• Investigative Magnetic Resonance Imaging
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• 제26권2호
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• pp.83-95
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• 2022

The purpose of this study was to establish and provide guidelines for the standardized acquisition and interpretation of diffusion-weighted magnetic resonance imaging (DW-MRI) to improve the image quality and reduce the variability of the results interpretation. The standardized protocol includes the use of high-resolution DW-MRI with advanced techniques and post-processing. The aim of the protocol is to increase the effectiveness of the medical image information exchange involved in the construction, activation, and exchange of clinical information for healthcare use. An organized interpretation form could make DW-MRIs' interpretation easier and more familiar. Herein, the authors briefly review the basic principles, optimized image acquisition, standardized interpretation guidelines, false negative and false positive cases of DW-MRI, and provide a standard interpretation form and examples of various cases to help users become more familiar with the DW-MRI.

• 인터넷정보학회논문지
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• 제17권3호
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• pp.45-54
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• 2016

의료 이미지는 사람 신체의 비정상적인 상태를 발견하는데 효과적인 자료로 사용되고 있다. 일반적으로 환자는 다양한 이유로 다른 종류의 의료 기관을 방문하고, 심각한 질병 특징을 가지는 의료 이미지에 대해 2차 소견을 얻기를 원한다. 현재에는 개인의 의료 이미지가 여러 의료 기관에 산재되어 있기 때문에, 2차 소견을 얻을 때 자신과 관련된 모든 정보를 직접 가지고 다른 의료진을 찾아가야 하는 불편함이 있다. 이런 두 가지 동기로 인해, 본 논문에서는 의료 이미지 보관 및 판독 서비스를 제안하고자 한다. 그러므로, 의료 이미지 보관 및 판독 서비스의 설계 모델 및 구현 결과를 본 논문에서 제시하고, 저비용 개인 헬스케어 서비스로서의 실용적 가치를 증명하고자 한다. 환자는 제안하는 서비스를 사용함으로써 언제든 자신의 의료 이미지 정보를 확인할 수 있고 의료진을 찾아갈 필요 없이 간편하게 의료 이미지 분석을 할 수 있다.

• 대한핵의학회지
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• 제38권1호
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• pp.1-20
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• 2004

Bone scan is one of the most frequently peformed studios in nuclear medicine. In bone scan, the amount of radiolsotope taken up by lesion depends primarily on the local rate of bone turnover rather than on the bone mass. Bone scan is extremely sensitive for defecting bony abnormalities. However, abnormalities that appear on bone scan may not always represent disease. The normal scan appearances may be affected not only by skeletal physiology and anatomy but also by a variety of technical factors which can influence image quality. Many normal variants and artifacts may appear on bone scan. They could simulate a pathologic process and could mislead into the wrong diagnostic interpretation. Therefore, their recognition is necessary to avoid misdiagnosis. A nuclear medicine physician should be aware of variable appearance of the normal variants and artifacts on bone scan. In this article, a variety of normal variants and artifacts mimicking real pathologic lesion in bone scan interpretation are discussed and illustrated.

• Nuclear Medicine and Molecular Imaging
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• 제42권2호
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• pp.172-180
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• 2008

PET/CT fused image with anatomical and functional information have improved medical diagnosis and interpretation. This fusion has resulted in more precise localization and characterization of sites of radio-tracer uptake. However, a motion during whole-body imaging has been recognized as a source of image quality degradation and reduced the quantitative accuracy of PET/CT study. The respiratory motion problem is more challenging in combined PET/CT imaging. In combined PET/CT, CT is used to localize tumors and to correct for attenuation in the PET images. An accurate spatial registration of PET and CT image sets is a prerequisite for accurate diagnosis and SUV measurement. Correcting for the spatial mismatch caused by motion represents a particular challenge for the requisite registration accuracy as a result of differences in PET/CT image. This paper provides a brief summary of the materials and methods involved in multiple investigations of the correction for respiratory motion in PET/CT imaging, with the goal of improving image quality and quantitative accuracy.

• Korean Journal of Radiology
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• 제22권1호
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• pp.9-22
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• 2021

Diffusion-weighted (DW) magnetic resonance imaging (MRI) is a rapid, unenhanced imaging technique that measures the motion of water molecules within tissues and provides information regarding the cell density and tissue microstructure. DW MRI has demonstrated the potential to improve the specificity of breast MRI, facilitate the evaluation of tumor response to neoadjuvant chemotherapy and can be employed in unenhanced MRI screening. However, standardization of the acquisition and interpretation of DW MRI is challenging. Recently, the European Society of Breast Radiology issued a consensus statement, which described the acquisition parameters and interpretation of DW MRI. The current article describes the basic principles, standardized acquisition protocols and interpretation guidelines, and the clinical applications of DW MRI in breast imaging.

• Investigative Magnetic Resonance Imaging
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• 제24권1호
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• pp.1-20
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• 2020

This document is the third part of the guidelines for the interpretation and post-processing of cardiac magnetic resonance (CMR) studies. These consensus recommendations have been developed by a Consensus Committee of the Korean Society of Cardiovascular Imaging (KOSCI) to standardize the requirements for image interpretation and post-processing of CMR. This third part of the recommendations describes tissue characterization modules, including perfusion, late gadolinium enhancement, and T1- and T2 mapping. Additionally, this document provides guidance for visual and quantitative assessment, consisting of "What-to-See," "How-To," and common pitfalls for the analysis of each module. The Consensus Committee hopes that this document will contribute to the standardization of image interpretation and post-processing of CMR studies.

• 한국방사선학회논문지
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• 제17권1호
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• pp.131-139
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• 2023

본 연구에서는 3D 프린팅 구조물 기반 블라인드박스를 이용한 실습교육이 다차원 방사선영상해독력에 미치는 교육적 효과를 알아보고자 하였다. 대상은 2020년부터 2022년까지 3년간 진행된 디지털의료영상학 실습에 참여한 방사선학과 2학년의 83명(남자: 49명, 여자: 34명)이었다. 학습방법은 3D 프린팅 기술을 이용하여 자체 설계한 블라인드박스 내 구조물을 출력하였다. 이를 엑스선 촬영한 한 후 소그룹별로 블라인드박스 내 구조물영상을 분석한다. 분석 결과로 3차원구조물을 지점토로 자체 제작하고 엑스선 촬영한 후 블라인드박스 내 구조물영상과 일치하는지 비교한다. 평가방법은 수업성실도(평소 수업태도, 예·복습 정도, 학습목표이해도), 방사선영상해독력(엑스선감쇠개념, 대조도개념, 윈도우닝개념, 3차원해독력), 수업만족도(흥미도, 외부추천도, 수업몰입도)를 5점 리커트 척도로 무기명 자기 기입방식으로 설문조사하였다. 그 결과 모든 평가항목이 남녀 간의 유의한 차이 없이 높은 긍정적인 효과가 있었다. 블라인드박스를 이용한 실습교육은 3D 프린팅 기술을 활용한 방사선교육공학의 의미있는 사례로써 학생들의 문제해결능력 향상과 전공과목의 만족도를 증대시키는 콘텐츠로 활용되기를 기대한다.

• Tuberculosis and Respiratory Diseases
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• 제57권6호
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• pp.515-521
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• 2004

With the increasing resolution of modern CT scanners, analysis of the larger numbers of images acquired in a lung screening exam or diagnostic study is necessary, which also needs high accuracy and reproducibility. Recent developments in the computerized analysis of medical images are expected to aid radiologists and other healthcare professional in various diagnostic tasks of medical image interpretation. This article is to provide a brief overview of some of computer-aided diagnosis schemes in chest CT.

• Journal of Korean Neurosurgical Society
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• 제53권1호
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• pp.39-42
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• 2013

Objective : Obtaining real-time image is essential for neurosurgeons to minimize invasion of normal brain tissue and to prompt diagnosis of intracranial event. The aim of this study was to report our three-year experience with a mobile computed tomography (mCT) for intraoperative and bedside scanning. Methods : A total of 357 mCT (297 patients) scans from January 2009 to December 2011 in single institution were reviewed. After excluding postoperative routine follow-up, 202 mCT were included for analysis. Their medical records such as diagnosis, clinical application, impact on decision making, times, image quality and radiologic findings were assessed. Results : Two-hundred-two mCT scans were performed in the operation room (n=192, 95%) or intensive care unit (ICU) (n=10, 5%). Regarding intraoperative images, extent of resection of tumor (n=55, 27.2%), degree of hematoma removal (n=42, 20.8%), confirmation of catheter placement (n=91, 45.0%) and monitoring unexpected complications (n=4, 2.0%) were evaluated. A total of 14 additional procedures were introduced after confirmation of residual tumor (n=7, 50%), hematoma (n=2, 14.3%), malpositioned catheter (n=3, 21.4%) and newly developed intracranial events (n=2, 14.3%). Every image was obtained within 15 minutes and image quality was sufficient for interpretation. Conclusion : mCT is feasible for prompt intraoperative and ICU monitoring with enhanced diagnostic certainty, safety and efficiency.

• 대한의용생체공학회:의공학회지
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• 제24권2호
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• pp.61-68
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• 2003

본 논문에서는 의학적 진단 및 처치 방법의 결정에 중요한 역할을 하는 뇌경색 환자의 각 시기별 특징을 정량화하기 위해 3 가지 MRI 촬영기법을 이용하여 획득한 영상의 특징과 그들의 상관관계들을 객체중심 계층적계획기법을 이용하여 분석하였다. 3 가지 영상의 비교를 위하여 다항워핑 알고리즘과 어파인 변환기법을 수행하여 영상을 정합하였으며, 정합된 영상을 기반으로 뇌경색 시기별 정량화를 수행하였다. 그리고 각 시기별로 색을 설정하여 수 작업으로 얻어진 데이터를 바탕으로 의사 컬러로 나타내었다. 본 연구에서 구한 뇌경색 시기별 정량화 자료를 바탕으로 구분된 결과와 전문의가 판단한 결과를 비교하였다.