• Journal of the Korean Society of Radiology
• /
• v.13 no.4
• /
• pp.637-643
• /
• 2019

To verify internal movements of the body, a DICOM file obtained from CT and a Geant4 code were used to simulate lung cancer patients. In addition, the method is applied to measure the movement of tumor when the movement of t he tumor is located inhale and exhale by creating a virtual tumor in the self-produced moving phantom, and to check the distribution of dose in the treatment plan and the accuracy of tumor in PTV for respiratory and lung cancer patients. It was confirmed that 97% or more respiratory control radiation therapy was effective even if the moving area was more than 3cm, in the 40% to 70% range. Dose distribution with respiratory radiation therapy applied to moving targets, measured by film in the actuation phantom, was shown to be within a 3mm margin of error for dose distribution containing 90%. It was confirmed that for actual patient breathing curves, the treatment time may be shorter than that due to the longer expiratory time.

• Journal of Internet Computing and Services
• /
• v.20 no.5
• /
• pp.37-47
• /
• 2019

The purpose of this paper is to construct a system that matches the patient's image disease information with the medical image viewer in providing the medical image information to the medical staff. Currently, medical image information systems that are commercialized mostly provide only one image viewer with various image information of diseases or use incompatible exclusive viewers. For this reason, we designed and implemented a medical image information viewer matching system that integrates and provides specialized viewers that can be selected by diseases' image information. That is, it is a system to match and view medical image viewers based on disease information extracted from tag information stored as the metadata in DICOM file, which is medical image information standard, for disease-specific viewer matching. We analyzed the execution performances through our retrieval service of medical image information from our implementation system, and showed compatibility and control with various viewers.

• Journal of Korean Neurosurgical Society
• /
• v.64 no.4
• /
• pp.514-523
• /
• 2021

Objective : Aneurysm volume quantification (AVQ) using the equation of ellipsoid volume is widely used although it is inaccurate. Furthermore, AVQ with 3-dimensional (3D) rendered data has limitations in general use. A novel universal method for AVQ is introduced for any diagnostic modality and application to any shape of aneurysms. Methods : Relevant AVQ studies published from January 1997 to June 2019 were identified to determine common methods of AVQ. The basic idea is to eliminate the normal artery volume from 3D model with the aneurysm. After Digital Imaging and Communications in Medicine (DICOM) data is converted and exported to stereolithography (STL) file format, the 3D STL model is modified to remove the aneurysm and the volume difference between the 3D model with/without the aneurysm is defined as the aneurysm volume. Fifty randomly selected aneurysms from DICOM database were used to validate the different AVQ methods. Results : We reviewed and categorized AVQ methods in 121 studies. Approximately 60% used the ellipsoid method, while 24% used the 3D model. For 50 randomly selected aneurysms, volumes were measured using 3D Slicer, RadiAnt, and ellipsoid method. Using 3D Slicer as the reference, the ratios of mean difference to mean volume obtained by RadiAnt and ellipsoid method were -1.21±7.46% and 4.04±30.54%, respectively. The deviations between RadiAnt and 3D Slicer were small despite of aneurysm shapes, but those of ellipsoid method and 3D Slicer were large. Conclusion : In spite of inaccuracy, ellipsoid method is still mostly used. We propose a novel universal method for AVQ that is valid, low cost, and easy to use.

• The Korean Journal of Pain
• /
• v.35 no.4
• /
• pp.403-412
• /
• 2022

Background: Most pain management techniques for challenging procedures are still performed under the guidance of the C-arm fluoroscope although it is sometimes difficult for even experienced clinicians to understand the modified three-dimensional anatomy as a two-dimensional X-ray image. To overcome these difficulties, the development of a virtual simulator may be helpful. Therefore, in this study, the authors developed a virtual simulator and presented its clinical application cases. Methods: We developed a computer program to simulate the actual environment of the procedure. Computed tomography (CT) Digital Imaging and Communications in Medicine (DICOM) data were used for the simulations. Virtual needle placement was simulated at the most appropriate position for a successful block. Using a virtual C-arm, the authors searched for the position of the C-arm at which the needle was visualized as a point. The positional relationships between the anatomy of the patient and the needle were identified. Results: For the simulations, the CT DICOM data of patients who visited the outpatient clinic was used. When the patients revisited the clinic, images similar to the simulated images were obtained by manipulating the C-arm. Transforaminal epidural injection, which was difficult to perform due to severe spinal deformity, and the challenging procedures of the superior hypogastric plexus block and Gasserian ganglion block, were successfully performed with the help of the simulation. Conclusions: We created a pre-procedural virtual simulation and demonstrated its successful application in patients who are expected to undergo challenging procedures.

• Journal of dental hygiene science
• /
• v.22 no.4
• /
• pp.249-255
• /
• 2022

Background: Sexual dimorphism is important for sex determination in the field of forensics. However, sexual dimorphism is commonly assessed using cone beam computed tomography (CBCT) rather than three-dimensional (3D) modeling software; therefore, studies using a more accurate measurement approach are necessary. This study assessed the sexual dimorphism of the MS using a 3D modeling program to obtain information that could contribute to the fields of surgery and forensics. Methods: The CBCT data of 60 patients (age, 20~29 y; 30 males and 30 females) admitted to the Department of Orthodontics at the Dankook University School of Dentistry were provided in Digital Imaging and Communications in Medicine (DICOM) format. The left MS and right MS were modeled based on the DICOM files using the Mimics (version 22; Materialise, Leuven, Belgium) 3D program and converted to stereolithography (STL) files used to measure the width, length, and height of the MS, infraorbital foramen (IOF), right MS, and left MS. The average of three repeated measurements was calculated, and a reliability test was performed to ensure data reliability (Cronbach's α=0.618). A canonical discriminant analysis was performed using a standard approach (left: Box's M=0.096; right: Box's M=0.115). Results: Males had greater values for all parameters (MS width, MS length, MS height, IOF, right MS, left MS) than females. The discriminant analysis identified six independent variables (MS width, MS height, MS length, IOF, right MS, left MS) that could identify sex. The left MS and right MS correctly identified the sex of 81.7% and 71.7% of the patients, respectively, with the left MS having higher accuracy. Conclusion: This study confirmed that, for Korean individuals, the left MS has a better ability to identify sex than the right MS. These results may contribute to sex identification in the fields of surgery and forensics.

• Imaging Science in Dentistry
• /
• v.52 no.4
• /
• pp.399-408
• /
• 2022

Purpose: The purpose of this study was to compare volume measurements obtained using 2 image software packages on Digital Imaging and Communications in Medicine (DICOM) images acquired from 1 multidetector computed tomography and 5 cone-beam computed tomography devices, using different protocols for physical volume measurements. Materials and Methods: Four pieces of bovine leg were prepared. Marrow was removed from 3 pieces, leaving cortical bone exposed. The resulting space of 1 piece was filled with water, another was filled with propylene glycol, and the third was left unfilled. The marrow in the fourth sample was left fully intact. Volume measurements were obtained after importing DICOM images into the Dolphin Imaging 11.95 and ITK-SNAP software programs. Data were analyzed using 3-way analysis of variance with a generalized linear model to determine the effects of voxel size, software, and content on percentage mean volume differences between tomographic protocols. A significance level of 0.05 was used. Results: The intraclass correlation coefficients for intraobserver and interobserver reliability were, respectively, 0.915 and 0.764 for the Dolphin software and 0.894 and 0.766 for the ITK-SNAP software. Three sources of statistically significant variation were identified: the interaction between software and content (P=0.001), the main effect of content (P=0.014), and the main effect of software (P=0.001). Voxel size was not associated with statistically significant differences in volume measurements. Conclusion: Both content and software influenced the accuracy of volume measurements, especially when the content had gray values similar to those of the adjacent tissues.

• Proceedings of the IEEK Conference
• /
• 2004.08c
• /
• pp.747-750
• /
• 2004

The researching content of this article is to implement the image grabber system for use the dental hospital image examination. It receives the NTSC analog image through CCD optical camera, which is using the close photographing. we made the image grabber board, which gathers and obtains the analog image, by PCI format. We developed the C++ application and device drive to operate this board so that we totally could implement and confirm this Image grabber system.

• Proceedings of the IEEK Conference
• /
• 2000.09a
• /
• pp.647-650
• /
• 2000

PACS의 보급으로 인하여 CT, MRI 등의 의료영상이 진료에 광범위하게 사용되고 있고, 또 의사가 좀 더 정량적이거나 사실적인 visualization을 위해서 분할은 필수적으로 수행되어져야 할 과정이라고 할 수 있다. 의료 영상에서 watershed 알고리듬을 이용하여 분할을 하는데 있어 가장 큰 문제가 되는 점은 과분할현상(Oversegmentation)이기 때문에 그 분할된 영역을 의미 있는 영역별로 합치는 영역 병합(merge) 과정을 필요로 하게 된다. 의료영상에서 모호한 경계는 매우 빈번하게 나타나기 때문에 기존의 병합 방법을 적용하는데 어려움이 있다. 본 논문에서는 이런 모호한 경계를 갖는 영상에서도 알맞는 병합을 가질 수 있는 적응적 영역 병합 방법을 제안한다. 제안된 분할 방법을 DICOM 영상의 폐 영상과 다리 뼈 영상에서 실험하였다. 그 결과 뼈와 폐영역을 성공적으로 병합하면서 인접한 장기들과는 구분 지을 수 있었다.

• Journal of Korea Multimedia Society
• /
• v.15 no.5
• /
• pp.569-576
• /
• 2012

This paper presents an x-ray medical image panorama system which can overcome the smallness of the images that exist on a source computer during remote medical processing. In the system, after the standard medical image format DICOM is converted to the PC standard image format, a MSR algorithm is used to enhance X-ray images of low quality. Then SURF and Multi-band blending are applied to generate a panoramic image. Also, this paper evaluates the proposed SURF based system through the average gray value error and image quality criterion with X-ray image data by comparing with a SIFT based system. The results show that the proposed system is superior to SIFT based system in image quality.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
• /
• 2003.05a
• /
• pp.268-272
• /
• 2003

Large medical images in PACS are compressed for saving storage space and improving network speed. The integrated compression environment was designed and developed for uniting of various compression methods. Various compression algorithm-RLE compression, lossless JEPG, JPEG, was built into it, complying with DICOM. A image compression using DWT was also implemented in it. And a unified algorithm of lossless compression and lossy compression was designed to improve images quality and to make compression ratios high. And integrated compression environment was operating together with a database program for efficient and user-friendly management.