• 제목/요약/키워드: Portal image

검색결과 149건 처리시간 0.025초

골반부 암 환자를 위한 고정기구 개발 및 방사선치료 시 효용성 평가 (Development of Immobilization Devices for Patients with Pelvic Malignancies and a Feasibility Evaluation during Radiotherapy)

  • 박종민;박양균;조웅;박찬일;하성환
    • Radiation Oncology Journal
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    • 제25권2호
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    • pp.134-144
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    • 2007
  • 목 적: 골반부 암 환자 치료 시 재현성을 향상시키고 환자에게 편안함을 주는 하체 고정기구를 개발하였고 그 효용성을 검증하였다. 대상 및 방법: 하체 고정기구는 앙와위와 복와위에서 환자의 무릎, 허벅지, 발을 고정할 수 있도록 설계되었고, 폴리우레탄 재질로 제작되었다. 고안된 고정기구는 앙와위에서 무릎의 위치를 고정하는 보조기구 및 발의 위치를 고정하는 보조기구를 개발하였고 복와위에서 무릎의 위치를 고정하는 보조기구를 개발하였다. 앙와위용 무릎 고정용 보조기구는 동시에 복와위에서 발을 고정할 수 있도록 설계하였다. 기구의 효용성을 검증하기 위하여 본원에서 치료를 받은 61명의 전립선암 환자를 대상으로 재현성을 측정하였다. 좌우 방향, 전후 방향, 두미(cranial-caudal) 방향에 대하여, 식별 가능한 bony-landmark를 재현성의 기준으로 설정하였다. 대상 환자에 대하여 1) 디지털재구성사진(DRR)과 모의치료사진(simulation image)의 차이, 2) 디지털재구성사진과 조사영역사진(linacgram)의 차이, 3) 조사영역사진 간의 표준편차를 조사하였고, 고정기구를 사용한 환자군과 사용하지 않은 환자군에 대하여 재현성의 차이를 통계적으로 분석하였다. 결 과: 하체 고정기구를 사용하지 않은 환자군에서 각 방향(좌우, 전후, 두미 방향)에 따른 디지털재구성사진과 모의치료 사진의 차이는 좌우, 전후, 두미 방향에 따라 각각 $1.5{\pm}0.9\;mm$, $3.0{\pm}3.6\;mm$, $1.6{\pm}0.9\;mm$, 디지털재구성사진과 조사영역사진의 차이는 각각 $1.6{\pm}1.2\;mm$, $4.0{\pm}4.1\;mm$, $4.2{\pm}5.5\;mm$, 조사영역사진 간의 평균 표준편차는 각각 1.1 mm, 2.1 mm, 1.0 mm로 나타났다. 하체 고정기구를 사용한 환자군에서 디지털재구성사진과 모의 치료사진의 차이는 좌우, 전후, 두미 방향에 따라 각각 $1.3{\pm}1.9\;mm$, $1.8{\pm}1.5\;mm$, $1.1{\pm}1.1\;mm$, 디지털재구성사진과 조사영역사진 간의 차이는 각각 $1.0{\pm}1.8\;mm$, $1.2{\pm}0.9\;mm$, $1.2{\pm}0.8\;mm$, 조사영역사진 간의 평균 표준편차는 각각 0.9 mm, 1.6 mm, 0.8 mm로 고정기구를 사용하지 않았을 때보다 유의하게 재현성이 향상된 것으로 나타났다. 결 론: 본 연구에서 고안된 하체 고정기구는 골반부암 환자 치료 시 편안함을 제공해 주고 재현성 향상에 도움을 주는 것으로 사료된다.

진행된 간세포암에서의 간문맥 혈전증에 대한 방사선치료 효과 (The Role of Radiotherapy in the Treatment of Portal Vein Thrombosis from Advanced Hepatocellular Carcinoma)

  • 김정훈;최은경;안승도;이상욱;신성수;최원식;임영석;김강모;서동진;정영화;이영상;원형진;김종훈
    • Radiation Oncology Journal
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    • 제25권3호
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    • pp.170-176
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    • 2007
  • 목적: 치료방법이 정립되지 않은 진행된 간세포암에서의 간문맥 혈전증에 대한 방사선치료의 효과와 간독성을 측정함으로써 향후 방사선치료의 효용성에 대하여 알아보고자 한다. 대상 및 방법: 2000년 5월부터 2005년 12월까지 서울아산병원에서 원발성 간세포암으로 진단받은 환자 중 간문맥 혈전증이 동반된 70명의 환자를 대상으로 후향적 분석을 하였다. 대상 환자들의 나이는 $24{\sim}74$세(중앙값 51세)였으며, 대부분이 Child-Pugh's class A, B였고 Eastern Cooperative Oncology Group (ECOG) 2 이하였다. 방사선치료는 3차원입체조형치료를 시행하였으며, 1회 선량은 $2{\sim}4$ Gy로 총방사선량은 $40{\sim}60$ Gy (중앙값 48 Gy)였으며, 생물학적 유효선량(biologic effective dose)은 $31.3{\sim}78.0\;Gy_{10}$ (중앙값 61.6 $Gy_{10}$)였다. 결과: 치료 반응평가는 치료 전과 치료 종료 후 최소 1개월 이상 경과 후 컴퓨터 단층촬영(CT)을 시행하여 평가하였으며, 대상 환자들의 추적관찰기간은 $2{\sim}24$개월(중앙값 9개월)이었다. 방사선치료 후 완전반응인 경우가 2명(2.9%), 부분반응 31명(44.3%), 무반응 35명(50.0%), 진행병변 2명(2.9%)이었다. 1년 무진행 생존율(progression-free survival)은 60%였으며, 중앙 무진행 생존기간은 17개월이었다. 전체 환자의 중앙 생존기간(overall survival)은 11개월이었으며, 치료반응 유무에 따라 부분 반응 이상을 보인 환자군의 중앙 생존기간은 15개월, 무반응이거나 진행병변을 보인 환자군은 8개월로 통계학적 차이를 보였다(p=0.032). 치료 중 일시적인 간기능 저하가 4명(5.7%), 방사선 간염은 1명(1.4%)에서 발생하였다. 결론: 진행된 간세포암에서의 간문맥 혈전에 대해 방사선치료를 시행한 경우 비교적 유용하며 안전한 치료법이며, 앞으로의 연구에서는 방사선치료가 생존율을 향상시킬 수 있는지 여부와 적절한 방사선량을 결정하기 위한 연구가 필요할 것으로 생각된다.

방사선치료시 전자포털영상장치를 이용한 잡음전력스펙트럼 방법론 측정비교 (Comparison of Noise Power Spectrum Methodologies in Measurements by Using Various Electronic Portal Imaging Devices in Radiation Therapy)

  • 손순룡;최관우;정회원;권경태;김기원;이영아;손진현;민정환
    • 대한방사선기술학회지:방사선기술과학
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    • 제39권1호
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    • pp.99-105
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    • 2016
  • 잡음전력스펙트럼 (noise power spectrum, NPS)는 noise 진폭의 측정과 균일한 방사선 영역으로부터 획득된 영상의 품질에 가장 일반적인 방법 중 하나이다. 이 연구의 목적은 megavoltage X-ray 에너지를 사용하여 다른 잡음 전력스펙트럼 방법론들을 비교하는 것이다. 진단 영역에서의 잡음전력스펙트럼 평가 방법들은 국제 전기 규격 international electro-technical commission(IEC 62220-1) 기준을 사용하여 치료 영역에 적용되었다. 우리가 사용한 전자포털영상장치(electronic portal imaging device, EPID)는 Varian TrueBeam$^{TM}$, Siemens BEAMVIEW$^{PLUS}$, Elekta iViewGT 그리고 Varian Clinac$^R$ iX aS1000이었다. 잡음전력스펙트럼의 관심영역을 측정하기 위해, 우리는 겹침 (overlapping), 비겹침 (non-overlapping), 평탄도 (flatness), 반음영 (penumbra) 4가지 인자를 사용하였다. 결과적으로는 Siemens BEAMVIEW$^{PLUS}$, Varian TrueBeam$^{TM}$ flattening filter, Varian Clinac$^R$ iX aS1000, Varian TrueBeam$^{TM}$ flattening filter free에서의 잡음 (noise) 분포는 기존의 첫번째, 두번째, 세번째 실험방법보다는 Elekta iViewGT보다 현격하게 높은 noise 분포가 나타남을 알 수 있다. 이번 연구는 다양한 인자들이 잡음전력스펙트럼의 megavoltage imaging (MVI)영상에서 MVI영역에서 잡음전력 스펙트럼의 기준의 방법론으로 사용되어질 수 있다는 것을 보여주었다.

Contrast Media in Abdominal Computed Tomography: Optimization of Delivery Methods

  • Joon Koo Han;Byung Ihn Choi;Ah Young Kim;Soo Jung Kim
    • Korean Journal of Radiology
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    • 제2권1호
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    • pp.28-36
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    • 2001
  • Objective: To provide a systematic overview of the effects of various parameters on contrast enhancement within the same population, an animal experiment as well as a computer-aided simulation study was performed. Materials and Methods: In an animal experiment, single-level dynamic CT through the liver was performed at 5-second intervals just after the injection of contrast medium for 3 minutes. Combinations of three different amounts (1, 2, 3 mL/kg), concentrations (150, 200, 300 mgI/mL), and injection rates (0.5, 1, 2 mL/sec) were used. The CT number of the aorta (A), portal vein (P) and liver (L) was measured in each image, and time-attenuation curves for A, P and L were thus obtained. The degree of maximum enhancement (Imax) and time to reach peak enhancement (Tmax) of A, P and L were determined, and times to equilibrium (Teq) were analyzed. In the computed-aided simulation model, a program based on the amount, flow, and diffusion coefficient of body fluid in various compartments of the human body was designed. The input variables were the concentrations, volumes and injection rates of the contrast media used. The program generated the time-attenuation curves of A, P and L, as well as liver-to-hepatocellular carcinoma (HCC) contrast curves. On each curve, we calculated and plotted the optimal temporal window (time period above the lower threshold, which in this experiment was 10 Hounsfield units), the total area under the curve above the lower threshold, and the area within the optimal range. Results: A. Animal Experiment: At a given concentration and injection rate, an increased volume of contrast medium led to increases in Imax A, P and L. In addition, Tmax A, P, L and Teq were prolonged in parallel with increases in injection time The time-attenuation curve shifted upward and to the right. For a given volume and injection rate, an increased concentration of contrast medium increased the degree of aortic, portal and hepatic enhancement, though Tmax A, P and L remained the same. The time-attenuation curve shifted upward. For a given volume and concentration of contrast medium, changes in the injection rate had a prominent effect on aortic enhancement, and that of the portal vein and hepatic parenchyma also showed some increase, though the effect was less prominent. A increased in the rate of contrast injection led to shifting of the time enhancement curve to the left and upward. B. Computer Simulation: At a faster injection rate, there was minimal change in the degree of hepatic attenuation, though the duration of the optimal temporal window decreased. The area between 10 and 30 HU was greatest when contrast media was delivered at a rate of 2 3 mL/sec. Although the total area under the curve increased in proportion to the injection rate, most of this increase was above the upper threshould and thus the temporal window was narrow and the optimal area decreased. Conclusion: Increases in volume, concentration and injection rate all resulted in improved arterial enhancement. If cost was disregarded, increasing the injection volume was the most reliable way of obtaining good quality enhancement. The optimal way of delivering a given amount of contrast medium can be calculated using a computer-based mathematical model.

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3차원 지하공간통합지도 구축을 위한 지반정보 정밀도 분석 (Precision Analysis of Geotechnical Information for the 3D Integrated Underground Space Map)

  • 이보영;황범식;조완제
    • 한국지반환경공학회 논문집
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    • 제18권4호
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    • pp.5-12
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    • 2017
  • 국토해양부(현재 국토교통부)가 2000년부터 현재까지 지속적으로 추진하고 있는 국토지반정보 DB구축사업은 2015년 12월 31일을 기준으로 약 21만 공의 지반정보 DB를 국토지반정보 통합DB센터(2017)를 통하여 제공하고 있다. 2007년 시작된 지하공간정보전산화 초기 사업은 정보의 수집에 초점이 맞추어졌다면, 2013~2014년은 수집된 정보의 정밀 정확도를 검증하는 연구가 진행되었다. 최근 시작된 3차원 지하공간통합지도 구축 사업과 더불어 지반정보를 3차원으로 가시화하고 이 과정에서의 정밀도를 분석할 필요가 대두되었다. 따라서 본 연구에서는 시추정보 정밀도의 검증 및 향상을 위해 ArcGIS에서 제공하는 지구통계학적 기법인 크리깅 기법과 RMSE의 비교 분석 및 검토를 통해 체계적인 3차원 지반정보 구축을 위한 기초 자료를 제시하고자 하였다. 또한 구축된 시추정보 DB의 표고자료 및 DEM 자료를 비교 분석하여 표고 자료의 오차를 검증하였다.

Virtual Non-Contrast Computer Tomography (CT) with Spectral CT as an Alternative to Conventional Unenhanced CT in the Assessment of Gastric Cancer

  • Tian, Shi-Feng;Liu, Ai-Lian;Wang, He-Qing;Liu, Jing-Hong;Sun, Mei-Yu;Liu, Yi-Jun
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권6호
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    • pp.2521-2526
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    • 2015
  • Objective: The purpose of this study was to evaluate computed tomography (CT) virtual non-contrast (VNC) spectral imaging for gastric carcinoma. Materials and Methods: Fifty-two patients with histologically proven gastric carcinomas underwent gemstone spectral imaging (GSI) including non-contrast and contrast-enhanced hepatic arterial, portal venous, and equilibrium phase acquisitions prior to surgery. VNC arterial phase (VNCa), VNC venous phase (VNCv), and VNC equilibrium phase (VNCe) images were obtained by subtracting iodine from iodine/water images. Images were analyzed with respect to image quality, gastric carcinoma-intragastric water contrast-to-noise ratio (CNR), gastric carcinoma-perigastric fat CNR, serosal invasion, and enlarged lymph nodes around the lesions. Results: Carcinoma-water CNR values were significantly higher in VNCa, VNCv, and VNCe images than in normal CT images (2.72, 2.60, 2.61, respectively, vs 2.35, $p{\leq}0.008$). Carcinoma-perigastric fat CNR values were significantly lower in VNCa, VNCv, and VNCe images than in normal CT images (7.63, 7.49, 7.32, respectively, vs 8.48, p< 0.001). There were no significant differences of carcinoma-water CNR and carcinoma-perigastric fat CNR among VNCa, VNCv, and VNCe images. There was no difference in the determination of invasion or enlarged lymph nodes between normal CT and VNCa images. Conclusions: VNC arterial phase images may be a surrogate for conventional non-contrast CT images in gastric carcinoma evaluation.

페미니즘 테마 패션 컬렉션에 표현된 젠더 플루이드 이미지 (Gender-fluid images expressed in the contemporary fashion collections with the theme of feminism)

  • 임민정
    • 한국의상디자인학회지
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    • 제20권3호
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    • pp.63-78
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    • 2018
  • This study analyzed gender-fluid images as expressions of feminism and gender identity expressed in fashion collections. As for the research method, this study searched the fashion collections, with the theme of feminism, utilizing key words related to feminism on an online portal, and collected the photo materials of fashion collections provided by vogue.com. This study classified the photo materials of 31 fashion collections, with the theme of feminism, into femininity, masculinity, androgyny, and avant-garde, according to the fashion design elements that divide gender identity. As a result of the classification, 326 photos were collected, in which gender identity was expressed ambiguously. This study reclassified the collected photos according to their fashion items and styles. As a result of the study, it was noticed that the fashion collections with the theme of feminism expressed the messages, using lettering graphic images, and performance. In addition, they showed a form in which men's collections and women's collections were integrated according to the change of the perceptions of gender identity, of feminism, and delivered body positive expressions, respecting differences and diversity as individual subjects, by casting diverse models in terms of age, body size, race, and culture. As for the gender identity expressed in the fashion collections, the gender-fluid images were classified into empowerment images, that expresses social rights and dignity; agender images that expresses the possibility of a gender-flexible transition; rational images that expresses the rational and practical characteristics that removed the boundary of fashion; and images of pro-sexism that expresses a new gender identity.

미국 컨벤션뷰로의 웹사이트 서비스 품질결정요인 (DETERMINANTS OF US CVB'S WEBSITE SERVICE QUALITY)

  • 김민숙;방호열
    • 통상정보연구
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    • 제10권4호
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    • pp.125-151
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    • 2008
  • Website service quality is widely accepted as one of the key determinants of online business success. Several studies identified key factors that determine the website service quality factors appropriate for online business environments. A convention and visitors bureau (CVB) website is a service portal that delivers information online about a destination so users can develop an overall image of the location. CVBs struggle to deliver positive destination images because the competition among destinations to host conventions is intense. In spite of the important role of CVBs and the beneficial spillover effect of CVBs, there are few studies available reporting on the unique service qualities of a CVB website. The primary purpose of this study was to examine the determining factors that are appropriate for CVB websites from the meeting planners' perspective. The research questions arc: What are the determining factors of service quality of a CVB website? Do the determining factors of CVB website service quality positively influence meeting planners' satisfaction? The new conceptual framework was developed from a variety of destination marketing and Internet marketing concepts: e-servicescape management, web community network, Internet service encounter management, and online system quality. Empirical results indicate that three of the four factors, that is, e-servicescape, web community network, and online system quality are important determinants in evaluating CVB website service quality. The findings also show that three determinants have significant and positive influence on meeting planners' satisfaction. The findings from this study will provide meaningful advice for CVB website quality management. To enhance the CVB website service quality and satisfaction level of meeting planners, these three determinants' should be considered of the utmost strategic importance and priority.

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비글견의 간 CT 혈관조영상에서의 Iopamidol과 Iopromide, Iohexol 조명제의 비교실험 (A Comparison of Iopamidol with Iopromide and Iohexol Contrast Media in Hepatic CT Angiography in Beagle Dogs)

  • 정유철;임창윤;김경민;이성옥;정주현;장진화;오선경;송경진;윤정희;최민철
    • 한국임상수의학회지
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    • 제23권2호
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    • pp.129-132
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    • 2006
  • The purpose of this paper was to compare the clinical efficacy of iopamidol and iopromide, iohexol nonionic contrast media in terms of their image quality in Beagle dogs with hepatic CT angiography and their application in veterinary clinics. With 9 Beagle dogs, contrast media of iopamidol (pamiray-$300^(R)$) and iopromide (ultravist-$300^(R)$, iohexol (omnipaque-$300^(R)$) were induced intravenously (600 mg I/kg, BW) and CT angiography was done under general anesthesia. CT scan included scout, pre-contrast and cine examinations. During CT angiography, peak HU (Hounsfield unit) and peak time were examined on each site (ROI; region of interest) of the aorta, caudal vena cava, potral vein and liver parenchyma. Any side effects were also examined. After experiments, it was found that there were no significant changes of HU and maximal enhancing time of each ROIs of aorta, caudal vena cava, portal vein and liver parenchyma between these contrast media. And any side effects were not noted. So it is concluded that iopamidol has similiar contrast enhancement like as iopromide and iohexol in hepatic angiography and and it is thought to be useful for evaluation of the abdominal organs by CT scan in veterinary clinics.

수재해 정보관리 및 서비스를 위한 공간, 비공간 정보 자료 개념 설계 (A Conceptual Design of Spatial and Non-spatial Information for Water Hazard Information Management and Service)

  • 이정주;김동영;정영훈;황의호;채효석
    • 한국농공학회논문집
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    • 제58권2호
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    • pp.21-29
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    • 2016
  • This study conducted a basic design of system and interface which provide both of spatial and non-spatial data for water hazard information management. This helps to decide directions of the future integrated water hazard information platform and possible technical examinations of the web-based system for the realization of the prototype. For user friendly system, this study did a survey to investigate the data format, service environment, image processing level and visualization type that users prefer. Also, authorization range was set up by type of the user group. In the water hazard information platform, the data and analysis algorithm were classified by the fields. Furthermore, the platform was consisted with six block systems according to the function and the interface and designed to flexibly mount or modify the additional functions. For a basic design of the data exchange method and protocols, a prototype was constructed by using the spatial information web service technology. The portal service system to visualize and provide spatial data was designed by the WMS/WFS type of OGC standard interface and the FTP/HTTP interface type through open source GIS software for server environment.