• Title/Summary/Keyword: Focused Ultrasound

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Usefulness of Preoperative Computed Tomography in Children with Clinically Suspected Appendicitis (소아 충수염 진단에 CT의 유용성)

  • Jun, Si-Youl
    • Advances in pediatric surgery
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    • v.19 no.2
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    • pp.57-65
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    • 2013
  • The entity of negative appendectomies still poses a dilemma in chlidren. Focused computed tomography (CT) scanning has become the diagnostic test of choice in many hospitals. However, the impact of CT scans on the diagnosis in children is unknown exactly. The purpose of this study was to critically evaluate CT scans for the evaluation of acute appendicitis in children, to review utilization of this diagnostic test in our appendicitis population and to determine if diagnostic accuracy has improved. A retrospective analysis of efficacy of CT scan for diagnosis of appendicitis in children was conducted. Children undergoing appendectomy for acute appendicitis were reviewed from 2007 to 2012. Perforation and negative appendectomy (removal of a normal appendix) rates were determined by the final pathologic report. Statistical comparison were made using the $x^2$ test and significance was assigned at p < 0.05. Five hundred four appendectomies were performed. Mean age was $10.1{\pm}3.21$ years, and 62.7% were boys. Overall, 308 children (61.1%) underwent CT scanning, 100 (19.8%) had US performed, and 97 (19.2%) had no radiographic study. A pathologically normal appendix was removed in 8.7% (27 of 308) of CT patients, 9.0% (9 of 100) of US patients, and 11.3% (11 of 97) of patients without a study. The frequency of CT scanning increased from 29.7% (27 of 91) of all children in 2007 to 75.6% (59 of 78) in 2012, whereas utilization of US decreased from 30.8% (28 of 91) to 11.5% (9 of 78). During this time period the difference in the negative appendectomy rate did change significantly from 14% to 6%. Liberal use of CT scans in diagnosing appendicitis in children has resulted in a decreased negative appendectomy rate.

Effect of Mn on Dielectric and Piezoelectric Properties of 71PMN-29PT [71Pb(Mg1/3Nb2/3)O3-29PbTiO3] Single Crystals and Polycrystalline Ceramics

  • Oh, Hyun-Taek;Joo, Hyun-Jae;Kim, Moon-Chan;Lee, Ho-Yong
    • Journal of the Korean Ceramic Society
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    • v.55 no.2
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    • pp.166-173
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    • 2018
  • In order to investigate the effect of Mn on the dielectric and piezoelectric properties of PMN-PT [$Pb(Mg_{1/3}Nb_{2/3})O_3-PbTiO_3$], four different types of 71PMN-29PT samples were prepared using the solid-state single crystal growth (SSCG) method: (1) Undoped single crystals, (2) undoped polycrystalline ceramics, (3) Mn-doped single crystals, and (4) Mn-doped polycrystalline ceramics. In the case of single crystals, the addition of 0.5 mol% Mn to PMN-PT decreased the dielectric constant ($K_3{^T}$), piezoelectric charge constant ($d_{33}$), and dielectric loss (tan ${\delta}$) by about 50%, but increased the coercive electric field ($E_C$) by 50% and the electromechanical quality factor ($Q_m$) by 500%, respectively. The addition of Mn to PMN-PT induced an internal bias electric field ($E_I$) and thus specimens changed from piezoelectrically soft-type to piezoelectrically hard-type. This Mn effect was more significant in single crystals than in ceramics. These results demonstrate that Mn-doped 71PMN-29PT single crystals, because they are piezoelectrically hard and simultaneously have high piezoelectric and electromechanical properties, have great potential for application in fields of SONAR transducers, high intensity focused ultrasound (HIFU), and ultrasonic motors.

Brachytherapy of Uveal Melanomas with Ruthenium-106 Plaques

  • Belaid, Asma;Nasr, Chiraz;Jmour, Omar;Cherif, Aziz;Kochbati, Lotfi;Bouguila, Hedi;Besbes, Mounir;Benna, Farouk
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.12
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    • pp.5281-5285
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    • 2016
  • Background: Brachytherapy is the most commonly used conservative treatment for the uveal melanoma. The aim of this study was to evaluate therapeutic results of Ruthenium-106 plaque brachytherapy in the management of localized uveal melanoma cases. Methods: We reviewed retrospectively the clinical records of all patients treated in our department for an uveal melanoma, undergoing Ruthenium-106 plaque brachytherapy, from January 1996 to December 2015. We focused on clinical features, therapeutic characteristics, local and distant tumor control and side effects. Results: Nineteen patients were enrolled in our study. Mean age was 56.2 years (28-79) and the sex ratio was 1.37:1 males to females. Diagnosis was made on the basis of ophthalmological clinical examination, angiography, ultrasound and/or magnetic resonance. Median tumor diameter was 9.7 mm (6-13) and median thickness 4.4 mm (2.5-8). The dose of Ruthenium-106 plaque brachytherapy prescribed to the apex of each tumor was 70 Gy in all cases. The median radiation dose to the sclera surface was 226.4 Gy (range: 179.6-342.3) and the median total application time 115.2 hours (range: 27 to 237). After a median follow-up of 61.5 months, local control was achieved in 17 patients (89%): 16 demonstrated a partial tumor response and 1 tumor stabilization. Two patients suffered local progression leading to enucleation, one dying of hepatic metastasis. Radiation-induced complications were cataracts in 3 cases and vitreal hemorrhage in 2. Conclusion: Ruthenium-106 plaque brachytherapy is an efficient treatment for localized uveal melanoma, offering good local control with low toxicity.

Mn-Modified PMN-PZT [Pb(Mg1/3Nb2/3)O3-Pb(Zr,Ti)O3] Single Crystals for High Power Piezoelectric Transducers

  • Oh, Hyun-Taek;Lee, Jong-Yeb;Lee, Ho-Yong
    • Journal of the Korean Ceramic Society
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    • v.54 no.2
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    • pp.150-157
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    • 2017
  • Three types of piezoelectric single crystals [PMN-PT (Generation I $[Pb(Mg_{1/3}Nb_{2/3})O_3-PbTiO_3]$), PMN-PZT (Generation II $[Pb(Mg_{1/3}Nb_{2/3})O_3-Pb(Zr,Ti)O_3]$), PMN-PZT-Mn (Generation III)] were grown by the solid-state single crystal growth (SSCG) method, and their dielectric and piezoelectric properties were measured and compared. Compared to (001) PMN-PT and PMN-PZT single crystals, the (001) PMN-PZT-Mn single crystals exhibited a higher transition temperature between the rhombohedral and tetragonal phases ($T_{RT}=144^{\circ}C$), as well as a higher coercive electric field ($E_C=6.3kV/cm$) and internal bias field ($E_I=1.6kV/cm$). The (011) PMN-PZT-Mn single crystals showed the highest coercive electric field ($E_C=7.0kV/cm$), and the highest stability of $E_C$ and $E_I$ during 60 cycles of polarization measurement. These results demonstrate that both Mn doping (for higher electromechanical quality factor ($Q_m$)) and a (011) crystallographic orientation (for higher coercive electric field and stability) are necessary for high power transducer applications of these piezoelectric single crystals. Specifically, the (011) PMN-PZT-Mn single crystal (Gen. III) had the highest potential for application in the fields of SONAR transducers, high intensity focused ultrasound (HIFU), ultrasonic motors, and others.

Design of a Cross-obstacle Neural Network Controller using Running Error Calibration (주행 오차 보정을 통한 장애물 극복 신경망 제어기 설계)

  • Lim, Shin-Teak;Yoo, Sung-Goo;Kim, Tae-Yeong;Kim, Yeong-Chul;Chong, Kil-To
    • Journal of Institute of Control, Robotics and Systems
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    • v.16 no.5
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    • pp.463-468
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    • 2010
  • An obstacle avoidance method for a mobile robot is proposed in this paper. Our research was focused on the obstacles that can be found indoors since a robot is usually used within a building. It is necessary that the robot maintain the desired direction after successfully avoiding the obstacles to achieve a good autonomous navigation performance for the specified project mission. Sensors such as laser, ultrasound, and PSD (Position Sensitive Detector) can be used to detect and analyze the obstacles. A PSD sensor was used to detect and measure the height and width of the obstacles on the floor. The PSD sensor was carefully calibrated before measuring the obstacles to achieve better accuracy. Data obtained from the repeated experiments were used to plot an error graph which was fitted to a polynomial curve. The polynomial equation was used to navigate the robot. We also obtained a direction-error model of the robot after avoiding the obstacles. The prototypes for the obstacle and direction-error were modeled using a neural network whose inputs are the obstacle height, robot speed, direction of the wheels, and the error in direction. A mobile robot operated by a notebook computer was setup and the proposed algorithm was used to navigate the robot and avoid the obstacles. The results showed that our algorithm performed very well during the experiments.

Analysis of Healthcare Employment into United Arab Emirates : Focused on Korean and Overseas Sonographers (국내·외 초음파사의 아랍에미리트 취업 과정에 대한 고찰)

  • Youm, Jin-Young;Kim, Jung-Soo
    • Journal of radiological science and technology
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    • v.43 no.4
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    • pp.281-288
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    • 2020
  • This study was intented as an investigation of the employment process into UAE for Korean and overseas sonographers to understand requirements for working abroad in regards to primary education curriculum and employment expansion abroad. A total of 10 candidates are selected who were working together with a job title of a cardiac sonographer in the same department under one hospital in Abu Dhabi, UAE. The candidates had clinical experience over 2 years in other countries after graduation and for 1 year at least in UAE. Data was collected through in-depth interviews, a web search and literature reviews. We analyzed the process regarding their curriculums studying in colleges, educational courses and certificates related medical fields. The findings were created with four essential themes: first, there are specific colleges or diploma courses corresponding academic major in United states, Portugal, Turkey, India and Pakistan. Secondly, healthcare professions were systemized by certifying as a specialist relevant medical fields. Thirdly, it is mandatory to be employed in UAE that are clinical experience for 2 years at least after graduation of specific courses. Lastly, It is required to work in UAE that is a license of healthcare authority under each state by taking a national examination or transferring own certificates to a current license in UAE. In conclusion, the results indicate that employing process for healthcare professionals depends on the educational requirements or clinical experience accumulated due to the various systems to be certified in each country. We believe that this study suggests experimental information for Korean job seekers considering working abroad in the medical ultrasound fields.

Ultrasonic dissection versus electrocautery for immediate prosthetic breast reconstruction

  • Lee, Dongeun;Jung, Bok Ki;Roh, Tai Suk;Kim, Young Seok
    • Archives of Plastic Surgery
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    • v.47 no.1
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    • pp.20-25
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    • 2020
  • Background Ultrasonic dissection devices cause less thermal damage to the surrounding tissue than monopolar electrosurgical devices. We compared the effects of using an ultrasonic dissection device or an electrocautery device during prosthetic breast reconstruction on seroma development and short-term postoperative complications. Methods We retrospectively reviewed the medical records of patients who underwent implant-based reconstruction following mastectomy between March 2017 and September 2018. Mastectomy was performed by general surgeons and reconstruction by plastic surgeons. From March 2017 to January 2018, a monopolar electrosurgical device was used, and an ultrasonic dissection device was used thereafter. The other surgical methods were the same in both groups. Results The incidence of seroma was lower in the ultrasonic dissection device group than in the electrocautery group (11 [17.2%] vs. 18 [31.0%]; P=0.090). The duration of surgery, total drainage volume, duration of drainage, overall complication rate, surgical site infection rate, and flap necrosis rate were comparable between the groups. Multivariate analysis revealed that the risk of seroma development was significantly lower in the ultrasonic dissection device group than in the electrocautery group (odds ratio for electrocautery, 3.252; 95% confidence interval, 1.242-8.516; P=0.016). Conclusions The findings of this study suggest that the incidence of seroma can be reduced slightly by using an ultrasonic dissection device for prosthesis-based breast reconstruction. However, further randomized controlled studies are required to verify our results and to assess the cost-effectiveness of this technique.

A Non-Invasive Ultrasonic Urinary Bladder Internal Pressure Monitoring Technique: Its Theoretical Foundation and Feasibility Test (비침습적 초음파 방광 내압 측정 기술: 이론적 기초 및 실현 가능성 평가)

  • Choi, Min Joo;Kang, Gwan Suk;Lee, Kang Il
    • Journal of the Korean Society for Nondestructive Testing
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    • v.32 no.5
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    • pp.526-539
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    • 2012
  • A new approach was proposed in this article, named, a non-invasive ultrasonic method to monitor the urinary bladder internal pressure which can resolve the shortcomings of the existing methods. The proposed method makes use of acoustic cavitation. It is based on a physical phenomenon that an extracorporeal high intensity focused ultrasonic pulse generates bubbles inside the urinary bladder and the dynamic properties of the bubbles are related to the urinary bladder internal pressure. The article presents the theoretical foundation for the proposed technique and verifies its feasibility with preliminary experimental data. The suggested ultrasonic urinary bladder internal pressure monitoring method is non-invasive and can be used any time regardless of sex and age, so that it will be of a great benefit to the diagnosis and therapy of urination related diseases.

A Study on the Design and Fabrication of Fat Emulsification Adapted Focused Ultrasonic Transducer (지방 조직 유화를 위한 집속형 초음파 변환기 설계 및 제작에 관한 연구)

  • Kim, Ju-Young;Kim, Jae-Young;Jung, Hyun-Du;Noh, Si-Cheol;Mun, Chang-Su;Mun, Chi-Woong;Choi, Heung-Ho
    • Journal of the Institute of Electronics and Information Engineers
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    • v.52 no.11
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    • pp.127-134
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    • 2015
  • Tissue stimulation technique using ultrasound has been continuously studied and developed. Recently, as a increment of interests for obesity treatment and cosmetic care, a various studies on ultrasonic fat emulsification has been conducted. In this study, the fat emulsification adapted ultrasonic transducer was designed. And using designed transducer, the simulation for the shape of focal area and thermal degradation region was conducted. The dimensions were verified by the simulation results. And the effectiveness was confirmed by evaluating measured radiation characteristic and heating characteristic. In addition, we estimated the ultrasonic heating characteristics in composite structure medium. The shape of focal point and heating characteristic of the proposed transducer were determined to be sufficient to emulsify the fat. The results of this study are considered to be used as basic research in more efficient and safe ultrasonic fat removal.

The exfoliation of irradiated nuclear graphite by treatment with organic solvent: A proposal for its recycling

  • Capone, Mauro;Cherubini, Nadia;Cozzella, Maria Letizia;Dodaro, Alessandro;Guarcini, Tiziana
    • Nuclear Engineering and Technology
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    • v.51 no.4
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    • pp.1037-1040
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    • 2019
  • For the past 50 years, graphite has been widely used as a moderator, reflector and fuel matrix in different kinds of gas-cooled reactors. Resulting in approximately 250,000 metric tons of irradiated graphite waste. One of the most significant long-lived radioisotope from graphite reactors is carbon-14 ($^{14}C$) with a half-life of 5730 years, this makes it a huge concern for deep geologic disposal of nuclear graphite (NG). Considering the lifecycle of NG a number of waste management options have been developed, mainly focused on the achievement the radiological requirements for disposal. The existing approaches for recycling depend on the cost to be economically viable. In this new study, an affordable process to remove $^{14}C$ has been proposed using samples taken from the Nuclear Power Plant in Latina (Italy) which have been used to investigate the capability of organic and inorganic solvents in removing $^{14}C$ from exfoliated nuclear graphite, with the aim to design a practicable approach to obtain graphite for recycling or/and safety disposed as L& LLW.