• 제목/요약/키워드: Monitoring scan

검색결과 113건 처리시간 0.028초

Superimposed Propionibacterium Acnes Subdural Empyema in a Patient with Chronic Subdural Hematoma

  • Kim, Jong-Hun;Lee, Chul-Hee;Hwang, Soo-Hyun;Kang, Dong-Ho
    • Journal of Korean Neurosurgical Society
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    • 제45권1호
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    • pp.53-56
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    • 2009
  • The authors present a case of subdural empyema in a macrocephalic patient. A 23-year-old male was admitted due to headache and fever. One month ago, he had mild head injury by his coworkers. Physical examination showed a macrocephaly and laboratory findings suggested purulent meningitis. Neuroimaging studies revealed a huge size of epidural space-occupying lesion. Under the impression of epidural abscess, operation was performed. Eventually, the lesion was located at subdural space and was proven to be subdural empyema. Later, histological examination of the specimen obtained by surgery demonstrated finings consistent with the capsule of the chronic subdural hematoma. Two weeks after operation, Propionibacterium acnes was isolated. The intravenous antibiotics were used for total of eight weeks under monitoring of the serum level of the C-reactive protein. Follow-up brain computed tomography (CT) scan showed the presence of significant amount of remaining subdural lesion. However, he has complained of minimal discomfort. It is suggested that the subdural empyema occurred with preexisting chronic subdural hematoma after head injury about one month prior to admission and it took a long time to treat Propionibacterium acnes subdural empyema with systemic antibiotics, at least over eight weeks.

위암에시 PET의 임상적 역할 (Role of PET Scan in Gastric Cancer as a Diagnostic Tool)

  • 천기정;김병일;임상무
    • 대한위암학회:학술대회논문집
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    • 대한위암학회 2002년도 제14회 추계학술대회
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    • pp.24-33
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    • 2002
  • Clinical application of positron emission tomography (PET) is rapidly increasing for the detection and staging of cancer at whole-body studies performed with the glucose analogue tracer 2-[fluorine-18]fluoro-2-deoxy-D-glucose (FDG). Although FDG PET cannot match the anatomic resolution of conventional imaging techniques in gastrointestinal and abdominal organs, it is particularly useful for identification and characterization of whole body at the same time. FDG PET can show foci of metastatic disease that may not be apparent at conventional anatomic imaging and can aid in the characterization of indeterminate soft-tissue masses. Most gastrointestinal cancer need to surgical management. FDG PET can improve the selection of patients for surgical treatment and thereby reduce the morbidity and mortality associated with inappropriate surgery. FDG PET is also useful for the early detection of recurrence and the monitoring of therapeutic effect. The gastrointestinal cancers, such as gastroeso-phageal cancer, colorectal cancer, liver cancer and pancreatic cancer, are common malignancies in Korea. PET is one of the most promising and useful methodology for the management of gastric cancer as well as other gastrointestinal cancers.

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Performance Evaluation of CT Using Visible Scintillation Light

  • Kodama, Kiyoyuki;Hashimoto, Masatoshi;Hanada, Takashi;Suzuki, Tamotsu;Ide, Tatsuya;Maruyama, Koichi
    • 한국의학물리학회:학술대회논문집
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    • 한국의학물리학회 2002년도 Proceedings
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    • pp.464-467
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    • 2002
  • We propose the use of visible scintillation light for monitoring the X-ray CT in the gantry of a diagnostic CT for its performance test and maintenance works. We placed a disk of bare plastic scintillator disk in the gantry opening area of a helical X-ray CT. When we operated the CT, we could observe the emission of blue scintillation light from the scintillator in a dark room. Visible light was identified under all scanning conditions of diagnostic uses. As a result, we observed the direction and the spread of the incident X-ray in the scintillator. We also observed the change of the part of the scintillator where visible light was generated, and the move that took place associating with the rotation of the X-ray tube during one CT scan. On the basis of the observation, we examined the usefulness of the visible scintillation light as a convenient performance-evaluating tool as well as a maintenance tool of the CT.

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위암에서 PET의 임상적 역할 (Role of PET Scan in Gastric Cancer as a Diagnostic Tool)

  • 천기정;김병일;임상무
    • Journal of Gastric Cancer
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    • 제2권4호
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    • pp.184-190
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    • 2002
  • Clinical application of positron emission tomography (PET) is rapidly increasing for the detection and staging of cancer at whole-body studies performed with the glucose analogue tracer 2-[fluorine-18]fluoro-2-deoxy-D-glucose (FDG). Although FDG PET cannot match the anatomic resolution of conventional imaging techniques in gastrointestinal and abdominal organs, it is particularly useful for identification and characterization of whole body at the same time. FDG PET can show foci of metastatic disease that may not be apparent at conventional anatomic imaging and can aid in the characterization of indeterminate soft-tissue masses. Most gastrointestinal cancer need to surgical management. FDG PET can improve the selection of patients for surgical treatment and thereby reduce the morbidity and mortality associated with inappropriate surgery. FDG PET is also useful for the early detection of recurrence and the monitoring of therapeutic effect. The gastrointestinal cancers, such as gastroesophageal cancer, colorectal cancer, liver cancer and pancreatic cancer, are common malignancies in Korea. PET is one of the most promising and useful methodology for the management of gastric cancer as well as other gastrointestinal cancers.

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적응 디지털 필터 기반의 MRI Cardiac Gating을 위한 심전도 신호의 MR Gradient 잡음 최소화 방법 (Minimizing MR Gradient Artefacts on ECG Signals for Cardiac Gating based on an Adaptive Digital Filter)

  • 박호동;장봉렬;이경중
    • 대한전자공학회:학술대회논문집
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    • 대한전자공학회 2006년도 하계종합학술대회
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    • pp.817-818
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    • 2006
  • In Magnetic Resonance Imaging(MRI), the QRS complex of ECG is used as a trigger signal for MRI scan. But, gradient and RF(radio frequency) artifacts which are caused to static and dynamic field in MRI scanner cause interference in the ECG. Also, the signal shape of theses artifacts can be similar to the QRS-complex, causing possible misinterpretation during patient monitoring and false gating of the MRI. In case of using general FIR or IIR band-pass filters for minimizing the artifacts, artifact-reduction-ratio is not excellent. So, an adaptive real-time digital filter is proposed for reduction of noise by gradient and RF(radio frequency) artifacts. The proposed filter for MRI-Gating is based on the noise-canceller with NLMS(Normalized Least Mean Square) algorithm. The reference signals of the adaptive noise canceller are a combination of the noisy three channel ECG signals. In conclusions, the proposed method showed the acceptable quality of ECG signal with sufficient SNR for gating the MRI and possibility of real time implementation.

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Advanced signal processing for enhanced damage detection with piezoelectric wafer active sensors

  • Yu, Lingyu;Giurgiutiu, Victor
    • Smart Structures and Systems
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    • 제1권2호
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    • pp.185-215
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    • 2005
  • Advanced signal processing techniques have been long introduced and widely used in structural health monitoring (SHM) and nondestructive evaluation (NDE). In our research, we applied several signal processing approaches for our embedded ultrasonic structural radar (EUSR) system to obtain improved damage detection results. The EUSR algorithm was developed to detect defects within a large area of a thin-plate specimen using a piezoelectric wafer active sensor (PWAS) array. In the EUSR, the discrete wavelet transform (DWT) was first applied for signal de-noising. Secondly, after constructing the EUSR data, the short-time Fourier transform (STFT) and continuous wavelet transform (CWT) were used for the time-frequency analysis. Then the results were compared thereafter. We eventually chose continuous wavelet transform to filter out from the original signal the component with the excitation signal's frequency. Third, cross correlation method and Hilbert transform were applied to A-scan signals to extract the time of flight (TOF) of the wave packets from the crack. Finally, the Hilbert transform was again applied to the EUSR data to extract the envelopes for final inspection result visualization. The EUSR system was implemented in LabVIEW. Several laboratory experiments have been conducted and have verified that, with the advanced signal processing approaches, the EUSR has enhanced damage detection ability.

Experimental Evaluation of Scattered X-Ray Spectra due to X-Ray Therapeutic and Diagnosis Equipment for Eye Lens Dosimetry of Medical Staff

  • Kowatari, Munehiko;Nagamoto, Keisuke;Nakagami, Koich;Tanimura, Yoshihiko;Moritake, Takashi;Kunugita, Naoki
    • Journal of Radiation Protection and Research
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    • 제47권1호
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    • pp.39-49
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    • 2022
  • Background: For proper monitoring of the eye lens dose, an appropriate calibration factor of a dosimeter and information about the mean energies of X-rays are indispensable. The scattered X-ray energy spectra should be well characterized in medical practices where eye lenses of medical staffs might be high. Materials and Methods: Scattered X-ray energy spectra were experimentally derived for three different types of X-ray diagnostic and therapeutic equipment, i.e., the computed tomography (CT) scan, the angiography and the fluoroscopy. A commercially available CdZnTe (CZT) spectrometer with a lead collimator was employed for the measurement of scattered X-rays, which was performed in the usual manner. Results and Discussion: From the obtained energy spectra, the mean energies of the scattered X-rays lied between 40 and 60 keV. This also agreed with that obtained by the conventional half value layer method. Conclusion: The scattered X-rays to which medical workers may be exposed in the region around the eyes were characterized by means of spectrometry. The obtained mean energies of the scattered X-rays were found to match the flat region of the dosimeter response.

Change points detection for nonstationary multivariate time series

  • Yeonjoo Park;Hyeongjun Im;Yaeji Lim
    • Communications for Statistical Applications and Methods
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    • 제30권4호
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    • pp.369-388
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    • 2023
  • In this paper, we develop the two-step procedure that detects and estimates the position of structural changes for multivariate nonstationary time series, either on mean parameters or second-order structures. We first investigate the presence of mean structural change by monitoring data through the aggregated cumulative sum (CUSUM) type statistic, a sequential procedure identifying the likely position of the change point on its trend. If no mean change point is detected, the proposed method proceeds to scan the second-order structural change by modeling the multivariate nonstationary time series with a multivariate locally stationary Wavelet process, allowing the time-localized auto-correlation and cross-dependence. Under this framework, the estimated dynamic spectral matrices derived from the local wavelet periodogram capture the time-evolving scale-specific auto- and cross-dependence features of data. We then monitor the change point from the lower-dimensional approximated space of the spectral matrices over time by applying the dynamic principal component analysis. Different from existing methods requiring prior information on the type of changes between mean and covariance structures as an input for the implementation, the proposed algorithm provides the output indicating the type of change and the estimated location of its occurrence. The performance of the proposed method is demonstrated in simulations and the analysis of two real finance datasets.

갑상선 전절제술 과거력이 있는 부갑상선 선종 환자에서 수술 중 초음파 검사를 이용한 최소침습 부갑상선 절제술 1예 (Minimally Invasive Parathyroidectomy using Intraoperative Ultrasonography in Parathyroid Adenoma Patients with a History of Total Thyroidectomy)

  • 남윤빈;정현택;이상목;김지훈
    • 대한두경부종양학회지
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    • 제39권2호
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    • pp.27-30
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    • 2023
  • A 65-year-old patient who underwent total thyroidectomy 10 years ago was suspected of having a parathyroid adenoma, and minimally invasive parathyroidectomy was planned. Preoperative ultrasonography(USG) and 99mTc MIBI scan indicated a left lower parathyroid lesion. In the first operation, intraoperative parathyroid hormone monitoring (IOPTH) was not possible due to hospital circumstances. Although no adenomatous lesion was found in the expected surgical field, surgery was completed after removing lesions around the left lower parathyroid gland. However, post-surgery, parathyroid hormone did not decrease at all, so a second operation was performed with IOPTH preparation. In the second operation, intraoperative ultrasonography was performed, and a suspected adenoma lesion was removed from the left upper lesion. He has been under follow-up for 3 years without complications. Surgeon-peformed intraoperative USG and preoperative scintigraphy had advantages in determining the localization of parathyroid lesion even withiout IOPTH.

전방위 감시와 영상추적이 가능한 화재감시시스템에 관한 연구 (The Study on the Fire Monitoring Dystem for Full-scale Surveillance and Video Tracking)

  • 백동현
    • 한국화재소방학회논문지
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    • 제32권6호
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    • pp.40-45
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    • 2018
  • 전방위 감시카메라에는 어안렌즈를 이용하여 광대역감시가 가능하도록 물체감지알고리즘으로 물체를 단위별 레벨링한 다음 전방위 감시카메라와 추적(PTZ)카메라로 구성된 시스템으로 연동하여 현장실험한 것이다. 전방위 감시카메라가 움직이는 물체를 정확히 감지하며 사각표시를 하였고 추적카메라와 유기적으로 연동하며 확대 추적하였다. 감지카메라와 화염감지 및 온도에 대한 현장실험에서는 오토스캔 중 화염이 감지되면 멈추며, 해당 화점부분을 화면의 중심부분으로 이동시켜 온도가 표출되었다. 또한 화염이격거리별 검지에 필요한 발열량의 인정기준인 1 km 2,340 kcal를 초과한 1.5 km에서도 가능하였다. 거리에 따른 화염감지성능시험에서는 거리 1 km일 때 폭 56 cm ${\times}$ 높이 90 cm를 초과한 1.5 km에서도 가능하여 산불화재에도 적응성이 충분하였다. 향후 석유 가스비축시설 및 저유소에 설치하면 자체는 물론 주위 화재예방 및 침입감시 등의 안전에 매우 유용할 것으로 기대된다.