• Title/Summary/Keyword: Radiology science department

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Progression of periapical cystic lesion after incomplete endodontic treatment

  • Huh, Jong-Ki;Yang, Dong-Kyu;Jeon, Kug-Jin;Shin, Su-Jung
    • Restorative Dentistry and Endodontics
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    • v.41 no.2
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    • pp.137-142
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    • 2016
  • We report a case of large radicular cyst progression related to endodontic origin to emphasize proper intervention and follow-up for endodontic pathosis. A 25 yr old man presented with an endodontically treated molar with radiolucency. He denied any intervention because of a lack of discomfort. Five years later, the patient returned. The previous periapical lesion had drastically enlarged and involved two adjacent teeth. Cystic lesion removal and apicoectomy were performed on the tooth. Histopathological analysis revealed that the lesion was an inflammatory radicular cyst. The patient did not report any discomfort except for moderate swelling 3 days after the surgical procedure. Although the patient had been asymptomatic, close follow-ups are critical to determine if any periapical lesions persist after root canal treatment.

Sclerosing polycystic adenosis arising in the parotid gland with trismus: a case report and literature review

  • Yee, Young-Jae;Han, Dawool;Lee, Chena;Kim, Jun-Young
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.48 no.4
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    • pp.237-241
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    • 2022
  • Sclerosing polycystic adenosis (SPA) is a rare, asymptomatic disease that occurs mainly in the salivary glands. We report the case of a 51-year-old man who presented with trismus and pain upon mouth opening. Magnetic resonance imaging revealed a 2-cm mass located in the anterior portion of the left parotid gland. SPA was diagnosed based on histopathological examination of the surgical specimen. In pathologic findings, there was a well-circumscribed multicystic nodule in the parenchyma. Dense fibrosis and chronic non-specific inflammatory cells were observed in the stroma. In 13 previous reports on SPA, the most preferred treatment was superficial or total parotidectomy. This report suggests that simple excision of SPA preserves facial nerve function and facial volume.

Dose Reduction According to the Exposure Condition in Intervention Procedure : Focus on the Change of Dose Area and Image Quality (인터벤션 시 방사선조사 조건에 따른 선량감소 : 면적선량과 영상화질 변화를 중심으로)

  • Hwang, Jun-Ho;Jung, Ku-Min;Kim, Hyun-Soo;Kang, Byung-Sam;Lee, Kyung-Bae
    • Journal of radiological science and technology
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    • v.40 no.3
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    • pp.393-400
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    • 2017
  • The purpose of this study is to suggest a method to reduce the dose by Analyzing the dose area product (DAP) and image quality according to the change of tube current using NEMA Phantom. The spatial resolution and low contrast resolution were used as evaluation criteria in addition to signal to noise ratio (SNR) and contrast to noise ratio (CNR), which are important image quality parameters of intervention. Tube voltage was fixed at 80 kVp and the amount of tube current was changed to 20, 30, 40, and 50 mAs, and the dose area product and image quality were compared and analyzed. As a result, the dose area product increased from $1066mGycm^2$ to $6160mGycm^2$ to 6 times as the condition increased, while the spatial resolution and low contrast resolution were higher than 20 mAs and 30 mAs, Spatial resolution and low contrast resolution were observed below the evaluation criteria. In addition, the SNR and CNR increased up to 30 mAs, slightly increased at 40 mAs, but not significantly different from the previous one, and decreased at 50 mAs. As a result, the exposure dose significantly increased due to overexposure of the test conditions and the image quality deteriorated in all areas of spatial resolution, low contrast resolution, SNR and CNR.

The usefulness of the contrast agent high in gadolinium for the contrast-enhanced magnetic resonance hip arthrography (고관절의 자기공명관절조영검사 시 가돌리늄 함유량이 높은 조영제의 유용성)

  • Choi, Kwan-Woo;Kim, Yoon-Shin;Son, Soon-Yong;Lee, Ho-Beom;Na, Sa-Ra;Min, Jung-Whan;Yoo, Beong-Gyu;Lee, Jong-Seok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.11
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    • pp.5682-5688
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    • 2013
  • The purpose of this study is to maximize diagnositc usefulness with increasing signal to noise ratio(SNR) and contrast to noise ratio(CNR) by using a 1mmol/mL gadolinium contrast agent. From January 2012 to June 2013 fourty-seven patients were underwent the MRI scanning to investigate the contrast difference in gadolinium content. Twenty of the patients were injencted the commercial contrast agent containing 0.5mmol/mL gadolinium and the rest of them were injected the new contrast agent containing 1mmol/mL gadolinium called gadobutrol. We measured and evaluated each SNR and CNR of the hip joint space, iliopsoas muscle and femoral head. As a result, using the 1mmol/mL gadolinium contrast agent had the higher SNR results than using the 0.5mmol/mL agent(27% in the hip joint, 30.01% in the femoral head). Also CNR using the 1mmol/mL gadolinium agent was proved to be higher than that of using 0.5mmol/mL agent(28.31% in the ilopsoas muscle and 26.74% in the femoral head). Therefore, the contrast agent containing more gadolinium like 1mmol/mL used in this study is more effective to shorten T1 relaxation time, so it increases the signal intensity and CNR and furthermore maximizes diagnostic value. This study reports the usefulness of the 1mmol/mL contrast agent in the contrast-enhanced magnetic resonance hip arthrography for the first. Therefore, it can be considered to have an meaningful academic value as showing the method for increasing the diagnostic usefulness by using the 1mmol/mL contrast agent.

Impact of Contrast agent for Attenuation Correction Using CT Scan in PET/CT System (PET/CT 시스템에서 CT 영상을 이용한 감쇠 보정 시 조영제가 PET 영상에 미치는 영향)

  • Son, Hye-Kyung;Turkington, Timothy G;Kwon, Yun-Young;Bong, Jung-Kyun;Jung, Hai-Jo;Kim, Hee-Joung
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2004.11a
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    • pp.100-103
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    • 2004
  • Experiments and simulation were done to study the impact of contrast agent when CT scan was used to attenuation correction for PET images in PET/CT system. Whole body phantom was imaged with various concentration of iodine-based contrast agent using CT. Mathematical emission and transmission density map with liver were made to simulate for whole body FDG imaging. Various transmission density maps was generated with non-uniform enhancement of contrast agent, hypo-attenuating of contrast agent for tumor, different concentration of contrast agent, and so on. Attenuation correction was done with all transmission maps. In the experiments, we confirmed that attenuation coefficient was changed by concentration of contrast agent. From the simulation data, image quality of attenuation corrected images was affected by contrast agent and artifact was produced by contrast agent. These results indicated that the contrast agent should be used with a full understanding of its potential problem in PET/CT system.

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Comparison Study of Image Quality of Direct and Indirect Conversion Digital Mammography System (직접 및 간접변환 방식의 디지털 유방 X선 촬영시스템의 영상화질 비교 연구)

  • Park, Hye-Suk;Oh, Yu-Na;Jo, Hee-Jeong;Kim, Sang-Tae;Choi, Yu-Na;Kim, Hee-Joung
    • Progress in Medical Physics
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    • v.21 no.3
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    • pp.239-245
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    • 2010
  • The purpose of this study is to comprehensively compare and evaluate the characteristics of image quality for digital mammography systems which use a direct and indirect conversion detector. Three key metrics of image quality were evaluated for the direct and indirect conversion detector, the modulation transfer function (MTF), normalized noise power spectrum (NNPS), and detective quantum efficiency (DQE), which describe the resolution, noise, and signal to noise performance, respectively. DQE was calculated by using a edge phantom for MTF determination according to IEC 62220-1-2 regulation. The contrast to noise ratio (CNR) was evaluated according to guidelines offered by the Korean Institute for Accreditation of Medical Image (KIAMI). As a result, the higher MTF and DQE was measured with direct conversion detector compared to indirect conversion detector all over spatial frequency. When the average glandular dose (AGD) was the same, direct conversion detector showed higher CNR value. The direct conversion detector which has higher DQE value all over spatial frequency would provide the potential benefits for both improved image quality and lower patient dose in digital mammography system.

A Study on the Appropriate Reconstruction of the CBCT Images of Mandibular Canals (CBCT 영상에서 구치부의 하악관 형태에 따른 재구성 방법 연구)

  • Jeong, Cheon-Soo;Mo, Eun-Hee;Lee, Gee-Heun;Han, Beom-Hee;Kim, Seung-Chul;Kim, Jung-Sam;Lim, Cheong-Hwan
    • Journal of the Korean Society of Radiology
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    • v.5 no.6
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    • pp.369-375
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    • 2011
  • In dental radiography, panoramic views cause distortion and thus may bring about inaccurate results in the process of quantitative analysis. In this connection, there has recently been an increasing use of cone beam computed tomography (CBCT) that is known to provide high-resolution images and positional information. In this study, a dental computed tomography unit, 'DCT-90-P IMPLAGRAPHY (Vatech, Korea)', was applied to 20 patients for 24 seconds respectively, with a tube voltage of 85kVp and a tube current of 7mA. The data of CBCT were three-dimensionally reconstructed by use of a computer program, and were histomorphometrically analyzed. The results showed that the diameter of mandibular canal is less distorted at a certain inclination of the mandibular body. The image tends to seem more distended in proportion to the distance between the subject and film. Also, the image tends to be affected according as it is out of focus. In conclusion, it requires that the image should be reconstructed in light of anatomic position and structure.

Implications of specific gene expression patterns in enamel knot in tooth development

  • Kim, Tae-Young;Neupane, Sanjiv;Aryal, Yam Prasad;Lee, Eui-Seon;Kim, Ji-Youn;Suh, Jo-Young;Lee, Youngkyun;Sohn, Wern-Joo;An, Seo-Young;Ha, Jung-Hong;An, Chang-Hyeon;Kim, Jae-Young
    • International Journal of Oral Biology
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    • v.45 no.1
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    • pp.25-31
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    • 2020
  • Enamel knot (EK)-a signaling center-refers to a transient morphological structure comprising epithelial tissue. EK is believed to regulate tooth development in early organogenesis without its own cellular alterations, including proliferation and differentiation. EKs show a very simple but conserved structure and share functions with teeth of recently evolved vertebrates, suggesting conserved signaling in certain organs, such as functional teeth, through the course of evolution. In this study, we examined the expression patterns of key EK-specific genes including Dusp26, Fat4, Meis2, Sln, and Zpld1 during mice embryogenesis. Expression patterns of these genes may reveal putative differentiation mechanisms underlying tooth morphogenesis.

Development of Biodegradable Polymeric Membrane for Interventional Procedure: Preliminary Study (인터벤션 시술을 위한 생분해성 고분자막의 개발 : 예비연구)

  • Bang, Jung-Wan;Hyun, Chang-Yong;Kim, Tae-Hyung;So, Woon-Young;Kim, Jin-Tae;Kim, Sang-Sub;Jung, Hee Dong;Heo, Yeong Cheol
    • Journal of radiological science and technology
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    • v.37 no.1
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    • pp.15-20
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    • 2014
  • This study was to evaluate clinical feasibility of biodegradable polymeric membrane for interventional procedure in preliminary study. Bio-degradable polymetric membrane was produced into a solution by mixing hyaluronic acid powder with NaOH solution in a heating mantle. Three different concentrations of contrast media (10, 20, and 30 vol%) were added to the produced soluble powder, and vertical agitation was performed for 12 hours at a speed of 100 to 200 rpm at a room temperature. It was freeze dried for 24 hours at a temperature $80^{\circ}C$. Pressure on the freeze dried sample was exerted by a hydraulic press in order to form the freeze dried sample into a membrane. The membrane produced with varying contrast medium concentration was visually examined by a scanning electron microscope and radiographically inspected. Under the visual examination, the higher the concentration of contrast medium, the rougher the surface. Radiographic transparency was similar under all conditions of fluoroscopic radiography, simple radiography, and serial radiography. In conclusion, this preliminary study verified that bio-degradable membrane produced with hyaluronic acid was a material with clinical usability.

Analysis Study on the Detection and Classification of COVID-19 in Chest X-ray Images using Artificial Intelligence (인공지능을 활용한 흉부 엑스선 영상의 코로나19 검출 및 분류에 대한 분석 연구)

  • Yoon, Myeong-Seong;Kwon, Chae-Rim;Kim, Sung-Min;Kim, Su-In;Jo, Sung-Jun;Choi, Yu-Chan;Kim, Sang-Hyun
    • Journal of the Korean Society of Radiology
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    • v.16 no.5
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    • pp.661-672
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    • 2022
  • After the outbreak of the SARS-CoV2 virus that causes COVID-19, it spreads around the world with the number of infections and deaths rising rapidly caused a shortage of medical resources. As a way to solve this problem, chest X-ray diagnosis using Artificial Intelligence(AI) received attention as a primary diagnostic method. The purpose of this study is to comprehensively analyze the detection of COVID-19 via AI. To achieve this purpose, 292 studies were collected through a series of Classification methods. Based on these data, performance measurement information including Accuracy, Precision, Area Under Cover(AUC), Sensitivity, Specificity, F1-score, Recall, K-fold, Architecture and Class were analyzed. As a result, the average Accuracy, Precision, AUC, Sensitivity and Specificity were achieved as 95.2%, 94.81%, 94.01%, 93.5%, and 93.92%, respectively. Although the performance measurement information on a year-on-year basis gradually increased, furthermore, we conducted a study on the rate of change according to the number of Class and image data, the ratio of use of Architecture and about the K-fold. Currently, diagnosis of COVID-19 using AI has several problems to be used independently, however, it is expected that it will be sufficient to be used as a doctor's assistant.