• 제목/요약/키워드: Diagnostic X-ray

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Posterior Mediastinal Goiter - A Case Report - (후종격동 갑상선종;1례 보고)

  • 조용준
    • Journal of Chest Surgery
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    • v.25 no.10
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    • pp.1116-1120
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    • 1992
  • Posterior mediastinal goiter extending to carotid sheath posteriorly is rare repoted case. Recently we experienced huge posterior mediastinal goiter with compressin of trachea in 57-year old male, The patient that complained of dyspnea referred to our hospital for further evaluation of mediasitnal tumor. We confirmed huge secondary posterior mediastinal intrathoracic goiter with diagnostic methods following by chest X-ray, thyroid scan, chest CT, and CT guided fine needle aspiration biopsy in this patient, and performed operation for excision Exision of posterior mediasitnal goiter performed through initial transeverse cervical incision and additional median sternotomy, and the mass removed completely without any complications. The postoperative course were uneventful.

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Partial Anormalous Pulmonary Venous Return with Scimitar Sign (Scimitar 징후를 동반한 부분폐정맥환류이상 -1례보고-)

  • 권종범
    • Journal of Chest Surgery
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    • v.33 no.10
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    • pp.827-829
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    • 2000
  • We experienced a case of partial anomalous pulmonary venous return from righ lung to inferior vena cava, which combined with Scimitar sign in 18 years old female patient. Diagnostic procedures were simple chest x-ray chest CT, and cardiac catheterization. We redirected the anomalous venous flow from inferior vena cava to left atrium through the intracardiac tunnel which was made with autologous pericardium. Postoperative course was not eventful.

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A Study on the Image Enhancement of Port Films using Edge-Adaptive Kalmsn filter (경계-적응 칼만필터를 이용한 Port Films의 영상개선에 관한 연구)

  • 박순옥
    • Journal of Biomedical Engineering Research
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    • v.17 no.4
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    • pp.427-432
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    • 1996
  • The primary purpose of port filming is to verify the treatment volume under treatment. Although the image quality with the megavoltage x-ray beam is poorer than with the diagnostic or the simulator film. This paper proposes an edge-adaptive Kalman filter for the image enhancement of port films. Suggested filtering procedure preserves edge information and eliminates edge noise and inside and outside treatment area preserving treatment boundary.

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Diagnostic accuracy of Insight intraoral film on dental caries (Kodak Insight 구내필름의 치아우식증 진단능에 대한 연구)

  • Yoon Young Nam;Lee Sang-Rae;Lee Byung-Do
    • Imaging Science in Dentistry
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    • v.34 no.1
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    • pp.19-23
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    • 2004
  • Purpose: To compare the diagnostic accuracy of Kodak Insight film with other intra-oral films in the detection of dental caries. Materials and Methods : Periapical radiographs of 99 extracted human teeth with sound proximal surfaces and interproximal artificial cavities were made on Kodak Ultra speed, Ektaspeed, Agfa Ektaspeed and Kodak Insight films and automatically processed. Six dentists examined the presence of dental caries using a five-point confidence rating scale and compared the diagnostic accuracy by ROC (Receiver Operating Characteristic) analysis and ANOVA test. Results: The sensitivity of Kodak Ultra speed, Ektaspeed, Agfa Ektaspeed and Insight film were 0.84, 0.77, 0.75 and 0.79 respectively. The specificity of Kodak Ultra speed, Ektaspeed, Agfa Ektaspeed and Insight film were 0.97. 0.95. 0.96 and 0.94 respectively. The mean ROC areas (Az) of Kodak Ultra speed, Ektaspeed, Agfa Ektaspeed and Insight film were 0.917, 0.910, 0.894, 0.909 respectively. There was no significant differences between Az of Insight film and other films (p = 0.178). Conclusion: Theses results suggested that Kodak Insight film have the comparative diagnostic accuracy of dental caries with Ultraspeed and Ektaspeed films.

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Virtual Monochromatic Image Quality from Dual-Layer Dual-Energy Computed Tomography for Detecting Brain Tumors

  • Shota Tanoue;Takeshi Nakaura;Yasunori Nagayama;Hiroyuki Uetani;Osamu Ikeda;Yasuyuki Yamashita
    • Korean Journal of Radiology
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    • v.22 no.6
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    • pp.951-958
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    • 2021
  • Objective: To evaluate the usefulness of virtual monochromatic images (VMIs) obtained using dual-layer dual-energy CT (DL-DECT) for evaluating brain tumors. Materials and Methods: This retrospective study included 32 patients with brain tumors who had undergone non-contrast head CT using DL-DECT. Among them, 15 had glioblastoma (GBM), 7 had malignant lymphoma, 5 had high-grade glioma other than GBM, 3 had low-grade glioma, and 2 had metastatic tumors. Conventional polychromatic images and VMIs (40-200 keV at 10 keV intervals) were generated. We compared CT attenuation, image noise, contrast, and contrast-to-noise ratio (CNR) between tumor and white matter (WM) or grey matter (GM) between VMIs showing the highest CNR (optimized VMI) and conventional CT images using the paired t test. Two radiologists subjectively assessed the contrast, margin, noise, artifact, and diagnostic confidence of optimized VMIs and conventional images on a 4-point scale. Results: The image noise of VMIs at all energy levels tested was significantly lower than that of conventional CT images (p < 0.05). The 40-keV VMIs yielded the best CNR. Furthermore, both contrast and CNR between the tumor and WM were significantly higher in the 40 keV images than in the conventional CT images (p < 0.001); however, the contrast and CNR between tumor and GM were not significantly different (p = 0.47 and p = 0.31, respectively). The subjective scores assigned to contrast, margin, and diagnostic confidence were significantly higher for 40 keV images than for conventional CT images (p < 0.01). Conclusion: In head CT for patients with brain tumors, compared with conventional CT images, 40 keV VMIs from DL-DECT yielded superior tumor contrast and diagnostic confidence, especially for brain tumors located in the WM.

A Study of Radiation Dose and Quality by Using Added Filtration in Chest Radiography (흉부(胸部) X선촬영시(線撮影時) 부가여과사용(附加濾過使用)에 따른 선양(線量)과 선질(線質)에 관(關)한 연구(硏究))

  • You, Byung-Hun;Chu, Sung-Sil;Huh, Joon
    • Journal of radiological science and technology
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    • v.10 no.1
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    • pp.13-23
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    • 1987
  • Author has studied for finding the method of decreasing the radiation dose and increasing diagnostic range in chest X-ray radiography. The study for the added filter thickness from half value layer to 1/8 value layer by decreasing curve and research for the exposure factors, decreasing ratio of radiation dose, ratio of scatter ray and image quality in chest X-ray radiography. The results were as follows: 1. By using the rare earth intensifying screen system at 120 Kvp, the sensitivity is increased by times and the exposure ratio is decreased 0.22 by comparison with the $CaWO_{4}$ intensifying screen system at 80 Kvp. 2. By using Al added filter of 1/8 value layer, the scatter ray is increased more than no filter, But the scatter ray is decreased more in $G_{4}/RxOG$ intensifying system than in LT-II/Rx intensifying system. 3. At 120 Kvp, the image quality value of $G_{4}/RxOG$ system is increased more than LT-II/Rx system compared with slight decreasing image quality value at 80 Kvp. Concluded that by using the added filter could decrease the radiation dose by 1/3 and obtain effective image quality with the added filter at high voltage hard exposure.

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Consistent Comparison for The Linearity Air Kerma of IEC Standards and Commercial Load in Diagnosing DR Generators (진단용 DR 발생장치에서 IEC 표준규격과 상용부하의 공기커마 직선성에 대한 일관성 비교)

  • Han, Beom-Hui;Kim, Chong-Yeal;Lee, Sang-Ho;Han, Sang-Hyun;You, In-Gyu
    • Journal of the Korean Society of Radiology
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    • v.6 no.5
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    • pp.389-394
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    • 2012
  • In this study, based on IEC 60601-2-54 standard load conditions presented in the limited interval over the air kerma at the absolute linearity closely evaluated by measuring the X-ray results were as follows: 10 units targeted all Diagnostic X-ray generating device (DR) presented in the IEC 60601-2-54 standard linearity of air kerma emerged as inappropriate, the general evaluation of the dose linearity from four in the top 50% and 80 kVp % of the two measurement series were as irrelevant all the rest from six of the top tube voltage of 50% and 80% of the two measurement series, appeared in all suitable. Presented in IEC 60601-2-54 standard dose linearity testing and conventional linearity tests showed many differences. IEC 60601-2-54 standard linearity in the proposed international standards of air kerma is the recommendation of the existing dose linearity considerably more feasible, and to quantify the amount of radiation as the standard suggested by the standard IEC 60601-2-54 air kerma of a diagnostic X-ray imaging device linearity performance management is considered key elements in the critical appraisal.

Traumatic Injury of Diaphragm (외상성 횡격막 손상)

  • 신호승
    • Journal of Chest Surgery
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    • v.28 no.3
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    • pp.308-312
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    • 1995
  • A 5-year retrospective study of 14 patients with diaphragmatic injuries revealed 9 blunt and 5 penetrating injuries. In the blunt trauma group, 7 were left and 2 were right side. The penetrating diaphragmatic wound consist of 3 left and 2 right sided. Sex ratio was 11: 3, with male predominanace. Preoperative diagnosis was possible in 9 cases and delayed diagnosis [greater than 24 hours occured in 5 cases.Simple chest X-ray was diagnostic or highly suggestive in 7 cases. 7 cases were diagnosed diaphragmatic injuries by computed tomography, fiuroscopy or by explorative operation. All of the cases had association injury. 11 cases of diaphragmatic ruptures were corrected through thoracotomy and 3 cases needed exploratory laparotomy. One death occured after operation due to associated injuries and respiratory failure. Blunt and penetrating diaphragmatic injuries remain a diagnostic challenge and associated injuries, delayed diagnosis determine the outcome.

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Patient Radiation Exposure Dose in Computed Tomography (전산화단층촬영장치에서 환자피폭선량)

  • Cho, Pyong Kon
    • Journal of the Korean Society of Radiology
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    • v.9 no.2
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    • pp.109-115
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    • 2015
  • In case of a CT examinations, there is a difference in the distribution of radiation dose from that of general X-ray equipments, and it has been known to cause a great radiation exposure during the examinations. However, owing to its high reliability on the accuracy of a examinations result, its use has increased continuously. In consideration of such a circumstance, the CT equipment, radiation dose during CT examinations, diagnostic reference level, and solutions to reduce radiation dose were mentioned on the basis of previously reported data.