• 제목/요약/키워드: Point of care ultrasound

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현장 진단 응용을 위한 모바일 초음파 스캐너 개발 (Development of a Mobile Ultrasound Scanner for Point-of-care Applications)

  • 조정;손학렬;김기덕;송재희;송태경
    • 대한의용생체공학회:의공학회지
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    • 제30권1호
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    • pp.66-78
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    • 2009
  • A mobile ultrasound scanner developed for use in point-of-care applications is introduced, which can not only provide ultrasound images but can also measure various bio-signals. The mobile ultrasound scanner is also designed to meet the demanding requirements for point-of-care diagnosis, such as battery-powered operation, portability in terms of size and weigh, and real-time wireless communications capability for remote diagnosis. To meet these requirements, an efficient beamforming method for high resolution imaging with a small number of active elements, a hardware efficient beamformer architecture, and echo processing algorithms with greatly reduced computational complexity have been developed. Experimental results show that the prototype mobile ultrasound scanner is fully functional and satisfies most of the design requirements.

Ultrasonographic Assessment of the Cutaneous Changes Induced by Topical Use of Novel Peptides Comprising Laminin 5

  • Park, Kyong Chan;Kim, Se Young;Khan, Galina;Park, Eun Soo
    • Archives of Plastic Surgery
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    • 제49권3호
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    • pp.304-309
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    • 2022
  • Background Laminin 5, which is found in the basement membrane of dermal-epidermal junction (DEJ), is a major adhesive component and associated with proliferating and migrating keratinocytes. In this study, we hypothesized that the topical application of the skin care products containing the novel peptides might restore the DEJ structure by deriving deposition of laminin 5 and promoting the keratinocyte migration. Here, we evaluated the restoration of DEJ by measuring the skin thickness. Methods Single-center retrospective analysis was performed on a total of 13 patients who underwent skin care using Baume L.C.E. (France, Laboratories d' Anjou) between January and March 2021. All patients applied the skin care agent for 2 weeks only on their left hand dorsum. Before the initiation of the application and after 2 weeks, both their hands were evaluated on photography and ultrasound. And the patients were asked to rate their satisfaction with the questionnaire after 2 weeks. Results There was no obvious improvement in photographic assessment and questionnaire. The post-pre difference of skin thickness in ultrasound images was, in left hand, 0.1 ± 0.37 in distal point and 0.1 ± 0.35 in proximal point; and, in right hand, 0 ± 0.17 in distal point and 0 ± 0.15 in proximal point, respectively. The pre-post difference was statistically significant in proximal point (p = 0.035). Conclusion Topical application of novel peptide derivative comprising laminin 5 demonstrated cutaneous changes including skin thickness, as assessed by ultrasound. Further studies using other modalities including dermal density measurement, three-dimensional photography, optical coherence tomography, or skin biopsy would be helpful to determine the skin-improving effects.

Is a Training Program in Pediatric Abdominal Ultrasonography Necessary for Pediatricians?

  • Soon Chul Kim
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제27권6호
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    • pp.333-335
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    • 2024
  • Despite being an essential specialty, pediatrics in South Korea faces the threat of collapse. While the declining birth rate is an important contributor to the decrease in the pediatric population, a more critical issue lies in the dysfunctional healthcare system. Primary care pediatricians are troubled by the lack of patients, whereas tertiary care specialists are concerned about the shortage of doctors. Although the absolute number of pediatric specialists is not small, there is a scarcity of doctors willing to specialize in pediatrics. Recently, pediatric abdominal ultrasonography has been conducted in tertiary hospitals. However, there is an argument that this responsibility should be shifted to primary care pediatricians. As someone who has been performing pediatric abdominal ultrasound examinations for years, I am committed to educating pediatric specialists in this field. My aim is to contribute, albeit modestly, to improving the South Korean healthcare system.

개발도상국 모자보건 수준 향상을 위한 국제보건사업: 베트남 KOICA CTS 사례를 중심으로 (International Health Project for Improving the Level of Mother and Child Health in Developing Countries: Focusing on KOICA CTS Cases in Vietnam)

  • 정유찬;신재완
    • 적정기술학회지
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    • 제6권1호
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    • pp.45-50
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    • 2020
  • 우리는 전세계 최초로 무선 초음파 진단기를 개발하였다. 임산부의 원활한 출산을 위해 WHO에서는 4번의 사전 진찰을 받도록 하고 있으며, 이를 위해 초음파 진단기의 사용이 필수적이다. 하지만, 개발도상국의 소득수준과 의료시설은 이에 미치지 못하고 있다. 우리는 자체개발한 무선 초음파 진단기를 이용해 KOICA의 CTS 프로그램을 베트남에서 진행하였다. 우리는 베트남 흥화현 내 보건소 및 병원에 휴대용 무선 초음파 진단기인 Sonon300C를 보급하였고, 사업성과를 더욱 높이기 위한 노력으로 진단 교육과 실습을 병행하고 아웃리치(Outreach) 프로그램을 실시하였다. 그 결과, 해당 지역의 초음파 진단기 보급률은 100%를 달성하였고, 교육 수료인원 비율은 59%까지 끌어올리는 성과를 얻었다.

후두초음파의 임상적 활용 (Practical Approach of Laryngeal Ultrasonography)

  • 조우진
    • 대한후두음성언어의학회지
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    • 제29권1호
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    • pp.19-23
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    • 2018
  • Ultrasonography has increasingly moved from being a modality confined to the radiology department to an active diagnostic and therapeutic aid available to the head and neck at the point of patient care. However, the application of ultrasonography to the laryngeal disorder is very rare due to progressive age-related ossification of laryngeal cartilage and the presence of air in the lumen, which contribute to difficult conditions for transmission of the ultrasonic waves. The observation about the movements of larynx or surrounding structures is important to understand the physiology of phonation or swallowing and to diagnose the disease. Ultrasonography is a noninvasive and safe imaging technique that can be used to investigate the anatomic structures of the head and neck. Recently, the development of high-frequency ultrasonography makes it possible to apply the ultrasound in the evaluation of larynx.

Risk Factors for Predicting Hypoxia in Adult Patients Undergoing Bronchoscopy under Sedation

  • Choi, Ji Soo;Lee, Eun Hye;Lee, Sang Hoon;Leem, Ah Young;Chung, Kyung Soo;Kim, Song Yee;Jung, Ji Ye;Kang, Young Ae;Park, Moo Suk;Chang, Joon;Kim, Young Sam
    • Tuberculosis and Respiratory Diseases
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    • 제83권4호
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    • pp.276-282
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    • 2020
  • Background: Flexible bronchoscopy is one of the essential procedures for the diagnosis and treatment of pulmonary diseases. The purpose of this study was to identify the risk factors associated with the occurrence of hypoxia in adults undergoing flexible bronchoscopy under sedation. Methods: We retrospectively analyzed 2,520 patients who underwent flexible bronchoscopy under sedation at our tertiary care university hospital in South Korea January 1, 2013-December 31, 2014. Hypoxia was defined as more than 5%-point reduction in the baseline percutaneous oxygen saturation (SpO2) or SpO2 <90% for >1 minute during the procedure. Results: The mean age was 64.7±13.5, and 565 patients developed hypoxia during the procedure. The mean sedation duration and midazolam dose for sedation were 31.1 minutes and 3.9 mg, respectively. The bivariate analysis showed that older age, a low forced expiratory volume in one second (FEV1), use of endobronchial ultrasound, the duration of sedation, and the midazolam dose were associated with the occurrence of hypoxia during the procedure, while the multivariate analysis found that age >60 (odds ratio [OR], 1.32), a low FEV1 (OR, 0.99), and a longer duration of sedation (>40 minutes; OR, 1.33) were significant risk factors. Conclusion: The findings suggest that patients older than age 60 and those with a low FEV1 tend to develop hypoxia during the bronchoscopy under sedation. Also, longer duration of sedation (>40 minutes) was a significant risk factor for hypoxia.

지방 조직 유화를 위한 집속형 초음파 변환기 설계 및 제작에 관한 연구 (A Study on the Design and Fabrication of Fat Emulsification Adapted Focused Ultrasonic Transducer)

  • 김주영;김재영;정현두;노시철;문창수;문치웅;최흥호
    • 전자공학회논문지
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    • 제52권11호
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    • pp.127-134
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    • 2015
  • 초음파를 이용한 조직 자극 기법은 지속적으로 연구, 개발되고 있으며, 최근 미용 및 비만 치료에 대한 관심이 높아짐에 따라 초음파 지방 제거술에 대한 다양한 연구가 진행되고 있다. 본 연구에서는 초음파 지방 제거술을 위한 초음파 변환기를 설계하고, 조사조건에 따른 집속영역의 형태와 열 변성 영역을 시뮬레이션 하였다. 이를 통하여 제원을 검증하였으며, 제작된 변환기의 초음파 방사 특성 및 가열 특성을 측정하여 유효성을 평가하였다. 또한 복합 구조의 매질을 대상으로 초음파 가열 특성을 예측하였으며 제작된 변환기의 집속점 형태 및 가열 특성이 지방층을 충분히 유화시킬 수 있을 것으로 판단하였다. 본 연구의 결과는 보다 효율적이고 안전한 초음파 지방 제거술의 기초 연구로 활용될 것으로 사료된다.

1차원 배열 탐촉자의 방사빔추적기법을 이용한 정적 3차원 초음파진단영상 구성 (Construction of Static 3D Ultrasonography Image by Radiation Beam Tracking Method from 1D Array Probe)

  • 김용태;도일;안봉영;김광연
    • 비파괴검사학회지
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    • 제35권2호
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    • pp.128-133
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    • 2015
  • 원격진료를 요하는 응급현장에서 사용을 위하여 1차원 배열 탐촉자를 손으로 조작하는 동안 변하는 방사빔의 위치를 추적하여 정적인 3차원 초음파영상을 구성하였다. 탐촉자에 고정된 모션센서의 병진운동 및 회전운동에 대한 정보를 기준직교좌표계로 변환하는 이론적 모델을 제시하였으며, 신호 증폭과 시리얼 통신을 위한 인터페이스 용도의 모듈을 상용의 센서를 사용하여 제작하였다. 실리콘 퍼티로 제작된 시험용 팬텀에 대한 B-모드의 동영상과 센서의 신호를 동기화하여 기록하였다. 동영상으로부터 주기적으로 추출한 B-모드 영상과 각 영상내의 픽셀 각각의 그레이 레벨을 이용하여 3차원 복셀의 그레이 레벨을 재구성하였다. 이 복셀의 데이터를 이용하여 3차원 영상과 임의단면의 B-모드 방식의 2차원 영상을 구성하였으며, 이 영상들은 시험용 팬텀의 형상과 잘 일치하였다.