• Title/Summary/Keyword: Tomographic scan

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Classification of Blowout Fracture (안와 파열 골절의 분류)

  • Lee, Jun Ho;Ryu, Min Hee;Kim, Yong Ha
    • Archives of Plastic Surgery
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    • v.34 no.6
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    • pp.719-723
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    • 2007
  • Purpose: Blowout fracture can lead to functional impairments and esthetic deformities such as impairment of ocular movement, diplopia, visual loss and enophthalmos. The object of this study is to present a classification and its analysis according to the computed tomographic scan in blowout fractures. We classified blow out fractures into three types according to the anatomical location of fracture, the size of the bone defect and the degree of periosteal injury by using the computed tomography scan. Each progress and complications were analyzed more than mean 1 year. Methods: Among the 155 cases during 4 years, there were 11 cases of medial orbital wall fracture, 97 cases of inferior orbital wall fracture, 47 cases of combined type. The mean age of patients was 31.2 years, ranged from 8 to 84 years. Results: According to our classification, surgical treatments through the nasoendoscopic approach, the subciliary approach, the transconjunctival approach or their combinations were performed in 116 patients, and conservative treatments were done in 46 patients. Presurgical clinical findings of diplopia, impairment of ocular movement, enophthalmos of more than 2 mm were present in 62 patients. After surgical treatment, clinical findings were remained in 7 patients. Conclusion: We think that our classification according to computed tomographic scan is helpful for the indication and it may decrease the complications such as impairment of ocular movement, diplopia, visual loss and enophthalmos.

Incidental finding of metastatic malignancy involving the sphenoid sinus on a cone-beam computed tomographic scan: A case report

  • Amintavakoli, Niloufar
    • Imaging Science in Dentistry
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    • v.51 no.1
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    • pp.87-90
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    • 2021
  • The increased use of cone-beam computed tomographic (CBCT) scans has made it increasingly necessary to evaluate incidental findings on CBCT scans. This report describes the case of a 66-year-old female patient who presented to the Department of Oral and Maxillofacial Pathology, Radiology and Medicine at the College of Dentistry of the author's institution and underwent a CBCT scan for maxillary alveolar process implant planning. Upon evaluation of the CBCT scan, a radiopaque (soft tissue attenuation) mass in the left superior aspect of the nasal cavity and left locule of the sphenoid sinus with opacification of the left locule of the sphenoid sinus was incidentally noted. These radiographic findings were suggestive of a space-occupying mass with a high possibility of malignancy. A further medical evaluation confirmed renal cell cancer metastasis to the sphenoid sinus. This study shows the significance of reviewing the entire CBCT scan for incidental findings.

Development of Tomographic Scan Method for Industrial Plants (산업공정반응기의 감마선 전산 단층촬영기술 개발)

  • Kim, Jong-Bum;Jung, Sung-Hee;Moon, Jin-Ho;Kwon, Taek-Yong;Cho, Gyu-Seong
    • Journal of the Korean Society for Nondestructive Testing
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    • v.30 no.1
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    • pp.20-30
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    • 2010
  • In this paper, a new tomographic scan method with fixed installed detectors and rotating source from gamma projector was presented to diagnose the industrial plants which were impossible to be examined by conventional tomographic systems. Weight matrix calculation method which was suitable for volumetric detector and statistical iterative reconstruction method were applied for reconstructing the simulation and experimental data. Monte Carlo simulations had been performed for two kinds of phantoms. Lab scale experiment with a same condition as one of phantoms, had been carried out. Simulation results showed that reconstruction from photopeak counting measurement gave the better results than from the gross counting measurement although photopeak counting measurement had large statistical errors. Experimental data showed the similar result as Monte Carlo simulation. Those results appeared to be promising for industrial tomographic applications, especially for petrochemical industries.

The disc morphological changes on CT scan examinations after 5-7years, of acute HIVD patients who underwent oriental medical treatment (조기(早期) 한방치료(韓方治療)를 시행한 요추수핵탈출증(腰椎髓核脫出症) 환자(患者)의 C-T 상(上) 5-7년 후의 추간판(椎間板)의 변화(變化))

  • Mun, Hyung-Cheal;Hwang, Woo-Jun;Lee, Geon-Mok;Cho, Nam-Geun;Gang, Sung-Do;Cho, Jae-Woon;Chang, Byoung-Sun;Jin, Kyong-Son
    • Journal of Acupuncture Research
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    • v.18 no.4
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    • pp.1-12
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    • 2001
  • Study design : A retrospective study of lumbar disc herniations using results of follow-up computed tomographic scan examinations. Objective : Lumbar disc herniations is one of the cause low back pain and lower extremity pain. To clarify the lumbar disc herniations morphological changes over time(mean 5.3 years) in order to establish a strategy for treatment. Methods : Sixteen patients with lumbar disc herniations who underwent follow-up computed tomographic scan examinations were studied. The changes over time in herniated disc size(herniation ratio) were evaluated using this scan technique. The initial computed tomographic scan allowed classification of the herniations according to herniation ratio: small, medium and large. Results : Comparison with follow-up computed tomographic scans showed that of the 16 patients, in 14 patients(88%), the herniation ratio(HR) was decreased and among them, 8 patients had complet resolution of herniated disc. In 2 patients with small herniations, the HR of one case was increased, the other was decreased. In 8 patients with medium herniations, the HR of one case had no change, the others was decreased. In 6 patients with large herniation, the HR of all patients was decreased. Interestingly, 4 of the 16 patients showed calcification change of herniated disc. Conclusion : There is no doubt that herniated disc size is decreased over time. The largest herniations were those which had the greatest tendency to decrease in size. But in some cases, the HR was increased, or calcification change was showed.

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Calibration Method of the Tomographic Gamma Scan Techniques Available for Accurately Characterizing 137Cs from 110mAg Interference (110mAg 간섭으로부터 137Cs 정량평가를 위한 드럼핵종분석 교정기술)

  • Jeong, Sung Yeop
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.14 no.1
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    • pp.57-61
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    • 2016
  • The Tomographic Gamma Scan (TGS) technique partitions radioactive waste drums into $10{\times}10{\times}16$ voxels and assays both the density and concentration of radioactivity for each voxel thus providing for improved accuracy, when compared to the traditional Non-Destructive Assay(NDA) techniques. It could decrease the degree of precision measurement since there is a trade-off between spatial resolution and precision. This latter drawback is compensated by expanding the Region of Interest (ROI) that differentiates the full energy peaks, which, in turn, results in an optimized degree of precision. The enlarged ROI, however, increases the probability of interference among those nuclides that emit energies in the adjacent spectrum. This study has identified the cause of such interference for the reference nuclide of the TGS technique, $^{137}Cs$ (661.66 keV, half-life 30.5 years), to be $^{110m}Ag$ (657.75 keV, half-life 249.76 days). A new calibration method of determining the optimized ROI was developed, and its effectiveness in accurately characterizing $^{137}Cs$ and eliminating the interference was further ascertained.

Three-dimensional comparison of 2 digital models obtained from cone-beam computed tomographic scans of polyvinyl siloxane impressions and plaster models

  • Park, Jin-Yi;Kim, Dasomi;Han, Sang-Sun;Yu, Hyung-Seog;Cha, Jung-Yul
    • Imaging Science in Dentistry
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    • v.49 no.4
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    • pp.257-263
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    • 2019
  • Purpose: This study was performed to evaluate the dimensional accuracy of digital dental models constructed from cone-beam computed tomographic (CBCT) scans of polyvinyl siloxane (PVS) impressions and cast scan models. Materials and Methods: A pair of PVS impressions was obtained from 20 subjects and scanned using CBCT (resolution, 0.1 mm). A cast scan model was constructed by scanning the gypsum model using a model scanner. After reconstruction of the digital models, the mesio-distal width of each tooth, inter-canine width, and inter-molar width were measured, and the Bolton ratios were calculated and compared. The 2 models were superimposed and the difference between the models was measured using 3-dimensional analysis. Results: The range of mean error between the cast scan model and the CBCT scan model was -0.15 mm to 0.13 mm in the mesio-distal width of the teeth and 0.03 mm to 0.42 mm in the width analysis. The differences in the Bolton ratios between the cast scan models and CBCT scan models were 0.87 (anterior ratio) and 0.72 (overall ratio), with no significant difference (P>0.05). The mean maxillary and mandibular difference when the cast scan model and the CBCT scan model were superimposed was 53 ㎛. Conclusion: There was no statistically significant difference in most of the measurements. The maximum tooth size difference was 0.15mm, and the average difference in model overlap was 53 ㎛. Digital models produced by scanning impressions at a high resolution using CBCT can be used in clinical practice.

Comparative Study on Accuracy and Usefulness of Calibration Using CT T.O.D (단층촬영영상을 이용한 T.O.D Calibration의 정확성과 유용성에 관한 비교연구)

  • Seo, Jeong-Beom;Kim, Dong-Hyeon;Lee, Jeong-Beom
    • Korean Journal of Digital Imaging in Medicine
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    • v.13 no.1
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    • pp.39-48
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    • 2011
  • Uses a Tomographic scan image and Table Object Distance(TOD) price after measuring, uses accuracy and usability of blood vessel diameter(Vessel Diameter) measurement under comparison evaluating boil TOD Calibration. The patient who enforces Prosecuting Attorney abdomen Tomographic scan in the object the superior mesentery artery uses PACS View from abdomen fault image and from blood vessel diameter and the table measures the height until of the blood vessel. Uses Angio Catheter from Angiography(5 Fr.) and enforces is measured from PACS View the height until of the table which and the blood vessel at TOD Calibration price and the size of the superior mesentery artery inputs measures an superior mesentery artery building skill. Catheter Calibration input Agnio Catheter where uses in Angiography the size of the superior mesentery artery at Catheter Calibration price and they measure. Produced an accuracy from monitoring data and comparison evaluated. The statistical program used SPSS. TOD Calibration accuracy was 96.53%, standard deviation is 0.03829. Catheter Calibration accuracy of 92.91%, standard deviation is 0.05085. Represents a statistically significant difference(p = 0). According to age and gender was not statistically significant(p > 0.05). TOD Calibration correlation coefficient R-squared of 88.8%, Catheter Calibration of the R-squared is 75.5%. High accuracy of both methods. Through this study, CT images using the measured distance between the table and the Object, TOD Calibration accuracy higher than two Catheter Calibration was measured. TOD and Catheter Calibration represents a statistically significant difference(p = 0).

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Two case of Stroke patients assume an aspect of Cheiro-oral Syndrome (수구증후군 양상을 보인 뇌졸중 환자 2례)

  • Kang, Gu-Hyeng;Yong, Hyung-Soon;Jung, Yong-Soo;Ko, Seong-Gyu;Park, Kyoung-Hoon
    • The Journal of Internal Korean Medicine
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    • v.22 no.2
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    • pp.257-262
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    • 2001
  • Cheiro-oral syndrome is characterized by a partial sensory disturbance in one hand and the ipsilateral oral comer. Its lesion is on the sensory track, and it is comparatively small. Most studies are case studies. These studies reported less than 10 cases. We studied two cases. In one, we observed intracranial hemorrhage involving left thalamus, posterior limb of internal capsule about 5cc in brain computed tomographic scan. The case was shown paresthesia of the right hand and ipsilateral comer of the mouth. The patient also complained about disturbing dysstereognosis and disorder of graphaesthesia. In the other case, we observed nodular calcification at the left basal ganglia external capsule in brain computed tomographic scan. The patient also complained about dysesthesia of the right thumb and index finger, fatigue and verbal disturbance. These cases appeared to be typical strokes in the acute phase, but after acute phase, they had dysethesia in the hand and periord for three months.

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Measurement of Orbit using Standardized Processing of CT Scan

  • Kim, Yong Oock
    • Journal of International Society for Simulation Surgery
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    • v.1 no.1
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    • pp.7-12
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    • 2014
  • Purpose Surgical correction of various occular problems which do not have visual problem in plastic surgical area is to normalize the appearance of the face by restoring the normal position of orbit and eyeball. With development of surgical technique, the orbit can be restored exactly in trauma patient and can be moved totally in hypertelorism, as an example of congenital disease. All these surgeries are based on the hypothesis that the position of oclular glove moves in the plane in a quantitatively predictable reationship to osseous orbit movement. However, no studies have critically evaluated between the change of periorbital soft tissue and the outcome of the surgical correction, because there is no method of objective, quantitave evaluation of the periorbital soft tissue. Method Author suggest the methodology for quantitative assessment of ocular and periocular fat changes using the manipulation of digital images of computed tomographic scan. Results The method was allowed to evaluate inter-dacryon distance, inter-centroid distance, movement of the medial orbital wall, movement of the lateral orbital wall, alteration of thickness of the lateral periorbital fat as indicator of movement of the orbital wall and orbit in the patient with congenital periorbital anomaly and postoperative periorbital surgery. The goal of surgical correction of various occular problems which do not have visual problem in plastic surgical area is to normalize the appearance of the face by restoring the normal position of orbit and eyeball. With development of surgical technique, the orbit can be restored exactly in trauma patient and can be moved totally in hypertelorism, as an example of congenital disease. All these sugeries are based on the hypothesis that the position of oclular glove moves in the plane in a quantitatively predictable relationship to osseous orbit movement. However, no studies have critically evaluated between the change of periorbital soft tissue and the outcome of the surgical correction, because there is no method of objective, quantitave evaluation of the periorbital soft tissue. In this report, author suggest the methodology for quantitative assessment of ocular and periocular fat changes using the manipulation of digital images of computed tomographic scan. Conclusion The method suggested is objective and accurate method in measurement of the orbital contents. It takes time and is not easy to do, however, this kind of measurement for fine structures will be more easily available in near future.

THE USEFULNESS OF BONE SCAN FOR EVALUATING JAW BONE EXTENSION OF ORAL CANCER (구강암의 악골 침윤 평가에 있어서 골스캔의 효과)

  • Park, Hong-Ju;Ryu, Sun-Youl
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.26 no.6
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    • pp.658-665
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    • 2000
  • Purpose : The present study was carried out to determine the diagnostic usefulness of bone scan for evaluating jaw bone extension of oral cancer. Materials and Methods : Medical records, preoperative bone scans, computerized tomographic (CT) scans, conventional radiographs, and findings of histopathologic sections of twenty patients who had been treated for oral malignant tumors by a resection of mandible and soft tissue at Chonnam University Hospital from January, 1994 to September, 1999 were analyzed. Results : In 13 cases which showed histopathologically positive, preoperative bone scans were positive in 12 (92.3%) and false negative in 1 (7.7%). Preoperative CT scans were positive in 9 (69.2%) and false negative in 4 (30.8%) of the 13 cases. Preoperative conventional radiographs were positive in 8 (61.5%) and false negative in 5 (38.5%) of the 13 cases. In 7 cases showing negative histopathologic findings, 1 (14.3%) was in CT scans and 2 (28.6%) were false positive in preoperative conventional radiographs. Conclusion : These results suggest that bone scan is more sensitive and reliable method for evaluating jaw bone extension of oral cancer than conventional radiographs or CT scans.

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