• Title/Summary/Keyword: Brain, CT

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Radiation dose and Lifetime Attributable Risk of Cancer Estimates in 64-slice Multidetector Computed Tomography (64-절편 다행검출 CT 검사에서의 환자선량과 암 발생의 Lifetime Attributable Risk(LAR) 평가)

  • Kang, Yeong-Han;Park, Jong-Sam
    • The Journal of the Korea Contents Association
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    • v.11 no.4
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    • pp.244-252
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    • 2011
  • This study was to estimate the radiation dose associated with 64-slice multidetector CT(MDCT) in clinical practice and quantify the potential cancer risk associated with these examinations. Lifetime attributable risks(LAR) were estimated with models developed in the national Academies' Biological Effects of Ionizing Radiation VII report. Mean effective dose were 1.48mSv in Brain axial scan, 7.66mSv in chest routine contrast, 12.17mSv in coronary angiogram, 24.52mSv in Dynamic abdomen scan. LAR estimates for brain routine varied from 1 in 7463 for man to 1 in 4926 for women. In chest routine with contrast, LAR varied from 1 in 1449 for men to 1 in 952. LAR of Abdomen dynamic CT varied from 1 in 453 for men to 1 in 298 for women. So, 64-slice MDCT scan is associated with non-negligible LAR of cancer. Doses can be reduced by careful attention to scanning protocol.

A study on the utilization of CT equipments (전산화 단층촬영 장치의 이용 실태에 대한 조사)

  • Cho, Pyong-Kon;Oh, Yu-Whan;Kim, Sung-Soo;Choi, Jong-Hak;Kim, You-Hyun
    • Journal of Radiation Protection and Research
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    • v.30 no.1
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    • pp.9-15
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    • 2005
  • This study was conducted to investigate the patient exposure dose during a CT examination and the present position in utilization of the CT equipments. To this end Questionnaire were sent out to 278 medical facilities registered at Korea Hospital Association and replies of 161 medical facilities were analyzed. The results were as follows ; 1) The distribution of CT examination was. Brain 40.7%, Abdomen 27.8%, Chest 15.7%, Spine 4.8%, Pelvis 4.1%, PNS 3.2%, Facial bone 2.5% and Extremity 1.1% respectively. 2) The statistics for dose index according to each part of examination were Brain 38.0mGy, Abdomen 12.0mGy for adults : Brain 13.6mGy, Abdomen 6.2mGy for infant. Our surveyed dose index appeared lower than the IAEA recommends. 3) Most medical facilities have selected the parameters for radiographic exposure in the range of $100{\sim}120kVp,\;100{\sim}250mA\;and\;1{\sim}2$ seconds.

Comparative Evaluation of Images after Applying Quantum Denoising System Algorithm to Brain Computed Tomography (뇌 컴퓨터단층검사 시 양자잡음제거 알고리즘을 적용한 영상의 비교평가)

  • Cho, Pyong-Kon
    • Journal of radiological science and technology
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    • v.40 no.4
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    • pp.589-594
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    • 2017
  • The objective of this study was to evaluate the enhancement effects of the quantum denoising system (QDS) on brain CT images. This retrospective study was conducted with 45 adults who visited G Radiology located in Gyungbuk for having brain CT tests between Jul 2017 and Oct 2017 after receiving consents. Subjects were divided into a control group (A group; no QDS(-) application during the brain CT test) and a treatment group (B Group; QDS(+) application during the brain CT test). The following conclusions were obtained from the study. The noise values at the Pons part and the Vermis part were significantly (p<0.05) lower in B Group ($Pons=5.41{\pm}1.05HU$; $Vermis=5.28{\pm}0.73HU$) than A Group ($Pons=6.92{\pm}0.98HU$; Vermis=6.72). The SNR values at the Pons part and the Vermis part were significantly (p<0.05) higher in B Group ($Pons=7.28{\pm}2.56$; $Vermis=8.63{\pm}3.04$) than A Group ($Pons=5.21{\pm}1.28$; $Vermis=6.23{\pm}1.49$). In conclusion, the results of this study suggested that the application of QDS to the brain CT test would enhance the signal to noise ratio (SNR) and the contrast to noise ratio (CNR) to provide an image more appropriate for diagnosis.

A Study on the Indirect Radiation Exposure of the Medical Personnel Who is Responsible for Patient Safety in CT Examination (전산화단층촬영검사 시 검사실 내에 위치할 수 있는 의료인의 간접 피폭선량에 대한 연구)

  • Choi, Min-Hyeok;Jang, Ji-Sung;Lee, Ki-Baek
    • Journal of radiological science and technology
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    • v.42 no.2
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    • pp.105-111
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    • 2019
  • A medical personnel could be placed beside a patient together in CT room to do Ambu-bag for a seriously ill patients or emergency patient. At this time, the medical personnel can be exposed indirect radiation unnecessarily. In this case, it is necessary to recognize indirect radiation dose levels and methods to reduce them using actual clinical CT protocols such as Chest, Abdomen, and Brain CT. We researched surface radiation dose with or without radiation protectors such as apron and goggles according to different distances far from gantry using two different CT scanners (Fixed MDCT and mobile CT). As a result, for Chest, Abdomen, and Brain CT with Fixed MDCT, indirect radiation dose on thorax portion were 0.047, 0.089, 0.034 mSv without apron. Also, those with apron were 0.007, 0.012, 0.006 mSv. In case of mobile CT, it was 0.014 mSv without apron and 0.005 mSv with apron. By using protectors and increasing the distance, we could reduce it to 97%. Systematic management is necessary based on the measured data in order to minimize radiation damage due to indirect exposure dose.

THE EVALUATION OF THE POSITIONAL CHANGE OF THE MANDIBULAR CONDYLE AFTER BILATERAL SAGITTAL SPLIT RAMUS OSTEOTOMY USING THREE DIMENSIONAL COMPUTED TOMOGRAPHY IN SKELETAL CLASS III PATIENTS (골격성 3급 부정교합 환자에서 하악지시상분할골절단술 후 3D CT 영상을 이용한 하악과두 위치변화 분석)

  • Jang, Jung-Rok;Choi, Guen-Ho;Park, Young-Jun;Kim, Bang-Sin;Yu, Min-Gi;Kook, Min-Suk;Park, Hong-Ju;Ryu, Sun-Youl;Oh, Hee-Kyun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.35 no.5
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    • pp.316-323
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    • 2009
  • Purpose: This study was performed to evaluate three-dimensional positional change of the condyle using 3D CT after bilateral sagittal split ramus osteotomy (BSSRO) in skeletal class III patients. Patients and methods: Nine patients who underwent BSSRO for mandibular set-back in skeletal class III malocclusion without facial asymmetry were examined. Miniplates were used for the fixation after BSSRO. 3-D CT was taken before, immediately after, and 6 months after undergoing BSSRO. After creating 3D-CT images using V-works $4.0^{TM}$ program, axial plane, coronal plane, & sagittal plane were configured. Three dimensional positional change, from each plane to the condyle, of the nine patients was measured before, immediately after, and 6 months after undergoing BSSRO. Results: 1. The mean value of mandibular set-back for nine mandibular prognathism patients was 7.36 mm (${\pm}\;2.42\;mm$). 2. In the axial view, condyle is rotated inward immediately after BSSRO (p < 0.05), comparing with preoperative but outward 6 months after BSSRO comparing with postoperative (p < 0.05). 3. In the axial view, condyle is moved laterally immediately after BSSRO (p < 0.05), comparing with preoperative but regressed 6 months after BSSRO comparing with preoperative (p > 0.05). 4. In the frontal & coronal view, there is changed immediately after and 6 months after BSSRO, comparing with preoperative but no statistical difference. Conclusion: These results indicate that three-dimensional positional change of the condyle in skeletal class III patients is observed lateral displacement & inward rotation immediate after BSSRO, but the condyle in 6 months after BSSRO tends to regress to preoperative position.

Consideration of the Usefulness of 18F-FET Brain PET/CT in Brain Tumor Diagnosis (뇌종양진단에 있어 18F-FET Brain PET/CT의 유용성에 대한 고찰)

  • Kyu-Ho Yeon; Jae-Kwang Ryu
    • The Korean Journal of Nuclear Medicine Technology
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    • v.28 no.1
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    • pp.41-47
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    • 2024
  • Purpose: 18F-FET, a radiopharmaceutical based on a Tyrosine amino acid derivative using the Sodium-Potassium Pump-independent Transporter (System L) for non-invasive evaluation of primary, recurrent, and metastatic brain tumors, exhibits distinct characteristics. Unlike the widely absorbed 18F-FDG in both tumor and normal brain tissues, 18F-FET demonstrates specific uptake only in tumor tissue while almost negligible uptake in normal brain tissue. This study aims to compare and evaluate the usefulness of 18F-FDG and 18F-FET Brain PET/CT quantitative analysis in brain tumor diagnosis. Materials and Methods: In 46 patients diagnosed with brain gliomas (High Grade: 34, Low Grade: 12), Brain PET/CT scans were performed at 40 minutes after 18F-FDG injection and at 20 minutes (early) and 80 minutes (delay) after 18F-FET injection. SUVmax and SUVpeak of tumor areas corresponding to MRI images were measured in each scan, and the SUVmax-to-SUVpeak ratio, an indicator of tumor prognosis, was calculated. Differences in SUVmax, SUVpeak, and SUVmax-to-SUVpeak ratio between 18F-FDG and 18F-FET early/delay scans were statistically verified using SPSS (ver.28) package program. Results: SUVmax values were 3.72±1.36 for 18F-FDG, 4.59±1.55 for 18F-FET early, and 4.12±1.36 for 18F-FET delay scans. The highest SUVmax was observed in 18F-FET early scans, particularly in HG tumors (4.85±1.44), showing a slightly more significant difference (P<0.0001). SUVpeak values were 3.33±1.13 for 18F-FDG, 3.04±1.11 for 18F-FET early, and 2.80±0.96 for 18F-FET delay scans. The highest SUVpeak was in 18F-FDG scans, while the lowest was in 18F-FET delay scans, with a more significant difference in HG tumors (P<0.001). SUVmax-to-SUVpeak ratio values were 1.11±0.09 for 18F-FDG, 1.54±0.22 for 18F-FET early, and 1.48±0.17 for 18F-FET delay scans. This ratio was higher in 18F-FET scans for both HG and LG tumors (P<0.0001), but there was no statistically significant difference between 18F-FET early and delay scans. Conclusion: This study confirms the usefulness of early and delay scans in 18F-FET Brain PET/CT examinations, particularly demonstrating the changes in objective quantitative metrics such as SUVmax, SUVpeak, and introducing the SUVmax-to-SUVpeak ratio as a new evaluation metric based on the degree of tumor malignancy. This is expected to further contributions to the quantitative analysis of Brain PET/CT images.

The effects of Rhizoma Acori Graminei water extract in Alzheimer's Disease Model induced by pCT105 (pCT105로 유도된 치매모델에서 석창포(石菖蒲) 수추출액(水抽出液)이 미치는 영향)

  • Choi, Hyuk;Kim, Sang-Ho;Lee, Dae-Yong;Ahn, Dae-Joong;Kang, Won-Hyung;Lyu, Yeoung-Su
    • Journal of Oriental Neuropsychiatry
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    • v.13 no.2
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    • pp.173-194
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    • 2002
  • Alzheimer's disease(AD) is a geriatric dementia that is widespread in old age. In the future AD will be the largest problem in public health service. From old times, Much medicines have been used for treatment of dementia, but there is no medicine having obvious effect. AD is one of brain retrogression disease. So We studied on herbal medicine that have a relation of brain retrogression. From old times, In Oriental Medicine, Rhizoma Acori Graminei has been used for disease in relation to brain retrogression. We studied on the effects of anti-Alzheimer in pCT105-induced neuroblastoma cell lines by Rhizoma Acori Graminei extract As the result of this study, In RAG group, the apoptosis in the nervous system is inhibited, the repair against the degerneration of Neuroblastoma cells by CT105 expression is promoted. These results indicate that RAG possess strong inhibitory effect of apoptosis in the nervous system and repair effect against the degeneration of Neuroblastoma cells by CT105 expression.

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Multi GPU Based Image Registration for Cerebrovascular Extraction and Interactive Visualization (뇌혈관 추출과 대화형 가시화를 위한 다중 GPU기반 영상정합)

  • Park, Seong-Jin;Shin, Yeong-Gil
    • Journal of KIISE:Computing Practices and Letters
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    • v.15 no.6
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    • pp.445-449
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    • 2009
  • In this paper, we propose a computationally efficient multi GPU accelerated image registration technique to correct the motion difference between the pre-contrast CT image and post-contrast CTA image. Our method consists of two steps: multi GPU based image registration and a cerebrovascular visualization. At first, it computes a similarity measure considering the parallelism between both GPUs as well as the parallelism inside GPU for performing the voxel-based registration. Then, it subtracts a CT image transformed by optimal transformation matrix from CTA image, and visualizes the subtracted volume using GPU based volume rendering technique. In this paper, we compare our proposed method with existing methods using 5 pairs of pre-contrast brain CT image and post-contrast brain CTA image in order to prove the superiority of our method in regard to visual quality and computational time. Experimental results show that our method well visualizes a brain vessel, so it well diagnose a vessel disease. Our multi GPU based approach is 11.6 times faster than CPU based approach and 1.4 times faster than single GPU based approach for total processing.

Comparative effects of Radix Polygalae and Rhizoma Acori Graminei on CT105-induced neuroblastoma cell lines (원지(遠志)와 석창포(石菖蒲)의 단독 및 혼합추출액이 CT105 로 유도된 신경세포암 세포주에 미치는 영향)

  • Han, Won-Ju;Kim, Hyung-Soo;Kim, Sang-Tae;Kim, Tae-Heon;Lyu, Yeoung-Su;Kang, Hyung-Won
    • Journal of Oriental Neuropsychiatry
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    • v.14 no.2
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    • pp.95-105
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    • 2003
  • Alzheimer's disease(AD) is a geriatric dementia that is widespread in old age. In the future AD will be the largest problem in public health service. From old times, Much medicines have been used for treatment of dementia, but there is no medicine having obvious effect. AD is one of brain retrogression disease. So We studied on herbal medicine that have a relation of brain retrogression. From old times, In Oriental Medicine, Radix Polygalae and Rhizoma Acori Graminei have been used for disease in relation to brain retrogression. We studied of anti-Alzheimer effect on CT105-induced neuroblastoma cell lines by Radix Polygalae(RP) and Rhizoma Acori Graminei(RAG) water extract. As the result of this study, In RP and RAG group, the apoptosis in the nervous system is inhibited, the repair against the degeneration of Neuroblastoma cells by CT105 expression is induced. These results indicate that In RP and RAG, RAG possess the strongest in inhibitory effect of apoptosis in the nervous system and repair effect against the degeneration of Neuroblastoma cells by CT105 expression.

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