• Korean Journal of Radiology
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• v.21 no.8
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• pp.946-954
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• 2020

Objective: To investigate preoperative magnetic resonance imaging (MRI) findings associated with resection margin status in patients with invasive lobular carcinoma (ILC) who underwent breast-conserving surgery. Materials and Methods: One hundred and one patients with ILC who underwent preoperative MRI were included. MRI (tumor size, multifocality, type of enhancing lesion, distribution of non-mass enhancement [NME], and degree of background parenchymal enhancement) and clinicopathological features (age, pathologic tumor size, presence of ductal carcinoma in situ [DCIS] or lobular carcinoma in situ, presence of lymph node metastases, and estrogen receptor/progesterone receptor/human epidermal growth factor receptor type 2 status) were analyzed. A positive resection margin was defined as the presence of invasive cancer or DCIS at the inked surface. Logistic regression analysis was performed to determine pre- and postoperative variables associated with positive resection margins. Results: Among the 101 patients, 21 (20.8%) showed positive resection margins. In the univariable analysis, NME, multifocality, axillary lymph node metastasis, and pathologic tumor size were associated with positive resection margins. With respect to preoperative MRI findings, multifocality (odds ratio [OR] = 3.977, p = 0.009) and NME (OR = 2.741, p = 0.063) were associated with positive resection margins in the multivariable analysis, although NME showed borderline significance. Conclusion: In patients with ILC, multifocality and the presence of NME on preoperative breast MRI were associated with positive resection margins.

• Journal of the Korean Society of Radiology
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• v.8 no.7
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• pp.429-433
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• 2014

In this study, the morphology and the x-ray quantum efficient of mercury oxide (HgO) and lead oxide (PbO) sensors derived by particle sedimentation method were discussed. In the pursuit of this purpose, we investigated the electrical characteristics and the x-ray quantum efficiency of various thicknesses of HgO and PbO films in mammographic x-ray energy. We have therefore developed a particle-in-binder sedimentation method of fabricating large area polycrystalline films onto transparent glass substrates coated with indium tin oxide. We are currently optimizing the growth method to improve the quantum efficiency with the ultimate goal of obtaining as quantum efficiency close to that of single crystal performance. Our future efforts will concentrate on optimization of large area film growth techniques specifically for deposition on a-Si:H flat panel readout arrays.

• Journal of radiological science and technology
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• v.45 no.4
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• pp.305-312
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• 2022

The proportion and testing of portable radiation tests, which are limited at the request of the doctor, are gradually increasing only for patients in emergency situations and difficulties in moving. However, as there are many limiting factors compared to fixed devices, this study intends to measure and analyze the distortion of images according to the angle of the detector and the change in dose according to the position of the subject. For distortion experiments using a mobile radiation generator used in Hospital A, the SID was tilted by 110 cm, 14"×17" wireless FPD detector to 0°, -5°, -10°, -15°, -20°, and -35° to measure the change in area. The dose according to the location of the detector was analyzed on average by measuring the central dose at 110 cm of the SID and measuring the dose of 9 locations three times each. The analysis result of distortion by location according to the angle of the detector showed a statistically significant difference (f=58.74, p<0.000). Therefore, it can be seen that the angle of the detector and the tube is closely related to the distortion of the image. The difference in dose by location of the detector increased with respect to the center - pole, and decreased with the + pole. Tests using mobile radiation generators will require careful efforts by clinicians to position patients in the center of the detector for accurate diagnosis, and efforts will be made to level the angle between the mobile radiation generators and the detector.

• Journal of radiological science and technology
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• v.29 no.2
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• pp.93-98
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• 2006

Satisfaction of the patient against the medical service in department of radiology and it evaluated the different recognition of radiological technologist and patient. and investigates it's improvement direction. It sent the reply the above the which is a usual result in question result of the most that, the receipt process it was complicated in the portion which is insufficient,"The receipt process is complicated", "waiting time is long"and "don't radiation protection for patient and guardian". Also these a facts was recognizing patients and radiological technologist all. And the effort of the radiological technologist is necessary with the method which reduces a recognition difference. The periodical medical service satisfaction investigates and must endeavor in reform measure preparation.

• Journal of radiological science and technology
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• v.30 no.1
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• pp.7-12
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• 2007

This study examined present conditions of upper-gastrointestinal X-ray fluoroscopy and patient skin dose. The authors elected 21 equipments to check the X-ray equipment and exposure factor of fluoroscopy & spot exposure in university hospitals, hospitals, and clinics where perform upper-gastrointestinal X-ray fluoroscopy more than five times every day in Incheon areas. The amount of patient's skin dose during upper-gastrointestinal X-ray fluoroscopy was measured by ionization chamber.

• Journal of the Korean Society of Radiology
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• v.1 no.1
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• pp.31-37
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• 2007

The purpose of this research was to compare and analyze image quality for each Detector of CR(Computed Radiography) and DR(Digital Radiography). The results showed that CR(AGFA MD 4.0 General plate, JAPAN) was superior to DR(HOLOGIC nDirect Ray, USA) based on the quantitative values and comparison of MTF(Modulation Transfer Function), NPS(Noise Power Spectrum), Photon fluence and DQE(Detective Quantum Efficiency) which have been widely accepted for the estimation of CR and DR. Quantitative evaluations of CR and DR system were obtained and they may be very helpful for QA and QC of general X-ray systems.

• Journal of Magnetics
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• v.22 no.1
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• pp.55-59
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• 2017

The purpose of this study was to quantitatively evaluate image quality using intensity profile, coefficient of variation (COV), and peak signal to noise ratio (PSNR) with respect to noise reduction techniques in the ultrasound images. For that purpose, we compared with the median filter, Rudin-Osher-Fatemi (ROF), Anscombe and proposed patch group prior based denoising (PGPD) techniques. To evaluate image quality, the Shepp-Logan phantom and the ultrasound image were acquired using simulation and experiment, respectively. According to the results, the difference of intensity profile using PGPD technique is lowest compared with original Shepp-Logan phantom. In simulation, the measured COV was 0.249, 0.198, 0.198, 0.177, and 0.080 using noisy, median, ROF, Anscombe and PGPD technique, respectively. Also, in experimental image, the measured COV was 0.245, 0.230, 0.231, 0.242 and 0.187 using noisy, median, ROF, Anscombe and PGPD technique, respectively. Especially, when we used PGPD technique, the PSNR has highest value in both simulation and experiment. In this study, we performed simulation and experiment study to compare various denoising techniques in the ultrasound image. We can expect the PGPD technique to improve in medical diagnosis with excellent noise reduction.

• Proceedings of the Korean Society of Medical Physics Conference
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• 2002.09a
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• pp.322-323
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• 2002

Partial volume averaging effect of PET data influences on the accuracy of quantitative measurements of regional brain metabolism because spatial resolution of PET is limited. The purpose of this study was to evaluate the accuracy of partial volume correction carried out on $^{18}$ F-PET images using Hoffman brain phantom. $^{18}$ F-PET Hoffman phantom images were co-registered to MR slices of the same phantom. All the MR slices of the phantom were then segmented to be binary images. Each of these binary images was convolved in 2 dimensions with the spatial resolution of the PET. The original PET images were then divided by the smoothed binary images in slice-by-slice, voxel-by-voxel basis resulting in larger PET image volume in size. This enlarged partial volume corrected PET image volume was multiplied by original binary image volume to exclude extracortical region. The evaluation of partial volume corrected PET image volume was performed by region of interests (ROI) analysis applying ROIs, which were drawn on cortical regions of the original MR image slices, to corrected and original PET image volume. From the ROI analysis, range of regional mean values increases of partial volume corrected PET images was 4 to 14%, and average increase for all the ROIs was about 10% in this phantom study. Hoffman brain phantom study was useful for the objective evaluation of the partial volume correction method. This MR-based correction method would be applicable to patients in the. quantitative analysis of FDG-PET studies.

• Proceedings of the Korean Society of Medical Physics Conference
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• 1999.11a
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• pp.124-125
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• 1999

• Korean Journal of Radiology
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• v.25 no.1
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• pp.55-61
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• 2024

Objective: This study aimed to evaluate the safety and efficacy of intranodal lymphangiography and thoracic duct embolization (TDE) for chyle leakage (CL) after thyroid surgery. Materials and Methods: Fourteen patients who underwent intranodal lymphangiography and TDE for CL after thyroid surgery were included in this retrospective study. Among the 14 patients, 13 underwent bilateral total thyroidectomy with neck dissection (central compartment neck dissection [CCND], n = 13; left modified radical neck dissection (MRND), n = 11; bilateral MRND, n = 2), and one patient underwent left hemithyroidectomy with CCND. Ten patients (76.9%) had high-output CL (> 500 mL/d). Before the procedure, surgical intervention was attempted in three patients (thoracic duct ligation, n = 1; lymphatic leakage site ligation, n = 2). Lymphangiographic findings, technical and clinical successes, and complications were analyzed. Technical success was defined as the successful embolization of the thoracic duct after access to the lymphatic duct via the transabdominal route. Clinical success was defined as the resolution of CL or surgical drain removal. Results: On lymphangiography, ethiodized oil leakage near the surgical bed was identified in 12 of 14 patients (85.7%). The technical success rate of TDE was 78.6% (11/14). Transabdominal antegrade access was not feasible due to the inability to visualize the identifiable cisterna chyli or a prominent lumbar lymphatic duct. Among patients who underwent a technically successful TDE, the clinical success rate was 90.1% (10/11). The median time from the procedure to drain removal was 3 days (with a range of 1-13 days) for the 13 patients who underwent surgical drainage. No CL recurrence was observed during the follow-up period (ranging from 2-44 months; median, 8 months). There were no complications, except for one case of chylothorax that developed after TDE. Conclusion: TDE appears to be a safe and effective minimally invasive treatment option for CL after thyroid surgery, with acceptable technical and clinical success rates.