• 제목/요약/키워드: computed tomographic

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Correlation between cone-beam computed tomographic findings and the apnea-hypopnea index in obstructive sleep apnea patients: A cross-sectional study

  • Marco Isaac;Dina Mohamed ElBeshlawy;Ahmed Elsobki;Dina Fahim Ahmed;Sarah Mohammed Kenawy
    • Imaging Science in Dentistry
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    • 제54권2호
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    • pp.147-157
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    • 2024
  • Purpose: The aim of this study was to explore the correlations of cone-beam computed tomographic findings with the apnea-hypopnea index in patients with obstructive sleep apnea. Materials and Methods: Forty patients with obstructive sleep apnea were selected from the ear-nose-throat (ENT) outpatient clinic, Faculty of Medicine, Mansoura University. Cone-beam computed tomography was performed for each patient at the end of both inspiration and expiration. Polysomnography was carried out, and the apnea-hypopnea index was obtained. Linear measurements, including cross-sectional area and the SNA and SNB angles, were obtained. Four oral and maxillofacial radiologists categorized pharyngeal and retropalatal airway morphology and calculated the airway length and volume. Continuous data were tested for normality using the Kolmogorov-Smirnov test and reported as the mean and standard deviation or as the median and range. Categorical data were presented as numbers and percentages, and the significance level was set at P<0.05. Results: The minimal value of the cross-sectional area, SNB angle, and airway morphology at the end of inspiration demonstrated a statistically significant association (P<0.05) with the apnea-hypopnea index, with excellent agreement. No statistically significant difference was found in the airway volume, other linear measurements, or retropalatal airway morphology. Conclusion: Cone-beam computed tomographic measurements in obstructive sleep apnea patients may be used as a supplement to a novel radiographic classification corresponding to the established clinical apnea-hypopnea index classification.

신경아세포종의 전산화단층촬영 소견 (Neuroblastoma : Computed Tomographic Finding)

  • 김재운;최종오;조재호;황미수;박복환
    • Journal of Yeungnam Medical Science
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    • 제13권1호
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    • pp.134-140
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    • 1996
  • 1986년부터 1995년까지의 10년간 영남대학교 의과대학 부속병원에서 절제술이나 세침 생검을 시행하여 조직 병리학적으로 확진된 신경아세포종 23례 중 전산화단층촬영을 시행한 16례를 대상으로 후향적으로 분석한 결과 신경아세포종은 소아에서 많이 발생하며, 부신에서 호발하고, 임상적인 주 증상은 만져지는 종괴였다. 전산화단층촬영소견은 과반수 이상에서 작고 고밀도이거나 곡선 모양의 석회화를 보이며, 중앙선을 침범하며, 분엽상의 모양과 분명한 경계를 보이고, 내부에 낭성 변화를 보이며, 불균등한 조영 양상을 보이고, 주위 중요 혈관과 림프절을 침범한 소견을 보였다. 이와 같은 전산화 단층촬영소견들은 소아 복부 종양에서 신경아세포종의 진단과 감별에 도움을 줄것으로 생각된다.

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개에서 발생한 낭상 기관지 확장증에 대한 컴퓨터단층촬영 소견 1례 (Computed Tomographic Features of Saccular Type of Bronchiectasis in a Dog)

  • 최수영;서지원;박현영;이영원;최호정
    • 한국임상수의학회지
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    • 제32권6호
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    • pp.523-526
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    • 2015
  • 9년령의 중성화한 말라뮤트가 만성 기침 증상으로 내원하였다. 흉부 컴퓨터단층촬영상에서 말초 기관지가 확장된 모습으로 관찰되었다. 기관내강과 폐동맥 직경 비율은 약 2.2로 정상보다 큰 비율을 나타내었다. 확장된 기관지들은 특히 좌측 전엽과 후엽, 우측 중엽에서 포도송이 모양과 같은 형태를 보였다. 이러한 컴퓨터단층촬영 소견들을 바탕으로 낭상 기관지 확장증을 진단하였다.

방사선사 학술지에 게재된 통계방법 분석: 대한전산화단층기술학회지 중심으로 (Evaluation of Statistical Analysis of Radiologist's Journal: Focus on Journal of Korean Society of Computer Tomographic Technology)

  • 김상현;이미화
    • 디지털융복합연구
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    • 제12권9호
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    • pp.275-282
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    • 2014
  • 본 연구는 방사선사 학술지 중 대표적인 대한전산화단층기술학회에 게재된 논문의 통계 추세, 오류현황을 파악하고 이에 근거한 자료 제공을 통하여 방사선사 전문 학회의 학술적 성과에 기여하고자 하였다. 대한전산화단층기술학회에 게재된 논문에서 통계분석 과정의 다양한 영역에 걸쳐 크고 작은 통계적 오류가 있음을 확인하였다. 향후 대학교육과 연수강좌 등 다양한 방법으로 통계교육을 강화해야 한다. 방사선사들의 논문의 통계적 오류에 관한 인식 향상을 통해 논문의 질 향상을 기대할 수 있다.

경골 근위부 골채취를 위한 내측 및 외측 접근법시의 삼차원적 길이계측 (THREE DIMENSIONAL LINEAR MEASUREMENT OF PROXIMAL TIBIA IN MEDIAL AND LATERAL APPROACH FOR BONE HARVESTING)

  • 남웅;박원서;정호걸;허경석;차인호
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제33권4호
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    • pp.307-311
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    • 2007
  • Purpose: The aim of this study was simply assessing linear measurements in the lateral and medial approach, respectively, for bone harvesting using anatomic and three-dimensional(3D) computed tomographic(CT) analyses on a dried cadaveric proximal tibia. In addition, the availability of the three-dimensional computed tomographic(3D-CT) analysis was also estimated. Materials and methods: Ten dried proximal tibia were obtained from five Korean cadavers. Four the reference points, the SM(superior-medial), IM(inferior-medial), SL(superior-lateral), and IL(inferior-lateral) were marked around the tibial tuberosity. The PM(posterior-medial) and PL(posterior-lateral) points were randomly marked at points farthest from the lateral and medial reference points, respectively, in the posterior border of the superior articular surface of both condyles. All measurements were obtained on the dried proximal tibia. After computed tomography had been performed, the three dimensional images were reconstructed using V works $4.0^{TM}$(Cybermed Inc., Seoul, Korea), and the length between the reference points were measured three dimensionally using the method described above. The error between the mean actual and mean 3D-CT measurements was calculated in order to determine the availability of the three dimensional computed tomographic analysis. Results: The length between the reference points was greatest at the IL-PM, which averaged $65.39mm{\pm}10.35$. This was followed by the SL-PM with $63.24mm{\pm}8.10$, the IM-PL with $58.09mm{\pm}10.02$, and the SM-PL with $51.99mm{\pm}9.06$. The differences between the IL-PM and SM-PL were 13.4 mm. The mean values were 55.04 mm in the medial approach and 64.32 mm in the lateral approach, and the differences between medial and lateral were 9.28 mm. The error between the mean actual and mean 3D-CT measurements was 0.31% and the standard deviation was 0.28%. Conclusion: The anatomical and three dimensional computed tomographic analysis indicates that there was only a 9.28 mm linear difference between the lateral and medial approach. This is consistent with previous studies, which showed that there was little difference between the two approaches in terms of the bone volume. In addition, the error(0.31%) and the standard deviation(0.28%) were considered low, demonstrating high accuracy of 3D-CT. Therefore it can be used in preoperative treatment planning.

개에서 컴퓨터단층촬영을 이용한 두부 외상의 평가 3례 (Computed Tomographic Evaluation of Three Canine Patients with Head Trauma)

  • 김태훈;김주형;조항묘;천행복;강지훈;나기정;모인필;이영원;최호정;김근형;장동우
    • 한국임상수의학회지
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    • 제24권4호
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    • pp.667-672
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    • 2007
  • This report describes the use of conventional computed tomography(CT) for the diagnosis of head trauma in three canine patients. According to physical and neurologic examinations, survey radiography and computed tomography, these patients were diagnosed as traumatic brain injury. Especially, CT is the imaging modality of first choice for head trauma patients. It provides rapid acquisition of images, superior bone detail, and better visualization of acute hemorrhage than magnetic resonance imaging. It is also less expensive and more readily available. Pre-contrast computed tomography was used to image the head. Then, post-contrast CT was performed using the same technique. The Modified Glasgow Coma Scale(MGCS) score was used to predict their probability of survival rate after head trauma in these dogs. Computed tomogram showed fluid filled tympanic bulla, fracture of the left temporal bone and cerebral parenchymal hemorrhage with post contrast ring enhancement. However, in one case, computed tomographic examination didn't delineate cerebellar parenchymal hemorrhage, which was found at postmortem examination. Treatments for patients placed in intensive care were focused to maintain cerebral perfusion pressure and to normalize intracranial pressure. In these cases, diagnostic computed tomography was a useful procedure. It revealed accurate location of the hemorrhage lesion.

COMPUTATIONAL ANTHROPOMORPHIC PHANTOMS FOR RADIATION PROTECTION DOSIMETRY: EVOLUTION AND PROSPECTS

  • Lee, Choon-Sik;Lee, Jai-Ki
    • Nuclear Engineering and Technology
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    • 제38권3호
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    • pp.239-250
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    • 2006
  • Computational anthropomorphic phantoms are computer models of human anatomy used in the calculation of radiation dose distribution in the human body upon exposure to a radiation source. Depending on the manner to represent human anatomy, they are categorized into two classes: stylized and tomographic phantoms. Stylized phantoms, which have mainly been developed at the Oak Ridge National Laboratory (ORNL), describe human anatomy by using simple mathematical equations of analytical geometry. Several improved stylized phantoms such as male and female adults, pediatric series, and enhanced organ models have been developed following the first hermaphrodite adult stylized phantom, Medical Internal Radiation Dose (MIRD)-5 phantom. Although stylized phantoms have significantly contributed to dosimetry calculation, they provide only approximations of the true anatomical features of the human body and the resulting organ dose distribution. An alternative class of computational phantom, the tomographic phantom, is based upon three-dimensional imaging techniques such as magnetic resonance (MR) imaging and computed tomography (CT). The tomographic phantoms represent the human anatomy with a large number of voxels that are assigned tissue type and organ identity. To date, a total of around 30 tomographic phantoms including male and female adults, pediatric phantoms, and even a pregnant female, have been developed and utilized for realistic radiation dosimetry calculation. They are based on MRI/CT images or sectional color photos from patients, volunteers or cadavers. Several investigators have compared tomographic phantoms with stylized phantoms, and demonstrated the superiority of tomographic phantoms in terms of realistic anatomy and dosimetry calculation. This paper summarizes the history and current status of both stylized and tomographic phantoms, including Korean computational phantoms. Advantages, limitations, and future prospects are also discussed.