• Title/Summary/Keyword: Diagnostic X-ray

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Radiation safety management for diagnostic radiation generators and employees in animal hospitals in Korea (동물병원의 진단용 방사선 발생장치 및 방사선종사자 안전관리 실태 조사)

  • An, Hyo-Jin;Kim, Chung-Hyun;Kwon, Young-Jin;Kim, Don-Hwan;Wee, Sung-Hwan;Moon, Jin-San
    • Korean Journal of Veterinary Research
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    • v.54 no.3
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    • pp.151-157
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    • 2014
  • A nationwide survey on radiation safety management in Korean animal hospitals was conducted. By 2013, 53 radiation generators were registered as veterinary medical devices (41 X-ray generators and 12 computed tomography scanners). Additionally there were six approved laboratories for radiation equipment and protection facility, and five approved laboratories for radiation exposure of employees, respectively. By March 2013, 2,030 out of 3,829 animal hospitals operated radiation-generating devices. Among these devices, 389 (19.2%) out of 2,030 were not labeled with the model name and 746 (36.7%) were not labeled with production dates. Thus, most veterinary X-ray generators were outdated (42.6%) and needed replacements. When periodic inspections of 2,018 animal hospitals were performed after revision of the Veterinarians Act in 2011, the hospitals were found to be equipped with appropriate radiation generators and protection facilities. Among 2,545 employees exposed to radiation at the hospitals, 93.9% were veterinarians, 4.3% were animal nurse technicians, and 18% held other positions. Among 169 employees supervised by administrators, none of those had a weekly maximum operating load that exceeded $10mA{\cdot}min$. This study suggests that the radiation safety management system of animal hospitals was general good.

Variation of Image Quality and Dose by Applying Multi-Leaf Collimator for Digital Mammography (디지털 유방촬영장치에서 다엽 조리개 적용으로 인한 화질과 선량의 변화)

  • Kwon, Soon Mu;Kim, Boo Soon;Park, Hyung Jun;Kang, Yeong Han
    • Journal of the Korean Society of Radiology
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    • v.9 no.7
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    • pp.535-540
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    • 2015
  • Collimator has important functions with control primary X-ray that decrease radiation exposure dose for patients and reduce scatter ray and make better quality of image. But there are no regulations for X-ray mammography device of collimator, so widely used device adopt rectangularly controlled collimator. Though digital X-ray mammography device expand supply recently, rectangularly controlled collimator of film/screen mode still used. After searching for real condition of beam field with digital mammography, we made a multi-leaf collimator which is able to adjust the beam field in accordance with size and shape of breast, and we measuring up the transitions of image quality, average glandular dose(AGD) and, Dose area product(DAP). There are no significant differences between rectangularly controlled collimator and multi-leaf collimator, and DAP value decreased by 50.72%. As conclusion, there needs to expand the use of multi-leaf collimator for optimum adoption of beam field in digital mammography, and also need to develop an automatic regulation of beam field for reduce of exposure dose to patients.

Case Report of 6 Patients Not Improved after Conservative Treatment of Herniated Lumbar Intervertebral Disc (요추간판탈출증으로 보존적 치료후 호전되지 않는 환자 6 례 보고)

  • Lee, Sam-Ro;Kim, Hyun-Jung;Byun, Jae-Young;Ahn, Soo-Gi;Lee, Jong-Deok
    • Journal of Acupuncture Research
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    • v.17 no.3
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    • pp.265-276
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    • 2000
  • Objectives : The purpose of this study is to observe the clinical characteristics of 6 patients who were not improved after admitted conservative treatment in this 311 patients. Methods : We retrospectivety reviewed 311 patients of Herniated Lumbar Intervertebral Disc which undenvent admitted conservative treatment from November 1997 to June 2000. 311 patients were diagnosed by computed tomography or magnetic resonance imaging in addition to physical examination. Other complications were not detected in 311 patients with Hemiated Lumbar Intervertebral Disc. In case that the scoliosis appeared to caused by severe pain, we included this scoliosis patient with the object of survey. Results : 1. In 6 patients who were not improved, 4 patients were large herniation and 2 patients were medium herniation. 2. In all of 6 patients, the angle of straight leg raising test was low and was not imporved unril discharge. 3. X-ray findings showed straightening in all of 6 patients, disc space narrowing in 3 of 6 patients. 4. X-ray findings showed scoliosis in 3 of 4 patients who were severe pain. 5. The onset was relarively long from 30 days to 7 years. 6. The age was relatively young from 10's to 30's. 7. The adimission date was ralatively long from 32 days to 105 days. Conclusions : In 6 patients, there were observed much volume of disc herniation, low angle of straight leg raising test, young people in an age group, straightening of x-ray finding.

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Auto-Positioning of Patient in X-ray Diagnostic Imaging (진단 엑스선 영상에서 환자 위치잡이의 자동화)

  • Yang, Won Seok;Son, Jung Min;Kwon, Su Chon
    • Journal of the Korean Society of Radiology
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    • v.12 no.6
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    • pp.793-799
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    • 2018
  • As interest in artificial intelligence has increased, artificial intelligence has been actively studied in the medical field. In Korea, artificial intelligence has been applied to medical imaging devices such as X-ray imaging, Computer Tomography and Magnetic Resonance Imaging and artificial intelligence capable of acquiring radiation images of patients without radiologists in the future Medical devices are expected to be invented. This study was an initial study on the automation of patient positioning in X - ray imaging. We used x-ray equipment and human phantoms to evaluate the positioning. The program used Visual Studio 2010 MFC and the image was in the size $1450{\times}1814$. The pixel values were converted to contrasts with values of 0 to 255 that can be visually recognized and output to the monitor. We developed a procedure algorithm program that predicts the angle of the output image through three pixel coordinate values and induces the patient to perform correct positioning according to the voice guidance according to the angle. In the next study, we will study the artificial intelligence to grasp the structure itself and calculate the angle, rather than conveying the reference of coordinates to artificial intelligence. In the future, it is expected that it will be helpful in the study of artificial intelligence from shooting to positioning through the automation of positioning.

The effects of voltage of x-ray tube on fractal dimension and anisotropy of diagnostic image

  • Baik, Jee-Seon;Lee, Sam-Sun;Park, Kwan-Soo;Huh, Kyung-Hoe;Yi, Won-Jin;Heo, Min-Suk;Choi, Soon-Chul
    • Imaging Science in Dentistry
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    • v.37 no.4
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    • pp.211-215
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    • 2007
  • Purpose: The purpose of this study was to evaluate the effect of the kV on fractal dimension of trabecular bone in digital radiographs. Materials and Methods: 16 bone cores were obtained from patients who had taken partial resection of tibia due to accidents. Each bone core along with an aluminum step wedge was radiographed with an occlusal film at 0.08 sec and with the constant film-focus distance (32 cm). All radiographs were acquired at 60, 75, and 90 kV. A rectangular ROI was drawn at medial part, distal part, and the bone defect area of each bone core image according to each kV. The directional fractal dimension was measured using Fourier Transform spectrum, and the anisotropy was obtained using directional fractal dimension. The values were compared by the repeated measures ANOVA. Results : The fractal dimensions increased along with kV increase (p < 0.05). The anisotropy measurements did not show statistically significant difference according to kV change. The fractal dimensions of the bone defect areas of the bone cores have low values contrast to the non-defect areas of the bone cores. The anisotropy measurements of the bone defect areas were lower than those of the non-defect areas of the bone cores, but not statistically significant. Conclusion: Fractal analysis can notice a difference of a change of voltage of x-ray tube and bone defect or not. And anisotropy of a trabecular bone is coherent even with change of the voltage of x-ray tube or defecting off a part of bone.

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Study of Optimal Angle When Taking Foot AP Weight-Bearing Radiography (족부전후방향 체중부하 촬영 시 적정 입사각에 관한 연구)

  • Uhm, Min-Ji;Choi, Weon-Keun;Son, Soon-Yong;Lee, Kwan-Sup
    • Korean Journal of Digital Imaging in Medicine
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    • v.15 no.2
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    • pp.31-37
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    • 2013
  • Incident X-ray angles of weight bearing foot AP radiography which differ in each medical institution were compared. Optimal angles were derived from the study and suggested as basic data for clinical application. 19 patients with no abnormality on right foot took part in the study from June 2013 to July 2013. Weight bearing foot AP radiography in the correct position was examined with the incident X-ray angles of $10^{\circ}$, $15^{\circ}$, $20^{\circ}$, $25^{\circ}$, $30^{\circ}$, and $35^{\circ}$. All the images were evaluated subjectively by 5 radiological technologists of over 15 year work experience using Likert scale as 1 for 'very poor', 2 for 'poor', 3 for 'fair', 4 for 'good', 5 for 'very good', 6 for 'excellent', and analyzed with ANOVA and Scheffe. Image quality was the most optimal at $20^{\circ}$ as 4.53, and relatively good at $25^{\circ}$ as 4.38 and at $30^{\circ}$ as 4.18. $35^{\circ}$ and $10^{\circ}$ were relatively poor. The average points of 6 groups indicated statistically significant difference (p<.01). In the post-mortem, 3 subgroups showed no statistically significant difference, and the average point of the groups of $20^{\circ}$, $25^{\circ}$, $30^{\circ}$was evaluated relatively higher than the other 2 groups. An optimal incident X-ray angle within the range from $20^{\circ}$ to $30^{\circ}$ for weight bearing foot AP radiography could make it possible to obtain the image of high diagnostic value and would be useful for clinical application in the future.

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Clinical report on the improvement of the symptoms of pneumonia by the aqueous extract of Platycodon grandiflorum (24년생 장생도라지 약침액(藥鍼液)의 폐렴 증상 개선효과에 대한 임상례)

  • Kim, Sook-Kyeng;Choi, Sung-Gwun;Lim, Hyi-Jeong;Moon, Ik-Ryoul;Park, Hyeong-Seon;Oh, Su-Jin
    • Journal of Pharmacopuncture
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    • v.4 no.3
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    • pp.59-67
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    • 2001
  • Objective: The purpose of this report is to prove the clinical effect of Platycodon grandiflorum aqueous extract on pneumoniae patients. Methods: We used the aqueous extract of Platycodon grandiflorum to treat two pneumoniae patients. It was injected into five acupuncture points, which was Chondol(天突:CV22) 1 point, Pyesu(肺兪 : BL13) 2 point, and Kworumsu(厥陰兪: BL14) 2 point. Results & conclusions: We have used the aqueous extract of 24-year-old JK for treating the patients suffering from lung diseases, and have experienced the actual effects. Of the treated, two pneumonia-involved patients showed apparent improvement in simple chest X-ray and clinical symptoms. The patients were treated with JK (Jang-saeng platycodon) aqueous extract 25 and 22 times individually. The results were as follows. 1. The symptoms including coughing, phlegm, and fever were improved in two cases. 2. The lung infiltration in simple chest X-ray decreased and the WBC count was kept within normal range in two cases. 3. Side effect such as itching was not found in the process of JK aqueous extract treatment. 4. The criteria for pneumonia are fever, coughing with purulent phlegm, pleural chest pain, the evidence of new infiltration in simple chest X-ray, sign of lung sclerosis in auscultation, increase of WBC count, etc. But they may not be the proper objective diagnostic standards. So we had trouble in statistic process and numerical interpretation. Putting these results together, the JK aqueous extract is considered to be effective in treating patients for pneumonia, and the continuous research and accumulation of data is needed.

Microcantilever biosensor: sensing platform, surface characterization and multiscale modeling

  • Chen, Chuin-Shan;Kuan, Shu;Chang, Tzu-Hsuan;Chou, Chia-Ching;Chang, Shu-Wei;Huang, Long-Sun
    • Smart Structures and Systems
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    • v.8 no.1
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    • pp.17-37
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    • 2011
  • The microcantilever (MCL) sensor is one of the most promising platforms for next-generation label-free biosensing applications. It outperforms conventional label-free detection methods in terms of portability and parallelization. In this paper, an overview of recent advances in our understanding of the coupling between biomolecular interactions and MCL responses is given. A dual compact optical MCL sensing platform was built to enable biosensing experiments both in gas-phase environments and in solutions. The thermal bimorph effect was found to be an effective nanomanipulator for the MCL platform calibration. The study of the alkanethiol self-assembly monolayer (SAM) chain length effect revealed that 1-octanethiol ($C_8H_{17}SH$) induced a larger deflection than that from 1-dodecanethiol ($C_{12}H_{25}SH$) in solutions. Using the clinically relevant biomarker C-reactive protein (CRP), we revealed that the analytical sensitivity of the MCL reached a diagnostic level of $1{\sim}500{\mu}g/ml$ within a 7% coefficient of variation. Using grazing incident x-ray diffractometer (GIXRD) analysis, we found that the gold surface was dominated by the (111) crystalline plane. Moreover, using X-ray photoelectron spectroscopy (XPS) analysis, we confirmed that the Au-S covalent bonds occurred in SAM adsorption whereas CRP molecular bindings occurred in protein analysis. First principles density functional theory (DFT) simulations were also used to examine biomolecular adsorption mechanisms. Multiscale modeling was then developed to connect the interactions at the molecular level with the MCL mechanical response. The alkanethiol SAM chain length effect in air was successfully predicted using the multiscale scheme.

Pulmonary Cryptococcosis (좌하엽 폐침윤)

  • Kim, Gye-Su;Lee, Jae-Cheol;Lee, Seung-Jun;Yoo, Chul-Gyu;Kim, Young-Whan;Han, Sung-Koo;Shim, Young-Soo
    • Tuberculosis and Respiratory Diseases
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    • v.43 no.1
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    • pp.113-116
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    • 1996
  • A previously healthy 59-year old male patient was admitted due to cough and abnormal chest x-ray. Cough started 5 months ago and persisted. Two months before admission, abnormality in chest PA was detected. He had no symptom other than cough. He was nonsmoker and physical examination revealed no abnormal finding. His chest X-ray showed ill-defined $2{\times}1\;cm$ ovoid infiltration in left middle lung field. On chest computed tomography, it was located in the subpleural region of posterobasal segment of left lower lobe. Mediastinal lymphadenopathy was absent. Blood test and sputum examination were not diagnostic. Fluoroscopy-guided percutaneous needle biopsy revealed pulmonary cryptococcosis. After central nervous system involvement was excluded by spinal tap, oral ketoconazole therapy was started. The lesion decreased in size after 8 weeks of therapy and almost disappeared on follow-up chest X-ray 4 months later.

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Visualization of the Gastric Calcification due to Cancer on Tc-99m DPD and Abdominal CT Images (Tc-99m DPD 골스캔과 복부 CT 영상에서 보이는 위암의 석회화)

  • Jeong, Young-Jin;Kang, Do-Young
    • The Korean Journal of Nuclear Medicine
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    • v.38 no.5
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    • pp.344-346
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    • 2004
  • A 69-year-old woman was presented with progressed dysphagia, gastric soreness and weight loss during 2 months. She was performed abdomen x-ray, EGDS and abdomen CT. Abdomen x-ray demonstrated punctuate calcification on LUQ. EGDS showed an ulceroinfiltrative mass with bleeding on cardia to antrum of stomach. And CT showed diffuse gastric wall thickness with multiple calcifications. Biopsy of the stomach and esophagus during EGDS examination revealed an adenocarcinoma, with signet ring cell type, infiltrating the wall of the stomach and the distal esophagus. Then acne scan was performed a few days later. It revealed intense uptake in LUQ, corresponding to the calcium containing neoplasm seen on the abdomen x-ray, EGDS and abdomen CT. And there was no evidence of any metastatic lesion and thyroid uptake on the bone scan. There are many reports about accumulation of the tracer in extraosseous lesion, but only a few literatures were reported about gastric calcification in stomach cancer. More over, no reports showed CT images. We are performed many diagnostic examinations and found well correlation between them. The reason of gastric calcification is considered with calcium deposition within extracellular space due to hemorrhage or necrosis. Other possibility offered to explain gastric calcification have been increased blood flow and/or increased neovascularity with capillary leaks of tracer, and specific enzymatic (phosphatases) receptor binding of tracer. So, it was happened ion exchange between intracellular calcium and phosphate groups of tracer.