• 대한족부족관절학회지
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• 제13권1호
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• pp.68-74
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• 2009

Purpose: This study was designed to evaluate the results and efficacy of subtalar distraction two bone-block arthrodesis for calcaneal malunion. Materials and Methods: From January 2004 to June 2007, we operated on 8 patients (12 cases). There were 7 male patients and 1 female patient; their mean age was 42 years. 8 cases among them were operated initially. The period between initial injury and arthrodesis was 21 months. At an average follow up was 19 months. In operation, we used extensile lateral approach and arthrodesis was performed through tricortical two bone-block and cannulated screws. The Ankle-Hindfoot scale was used for clinical evaluation. In radiologic analysis, plain X-ray and CT were examined union and various parameters. Results: All cases achieved radiologic union at the final follow-up. The mean Ankle-hindfoot scale (maximum of 94 points) increased from 43.4 points preoperatively to 84 points at the final follow-up. The radiologic analysis of the pre- and postoperative standing lateral radiographs showed and average increase of 5.5 mm in talo-calcaneal height, $5.1^{\circ}$ in talocalcaneal angle, $6.1^{\circ}$ in talar declination angle and decrease of $5.7^{\circ}$ in talo-first metatarsal angle. Conclusion: The short term results of subtalar distraction two bone-block arthrodesis is promising, but longer follow-up was needed.

• 대한기관식도과학회지
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• 제3권1호
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• pp.84-93
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• 1997

The bronchoscopy is usually performed in the patients who present symptoms of wheezing, hemoptysis, signs of airway obstruction, unexplained long-term chronic cough with or without radiologic features of pneumonia, emphysema or atelectasis. The symptoms and signs of cases of suspected airway foreign body are of often cofused with those of asthma pneumonia and other respiratory tract disease. The ventilating bronchoscopy will be helpful for removal of certain foreign bodies as well as alleviating medically-unresponsive bronchopulmonary conditions via removing abnormal secretions or merely improving ventilation. The authors have performed clinical analysis of 59 patients who were suspected of airway foreign bodies and treated by ventilating bronchoscopy from September 1985 to February 1995. The results were as follows: 1) Among the 59 cases of bronchoscopy, 51 cases(97%) were under the age of 3. The ratio of male and female was 2.69:1 2) Most common presenting symptom was coughing(84.7%) followed by dyspnea, fever, wheezing and anterior chest pain. 3) Among 39 cases of identified foreign bodies, abnormal findings in the chest X-ray films were found in 33 cases(84.6%) and most common abnormal radiologic feature was pneumonia in 10 cases(25.6%) followed by combination of pneumonia and emphysema, or emphysema alone. All the 20 cases of absent foreign body presented abnormal radiologic features and common findings were pneumonia and atelectasis. 4) Vegetable foreign bodies were the most common form of removed airway foreign bodies(69.2%) followed by metallic foreign bodies(12.8%) and plastic foreign bodies(7.7%). 5) By distribution of the location of foreign bodies, 29 cases(74.4%) were located in the main bronchus( 16 cases of right side and 13 cases of left side), 8 cases were in the trachea and 2 cases were found at the cordal level. 6) By duration of foreign body lodgement in the airway, 9 cases(23.1%) were removed within 7 to 30 days, 10 cases(5.6%) within 3 days and 5 cases(12.8%) were enlodged over 30 days. 7) In the cases of absent foreign bodies, common bronchoscopic findings were mucopurulent or thick mucoid discharge in the main bronchi, erythema or edema of bronchial mucosa and all the cases were improved after ventilating bronchoscopy with concomitant medical management.

• Nuclear Engineering and Technology
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• 제42권4호
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• pp.426-433
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• 2010

The characteristic X-rays emitted from materials after gamma ray exposure was simulated and measured. A CdTe semiconductor detector and a $^{57}Co$ radiation source were used for energy spectroscopy. The types of materials could be identified by comparing the measured energy spectrum with the theoretical X-ray transition energy of the material. The sample composition was represented by the $K_{\alpha1}$-line (Siegbahn notations), which has the highest intensity among the characteristic X-rays of each atom. The difference between the theoretic prediction and the experimental result of K-line measurement was < 0.61% even if the characteristic X-rays from several materials were measured simultaneously. 2D images of the mixed materials were acquired with very high selectivity.

• 한국콘텐츠학회논문지
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• 제16권12호
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• pp.124-131
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• 2016

본 연구는 방사선(학)과 대학생들의 대학입학유형, 학업성취도, 대학생활만족도의 상관관계를 파악하여 학업성취도를 향상시키기 위한 대학교육 기초자료로 활용하고자 수행하였고, 학업성취도에 영향을 줄 수 있는 학습자 변인인 학습태도를 함께 고려하였다. 연구 대상은 경기도, 충청북도, 경상북도에 소재한 2개 4년제 대학과 2개 전문대학에 재학 중인 학생을 대상으로 하였고, 자료 수집을 위한 설문 조사는 2016년 5월 중순에서 6월 중순까지 실시하여 총 371부의 설문지를 수거하여, 그 중 363부를 연구에 포함시켰다. 연구 결과 방사선(학)과 학생들의 대학입학유형에 따른 학업성취도는 차이가 없는 것으로 나타났다. 이는 방사선(학)과가 선호하는 학과이기 때문에 어느 정도 학업 성적이 높은 학생들이 지원하고 편차가 크지 않기 때문으로 해석할 수 있을 것이다. 학업성취도 관련 상관관계 분석에서는 대학입학유형 보다는 학습태도가 통계적으로 유효한 요인으로 나타났다. 학습태도는 개인 역량과 함께 노출된 환경에 의해 변화할 수 있으므로 학생들의 학습태도 향상을 위한 다양한 프로그램 개발이 필요할 것이다. 또한 방사선(학)과의 학업성취도는 이후 면허 취득과 연결되는 만큼 추후 학습태도를 향상시키기 위한 학습법 개발과 결정 요인에 대한 연구도 함께 이루어져야 할 것이다.

• 대한방사선기술학회지:방사선기술과학
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• 제47권1호
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• pp.13-19
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• 2024

Control of scattered radiation is one of very important factors in the use of medical radiation. In general X-ray exam, the causes, measurement methods, and the kind of detectors of scattered rays within the radiation area are diverse. In this study, the dose of scattered ray was measured by changing the thickness of the polycarbonate phantom and the tube voltage. As a result of measurement of scattered radiation, the results show that the scattered dose significantly(p<.05) increased with growing of thickness of phantom in the tube voltage 40, 50 and 60 kVp(F(p)<.05, R²>64%). As tube voltage increased at all phantom thicknesses, the scattered dose also significantly(p<.05) increased(F(p)<.05, R²>69%). In cases where a significant correlation was shown, the coefficient of determination of more than 60% was shown in regression analysis. The results of this study can be used as data on scattered radiation dose according to the tube voltage and the object thickness in general X-ray imaging exam.

• Clinical and Experimental Pediatrics
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• 제55권11호
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• pp.430-437
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• 2012

Purpose: Mucopolysaccharidosis IVA (MPS IVA; Morquio A syndrome) is rare lysosomal storage disorder caused by N-acetylgalactosamine-6-sulfatase (GALNS) deficiency. Only a few MPS IVA cases have been reported in the Korean literature; there is a paucity of research about clinical or radiologic findings for this disorder. Therefore, we studied clinical findings, radiological features, and genetic data of Korean MPS IVA patients for determining factors that may allow early diagnosis and that may thus improve the patients' quality of life. Method: MPS IVA was confirmed via assay for enzymatic activity of leukocytes in 10 patients. The GALNS gene was analyzed. Patients' charts were retrospectively reviewed for obtaining clinical features and evaluated for radiological skeletal surveys, echocardiography, pulmonary function test, and ophthalmologic test results. Result: Nine patients had severe clinical phenotype, and 1 had an intermediate phenotype, on the basis of clinical phenotype criteria. Radiologic findings indicated skeletal abnormalities in all patients, especially in the hips and extremities. Eight patients had an odontoid hypoplasia, and 1 showed mild atlantoaxial subluxation and cord myelopathy. Genetic analysis indicated 10 different GALNS mutations. Two mutations, c.451C>A and c.1000C>T, account for 37.5% (6/16) and 25% (4/16) of all mutations in this samples, respectively. Conclusion: An understanding of the clinical and radiological features involved in MPS IVA may allow early diagnosis of MPS IVA. Adequate evaluations and therapy in the early stages may improve the quality of life of patients suffering from skeletal abnormalities and may reduce life-threatening effects of atlantoaxial subluxation.

• 대한족부족관절학회지
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• 제14권2호
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• pp.157-160
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• 2010

Purpose: The purpose of this study is to find out the correlation factors for prognosis of calcaneal fractures. Materials and Methods: 120 cases (feet) of calcaneal fractures, all of them followed up for more than 1 year after surgical procedures, consisted of 101 men (105 feet) and 13 women (15 feet) were reviewed retrospectively. The collected clinical data were as follows : injury mechanism, surgical procedures, time to procedure, time to work and the radiologic data: Bohler angle, heel width, displacement of posterior facet. AOFAS hindfoot score and VAS score were checked. With ANOVA test and multiple regression analysis, the data processed statistically. Results: According Sanders classification, type II was 37 cases (31%), type III 66 cases (55%), and type IV 17 cases (14%). On plane radiography, the Bohler angle improved to average 28.4 degree from 5.6 degree, and the displacement of posterior facet was corrected to average 1.2 mm. AOFAS hindfoot score was checked average 81.7 points postoperatively, and the meaningful difference existed between types of Sanders classification. The Bohler angle represented the outline of the calcaneus had the better correlation with the clinical outcome of calcaneal fractures rather than the anatomical reduction of the posterior facet did. And the width of calcaneus had good correlation with the clinical score. Conclusion: We should also concern about the outline of calcaneus, the width of calcaneus and the Bohler angle representing anatomical reduction, not only the acute reduction of the posterior facet.

• Journal of Korean Neurosurgical Society
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• 제59권4호
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• pp.374-378
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• 2016

Objective : A modified surgical technique of posterior cervical foramintomy called posterior cervical inclinatory foraminotomy (PCIF) was introduced in previous preliminary article. PCIF allows better preservation of facet joint and capsule than conventional techniques. The authors conducted a study to investigate long-term outcomes of PCIF. Methods : We retrospectively reviewed demographic, radiologic, and clinical data from the patients who underwent PCIFs at our institution. Criteria included a minimum of 48 month follow-up and PCIFs for patients with radiculopathy from foraminal stenosis (C2-T1; single or multilevel) with persistent or recurrent root symptoms despite conservative treatment for more than 3 months. Patients who had undergone previous cervical operation were excluded. The visual analogue scale (VAS) score was used for clinical follow-up, and radiologic follow-up was performed to compare the changes of cervical sagittal alignment, focal angle and disc-space height of treated segment. Results : The PCIFs were performed between April 2007 and March 2011 on 46 patients (32 males and 14 females) with a total of 73 levels affected. The average duration of follow-up was 74.4 months. Improvements in radiculopathic pain were seen in 39 patients (84.7%), and VAS score decreased from $6.82{\pm}1.9$ to $2.19{\pm}1.9$. Posterior neck pain also improved in 25 patients (71.4%) among 35 patients, and VAS score decreased from $4.97{\pm}2.0$ to $2.71{\pm}1.9$. The mean disc-space heights of treated segment were $5.41{\pm}1.03mm$ preoperatively and decreased to $5.17{\pm}1.12mm$ postoperatively. No statistically significant changes in cervical sagittal alignment, focal angle were seen during the follow-up period (Cox proportional hazards analysis and Student t-test, p>0.05). Conclusion : The PCIF is highly effective in treating patients with cervical spondylotic radiculopathy, leading to long-lasting relief in pain. Long-term radiologic follow-up showed no significant spinal angular imbalance.

• 한국방사선학회논문지
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• 제13권6호
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• pp.865-872
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• 2019

본 연구에서는 한국과 미국 방사선학과 대학생들을 대상으로 방사선 정보원과 전공 선택 만족도의 상관관계를 분석하고자 하였다. 본 연구의 대상자는 한국의 충북 소재의 일개 4년제 대학교와 미국의 텍사스 주 소재의 일개 4년제 대학교의 방사선학과 1, 2 학년을 대상으로 하였다. 설문조사는 2019년 5월 7일부터 5월 28일까지 방사선 정보원과 정보원 신뢰도 그리고 방사선학과 선택 만족도에 대해 자기기입방식으로 조사하였다. 그 결과 첫째, 양국 대학생 모두 인터넷을 가장 많이 사용하는 정보원이지만 교과서를 통한 정보 수집 비중은 미국 대학생들이 유의하게 높았다. 둘째, 한국 대학생들은 미국 대학생들보다 정보원에 대한 신뢰도가 정부의 인쇄물을 제외한 인터넷, 신문, 소셜 네트워크 순으로 유의하게 높았다. 셋째, 미국의 대학생들은 한국 대학생들보다 방사선학과 선택 만족도가 유의하게 높았다. 넷째, 한국 대학생들은 다양한 정보원을 통해 전공 선택에 도움을 받고 있었으며 특히, 소셜 네트워크간의 상관계수가 유의하게 높은 상관관계를 나타냈다.

• 한국방사선학회논문지
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• 제16권7호
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• pp.927-934
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• 2022

본 연구는 간 초음파 영상을 활용하여 정량적인 측정 분석을 통해 조직 내 감쇠 지수, 조직 내 산란 분포지수 값 분석과 함께 초음파 영상 소견 간 일치도를 알아보고자 하였다. 2022년 8월부터 2022년 10월까지 지방간이 의심되어 간 초음파 검사 처방을 받은 45명의 환자를 대상으로 간 초음파 검사를 시행하였다. 연구결과, 초음파 영상 소견과 조직 내 감쇠 지수 간 일치도 분석 결과 Kappa 값이 0.82(p<0.05)로 두 검사 방법 간 매우 높은 일치도를 보였다. 또한, 초음파 영상 소견과 조직 내 산란 분포 지수 간 일치도 분석 결과에서도 Kappa 값이 0.642(p<0.05)로 두 검사 방법 간 높은 일치도를 보였다. 지방간 예측 시 간 초음파 소견 및 정량적인 초음파 검사 기법인 조직 내 감쇠 지수, 조직 내 산란 분포 지수를 활용한다면 지방간 환자의 진행 정도를 판단할 때 도움이 될 수 있을 것으로 생각된다.