• Title/Summary/Keyword: Guided

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MRI-Guided Breast Intervention: Biopsy and Needle Localization (자기공명영상 유도하 유방의 중재적시술: 조직생검술 및 침위치결정술)

  • Ga Eun Park;Jeongmin Lee;Bong Joo Kang;Sung Hun Kim
    • Journal of the Korean Society of Radiology
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    • v.84 no.2
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    • pp.345-360
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    • 2023
  • In Korea, the number of institutions providing breast MRI, as well as the number of breast MRIs, has recently increased. However, MRI-guided procedures, including biopsy and needle localization, are rarely performed compared to ultrasound-guided or stereotactic biopsy. As breast MRI has high sensitivity but limited specificity, lesions detected only on MRI require pathologic confirmation through MRI-guided biopsy or surgical excision with MRI-guided needle localization. Thus, we aimed to review MRI-guided procedures, including their indications, techniques, procedural considerations, and limitations.

Efficacy of a Respiratory Training System on the Regularity of Breathing (호흡연습장치를 적용한 호흡교정법의 영향 평가)

  • Shin, Eun-Hyuk;Park, Hee-Chul;Han, Young-YIh;Ju, Sang-Gyu;Shin, Jung-Suk;Ahn, Yong-Chan
    • Radiation Oncology Journal
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    • v.26 no.3
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    • pp.181-188
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    • 2008
  • Purpose: In order to enhance the efficiency of respiratory gated 4-dimensional radiation therapy for more regular and stable respiratory period and amplitude, a respiration training system was designed, and its efficacy was evaluated. Materials and Methods: The experiment was designed to measure the difference in respiration regularity following the use of a training system. A total of 11 subjects (9 volunteers and 2 patients) were included in the experiments. Three different breathing signals, including free breathing (free-breathing), guided breathing that followed training software (guided-breathing), and free breathing after the guided-breathing (post guided-breathing), were consecutively recorded in each subject. The peak-to-peak (PTP) period of the breathing signal, standard deviation (SD), peak-amplitude and its SD, area of the one cycle of the breathing wave form, and its root mean square (RMS) were measured and computed. Results: The temporal regularity was significantly improved in guided-breathing since the SD of breathing period reduced (free-breathing 0.568 vs guided-breathing 0.344, p=0.0013). The SD of the breathing period representing the post guided-breathing was also reduced, but the difference was not statistically significant (free-breathing 0.568 vs. guided-breathing 0.512, p=ns). Also the SD of measured amplitude was reduced in guided-breathing (free-breathing 1.317 vs. guided-breathing 1.068, p=0.187), although not significant. This indicated that the tidal volume for each breath was kept more even in guided-breathing compared to free-breathing. There was no change in breathing pattern between free-breathing and guided-breathing. The average area of breathing wave form and its RMS in postguided-breathing, however, was reduced by 7% and 5.9%, respectively. Conclusion: The guided-breathing was more stable and regular than the other forms of breathing data. Therefore, the developed respiratory training system was effective in improving the temporal regularity and maintaining a more even tidal volume.

Availability of Positron Emission Tomography-Computed Tomography for the Diagnosis of the Soft Tissue Tumor through Ultrasound-Guided Biopsy (초음파 유도하 침 생검을 이용한 연부조직 종양의 진단에 있어 양전자방출 컴퓨터 단층촬영술의 유용성)

  • Jun, Se Bin;Kim, Jeung Il;Lee, In Sook;Song, You Seon;Choi, Kyung Un
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.5
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    • pp.398-403
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    • 2021
  • Purpose: A biopsy is needed to diagnose soft tissue tumors. However, it is extremely difficult to pinpoint the site of a tumor due to the heterogeneity of sarcomas. Thus, even when an open biopsy is conducted, it is difficult to diagnose a soft tissue tumor. In such cases, an ultrasound (US)-guided biopsy is used to improve the diagnostic accuracy. This study evaluated the accuracy of US-guided biopsy for a diagnosis of soft tissue tumors found initially in a magnetic resonance (MR) perfusion and assessed the availability of positron emission tomography-computed tomography (PET-CT) for a diagnosis of soft tissue tumors. Materials and Methods: From January 2014 to December 2018, the US-guided biopsy was performed on 152 patients with a suspected soft tissue tumor found in an MR perfusion and 86 cases were definitively diagnosed with a soft tissue tumor. The accuracy of the US-guided biopsy was assessed retrospectively. Among the 86 cases, only MR perfusion was used before the biopsy in 50 cases, while both MR perfusion and PET-CT was conducted on 36 cases. The accuracy was analyzed to determine if the PET-CT could improve the precision of a biopsy. Results: From 86 cases, 34 out of 50 cases, in which only MR perfusion had been conducted, matched the result of the definitive diagnosis and the US-guided biopsy. 32 out of 36 cases, in which both PET-CT and MR perfusion were conducted, matched the definitive diagnosis and the US-guided biopsy. These results show significant differences in the accuracy of US-guided biopsy. In the case of soft tissue sarcomas, 6 out of 12 cases, in which only MR perfusion had been conducted, matched the result of the definitive diagnosis and the US-guided biopsy. 17 out of 18 cases, in which both PET-CT and MR perfusion were conducted, matched the definitive diagnosis. Moreover US-guided biopsy also showed significant differences in the accuracy of US-guided biopsy. Conclusion: In diagnosing soft tissue tumors, a US-guided biopsy is a well-known tool for its high accuracy. However, the heterogeneity of sarcoma makes it difficult to locate the exact site for a biopsy using only MR perfusion. Thus, the use of PET-CT will meaningfully improve the accuracy of a diagnosis by precisely targeting the site for the US-guided biopsy.

A study of estimating the hit probability and confidence level considering the characteristic of Precision Guided Missile (정밀유도무기 특성을 고려한 명중률 및 신뢰수준 산정방안)

  • Seo, Bo-Gil;Hong, Seok-Jin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.12
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    • pp.193-197
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    • 2016
  • The performance of Precision Guided Missiles is estimated by using hit probability only, which is calculated by hits against total amounts of fires in current domestic live-fire tests. It has a limitation in judging the performance of all produced Precision Guided Missiles by using the calculated hit probability according to the result of live-fire test, because the overall characteristics of the produced Precision Guided Missiles are not considered. In other words, a method is needed to estimate the confidence level which is more reliable than simply calculated hit probability according to the result of live-fire test for guaranteeing the hit probability of Precision Guided Missiles by certain level, which is already being operated or produced. This paper introduces a method to estimate the confidence level of Precision Guided Missiles by minimum live-fire tests using Hypergeometric distribution and Bayes' rule suitable for the characteristics of Precision Guided Missiles, which are small production, high costs and unable to check whether the missile hits the target or not before the live-fire tests. Also, this paper suggests a reasonable confidence level for showing the performance of the Precision Guided Missiles using the results of live-fire tests and domestic and foreign literature, when the result of live-fire tests will be decided.

Guided endodontics: a case report of maxillary lateral incisors with multiple dens invaginatus

  • Ali, Afzal;Arslan, Hakan
    • Restorative Dentistry and Endodontics
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    • v.44 no.4
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    • pp.38.1-38.8
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    • 2019
  • Navigation of the main root canal and dealing with a dens invaginatus (DI) is a challenging task in clinical practice. Recently, the guided endodontics technique has become an alternative method for accessing root canals, surgical cavities, and calcified root canals without causing iatrogenic damage to tissue. In this case report, the use of the guided endodontics technique for two maxillary lateral incisors with multiple DIs is described. A 16-year-old female patient was referred with the chief complaint of pain and discoloured upper front teeth. Based on clinical and radiographic findings, a diagnosis of pulp necrosis and chronic periapical abscess associated with double DI (Oehler's type II) was established for the upper left lateral maxillary incisor (tooth #22). Root canal treatment and the sealing of double DI with mineral trioxide aggregate was planned for tooth #22. For tooth #12 (Oehler's type II), preventive sealing of the DI was planned. Minimally invasive access to the double DI and the main root canal of tooth #22, and to the DI of tooth #12, was achieved using the guided endodontics technique. This technique can be a valuable tool because it reduces chair-time and, more importantly, the risk of iatrogenic damage to the tooth structure.

Study on the Flutter Prediction of the Miniature Guided-bullet Control Surface System (초소형 유도탄 구동날개 시스템의 플러터 예측에 관한 연구)

  • Lee, Seongheon;Cho, Youngki;Cho, Hanjin;Bang, Hyochoong
    • Journal of the Korea Institute of Military Science and Technology
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    • v.20 no.1
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    • pp.148-157
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    • 2017
  • Miniature guided-bullet is an advanced military technology of developing guided missile which is designed to hit a target precisely while having easily carriable miniature size. A key issue of developing such system involves size reduction of the original guided missile system, and this in turn arouses stiffness issue regarding small and thin sized control surface. In this study, procedures on how to calculate the critical flutter speed of special type of control surface with the change of its dimension or material property is arranged. During this procedure, design parameters related to critical flutter speed are abridged to help preliminary design of similar structure even faster than time-consuming, and cumbersome computer analysis.

Guided tissue regeneration using resorbable membrane with or without xenograft in osseous defect (골결손부에서 흡수성 차폐막 단독 또는 이종골을 동반하여 시행한 조직유도재생술)

  • Lee, Won-Jin;Kim, Won-Gi;Ahn, Yong-Bum;Chang, Moon-Taek;Kim, Hyung-Seop
    • Journal of Periodontal and Implant Science
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    • v.38 no.4
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    • pp.737-744
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    • 2008
  • Purpose: In advanced case of periodontitis, surgical treatment without bone contouring may result in residual pockets inaccessible to proper cleaning during post-treatment maintenance. This problem can be avoided or reduced by applying guided tissue regeneration. Materials and Methods: All of 3 patients had deep periodontal pocket depth and bleeding on probing, and radiograph revealed osseous defect, so we planned guided tissue regeneration using resorbable membrane with or without xenograft. Result: 6 months later, periodontal pocket depth and bleeding on probing was improved and gingiva was stable. Conclusion: Guided tissue regeneration using resorbable membrane with or without xenograft in osseous defect is predictable.

Investigation of CT Imaging Technique Using Guided Wave (유도초음파를 이용한 판 구조물 CT 영상화 기법)

  • Yoon, Hyun-Woo;Kang, To;Kim, Hak-Joon;Song, Sung-Jin;Shin, Ho-Sang
    • Journal of the Korean Institute of Gas
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    • v.15 no.3
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    • pp.11-18
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    • 2011
  • Ultrasonic guided waves have been widely utilized for long range inspection of structures. Recently, many researchers have paid attention to the tomographic imaging using guided wave for the diagnosis of plate-like structures because group velocity of guided waves is changed by central frequency of transducer and thickness of plate. Currently, Delay and Sum imaging technique and MVDR(Minimum Variance Distortionless Response) imaging technique are performed. So the performance of these two imaging techniques are investigated in this paper.

Reliability Prediction Based on Field Failure Data of Guided Missile (필드데이터 기반의 유도탄 신뢰도 예측)

  • Seo, Yangwoo;Lee, Kyeshin;Lee, Younho;Kim, Jeyong
    • Journal of Applied Reliability
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    • v.18 no.3
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    • pp.250-259
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    • 2018
  • Purpose: Previously, missile reliability prediction is based on theoretical failure prediction model. It has shown that the predicted reliability is inadequate to real field data. Although an MTTF based reliability prediction method using real field data has recently been studied to overcome this issue. In this paper, we present a more realistic method, considering MTBF concept, to predict missile reliability. Methods: In this paper we proposed a modified survival model. This model is considering MTBF as its core concept, and failed missiles in the model are to be repaired and redeployed. We compared the modified model (MTBF) and the previous model (MTTF) in terms of fitness against the real failure data. Results: The reliability prediction result of MTBF based model is closer to fields failure data set than that of MTTF based model. Conclusion: The proposed MTBF concept is more fitted to real failure data of missile than MTTF concept. The methodology of this study can be applied to analyze field failure data of other similar missiles.

Range Sensitivity Analysis of a Canard Controlled Missile (유도 미사일의 사거리 민감도 연구)

  • Yang, Young-Rok;Cho, Tae-Hwan;Myong, Rho-Shin
    • Journal of the Korea Institute of Military Science and Technology
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    • v.14 no.1
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    • pp.39-48
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    • 2011
  • This study describes a range sensitivity of a canard controlled missile. An investigation was conducted into the relative importance of aerodynamic parameters on a guided missile. Also this study was analyzed by quantifying their effects on the missile range. To analyze the range sensitivity of a guided missile, a trajectory analysis program of a guided missile was developed. The range sensitivity analysis was conducted on a thrust, weight, drag and lift. The result of the range sensitivity analysis shows that the design parameters with the greatest effect on the missile range are thrust, drag, weight, and lift, in descending order of importance. The thrust on range extension is quite obvious to extend a range of a guided missile. In particular, the drag exhibited greater range sensitivity than lift at a guided flight. The result also shows that missile range could be maximized by applying the appropriate launch angle and canard pitch-up control.