• Title/Summary/Keyword: medical direction methods

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Fast Real-Time Cardiac MRI: a Review of Current Techniques and Future Directions

  • Wang, Xiaoqing;Uecker, Martin;Feng, Li
    • Investigative Magnetic Resonance Imaging
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    • v.25 no.4
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    • pp.252-265
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    • 2021
  • Cardiac magnetic resonance imaging (MRI) serves as a clinical gold-standard non-invasive imaging technique for the assessment of global and regional cardiac function. Conventional cardiac MRI is limited by the long acquisition time, the need for ECG gating and/or long breathhold, and insufficient spatiotemporal resolution. Real-time cardiac cine MRI refers to high spatiotemporal cardiac imaging using data acquired continuously without synchronization or binning, and therefore of potential interest in overcoming the limitations of conventional cardiac MRI. Novel acquisition and reconstruction techniques must be employed to facilitate real-time cardiac MRI. The goal of this study is to discuss methods that have been developed for real-time cardiac MRI. In particular, we classified existing techniques into two categories based on the use of non-iterative and iterative reconstruction. In addition, we present several research trends in this direction, including deep learning-based image reconstruction and other advanced real-time cardiac MRI strategies that reconstruct images acquired from real-time free-breathing techniques.

Evaluation of Muscle Activity, Muscle Fatigue and Balance in Male High School Taekwondo Athlete with Deformity of Medial Longitudinal Arch (안쪽세로활 변형을 가진 고교 남자 태권도 선수의 근활성도, 근피로도 및 균형의 평가)

  • Won, Seong-Hwan;Yoo, Kyung-Tae;Lee, Ho-Seong
    • Journal of the Korean Society of Physical Medicine
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    • v.16 no.4
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    • pp.85-93
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    • 2021
  • PURPOSE: This study aimed to examine the evaluation of muscle activity, muscle fatigue and balance in male high school Taekwondo athlete with a deformity of the medial longitudinal arch. METHODS: The 20 male high school Taekwondo athletes participated in the study they have been measured radiographic a medial longitudinal arch and divided into a medial longitudinal arch group (higher than 18.8°; MLA group, n = 12) and control group (lower than 18.8°; CON group, n = 8). All subjects were measured muscle activity (TA, PT, PL and PB), muscle fatigue (TA, PT, PL and PB) and balance (A-, AL-, L-, PL-, P-, PM-, M-, AM-direction and composite score; CS). RESULTS: The muscle activity of TP was significantly higher in MLA group compared to CON group (p = 031) and the muscle fatigue of TA was significantly lower in MLA group compared to CON group (p = .043). However, balance did not show significant differences between the groups. CONCLUSION: These results confirmed that male high school Taekwondo athlete with a deformity of medial longitudinal arch increase TP and decrease TA, but there was no difference on balance.

Application of Zhishi(Poncirus fructus) as Examined in the Changes in Pi Pattern(痞證) Treatments (비증(痞證) 치법(治法)의 변천(變遷)으로 살펴본 지실(枳實)의 활용(活用))

  • Kang Ji-woo;Shin Sang-won
    • Journal of Korean Medical classics
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    • v.36 no.3
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    • pp.27-54
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    • 2023
  • Objectives : To determine the background against which Zhishi has been applied to treat Pi pattern, through examination of changes in Pi pattern treatments in a historical context. Methods : The properties and nature of Zhishi as written in multiple bencao texts were analyzed. In addition, understanding of the Pi pattern, the changes in its treatment were examined diachronically based on opinions of Zhang Zhongjing, Zhugong, and Li Dongyuan. Examples of Zhishi application in Pi pattern treating formulas were collected and their mechanisms analyzed. Results : Zhishi is strongly effective in relieving accumulation and stagnation, due to its properties of dispersing and lowering. The early view of contrasting Pi with Jiexiong shifted to viewing the Pi pattern as an inner damage, from the perspective of rising and lowering of the Qi mechanism based on the Spleen and Stomach. As a result, Zhishi became a key ingredient in the treatment of the Pi pattern. Conclusions : As the perspective of seeing Pi as one end of the Yin-Yang coupling with Jiexiong from the Shanghanlun shifted to seeing it as a problem of Qi mechanism of the Spleen and Stomach, Zhishi became a key ingredient in the formulas to treat Pi pattern. The complexity of Zhishi's direction made it appropriate to treat the changed Pi pattern.

Evaluation of Accuracy and Inaccuracy of Depth Sensor based Kinect System for Motion Analysis in Specific Rotational Movement for Balance Rehabilitation Training (균형 재활 훈련을 위한 특정 회전 움직임에서 피검자 동작 분석을 위한 깊이 센서 기반 키넥트 시스템의 정확성 및 부정확성 평가)

  • Kim, ChoongYeon;Jung, HoHyun;Jeon, Seong-Cheol;Jang, Kyung Bae;Chun, Keyoung Jin
    • Journal of Biomedical Engineering Research
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    • v.36 no.5
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    • pp.228-234
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    • 2015
  • The balance ability significantly decreased in the elderly because of deterioration of the neural musculature regulatory mechanisms. Several studies have investigated methods of improving balance ability using real-time systems, but it is limited by the expensive test equipment and specialized resources. Recently, Kinect system based on depth data has been applied to address these limitations. Little information about accuracy/inaccuracy of Kinect system is, however, available, particular in motion analysis for evaluation of effectiveness in rehabilitation training. Therefore, the aim of the current study was to evaluate accuracy/inaccuracy of Kinect system in specific rotational movement for balance rehabilitation training. Six healthy male adults with no musculoskeletal disorder were selected to participate in the experiment. Movements of the participants were induced by controlling the base plane of the balance training equipment in directions of AP (anterior-posterior), ML (medial-lateral), right and left diagonal direction. The dynamic motions of the subjects were measured using two Kinect depth sensor systems and a three-dimensional motion capture system with eight infrared cameras for comparative evaluation. The results of the error rate for hip and knee joint alteration of Kinect system comparison with infrared camera based motion capture system occurred smaller values in the ML direction (Hip joint: 10.9~57.3%, Knee joint: 26.0~74.8%). Therefore, the accuracy of Kinect system for measuring balance rehabilitation traning could improve by using adapted algorithm which is based on hip joint movement in medial-lateral direction.

Isthmuses, accessory canals, and the direction of root curvature in permanent mandibular first molars: an in vivo computed tomography study

  • Dastgerdi, Aria Chuppani;Navabi, Manizheh;Rakhshan, Vahid
    • Restorative Dentistry and Endodontics
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    • v.45 no.1
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    • pp.7.1-7.9
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    • 2020
  • Objectives: This study was performed to assess the anatomy of mandibular first molars. Materials and Methods: In this in vivo study, cone-beam computed tomography (CBCT) volumes of 312 bilateral intact first mandibular molars from 156 patients (79 men and 77 women; average age, 35.6 ± 11.2 years) were investigated in terms of the direction of each canal's curvature in the buccolingual and mesiodistal dimensions (direction of the position of the apex in relation to the longitudinal axis of the root), the presence of an isthmus (a narrow, ribbon-shaped communication between 2 root canals) in 3 segments (0-2, 2-4, and 4-6 mm) from the apex), and the presence and number of accessory canals (smaller canals besides the main root canals, connecting the pulp to the periodontium). Data were analyzed statistically (α = 0.05). Results: Mesiolingual canals were mostly buccally and distally inclined, while mesiobuccal and distolingual canals were mostly distally curved. Isthmuses were more common in younger patients (χ2 test, p < 0.05). The average numbers of accessory canals in the apical, middle, and coronal segments were 9.9 ± 4.2, 6.9 ± 2.9, and 9.3 ± 3.0 canals per segment, respectively (analysis of variance, p < 0.001). Age and sex were not associated with the number of accessory canals (p > 0.05). Conclusions: The complex anatomy of these teeth deserves attention during non-surgical or surgical endodontic treatment. Around the apex, isthmuses might be more prevalent in younger and female individuals.

A Retrospective Study of Intervertebral Disk Disease Confirmed by MRI in Dogs: 89 Cases (2012-2015)

  • Kim, Dam;Kang, Jin-su;Kim, Young-ung;Lee, Dong-bin;Heo, Su-young;Kim, Nam-soo
    • Journal of Veterinary Clinics
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    • v.36 no.3
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    • pp.139-144
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    • 2019
  • Intervertebral disk disease is a common neurological disease in dogs. In veterinary neurology clinics, the incidence of intervertebral disk disease and the spinal cord compression rate of the disk are well documented. However, the direction of herniation of the intervertebral disk is relatively less known on Magnetic resonance imaging (MRI). Therefore, this study systematically investigated and analyzed the intervertebral disk disease in dogs. Especially, classification according to the direction of herniation of the disk, the degree of pre - treatment neurological manifestation, and the compression rate was investigated. In addition, the treatment methods of patients who received treatment after visiting the Chonbuk animal medical center (CAMC) were divided into pharmacological treatment and surgical treatment. The location of intervertebral disc in spinal canal was mainly ventral (69.9%), and when the prognosis was evaluated according to the compression rate of the spinal cord, the prognosis of the surgical treatment (72.7%) was more effective than the non - surgical medication (40.6%). Surgical treatment (83.3%) was more successful than nonsurgical medication (60%), especially in cases of severe spinal cord compression (> 50%). In this study, surgical treatment was more effective when the neurological symptoms were severe or the spinal cord compression rate was high.

Vest-type System on Machine Learning-based Algorithm to Detect and Predict Falls

  • Ho-Chul Kim;Ho-Seong Hwang;Kwon-Hee Lee;Min-Hee Kim
    • PNF and Movement
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    • v.22 no.1
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    • pp.43-54
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    • 2024
  • Purpose: Falls among persons older than 65 years are a significant concern due to their frequency and severity. This study aimed to develop a vest-type embedded artificial intelligence (AI) system capable of detecting and predicting falls in various scenarios. Methods: In this study, we established and developed a vest-type embedded AI system to judge and predict falls in various directions and situations. To train the AI, we collected data using acceleration and gyroscope values from a six-axis sensor attached to the seventh cervical and the second sacral vertebrae of the user, considering accurate motion analysis of the human body. The model was constructed using a neural network-based AI prediction algorithm to anticipate the direction of falls using the collected pedestrian data. Results: We focused on developing a lightweight and efficient fall prediction model for integration into an embedded AI algorithm system, ensuring real-time network optimization. Our results showed that the accuracy of fall occurrence and direction prediction using the trained fall prediction model was 89.0% and 78.8%, respectively. Furthermore, the fall occurrence and direction prediction accuracy of the model quantized for embedded porting was 87.0 % and 75.5 %, respectively. Conclusion: The developed fall detection and prediction system, designed as a vest-type with an embedded AI algorithm, offers the potential to provide real-time feedback to pedestrians in clinical settings and proactively prepare for accidents.

A Study to Evaluate the Efficacy of CBCT and EXACTRAC on Spine Stereotactic Body Radiation Therapy (CBCT와 EXACTRAC을 이용한 Spine SBRT의 유용성 평가)

  • Choi, Woo Keun;Park, Su Yeon;Park, Do Keun;Song, Ki Won
    • The Journal of Korean Society for Radiation Therapy
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    • v.25 no.2
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    • pp.167-173
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    • 2013
  • Purpose: This study is to evaluate the efficacy of the CBCT and EXACTRAC the image on the spine stereotactic body radiation treatment. Materials and Methods: The study compared the accuracy of the dose distribution for changes in the real QA phantom for The shape of the body of the phantom was performed. Novalis treatment artificially set up at the center and to the right, on the Plan 1 mm, 2 mm, 3 mm in front 1 mm, 2 mm, 3 mm and upwards 1 mm, 2 mm, 3 mm and $0.5^{\circ}$ by moving side to side Exactrac error correction and error values of CBCT and plan changes on the dose distribution were recorded and analyzed. Results: Cubic Phantom of the experimental error, the error correction Exactrac X-ray 6D Translation in the direction of the 0.18 mm, Rotation direction was $0.07^{\circ}$. Translation in the direction of the 3D CBCT 0.15 mm Rotation direction was $0.04^{\circ}$. DVH dose distribution using the results of the AP evaluate the change in the direction of change was greatest when moving. Conclusion: ExacTrac image-guided radiation therapy with a common easy and fast to get pictures from all angles, from the advantage of CBCT showed a potential alternative. But every accurate information compared with CT treatment planning and treatment of patients with more accurate than the CBCT ExacTrac the location provided. Changes in the dose distribution in the experiment results show that the treatment of spinal SBRT set up some image correction due to errors at the target and enter the spinal cord dose showed that significant differences appear.

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Measurement of Flow Velocity and Flow Visualization with MR PC Image (MR PC 영상을 이용한 유체 흐름 분석)

  • Kim, S.J.;Lee, D.H.;Min, B.G.
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.05
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    • pp.127-130
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    • 1997
  • Phase-contrast(PC) methods have been used for quantitative measurements of velocity and volume flow rate. In addition, phase contrast cine magnetic resonance imaging (MRI) combines the flow dependent contrast of PC MRI with the ability of cardiac cine imaging to produce images throughout the cardiac cycle. In this method, the through-plane velocity has been encoded generally. However, the accuracy of the flow data can be reduced by the effect of flow direction, finite slice thickness, resolution, pulsatile flow pattern, and so on. In this study we calculated the error caused by misalignment of tomographic plane and flow directon. To reduce this error and encode the velocity for more complex flow, we suggested 3 directional velocity encoding method.

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An Analysis of Nurses' Behavior for Politeness in Cancer Patient-Centered Conversation (암 환자 중심의 대화를 위한 간호사의 공손 언어행위 분석)

  • Lee, Hwa-Jin
    • Korean Journal of Adult Nursing
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    • v.20 no.5
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    • pp.743-755
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    • 2008
  • Purpose: The purpose of this study was to describe and to analyze real conversation about polite behavior of nurses in cancer units. Methods: This study was conducted using a Brown & Levinson(1987) theory to analyze the polite behavior of nurses in cancer units. Five nurses who participated in this research gave permission to be videotaped. The data was collected from January to February, 2006. Results: Polite behavior of nurses in cancer units consisted of greetings, emotional support, open questions and indirect direction. And impolite behavior of nurses in cancer units was using the medical terminology, repetition of direct speech acts and task-oriented conversation. Conclusion: This study suggests polite behavior strategies for effective nursing conversation with cancer patients. Therefore, the findings may provide basic raw materials for educational programmes and intervention studies.

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