• 한국의학물리학회지:의학물리
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• 제1권1호
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• pp.23-29
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• 1990

In order to explane the stereotactic procedure, the three steps of the procedure (target localization, dose planning, and radiation treatment) must be examined separately. The ultimate accuracy of the full procedure is dependent on each of these steps and on the consistancy of the approach The concern in this article was about dose planning, which is a important factor to the success of radiation treatment. The major factor in dose planning is a dosimetry system to evaluate the dose delivered to the target and normal tissues in the patient, while it generates an optimal dose distribution that will satisfy a set of clinical criteria for the patient. A three-dimensional treatment planning program is a prerequisite for treatment plan optimization. It must cover 3-D methods for representing the patient, the dose distributions, and beam settings. The major problems and possible modelings about 3-D factors and optimization technique were discussed to simplify and solve the problems associatied with 3-D optimization, with relative ease and efficiency. These modification can simplify the optimization problem while saving time, and can be used to develop reference dose planning system to prepare standard guideline for the selection of optimum beam parameters, such as the target position, collimator size, arc spacing, the variation in arc length and weight. The method yields good results which can then be simulated and tailored to the individual case. The procedure needed for dose planning in stereotactic radiosurgery is shown in figure 1.

• International Journal of Control, Automation, and Systems
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• 제6권3호
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• pp.401-412
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• 2008

This paper discusses a design methodology of cooperative path planning for dynamical multi-agent systems with spatial and temporal constraints. The cooperative behavior of the multi-agent systems is specified in terms of the objective function in an optimization formulation. The path of achieving cooperative tasks is then generated by the optimization formulation constructed based on a differential flatness approach. Three scenarios of multi-agent tasking are proposed at the cooperative task planning framework. Given agent dynamics, both spatial and temporal constraints are considered in the path planning. The path planning algorithm first finds trajectory curves in a lower-dimensional space and then parameterizes the curves by a set of B-spline representations. The coefficients of the B-spline curves are further solved by a sequential quadratic programming solver to achieve the optimization objective and satisfy these constraints. Finally, several illustrative examples of cooperative path/task planning are presented.

• 대한치과의사협회지
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• 제57권2호
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• pp.100-104
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• 2019

Orthognathic surgery is designed to correct problems of the jaw and face and restore facial harmony. The limitations of orthognathic surgery occur at all steps of the surgical workflow: preoperative planning, simulation, and operation. Many studies have shown the accuracy and advantages of 3 dimensional computer-assisted program for orthognathic surgery. The purpose of this paper is to introduce the accuracy of the maxillary repositioning in patients who underwent orthognathic surgery using a 3 dimensional computer assisted surgery program. The reliability of computer guided orthognathic surgery using splint and surgical guide need to be improved further. The 3 dimensional computer assisted analysis seems to be more precise to interpret than two-dimensional analysis. High-precision planning of orthognathic surgery has predictable results. Three-dimensional computer assisted orthognathic surgery has the following advantages : planned surgical movement is possible, splints guide with CAD/CAM technology; and increase predictable results .Computer assisted simulation surgery ensures accuracy during surgery, thereby facilitating predictable results. It may provide solution that enables surgeon to perform planned surgery more accurately.

• KIEAE Journal
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• 제9권2호
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• pp.27-36
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• 2009

Due to rapid advances in science and technology and peoples life value, multi-dimensional functionality of the house has been possible and demanded. Among them, intellectual function and health support function appeared prominent and the former can support the later. The purpose of this study was to delineate health support planning features for smart home. Thirty six planning elements were extracted for initial pool for survey to find out what consumers demanded. Two hundred and nine data were collected through the web-survey. Important planning features were identified in relation to three different health dimensions that is physical/physiological, psychological, and social health. Generally consumers' responses were positive for all features. Major health friendly features highly demanded by consumers were found gas detect system, security system, and a call alarm system. The result of this study is expected to be used as a basic reference to develop strategies for smart home and to grasp current housing culture.

• 한국콘텐츠학회논문지
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• 제19권2호
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• pp.516-524
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• 2019

본 연구는 도시재생 관점에서 입체도시의 효과를 밝히고, 국내 입체도시계획 관련 제도의 문제점과 한계를 고찰함으로써 제도적 개선방안을 제시하고자 수행되었다. 그리하여 사례 분석을 통해 도시공간 연결, 지역경제 활성화, 기반시설 확충, 주택 공급 등 입체도시의 도시재생 기능과 역할을 파악하였으며, 제도적 문제점으로 국유재산에 대한 사권설정 금지로 민간참여가 저해되고, 2차원적 토지이용계획에 의거한 획일적인 기반시설 설치 기준으로 일정비율 이상의 토지 확보가 없으면 입체공간 활용이 어려우며, 법률간 연계성이 미흡한 문제를 도출하였다. 결론적으로 지역기반 산업구조 다양화 및 도시기능 강화 등을 목표로 입체시설 추진을 적극 지원 유도하고, 구도심 구역을 대상으로 입체 복합개발을 추진하며, 노후주택가의 공원, 학교, 도로, 전통시장의 하부공간을 활용한 보행로, 지하상가, 주차장 등의 도시재생사업 실현을 위해 중앙정부, 지자체, 민간부문 간 협력이 이루어져야 한다.

• Imaging Science in Dentistry
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• 제44권2호
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• pp.121-128
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• 2014

Purpose: The present study was performed to compare the planning of implant placement based on panoramic radiography (PAN) and cone-beam computed tomography (CBCT) images, and to study the impact of the image dataset on the treatment planning. Materials and Methods: One hundred five partially edentulous patients (77 males, 28 females, mean age: 46 years, range: 26-67 years) seeking oral implant rehabilitation were referred for presurgical imaging. Imaging consisted of PAN and CBCT imaging. Four observers planned implant treatment based on the two-dimensional (2D) image data-sets and at least one month later on the three-dimensional (3D) image dataset. Apart from presurgical diagnostic and dimensional measurement tasks, the observers needed to indicate the surgical confidence levels and assess the image quality in relation to the presurgical needs. Results: All observers confirmed that both imaging modalities (PAN and CBCT) gave similar values when planning implant diameter. Also, the results showed no differences between both imaging modalities for the length of implants with an anterior location. However, significant differences were found in the length of implants with a posterior location. For implant dimensions, longer lengths of the implants were planned with PAN, as confirmed by two observers. CBCT provided images with improved scores for subjective image quality and surgical confidence levels. Conclusion: Within the limitations of this study, there was a trend toward PAN-based preoperative planning of implant placement leading towards the use of longer implants within the posterior jaw bone.

• Journal of International Society for Simulation Surgery
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• 제2권2호
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• pp.90-93
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• 2015

The fibula free flap has now become the most reliable and frequently used option for mandible reconstruction. Recently, three dimensional images and printing technologies are applied to mandibular reconstruction. We introduce our recent experience of mandibular reconstruction using three dimensionally planned fibula free flap in a patient with gunshot injury. The defect was virtually reconstructed with three-dimensional image. Because bone fragments are dislocated from original position, relocation was necessary. Fragments are virtually relocated to original position using mirror image of unaffected right side of the mandible. A medical rapid prototyping (MRP) model and cutting guide was made with 3D printer. Titanium reconstruction plate was adapted to the MRP model manually. 7 cm-sized fibula bone flap was designed on left lower leg. After dissection, proximal and distal margin of fibula flap was osteotomized by using three dimensional cutting guide. Segmentation was also done as planned. The fibula bone flap was attached to the inner side of the prebent reconstruction plate and fixed with screws. Postoperative evaluation was done by comparison between preoperative planning and surgical outcome. Although dislocated condyle is still not in ideal position, we can see that reconstruction was done as planned.

• 한국산학기술학회논문지
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• 제21권11호
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• pp.309-316
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• 2020

본 연구는 도로 공간의 입체적 활용을 통한 도심재생 방안연구의 일환으로 일본의 입체도로제도에 대해서 분석하였다. 일본의 입체도로제도는 도로법, 도시계획법, 건축기준법의 3개의 법률을 일체적으로 운용해 왔으며, 특히 최근에는 도시계획법과 건축기준법이 개정되어 지구정비계획으로 중복이용구역이 설정된 모든 도로에서 입체도로제도의 적용이 가능해졌다. 입체도로제도 장점은 토지소유권자의 경우 도로상하공간의 이용이 자유로워지기 때문에 거주·영업이 지속가능하며, 도로관리자의 경우 도로로 이용하고자 하는 부분만 권리를 취득하기대문에 용지 취득비가 절감되는 장점이 있다. 또한 지역개발 측면에서 대규모 도로정비에 있어서 지역단절 개선 및 양호한 시가지를 형성할 수 있다. 입체도로제도의 적용 유형에 있어서는 고가도로, 지하도로, 자유통로, 주차장, 모노레일 등에서 일체구조와 분리구조의 형태로 다양하게 나타나고 있는데 도로를 일체적으로 정비하여 도로 상공에 건축물이 들어서 사업성 향상을 도모하고 있다. 또한 개발수법의 경우 도로와 건축물의 일체적 정비가 가능하여 개발계획의 자유도가 향상되며 도로법에 의한 관리 및 법률에 기초한 권한을 행사하여 관리상의 안정성 향상을 도모하고 있다. 이처럼 입체도로제도를 적용, 도로 공간의 입체적 활용을 통하여 제한된 가용부지를 최대한으로 활용하고 필요한 기능을 확보하여 개발지역의 지속가능성 및 양호한 시가지를 형성하고 있다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권11호
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• pp.4717-4721
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• 2014

Background: Dosimetric comparison of two dimensional (2D) radiography and three-dimensional computed tomography (3D-CT) based dose distributions with high-dose-rate (HDR) intracavitry radiotherapy (ICRT) for carcinoma cervix, in terms of target coverage and doses to bladder and rectum. Materials and Methods: Sixty four sessions of HDR ICRT were performed in 22 patients. External beam radiotherapy to pelvis at a dose of 50 Gray in 27 fractions followed by HDR ICRT, 21 Grays to point A in 3 sessions, one week apart was planned. All patients underwent 2D-orthogonal and 3D-CT simulation for each session. Treatment plans were generated using 2D-orthogonal images and dose prescription was made at point A. 3D plans were generated using 3D-CT images after delineating target volume and organs at risk. Comparative evaluation of 2D and 3D treatment planning was made for each session in terms of target coverage (dose received by 90%, 95% and 100% of the target volume: D90, D95 and D100 respectively) and doses to bladder and rectum: ICRU-38 bladder and rectum point dose in 2D planning and dose to 0.1cc, 1cc, 2cc, 5cc, and 10cc of bladder and rectum in 3D planning. Results: Mean doses received by 100% and 90% of the target volume were $4.24{\pm}0.63$ and $4.9{\pm}0.56$ Gy respectively. Doses received by 0.1cc, 1cc and 2cc volume of bladder were $2.88{\pm}0.72$, $2.5{\pm}0.65$ and $2.2{\pm}0.57$ times more than the ICRU bladder reference point. Similarly, doses received by 0.1cc, 1cc and 2cc of rectum were $1.80{\pm}0.5$, $1.48{\pm}0.41$ and $1.35{\pm}0.37$ times higher than ICRU rectal reference point. Conclusions: Dosimetric comparative evaluation of 2D and 3D CT based treatment planning for the same brachytherapy session demonstrates underestimation of OAR doses and overestimation of target coverage in 2D treatment planning.

• Radiation Oncology Journal
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• 제16권4호
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• pp.399-408
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• 1998

목적 : 본 연구는 비인강암 환자의 방사선치료에서 기존의 2차원적 치료계획과 3차원 입체조형 치료계획을 비교 분석하여 3차원적 치료계획의 우월성을 입증하고자 하였다. 대상 및 방법 : 병기가 T4인 환자를 대상으로 하였으며, 두 치료계획 모두 기존의 2차원적 치료방법으로 50.4Gy가 조사된 후 추가조사하는 과정을 2차원적 치료계획과 3차원적 치료계획으로 구분하여 수립하였다. 치료계획의 비교는 선량통계, 선량체적히스토그람, 국소제어율, 그리고 정상조직손상확률을 이용하여 시행하였다. 결과 : 3차원적 치료계획에서 2차원적 치료계획과 비교하여 계획용표적체적의 선량균일성이 더욱 향상되었으며 평균선량도 15.2$\%$의 증가를 보였다. 또한 종양 주위의 정상 장기인 측두엽, 뇌간, 이하선 및 측두하악골관절에 조사되는 평균선량은 3차원적 치료계획에서 낮았다. 종양제어확률은 3차원적 치료계획에서 2차원적 치료계획에서보다도 6$\%$ 증가하였으나 정상조직손상확률은 측두엽, 뇌간, 이하선, 측두하악골관절, 그리고 시신경교차 등 대부분의 정상장기에서 낮았다. 결론 : 3차원 입체조형치료계획은 2차원적 치료계획에 비교하여 종양의 국소제어율을 증가시킬수 있는 우월한 치료법임이 증명되었으나 임상적으로도 같은 결과를 가져올 지는 향후 전향적인 임상 연구가 요구된다.