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Bilateral and pseudobilateral tonsilloliths: Three dimensional imaging with cone-beam computed tomography

  • Misirlioglu, Melda;Nalcaci, Rana;Adisen, Mehmet Zahit;Yardimci, Selmi
    • Imaging Science in Dentistry
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    • v.43 no.3
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    • pp.163-169
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    • 2013
  • Purpose: Tonsilloliths are calcifications found in the crypts of the palatal tonsils and can be detected on routine panoramic examinations. This study was performed to highlight the benefits of cone-beam computed tomography (CBCT) in the diagnosis of tonsilloliths appearing bilaterally on panoramic radiographs. Materials and Methods: The sample group consisted of 7 patients who had bilateral radiopaque lesions at the area of the ascending ramus on panoramic radiographs. CBCT images for every patient were obtained from both sides of the jaw to determine the exact locations of the lesions and to rule out other calcifications. The calcifications were evaluated on the CBCT images using Ez3D2009 software. Additionally, the obtained images in DICOM format were transferred to ITK SNAP 2.4.0 pc software for semiautomatic segmentation. Segmentation was performed using contrast differences between the soft tissues and calcifications on grayscale images, and the volume in mm3 of the segmented three dimensional models were obtained. Results: CBCT scans revealed that what appeared on panoramic radiographs as bilateral images were in fact unilateral lesions in 2 cases. The total volume of the calcifications ranged from 7.92 to $302.5mm^3$. The patients with bilaterally multiple and large calcifications were found to be symptomatic. Conclusion: The cases provided the evidence that tonsilloliths should be considered in the differential diagnosis of radiopaque masses involving the mandibular ramus, and they highlight the need for a CBCT scan to differentiate pseudo- or ghost images from true bilateral pathologies.

Structural Performance of Beam-to-Column Joint Types in Dapo-style Buildings of the Joseon Dynasty (조선시대 다포계 건축물의 결구형태별 구조성능 평가)

  • Yoon, Jeong-Hoon;Choi, Yun-Chul;Lee, Eun-Jin
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.23 no.4
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    • pp.8-14
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    • 2019
  • In Korean traditional wooden architecture, joint performance varies with the material characteristics of timber, the form of joint, the precision of timber-trimming and the like. Case studies prove that the beam-to-column joint type has large influence on the degrees of deformation and spacing. This is not only true of single-story buildings, but also of large-scale multi-story buildings more apparently. Therefore, this study followed the process of examining to joint types, producing their specimens and testing their structural performance. As a consequence of structural test, the dovetail joint specimen showed the best outcomes of the maximum load and rigidity. Synthesizing the structural performances by respective forms of joints, the Doraegeoji dovetail joint specimen showed the higher performance, followed in order by the Doraegeoji mortise joint specimen and the Tongneoko dovetail joint specimen. The structural performance of a building varies with the characteristics by the shouldering forms of penetrating beams and with the joint types within the columns. This should be considered for the new construction or restoration of multi-story buildings, and be continuously researched henceforth.

STUDY ON MONITORING UNIT EFFICIENCY OF FLATTENING-FILTER FREE PHOTON BEAM IN ASSOCIATION WITH TUMOR SIZE AND LOCATION

  • Kim, Dae Il;Kim, Jung-In;Yoo, Sook Hyun;Park, Jong Min
    • Journal of Radiation Protection and Research
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    • v.38 no.4
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    • pp.194-201
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    • 2013
  • To investigate monitoring unit (MU) efficiency and plan quality of volumetric modulated arc therapy (VMAT) using flattening-filter free (FFF) photon beam in association with target size and location. A virtual patient was generated in Eclipse$^{TM}$ (ver. A10, Varian Medical Systems, Palo Alto, USA) treatment planning system. The length of major and minor axis in axial view was 50 cm and 30 cm, respectively. Cylindrical-shaped targets were generated inside that patient at the center (symmetric target) and in the periphery (asymmetric target, 7.5 cm away from the center of the patient to the right direction) of the virtual patient. The longitudinal length was 10 cm and the diameters were 2, 5, 10 and 15 cm. Total 8 targets were generated. RapidArc$^{TM}$ plans using TrueBeam STx$^{TM}$ were generated for each target. Two full arcs were used and the axis of rotation of the gantry was set to be at the center of the virtual patient. Total MU, homogeneity index (HI), target mean dose, the value of gradient measure and body mean dose were calculated. In the case of symmetric targets, averaged total MU of FFF plan was 23% and 19% higher than that of flattening filter (FF) plan when using 6 MV and 10 MV photons, respectively. The difference of HI, target mean dose, gradient measure and body mean dose between FF and FFF was less than 0.04, 2.6%, 0.1 cm and 2.2%, respectively. For the asymmetric targets, total MU of FFF plan was 21% and 32% was higher than that of FF when using 6 MV and 10 MV photons, respectively. The homogeneity of the target was always worse when using FFF than using FF. The maximum difference of HI was 0.22. The target mean dose of FFF was 3.2% and 4.1% higher than that of FF for the 6 MV and 10 MV, respectively. The difference of gradient measure was less than 0.1 cm. The body mean dose was higher when using FFF than FF about 4.2% and 2.8% for the 6 MV and 10 MV, respectively. No significant differences between VMAT plans of FFF beam and FF beam were observed in terms of quality of treatment plan. The HI was higher when using FFF 10 MV photons for the asymmetric targets. The MU was increased noticeably when using FFF photon beams.

The Evaluation of the dose calculation algorithm(AAA)'s Accuracy in Case of a Radiation Therapy on Inhomogeneous tissues using FFF beam (FFF빔을 사용한 불균질부 방사선치료 시 선량계산 알고리즘(AAA)의 정확성 평가)

  • Kim, In Woo;Chae, Seung Hoon;Kim, Min Jung;Kim, Bo Gyoum;Kim, Chan Yong;Park, So Yeon;Yoo, Suk Hyun
    • The Journal of Korean Society for Radiation Therapy
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    • v.26 no.2
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    • pp.321-327
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    • 2014
  • Purpose : To verify the accuracy of the Ecilpse's dose calculation algorithm(AAA:Analytic anisotropic algorithm) in case of a radiation treatment on Inhomogeneous tissues using FFF beam comparing dose distribution at TPS with actual distribution. Materials and Methods : After acquiring CT images for radiation treatment by the location of tumors and sizes using the solid water phantoms, cork and chest tumor phantom made of paraffin, we established the treatment plan for 6MV photon therapy using our radiation treatment planning system for chest SABR, Ecilpse's AAA(Analytic anisotropic algorithm). According to the completed plan, using our TrueBeam STx(Varian medical system, Palo Alto, CA), we irradiated radiation on the chest tumor phantom on which EBT2 films are inserted and evaluated the dose value of the treatment plan and that of the actual phantom on Inhomogeneous tissue. Results : The difference of the dose value between TPS and measurement at the medial target is 1.28~2.7%, and, at the side of target including inhomogeneous tissues, the difference is 2.02%~7.40% at Ant, 4.46%~14.84% at Post, 0.98%~7.12% at Rt, 1.36%~4.08% at Lt, 2.38%~4.98% at Sup, and 0.94%~3.54% at Inf. Conclusion : In this study, we discovered the possibility of dose calculation's errors caused by FFF beam's characteristics and the inhomogeneous tissues when we do SBRT for inhomogeneous tissues. SBRT which is most popular therapy method needs high accuracy because it irradiates high dose radiation in small fraction. So, it is supposed that ideal treatment is possible if we minimize the errors when planning for treatment through more study about organ's characteristics like Inhomogeneous tissues and FFF beam's characteristics.

Updating of Finite Element Model and Joint Identification with Frequency Response Function (주파수응답함수를 이용한 유한요소모델의 개선 및 결합부 동정)

  • 서상훈;지태한;박영필
    • Journal of KSNVE
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    • v.7 no.1
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    • pp.61-69
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    • 1997
  • Despite of the development in the finite element method, it is difficult to get the finite element model describing the dynamic characteristics of the complex structure exactly. Therefore a number of different methods have been developed in order to update the finite element model of a structure using vibration test data. This paper outlines the basic formulation for the frequency response function based updating method. One important advantage of this method is that the intermediate step of performing an eigensolution extraction is unnecessary. Using simulated experimental data, studies are conducted in the case of 10 DOF discrete system. The solution of noisy and incomplete experimental data is discussed. True measured frequency response function data are used for updating the finite element model of a beam and a plate. Its applicability to the joint identification is also considered.

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Selection and Allocation of Point Data with Wavelet Transform in Reverse Engineering (역공학에서 웨이브렛 변황을 이용한 점 데이터의 선택과 할당)

  • Ko, Tae-Jo;Kim, Hee-Sool
    • Journal of the Korean Society for Precision Engineering
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    • v.17 no.9
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    • pp.158-165
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    • 2000
  • Reverse engineering is reproducing products by directly extracting geometric information from physical objects such as clay model wooden mock-up etc. The fundamental work in the reverse engineering is to acquire the geometric data for modeling the objects. This research proposes a novel method for data acquisition aiming at unmanned fast and precise measurement. This is come true by the sensor fusion with CCD camera using structured light beam and touch trigger sensor. The vision system provides global information of the objects data. In this case the number of data and position allocation for touch sensor is critical in terms of the productivity since the number of vision data is very huge. So we applied wavelet transform to reduce the number of data and to allocate the position of the touch probe. The simulated and experimental results show this method is good enough for data reduction.

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Simple bone cyst recurred in adjacent areas: A case report

  • Jin-Soo Kim
    • Imaging Science in Dentistry
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    • v.53 no.4
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    • pp.383-388
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    • 2023
  • Simple bone cyst is a pseudocyst that typically occurs in patients during their second and third decades of life. This benign entity is an empty or fluid-filled cavity that lacks a true epithelial lining. Simple bone cysts are often asymptomatic and are commonly found in mandibular body, predominantly in the posterior region. The treatment of simple bone cysts can be influenced by factors such as the patient's age, the size of the lesion, and the presence or absence of symptoms. In the case of a simple bone cyst in the mandible that is small and symptomless, a watchful waiting approach may be appropriate. However, if the cyst is large and symptomatic, surgical treatment is recommended. This report presents a radiological examination of a simple bone cyst that developed around the root of the mandibular first molar in a 36-year-old female patient. The cyst recurred in adjacent areas despite surgical treatment.

Development of Wide-Band Planar Active Array Antenna System for Electronic Warfare (전자전용 광대역 평면형 능동위상배열 안테나 시스템 개발)

  • Kim, Jae-Duk;Cho, Sang-Wang;Choi, Sam Yeul;Kim, Doo Hwan;Park, Heui Jun;Kim, Dong Hee;Lee, Wang Yong;Kim, In Seon;Lee, Chang Hoon
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.30 no.6
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    • pp.467-478
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    • 2019
  • This paper describes the development and measurement results of a wide-band planar active phase array antenna system for an electronic warfare jamming transmitter. The system is designed as an $8{\times}8$ triangular lattice array using a $45^{\circ}$ slant wide-band antenna. The 64-element transmission channel is composed of a wide-band gallium nitride(GaN) solid state power amplifier and a gallium arsenide(GaAs) multi-function core chip(MFC). Each GaAs MFC includes a true-time delay circuit to avoid a wide-band beam squint, a digital attenuator, and a GaAs drive amplifier to electronically steer the transmitted beam over a ${\pm}45^{\circ}$ azimuth angle and ${\pm}25^{\circ}$ elevation angle scan. Measurement of the transmitted beam pattern is conducted using a near-field measurement facility. The EIRP of the designed system, which is 9.8 dB more than the target EIRP performance(P), and the ${\pm}45^{\circ}$ azimuth and ${\pm}25^{\circ}$ elevation beam steering fulfill the desired specifications.

Comparison of Volumetric Modulated Arc Therapy and Non-coplanar Fixed-field Intensity Modulated Radiation Therapy for Irregular Target adjacent to Organ At Risk (손상위험장기에 인접한 불규칙한 모양의 타겟 치료 시, 용적변조회전 방사선치료와 비동일평면상의 빔을 이용한 세기변조 방사선치료의 유용성 평가 및 비교)

  • Kim, Kyung Ah;Na, Kyung Soo;Seo, Seok Jin;Lee, Je Hee
    • The Journal of Korean Society for Radiation Therapy
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    • v.29 no.1
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    • pp.57-68
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    • 2017
  • Purpose: The purpose of this study was to compare volumetric modulated arc therapy(VMAT) with fixed-field intensity modulated radiation therapy(IMRT) using non-coplanar beam when the shape of target is irregular and the location is adjacent to organ at risk(OAR). Materials and Methods: The subjects of this study were a total of 6 patients who had radiation therapy for whole scalp(2 patients), partial scalp(2 patients), and whole ventricle(2 patients) by True Beam STX(Varian Medical Systems, USA). VMAT plans consisted of coplanar or non-coplanar arcs which can minimize the volume of OAR included in beamlets. All fixed-field IMRT plans consisted of non-coplanar beams using more than 2 angles of Couch. Results: The VMAT and IMRT plans were compared with regard to the maximum dose of both lens, both optic nerves, optic chiasm, and brain stem and the mean dose of both eyeballs and hippocampus. VMAT plans showed higher dose than ncIMRT plans at more than 6 of all OARs in every patient, and the ratio was from 1.1 times to 8.2 times. In case of total scalp and partial scalp, the volume of brain which received more than 20 Gy in the VMAT plans was 2 times larger than the volume in the ncIMRT plans. In case of whole ventricle, there was no significant difference. Target coverage was satisfied in both plans($PTV_{100%}=95%$). The maximum dose in target volume and required monitor unit(MU) of ncIMRT were higher than them of VMAT plans. Conclusion: Even though ncIMRT is less efficient than VMAT with regard to required MU and treatment time, the dose to OARs is much lower than VMAT and PTV Coverage is similar with VMAT. If the shape of target is irregular and location is adjacent to OAR, comparison VMAT plan with ncIMRT plan deserves to be considered.

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A Study on the Incidence of Side Effects according to the Number of Beams in Intensity-modulated Radiation Therapy for Prostate Cancer using 15 MV (15 MV를 이용한 전립샘암 세기조절 방사선치료 시 빔의 개수에 따른 부작용 발생률에 관한 연구)

  • Joo-Ah Lee
    • Journal of the Korean Society of Radiology
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    • v.17 no.3
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    • pp.481-487
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    • 2023
  • In this study, we analyzed the incidence of side effects of photoneutron dose according to the number of beams during intensity-modulated radiotherapy of prostate cancer using 15 MV. The radiation treatment plan design for intensity-modulated radiation therapy for prostate cancer was established with a prescription dose of 220 cGy per dose and a total of 7260 cGy for 33 treatments. The linear accelerator used in the experiment is Varian's True Beam STx (Varian, USA). Photoneutron dose was generated by using 15 MV energy in the planning target volume (PTV). The treatment plan was designed with IMRT 5, 7, and 9 portals using the Eclipse System (Varian Ver 10.0, USA). An optically stimulated luminescence albedo neutron dosimeter (Landauer Inc., USA) was used to measure photoneutron dose. IMRT 5 portals, 1.7 per 1,000, 7 portals, 1.8 per 1,000, 9 portals, 2.0 per 1,000 were calculated as the probability of experiencing side effects on the thyroid gland due to photoneutron dose. This study studies the risk of secondary radiation exposure dose that can occur during intensity-modulated radiation therapy, and it is considered that it will be used as useful data in relation to stochastic effects in the future.