• Title/Summary/Keyword: Image-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.

Study on Effects of Roll in Flight of a Precision Guided Missile for Subsytem Requirements Analysis (구성품 요구 성능 설정을 위한 정밀 유도무기의 비행 중 롤 영향성 연구)

  • Jeong, Dong-Gil;Park, Jin-Seo;Lee, Jong-Hee;Jun, Doo-Sung;Son, Sung-Han
    • Journal of the Korea Society for Simulation
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    • v.28 no.2
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    • pp.131-137
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    • 2019
  • The operation of the precision-guided missiles with seekers is becoming more and more dominant since the modern wars became geographically localized like anti-terror campaigns and civil wars. Imaging seekers are relatively low-price and applicable to various operational conditions. The image tracker, however, requires highly advanced method for the target tracking under harsh missile flight condition. Missile roll can reduce the tracking performance since it introduces big differences in imagery. The missile roll is inevitable because of the disturbance and flight control error. Consequently, the errors of the subsystems should be under control for the stable performance of the tracker and the whole system. But the performance prediction by some simple metric is almost impossible since the target signature and the tracker are highly nonlinear. We established M&S tool for a precision-guided missile with imaging seeker and analyzed the roll effects to tracking and system performance. Furthermore, we defined the specification of missile subsystems through error analysis to guarantee system performance.

A Pseudo-Self-Imaging Phenomenon in Multimode Waveguides

  • Hong Jong-Kyun;Lee Sang-Sun;Song Seok-Ho
    • Journal of the Optical Society of Korea
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    • v.10 no.2
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    • pp.81-85
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    • 2006
  • This study introduces an undefined self-imaging phenomenon, called here the pseudo-self-imaging phenomenon. The relative phases of the guided modes were used to discover how the pseudo-self-images are formed. The pseudo-self-image was found and measured experimentally. The experimental results showed that both the pseudo-self-image and the 0-dB self-image have similar intensity values and have opposite positions in the lateral direction.

Structural Damage Diagnosis Method by Using the Time-Reversal Property of Guided Waves (유도초음파의 시간.역전 현상을 활용한 구조손상 진단기법)

  • Lee, U-Sik;Choi, Jung-Sik
    • Journal of the Korean Society for Precision Engineering
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    • v.27 no.6
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    • pp.64-74
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    • 2010
  • This paper proposes a new TR-based baseline-free SHM technique in which the time-reversal (TR) property of the guided Lamb waves is utilized. The new TR-based SHM technique has two distinct features when compared with the other TR-based SHM techniques: (1) The backward TR process commonly conducted by the measurement is replaced by the computation-based process; (2) In place of the comparison method, the TOF information of the damage signal extracted from the reconstructed signal is used for the damage diagnosis in conjunction with the imaging method which enables us to represent the damage as an image. The proposed TR-based SHM technique is then validated through the damage diagnosis experiment for an aluminum plate with a damage at different locations.

Review of Photoacoustic Imaging for Imaging-Guided Spinal Surgery

  • Han, Seung Hee
    • Neurospine
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    • v.15 no.4
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    • pp.306-322
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    • 2018
  • This review introduces the current technique of photoacoustic imaging as it is applied in imaging-guided surgery (IGS), which provides the surgeon with image visualization and analysis capabilities during surgery. Numerous imaging techniques have been developed to help surgeons perform complex operations more safely and quickly. Although surgeons typically use these kinds of images to visualize targets hidden by bone and other tissues, it is nonetheless more difficult to perform surgery with static reference images (e.g., computed tomography scans and magnetic resonance images) of internal structures. Photoacoustic imaging could enable real-time visualization of regions of interest during surgery. Several researchers have shown that photoacoustic imaging has potential for the noninvasive diagnosis of various types of tissues, including bone. Previous studies of the surgical application of photoacoustic imaging have focused on cancer surgery, but photoacoustic imaging has also recently attracted interest for spinal surgery, because it could be useful for avoiding pedicle breaches and for choosing an appropriate starting point before drilling or pedicle probe insertion. This review describes the current instruments and clinical applications of photoacoustic imaging. Its primary objective is to provide a comprehensive overview of photoacoustic IGS in spinal surgery.

Caudal and epidural blocks in infants and small children: historical perspective and ultrasound-guided approaches

  • Kil, Hae Keum
    • Korean Journal of Anesthesiology
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    • v.71 no.6
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    • pp.430-439
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    • 2018
  • In infants and small children, ultrasound (US) guidance provides ample anatomical information to perform neuraxial blocks. We can measure the distance from the skin to the epidural space in the US image and can refer to it during needle insertion. We may also visualize the needle or a catheter during real-time US-guided epidural catheterization. In cases where direct needle or catheter visualization is difficult, US allows predicting successful puncture and catheterization using surrogate markers, such as dura mater displacement, epidural space widening due to drug injection, or mass movement of the drug within the caudal space. Although many experienced anesthesiologists still prefer to use conventional techniques, prospective randomized controlled trials using US guidance are providing increasing evidence of its advantages. The use of US-guided regional block will gradually become widespread in infants and children.

A Study on the Additional Absorbed Dose of Normal Tissues by Image Guided Radiation Therapy(IGRT) (영상유도 방사선 치료(IGRT)에 따른 정상 조직의 추가 피폭에 대한 연구)

  • Kim, Gha-Jung;Ryu, Jun-Min;Choi, Jun-Gu;Hong, Dong-Hee
    • The Journal of the Korea Contents Association
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    • v.16 no.1
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    • pp.75-81
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    • 2016
  • The recent radiation therapy field can provide treatment which guarantees a high degree of accuracy, due to patient set-up using various image guided radiation therapy(IGRT) instruments. But the additional absorbed dose to patient's normal tissues is increasing. Therefore, this study measured the absorbed dose to surrounding normal tissues which is caused by patient set-up using OBI, CBCT, ExacTrac, among various IGRT instruments. The absorbed dose to the head, the chest, the abdomen, and the pelvis from CBCT was 12.57 mGy, 20.82 mGy, 82.93 mGy, and 52.70 mGy, respectively. Also, the absorbed dose from OBI and ExacTrac ranged from 0.76 to 8.58 mGy and from 0.14 to 0.63 mGy, respectively. As a result, CBCT's absorbed dose was far higher than other instruments. CBCT's surface dose was far higher than others, too, but OBI's entrance skin dose was almost the same as CBCT's.

Surgical Management Options for Trigeminal Neuralgia

  • Lunsford, L. Dade;Niranjan, Ajay;Kondziolka, Douglas
    • Journal of Korean Neurosurgical Society
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    • v.41 no.6
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    • pp.359-366
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    • 2007
  • Trigeminal neuralgia is a condition associated with severe episodic lancinating facial pain subject to remissions and relapses. Trigeminal neuralgia is often associated with blood vessel cross compression of the root entry zone or more rarely with demyelinating diseases and occasionally with direct compression by neoplasms of the posterior fossa. If initial medical management fails to control pain or is associated with unacceptable side effects, a variety of surgical procedures offer the hope for long-lasting pain relief or even cure. For patients who are healthy without significant medical co-morbidities, direct microsurgical vascular decompression [MVD] offers treatment that is often definitive. Other surgical options are effective for elderly patients not suitable for MVD. Percutaneous retrogasserian glycerol rhizotomy is a minimally invasive technique that is based on anatomic definition of the trigeminal cistern followed by injection of anhydrous glycerol to produce a weak neurolytic effect on the post-ganglionic fibers. Other percutaneous management strategies include radiofrequency rhizotomy and balloon compression. More recently, stereotactic radiosurgery has been used as a truly minimally invasive strategy. It also is anatomically based using high resolution MRI to define the retrogasserian target. Radiosurgery provides effective symptomatic relief in the vast majority of patients, especially those who have never had prior surgical procedures. For younger patients, we recommend microvascular decompression. For patients with severe exacerbations of their pain and who need rapid response to treatment, we suggest glycerol rhizotomy. For other patients, gamma knife radiosurgery represents an effective management strategy with excellent preservation of existing facial sensation.