• Korean Journal of Radiology
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• v.24 no.4
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• pp.284-293
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• 2023

Objective: To validate a simplified ordinal scoring method, referred to as modified length-based grading, for assessing coronary artery calcium (CAC) severity on non-electrocardiogram (ECG)-gated chest computed tomography (CT). Materials and Methods: This retrospective study enrolled 120 patients (mean age ± standard deviation [SD], 63.1 ± 14.5 years; male, 64) who underwent both non-ECG-gated chest CT and ECG-gated cardiac CT between January 2011 and December 2021. Six radiologists independently assessed CAC severity on chest CT using two scoring methods (visual assessment and modified length-based grading) and categorized the results as none, mild, moderate, or severe. The CAC category on cardiac CT assessed using the Agatston score was used as the reference standard. Agreement among the six observers for CAC category classification was assessed using Fleiss kappa statistics. Agreement between CAC categories on chest CT obtained using either method and the Agatston score categories on cardiac CT was assessed using Cohen's kappa. The time taken to evaluate CAC grading was compared between the observers and two grading methods. Results: For differentiation of the four CAC categories, interobserver agreement was moderate for visual assessment (Fleiss kappa, 0.553 [95% confidence interval {CI}: 0.496-0.610]) and good for modified length-based grading (Fleiss kappa, 0.695 [95% CI: 0.636-0.754]). The modified length-based grading demonstrated better agreement with the reference standard categorization with cardiac CT than visual assessment (Cohen's kappa, 0.565 [95% CI: 0.511-0.619 for visual assessment vs. 0.695 [95% CI: 0.638-0.752] for modified length-based grading). The overall time for evaluating CAC grading was slightly shorter in visual assessment (mean ± SD, 41.8 ± 38.9 s) than in modified length-based grading (43.5 ± 33.2 s) (P < 0.001). Conclusion: The modified length-based grading worked well for evaluating CAC on non-ECG-gated chest CT with better interobserver agreement and agreement with cardiac CT than visual assessment.

• Journal of the Korean Society of Radiology
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• v.83 no.1
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• pp.212-217
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• 2022

An epidermoid cyst is a benign tumor found anywhere in the body. However, the occurrence of epidermoid cysts in the thymus is extremely rare, with only six cases reported worldwide. The correct diagnosis of thymic epidermoid cysts is often difficult due to the unusual location and nonspecific imaging findings. Herein, we present a case of a thymic epidermoid cyst in a 37-year-old female with clinical information and chest CT findings. Further, we have reviewed previous literature reports describing imaging findings of thymic epidermoid cysts.

• Journal of the Korean Society of Radiology
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• v.15 no.4
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• pp.547-554
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• 2021

In order to quickly and accurately diagnose pneumonia on a chest X-ray image, different batch sizes of 4, 8, 16, and 32 were applied to the same Xception deep learning model, and modeling was performed 3 times, respectively. As a result of the performance evaluation of deep learning modeling, in the case of modeling to which batch size 32 was applied, the results of accuracy, loss function value, mean square error, and learning time per epoch showed the best results. And in the accuracy evaluation of the Test Metric, the modeling applied with batch size 8 showed the best results, and the precision evaluation showed excellent results in all batch sizes. In the recall evaluation, modeling applied with batch size 16 showed the best results, and for F1-score, modeling applied with batch size 16 showed the best results. And the AUC score evaluation was the same for all batch sizes. Based on these results, deep learning modeling with batch size 32 showed high accuracy, stable artificial neural network learning, and excellent speed. It is thought that accurate and rapid lesion detection will be possible if a batch size of 32 is applied in an automatic diagnosis study for feature extraction and classification of pneumonia in chest X-ray images using deep learning in the future.

• Korean Journal of Digital Imaging in Medicine
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• v.11 no.1
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• pp.15-20
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• 2009

Far reducing medical radiation exposure and managing patient doses, Entrance surface doses(ESDs) were measured at Diagnostic Radiology Department in ASAN medical center, also we determined and compared with the Diagnostic Reference Level(DRL) of some other countries. ESDs were measured far the most common types of X-ray procedures, such as chest PA, lumbar spine AP, lumbar spine lateral, Pelvis AP, Skull PA. ESDs were measured by Glass dosimeter and Unfors Xi meter. Those were applied collimation center of phantom's entrance skin surface. The results of ESDs were compared Glass dosimeter with Unfors Xi meter. Those were measured within 5% statistical difference. It seemed well agreement at two devices. In most cases ESDs measured far the different types of X ray procedures were found to be lower than the DRL of IAEA, but ESDs on chest PA, lumbar spine AP, lumbar spine lateral, Pelvis AP, Skull PA were proximity ar excesses at DRL of advanced country. Through this study, we need an investigation and improvement at present diagnostic radiology exam system. Also, radiologists make an effort to reduce patient dose and having a technical skill.

• Journal of the Korean Society of Radiology
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• v.16 no.3
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• pp.217-223
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• 2022

In this study, images taken using a grid and images taken using Air Gap Technique were evaluated in X-ray chest radiography. Subjective Evaluation The ROC (Receiver Operating Characteristic) evaluation was evaluated by 5 radiologists who had worked for more than 10 years in the radiology department of a university hospital. Objective evaluation SNR (Signal to noise ratio) was evaluated. As a result of the analysis, the Cronbach Alpha value was 0.714, which was significantly higher. In the Air Gap Technique, the distance between the phantom and the subject was set at 20 cm, and the image was taken with a tube voltage of 100 kVp, a tube current and a recording time of 8 mAs. In the ROC (Receiver Operating Characteristic) evaluation, the highest score was obtained with 18 score and an objective evaluation SNR (signal to noise ratio) of 6,149 scored. Also, in the imaging method using a grid, when the distance between the phantom and the constant receptor is 15 cm apart, and the tube voltage is 110 kVp, the tube current and the recording time are taken at 8 mAs, the ROC evaluation score is 19 and the objective evaluation SNR (Signal to noise ratio) is the highest with 6.622 scored. Therefore, if the Air Gap Technique imaging method is used, which overcomes the shortcomings such as delay in reading, increase in patient's exposure dose, and shortening of mechanical lifespan, as well as re-radiography due to the cut-off phenomenon of the grid that appears using the grid, the It is thought that it will be very helpful for chest imaging, including the case of using a portable X-ray imaging device.

• Korean Journal of Digital Imaging in Medicine
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• v.13 no.3
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• pp.139-144
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• 2011

The purpose of this report is recommending a standard indicator which reflects the radiation exposure that is incident on a detector after every exposure event and that reflects the noise levels present in the image data. The experiment was performed with mobile digital X-ray unit and used a acrylic phantom for exposure index measurement. Exposure modality was kVp, mAs, SID. After every exposure, make a data sheet for characteristic curve of detector response. The equipment performed Mobile digital X-ray unit provide the user with values ralated to the incident exposure(air kerma)to the digital detector. They are showed as a logarithmic function shaped. As a result, DEI means a relative measure of exposure to the detector, as compared to the expected exposure for a particular anatomical view. Radiographic technique is the combination of factors used to exposure an anatomical part to produce a high quality radiography and technique charts used most commonly by radiographers to produce consistently exposure level which patient dose can be kept acceptably low.

• Journal of the Korean Society of Radiology
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• v.82 no.1
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• pp.212-218
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• 2021

Ewing sarcomas constitute a group of small, round, blue cell tumors of the bone and soft tissue. Extraskeletal Ewing sarcoma (EES) is a rare malignant neoplasm that arises from soft tissues, and it usually affects children and young adults. EES of the thoracopulmonary region commonly presents with a palpable mass or pain. Although rarely reported, EES affecting the anterior chest wall may present as a breast mass. We report a case of EES arising from the chest wall and manifesting as a palpable breast mass in a 22-year-old woman. The large mass was initially misdiagnosed as a breast origin mass on ultrasonography, but subsequent CT and MRI showed that the mass originated from the chest wall. Radiologists should be aware of the imaging findings of EES, and they should understand that chest wall lesions may be clinically confused as breast lesions.

• Journal of Chest Surgery
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• v.28 no.5
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• pp.491-494
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• 1995

A fibroma arising in the right ventricle outflow tract of a 14 month-old infant was successfully removed. The patient was first seen because of shortness of breath and tachycardia. Pertinent clinical and laboratory findings included a grade II/VI systolic murmur, blood pressure of 120/60 mmHg, slight cardiomegaly on chest X-ray, a mass obstructing the outflow tract of the right ventricle on echocardiography and magnetic resonance imaging. On october 30,1992, under cardiopulmonary bypass, a 4cm x 3cm x 3cm tumor was resected from the right ventricular outflow tract, together with a portion of the ventricular wall. Histologically, it was diagnosis as a fibroma. The patient was sent home on the 6th postoperative day following an uneventful recovery form the operation. Although cardiac fibroma is the second most common cardiac tumor in infancy and childhood, it is usually found in the left ventricle and one arising in the right ventricle is considered rare. Although it is a benign tumor, it could produce a severe cardiac dysfunction and even sudden death, depending on its size and location. With the advance in diagnostic techniques and operative management, there is a renewed interest in the early detection and operative removal of these tumors. The case herein presented is the first such case successfully managed and reported in the Korean literature.

• Journal of Biomedical Engineering Research
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• v.9 no.2
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• pp.185-194
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• 1988

The dual-energy technique win used to separate the bone-only and tissue-only images from the conventional chest images. The equivalent thickness of the basic materials are estimated from low and high energy images of a given complex materials using the attenuation coefficient of ma serial componens. We showed that the image quality of dual-energy imaging method can be influenced by the ponlinearity and noise components of system and spectrum distributions The quantitative analysis of Calcium component was performed by dual-energy technique and it is shown that the concentration of the Calcium could be accurately estimated within 5% error range.

• Journal of the Korean Society of Radiology
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• v.81 no.2
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• pp.351-364
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• 2020

Missed lung cancers on chest radiograph (CXR) may delay the diagnosis and affect the prognosis. CXR is the primary imaging modality to evaluate the lungs and mediastinum in daily practice. The purpose of this article is to review chest radiographs for common blind spots and highlight the importance of various radiologic presentations in primary lung cancer to avoid significant diagnostic errors on CXR.