• Title/Summary/Keyword: Tomography Laser

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Quality assurance for computed-tomography simulator : Report of the AAPM Radiation Therapy Committee Task Group No.66 (Report of the AAPM Radiation Therapy Committee의 Task Group No.66에 의한 전산화 단층촬영 모의치료기의 정도 관리)

  • Lee, Yun-Seok
    • The Journal of Korean Society for Radiation Therapy
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    • v.17 no.1
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    • pp.41-43
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    • 2005
  • Purpose : Wish to present degree management process that is efficient confirm radiation treatment exclusive use CT simulator's Q.A item that become Q.A and Differentiation of diagnosis area that present Report of the AAPM Task Group No.66 using Q.A tool that produce itself and secure safe and correct CT-simulation process and equip convenience. Method and material : Manufacture CT simulator's Q.A tool on source and confirm virtue between isocenter of wall laser system, patient table, CT scanner's imaging plane that present in Report of the AAPM Task Group No.66 by daily publication unit. Result : Confirmed measured value from Report of the AAPM Task Group No.66 to confirmation of presenting degree management item in wall laser's ${\pm}2mm$, table's ${\pm}2mm$, imaging plane's ${\pm}2mm$ tolerance extent. Conclusion : There is unconfirmed item from CT-simulation process for therapy to CT Q.A protocol of existent diagnosis area, premising suitable degree management of radiation treatment exclusive use CT-simulator equipment confirming presenting Q.A item in Report of the AAPM Task Group No.66 safe and correct CT-simulation process guarantee can

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Identification of venular capillary remodelling: a possible link to the development of periodontitis?

  • Townsend, David
    • Journal of Periodontal and Implant Science
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    • v.52 no.1
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    • pp.65-76
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    • 2022
  • Purpose: The present study measured changes in arteriolar and venular capillary flow and structure in the gingival tissues during the development of plaque-induced gingival inflammation by combining dynamic optical coherence tomography (OCT), laser perfusion, and capillaroscopic video imaging. Methods: Gingival inflammation was induced in 21 healthy volunteers over a 3-week period. Gingival blood flow and capillary morphology were measured by dynamic OCT, laser perfusion imaging, and capillaroscopy, including a baseline assessment of capillary glycocalyx thickness. Venular capillary flow was estimated by analysis of the perfusion images and mean blood velocity/acceleration in the capillaroscopic images. Readings were recorded at baseline and weekly over the 3 weeks of plaque accumulation and 2 weeks after brushing was resumed. Results: Perfusion imaging demonstrated a significant reduction of gingival blood flow after 1 and 2 weeks of plaque accumulation (P<0.05), but by 3 weeks of plaque accumulation there was a more mixed picture, with reduced flow in some participants and increased flow in others. Participants with reduced flux at 3 weeks also demonstrated venular-type flow as determined by perfusion images and evidence of the development of venular capillaries as assessed by the velocity/acceleration ratio in capillaroscopic images. After brushing resumed, these venular capillaries were broken down and replaced by arteriolar capillaries. Conclusions: After 3 weeks of plaque accumulation, there was wide variation in microvascular reactions between the participants. Reduced capillary flow was associated with the development of venular capillaries in some individuals. This is noteworthy, as an early increase in venous capillaries is a key vascular feature of cardiovascular disease, psoriasis, Sjögren syndrome, and rheumatoid arthritis-diseases with a significant association with the development of severe gingival inflammation, which leads to periodontitis. Future investigations of microvascular changes in gingival inflammation might benefit from accurate capillary flow velocity measurements to assess the development of venular capillaries.

The role of needle-based confocal laser endomicroscopy in the diagnosis of pancreatic neuroendocrine tumors

  • Masanori Yamada;Kazuo Hara;Nobumasa Mizuno;Shin Haba;Takamichi Kuwahara;Nozomi Okuno;Yasuhiro Kuraishi;Takafumi Yanaidani;Sho Ishikawa;Tsukasa Yasuda;Toshitaka Fukui
    • Clinical Endoscopy
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    • v.57 no.3
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    • pp.393-401
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    • 2024
  • Background/Aims: Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is a highly accurate method for diagnosing pancreatic neuroendocrine tumors (PNETs); however, some PNETs are difficult to diagnose. Recently, the efficacy of needle-based confocal laser endomicroscopy (nCLE) in diagnosing solid pancreatic masses has been reported. However, the efficacy of nCLE in the diagnosis of PNETs remains unknown and only a small number of cases have been reported. Hence, this study aimed to evaluate the efficacy of nCLE in the diagnosis of PNETs. Methods: This single-center retrospective study evaluated 30 consecutive patients with suspected PNETs on contrast-enhanced computed tomography, who consented to nCLE combined with EUS-FNA and were diagnosed using EUS-FNA or surgical resection. The diagnostic criteria for PNETs using nCLE were based on the nesting and trabecular and glandular arrangement of tumor cell clusters surrounded by capillary vessels and fibrosis, as reported in previous studies. Results: The diagnosis using nCLE was classified into three categories: misdiagnosis in three cases (10%), non-diagnostic in six cases (20%), and diagnostic in 21 cases (70%). nCLE was able to diagnose PNET in one of the two cases with inconclusive EUS-FNA. Conclusions: Although further development of the resolution and optimization of the diagnostic criteria are required, nCLE may constitute a useful diagnostic option in cases of inconclusive EUS-FNA for PNETs.

An evaluation on sealing performance of elastomeric O-ring compressed and highly pressurized (압축 및 내압을 받는 고무 오링의 기밀 성능 평가)

  • Park, Sung-Han;Kim, Jae-Hoon;Kim, Won-Hoon
    • Journal of the Korean Society for Precision Engineering
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    • v.26 no.2
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    • pp.86-93
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    • 2009
  • Elastomeric O-rings have been the most common seals due to their excellent sealing capacity, and availability in costs and sizes. One of the critical applications of O-ring seals is solid rocket motor joint seal where the operating hot gas must be sealed during the combustion. This has long been a design issue to avoid the system failure. For laterally constrained, squeezed and pressurized condition, deformed shape of O-ring was measured by computed tomography method and CCD laser sensor, compared with numerical calculations. As clearance gap changes, sealing performance had been evaluated on peak contact stresses at top, bottom and side contact surfaces. As clearance gap increases, peak contact stresses and contact widths in top and side contact surfaces increase, and the asymmetry of stress distributions is promoted due to pressure increase. It is suggested that peak stress of bottom contact surface can be approximated by simple superposition of peak ones due to squeeze and pressure. Under pressurized condition, sealing performance is dependent on not peak stresses of bottom and side contact surfaces but that of top.

Handheld OCT probe for Evaluation of Tympanic Membrane Status (OCT용 손잡이 형 프로브를 이용한 고막 상태 평가)

  • Kwon, Hyeong-Il;Kim, Yee-Hyuk;Cho, Nam-Hyun;Jeong, Hyo-Sang;Kim, Jee-Hyun;Lee, Sang-Heun
    • Journal of Biomedical Engineering Research
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    • v.32 no.4
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    • pp.285-288
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    • 2011
  • In this study, we developed an optical coherence tomography(OCT) using a sweep-source laser whose center wavelength is 1310 nm and a probe of hand-held type. The developed hand-held probe targets to diagnose the middle ear, so it is miniaturized for ease and convenience of control. For the first time, we performed in-vivo clinical experiments on tympanic membrane(TM) perforation patients not reported from previous studies about OCT. The high-resolution sectional images of tympanic membrane perforation can be obtained. There aren't many studies about diagnostic instrument of the middle ear and diagnosis with sectional image of the middle ear, so the developed OCT system and hand-held probe are applicable to tympanic membrane perforation and other pathologic diagnosis in the middle ear.

Calcified Macroplastique Substance: A Rare Cause of Recurrent Gross Hematuria after Endoscopic Injection

  • Seo, Min Hae;Song, Ji Yeon;Chung, Jae Min;Lee, Sang don;Kim, Su Young;Kim, Seong Heon
    • Childhood Kidney Diseases
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    • v.22 no.2
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    • pp.71-74
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    • 2018
  • Endoscopic subureteral injection for treatment of vesicoureteral reflux (VUR) is known to be safe and efficient due to its minimal invasive nature. Being non-migratory, non-antigenic, and biocompatible, Macroplastique (Polydimethylsiloxane) is likely to be stable over time. A 5-year-old boy with a past history of subureteral administration of Macroplastique for unilateral Grade V VUR 4 years ago presented with recurrent gross and microscopic hematuria, along with suprapubic pain. On computed tomography (CT) abdomen, calcified material, suspected to be a stone, was visualized in the bladder. On diagnostic cystoscopy, calcification was seen around the orifice site where Macroplastique injection had been performed. We removed the calcific material by Holmium laser. Endoscopic subureteric implantation has several advantages, but nevertheless, vigilance is needed to detect long-term complications, especially in patients with gross or microscopic hematuria.

A study on distribution of drop size and injection rate of air-shroud injector sprays under steady and transient injection condition (정상.과도 분사 조건에서의 에어슈라우드 인젝터 분무의 입경.분사량 분포에 관한 연구)

  • Lee, C.H.
    • Journal of ILASS-Korea
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    • v.9 no.4
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    • pp.17-23
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    • 2004
  • Spray characteristics of a twin-hole air shrouded nonle designed for gasoline injectors was investigated by using laser diffraction particle analyzer (LDPA) and tomography reconstruction- A confined spray chamber which is optically accessible through a pair of glass windows was made to simulate the fuel injection condition in intake manifold of gasoline engine. The measurement was applied to the twin hole injector with and without an air shroud. It demonstrates that for the case with an air shroud, fine atomization is achieved and there exists a large number of fine droplets between the region of the main spray streams, which conforms with the spray visualization. The drop size distribution was investigated as a function of elapse time after fuel injection. The distribution was greatly affected by the measurement position from the injector exit. Also, the spatially resolved spray volume fraction and Sauter Mean Diameter (SMD) from line-of-sight data of the LDPA are tomographically reconstructed by Convolution Fourier transformation under the steady injection condition.

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Clinical Outcomes of Percutaneous Endoscopic Laser Lumbar Discectomy (요추 추간판 탈출증에 대한 경피적 내시경 레이저 수핵 제거술 후 임상 결과)

  • Chang, Won Sok;Lee, Sang Ho
    • The Korean Journal of Pain
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    • v.18 no.1
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    • pp.34-38
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    • 2005
  • Background: Over the years, disc surgery has progressively evolved in the direction of decreasing trauma and its invasiveness. Conventional open surgery has many complications, such as scarring, instability, bleeding and a relative high mortality rate. Minimally invasive spinal surgery is now an alternative to a traditional discectomy. Herein, we present an operative technique, and the early results, for a percutaneous endoscopic lumbar discectomy in herniated lumbar disc disease. Methods: 43 patients, including 27 men and 16 women, with ages ranging from 18 to 66 years, were enrolled in this study. All the patients showed a protruded or extruded soft disc herniation at the lumbar level on magnetic resonance imaging and computed tomography. A percutaneous endoscopic lumbar discectomy was applied to the patients, and clinical responses evaluated using MacNab's criteria. Results: 40 patients were regarded as showing successful responses (93.1%), and there were no severe complications, such as a hematoma, nerve injury, postoperative dysesthesia or death. One patient underwent fusion surgery for remnant back pain six month later. Conclusions: We conclude that, in properly selected patients, a percutaneous endoscopic lumbar discectomy is a safe, noninvasive and effective treatment modality for herniated lumbar intervertebral disc disease.

A Study of Combustion Instability Mode in Dual Swirl Gas Turbine Combustor by PLIF and Chemiluminescence Measurement (PLIF 및 자발광 계측을 이용한 이중선회 가스터빈 연소기에서 연소불안정 모드 연구)

  • Choi, Inchan;Lee, Keeman;Juddoo, Mrinal;Masri, A.R.
    • Journal of the Korean Society of Combustion
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    • v.19 no.1
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    • pp.29-38
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    • 2014
  • This paper described an experimental investigations of combustion instability mode in a lean premixed dual swirl combustor for micro-gasturbine system. When such the instability occurs, a strong coupling between pressure oscillations and unsteady heat release excites a self-sustained acoustic wave which results in a loud, annoyed sound and may also lead a structural damage to the combustion chamber. The detailed period of flame behavior and heat release in combustion instability mode have been examined with high speed OH and CH-PLIF system and $CH^*$ chemiluminescence measurement, flame tomography with operated at 10 kHz and 6 kHz each. Experiment results suggest that unstable flame behavior has a specific frequency with 200 Hz and this frequency is accords with about 1/2 sub-harmonic of combustor resonance frequency, not fundamental frequency. This is very interesting phenomenon that have not reported yet from other previous works. Therefore, when a thermo-acoustic instability with Rayleigh criterion occurs, the fact that the period of heat release and flame behavior are different each other was proposed for the first time through this work.

Analysis of Facial Asymmetry

  • Choi, Kang Young
    • Archives of Craniofacial Surgery
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    • v.16 no.1
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    • pp.1-10
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    • 2015
  • Facial symmetry is an important component of attractiveness. However, functional symmetry is favorable to aesthetic symmetry. In addition, fluctuating asymmetry is more natural and common, even if patients find such asymmetry to be noticeable. However, fluctuating asymmetry remains difficult to define. Several studies have shown that a certain level of asymmetry could generate an unfavorable image. A natural profile is favorable to perfect mirror-image profile, and images with canting and differences less than $3^{\circ}-4^{\circ}$ and 3-4 mm, respectively, are generally not recognized as asymmetry. In this study, a questionnaire survey among 434 medical students was used to evaluate photos of Asian women. The students preferred original images over mirror images. Facial asymmetry was noticed when the canting and difference were more than $3^{\circ}$ and 3 mm, respectively. When a certain level of asymmetry is recognizable, correcting it can help to improve social life and human relationships. Prior to any operation, the anatomical component for noticeable asymmetry should be understood, which can be divided into hard tissues and soft tissue. For diagnosis, two-and three-dimensional (3D) photogrammetry and radiometry are used, including photography, laser scanner, cephalometry, and 3D computed tomography.