taewoo
    • Journal of Life Science
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    • v.30 no.6
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    • pp.563-569
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    • 2020
  • Oncoplastic surgery (OPS) combines oncologically safe tumor resection with aesthetically satisfying reconstruction of defects using established plastic surgery techniques. OPS is characterized by initial excision as extensive as is beneficial for oncological safety, and, once sufficient resection is complete, displacement or replacement techniques are selected based on remnant volume. The size of the lesion and the individual patient are important factors when considering the appropriate approach, and when pre-operative imaging, including MRI, is used to determine the technique, the complete removal of cancer cells by permanent pathology is essential. A frozen section is used during the operation to reduce the reoperation rate, but it is difficult to cover the entire margin surface theoretically and even harder in practice. A recent report about adequate margins has empowered OPS in its oncological safety. Considering the patients to whom each modality could be applied, basic breast volume is an important factor, and this is influenced by ethnic differences. In Europe or the US, for example, the average breast size is 36D (600 ㎤) and reduction mammoplasty is predominantly used. However, the average size of patients in our institution is 33A (300 ㎤), and so quite different approaches are selected in most cases. New techniques involving radiofrequency and fluorescence have been proposed as safe and easily accessible ways of reducing complications.

A Study on the Reduction of Cross-talk Artifact in Lumbar Magnetic Resonance Imaging : Focused on Concatenation Time Repetition (요추 자기공명영상에서 발생하는 Cross-talk Artifact 저감화 연구: 분할 TR 중심으로)

  • Lee, Jae-Heun;Lee, Hyo-Yeong
    • Journal of the Korean Society of Radiology
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    • v.14 no.5
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    • pp.715-723
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    • 2020
  • Cross-talk artifacts occur in two adjacent groups of axial imaging of lesions lumbar 4-5 and sacrum 1 in lumbar spine MRI. This causes problems in reading lesions in areas corresponding to the posterior vertebra. In this study, we are going to completely remove the cross-talk artifacts through optimal concatenation TR. The region of interested were measured by averaging them into fat (ROI1), erector spinal muscle(lateral tract: iliocostalis lumborum muscle) (ROI2), erector spinal muscle(lateral tract: longissimus muscle) (ROI3), and spinous process (ROI4). The mean signal intensity (SI) was 163.43 ± 25.08 at C4 for ROI1, ROI 2 and ROI 3 at C6, 67.89 ± 11.75 and 69.99 ± 10.91 and ROI4 at C5, respectively (p<0.000). The mean signal to noise ratio (SNR) was 135.45 ± 35.90, 56.92 ± 15.90, 58.77 ± 15.59, and 54.91 ± 118.95 for SNR 1, 2, 3 and 4 (p<0.000). The contrast-to-noise ratio (CNR) was CNR1 78.52 ± 24.11, CNR2 was 76.67 ± 24.38 and CNR3 was 80.54 ± 26.33 in concatenation 6, respectively (p<0.000). The SNR, CNR, and the most efficient concatenation TR value over time are 6, and it is considered to help reduce cross-talk artifact if this is applied to T1 axial images.

The Reactivity to 2TU PPD Tuberculin Skin Test after Percutaneous Multiple Puncture BCG Vaccination (건강한 영아에서 경피다자법 BCG 접종후 2TU 투베르쿨린 검사의 반응성)

  • Roh, Hye Ok;Lee, Woo Gill
    • Pediatric Infection and Vaccine
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    • v.6 no.1
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    • pp.101-106
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    • 1999
  • Purpose : Tuberculosis, a major public health problem, is an important cause of childhood infectious diseases. To decrease the tuberculosis morbidity rate, BCG vaccination and chemoprophylaxis are performed. Recently 2TU PPD skin test was introduced as a diagnostic method for tuberculous infection. We studied the positive conversion rate of 2TU PPD test after percutaneous multiple puncture BCG vaccination. Methods : Four hundred seventy six infants from well baby clinic of Samsung Cheil Hospital were enrolled. They were immunized with percutaneous multiple puncture technique BCG(Japan BCG laboratory, Japan) at 1 month of age. Approximately 6 months later, tuberculin skin test using RT23 2TU PPD was performed. Induration size, family history of tuberculosis and number of BCG scars were evaluated. Induration greater than or equal to 5mm was defined as positive conversion. Results : Among 476 infants, 248(52.1%) were male and 228(47.9%) were female. PPD skin tests were performed $6.2{\pm}0.5$($mean{\pm}S.D.$) months after BCG vaccination. Mean induration size was $7.3{\pm}3.2mm$ and positive conversion rate was 85.5%. Total number of BCG scars was $15.5{\pm}3.2$. Conclusion : The seroconversion rate by 2TU PPD test after percutaneous multiple puncture BCG vaccination was high. But, more comparative studies with various age groups may be needed for 2TU PPD test used as diagnostic method of tuberculosis in the hospitals.

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