• Korean Journal of Radiology
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• 제24권4호
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• pp.271-273
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• 2023

• Korean Journal of Radiology
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• 제22권1호
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• pp.23-40
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• 2021

In pancreatic cancer, imaging plays an essential role in surveillance, diagnosis, resectability evaluation, and treatment response evaluation. Pancreatic cancer surveillance in high-risk individuals has been attempted using endoscopic ultrasound (EUS) or magnetic resonance imaging (MRI). Imaging diagnosis and resectability evaluation are the most important factors influencing treatment decisions, where computed tomography (CT) is the preferred modality. EUS, MRI, and positron emission tomography play a complementary role to CT. Treatment response evaluation is of increasing clinical importance, especially in patients undergoing neoadjuvant therapy. This review aimed to comprehensively review the role of imaging in relation to the current treatment strategy for pancreatic cancer, including surveillance, diagnosis, evaluation of resectability and treatment response, and prediction of prognosis.

• Korean Journal of Radiology
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• 제22권7호
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• pp.1087-1099
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• 2021

MRI has become important for the detection of prostate cancer. MRI-guided biopsy is superior to conventional systematic biopsy in patients suspected with prostate cancer. MRI is also increasingly used for monitoring patients with low-risk prostate cancer during active surveillance. It improves patient selection for active surveillance at diagnosis, although its role during follow-up is unclear. We aim to review existing evidence and propose a practical approach for incorporating MRI into active surveillance protocols.

• 대한원격탐사학회지
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• 제16권2호
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• pp.157-175
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• 2000

A synthetic aperture radar (SAR) system is able to provide all-weather, day-and- night superior imaging capability of the earth surface, and thus is extremely useful in surveillance for both civil and military applications. In this paper, the X-band high resolution spaceborne SAR system design is demonstrated with the key design performance for a given mission and system requirements characterized by the small satellite system. The SAR multi-mode imaging technique is presented with a critical parameter assessment, and the standard mode results are analyzed in terms of the image quality performances. In line with the system requirement X-band SAR payload and ground reception/processing subsystems are designed and the major design results are presented with the key performance characteristics. This small satellite SAR system shows the wide range of imaging capability with high resolution, and proves to be an effective surveillance systems in the light weight, high performance and cost-effective points of view.

• Korean Journal of Radiology
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• 제20권4호
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• pp.542-557
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• 2019

The occurrence of incidentally detected pancreatic cystic lesions (PCLs) is continuously increasing. Radiologic examinations including computed tomography and magnetic resonance imaging with magnetic resonance cholangiopancreatography have been widely used as the main diagnostic and surveillance methods for patients with incidental PCLs. Although most incidentally detected PCLs are considered benign, they have the potential to become malignant. Currently, we have several guidelines for the management of incidental PCLs. However, there is still debate over proper management, in terms of accurate diagnosis, optimal follow-up interval, and imaging tools. Because imaging studies play a crucial role in the management of incidental PCLs, the 2017 consensus recommendations of the Korean Society of Abdominal Radiology for the diagnosis and surveillance of incidental PCLs approved 11 out of 16 recommendations. Although several challenges remain in terms of optimization and standardization, these consensus recommendations might serve as useful tools to provide a more standardized approach and to optimize care of patients with incidental PCLs.

• 한국군사과학기술학회지
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• 제3권2호
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• pp.101-120
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• 2000

A synthetic aperture radar (SAR) system can provide all-weather, day and night, superior imaging capability, and thus is very useful in surveillance for military applications. In this paper, a X-band spaceborne SAR system design concept is introduced with the key design parameters for mission and system requirements characterized by small satellite system. The SAR imaging mode design procedure is presented, and the standard imaging mode design results are analyzed as an example. In line with the given mission and system requirements, the X-band SAR payload and ground reception/processing subsystems are designed and presented with the key design results. The designed small satellite SAR system shows the wide range of imaging capability, and proves to be an effective surveillance system in light-weight, high-performance and cost-effective points of view.

• Asian Pacific Journal of Cancer Prevention
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• 제14권12호
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• pp.7193-7196
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• 2013

Ovarian cancer patients need a surveillance program for the detection of tumor progression after completion of treatment. The methods generally consist of history taking, physical examination, tumor marker monitoring and imaging. However, the details of recurrence detection with each method are not well defined. To clarify this issue, ovarian cancer patients who achieved complete or partial responses and developed tumor progression at the follow up time between January 2004 and December 2010 in University Hospital Chiang Mai, Thailand, were reviewed. Clinical data, CA 125 level and imaging results at the tumor progression time were recorded and analyzed. There were 144 ovarian cancer patients meeting the inclusion criteria with the mean age of 51 years and 62.5% of them were in an advanced stage. Complete response was achieved in 89 patients (61.8%) after primary treatment. The median progression free survival and overall survival were 15.5 months and 37.5 months, respectively. Abnormal symptoms presented in 49.3% of the studied patients and 59.7% developed physical examination abnormalities. In addition, CA 125 was elevated in 89.6% while in 74.3% of tumor progression was identified by CT-scan. Short treatment time period and a high level of CA 125 were significant independent prognostic factors in these patients. In conclusion, careful history taking, physical examination and monitoring of CA 125 levels are important methods for tumor progression detection in a surveillance program for epithelial ovarian cancer patients.

• 대한영상의학회지
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• 제82권2호
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• pp.280-297
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• 2021

간세포암 위험이 있는 환자들에 대해 국제 가이드라인들은 6개월마다 초음파로 감시할 것을 권고하고 있다. 그러나 초음파는 초기 간세포암을 발견하는 데에 낮은 민감도를 보인다. 한편, 자기공명영상(MRI)은 간세포암을 비침습적으로 진단하는 데 중요한 역할을 하지만, 검사 시간이 길고 비용이 높아서 감시 검사로는 적합하지 않다. 따라서 비조영증강 단축 MRI, 역동적 조영증강 단축 MRI, 그리고 간담도기영상을 포함한 단축 MRI 등 다양한 단축 MRI 전략들을 간세포암 감시에 이용한 여러 연구들이 있었다. 이 종설에서는 다양한 단축 MRI 전략들을 살펴보고, 비용-효과적인 측면을 고려하여 간세포암 감시의 앞으로 나아가야 할 방향에 대해 살펴보고자 한다.

• Korean Journal of Radiology
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• 제23권6호
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• pp.598-614
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• 2022

While ultrasound (US) is considered an important tool for hepatocellular carcinoma (HCC) surveillance, it has limited sensitivity for detecting early-stage HCC. Abbreviated MRI (AMRI) has recently gained popularity owing to better sensitivity in its detection of early-stage HCC than US, while also minimizing the time and cost in comparison to complete contrast-enhanced MRI, as AMRI includes only a few essential sequences tailored for detecting HCC. Currently, three AMRI protocols exist, namely gadoxetic acid-enhanced hepatobiliary-phase AMRI, dynamic contrast-enhanced AMRI, and non-enhanced AMRI. In this study, we discussed the rationale and technical details of AMRI techniques for achieving optimal surveillance performance. The strengths, weaknesses, and current issues of each AMRI protocol were also elucidated. Moreover, we scrutinized previously performed AMRI studies regarding clinical and technical factors. Reporting and recall strategies were discussed while considering the differences in AMRI protocols. A risk-stratified approach for the target population should be taken to maximize the benefits of AMRI and the cost-effectiveness should be considered. In the era of multiple HCC surveillance tools, patients need to be fully informed about their choices for better adherence to a surveillance program.

• 한국위성정보통신학회논문지
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• 제1권1호
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• pp.26-39
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• 2006

영상 레이다(SAR)는 전천후 영상획득이 가능하며, 반사표면의 물리적인 구조와 특성에 따라 표적탐지 및 식별성능이 우수하므로 군사용으로는 물론 과학 민수용으로 광범위한 활용분야를 가지고 있다. 본 논문에서는 먼저 X-밴드 소형위성 SAR 체계 설계 개념과 주요 임무 및 체계설계 요건들을 제시하고 이를 만족시키기 위한 영상모드 설계 기법과 표준 영상모드 설계 결과를 분석한다. 그리고, X-밴드 SAR 탑재체 및 지상 수신처리의 주요 체계 설계 결과와 성능특징을 제시하고, 마지막으로 SAR 영상활용을 위한 응용분야와 처리결과를 제시한다. 제안된 위성 SAR 시스템은 광역감시 모드에서 고해상도 모드까지 다양한 영상 모드 구현이 가능하며, 소형, 고성능, 저 비용 관점에서 효율적인 전천후 레이다 영상획득 시스템이다.