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Leukoaraiosis on Magnetic Resonance Imaging Is Related to Long-Term Poor Functional Outcome after Thrombolysis in Acute Ischemic Stroke

  • Choi, Jae-Hyung;Bae, Hyo-Jin;Cha, Jae-Kwan
    • Journal of Korean Neurosurgical Society
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    • v.50 no.2
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    • pp.75-80
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    • 2011
  • Objective : Leukoaraiosis (LA) has been suggested to be related to the poor outcome or the occurrence of symptomatic intracerebral hemorrhage (sICH) after acute ischemic stroke. We retrospectively investigated the influences of LA on long-term outcome and the occurrence of sICH after thrombolysis in acute ischemic stroke (AIS). Methods : In this study, we recruited 164 patients with AIS and magnetic resonance image (MRI)-detected thrombolysis. The presence and extent of LA were assessed using the Fazekas grading system. The National Institutes of Health Stroke Scale score was used to assess the baseline measure of neurologic severity, and the modified Rankin Scale score assessment was used up to 1 year after thrombolysis. Results : Of 164 subjects, 56 (34.2%) showed LA on MRI. Compared to the 108 patients without LA, the patients with LA were of much older age (p<0.01), had a higher prevalence of hypertension (p<0.01), and had a much poorer outcome at 90 days (p=0.05) and 1 yr (p=0.01) after thrombolysis. There were no significant differences in sICH between patients with and without LA on MRI. In univariate analysis for the occurrence of poor outcome at 90 days after thrombolysis, the size of ischemic lesion on diffusion weighted images (DWI), [odds ratio (OR), 1.03; 95% confidence interval (95% CI), 1.01-1.04; p<0.01], recanalization (OR, 0.03; 95% CI, 0.01-0.10; p<0.01), sICH (OR, 12.2; 95% CI, 1.54-95.8), neurologic severity (OR, 1.17; 95% CI, 1.09-1.25; p<0.01), blood glucose level (OR, 1.01; 95% CI, 1.00-1.02; p=0.03), and the presence of LA on MRI (OR, 2.01; 95% CI, 1.04-3.01; p=0.04) were statistically significant. In multivariate analysis, neurologic severity (OR, 1.14; 95% CI, 1.04-1.24; p<0.01), recanalization (OR, 0.03; 95% CI, 0.01-0.11; p<0.01), lesion size on DWI (OR, 1.02; 95% CI, 1.01-1.03; p=0.02), serum glucose level (OR, 1.01; 95% CI; 1.01-1.02; p=0.03), and the presence of LA on MRI (OR, 3.2; 95% CI, 1.22-8.48; p<0.01) showed statistically significant differences. These trends persisted up to 1 yr after thrombolysis. Conclusion : In this study, we demonstrated that the presence of LA on MRI might be related to poor outcome after use of intravenous tissue plasminogen activator in AIS.

Illuminant Color Estimation Method Using Valuable Pixels (중요 화소들을 이용한 광원의 색 추정 방법)

  • Kim, Young-Woo;Lee, Moon-Hyun;Park, Jong-Il
    • Journal of Broadcast Engineering
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    • v.18 no.1
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    • pp.21-30
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    • 2013
  • It is a challenging problem to most of the image processing when the light source is unknown. The color of the light source must be estimated in order to compensate color changes. To estimate the color of the light source, additional assumption is need, so that we assumed color distribution according to the light source. If the pixels, which do not satisfy the assumption, are used, the estimation fails to provide an accurate result. The most popular color distribution assumption is Grey-World Assumption (GWA); it is the assumption that the color in each scene, the surface reflectance averages to gray or achromatic color over the entire images. In this paper, we analyze the characteristics of the camera response function, and the effect of the Grey-World Assumption on the pixel value and chromaticity, based on the inherent characteristics of the light source. Besides, we propose a novel method that detects important pixels for the color estimation of the light source. In our method, we firstly proposed a method that gives weights to pixels satisfying the assumption. Then, we proposed a pixel detection method, which we modified max-RGB method, to apply on the weighted pixels. Maximum weighted pixels in the column direction and row direction in one channel are detected. The performance of our method is verified through demonstrations in several real scenes. Proposed method better accurately estimate the color of the light than previous methods.

A Study on Dose Distribution Programs in Gamma Knife Stereotactic Radiosurgery (감마나이프 방사선 수술 치료계획에서 선량분포 계산 프로그램에 관한 연구)

  • 고영은;이동준;권수일
    • Progress in Medical Physics
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    • v.9 no.3
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    • pp.175-184
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    • 1998
  • The dose distribution evaluation program for the stereotactic radiosurgery treatment planning system using a gamma knife has been built in order to work on PC. And this custom-made dose distribution is compared with that of commercial treatment planning program. 201 source position of a radiation unit were determined manually using a gamma knife collimator draft and geometrical coordinates. Dose evaluation algorithm was modified for our purpose from the original KULA, a commercial treatment planning program. With the composed program, dose distribution at the center of a spherical phantom, 80 mm in diameter, was evaluated into axial, coronal and sagittal image per each collimator. Along with this evaluated data, the dose distribution at a arbitrary point of inside the phantom was compared with those from KULA. Radiochromic film was set up at the center of the phantom and was irradiated by gamma knife, for the verification of dose distribution. In result, the deviation of the dose distribution from that of KULA is less than ${\pm}$3%, which is equivalent to ${\pm}$0.3 mm in 50% isodose distribution for all examined coordinates and film verification. The custom-made program, GPl is proven to be a good tool for the stereotactic radiosurgery treatment planning program.

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The Usefulness of Three-phase Bone Scan and Thermography for Making the Diagnosis of CRPS-I (제1형 복합부위 통증증후군의 진단에서 적외선 체열측정과 3상 골스캔의 유용성)

  • Park, Sang Hyun;Lee, Pyung Bok;Lim, Yun Hee;Lee, Seung Yoon;Choi, In Yong;Lee, Sang Jin;Oh, Yong Seok
    • The Korean Journal of Pain
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    • v.19 no.1
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    • pp.81-86
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    • 2006
  • Background: Complex regional pain syndrome (CRPS) is a painful and disabling disease, yet the diagnosis of this can be difficult to confirm by purely objective measures. Therefore, we performed three-phasic bone scans and thermography as a work up in order to determine their predictive value and usefulness for making the diagnosis of CRPS. Methods: 44 patients who had been diagnosed with CRPS type-1, according to the modified criteria, were evaluated. All the patients were examined by performing a three-phasic bone scan and thermography as part of a work-up for diagnostic confirmation. The diffuse increased tracer uptake in the delayed image (phase III) was estimated by the positive findings. The findings were considered positive for CRPS if the thermographic findings showed temperature asymmetries between the affected and non- affected extremities of more than $1.00^{\circ}C$ Results: A review of the three-phasic bone scan for 44 patients indicated that 16 patients (36.4%) had diffusely positive scans, and thermographic abnormalities were noted in 35 of 44 patients (79.5%). Conclusions: The use of thermography in clinical settings can play an important role in the diagnosis of CRPS. However, a three-phasic bone scan alone cannot provide a completely accurate diagnosis, so it is imperative that the three-phasic bone scan data be integrated with the clinical evaluation and the other relevant tests.

Performance Improvement of Near Earth Space Survey (NESS) Wide-Field Telescope (NESS-2) Optics

  • Yu, Sung-Yeol;Yi, Hyun-Su;Lee, Jae-Hyeob;Yim, Hong-Suh;Choi, Young-Jun;Yang, Ho-Soon;Lee, Yun-Woo;Moon, Hong-Kyu;Byun, Yong-Ik;Han, Won-Yong
    • Journal of Astronomy and Space Sciences
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    • v.27 no.2
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    • pp.153-160
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    • 2010
  • We modified the optical system of 500 mm wide-field telescope of which point spread function showed an irregularity. The telescope has been operated for Near Earth Space Survey (NESS) located at Siding Spring Observatory (SSO) in Australia, and the optical system was brought back to Korea in January 2008. After performing a numerical simulation with the tested value of surface figure error of the primary mirror using optical design program, we found that the surface figure error of the mirror should be fabricated less than root mean square (RMS) $\lambda$/10 in order to obtain a stellar full width at half maximum (FWHM) below $28\;{\mu}m$. However, we started to figure the mirror for the target value of RMS $\lambda$/20, because system surface figure error would be increased by the error induced by the optical axis adjustment, mirror cell installation, and others. The radius of curvature of the primary mirror was 1,946 mm after the correction. Its measured surface figure error was less than RMS $\lambda$/20 on the table of polishing machine, and RMS $\lambda$/15 after installation in the primary mirror cell. A test observation performed at Daeduk Observatory at Korea Astronomy and Space Science Institute by utilizing the exiting mount, and resulted in $39.8\;{\mu}m$ of stellar FWHM. It was larger than the value from numerical simulation, and showed wing-shaped stellar image. It turned out that the measured-curvature of the secondary mirror, 1,820 mm, was not the same as the designed one, 1,795.977 mm. We fabricated the secondary mirror to the designed value, and finally obtained a stellar FWHM of $27\;{\mu}m$ after re-installation of the optical system into SSO NESS Observatory in Australia.

An Implementation of 3D Graphic Accelerator for Phong Shading (퐁 음영법을 위한 3차원 그래픽 가속기의 구현)

  • Lee, Hyung;Park, Youn-Ok;Park, Jong-Won
    • Journal of Korea Multimedia Society
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    • v.3 no.5
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    • pp.526-534
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    • 2000
  • There have been many researches on the 3D graphic accelerator for high speed by needs of CAD/CAM,3D modeling, virtual reality or medical image. In this paper, an SIMD processor architecture for 3D graphic accelerator is proposed in order to improve the processing time of the 3D graphics, and a parallel Phong shading algorithm is presented to estimate performance of the proposed architecture. The proposed SIMD processor architecture for 3D graphic accelerator consists of PCI local bus interface, 16 Processing Elements (PE's), and Park's multi-access memory system (NAMS) that has 17 memory modules. A serial algorithm for Phong shading is modified for the architecture and the main key is to divide a polygon into $4\times{4}$ squares. And, for processing a square, 4 PE's are regarded as a PE Grou logically. Since MAMS can support block access type with interval 1, it is possible that 4 PE Groups process a square at a time. In consequence, 16 pixels are processed simultaneously. The proposed SIMD processor architecture is simulated by CADENCE Verilog-XL that is a package for the hardware simulation. With the same simulated results as that of the serial algorithm, the speed enhancement by the parallel algorithm to the serial one is 5.68.

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REMOTE SENSING AND GIS INTEGRATION FOR HOUSE MANAGEMENT

  • Wu, Mu-Lin;Wang, Yu-Ming;Wong, Deng-Ching;Chiou, Fu-Shen
    • Proceedings of the KSRS Conference
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    • v.2
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    • pp.551-554
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    • 2006
  • House management is very important in water resource protection in order to provide sustainable drinking water for about four millions population in northern Taiwan. House management can be a simple job that can be done without any ingredient of remote sensing or geographic information systems. Remote sensing and GIS integration for house management can provide more efficient management prescription when land use enforcement, soil and water conservation, sewage management, garbage collection, and reforestation have to be managed simultaneously. The objective of this paper was to integrate remote sensing and GIS to manage houses in a water resource protection district. More than four thousand houses have been surveyed and created as a house data base. Site map of every single house and very detail information consisting of address, ownership, date of creation, building materials, acreages floor by floor, parcel information, and types of house condition. Some houses have their photos in different directions. One house has its own card consists these information and these attributes were created into a house data base. Site maps of all houses were created with the same coordinates system as parcel maps, topographic maps, sewage maps, and city planning maps. Visual Basic.NET, Visual C#.NET have been implemented to develop computer programs for house information inquiry and maps overlay among house maps and other GIS map layers. Remote sensing techniques have been implemented to generate the background information of a single house in the past 15 years. Digital orthophoto maps at a scale of 1:5000 overlay with house site maps are very useful in determination of a house was there or not for a given year. Satellite images if their resolutions good enough are also very useful in this type of daily government operations. The developed house management systems can work with commercial GIS software such as ArcView and ArcPad. Remote sensing provided image information of a single house whether it was there or not in a given year. GIS provided overlay and inquiry functions to automatically extract attributes of a given house by ownership, address, and so on when certain house management prescriptions have to be made by government agency. File format is the key component that makes remote sensing and GIS integration smoothly. The developed house management systems are user friendly and can be modified to meet needs encountered in a single task of a government technician.

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ZnO nanostructures for e-paper and field emission display applications

  • Sun, X.W.
    • 한국정보디스플레이학회:학술대회논문집
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    • 2008.10a
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    • pp.993-994
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    • 2008
  • Electrochromic (EC) devices are capable of reversibly changing their optical properties upon charge injection and extraction induced by the external voltage. The characteristics of the EC device, such as low power consumption, high coloration efficiency, and memory effects under open circuit status, make them suitable for use in a variety of applications including smart windows and electronic papers. Coloration due to reduction or oxidation of redox chromophores can be used for EC devices (e-paper), but the switching time is slow (second level). Recently, with increasing demand for the low cost, lightweight flat panel display with paper-like readability (electronic paper), an EC display technology based on dye-modified $TiO_2$ nanoparticle electrode was developed. A well known organic dye molecule, viologen, was adsorbed on the surface of a mesoporous $TiO_2$ nanoparticle film to form the EC electrode. On the other hand, ZnO is a wide bandgap II-VI semiconductor which has been applied in many fields such as UV lasers, field effect transistors and transparent conductors. The bandgap of the bulk ZnO is about 3.37 eV, which is close to that of the $TiO_2$ (3.4 eV). As a traditional transparent conductor, ZnO has excellent electron transport properties, even in ZnO nanoparticle films. In the past few years, one-dimension (1D) nanostructures of ZnO have attracted extensive research interest. In particular, 1D ZnO nanowires renders much better electron transportation capability by providing a direct conduction path for electron transport and greatly reducing the number of grain boundaries. These unique advantages make ZnO nanowires a promising matrix electrode for EC dye molecule loading. ZnO nanowires grow vertically from the substrate and form a dense array (Fig. 1). The ZnO nanowires show regular hexagonal cross section and the average diameter of the ZnO nanowires is about 100 nm. The cross-section image of the ZnO nanowires array (Fig. 1) indicates that the length of the ZnO nanowires is about $6\;{\mu}m$. From one on/off cycle of the ZnO EC cell (Fig. 2). We can see that, the switching time of a ZnO nanowire electrode EC cell with an active area of $1\;{\times}\;1\;cm^2$ is 170 ms and 142 ms for coloration and bleaching, respectively. The coloration and bleaching time is faster compared to the $TiO_2$ mesoporous EC devices with both coloration and bleaching time of about 250 ms for a device with an active area of $2.5\;cm^2$. With further optimization, it is possible that the response time can reach ten(s) of millisecond, i.e. capable of displaying video. Fig. 3 shows a prototype with two different transmittance states. It can be seen that good contrast was obtained. The retention was at least a few hours for these prototypes. Being an oxide, ZnO is oxidation resistant, i.e. it is more durable for field emission cathode. ZnO nanotetropods were also applied to realize the first prototype triode field emission device, making use of scattered surface-conduction electrons for field emission (Fig. 4). The device has a high efficiency (field emitted electron to total electron ratio) of about 60%. With this high efficiency, we were able to fabricate some prototype displays (Fig. 5 showing some alphanumerical symbols). ZnO tetrapods have four legs, which guarantees that there is one leg always pointing upward, even using screen printing method to fabricate the cathode.

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Petrophysical Joint Inversion of Seismic and Electromagnetic Data (탄성파 탐사자료와 전자탐사자료를 이용한 저류층 물성 동시복합역산)

  • Yu, Jeongmin;Byun, Joongmoo;Seol, Soon Jee
    • Geophysics and Geophysical Exploration
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    • v.21 no.1
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    • pp.15-25
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    • 2018
  • Seismic inversion is a high-resolution tool to delineate the subsurface structures which may contain oil or gas. On the other hand, marine controlled-source electromagnetic (mCSEM) inversion can be a direct tool to indicate hydrocarbon. Thus, the joint inversion using both EM and seismic data together not only reduces the uncertainties but also takes advantage of both data simultaneously. In this paper, we have developed a simultaneous joint inversion approach for the direct estimation of reservoir petrophysical parameters, by linking electromagnetic and seismic data through rock physics model. A cross-gradient constraint is used to enhance the resolution of the inversion image and the maximum likelihood principle is applied to the relative weighting factor which controls the balance between two disparate data. By applying the developed algorithm to the synthetic model simulating the simplified gas field, we could confirm that the high-resolution images of petrophysical parameters can be obtained. However, from the other test using the synthetic model simulating an anticline reservoir, we noticed that the joint inversion produced different images depending on the model constraint used. Therefore, we modified the algorithm which has different model weighting matrix depending on the type of model parameters. Smoothness constraint and Marquardt-Levenberg constraint were applied to the water-saturation and porosity, respectively. When the improved algorithm is applied to the anticline model again, reliable porosity and water-saturation of reservoir were obtained. The inversion results indicate that the developed joint inversion algorithm can be contributed to the calculation of the accurate oil and gas reserves directly.

Correlates of Lymphedema in Women with Breast Cancer: a Case Control Study in Shiraz, Southern Iran

  • Honarvar, Behnam;Sayar, Negin;Tahmasebi, Sedigheh;Zakeri, Zeinab;Talei, Asra;Rostami, Sara;Khademi, Sahar;Sarvestani, Amene Sabzi;Sekhavati, Eghbal
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.sup3
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    • pp.81-85
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    • 2016
  • Globally, the burden of breast cancer (BC) continues to increase. BC related lymphedema (BCRL) is currently non curable and as a life time risk it affects at least 25% of BC patients. Knowing more about BCRL and appropriate control of its modifiable risk factors can improve quality of life (QOL) of the affected patients. In this case control study to detect factors, 400 women with BCRL (as the case group) and 283 patients with BC without lymphedema (as the control group) that were referred to Shiraz University of Medical Sciences affiliated BC clinic center were assessed. The data were analyzed in SPSS. The mean age of the case group was $52.3{\pm}11.0years$ and of the control group was $50.1{\pm}10.9years$. In patients with BCRL, 203(50.7%) had left (Lt) side BC and in non- lymphedema group 151 (53.3%) had Lt side BC. Out of all BCRL patients, 204 (51%) had lymphedema in all parts of their affected upper extremities, 100 (25%) had swelling in the arm and forearm and 23 (5.7%) had edema in both the upper extremity and trunk. Edema, heaviness, concern about changing body image, pain and paresthesia were the most common signs/symptoms among patients with BCRL. In BCRL patients, the difference of circumference between the affected upper limb and non-affected limb was $4.4{\pm}2.5cm$ and the difference in volume displacement was $528.7{\pm}374.4milliliters$. Multiple variable analysis showed that moderate to severe activity (OR; odds ratio =14, 95% CI :2.6-73.3), invasiveness of BC (OR =13.7, 95% CI :7.3-25.6), modified radical mastectomy (OR=4.3, 95% CI :2.3-7.9), BMI =>25 (OR=4.2, 95% CI :2-8.7), radiotherapy (OR=3.9, 95% CI :1.8-8.2), past history of limb damage (OR=1.7, 95% CI :0.9-3.1) and the number of excised lymph nodes (OR=1.06, 95% CI :1.02-1.09) were the significant predictors of lymphedema in women with BC. Modifiable risk factors of BCRL such as non-guided moderate to severe physical activity, high BMI and trauma to the limb should be controlled as early as possible in BC patients to prevent development of BCRL and improve QOL of these patients.