• Title/Summary/Keyword: Simple radiography

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The Findings on Cardiothoracic Ratio in Simple Chest Radiography (Simple chest radiography에서의 심흉비(cardiothoracic ratio) 소견)

  • Kim, Ham-Gyum
    • Journal of radiological science and technology
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    • v.27 no.4
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    • pp.43-48
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    • 2004
  • The purpose of this study is to measure cardiothoracic ratio and to report the opinions on it, targeting 500 persons who were conducted simple chest radiography, in terms of clinical symptom, by visiting a medical examination center for S university hospital. As to the general characteristic of 500 research targets, it comprised 263 persons (52%) for males and 237 persons (48%), and the average age is 49.4. Out of 500 persons, it showed 125 persons (25%) in their thirties, 125 persons (25%) in their forties, 125 persons (25%) in their fifties, and 125 persons (25%) in their sixties. 1. In terms of the wholly 500 targets, the average value of cardiothoracic ratio was 0.48, and the average cardiothoracic ratio showed 0.45 in their thirties, 0.46 in their forties, 0.50 in their fifties, and 0.53 in their sixties. 2. The minimum value of cardiothoracic ratio was 0.33, and its maximum value was 0.70, and it showed 319 persons (63.8%) as to a case lower than 0.5, which is a normal value, and 181 persons (36.2%) as to a case more than 0.5, which is a normal value. 3. Among 181 persons who showed cardiothoracic ratio higher than normality, it showed 17 persons (9.4%) in their thirties, 22 persons (12%) in their forties, 54 persons (30%) in their fifties, and 88 persons (49%) in their sixties. 4. The average for the internal diameter (ID) of thorax was 141.8 mm, 229.6 mm at the minimum, and 353.5 mm at the maximum. 5. The average for the maximum transverse diameter of right side of the heart (MRD) was 48.0 mm, 4.95 mm at the minimum, and 84.5 mm at the maximum. The average for the maximum transverse diameter of left side of the heart (MLD) was 93.5 mm, 56.7 mm at the minimum, and 138.5 mm at the maximum. 6. The average for TD (MRD+MLD) of the heart was 292.6 mm, 96.6 mm at the minimum, and 199.2 mm at the maximum. 7. The average of cardiothoracic ratio (MRD+MLD/ID) was 0.48, 0.33 at the minimum, and 0.70 at the maximum.

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Clinical Comparison of the Predictive Value of the Simple Skull X-Ray and 3 Dimensional Computed Tomography for Skull Fractures of Children

  • Kim, Young-Im;Cheong, Jong-Woo;Yoon, Soo Han
    • Journal of Korean Neurosurgical Society
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    • v.52 no.6
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    • pp.528-533
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    • 2012
  • Objective : In the pediatric population the skull has not yet undergone ossification and it is assumed that the diagnostic rate of skull fractures by simple X-rays are lower than that of adults. It has been recently proposed that the diagnostic rates of skull fractures by 3-dimensional computer tomography (3D-CT) are higher than simple X-rays. The authors therefore attempted to compare the diagnostic rates of pediatric skull fractures by simple X-rays and 3D-CTs with respect to the type of fracture. Methods : One-hundred patients aged less than 12 years who visited the Emergency Center for cranial injury were subject to simple X-rays and 3D-CTs. The type and location of the fractures were compared and Kappa statistical analysis and the t-test were conducted. Results : Among the 100 pediatric patients, 65 were male and 35 were female. The mean age was $50{\pm}45$ months. 63 patients had simple skull fractures and 22 had complex fractures, and the types of fractures were linear fractures in 74, diastatic fractures 15, depressed fractures in 10, penetrating fracture in 1, and greenstick fractures in 3 patients. Statistical difference was observed for the predictive value of simple skull fractures' diagnostic rate depending on the method for diagnosis. A significant difference of the Kappa value was noted in the diagnosis of depressed skull fractures and diastatic skull fractures. Conclusion : In the majority of pediatric skull fractures, 3D-CT showed superior diagnosis rates compared to simple skull X-rays and therefore 3D-CT is recommended whenever skull fractures are suspected. This is especially true for depressed skull fractures and diastatic skull fractures.

Analysis of High-Resolution CT Findings in Patients with Spontaneous Pneumothorax (자연기흉환자의 고해상 CT소견의 분석)

  • 김양수;손동섭
    • Journal of Chest Surgery
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    • v.32 no.4
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    • pp.383-387
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    • 1999
  • Background: We analysed simple chest PA and high-resolution CT findings in patients with spontaneous pneumothorax in order to help selecting the kind of treatment, provide a guidline during surgical treatment, and to recognize the bulla which may not be detected by simple radiographs or may be a potential cause of recurrence. Material and Method: We retrospectively analysed the presence and number of bulla in each side, combined pulmonary disease on simple chest films and high-resolution CT, and methods and frequency of the treatment in 70 patients with spontaneous pneumothorax excluing traumatic origin. Result: 45 patients were revealed primary spontaneous pneumothorax, and the remaining 25 patients were revealed secondary spontaneous pneumothorax. All secondary spontaneous pneumothorax were from the longstanding sequelle of pulmonary tuberculosis. The patients with primary spontaneous pneumothorax group was younger(mean:26.0 years old) than secondary group (mean: 44.1 years old). On simple radiography, bulla was detected in 16 patients(30.2%). On HRCT, the bulla was detected in 53 patients(75.7%) of the total 70 patients. In 48 patients(68.6%), the bulla or bleb was noted in ipsilateral side to the pneumothorax, and 34 patients(48.6%) of them showed bulla or bleb bilaterally. 39 patients(55.7%) showed bulla or bleb in contralateral side. The number of bulla or bleb was variable. In secondary spontaneous pneumothorax group, the incidence of multiple(more than 10) bulla or bleb was higher than primary type. Most of the patients were treated by thoracostomy(36 patients) or bullectomy( 7 patients). Conclusion: HRCT was superior to detect bulla and analyse the combined pulmonary disease than simple radiography. Therefore, HRCT can help to determine the mothod of treatment, provide a guidline during surgical treatment, and notify the bulla as a possible cause of recurrent pneumothorax.

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A Survey on Patient Dose and Exposure Conditions in Simple Radiography of the Abdomen (복부 단순 X-선 촬영조건과 환자 피폭에 관한 조사 연구)

  • Kim, Sung-Soo;Lee, Sun-Sook;Huh, Joon
    • Journal of radiological science and technology
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    • v.19 no.2
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    • pp.59-65
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    • 1996
  • We studied exposure techniques and exposure dose for simple abdomen A-P projection for 41 medical facilities that are located in Seoul area. 1. The range of tube voltage used was 60 to 84 kVp, the average tube voltage used was 74 kVp 2. Only 17% of added filter was used. 3. Tube current mostly used was 200 mA, some of them used 400 mA. 4. The grid ratio mostly was used 10 : 1, 54 % of the rare earth screen was used in most facilities. 5. The average skin entrance dose was 4.15 mSv and the dose range was 1.05 mSv to 11.0 mSv.

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A study on the radiation exposure of simple abdomen Radiation in Radiography (복부 단순 방사선 검사 시 피폭선량에 대한 연구)

  • Yeo, Jin-Dong;Kim, Mi-Sook
    • Journal of the Korean Society of Radiology
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    • v.1 no.3
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    • pp.5-10
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    • 2007
  • This study was performed to measure about exposure dose during simple abdmon radiation radiography. The exposure dose was measured by PDD, surface dose, respectively. The result was as followed: 1. When tube voltage were increased with 60-85kv, surface dose were increased. When FFD(focus film distance) at the 50-150cm and mAs were increased, surface dose were decreased. 2. The percentage depth dose(PDD) were appeared 50% below depth dose at 4cm with 60-75kv, and 6cm depth with 80-85kv, 5% below depth dose at 12cm with 60kv, and depth with 65-85kv. 3. The percentage forward scatter increased from 10% to 11.78% at the 60-85kv. The back scatter dose were increase from 25% to 37% at the 60-85kv. The side scatter dose were affected to heel effect.

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Usefulness of 3-Dimensional Body Surface Scanning in the Evaluation of Patients with Pectus Carinatum

  • Song, Seung Hwan;Kim, Chong Hoon;Moon, Duk Hwan;Lee, Sungsoo
    • Journal of Chest Surgery
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    • v.53 no.5
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    • pp.301-305
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    • 2020
  • Background: Radiographic modalities have been commonly used to evaluate pectus carinatum (PC), and compressive orthotic bracing is the most widely accepted treatment method. The aim of this study was to determine the efficacy of 3-dimensional (3D) body surface scanning as an alternative modality for the evaluation of PC. Methods: The medical records of 63 patients with PC who were treated with compressive orthotic bracing therapy between July 2017 and February 2019 were retrospectively analyzed. Using both 2-view chest radiography (posteroanterior and lateral view) and 3D body scanning, the height of maximal protrusion of the chest wall was measured both before and after 2 weeks of bracing therapy. The difference between the pre- and post-treatment measurements was calculated for both modalities, and these differences were compared and analyzed. Results: Based on the comparison between the pre- and post-treatment radiographs, bracing therapy produced favorable outcomes in all patients (p<0.001). The measurements obtained via 3D scanning were strongly correlated with those obtained via chest radiography (r=0.60). Conclusion: Based on the findings of this study, 3D body surface scanning appears to be an effective, radiation-free, and simple method for the post-treatment follow-up evaluation of PC, and thus can be considered an alternative to radiography.

Nonuniform Gain Correction Based on the Filtered Gain Map in Radiography Image Detectors (방사선 영상 디텍터에서 필터링된 이득지도를 사용한 불균일 이득 잡음의 보정)

  • Kim, Dong Sik
    • Journal of the Institute of Electronics and Information Engineers
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    • v.53 no.4
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    • pp.97-105
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    • 2016
  • Radiography image detector produces digital images by collecting the charges from the incident x-ray photons and converting it to the voltage signals and then the digital signals. The fixed-pattern noise from the nonuinform amplifier gains in the employed multiple readout circuits. In order to correct the nonuniform gains, a gain-correction technique which is based on the gain map is conventionally used. Since the photon noise remains in the designed gain map, the noise contaminates the gain-corrected images. In this paper, experimental observations are conducted for filtering the remained noise in the gain map, and a filter optimization algorithm is proposed to efficiently remove the noise. For acquired x-ray images from detectors, the filtered gain maps are evaluated and it is shown that optimization algorithm can improve the filtering performance even for relatively strong fixed-pattern noises, which cannot be removed by a simple filter.

Computer-Aided Diagnosis for Pulmonary Tuberculosis using Texture Features Analysis in Digital Chest Radiography (질감분석을 이용한 폐결핵의 자동진단)

  • Kim, Dae-Hun;Ko, Seong-Jin;Kang, Se-Sik;Kim, Jung-Hoon;Kim, Chang-Soo
    • The Journal of the Korea Contents Association
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    • v.11 no.11
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    • pp.185-193
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    • 2011
  • There is no exact standard of detecting pulmonary tuberculosis(TB) in digital image of simple chest radiography. In this study, I experimented on the principal components analysis(PCA) algorithm in the past and suggested six other parameters as identification of TB lesions. The purpose of this study was to develop and test computer aided diagnosis(detection) method for the detection and measurement of pulmonary abnormalities on digital chest radiography. It showed comparatively low recognition diagnosis rate using PCA method, however, six kinds of texture features parameters algorithm showed similar or higher diagnosis rates of pulmonary disease than that of the clinical radiologists. Proposed algorithms using computer-aided of texture analysis can distinguish between areas of abnormality in the chest digital images, differentiate lesions having pulmonary disease. The method could be useful tool for classifying and measuring chest lesions, it would play a major role in radiologist's diagnosis of disease so as to help in pre-reading diagnosis and prevention of pulmonary tuberculosis.

Assessment of neovascularization during bone healing using contrast-enhanced ultrasonography in a canine tibial osteotomy model: a preliminary study

  • Jeon, Sunghoon;Jang, Jaeyoung;Lee, Gahyun;Park, Seungjo;Lee, Sang-kwon;Kim, Hyunwook;Choi, Jihye
    • Journal of Veterinary Science
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    • v.21 no.1
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    • pp.10.1-10.12
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    • 2020
  • Blood perfusion of skeletal muscle and callus was evaluated using contrast-enhanced ultrasonography (CEUS) in a canine osteotomy model to determine the applicability of CEUS in the assessment of neovascularization during fracture healing and to compare the vascular signals on CEUS between external skeletal fixation and cast-applied dogs. In 6 Beagle dogs, a simple transverse osteotomy was performed at the left tibial shaft and external skeletal fixation (n = 3) or a cast (n = 3) was applied. Radiography, power Doppler ultrasonography (power Doppler), and CEUS were performed until complete union was achieved. On CEUS, vascular changes were quantitatively evaluated by measuring peak intensity (PI) and time to PI in the soft tissue and callus and by counting the vascular signals. Vascular signals from the soft tissue were detected on power Doppler and CEUS on day 2. Significantly more vascular signals were detected by CEUS than by power Doppler. On CEUS, PI in the surrounding soft tissue was markedly increased after the fracture line appeared indistinctively changed on radiography in all dogs. In the cast-applied dogs, vascular signals from the periosteal and endosteal callus were detected on CEUS before mineralized callus was observed on radiography. CEUS was useful in assessing the vascularity of soft tissue and callus, particularly in indirect fracture healing, and provided indications of a normally healing fracture.

Methods on Simple Radiography of Impingement Syndrome in Shoulder Joint (견관절 충돌증후군의 단순X선촬영 방법에 대한 검토)

  • Kweon, Dae-Cheol;Kim, Moon-Sun;Kim, Yong-Seob;Chung, Kyung-Mo
    • Journal of radiological science and technology
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    • v.23 no.1
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    • pp.21-27
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    • 2000
  • To evaluation of patients who have shoulder impingement syndrome is by diagnostic radiography. Shoulder impingement is a problem which occurs in young, active individuals as well as older individuals. In fact, the pain is probably caused by repetitive stress placed on the shoulder joint either through recreational activities of your occupation. Impingement series approach to radiographic examination of the shoulder is take five projections. First anteroposterior oblique projection. Second standard anteroposterior projection. Third superoinferior axial projection. Fourth supraspinatus outlet projection offers a view of the outlet of the supraspinatus tendon unit as it passes under the coraacromial arch. Fifth anteroposterior $30^{\circ}$ caudal projection will adequately demonstrate the anterior acromial spur or ossification in the coraacromial ligament and more reliable to demonstrate spurring of the anterior acromion than supraspinatus outlet projection. This decreased the need for additional radiographic veiws, reduces the patient's exposure to x - ray radiation and decreases use of film. This can lower the cost of the evaluation and improve patient satisfaction.

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