• Title/Summary/Keyword: Medical Direction

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MEDICAL IMAGE ANALYSIS USING HIGH ANGULAR RESOLUTION DIFFUSION IMAGING OF SIXTH ORDER TENSOR

  • K.S. DEEPAK;S.T. AVEESH
    • Journal of applied mathematics & informatics
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    • v.41 no.3
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    • pp.603-613
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    • 2023
  • In this paper, the concept of geodesic centered tractography is explored for diffusion tensor imaging (DTI). In DTI, where geodesics has been tracked and the inverse of the fourth-order diffusion tensor is inured to determine the diversity. Specifically, we investigated geodesic tractography technique for High Angular Resolution Diffusion Imaging (HARDI). Riemannian geometry can be extended to a direction-dependent metric using Finsler geometry. Euler Lagrange geodesic calculations have been derived by Finsler geometry, which is expressed as HARDI in sixth order tensor.

Verification of skin dose according to the location of tumor in Tomotherapy (토모테라피 시 종양의 위치에 따른 피부선량 검증)

  • Yoon, Bo Reum;Park, Su Yeon;Park, Byoung Suk;Kim, Jong Sik;Song, Ki Won
    • The Journal of Korean Society for Radiation Therapy
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    • v.26 no.2
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    • pp.273-280
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    • 2014
  • Purpose : To verify the skin dose in Tomotherapy-based radiation treatment according to the change in tumor locations, skin dose was measured by using Gafchromic EBT3 film and compared with the planned doses to find out the gap between them. Materials and Methods : In this study, to measure the skin dose, I'm RT Phantom(IBA Dosimetry, Germany) was utilized. After obtaining the 2.5mm CT images, tumor locations and skin dose measuring points were set by using Pinnacle(ver 9.2, Philips Medical System, USA). The tumor location was decided to be 5mm and 10mm away from surface of the phantom and center. Considering the attenuation of a Tomo-couch, we ensured a symmetric placement between the ceiling and floor directions of the phantom. The measuring point of skin doses was set to have 3mm and 5mm thickness from the surface. Measurement was done 3 times. By employing TomoHD(TomoHD treatment system, Tomotherapy Inc., Madison, Wisconsin, USA), we devised Tomotherapy plans, measured 3 times by inserting Gafchromic EBT3 film into the phantom and compared the measurement with the skin dose treatment plans. Results : The skin doses in the upper part of the phantom, when the tumor was located in the center, were found to be 7.53 cGy and 7.25 cGy in 5mm and 3mm respectively. If placed 5mm away from the skin in the ceiling direction, doses were 18.06 cGy and 16.89 cGy; if 10mm away, 20.37 cGy and 18.27 cGy, respectively. The skin doses in the lower part of the phantom, when the tumor was located in the center, recorded 8.82 cGy and 8.29 cGy in 5mm and 3mm, each; if located 5mm away from the lower part skin, 21.69 cGy and 19.78 cGy were respectively recorded; and if 10mm away, 20.48 cGy and 19.57 cGy were recorded. If the tumor was placed in the center, skin doses were found to increase by 3.2~17.1% whereas if the tumor is 5mm away from the ceiling part, the figure decreased to 2.8~9.0%. To the Tomo-couch direction, skin doses showed an average increase of 11% or over, compared to the planned treatment. Conclusion : This study found gaps between planned skin doses and actual doses in the Tomotherapy treatment planning. Especially to the Tomo-cocuh direction, skin doses were found to be larger than the planned doses. Thus, during the treatment of tumors near the Tomo-couch, doses will need to be more accurately calculated and more efforts to verify skin doses will be required as well.

Controlled Inquiry Rates of Clinical Interviews in Telehomecare

  • Moskowitz, Samuel E.
    • 제어로봇시스템학회:학술대회논문집
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    • 2003.10a
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    • pp.1945-1950
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    • 2003
  • Conceived to acquire personal information for an electronic medical record, the clinical interview contains probing questions. The number and type of inquiries are assumed to fulfill medical protocols, and therefore are deemed essential for treatment - but the rate can and should be controlled. High rates of inquiry merely intimidate the patient and affect replies. The purpose of this paper is to mathematically formulate permissible rates of clinical interviews held during telehomecare virtual visits and designed to avoid patient anxiety. Mental stress is derived as a function of the weight of importance assigned by the patient, virtual visit duration, and the rate of questioning in the direction of greater sensitivity. Two operations are of interest: Collecting and recording information by the provider, and maintaining synchrony of questions and answers by the patient. The Lorentz transformation yields the patient’s view of the operational rates. Conservation of information momentum is postulated and applied before and after replies are recorded. It is shown that the weight of importance designated by the patient to collecting and recording personal information is driven by a singularity that depends on the rate of questioning. The findings should serve as a guideline in interviewer training programs.

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Strategies for Deriving Strategic Products to Enter the Dementia Industry on SMEs-Focused on AHP Analysis

  • Yu, Tae Gyu
    • International Journal of Internet, Broadcasting and Communication
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    • v.12 no.1
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    • pp.61-66
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    • 2020
  • Many SMEs are interested in entering the dementia industry as the national dementia responsibility system begins in earnest. However, it is ambiguous about which technology and field to enter, and accordingly, it is impossible to make a quick judgment and misses the time to enter the market. Therefore, the purpose of this study is to provide a simple but clear information to many SMEs in this situation, which products and related technologies will be able to help product development and market entry in the dementia prevention and diagnosis technology market more easily. In this regard, I would like to suggest the direction through hierarchical analysis (AHP) through conducting with a group of experts who can make professional judgments about the development of dementia medical technology, including the four-year university senior welfare department, nurses, directors and directors of long-term care institutions, medical device workers and experts' opinions on what sectors SMEs can most effectively apply to product development to enter the dementia market.

Response Evaluation of Chemotherapy for Lung Cancer

  • Hwang, Ki-Eun;Kim, Hak-Ryul
    • Tuberculosis and Respiratory Diseases
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    • v.80 no.2
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    • pp.136-142
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    • 2017
  • Assessing response to therapy allows for prospective end point evaluation in clinical trials and serves as a guide to clinicians for making decisions. Recent prospective and randomized trials suggest the development of imaging techniques and introduction of new anti-cancer drugs. However, the revision of methods, or proposal of new methods to evaluate chemotherapeutic response, is not enough. This paper discusses the characteristics of the Response Evaluation Criteria In Solid Tumor (RECIST) version 1.1 suggested in 2009 and used widely by experts. It also contains information about possible dilemmas arising from the application of response assessment by the latest version of the response evaluation method, or recently introduced chemotherapeutic agents. Further data reveals the problems and limitations caused by applying the existing RECIST criteria to anti-cancer immune therapy, and the application of a new technique, immune related response criteria, for the response assessment of immune therapy. Lastly, the paper includes a newly developing response evaluation method and suggests its developmental direction.

Development of simulator for Computer-integrated Robotic Surgery system and Design of its Auto-illumination system (수술통합시스템 시뮬레이터 개발과 자동조명시스템의 설계)

  • Lee, Soo-Gang;Chung, Goo-Bong;Yi, Byung-Ju;Kim, Whee-Kuk
    • Proceedings of the KIEE Conference
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    • 2004.11c
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    • pp.456-458
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    • 2004
  • Recent medical robot systems perform surgery operations, by following the preplanned trajectory and surgical procedures. Depending on the complexity of surgery operations, they are operated in manual, semi-automatic or full automatic mode. To improve the performance of those medical robot systems, development of the simulator and more advanced auto-illumination system, in which intensity of light, direction and focal point can be controlled automatically according to the varied environments during surgical operations. are required. Therefore, in this paper, the simulator for SPINEBOT system which is a computer-intergrated robotic surgery system are developed. And further, an auto-illumination system which will be integrated to the SPINEBOT system is investigated and its preliminary design is described.

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Dose Characteristics by the Co-60 Source Oscillations in High Dose Rate After Loading Irradiations (고선량율 원격강내조사의 코발트-60 이동선원에 의한 선량특성)

  • 최태진;김옥배;노홍균
    • Progress in Medical Physics
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    • v.1 no.1
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    • pp.51-60
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    • 1990
  • Dose distributions around Co- 60 moving source in high dose rate remote afterloading unit, Buchler 3K unit, were experimented with X-omat V films and calculations. In our experiments, film dosimetries have achieved to evaluated the axial dose distributions for source oscillations were 0, 3.5, 5.0 and 6.0 cm in periodically, In results, the dose distributions in axial of source movement showed apparently higher than in transverse direction caused by source locations, dwelling time and air gap in the applicator. In the calculations, the dose rate was derived by using the inverse square law, filteration corrections and Meisberger constant for scatter corrections as source movings. In our experiments and calculations, the average dose uncertainties were showed -2.1$\pm$1.9% in fixed sourdce, -2.9$\pm$1.8%, -7.4$\pm$6.1% and -6.7$\pm$4.6% at 3.5 cm, 5.0 cm and 6.0 cm source oscillations, but the calculations have showed very close to experimental dose rate within 4 cm distance from source.

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The Relationship of the Filtration and the Side-scattered Dose in Verious Radiation Shielding Materials (방사선차폐물질(放射線遮蔽物質)에서 발생(發生)하는 측방산란선(側方散亂線)의 측정(測定))

  • Huh, Joon;Kim, Chang-Kyun
    • Journal of radiological science and technology
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    • v.7 no.1
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    • pp.35-40
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    • 1984
  • Side-direction scattered dose from various radiation shielding materials was measured at 50cm distance from the central beam of primary ray by used several kinds of added filters for a x-ray deep therapeutic installation, the obtained results were as follows : 1. Dose rate by tube voltage was more increased at heavy filtration than light filtration. 2. Scattered doses produced by constant tube voltage in all shielding materials were decreased at heavier filtration. 3. Scattered doses produced by constant shielding material in all tube voltages were decreased at heavier filtration.

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Development of Ultrasound Sector B-Scanner(II)-Digital Scan Converter- (초음파 섹터 B-스캐너의 개발(II)-디지탈 스캔 컨버터-)

  • 김주한;김영모
    • Journal of Biomedical Engineering Research
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    • v.7 no.2
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    • pp.133-138
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    • 1986
  • Abstract In a conventional digital sector scan system in the ultrasound medical imaging, the sampling space is in the polar coordinates while the display space is in the cartesian coordinates, which necessitates a coordinate transformation process resultion process resulting the overall system very complex and bulky. In this paper we propose a new architecture of the Digital-Scan-Converter (DSC) for the ultrasound sector scan system in which sampling space is the same as the display space, so the data are displayed as they are acquired without any interpola- tion process required. To implement the above real time DSC. two frequency synthesizes with very high switching time and a low-pass filter are required. The former determines the precise location of the data points and the latter fills the gap betw- een pixels in the horizontal direction.

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For the Improvement of Nosocomial Infection Control in Korea (우리나라 병원감염관리 활성화를 위한 모형 개발)

  • Lee, Sung-Eun
    • Research in Community and Public Health Nursing
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    • v.8 no.2
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    • pp.314-326
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    • 1997
  • In Korea, the nosocomial infection control program is not well developed. This situation is created by a lack of interest from medical personnel and the medical payment system. This study identifies current problems and develops a model for nosocomial infection control. The studies of Lee & Kim(1995), Lee (1993) and SENIC project model were used to construct this model. 1. The problems of nosocomial infection control were identified as the following: dis approval by hospital authorities, lack of sources for program direction, lack of overall structure and function in the program, inadequate direct action, lack of education and training, and so on. 2. The problems are reorganized according to the 5 elements of system theory. 3. As a result, the new nosocomial infection control model was developed. The inputs of the model were the elements, resources and boundaries of nosocomial infection. With the new model, each hospital can evaluate their current programs and plan a new program for the better control of nosocomial infection.

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