• Restorative Dentistry and Endodontics
• /
• v.48 no.2
• /
• pp.16.1-16.11
• /
• 2023

Objectives: The aim of this study was to evaluate the influence of peak kilovoltage (kVp) and a metal artifact reduction (MAR) tool on image quality and the diagnosis of vertical root fracture (VRF) in cone-beam computed tomography (CBCT). Materials and Methods: Twenty single-rooted human teeth filled with an intracanal metal post were divided into 2 groups: control (n = 10) and VRF (n = 10). Each tooth was placed into the socket of a dry mandible, and CBCT scans were acquired using a Picasso Trio varying the kVp (70, 80, 90, or 99), and the use of MAR (with or without). The examinations were assessed by 5 examiners for the diagnosis of VRF using a 5-point scale. A subjective evaluation of the expression of artifacts was done by comparing random axial images of the studied protocols. The results of the diagnoses were analyzed using 2-way analysis of variance and the Tukey post hoc test, the subjective evaluations were compared using the Friedman test, and intra-examiner reproducibility was evaluated using the weighted kappa test (α = 5%). Results: The kVp and MAR did not influence the diagnosis of VRF (p > 0.05). According to the subjective classification, the 99 kVp protocol with MAR demonstrated the least expression of artifacts, while the 70 kVp protocol without MAR led to the most artifacts. Conclusions: Protocols with higher kVp combined with MAR improved the image quality of CBCT examinations. However, those factors did not lead to an improvement in the diagnosis of VRF.

• Imaging Science in Dentistry
• /
• v.54 no.2
• /
• pp.139-145
• /
• 2024

Purpose: This study examined the influence of a metal artifact reduction (MAR) tool, sharpening filters, and their combination on the diagnosis of vertical root fracture (VRF) in teeth with metallic posts using cone-beam computed tomography (CBCT). Materials and Methods: Twenty single-rooted human premolars - 9 with VRF and 11 without - were individually placed in a human mandible. A metallic post composed of a cobalt-chromium alloy was inserted into the root canal of each tooth. CBCT scans were then acquired under the following parameters: 8 mA, a 5×5 cm field of view, a voxel size of 0.085 mm, 90 kVp, and with MAR either enabled or disabled. Five oral and maxillofacial radiologists independently evaluated the CBCT exams under each MAR mode and across 3 sharpening filter conditions: no filter, Sharpen 1×, and Sharpen 2×. The diagnostic performance was quantified by the area under the receiver operating characteristic curve (AUC), sensitivity, and specificity. These metrics were compared using 2-way analysis of variance with a significance level of α=5%. Intra- and inter-examiner agreement were assessed using the weighted kappa test. Results: Neither MAR nor the application of sharpening filters significantly impacted AUC or specificity (P>0.05). However, sensitivity increased when MAR was combined with Sharpen 1× and Sharpen 2× (P=0.015). The intra-examiner agreement ranged from fair to substantial (0.34-0.66), while the inter-examiner agreement ranged from fair to moderate (0.27-0.41). Conclusion: MAR in conjunction with sharpening filters improved VRF detection; therefore, their combined use is recommended in cases of suspected VRF.

• Geophysics and Geophysical Exploration
• /
• v.11 no.4
• /
• pp.302-309
• /
• 2008

ERT imaging, especially 3-D method, is a very powerful means to obtain a very high resolution image of the subsurface for geotechnical or hydrogeological problems. In this paper, we introduce two examples of successful case histories, where the imaging targets were three-dimensional. First example is the case of 3-D fracture imaging for hydrogeologic application. In this example, the borehole deviation was a critical problem in the ERT imaging and we could obtain real 3-D attitude of fracture system by including the borehole deviation in the inversion. In the second case, we did field experiment to image the empty tunnel with the size of $2m{\times}2m$ and the target was very clearly imaged in 3-D space. In these examples, we could show that 3-D ERT imaging is a very powerful tool for the 3-D subsurface imaging and the method can provide enhanced imaging capabilities especially for the 3-D targets such as fractures and cavities or tunnel.

• Journal of the Korean Arthroscopy Society
• /
• v.16 no.1
• /
• pp.9-16
• /
• 2012

Purpose: Tibial plateau fractures cause a variety of problems in the knee joint. The purpose of this study was to investigate the characteristics of the meniscus injuries in tibial plateau fracture arthroscopically. Materials and Methods: Thirty-three out of 39 consecutive patients diagnosed with tibial plateau fractures underwent arthroscopy between March 2007 and March 2010. According to Schatzker classification, there were 1 type I (3.3%), 19 type II (53.3%), 4 type III (13.3%), 2 type IV (6.6%), 2 type V (6.6%) and 5 type VI (20%) fracture patterns in 33 patients. Results: Twenty-five cases (75.8%) had lateral meniscus tears. There were 18 meniscal tears in 19 cases of Schatzker type II fractures (94.7%), 3 meniscal tears out of 4 cases of Schatzker type III fractures (75%) and 4 meniscal tears out of 5 cases of Schatzker type VI fractures (80%). The most commonly affected site (22/25) was the anterior horn of the lateral meniscus. Of the 25 documented meniscal tears, all but one were vertical longitudinal tear at meniscocapsular junction so most cases are amenable to arthroscopic repair. Conclusion: Arthroscopy for the meniscal injuries in tibial plateau fractures is a valuable diagnostic and treatment tool, we recommend arthroscopy in tibial plateau fracture.

• Korean Journal of Acupuncture
• /
• v.36 no.1
• /
• pp.1-18
• /
• 2019

Objectives : The purpose of this study was to evaluate the effectiveness and safety of acupuncture treatment for recovery of patients with vertebral compression fracture(VCF). Methods : We searched ten English and Chinese and seven Korean database up to April 2018. Randomised controlled trials(RCTs), quasi-RCTs, non-radomised Controlled Trials(CCTs) were eligible. Quasi-RCTs and CCTs were assessed only for safety assessment. Pain and adverse events were primary outcome of this review. Quality of life, dysfunction, patient satisfaction, incidence of new vertebral compression fracture were regarded as secondary outcomes. The risk of bias was assessed by two independent authors using the Cochrane risk of bias tool. Level of evidence was tabulated using the GRADE methods. Results : Of 1656 screened, 15 RCTs, 1 quasi-RCT and 3 CCTs were included. Number of participants per study ranged from 45 to 135. Most of the studies had unclear or high risk of bias and considerable heterogeneity in terms of type of intervention, comparison and time-points for outcome measurement. Compared to usual care alone, acupuncture combined with usual care showed short-term favorable results for pain relief in patients with VCF(5 studies, n=252, MD -1.05 point on a 0 to 10 point scale, 95% CI -1.45 to -0.65, $I^2=74%$). Four studies reported mild and temporary adverse events, and no serious adverse events were reported. One study descriptively reported that acupuncture was effective for improving quality of life without providing numerical outcomes. There were no reports of patient satisfaction and incidence of new VCF. Conclusions : Level of evidence is very low for the effectiveness and safety of acupuncture for pain, harms and other clinical outcomes in patients with VCF. Included studies suffered from incomplete reporting, high or unclear risk of bias and substantial heterogeneity between studies. Future high-quality RCTs are needed to assess whether acupuncture is beneficial for recovery of patients with VCF.

• The Journal of Engineering Geology
• /
• v.5 no.3
• /
• pp.277-288
• /
• 1995

Fracture detection has always been very attractive to the log, because it is important in many of our prospecting activities, e.g. in understanding the underground rock formation and also the fluid flow as a high permeability path. This paper demonstrates the use of high resolution borehole acoustic scanner for the detection of fractures. The tool, known as Televiewer, is the first acoustic borehole imaging system to use a focussed beam. The acoustic beams generated by a single transducer are sent toward the borehole wall, scanning the wall in a tight helix as the tool moves along the borehole. The amplitudes and travel times of the reflected signals are then measured, which produces the corresponding images. The highly resolved amplitude image allows to recognize various size of fractures and in addition to derive the rock strength from the image. Meanwhile, the travel time image itself can be directly converted to a precise caliper image, providing detailed information of deviations of the borehole shape. It also allows correction of and explanations for amplitude variations. Field measurements were carried Out at the Cheongyang study sites in Korea to illustrate the efficiency of the televiewer log.

• Journal of the Korean Society of Industry Convergence
• /
• v.23 no.1
• /
• pp.25-32
• /
• 2020

Generally, high-temperature, high-pressure, high-priced sintering equipment is used for diamond sintering, and conductivity is a problem for improving the surface modification of the sintered body. In this study, to improve the efficiency of diamond sintering, we identified a new process and material that can be sintered at low temperature, and attempted to develop a composite thin film that can be discharged by doping boron gas to improve the surface modification of the sintered body. Sintered bodies were sintered by mixing Si and two diamonds in different particle sizes based on CIP molding and HIP molding. In CVD deposition, CVD was performed using WC-Co cemented carbide using CH₄ and H₂ gas, and the specimen was made conductive using boron gas. According to the experimental results of the sintered body, as the Si content is increased, the Vickers hardness decreases drastically, and the values of tensile strength, Young's modulus and fracture toughness greatly increase. Conductive CVD deposited diamond was boron deposited and discharged. As the amount of boron added increased, the strength of diamond peaks decreased and crystallinity improved. In addition, considering the release processability, tool life and adhesion of the deposition surface according to the amount of boron added, the appropriate amount of boron can be confirmed. Therefore, by solving the method of low temperature sintering and conductivity problem, the possibility of solving the existing sintering and deposition problem is presented.

• Journal of Technologic Dentistry
• /
• v.42 no.3
• /
• pp.213-219
• /
• 2020

Purpose: This study aimed to identify the impact of physical surface roughing with a polishing tool onto the pre-sintering yttria-stabilized tetragonal zirconia polycrystals (TZP) core and liner treatment for chemical bonding on the bond strength of TZP core and veneering ceramic. Methods: Overall, 80 specimens were classified into two groups (non-liner, NL; and usingliner, UL ) depending on the use of liner, and these two groups were then subclassified into four groups depending on the polishing tool used. (1) Non-liner groups: NS, non-liner+stone point; NC, non-liner+carbide bur; NP, non-liner+paper cone point; NT, non-liner+silicon point. (2) Using-liner groups: US, using-liner+stone point; UC, using-liner+carbide bur; UP, usingliner+paper cone point; UT, using-liner+silicon point. The pre-sintering surface roughing values and shapes were observed, and after burning up the veneering ceramic, the shear bond strength was measured using a universal testing machine. For significance testing, a one-way analysis of variance and Tukey's multiple comparison test were conducted. An optical microscope was used to observe the fracture plane, and the following results were obtained. Results: Surface roughness NP (4.09±0.51 ㎛) represented a higher value than other groups (p<0.001). In shear bond strength, NS (35.21±1.44 MPa) of the NL group showed the highest bond strength (p<0.001). The UL group did not show a statistically significant difference between groups (p=0.612). Conclusion: Our study findings reveal that the bond strength of TZP core and veneering ceramic was improved by pre-sintering physical surface treatment than by chemical bonding with liner surface treatment.

• Proceedings of the Korean Geotechical Society Conference
• /
• 2002.03a
• /
• pp.237-244
• /
• 2002

Televiewer is a logging tool capable of scanning the borehole wall. The tool uses a rotating acoustic beam generator that acts as both a transmitter and receiver. The beams are sent toward the wall. The amplitude of a returning signal from the wall has nearly a linear relationship with the reflection coefficient R of the borehole wall, when the wall is smooth. As R depends only on rock impedance for fixed water impedance, the amplitude is directly associated with mass density and seismic velocity of rock. Meanwhile, the amplitude can be further reduced by wall roughness that may be caused by drilling procedures, differences in rock hardness, because the rough surface can easily scatter the acoustic energy and sometimes the hole becomes elongated in all directions according to the degree of weathering. In this sense, the amplitude is related to the hardness of rocks. For convenience of analysis, the measured amplitude image(2-D data(azimuth ${\times}$ depth)) is converted, with an appropriate algorithm, to the 1-D data(depth), where the amplitude image values along a predetermined fracture signature(sinusoid) are summed up and averaged. The resulting values are subsequently scaled simply by a scalar factor that is possibly consistent with a known strength. This scaled Televiewer reflectivity is named, as a matter of convenience,“Televiewer rock strength”. This paper shows, based on abundant representative case studies from about 8 years of Televiewer surveys, that Televiewer rock strength might be regarded, on a continuous basis with depth, as a quitely robust indicator of rock classification and in most cases as an approximate uniaxial strength that is comparable to the rebound value from Schmidt hammer test.

• Journal of Korean Neurosurgical Society
• /
• v.66 no.1
• /
• pp.53-62
• /
• 2023

Objective : Deep learning is a machine learning approach based on artificial neural network training, and object detection algorithm using deep learning is used as the most powerful tool in image analysis. We analyzed and evaluated the diagnostic performance of a deep learning algorithm to identify skull fractures in plain radiographic images and investigated its clinical applicability. Methods : A total of 2026 plain radiographic images of the skull (fracture, 991; normal, 1035) were obtained from 741 patients. The RetinaNet architecture was used as a deep learning model. Precision, recall, and average precision were measured to evaluate the deep learning algorithm's diagnostic performance. Results : In ResNet-152, the average precision for intersection over union (IOU) 0.1, 0.3, and 0.5, were 0.7240, 0.6698, and 0.3687, respectively. When the intersection over union (IOU) and confidence threshold were 0.1, the precision was 0.7292, and the recall was 0.7650. When the IOU threshold was 0.1, and the confidence threshold was 0.6, the true and false rates were 82.9% and 17.1%, respectively. There were significant differences in the true/false and false-positive/false-negative ratios between the anterior-posterior, towne, and both lateral views (p=0.032 and p=0.003). Objects detected in false positives had vascular grooves and suture lines. In false negatives, the detection performance of the diastatic fractures, fractures crossing the suture line, and fractures around the vascular grooves and orbit was poor. Conclusion : The object detection algorithm applied with deep learning is expected to be a valuable tool in diagnosing skull fractures.