• Korean Journal of Radiology
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• 제21권12호
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• pp.1326-1333
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• 2020

Objective: To evaluate urologist satisfaction on structured prostate MRI reports, including report with tumor-node-metastasis (TNM) staging (report B) and with Prostate Imaging Reporting and Data System (PI-RADS) score with/without TNM staging (report C, report with PI-RADS score only [report C-a] and report with PI-RADS score and TNM staging [C-b]) compared with conventional free-text report (report A). Materials and Methods: This was a prospective comparative study. Altogether, 3015 prostate MRI reports including reports A, B, C-a, and C-b were rated by 13 urologists using a 5-point Likert Scale. A questionnaire was used to assess urologist satisfaction based on the following parameters: correctness, practicality, and urologist subjectivity. Kruskal-Wallis H-test followed by Nemenyi test was used to compare urologists' satisfaction parameters for each report type. The rate of urologist-radiologist recalls for each report type was calculated. Results: Reports B and C including its subtypes had higher ratings of satisfaction than report A for overall satisfaction degree, and parameters of correctness, practicality, and subjectivity (p < 0.05). There was a significant difference between report B and C (p < 0.05) in practicality score, but no statistical difference was found in overall satisfaction degree, and correctness and subjectivity scores (p > 0.05). Compared with report C-b (p > 0.05), report B and C-a (p < 0.05) showed a significant difference in overall satisfaction degree and parameters of practicality and subjectivity. In terms of correctness score, neither report C-a nor C-b had a significant difference with report B (p > 0.05). No statistical difference was found between report C-a and C-b in overall satisfaction degree and all three parameters (p > 0.05). The rate of urologist-radiologist recalls for reports A, B, C-a and C-b were 29.1%, 10.8%, 18.1% and 11.2%, respectively. Conclusion: Structured reports, either using TNM or PI-RADS are highly preferred over conventional free-text reports and lead to fewer report-related post-hoc inquiries from urologists.

• Imaging Science in Dentistry
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• 제44권2호
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• pp.161-164
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• 2014

Mucoepidermoid carcinomas (MECs) arising within the jaws as primary central bony lesions are termed central MECs. Central MECs are extremely rare, comprising 2-3% of all mucoepidermoid carcinomas. We herein report a rare case of central MEC of the maxilla in a 52-year-old male whose plain radiographs showed a "ground glass" pattern and computed tomographic images, a hypodense mass with numerous calcifications. To the best of our knowledge, this is the first report of central MEC showing a "ground glass" appearance.

• Journal of the Korea Institute of Information and Communication Engineering
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• 제13권3호
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• pp.498-504
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• 2009

In the PACS system, the radiology image(X-ray) and its report are saved as separated parts. The exchange of the radiology image between clinics that installed this system are easily achieved by the DICOM standardization. But it is difficult to exchange the radiology report between clinics because a solution of PACS system is different according to manufacturers. The radiology report should be unified the vocabulary and the type of code for effective sharing and exchanging, and also the radiology image and its report should be integrated for the accurate analysis. In this paper, we propose the sharing system of medical information based on HL7-CDA, it defines the templates and converts the structured documents. For this purpose, we design the XML schema of the radiology report and turn the DICOM files into defined schema. The HL7-CDA documents based on XML is easily displayed on web browser and can help the diagnosis by inserting the radiology image.

• Korean Journal of Radiology
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• 제2권2호
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• pp.105-107
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• 2001

Meningiomas causing intracranial hemorrhage are rare, and hemorrhage from a lateral ventricular meningioma seems to be even rarer. We report a case of trigonal meningioma in a 43-year-old woman who presented with intraventricular hemorrhage, and describe the CT, MRI and angiographic findings.

• Korean Journal of Radiology
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• 제1권4호
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• pp.223-225
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• 2000

Primary lymphoma of the uterus is a rare disease, the reported characteristic MR imaging findings being homogeneous intermediate signal intensity of the indistinct mass on T1- and T2-weighted images, and the preservation of endometrial lining and uterine architecture. We report a case of primary uterine lymphoma which showed tumoral necrosis, endometrial disruption and diffuse anterior vaginal wall involvement.

• Korean Journal of Radiology
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• 제1권2호
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• pp.118-120
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• 2000

The coexistence of pneumothorax and pneumopericardium in patients with primary lung cancer is a very rare phenomenon. We report one such case, in which squamous cell carcinoma of the lung was complicated by pneumopericardium and pneumothorax. Several explanations of the mechanisms involved will be discussed.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제17권10호
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• pp.2768-2787
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• 2023

As an important research direction of the application of computer science in the medical field, the automatic generation technology of radiology report has attracted wide attention in the academic community. Because the proportion of normal regions in radiology images is much larger than that of abnormal regions, words describing diseases are often masked by other words, resulting in significant feature loss during the calculation process, which affects the quality of generated reports. In addition, the huge difference between visual features and semantic features causes traditional multi-modal fusion method to fail to generate long narrative structures consisting of multiple sentences, which are required for medical reports. To address these challenges, we propose a multi-feature optimization Transformer (MFOT) for generating radiology reports. In detail, a multi-dimensional mapping attention (MDMA) module is designed to encode the visual grid features from different dimensions to reduce the loss of primary features in the encoding process; a feature pre-fusion (FP) module is constructed to enhance the interaction ability between multi-modal features, so as to generate a reasonably structured radiology report; a detail enhanced attention (DEA) module is proposed to enhance the extraction and utilization of key features and reduce the loss of key features. In conclusion, we evaluate the performance of our proposed model against prevailing mainstream models by utilizing widely-recognized radiology report datasets, namely IU X-Ray and MIMIC-CXR. The experimental outcomes demonstrate that our model achieves SOTA performance on both datasets, compared with the base model, the average improvement of six key indicators is 19.9% and 18.0% respectively. These findings substantiate the efficacy of our model in the domain of automated radiology report generation.

• Imaging Science in Dentistry
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• 제41권1호
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• pp.39-42
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• 2011

Facial asymmetry is not an uncommon occurrence in day to day dental practice. It can be caused by various etiologic factors ranging from facial trauma to serious hereditary conditions. Here, we report a rare case of non-syndromic facial asymmetry in a young female, who was born with this condition but was not aware of the progression of asymmetry. No relevant family history was recognized. She was also deficient in both deciduous and permanent teeth in the corresponding region of maxilla. Hence, the cause of this asymmetry was believed to be a segmental odontomaxillary hypoplasia of left maxilla accompanied by agenesis of left maxillary premolars and molars and disuse atrophy of corresponding facial musculature. This report briefly discussed the comparative features of segmental odontomaxillary hypoplasia, hemimaxillofacial dysplasia, and segmental odontomaxillary dysplasia and justified the differences between segmental odontomaxillary hypoplasia and the other two conditions.

• Imaging Science in Dentistry
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• 제43권1호
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• pp.59-62
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• 2013

Non-Hodgkin's lymphoma (NHL) constitutes a group of malignancies those arises from cellular components of lymphoid or extranodal tissues. The head and neck is the most common area for the presentation of these lymphoproliferative disorders. Primary involvement of salivary glands is uncommon. This report described a case of a 73-year-old female patient who presented with involvement of both nodal and extranodal sites, with predominant involvement of salivary glands. The tumor staging worked up along with imaging, histopathological, and immunohistochemical findings were discussed. Computed tomographic images showed the involvement of Waldeyer's ring, larynx, orbit, and spleen. This report described imaging and prognostic tumor markers in diagnosing, treatment planning, and prognosis.

• Korean Journal of Radiology
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• 제2권2호
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• pp.117-120
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• 2001

We report a case of adult granulosa cell tumor arising in the scrotal tunics. The patient was a 34-year-old man who presented with right scrotal swelling, first noticed four months previously. Under the initial clinical impression of epididymo-orchitis, antibiotic treatment was instituted but there was no response. The paratesticular nodules revealed by ultrasound and magnetic resonance imaging mimicked intratesticular lesion, and radical orchiectomy was performed. Although several cases of adult testicular granulosa cell tumor, have been reported, the occurrence of this entity in the paratesticular area has not, as far as we are aware, been previously described.