• 제목/요약/키워드: 3-Dimensional D.P.

검색결과 570건 처리시간 0.029초

The utility of three-dimensional models in complex microsurgical reconstruction

  • Ogunleye, Adeyemi A.;Deptula, Peter L.;Inchauste, Suzie M.;Zelones, Justin T.;Walters, Shannon;Gifford, Kyle;LeCastillo, Chris;Napel, Sandy;Fleischmann, Dominik;Nguyen, Dung H.
    • Archives of Plastic Surgery
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    • 제47권5호
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    • pp.428-434
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    • 2020
  • Background Three-dimensional (3D) model printing improves visualization of anatomical structures in space compared to two-dimensional (2D) data and creates an exact model of the surgical site that can be used for reference during surgery. There is limited evidence on the effects of using 3D models in microsurgical reconstruction on improving clinical outcomes. Methods A retrospective review of patients undergoing reconstructive breast microsurgery procedures from 2017 to 2019 who received computed tomography angiography (CTA) scans only or with 3D models for preoperative surgical planning were performed. Preoperative decision-making to undergo a deep inferior epigastric perforator (DIEP) versus muscle-sparing transverse rectus abdominis myocutaneous (MS-TRAM) flap, as well as whether the decision changed during flap harvest and postoperative complications were tracked based on the preoperative imaging used. In addition, we describe three example cases showing direct application of 3D mold as an accurate model to guide intraoperative dissection in complex microsurgical reconstruction. Results Fifty-eight abdominal-based breast free-flaps performed using conventional CTA were compared with a matched cohort of 58 breast free-flaps performed with 3D model print. There was no flap loss in either group. There was a significant reduction in flap harvest time with use of 3D model (CTA vs. 3D, 117.7±14.2 minutes vs. 109.8±11.6 minutes; P=0.001). In addition, there was no change in preoperative decision on type of flap harvested in all cases in 3D print group (0%), compared with 24.1% change in conventional CTA group. Conclusions Use of 3D print model improves accuracy of preoperative planning and reduces flap harvest time with similar postoperative complications in complex microsurgical reconstruction.

상관차원에 의한 비선형 뇌파 분석과 기질성격척도(TCI) 요인간의 상관분석 (Correlation over Nonlinear Analysis of EEG and TCI Factor)

  • 박진성;박영배;박영재;허영
    • 대한한의진단학회지
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    • 제11권2호
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    • pp.96-115
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    • 2007
  • Background and Purpose: Electroencephalogram(EEG) is a multi-scaled signal consisting of several components of time series with different origins. Recently, because of the absence of an identified metric which quantifies the complex amount of information, there are many limitations in using such a linear method. According to chaos theory, irregular signals of EEG can also result from low dimensional deterministic chaos. Chaotic nonlinear dynamics in the EEG can be studied by calculating the correlation dimension. The aim of this study is to analyze correlation between the correlation dimension of EEG and psychological Test (TCI). Methods: Before and after moxibustion treatment, EEG raw data were measured by moving windows during 15 minutes. The correlation dimension(D2) was calculated from stabilized 40 seconds in 15 minutes data. 8 channels EEG study on the Fp, F, T, P was carried out in 30 subjects. Results: Correlation analysis of TCI test is calculated with deterministic non-linear data and stochastic non-linear data. 1. Novelty seeking in temperament is positive correlated with D2 of EEG on Fp. 2. reward dependence in temperament is positive correlated with D2 of EEG on T3,T4 and negative correlated with D2 of EEG on P3,P4. 3. self directedness in character is positive correlated with D2 of EEG on F4, P3. 4. Harm avoidance is negative correlated with D2 of EEG on Fp2, T3, P3. Conclusion: These results suggest that nonlinear analysis of EEG can quantify dynamic state of brain abolut psychological Test (TCI).

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GHz EMI Characteristics of 3D Stacked Chip PDN with Through Silicon Via (TSV) Connections

  • Pak, Jun-So;Cho, Jong-Hyun;Kim, Joo-Hee;Kim, Ki-Young;Kim, Hee-Gon;Lee, Jun-Ho;Lee, Hyung-Dong;Park, Kun-Woo;Kim, Joung-Ho
    • Journal of electromagnetic engineering and science
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    • 제11권4호
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    • pp.282-289
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    • 2011
  • GHz electromagnetic interference (EMI) characteristics are analyzed for a 3dimensional (3D) stacked chip power distribution network (PDN) with through silicon via (TSV) connections. The EMI problem is mostly raised by P/G (power/ground) noise due to high switching current magnitudes and high PDN impedances. The 3D stacked chip PDN is decomposed into P/G TSVs and vertically stacked capacitive chip PDNs. The TSV inductances combine with the chip PDN capacitances produce resonances and increase the PDN impedance level in the GHz frequency range. These effects depend on stacking configurations and P/G TSV designs and are analyzed using the P/G TSV model and chip PDN model. When a small size chip PDN and a large size chip PDN are stacked, the small one's impedance is more seriously affected by TSV effects and shows higher levels. As a P/G TSV location is moved to a corner of the chip PDNs, larger PDN impedances appear. When P/G TSV numbers are enlarged, the TSV effects push the resonances to a higher frequency range. As a small size chip PDN is located closer to the center of a large size chip PDN, the TSV effects are enhanced.

광대역 응용을 위한 6~10 GHz InGaAs 0.15μm pHEMT 27 dBm급 전력증폭기 (Wide-Band 6~10 GHz InGaAs 0.15μm pHEMT 27 dBm Power Amplifier)

  • 안현준;심상훈;박명철;김승민;박복주;어윤성
    • 한국전자파학회논문지
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    • 제29권10호
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    • pp.766-772
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    • 2018
  • 본 논문에서는 InGaAs enhancement mode $0.15{\mu}m$ pHEMT를 이용하여 6~10 GHz 대역에서 동작하는 wide-band 전력증폭기를 설계하였다. Enhancement 소자는 gate 바이어스를 양전압으로 사용하며, 음전압을 위한 추가회로 구성이 없어지며 모듈의 크기를 줄일 수 있다. 또한, 본 설계에서는 3D-EM(electromagnetic) 시뮬레이션을 통해 패키지 본드와이어의 인덕턴스 및 기판 손실을 예측하여 설계하였다. 광대역을 위해 lossy matching을 사용하고, 전력, 효율 관점에서 최적의 바이어스를 선정하여 설계하였다. 제안한 전력증폭기의 패키지 칩은 6~10 GHz 대역에서 20 dB 이상의 평탄 이득, 8 dB 이상의 입출력 반사손실, 출력전력은 27 dBm 이상, 전력부가효율은 35 % 이상으로 측정되었다.

Dosimetric comparison between modulated arc therapy and static intensity modulated radiotherapy in thoracic esophageal cancer: a single institutional experience

  • Choi, Kyu Hye;Kim, Jina;Lee, Sea-Won;Kang, Young-nam;Jang, HongSeok
    • Radiation Oncology Journal
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    • 제36권1호
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    • pp.63-70
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    • 2018
  • Purpose: The objective of this study was to compare dosimetric characteristics of three-dimensional conformal radiotherapy (3D-CRT) and two types of intensity-modulated radiotherapy (IMRT) which are step-and-shoot intensity modulated radiotherapy (s-IMRT) and modulated arc therapy (mARC) for thoracic esophageal cancer and analyze whether IMRT could reduce organ-at-risk (OAR) dose. Materials and Methods: We performed 3D-CRT, s-IMRT, and mARC planning for ten patients with thoracic esophageal cancer. The dose-volume histogram for each plan was extracted and the mean dose and clinically significant parameters were analyzed. Results: Analysis of target coverage showed that the conformity index (CI) and conformation number (CN) in mARC were superior to the other two plans (CI, p = 0.050; CN, p = 0.042). For the comparison of OAR, lung V5 was lowest in s-IMRT, followed by 3D-CRT, and mARC (p = 0.033). s-IMRT and mARC had lower values than 3D-CRT for heart $V_{30}$ (p = 0.039), $V_{40}$ (p = 0.040), and $V_{50}$ (p = 0.032). Conclusion: Effective conservation of the lung and heart in thoracic esophageal cancer could be expected when using s-IMRT. The mARC was lower in lung $V_{10}$, $V_{20}$, and $V_{30}$ than in 3D-CRT, but could not be proven superior in lung $V_5$. In conclusion, low-dose exposure to the lung and heart were expected to be lower in s-IMRT, reducing complications such as radiation pneumonitis or heart-related toxicities.

3차원 동적집속모드 체외충격파 기기를 이용한 족저근막염 치료의 유용성 (The Efficacy of Three-Dimensional Sweeping Mode Extracorporeal Shockwave Treatment for Plantar Fasciitis)

  • 임주애;이찬희;박재한
    • 대한족부족관절학회지
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    • 제26권2호
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    • pp.84-87
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    • 2022
  • Purpose: This was a pilot study to examine the clinical usefulness of the newly developed three-dimensional sweep mode extracorporeal shockwave treatment (ESWT) in patients with plantar fasciitis. Materials and Methods: Three-dimensional sweep mode ESWT was performed once a week for 5 weeks in patients with plantar fasciitis who showed no improvement with the conventional conservative treatment. A 100-mm visual analogue scale (VAS) reading for pain from walking and at rest after walking were collected before the treatment and 8 and 16 weeks after the initial treatment. In addition, the Foot and Ankle Outcome Score (FAOS) and EuroQol-5-dimension (EQ-5D) scores before and 16 weeks after the treatment were evaluated. Results: VAS for pain for walking improved from 50.60±8.38 to 19.80±15.61 at 8 weeks after the initial treatment (p=0.008) and 9.80±9.62 at 16 weeks after the treatment (p<0.001). VAS for pain at rest after walking improved from 36.60±19.55 to 11.80±12.95 at 8 weeks after the initial treatment (p=0.052) and 8.80±8.87 at 16 weeks after the treatment (p=0.024). Preoperative FAOS increased from an average of 74.80±9.73 before the treatment to an average of 81.00±8.86 at week 16 after the procedure (p=0.49) and compared to pre-treatment levels, there was a decrease of one level in the anxiety/depression domain of the EQ-5D, post-treatment. Conclusion: The results of this preliminary study confirmed that the newly developed EWST with the smart forging sweep mode was effective in improving pain and function in plantar fasciitis.

Comparison of accuracy between digital and conventional implant impressions: two and three dimensional evaluations

  • Bi, Chuang;Wang, Xingyu;Tian, Fangfang;Qu, Zhe;Zhao, Jiaming
    • The Journal of Advanced Prosthodontics
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    • 제14권4호
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    • pp.236-249
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    • 2022
  • PURPOSE. The present study compared the accuracy between digital and conventional implant impressions. MATERIALS AND METHODS. The experimental models were divided into six groups depending on the implant location and the scanning span. Digital impressions were captured using the intraoral optical scanner TRIOS (3Shape, Copenhagen, Denmark). Conventional impressions were taken with the monophase impression material based on addition-cured silicones, Honigum-Mono (DMG, Hamburg, Germany). A high-precision laboratory scanner D900 (3Shape, Copenhagen, Denmark) was used to obtain digital data of resin models and stone casts. Surface tessellation language (STL) datasets from scanner were imported into the analysis software Geomagic Qualify 14 (3D Systems, Rock Hill, SC, USA), and scan body deviations were determined through two-dimensional and three-dimensional analyses. Each scan body was measured five times. The Sidak t test was used to analyze the experimental data. RESULTS. Implant position and scanning distance affected the impression accuracy. For a unilateral arch implant and the mandible models with two implants, no significant difference was observed in the accuracy between the digital and conventional implant impressions on scan bodies; however, the corresponding differences for trans-arch implants and mandible with six implants were extremely significant (P<.001). CONCLUSION. For short-span scanning, the accuracy of digital and conventional implant impressions did not differ significantly. For long-span scanning, the precision of digital impressions was significantly inferior to that of the traditional impressions.

Validation of three-dimensional digital model superimpositions based on palatal structures in patients with maximum anterior tooth retraction following premolar extraction

  • Liu, Jing;Koh, Kyong-Min;Choi, Sung-Hwan;Kim, Ji-Hoi;Cha, Jung-Yul
    • 대한치과교정학회지
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    • 제52권4호
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    • pp.258-267
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    • 2022
  • Objective: This study aimed to evaluate the superimposition accuracy of digital modes for measuring tooth movement in patients requiring anterior retraction after premolar extraction based on the proposed reference regions. Methods: Forty patients treated with bilateral maxillary first premolar extraction were divided into two groups: moderate retraction (< 7.0 mm) and maximum retraction (≥ 7.0 mm). Central incisor displacement was measured using cephalometric superimpositions and three-dimensional (3D) digital superimpositions with the 3rd or 4th ruga as the reference point. The Wilcoxon signed-rank test and linear regression analyses were performed to test the significance of the differences and relationships between the two measurement techniques. Results: In the moderate retraction group, the central incisor anteroposterior displacement values did not differ significantly between 3D digital and cephalometric superimpositions. However, in the maximum-retraction group, significant differences were observed between the anteroposterior displacement evaluated by the 3rd ruga superimposition and cephalometric methods (p < 0.05). Conclusions: This study demonstrated that 3D digital superimpositions were clinically as reliable as cephalometric superimpositions in assessing tooth movements in patients requiring moderate retraction. However, the reference point should be carefully examined in patients who require maximum retraction.

Evaluation of portion size estimation aids for the Korea National Health and Nutrition Examination Survey

  • Lee, Youngmi;Kim, Mi-Hyun;Shim, Jae Eun;Park, Haeryun
    • Nutrition Research and Practice
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    • 제14권6호
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    • pp.667-678
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    • 2020
  • BACKGROUND/OBJECTIVES: This study aimed to improve portion size estimation aids (PSEAs) used in the nutrition survey of the Korea National Health and Nutrition Examination Survey (KNHANES) and validate the accuracy and precision of the newly developed aids. SUBJECTS/METHODS: We conducted intensive interviews with survey experts in KNHANES and consulted with experts to collect opinions about improvement of PSEAs. Based on the results of the interviews, 5 types of PSEAs (rice bowl, earthen pots, mounds, measuring spoons, and thickness sticks) were newly developed using 3-dimensional (3D) modeling or modification of color or shape. Validation tests were conducted with 96 adults 20 years old or older. For the rice bowl and earthen pots, the participants were asked to select the more similar PSEA in size after being shown the real dishes. For the mounds, measuring spoons, and thickness sticks, the participants were presented with actual plates of food and asked to estimate the given portion sizes using the given PSEAs. RESULTS: The improved 2-dimensional (2D) picture aid for the rice bowl reflecting the size distortion by angle of view using 3D modeling was perceived more closely to the actual size than the current 2D picture (P < 0.001). The change of the color of 2D pictures and 3D models, the change of shape of the measuring spoons, and the 3-dimensionalization of the 2D mounds had no significant improvement in the subjects' perception. CONCLUSIONS: The currently used 2D PSEAs need to be fully redesigned using 3D modeling to improve subjects' perception. However, change of color or shape will not be necessary. For amorphous foods, it is suggested that more evaluation be performed before reaching a final conclusion in the use of PSEAs, or alternative ways to improve accuracy of estimation need to be explored.