• 제목/요약/키워드: Volumetric CT

검색결과 106건 처리시간 0.025초

Volumetric changes in the lumpectomy cavity during whole breast irradiation after breast conserving surgery

  • Cho, Heung-Lae;Kim, Cheol-Jin
    • Radiation Oncology Journal
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    • 제29권4호
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    • pp.277-282
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    • 2011
  • Purpose: This study was performed to evaluate the change in the lumpectomy cavity volumes before and after whole breast radiation therapy (WBRT) and to identify factors associated with the change of volume. Materials and Methods: From September 2009 to April 2010, the computed tomography (CT) simulation data from 70 patients obtained before and after WBRT was evaluated. The lumpectomy cavity volumes were contoured based on surgical clips, seroma, and postoperative changes. Significant differences in the data from pre-WBRT CT and post-WBRT CT were assessed. Multiple variables were examined for correlation with volume reduction in the lumpectomy cavity. Results: The mean and median volume reduction in the lumpectomy cavity after WBRT were 17.6 $cm^3$ and 16.1 $cm^3$, respectively with the statistical significance (p < 0.001). The volume reduction in the lumpectomy cavity was inversely correlated with time from surgery to radiation therapy (R = 0.390). The presence of seroma was significantly associated with a volumetric change in the lumpectomy cavity after WBRT (p = 0.011). Conclusion: The volume of lumpectomy cavity reduced significantly after WBRT. As the time from surgery to the start ot WBRT increased, the volume reduction in the lumpectomy cavity during WBRT decreased. A strong correlation was observed between the presence of seroma and the reduced volume. To ensure appropriate coverage and to limit normal tissue exposure during boost irradiation in patients who has seroma at the time of starting WBRT, repeating CT simulation at boost planning is suggested.

Volumetric quantification of bone-implant contact using micro-computed tomography analysis based on region-based segmentation

  • Kang, Sung-Won;Lee, Woo-Jin;Choi, Soon-Chul;Lee, Sam-Sun;Heo, Min-Suk;Huh, Kyung-Hoe;Kim, Tae-Il;Yi, Won-Jin
    • Imaging Science in Dentistry
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    • 제45권1호
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    • pp.7-13
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    • 2015
  • Purpose: We have developed a new method of segmenting the areas of absorbable implants and bone using region-based segmentation of micro-computed tomography (micro-CT) images, which allowed us to quantify volumetric bone-implant contact (VBIC) and volumetric absorption (VA). Materials and Methods: The simple threshold technique generally used in micro-CT analysis cannot be used to segment the areas of absorbable implants and bone. Instead, a region-based segmentation method, a region-labeling method, and subsequent morphological operations were successively applied to micro-CT images. The three-dimensional VBIC and VA of the absorbable implant were then calculated over the entire volume of the implant. Two-dimensional (2D) bone-implant contact (BIC) and bone area (BA) were also measured based on the conventional histomorphometric method. Results: VA and VBIC increased significantly with as the healing period increased (p<0.05). VBIC values were significantly correlated with VA values (p<0.05) and with 2D BIC values (p<0.05). Conclusion: It is possible to quantify VBIC and VA for absorbable implants using micro-CT analysis using a region-based segmentation method.

체적골밀도 측정법 동향: 수술부위 골밀도 분석 (Volumetric Bone Mineral Density Measurement: for Surgery Specific Bone Volumes)

  • 이연수
    • 한국방사선학회논문지
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    • 제16권1호
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    • pp.53-59
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    • 2022
  • CT영상을 기반으로 한 QCT는 CT장비와 컴퓨터영상처리기술의 발전과 함께 적은 방사선 투과양으로도 체적골밀도를 측정할 수 있는 방향으로 크게 발전하고 있다. 방사선 의료영상을 대표적인 골밀도 측정법인 이중방사선흡수계수법(DXA)은 척추나 근위대퇴골과 다른 뼈와의 상관성이 떨어지는 경우가 많고질량효과에 의한 부정확성의 근본 원인을 가지고 있기 때문에 체적골밀도측정법인 단일에너지CT영상을 이용한 QCT법이 가장 보편적인 정확한 골밀도 측정법이다. 이중에너지CT의 사용은 단단한 뼈와 동시에 종양이나 연부조직의 이상을 같이 볼 수 있는 영상을 얻을 수 있게 되어 QCT 골밀도와 함께 특정연부조직이나 장기를 검사할 수 있어 그 사용이 더욱 늘어날 것으로 예상된다. 임상수술이나 추적검사가 필요한 위치에 사용자가 해부학적으로 특정한 형상체적에 대한 국부골밀도측정 방법도 병원의 임상현장에서 활용할 기술로 대두되고 있다.

Use of Cardiac Computed Tomography for Ventricular Volumetry in Late Postoperative Patients with Tetralogy of Fallot

  • Kim, Ho Jin;Mun, Da Na;Goo, Hyun Woo;Yun, Tae-Jin
    • Journal of Chest Surgery
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    • 제50권2호
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    • pp.71-77
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    • 2017
  • Background: Cardiac computed tomography (CT) has emerged as an alternative to magnetic resonance imaging (MRI) for ventricular volumetry. However, the clinical use of cardiac CT requires external validation. Methods: Both cardiac CT and MRI were performed prior to pulmonary valve implantation (PVI) in 11 patients (median age, 19 years) who had undergone total correction of tetralogy of Fallot during infancy. The simplified contouring method (MRI) and semiautomatic 3-dimensional region-growing method (CT) were used to measure ventricular volumes. Results: All volumetric indices measured by CT and MRI generally correlated well with each other, except for the left ventricular end-systolic volume index (LV-ESVI), which showed the following correlations with the other indices: the right ventricular end-diastolic volume index (RV-EDVI) (r=0.88, p<0.001), the right ventricular end-systolic volume index (RV-ESVI) (r=0.84, p=0.001), the left ventricular end-diastolic volume index (LV-EDVI) (r=0.90, p=0.001), and the LV-ESVI (r=0.55, p=0.079). While the EDVIs measured by CT were significantly larger than those measured by MRI (median RV-EDVI: $197mL/m^2$ vs. $175mL/m^2$, p=0.008; median LV-EDVI: $94mL/m^2$ vs. $92mL/m^2$, p=0.026), no significant differences were found for the RV-ESVI or LV-ESVI. Conclusion: The EDVIs measured by cardiac CT were greater than those measured by MRI, whereas the ESVIs measured by CT and MRI were comparable. The volumetric characteristics of these 2 diagnostic modalities should be taken into account when indications for late PVI after tetralogy of Fallot repair are assessed.

Basic Physical Principles and Clinical Applications of Computed Tomography

  • Jung, Haijo
    • 한국의학물리학회지:의학물리
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    • 제32권1호
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    • pp.1-17
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    • 2021
  • The evolution of X-ray computed tomography (CT) has been based on the discovery of X-rays, the inception of the Radon transform, and the development of X-ray digital data acquisition systems and computer technology. Unlike conventional X-ray imaging (general radiography), CT reconstructs cross-sectional anatomical images of the internal structures according to X-ray attenuation coefficients (approximate tissue density) for almost every region in the body. This article reviews the essential physical principles and technical aspects of the CT scanner, including several notable evolutions in CT technology that resulted in the emergence of helical, multidetector, cone beam, portable, dual-energy, and phase-contrast CT, in integrated imaging modalities, such as positron-emission-tomography-CT and single-photon-emission-computed-tomography-CT, and in clinical applications, including image acquisition parameters, CT angiography, image adjustment, versatile image visualizations, volumetric/surface rendering on a computer workstation, radiation treatment planning, and target localization in radiotherapy. The understanding of CT characteristics will provide more effective and accurate patient care in the fields of diagnostics and radiotherapy, and can lead to the improvement of image quality and the optimization of exposure doses.

Hydrocephalus: Ventricular Volume Quantification Using Three-Dimensional Brain CT Data and Semiautomatic Three-Dimensional Threshold-Based Segmentation Approach

  • Hyun Woo Goo
    • Korean Journal of Radiology
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    • 제22권3호
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    • pp.435-441
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    • 2021
  • Objective: To evaluate the usefulness of the ventricular volume percentage quantified using three-dimensional (3D) brain computed tomography (CT) data for interpreting serial changes in hydrocephalus. Materials and Methods: Intracranial and ventricular volumes were quantified using the semiautomatic 3D threshold-based segmentation approach for 113 brain CT examinations (age at brain CT examination ≤ 18 years) in 38 patients with hydrocephalus. Changes in ventricular volume percentage were calculated using 75 serial brain CT pairs (time interval 173.6 ± 234.9 days) and compared with the conventional assessment of changes in hydrocephalus (increased, unchanged, or decreased). A cut-off value for the diagnosis of no change in hydrocephalus was calculated using receiver operating characteristic curve analysis. The reproducibility of the volumetric measurements was assessed using the intraclass correlation coefficient on a subset of 20 brain CT examinations. Results: Mean intracranial volume, ventricular volume, and ventricular volume percentage were 1284.6 ± 297.1 cm3, 249.0 ± 150.8 cm3, and 19.9 ± 12.8%, respectively. The volumetric measurements were highly reproducible (intraclass correlation coefficient = 1.0). Serial changes (0.8 ± 0.6%) in ventricular volume percentage in the unchanged group (n = 28) were significantly smaller than those in the increased and decreased groups (6.8 ± 4.3% and 5.6 ± 4.2%, respectively; p = 0.001 and p < 0.001, respectively; n = 11 and n = 36, respectively). The ventricular volume percentage was an excellent parameter for evaluating the degree of hydrocephalus (area under the receiver operating characteristic curve = 0.975; 95% confidence interval, 0.948-1.000; p < 0.001). With a cut-off value of 2.4%, the diagnosis of unchanged hydrocephalus could be made with 83.0% sensitivity and 100.0% specificity. Conclusion: The ventricular volume percentage quantified using 3D brain CT data is useful for interpreting serial changes in hydrocephalus.

Changes of the liver volume and the Child-Pugh score after high dose hypofractionated radiotherapy in patients with small hepatocellular carcinoma

  • Kim, Young Il;Park, Hee Chul;Lim, Do Hoon;Park, Hyo Jung;Kang, Sang Won;Park, Su Yeon;Kim, Jin Sung;Han, Youngyih;Paik, Seung Woon
    • Radiation Oncology Journal
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    • 제30권4호
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    • pp.189-196
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    • 2012
  • Purpose: To investigate the safety of high dose hypofractionated radiotherapy (RT) in patients with small hepatocellular carcinoma (HCC) in terms of liver volumetric changes and clinical liver function. Materials and Methods: We retrospectively reviewed 16 patients with small HCC who were treated with high dose hypofractionated RT between 2006 and 2009. The serial changes of the liver volumetric parameter were analyzed from pre-RT and follow-up (FU) computed tomography (CT) scans. We estimated linear time trends of whole liver volume using a linear mixed model. The serial changes of the Child-Pugh (CP) scores were also analyzed in relation to the volumetric changes. Results: Mean pre-RT volume of entire liver was 1,192.2 mL (range, 502.6 to 1,310.2 mL) and mean clinical target volume was 14.7 mL (range, 1.56 to 70.07 mL). Fourteen (87.5%) patients had 4 FU CT sets and 2 (12.5%) patients had 3 FU CT sets. Mean interval between FU CT acquisition was 2.5 months. After considering age, gender and the irradiated liver volume as a fixed effects, the mixed model analysis confirmed that the change in liver volume is not significant throughout the time course of FU periods. Majority of patients had a CP score change less than 2 except in 1 patient who had CP score change more than 3. Conclusion: The high dose hypofractionated RT for small HCC is relatively safe and feasible in terms of liver volumetric changes and clinical liver function.

토마토 암면재배에서 정전용량 측정장치를 기반으로 한 급액방법 구명 (Determination of Proper Irrigation Scheduling for Automated Irrigation System based on Substrate Capacitance Measurement Device in Tomato Rockwool Hydroponics)

  • 한동섭;백정현;박주성;신원교;조일환;최은영
    • 생물환경조절학회지
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    • 제28권4호
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    • pp.366-375
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    • 2019
  • 본 실험은 토마토(Solanum lycopersicum L. 'Hoyong' 'Super Doterang') 암면재배에서 배지 전체의 정전용량을 측정할 수 있는 장치(Substrate capacitance measurement device, SCMD)를 기반으로 한 적정 급액 방법을 구명하기 위하여 누적일사량 제어구(Integrated solar radiation automated irrigation, ISR)와 물관수액흐름 제어구(sap flow automated irrigation, SF)를 대조구로 비교하면서 봄부터 여름철과 겨울철에 재배를 실시하였다. SCMD 제어구는 급액 개시 후 배지 한 개당 설정된 배액 목표량이 처음 발생하는 시점까지 10분간격으로 급액하였고 첫 배액이 배출되면 그 때의 배지의 정전용량(Capacitance)을 100%로 간주하고 그 기준치의 급액제어점(Capacitance threshold, CT)에 도달하면 급액 되었고 그 뒤 목표 배액량이 발생하면 급액이 멈추는 방식으로 제어되었다. 봄부터 여름재배에서 실험 처리를 위해 SCMD제어구의 일회 급액량 (Irrigation volume per event)을 50, 75, 또는 100mL로 설정하였고 겨울철 재배에서는 CT가 0.65, 0.75, 또는 0.90가 되면 급액 되도록 설정하였다. 봄부터 여름철 재배에서 일회 급액량을 50, 75, 100mL로 설정하였을 때 급액 횟수는 각각 39, 29, 19회였고 배액율은 각각 3.04, 9.25, 20.18%였다. 겨울철 재배에서 CT를 0.65, 0.75, 0.90로 설정하였을 때 급액횟수는 각각 5.67, 6.50, 14.67회였고 배액율은 9.91, 10.78, 35.3%였다. 봄부터 여름철 재배에서 일회 급액량 처리에 따른 물관수액흐름속도(SF) 변화는 1회 급액량과 배액량을 각각 50과 75mL로 제한한 경우 100mL로 제한한 경우와 비교하여SF 신호가 외부 광량 신호 (SI) 보다 늦어지는 경향(time lag)을 보였고 겨울철 재배에서 CT를 0.65로 설정한 경우는 물관수액흐름 속도나 함수율이 매우 낮아졌고 CT를 0.90로 설정한 경우는 함수율과 물관수액흐름 속도는 매우 높았으나 많은 배액이 배출되었다. 따라서 토마토 봄부터 여름철 재배에서 SCMD를 활용하여 CT를 0.9로, 배지 한 개당 배액 목표량을 100mL로 설정하였을 때 일회 급액량은 75~100mL 범위가 적합하고 겨울철 재배에서는 1회 급액량을 75mL로, 배액 목표량을 70mL로 설정하였을 때 CT는 0.75이상 0.9이하 범위가 적합할 것으로 판단되었다. 앞으로 정전용량 값과 배지 용적수분함량의 관계성을 구명하고 보정계수를 구하는 연구가 필요할 것으로 판단된다.

Frequently Asked Questions in the Interpretation of Preoperative and Postoperative Chest CT Scans Related to Lung Cancer Imaging

  • 이경수
    • 대한핵의학회:학술대회논문집
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    • 대한핵의학회 2002년도 춘계학술대회 및 총회
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    • pp.25-27
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    • 2002
  • With the advent of multidetector-row CT, lung cancer imaging is much more promising than before. However, the effectiveness of multidetector-row CT in making an initial diagnosis, staging, and evaluating post-treatment changes of lung cancer still remains to be proved. Fast imaging along with volumetric data set and attendant multi-planar imaging provide much more details on the anatomic changes and pathology associated with lung cancer. However, with images showing anatomic and pathologic changes only, radiologists confront with several questions the answers of which may help evaluate lung cancer more thoroughly. The frequent questions that I have in dally practice of chest CT interpretation are as follows.

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