• Title/Summary/Keyword: Image-guided

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CT Guided Cervical Transforaminal Steroid Injection: 2 Months Follow-up (CT 유도하 경추부위 경추간공 경막외 스테로이드주입술: 2개월 경과관찰)

  • Kim, Hoondo;Lee, Sang Ho;Kim, Myung-Ho
    • The Korean Journal of Pain
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    • v.19 no.1
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    • pp.51-55
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    • 2006
  • Background: A cervical transforaminal steroid injection is an effective therapeutic modality for radiculopathy of a herniated cervical disc or a cervical foraminal stenosis. However, there is some debate regarding the safety of the transforaminal approach under C-arm guidance compared with the posterior interlaminar approach. We report a new technique for cervical transforaminal steroid injection guided by MDCT. Methods: Patients presenting with radiating pain on their shoulder or arm were diagnosed using CT or MRI of a cervical herniated disc or a foraminal stenosis. Each patient whose symptoms were compatible with the image scan was enrolled in this study. They received a cervical transforaminal steroid injection under CT guidance, and the effectiveness and complications of this technique were evaluated over a 2-month period. Results: According to the CT scan, none of the participants had an internal jugular vein or a carotid artery invasion during the procedure. No vertebral artery injection was noted, and no patient developed a hematoma after the injection. The VAS score had improved significantly by 2, 4 and 8 weeks after the injection. Conclusions: While a conventional C-arm guided cervical transforaminal steroid injection does not appear to differentiate between the major vessels and structures in images, a CT guided approach is a more useful and safer technique for the precise placement of a needle.

Visible and SWIR Satellite Image Fusion Using Multi-Resolution Transform Method Based on Haze-Guided Weight Map (Haze-Guided Weight Map 기반 다중해상도 변환 기법을 활용한 가시광 및 SWIR 위성영상 융합)

  • Taehong Kwak;Yongil Kim
    • Korean Journal of Remote Sensing
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    • v.39 no.3
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    • pp.283-295
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    • 2023
  • With the development of sensor and satellite technology, numerous high-resolution and multi-spectral satellite images have been available. Due to their wavelength-dependent reflection, transmission, and scattering characteristics, multi-spectral satellite images can provide complementary information for earth observation. In particular, the short-wave infrared (SWIR) band can penetrate certain types of atmospheric aerosols from the benefit of the reduced Rayleigh scattering effect, which allows for a clearer view and more detailed information to be captured from hazed surfaces compared to the visible band. In this study, we proposed a multi-resolution transform-based image fusion method to combine visible and SWIR satellite images. The purpose of the fusion method is to generate a single integrated image that incorporates complementary information such as detailed background information from the visible band and land cover information in the haze region from the SWIR band. For this purpose, this study applied the Laplacian pyramid-based multi-resolution transform method, which is a representative image decomposition approach for image fusion. Additionally, we modified the multiresolution fusion method by combining a haze-guided weight map based on the prior knowledge that SWIR bands contain more information in pixels from the haze region. The proposed method was validated using very high-resolution satellite images from Worldview-3, containing multi-spectral visible and SWIR bands. The experimental data including hazed areas with limited visibility caused by smoke from wildfires was utilized to validate the penetration properties of the proposed fusion method. Both quantitative and visual evaluations were conducted using image quality assessment indices. The results showed that the bright features from the SWIR bands in the hazed areas were successfully fused into the integrated feature maps without any loss of detailed information from the visible bands.

Usefulness of CT-Guided Percutaneous Transthoracic Needle Lung Biopsies in Patients with Suspected Pulmonary Infection

  • Junghoon Kim;Kyung Hee Lee;Jun Yeun Cho;Jihang Kim;Yoon Joo Shin;Kyung Won Lee
    • Korean Journal of Radiology
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    • v.21 no.5
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    • pp.526-536
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    • 2020
  • Objective: This study aimed to evaluate the clinical benefits and risks of CT-guided percutaneous transthoracic needle lung biopsies (PTNBs) in patients with a suspected pulmonary infection. Materials and Methods: This study included 351 CT-guided PTNBs performed in 342 patients (mean age, 58.9 years [range, 17-91 years]) with suspected pulmonary infection from January 2010 to December 2016. The proportion of biopsies that revealed the causative organism for pulmonary infection and that influenced patient's treatment were measured. Multivariate analyses were performed to identify factors associated with PTNB that revealed the causative organism or affected the treatment. Finally, the complication rate was measured. Results: CT-guided PTNB revealed the causative organism in 32.5% of biopsies (114/351). The presence of necrotic components in the lesion (odds ratio [OR], 1.7; 95% confidence interval [CI], 1.1-2.7; p = 0.028), suspected pulmonary tuberculosis (OR, 2.0; 95% CI, 1.2-3.5; p = 0.010), and fine needle aspiration (OR, 2.5; 95% CI, 1.1-5.8; p = 0.037) were factors associated with biopsies that revealed the causative organism. PTNB influenced patient's treatment in 40.7% (143/351) of biopsies. The absence of leukocytosis (OR, 1.9; 95% CI, 1.0-3.7; p = 0.049), presence of a necrotic component in the lesion (OR, 2.4; 95% CI, 1.5-3.8; p < 0.001), and suspected tuberculosis (OR, 1.7; 95% CI, 1.0-2.8; p = 0.040) were factors associated with biopsies that influenced the treatment. The overall complication rate of PTNB was 19% (65/351). Conclusion: In patients with suspected pulmonary infection, approximately 30-40% of CT-guided PTNBs revealed the causative organism or affected the treatment. The complication rate of PTNB for suspected pulmonary infection was relatively low.

The Investigation Image-guided Radiation Therapy of Bladder Cancer Patients (방광암 환자의 영상유도 방사선치료에 관한 고찰)

  • Bae, Seong-Soo;Bae, Sun-Myoung;Kim, Jin-San;Kang, Tae-Young;Back, Geum-Mun;Kwon, Kyung-Tae
    • The Journal of Korean Society for Radiation Therapy
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    • v.24 no.1
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    • pp.39-43
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    • 2012
  • Purpose: In hospital image-guided radiation therapy in patients with bladder cancer to enhance the reproducibility of the appropriate amount, depending on the patient's condition, and image-guided injection of saline system (On-Board Imager system, OBI, VARIAN, USA) three of the Cone-Beam CT dimensional matching (3D-3D matching) to be the treatment. In this study, the treatment of patients with bladder cancer at Cone-Beam CT image obtained through the analysis of the bones based matching and matching based on the bladder to learn about the differences, the bladder's volume change injected saline solution by looking at the bladder for the treatment of patients with a more appropriate image matching is to assess how the discussion. Materials and Methods: At our hospital from January 2009 to April 2010 admitted for radiation therapy patients, 7 patients with bladder cancer using a Folly catheter of residual urine in the bladder after removing the amount determined according to individual patient enough to inject saline CT-Sim was designed after the treatment plan. After that, using OBI before treatment to confirm position with Cone-Beam CT scan was physician in charge of matching was performed in all patients. CBCT images using a total of 45 bones, bladder, based on image matching and image matching based on the difference were analyzed. In addition, changes in bladder volume of Eclipse (version 8.0, VARIAN, USA) persuaded through. Results: Bones, one based image matching based on the bladder and re-matching the X axis is the difference between the average $3{\pm}2mm$, Y axis, $1.8{\pm}1.3mm$, Z-axis travel distance is $2.3{\pm}1.7mm$ and the overall $4.8{\pm}2.0mm$, respectively. The volume of the bladder compared to the baseline showed a difference of $4.03{\pm}3.97%$. Conclusion: Anatomical location and nature of the bladder due to internal movement of the bones, even after matching with the image of the bladder occurred in different locations. In addition, the volume of saline-filled bladder showed up the difference between the 4.03 percent, but matched in both images to be included in the planned volumes were able to confirm. Thus, after injection of saline into the bladder base by providing a more accurate image matching will be able to conduct therapy.

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How Image Quality Affects Determination of Target Displacement When Using kV Cone-beam Computed Tomography (CBCT) (kV Cone-beam CT를 사용한 치료준비에서 재구성 영상의 품질이 표적 위치 결정에 미치는 영향)

  • Oh, Seung-Jong;Kim, Si-Yong;Suh, Tae-Suk
    • Progress in Medical Physics
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    • v.17 no.4
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    • pp.207-211
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    • 2006
  • The advent of kV cone-beam computed tomography (CBCT) integrated with a linear accelerator allows for more accurate Image-guided radiotherapy (IGRT). IGRT is the technique that corrects target displacement based on internal body information. To do this, the CBCT Image set is acquired just before the beam is delivered and registered with the simulation CT Image set. In this study, we compare the registration results according to the CBCT's reconstruction quality (either high or medium). A total of 56 CBCT projection data from 6 patients were analyzed. The translation vector differences were within 1 mm in all but 3 cases. For rotation displacement difference, components of all three axes were considered and 3 out of 168 ($56{\times}3$ axes) cases showed more than lo of rotation differences.

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HK Curvature Descriptor-Based Surface Registration Method Between 3D Measurement Data and CT Data for Patient-to-CT Coordinate Matching of Image-Guided Surgery (영상 유도 수술의 환자 및 CT 데이터 좌표계 정렬을 위한 HK 곡률 기술자 기반 표면 정합 방법)

  • Kwon, Ki-Hoon;Lee, Seung-Hyun;Kim, Min Young
    • Journal of Institute of Control, Robotics and Systems
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    • v.22 no.8
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    • pp.597-602
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    • 2016
  • In image guided surgery, a patient registration process is a critical process for the successful operation, which is required to use pre-operative images such as CT and MRI during operation. Though several patient registration methods have been studied, we concentrate on one method that utilizes 3D surface measurement data in this paper. First, a hand-held 3D surface measurement device measures the surface of the patient, and secondly this data is matched with CT or MRI data using optimization algorithms. However, generally used ICP algorithm is very slow without a proper initial location and also suffers from local minimum problem. Usually, this problem is solved by manually providing the proper initial location before performing ICP. But, it has a disadvantage that an experience user has to perform the method and also takes a long time. In this paper, we propose a method that can accurately find the proper initial location automatically. The proposed method finds the proper initial location for ICP by converting 3D data to 2D curvature images and performing image matching. Curvature features are robust to the rotation, translation, and even some deformation. Also, the proposed method is faster than traditional methods because it performs 2D image matching instead of 3D point cloud matching.

Neural Relighting using Specular Highlight Map (반사 하이라이트 맵을 이용한 뉴럴 재조명)

  • Lee, Yeonkyeong;Go, Hyunsung;Lee, Jinwoo;Kim, Junho
    • Journal of the Korea Computer Graphics Society
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    • v.26 no.3
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    • pp.87-97
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    • 2020
  • In this paper, we propose a novel neural relighting that infers a relighted rendering image based on the user-guided specular highlight map. The proposed network utilizes a pre-trained neural renderer as a backbone network learned from the rendered image of a 3D scene with various lighting conditions. We jointly optimize a 3D light position and its associated relighted image by back-propagation, so that the difference between the base image and the relighted image is similar to the user-guided specular highlight map. The proposed method has the advantage of being able to explicitly infer the 3D lighting position, while providing the artists' preferred 2D screen-space interface. The performance of the proposed network was measured under the conditions that can establish ground truths, and the average error rate of light position estimations is 0.11, with the normalized 3D scene size.

A Novel Image Completion Algorithm Based on Planar Features

  • Xiao, Mang;Liu, Yunxiang;Xie, Li;Chen, Qiaochuan;Li, Guangyao
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.12 no.8
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    • pp.3842-3855
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    • 2018
  • A novel image completion method is proposed that uses the advantage of planar structural information to fill corrupted portions of an image. First, in estimating parameters of the projection plane, the image is divided into several planes, and their planar structural information is analyzed. Second, in calculating the a priori probability of patch and patch offset regularity, this information is converted into a constraint condition to guide the process of filling the hole. Experimental results show that the proposed algorithm is fast and effective, and ensures the structure continuity of the damaged region and smoothness of the texture.

VS-FCM: Validity-guided Spatial Fuzzy c-Means Clustering for Image Segmentation

  • Kang, Bo-Yeong;Kim, Dae-Won
    • International Journal of Fuzzy Logic and Intelligent Systems
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    • v.10 no.1
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    • pp.89-93
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    • 2010
  • In this paper a new fuzzy clustering approach to the color clustering problem has been proposed. To deal with the limitations of the traditional FCM algorithm, we propose a spatial homogeneity-based FCM algorithm. Moreover, the cluster validity index is employed to automatically determine the number of clusters for a given image. We refer to this method as VS-FCM algorithm. The effectiveness of the proposed method is demonstrated through various clustering examples.

Usability of 2D/2D Match for Image Guided Radiotherapy (IGRT) of Prostate Cancer with Fiducial Markers (전립선 암 환자의 영상유도 방사선 치료 시 Fiducial Marker를 이용한 2D/2D Match의 유용성에 대한 연구)

  • Bae, Sun-Myung;Yang, Oh-Nam;Song, Heung-Kwon;Back, Geum-Mun
    • The Journal of Korean Society for Radiation Therapy
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    • v.22 no.1
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    • pp.19-24
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    • 2010
  • Purpose: To study the efficacy of marker match with using kilovoltage (KV) X-ray among multiple image guidance that referring tree fiducial marker in radiation therapy for prostate cancer patients. Materials and Methods: KV two-dimantional images (anterior-posterior, right-left) and cone-beam CT volumetric images were acquired after setup for patients with three fiducial markers. Compare the position of the fiducial marker of reference plan computed tomography (CT) and of KV, CBCT images; then decide the shift score of X, Y, and Z. This study executed 5 times on 10 patients and analyzed the shift value. Results: In the radiation therapy using fiducial marker, The function of marker match showed the same direction tendency as the CBCT, and showed X, Y, Z difference of about 0.6, 0.7, and 0.8 (unit: mm). Conclusion: Comparing to this, the result of shift value using 2D marker match showed less than 1.0 mm difference. The function of marker match is considered more useful in time-wise and effective dose rather than CBCT. Therefore, Both methods are used to treat patients for prostate cancer.

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