• Advances in pediatric surgery
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• 제18권2호
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• pp.75-82
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• 2012

In one-stage transanal endorectal pull-through operation (TERPT) for Hirschsprung disease, preoperative evaluation by contrast enema (CE) is important tool in aspect of planning of surgical procedure as well as diagnosis. This study was to evaluate the significance of CE for identifying the extent of aganglionic bowel. A retrospective analysis was performed in 40 patients who underwent TERPT between 2003 and 2011. The authors reviewed the CE studies and their correlation with pathologic extent of aganglionosis. Total 66 contrast enemas were performed in 40 patients. Twenty patients underwent single CE, but 20 patients required multiple CEs. In single CE group, 17 had clear radiographic transition zone, but 3 had less definite transition zone. In multiple CE group, 17 patients who had equivocal finding in first or second CE had definite radiographic transition zone, but 3 patients of this group had less definite radiographic transition zones. Overall, 34 patients (85%)had clear radiographic transition zone by single or repeated CE. One (2.9%) out of 34 patients with clear radiographic transition zone had discordance between radiographic and pathologic transition zone. In contrast 4 (66.7%) out of 6 patients with equivocal radiographic transition zone had discordance between radiographic and pathologic transition zone. Observation of clear radiographic transition zone is important in preparation of TERPT, and repeated CE is helpful to reduce the discordance between radiographic and pathologic transition zone. Awareness of the possibility of discordance is also important if radiographic transitional zone is not clear.

• 대한기계학회논문집B
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• 제39권11호
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• pp.897-903
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• 2015

본 연구에서는 냉온 자극요법의 열전달 특성을 정량적으로 파악하고자 한다. 축대칭 비압축성 Navier-Stokes 방정식 및 에너지 방정식의 해법을 위해 SIMPLE 알고리즘에 기반을 둔 유한체적법을 사용하였다. 혈액의 관류를 고려하기 위해 Pennes bio-heat 방정식을 추가로 적용하였다. 다양한 온도조건에 따른 피부 아래 각 지점에서의 열 침투양상을 분석하였다. 수치해석을 통하여 다양한 입력온도들에 대하여 역치 온도에 도달하는 영역들을 발견하였다. 또한, 페니스 효과로 인하여 피부 심부로 갈수록 외부 자극에 대한 온도변화가 완만함을 확인하였으며, 진피부분의 온도가 역치에 도달하기 위해서는 온 자극 및 냉 자극은 47도 및 7도 내외로 주어져야 함을 발견하였다. 본 논문의 수치해석을 통해 구축된 데이터베이스는 경혈 냉온 자극 치료기의 최적설계 시에 활용된다.

• 한국방사선학회논문지
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• 제14권1호
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• pp.61-68
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• 2020

본 연구에서는 CT 혈관조영 영상에서 조영제 희석비율에 따른 Blooming 인공물 발생의 상관성에 대하여 알아보고자 한다. 3D 프린터를 이용하여 PLA(Poly Lactic Acid)재질의 구형 팬텀을 자체 제작하였고 구형 팬텀 내부에 조영제와 식염수의 비율을 100:0부터 10:90으로 희석하여 총 10세트를 준비하였다. 이후 CT 횡단면 영상을 얻고 raw 데이터를 최대강도투사법, 다중평면 재구성 기법으로 재구성하여 각각 횡단면, 시상면, 관상면의 영상을 얻었다. 검사 후 얻은 영상의 구형 팬텀의 직경을 각각 30회씩 총 1800회 측정하였다. 측정결과, 다중 평면 재구성 기법 중 관상면에서 20:80으로 희석하였을 때 20.47±0.05 mm로 가장 작게 측정되었다(p<0.05). 마찬가지로 최대강도투사법 중 시상면에서 20:80으로 희석하였을 때 20.39±0.08 mm로 가장 작게 측정되었다(p<0.05). 희석비율과 측정 크기의 상관성 분석에서는 모든 재구성 영상에서 강한 음의 상관성을 확인하였다(p<0.05). 결론적으로 조영제 희석비율이 높을수록 혈관의 실측을 측정하기 어려우며 이에 대한 원인으로 Blooming 인공물이 있음을 확인하였다. 따라서 실측에 관한 추후 연구에서 본 연구가 기초자료를 제공할 수 있을 것이라 사료된다.

• 전자공학회논문지
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• 제51권12호
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• pp.163-173
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• 2014

CT 표준팬텀을 이용한 대조도 분해능 평가와 공간 분해능 영상 평가 시 평가자의 주관적 판단에 의한 오류를 최소화하기 위한 자동화된 정량적 평가 방법을 제시하고, 그 유용성을 평가하고자 한다. Nuclear Associates사(社) AAPM CT Performance Phantom(Model 76-410)을 사용하여 120kVp와 250mAs, 10mm collimation과 25cm 이상의 SFOV(scan field of view), 25cm의 DFOV(display field of view)의 촬영조건으로, standard reconstruction algorithm을 이용하여 촬영한 24개의 적합 팬텀 영상과 20개의 부적합 팬텀 영상을 대상으로 평가하였다. 대조도 분해능과 공간 분해능 영상을 정량적으로 평가하기 위해 Mathwork사(社) Matlab(Ver. 7.6. (R2008a)) software를 이용하여 자체 개발한 평가 프로그램을 사용하였다. 본 연구에서는 자체 개발한 자동화된 평가 프로그램을 이용하여 평가한 결과, 정성적 평가 항목을 객관적 수치로 평가할 수 있었다. 첫째, 대조도 분해능의 경우 이심률 지수(eccentricity index, EI)가 0.50, 0.51, 0.52, 0.53 일 때 정성적으로 평가한 결과와 정량적으로 평가한 결과가 일치했다. 둘째, 대조도 분해능에서 대조도 대 잡음비(contrast to noise ratio, CNR)이 -0.0018~-0.0010인 경우에 정성적으로 평가한 결과와 정량적으로 평가한 결과가 일치했다. 셋째, 공간 분해능의 경우 영상 분할 기법을 통해 구멍의 외곽선 윤곽을 자동으로 분할 추출한 결과, 정성적으로 평가한 결과와 정량적으로 평가한 결과가 일치했다.

• Journal of Breast Cancer
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• 제21권4호
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• pp.453-462
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• 2018

Purpose: This study aimed to compare the diagnostic performance of contrast-enhanced digital mammography (CEDM) and contrast-enhanced magnetic resonance imaging (CEMRI) in preoperative evaluations, and to evaluate the effect of each modality on the surgical management of women with breast cancer. Methods: This single-center, prospective study was approved by the Institutional Review Board, and informed consent was obtained from all patients. From November 2016 to October 2017, 84 patients who were diagnosed with invasive carcinoma (69/84) and ductal carcinoma in situ (15/84), and underwent both CEDM and CEMRI, were enrolled. Imaging findings and surgical management were correlated with pathological results and compared. The diagnostic performance of both modalities in the detection of index and secondary cancers (multifocality and multicentricity), and occult cancer in the contralateral breast, was compared. The authors also evaluated whether CEDM or CEMRI resulted in changes in the surgical management of the affected breast due to imaging-detected findings. Results: Eighty-four women were included in the analysis. Compared with CEMRI, CEDM demonstrated a similar sensitivity (92.9% [78/84] vs. 95.2% [80/84]) in detecting index cancer (p=0.563). For the detection of secondary cancers in the ipsilateral breast and occult cancer in the contralateral breast, no significant differences were found between CEDM and CEMRI (p=0.999 and p=0.999, respectively). Regarding changes in surgical management, CEDM resulted in similar changes compared with CEMRI (30.9% [26/84] vs. 29.7% [25/84], p=0.610). Regarding changes in surgical management due to false-positive findings, no significant differences were found between CEDM and CEMRI (34.6% [9/26] vs. 44.0% [11/25], p=0.782). Conclusion: CEDM demonstrated a diagnostic performance comparable with CEMRI in depicting index cancers, secondary cancers, and occult cancer in the contralateral breast. CEDM demonstrated similar changes in surgical management compared with CEMRI.

• Korean Journal of Radiology
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• 제25권1호
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• pp.62-73
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• 2024

Objective: This study aimed to determine the prevalence of vertebral venous congestion (VVC) in patients with chemoport insertion, evaluate the imaging characteristics of nodular VVC, and identify the factors associated with VVC. Materials and Methods: This retrospective single-center study was based on follow-up contrast-enhanced chest computed tomography (CT) of 1412 adult patients who underwent chemoport insertion between January 2016 and December 2016. The prevalence of venous stenosis, reflux, and VVC were evaluated. The imaging features of nodular VVC, including specific locations within the vertebral body, were analyzed. To identify the factors associated with VVC, patients with VVC were compared with a subset of patients without VVC who had been followed up for > 3 years without developing VVC after chemoport insertion. Toward this, a multivariable logistic regression analysis was performed. Results: After excluding 333 patients, 1079 were analyzed (mean age ± standard deviation, 62.3 ± 11.6 years; 540 females). The prevalence of VVC was 5.8% (63/1079), with all patients (63/63) demonstrating vertebral venous reflux and 67% (42/63) with innominate vein stenosis. The median interval between chemoport insertion and VVC was 515 days (interquartile range, 204-881 days). The prevalence of nodular VVC was 1.5% (16/1079), with a mean size of 5.9 ± 3.1 mm and attenuation of 784 ± 162 HU. Nodular VVC tended to be located subcortically. Forty-four patients with VVC underwent CT examinations with contrast injections in both arms; the VVC disappeared in 70% (31/44) when the contrast was injected in the arm contralateral to the chemoport site. Bevacizumab use was independently associated with VVC (odds ratio, 3.45; P < 0.001). Conclusion: The prevalence of VVC and nodular VVC was low in patients who underwent chemoport insertion. Nodular VVC was always accompanied by vertebral venous reflux and tended to be located subcortically. To avoid VVC, contrast injection in the arm contralateral to the chemoport site is preferred.

• Structural Engineering and Mechanics
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• 제12권1호
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• pp.51-69
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• 2001

Whereas the potential of static inelastic analysis methods is recognised in earthquake design and assessment, especially in contrast with elastic analysis under scaled forces, they have inherent shortcomings. In this paper, critical issues in the application of inelastic static (pushover) analysis are discussed and their effect on the obtained results appraised. Areas of possible developments that would render the method more applicable to the prediction of dynamic response are explored. New developments towards a fully adaptive pushover method accounting for spread of inelasticity, geometric nonlinearity, full multi-modal, spectral amplification and period elongation, within a framework of fibre modelling of materials, are discussed and preliminary results are given. These developments lead to static analysis results that are closer than ever to inelastic time-history analysis. It is concluded that there is great scope for improvements of this simple and powerful technique that would increase confidence in its employment as the primary tool for seismic analysis in practice.

• 한국멀티미디어학회논문지
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• 제21권4호
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• pp.450-463
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• 2018

Sound based machine fault diagnosis is the process consisting of detecting automatically the damages that affect the machines by analyzing the sounds they produce during their operating time. The collected sounds being inevitably corrupted by random disturbance, the most important part of the diagnosis consists of discovering the hidden elements inside the data that can reveal the faulty patterns. This paper presents a novel feature extraction methodology that combines various digital signal processing and pattern recognition methods for the analysis of the sounds produced by the drills. Using the Fourier analysis, the magnitude spectrum of the sounds are extracted, converted into two-dimensional vectors and uniformly normalized in such a way that they can be represented as 8-bit grayscale images. Histogram equalization is then performed over the obtained images in order to adjust their very poor contrast. The obtained contrast enhanced images will be used as the features of our diagnosis system. Finally, principal component analysis is performed over the image features for reducing their dimensions and a nonlinear classifier is adopted to produce the final response. Unlike the conventional features, the results demonstrate that the proposed feature extraction method manages to capture the hidden health patterns of the sound.

• 대한조선학회논문집
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• 제56권5호
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• pp.383-388
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• 2019

It is essential to reduce the Infra-red signature for increasing ship's survivability in ship design stage. However the ship's IR signature is quite sensitive to the maritime and atmosphere. Therefore, it is very important to select the marine meteorological data to be applied to the signature analysis. In this study, we selected the three meteorological sample sets from the population of the Korea Meteorological Administration's marine environment data in 2017. These samples were selected through the two-dimensional stratified sampling method, taking into account the geopolitical threats of the Korean peninsula and the effective area of the buoy. These sample sets were applied to three naval ships classified by their tonnage, and then the IR signature analysis was performed to derive the Contrast Radiant Intensity (CRI) values. Based on the CRI values, the validity of each sample set was determined by comparing Cumulative Distribution Function (CDF), and Probability Density Function (PDF). Also, we checked the degree of scattering in each sample set and determined the efficiency of analysis time and cost according to marine meteorological sample sets to confirm the possibility of a probabilistic method. Through this process, we selected the standard for optimization of marine meteorological sample for ship IR signature analysis. Based on this optimization sample, by applying probabilistic method to the management of IR signature for naval ships, the robust design is possible.

• 한국세라믹학회지
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• 제53권5호
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• pp.568-573
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• 2016

We explore the crystalline structure and phase transition of lithium thiophosphate ($Li_7P_3S_{11}$) solid electrolyte using electron microscopy and X-ray diffraction. The glass-like $Li_7P_3S_{11}$ powder is prepared by the high-energy mechanical milling process. According to the energy dispersive X-ray spectroscopy (EDS) and selected area diffraction (SAD) analysis, the glass powder shows chemical homogeneity without noticeable contrast variation at any specific spot in the specimen and amorphous SAD ring patterns. Upon heating up to $260^{\circ}C$ the glass $Li_7P_3S_{11}$ powder becomes crystallized, clearly representing crystal plane diffraction contrast in the high-resolution transmission electron microscopy image. We further confirm that each diffraction spot precisely corresponds to the diffraction from a particular $Li_7P_3S_{11}$ crystallographic structure, which is also in good agreement with the previous X-ray diffraction results. We expect that the microscopic analysis with EDS and SAD patterns would permit a new approach to study in the atomic scale of other lithium ion conducting sulfides.