• 한국음향학회지
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• 제35권6호
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• pp.452-465
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• 2016

본 연구에서는 의료 치료용으로 고강도 집속 초음파를 발생시킬 수 있는 오목한 환상형 배열 트랜스듀서의 구조를 최적설계하였다. 트랜스듀서는 곡률반경으로 40 mm를 가지는 여러 개의 동심원 채널로 이루어진 위상배열 구조이다. 구조 설계를 위해 트랜스듀서의 음장을 해석할 수 있는 이론식을 유도하였으며, 이론식 계산 결과의 타당성을 유한요소해석 결과와 비교함으로써 검증하였다. 배열 트랜스듀서의 기하학적 초점 이외 지점에서의 동적 집속 가능 유무도 함께 확인하였다. 또한 음장 내 원하지 않는 지점에 발생하는 그레이팅 로브의 레벨은 트랜스듀서의 채널수와 주파수와의 관계를 이용하여 개선될 수 있음을 확인하였다. 따라서 정점으로부터 특정 범위 내에 주엽이 존재하면서 그레이팅 로브를 포함한 최대 부엽의 크기를 체계적으로 줄일 수 있도록 트랜스듀서 구조를 최적 설계하였다. 설계된 구조는 모든 집속 지점에서 목표를 만족하는 성능을 보였다.

• 한국통신학회논문지
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• 제24권9B호
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• pp.1676-1682
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• 1999

본 논문에서는 마이크로스트립 패치 안테나를 이중 원형 배열하였다. 부엽준위를 최소화하기 위하여 내원의 반경은 0.7 $\lambda$0, 외원의 반경은 1.45$\lambda$0로 하여, 내원과 외원에 각각 8개의 소자를 $45^{\circ}$간격으로 배열하였으며, 병렬 급전방식을 사용하여 각 안테나 소자에 도일한 전력과 위상을 공급하였다. 측정결과 설계 제작된 안테나의 복사특성은 이론치에 거의 근접하였으며, 반사손실은 11.75[GHz]에서 -14.5[dB]이며, 주엽을 0[dB]로 할 때, 첫 번째 부엽의 크기는 -18[dB], 두 번째 부엽의 크기는 -26[dB]의 특성을 보였다.

• Journal of Chest Surgery
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• 제55권1호
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• pp.10-19
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• 2022

Background: According to the eighth TNM (tumor-node-metastasis) staging system, the presence of separate tumor nodules in the same lobe is designated as a T3 descriptor. However, it remains unclear whether adjuvant chemotherapy confers survival advantages in this setting. Methods: We retrospectively identified 142 pathologic T3N0M0 patients with additional pulmonary nodules in the same lobe from a single-institutional database from 2004 to 2019. The main outcomes were overall survival and recurrence-free survival. Multivariable Cox regression was used to identify the benefit of adjuvant chemotherapy while adjusting for other variables. Results: Sixty-one patients received adjuvant chemotherapy (adjuvant group) and 81 patients did not receive adjuvant therapy after surgery (surgery-only group). There were no demonstrable differences between the 2 groups regarding hospital mortality and postoperative complications, indicating that treatment selection had not significantly occurred. However, the use of adjuvant chemotherapy was associated with improved 5-year overall survival (70% vs. 59%, p=0.006) and disease-free survival (60% vs. 46%, p=0.040). A multivariable Cox model demonstrated that adjuvant chemotherapy was associated with a survival advantage (adjusted hazard ratio, 0.54; p<0.001). In exploratory analyses of subgroups, the effect of adjuvant chemotherapy seemed to be insufficient in those with small main tumors (<4 cm). Conclusion: Adjuvant chemotherapy was associated with better survival in T3 cancers with an additional tumor nodule in the same lobe. However, the role of adjuvant chemotherapy in patient subgroups with small tumors or those without risk factors should be determined via large studies.

• 대한방사선기술학회지:방사선기술과학
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• 제6권1호
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• pp.91-102
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• 1983

The study was carried out on 468 cases among total 4,347 cancer cases which was confirmly diagnosed as malignant neoplasms at Yonsei Center Hospital, appended to Yonsei University, during 10 years from January 1, 1971 to December 31, 1980. The results of this study are as follows: 1. Total malignant neoplasm cases treated with radiation were 4,347, 1,685 of whom were males, and 2,662 females(male to female ratio was 1:1.58). 2. Lung cancer were 10.8% of total malignant neoplasm cases(468 cases), 391 cases for the male and 77 cases for the female. So, average the male to female ratio was 8:1 and cases of the male were much more. 3. The age distribution of lung cancer cases was from 27 to 82 years old. The highest age distribution was $50{\sim}59$ for males(37.9%) and $60{\sim}69$ for females(41.6%) ; 77.1% of total lung cancer cases were over 50 years old. 4. In regard to stages, the distribution of the third stage was highest(49.3%). That of the first stage was much higher during the last period(11.8%) than the first period(2.7%), and that of the fourth stage was much lower during the last period (7.8%) than the first period(21.1%). 5. In regard to pathological type, the distribution was 51.3% for squamous cell carcinoma, 29.3% for undifferentiated cell cercinoma, 12.2% for adenocarcinoma, and 7.2% for bronchoalveolar cell carcinoma in order of frequency. In regard to adenocarcinoma, the male to female ratio was 1:3.7 and cases of the female were much more. 6. In regard to tumor location, the distribution of tumor location in the right-left lobe was 59.1% in the right lobe, 33.6% in the left lobe, and 7.3% in the both lobes in order of frequency. And that of tumor location in the upper and lower lobes was all higher in the upper lobe ; especially, that of the right upper lobe was highest(31.2% of total cases). 7. For the main symptom, coughing was highest(64%), 50% for hemoptysis, and 41% for dyspnea.

• 한국음향학회지
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• 제38권4호
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• pp.450-458
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• 2019

기포군이 파열하면서 발생하는 초음파를 관찰하기 위하여 수동 공동 영상법을 이용한다. 수동 공동 영상은 낮은 해상도와 큰 부엽이 문제이다. 수동 공동에서 발생하는 초음파 신호는 펄스 형태를 가지므로, 수신 어레이에 수신된 신호는 입사 방향에 따라서 트랜스듀서 배열 소자에 나타나는 신호의 크기 분포가 달라진다. 영상점에서 수신된 채널 데이터 신호의 크기 분포로부터 주엽과 부엽 신호의 유무를 판단하고 부엽을 줄이기 위하여 무게중심과 평탄도를 계산하여 영상점에서 가중값을 정의하였다. 무게중심은 수신 채널에서 신호의 분포가 집중된 위치를 수치화하며 평탄도는 채널 신호의 분산을 측정한다. 지연 후 더해주는 집속 방식과 최소 분산 빔포밍을 사용하여 구현된 수동 공동 영상에서 무게중심과 평탄도를 이용한 가중값을 적용하여 영상의 화질 개선에 적용하였다. 컴퓨터 시뮬레이션과 실험에서 지연 후 더해주는 방법과 최소 분산 빔포밍 방법에 가중값을 적용하여 영상에서 부엽이 줄어듦을 확인하였다. 고출력 초음파를 이용한 수조 실험에서도 부엽이 나타나는 영역이 줄어들어 수동 공동의 변별력이 증가함을 확인하였다.

• Journal of Chest Surgery
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• 제27권11호
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• pp.957-960
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• 1994

The endobronchial hamartoma is a relatively rare benign tumor of the lung. The symptoms of the endobronchial hamartoma are produced by obstruction of the bronchus and its sequelae. This patient was 51 year old male and complained dypnea, cough and purulent sputum for 2 years. On bronchoscopic view, a yellowish pedunculated mass nearly total occluding right main bronchial lumen was found. Endoscopic biopsy revealed squamous cell metaplasia of the bronchial mucosa. The operation was done with the right pneumonectomy. The pathologic result of the operative specimen was endobronchial hamartoma arisen from the right upper lobe bronchus.

• Journal of Chest Surgery
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• 제27권5호
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• pp.374-378
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• 1994

Bronchoplastic and angioplastic operation in lung surgery is appropriate treatment for a wide range of benign endobronchial lesions and low grade malignancies. Between March 1990 to February 1994, four patients underwent bronchial sleeve resection and one patient received left upper lobe lobectomy with pulmonary artery angioplasty. Types of disease includes two cases of endobronchial tuberculosis and three cases of lung cancer. The main operation performed are one pneumonectomy, two right upper lobectomy and one each of left upper lobectomy and left lower lobectomy. All cases received sleeve resection not due to decreased respiratory reserve but due to anatomic suitability. One patient who received pneumonectomy had postoperative complication of empyema thoracis.

• Journal of Chest Surgery
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• 제27권5호
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• pp.413-417
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• 1994

Adenoid cystic carcinoma usually grows in the trachea or near its bifurcation and causes obstruction of the air way. We recently experienced a 33 year-old male patient who had adenoid cystic carcinoma in the left main bronchus with the chief complaint of productive cough. On the bronchoscopy, the mass obstructed the left main bronchus completely and had nodularity and increased vascularity.The trachea was shifted to the left side and the lower lobe of the left lung was atelectatic on chest X-ray and computed axial tomogram.He underwent left tracheal sleeve pneumonectomy and lymph node dissection through bilateral thoracotomy. At first,we attempted left tracheal sleeve pneumonectomy through the left thoracotomy,however, it was very difficult to perform carinoplastic procedure after sleeve resection of 2.5cm of distal trachea and 1cm of proximal right main bronchus including whole left lung because of poor operative field and difficulty in the anastomosis of the right main bronchus to the distal end of the trachea without tension.Therefore after radical resection of the left lung we made right thoracotomy,through which we could anastomosed the distal trachea and right main bronchus with 4-0 PDS interrupted suture after mobilization of the right hilum without difficulty. The tumor was confirmed to be adenoid cystic carcinoma with metastasis to subcarinal lymph node histopathologically. Postoperative course was uneventful but he needed two bronchoscopic procedure to clear distal airway of the retained bronchial secretion. He was discharged at 14 days after operation with complete recovery.

• 대한수의학회지
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• 제27권2호
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• pp.157-166
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• 1987

The distribution of hepatic veins within the liver in 28 Korean native cattles were observed. Vinylite solution was injected into hepatic veins of seventeen specimens for cast preparation. The angiography was prepared in eleven specimens by injecting 30% barium sulfate solution into hepatic veins, and then radiographed on a X-ray apparatus (Shimadzu 800 MA 120 Kvp). 1. About two thirds or three quarters of the circumference of the Vena cava caudalis was embedded in the liver. The embedded portion was about 14~19cm in length. 2. The principal branches of the hepatic veins were Vena hepatica sinistra, Vena hepatica media, Vena hepatica dextra and Vena hepatica dorsolateralis; the three main hepatic veins were Vena hepatica sinistra, Vena hepatica media and Vena hepatica dextra. 3. The Vena hepatica sinistra joins the Vena cava caudal is near the esophageal impression of the liver. It gave off three or five branches to the left lobe. 4. The Vena hepatica media joined at the Vena cava caudalis close to the Vena hepatica sinistra. In all cases, Vena hepatica media opened near the diaphragmatic part of the liver than the Vena hepatica sinistra. It ran obliquely through the medial part of right lobe and quadrate lobe, giving off branches on each side. 5. The Vena hepatica dextra consisted of one(25 cases, 89.29%) or two separate veins(3 cases, 10.71%), joining to the Vena cava caudalis between the right and caudate lobes. 6. The flap of membranous tissue covered the dorsal half of the entrance of the Vena hepatica sinistra, media et dextra into the Vena cava caudalis. 7. The vestige of the ductus venosus persisted in the 12~18 months old cattles. 8. The anastomosis was observed in the intralobar and interlobar areas.

• Journal of Chest Surgery
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• 제39권7호
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• pp.556-560
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• 2006

호흡곤란을 주소로 내원한 42세 여자환자가 단순 흉부 촬영상 좌측 폐의 무기폐 소견을 보였다. 기관지 내시경과 흉부 컴퓨터 단층촬영상 좌측 주기관지에 종괴가 발견되었다. 조직검사상 종괴는 기관지 평활근종으로 진단되었다. 개흉술을 실시하여 좌측 주기관지절개를 하고 종괴를 제거하자 중엽은 정상적으로 환기가 되었다. 또한 하행대동맥에서 좌폐하엽으로 공급되는 이상동맥이 발견되어 좌폐하엽 절제수술을 동시에 실시하였다. 병리검사상 좌폐하엽은 내엽형 폐격리증으로 진단되었다. 저자들은 기관지 평활근종과 내엽형 폐격리증이 공존하는 드문 질환을 치험하였기에 보고하는 바이다.