• Title/Summary/Keyword: Imaging studies

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Operative Management of Complicated Meckel's Diverticulum Laparotomy and versus Laparoscopic Assisted Surgery (소아 멕켈씨 게실 합병증에서 시행한 개복 수술과 복강경 보조 수술의 비교)

  • Lee, Yu-Ra;Cho, Min-Jeng;Kim, Tae-Hoon;Kim, Dae-Yeon;Kim, Seong-Chul;Kim, In-Koo
    • Advances in pediatric surgery
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    • v.17 no.1
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    • pp.45-50
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    • 2011
  • Meckel's diverticulum (MD) has various clinical presentations and due to the limitation of imaging studies, pre-operative diagnosis is a challenge in pediatric patients. Recently, laparoscopic exploration has been suggested as a favorable method for the diagnosis and treatment of complicated MD. We investigated the results of laparoscopic-assisted surgery compared with open technique. We retrospectively studied patients who underwent resection of complicated MD at our institute from 1997 to 2010 and compared 11 treated by laparoscopic-assisted diverticulectomy (LD) with 11 treated by open diverticulectomy (OD) for complicated MD. Operation time was not significantly different in the two groups. Hospital stay and time to diet were not significantly different. Two patients were re-admitted due to mechanical ileus in the LD group. None of patients in either group needed re-operation. Considering the possibility of false-positive results with imaging studies and the cosmetic benefit, laparoscopic-assisted surgery is a safe and effective treatment modality to diagnose and treat complicated Meckel's diverticulum.

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Study on Methodology of Trade-Off for Space-borne FPA Thermal Design by Simplified Thermal Node Analysis (단순화 된 열 저항 해석을 이용한 우주용 FPA 열제어 설계 방안 연구)

  • Chang, Jin-Soo;Yang, Seung-Uk;Kim, Jong-Un;Kim, Ee-Eul
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.43 no.2
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    • pp.179-185
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    • 2015
  • The main objective of thermal design for a space-borne FPA(Focal Plane Assembly) is to provide stable thermal environment during imaging operation and thus maintain the image quality. An FPA must be maintained within its operating temperature range and cooled down to its initial temperature soon enough for the next imaging operation. This paper describes the study result on performing trade-off studies for FPA thermal design by using simplified thermal node analysis about FPA preliminary design. It also describes the verification results of the study by comparing thermal analysis results and trade-off study results. According to results, we can conclude that this approach is useful for simple and quick trade-off studies without thermal analysis based on thermal math models.

Comparison of Abdominal Muscle Thickness Using Ultrasound Imaging During Bridging Exercises With a Sling and Ball in Healthy Young Adults

  • Moon, Young;Choi, Jong-duk
    • Physical Therapy Korea
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    • v.27 no.1
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    • pp.87-92
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    • 2020
  • Background: Bridging exercises are used to enhance the functional stability of the lumbopelvic region in clinical settings. Although most of the studies on bridging exercises have compared the complete activation of the trunk muscles, some recent studies have examined the functional stability of the trunk and the lumbopelvic region and assessed the appropriate recruitment of the local and global muscles during different task levels. Objects: The purpose of this study was to investigate the changes in muscle thickness in the transverse abdominis (TrA), internal oblique (IO), and external oblique (EO) muscles during a common bridging exercise on an unstable surface and to determine whether these changes differ based on the surface used. Methods: Twenty-five healthy young adults (8 males, 17 females) were recruited. The subjects were randomly assigned to either the exercise progression with a sling bridge group or the ball bridging exercise progression group, each with three stages of increasing difficulty. Each position was measured three times with an ultrasonic diagnostic imaging system, and the mean values were recorded for analysis. Results: No significant differences were observed between the TrA, IO, or EO muscle thickness ratios between the sling and ball exercise groups (p > 0.05). There were also no significant differences in the EO muscle thickness ratios between the tasks irrespective of whether the sling or ball was used. However, the TrA and IO thickness ratios in both groups were significantly greater during stages 2 and 3 compared to stage 1. Conclusion: The results suggest that the use of slings and balls during bridging exercises is effective in activating the deep abdominal muscles.

PROPERTIES OF THE SCUBA-2 850㎛ SOURCES IN THE XMM-LSS FIELD

  • Seo, Hyunjong;Jeong, Woong-Seob;Kim, Seong Jin;Pyo, Jeonghyun;Kim, Min Gyu;Ko, Jongwan;Kim, Minjin;Kim, Sam
    • Journal of The Korean Astronomical Society
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    • v.50 no.1
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    • pp.7-20
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    • 2017
  • We carry out the study of $850{\mu}m$ sources in a part of the XMM-LSS field. The $850{\mu}m$ imaging data were obtained by the SCUBA-2 on the James Clerk Maxwell Telescope (JCMT) for three days in July 2015 with an integration time of 6.1 hours, covering a circular area with a radius of 15'. We choose the central area up to a radius of 9'.15 for the study, where the noise distribution is relatively uniform. The root mean square (rms) noise at the center is 2.7 mJy. We identify 17 sources with S/N > 3.5. Differential number count is estimated in flux range between 3.5 and 9.0 mJy after applying various corrections derived by imaging simulations, which is consistent with previous studies. For detailed study on the individual sources, we select three sources with more reliable measurements (S/N > 4.5), and construct their spectral energy distributions (SEDs) from optical to far-infrared band. Redshift distribution of the sources ranges from 0.36 to 3.28, and their physical parameters are extracted using MAGPHYS model, which yield infrared luminosity $L_{IR}=10^{11.3}-10^{13.4}L_{\odot}$, star formation rate $SFR=10^{1.3}-10^{3.2}M_{\odot}yr^{-1}$ and dust temperature $T_D=30-53K$. We investigate the correlation between $L_{IR}$ and $T_D$, which appears to be consistent with previous studies.

Cortical Activation by Transcranial Direct Current Stimulation and Functional Electrical Stimulation in Normal Subjects: 2 Case Studies (정상 성인에서 경두개 직류 전류자극과 기능적 전기자극에 의한 대뇌피질의 활성화: 사례연구)

  • Kwon, Yong-Hyun;Kwon, Jung-Won;Park, Sang-Young;Jang, Sung-Ho
    • The Journal of Korean Physical Therapy
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    • v.23 no.1
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    • pp.77-82
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    • 2011
  • Purpose: Recently, many studies have demonstrated that application of external stimulation can modulate cortical excitability of the human brain. We attempted to observe cortical excitability using functional magnetic resonance imaging (fMRI) during the application of transcranial direct current stimulation (tDCS) or functional electrical stimulation (FES). Methods: We recruited two healthy subjects without a history of neurological or psychiatric problems. fMRI scanning was done during? each constant anodal tDCS and FES session, and each session was repeated three times. The tDCS session consisted of three successive phases (resting phase: 60sec dummy cycle: 10sec tDCS phase: 60sec). The FES session involved stimulation of wrist extensor muscles over two successive phase (resting phase: 15sec FES phase: 15sec). Results: The average map of the tDCS and FES analyses showed that the primary sensory-motor cortex area was activated in all subjects. Conclusion: Our findings show that cortical activation can be induced by constant anodal tDCS and FES. They suggest that the above stimuli have the potential for facilitating brain plasticity and modulating neural excitability if applied as specific therapeutic interventions for brain injured patients.

Ultrashort Echo Time MRI (UTE-MRI) Quantifications of Cortical Bone Varied Significantly at Body Temperature Compared with Room Temperature

  • Jerban, Saeed;Szeverenyi, Nikolaus;Ma, Yajun;Guo, Tan;Namiranian, Behnam;To, Sarah;Jang, Hyungseok;Chang, Eric Y.;Du, Jiang
    • Investigative Magnetic Resonance Imaging
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    • v.23 no.3
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    • pp.202-209
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    • 2019
  • Purpose: To investigate the temperature-based differences of cortical bone ultrashort echo time MRI (UTE-MRI) biomarkers between body and room temperatures. Investigations of ex vivo UTE-MRI techniques were performed mostly at room temperature however, it is noted that the MRI properties of cortical bone may differ in vivo due to the higher temperature which exists as a condition in the live body. Materials and Methods: Cortical bone specimens from fourteen donors ($63{\pm}21$ years old, 6 females and 8 males) were scanned on a 3T clinical scanner at body and room temperatures to perform T1, $T2^*$, inversion recovery UTE (IR-UTE) $T2^*$ measurements, and two-pool magnetization transfer (MT) modeling. Results: Single-component $T2^*$, $IR-T2^*$, short and long component $T2^*s$ from bi-component analysis, and T1 showed significantly higher values while the noted macromolecular fraction (MMF) from MT modeling showed significantly lower values at body temperature, as compared with room temperature. However, it is noted that the short component fraction (Frac1) showed higher values at body temperature. Conclusion: This study highlights the need for careful consideration of the temperature effects on MRI measurements, before extending a conclusion from ex vivo studies on cortical bone specimens to clinical in vivo studies. It is noted that the increased relaxation times at higher temperature was most likely due to an increased molecular motion. The T1 increase for the studied human bone specimens was noted as being significantly higher than the previously reported values for bovine cortical bone. The prevailing discipline notes that the increased relaxation times of the bound water likely resulted in a lower signal loss during data acquisition, which led to the incidence of a higher Frac1 at body temperature.

Venous malformations of the head and neck: A retrospective review of 82 cases

  • Park, Hannara;Kim, Jin Soo;Park, Hyochun;Kim, Ji Yoon;Huh, Seung;Lee, Jong Min;Lee, Sang Yub;Lee, Seok Jong;Lee, Joon Seok;Lee, Jeong Woo;Chung, Ho Yun
    • Archives of Plastic Surgery
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    • v.46 no.1
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    • pp.23-33
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    • 2019
  • Background Venous malformations (VMs) are a common type of vascular malformation. However, their causes and management remain unclear, and few studies specific to VMs of the head and neck have been reported. This study describes our experiences with VMs of the head and neck. Methods This retrospective study included 82 patients who underwent treatment for head and neck VMs, among 222 who visited our vascular anomalies center. Medical records between 2003 and 2016 were reviewed to identify common features in the diagnosis and treatment. The diagnosis of suspected head and neck VMs was based on the results of imaging studies or biopsies, and the VMs were analyzed based on magnetic resonance imaging, computed tomography, and Doppler sonography findings. Results VMs were slightly more common in female patients (59.8%), and 45.1% of patients developed initial symptoms at the age of 10 or younger. Lesions were slightly more common on the right side (47.3%). The main sites involved were the cheek (27.7%) and lip area (25.5%). The muscle layer was commonly involved, in 98.7% of cases. Small lesions less than 5 cm in diameter accounted for 60.8% of cases, and well-defined types were slightly more prevalent at 55.4%. Improvement was observed in 77.1% of treated patients. Conclusions Early and accurate diagnosis and appropriate treatment according to individual symptoms are important for successful treatment of VMs. If treatment is delayed, the lesions can worsen, or recurrence becomes more likely. Therefore, VMs require a multidisciplinary approach for early and accurate diagnosis.

Diagnostic performance of artificial intelligence using cone-beam computed tomography imaging of the oral and maxillofacial region: A scoping review and meta-analysis

  • Farida Abesi ;Mahla Maleki ;Mohammad Zamani
    • Imaging Science in Dentistry
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    • v.53 no.2
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    • pp.101-108
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    • 2023
  • Purpose: The aim of this study was to conduct a scoping review and meta-analysis to provide overall estimates of the recall and precision of artificial intelligence for detection and segmentation using oral and maxillofacial cone-beam computed tomography (CBCT) scans. Materials and Methods: A literature search was done in Embase, PubMed, and Scopus through October 31, 2022 to identify studies that reported the recall and precision values of artificial intelligence systems using oral and maxillofacial CBCT images for the automatic detection or segmentation of anatomical landmarks or pathological lesions. Recall (sensitivity) indicates the percentage of certain structures that are correctly detected. Precision (positive predictive value) indicates the percentage of accurately identified structures out of all detected structures. The performance values were extracted and pooled, and the estimates were presented with 95% confidence intervals(CIs). Results: In total, 12 eligible studies were finally included. The overall pooled recall for artificial intelligence was 0.91 (95% CI: 0.87-0.94). In a subgroup analysis, the pooled recall was 0.88 (95% CI: 0.77-0.94) for detection and 0.92 (95% CI: 0.87-0.96) for segmentation. The overall pooled precision for artificial intelligence was 0.93 (95% CI: 0.88-0.95). A subgroup analysis showed that the pooled precision value was 0.90 (95% CI: 0.77-0.96) for detection and 0.94 (95% CI: 0.89-0.97) for segmentation. Conclusion: Excellent performance was found for artificial intelligence using oral and maxillofacial CBCT images.

Feasibility of Novel Three-Dimensional Magnetic Resonance Fingerprinting of the Prostate Gland: Phantom and Clinical Studies

  • Dongyeob Han;Moon Hyung Choi;Young Joon Lee;Dong-Hyun Kim
    • Korean Journal of Radiology
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    • v.22 no.8
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    • pp.1332-1340
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    • 2021
  • Objective: To evaluate the feasibility of a new three-dimensional (3D) MR fingerprinting (MRF) technique for the prostate gland by conducting phantom and clinical studies. Materials and Methods: The new 3D MRF technique used in this study enables quick data acquisition and has a high resolution. For the phantom study, the MRF T1 and T2 values in an in-house phantom were compared with those of goldstandard mapping methods using linear regression analysis. For the clinical study, we evaluated 90 patients who underwent prostate imaging with MRF for suspected prostate cancer between September 2019 and February 2020. The mean T1 and T2 values were compared in the peripheral zone, transition zone, and focal lesions using paired t tests. The differences in the T1 and T2 values according to cancer aggressiveness were evaluated using one-way analysis of variance. Results: In the phantom study, the MRF T1 and T2 values showed a perfect correlation with the gold-standard T1 and T2 values (R > 0.99). In the clinical study, the T1 and T2 values in the peripheral zone were significantly higher than those in the transitional zone (p < 0.001, both). The T1 and T2 values in prostate cancer were significantly lower than those in the peripheral and transitional zones. The higher the grade of cancer, the lower the T2 values. Conclusion: The T1 and T2 values obtained from the 3D MRF showed a perfect correlation with the gold standard values in the phantom study. Differences in the T1 and T2 values among the different zones of the prostate gland were identified using 3D MRF in patients.

Applications of Artificial Intelligence in MR Image Acquisition and Reconstruction (MRI 신호획득과 영상재구성에서의 인공지능 적용)

  • Junghwa Kang;Yoonho Nam
    • Journal of the Korean Society of Radiology
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    • v.83 no.6
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    • pp.1229-1239
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    • 2022
  • Recently, artificial intelligence (AI) technology has shown potential clinical utility in a wide range of MRI fields. In particular, AI models for improving the efficiency of the image acquisition process and the quality of reconstructed images are being actively developed by the MR research community. AI is expected to further reduce acquisition times in various MRI protocols used in clinical practice when compared to current parallel imaging techniques. Additionally, AI can help with tasks such as planning, parameter optimization, artifact reduction, and quality assessment. Furthermore, AI is being actively applied to automate MR image analysis such as image registration, segmentation, and object detection. For this reason, it is important to consider the effects of protocols or devices in MR image analysis. In this review article, we briefly introduced issues related to AI application of MR image acquisition and reconstruction.