• 제목/요약/키워드: medical simulation

검색결과 1,330건 처리시간 0.032초

전립선암 환자의 방사선 치료 시 방광 체적 변화 (Bladder Volume Variations in Patients Receiving Conformal Radiotherapy to Prostate)

  • 이레나;이지혜;이경자;지영훈
    • Journal of Radiation Protection and Research
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    • 제33권2호
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    • pp.61-65
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    • 2008
  • 목 적: 전립선암 환자의 방사선 치료 시 전립선의 위치 변화 및 비뇨기계 부작용을 줄이기 위해 방광의 체적을 일정하게 유지하도록 한 후 초음파를 이용하여 방광의 체적 변화를 측정 하였다. 대상 및 방법: 2002년 12월부터 2007년 8월 까지 이대 목동병원에서 전립선 암으로 진단받고 근치적 목적의 방사선 치료를 받은 환자 26명을 대상으로 하였다. 13명의 실험군 환자는 방광의 체적을 일정하게 유지하기 위하여 모의조사, CT 스캔, 및 치료 1시간 전에 450 cc의 물을 마시도록 하였다. 나머지 13명의 대조군 환자에 대해서는 특별한 지시를 하지 않았다. 각 환자의 CT영상에서 방광의 체적을 측정하였다. 3차원 입체 조형 치료 계획이 설계되었고 처방선량 70.2 Gy 조사할 경우 방광과 직장의 유효체적을 계산 하였다. 실험군에 속해 있는 환자에 대해 방사선 치료 전 방광의 체적을 초음파를 이용하여 6-8주 간 매주 측정하였고 방광의 체적 변화를 분석하였다. 결과: CT상에서 측정 한 방광의 평균 체적 및 표준 오차는 실험군의 경우 $283.5{\pm}114.0\;cc$ (40%) 이고 대조군의 경우 $181.2{\pm}120.1\;cc$ (66%) 이다. 실험군의 경우 CT 상의 방광 체적과 CT scan 전에 획득한 초음파 영상상의 방광 체적은 통계적으로 유의하지 않으나 상관관계가 있는 것으로 보이고 초음파를 이용하여 측정한 방광의 체적은 CT상에서의 체적의 평균 62% 이다. 실험군에 있어서 초음파 시스템을 이용하여 주간 측정한 방광의 체적의 변화는 상당히 컸으며 최소 33%에서 최대 75%까지 변화 하였다. 결론: CT 스캔 전에 일정한 양의 물을 마시도록 지시한 실험군의 환자들의 경우 대조군대비 평균 방광의 체적을 크게 유지할 수 있었다. 그러나 일정한 양의 물을 마시도록 지시하더라도 6-8주간의 치료 기간 중에 방광의 체적을 일정히 유지 하는데는 어려움이 있었다.

[I-123]IPT 약역학 컴퓨터시뮬레이션을 이용한 민감도 측정 및 간편화된 운반체 정량분석 방법들의 비교분석 연구 (The Measurement of Sensitivity and Comparative Analysis of Simplified Quantitation Methods to Measure Dopamine Transporters Using [I-123]IPT Pharmacokinetic Computer Simulations)

  • 손혜경;나상균;이희경;김희중
    • 대한핵의학회지
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    • 제31권1호
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    • pp.19-29
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    • 1997
  • 목 적 : 본 연구의 목적은 IPT 약역학 컴퓨터시뮬레이션을 이용하여 혈류공급량, 도파민 운반체량 그리고 시간의 함수인 혈류와 도파민 운반체의 민감도를 측정하고 간편화된 정적 영상을 얻을 수 있는가의 가능성과 그 경우 도파민 운반체량의 변화를 어느 정도 반영하는가를 측정하고자 하는 것이었다. 또한 실제 결합능을 나타낸다고 가정된 $k_3/k_4$의 비를 반영하는 (BG-OCC)/OCC와 (ABBG-ABOCC)/ABOCC의 비를 이용한 방법과 그래프적 분석 방법의 정확성 및 유용성과 방사성의약품의 약역학을 분석하는 기법을 연구하고자 하였다. 방 법 : [I-123]IPT와 SPECT로 얻은 약 2시간 동적 선조체 시간방사능곡선, 동적 피 시간방사능곡선, 그리고 삼구획 역학모형을 이용, $K_1,\;k_2\;k_3\;k_4$ 속도상수들을 획득하였다. 위의 동적 피 시간방사능곡선과 속도상수들 중 혈류공급과 관련된 $K_l$ 또는 도파민 운반체량과 관련된 $k_3$의 양을 변경하면서 5분부터 5분씩 증가하여 120분까지의 혈류와 도파민 운반체의 민감도를 측정하였다. 또한 $k_3$의 양을 변화시킨 데이터를 이용하여 선조체와 후두엽에서의 시간방사능곡선을 계산한 후 각 방법의 정밀도를 측정하기 위해 (BG-OCC)/OCC와 $R_A$ 비값들과 그래프적 분석 방법을 이용하여 구한 $R_A$값들과 참값 $k_3/k_4$의 관계를 시간방사능곡선과 선형회귀 분석으로 계산하였다. 결 과 : 선조체와 후두엽에서의 $K_1,\;k_2\;k_3\;k_4$ 속도상수는 각각 $1.26{\pm}5.41%,\;0.044{\pm}19.58%,\;0.031{\pm}24.36%,\;0.008{\pm}22.78%$$1.36{\pm}4.76%,\;0.170{\pm}6.89%,\;0.007{\pm}23.89%,\;0.007{\pm}45.09%$이었다. 이들 속도상수를 이용하여 얻은 혈류 민감도와 도파민 운반체의 민감도는 30분, 60분, 90분, 120분에 각각 0.50, 0.35, 0.29, 0.23 그리고 0.19, 0.40, 0.53, 0.61이었다. 실제 속도상수의 비 $k_3/k_4$에 대한 (BG-OCC)/OCC와 $R_A,\;R_v$간의 상관계수는 각각 0.983, 0.984, 0.999이었으며 그때의 기울기는 각각 1.76, 0.47, 1.25이었다. 결 론 : IPT 약역학은 시간이 흐름에 따라 혈류량의 변동에 비해 도파민 운반체량의 변동에 더욱 민감한 경향을 보였으며 $k_3/k_4$에 대한 (BG-OCC)/OCC, $R_A,\;R_v$의 결과간에 좋은 상관관계를 가졌다. 따라서 이러한 약역학 컴퓨터시뮬레이션이 SPECT 영상을 이용한 도파민 운반체 또는 수용체 정량분석을 최적화하는데 매우 유용할 것으로 생각된다.

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High Resolution HC$_3$N Observations toward the Central Region of Sagittarius B2

  • H.S-Ching;Oh, M.ishi;M.Morimoto
    • 한국우주과학회:학술대회논문집(한국우주과학회보)
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    • 한국우주과학회 1993년도 한국우주과학회보 제2권2호
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    • pp.17-17
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    • 1993
  • The wall shear stress in the vicinity of end-to end anastomoses under steady flow conditions was measured using a flush-mounted hot-film anemometer(FMHFA) probe. The experimental measurements were in good agreement with numerical results except in flow with low Reynolds numbers. The wall shear stress increased proximal to the anastomosis in flow from the Penrose tubing (simulating an artery) to the PTFE: graft. In flow from the PTFE graft to the Penrose tubing, low wall shear stress was observed distal to the anastomosis. Abnormal distributions of wall shear stress in the vicinity of the anastomosis, resulting from the compliance mismatch between the graft and the host artery, might be an important factor of ANFH formation and the graft failure. The present study suggests a correlation between regions of the low wall shear stress and the development of anastomotic neointimal fibrous hyperplasia(ANPH) in end-to-end anastomoses. 30523 T00401030523 ^x Air pressure decay(APD) rate and ultrafiltration rate(UFR) tests were performed on new and saline rinsed dialyzers as well as those roused in patients several times. C-DAK 4000 (Cordis Dow) and CF IS-11 (Baxter Travenol) reused dialyzers obtained from the dialysis clinic were used in the present study. The new dialyzers exhibited a relatively flat APD, whereas saline rinsed and reused dialyzers showed considerable amount of decay. C-DAH dialyzers had a larger APD(11.70${\pm}$1.32mmHg/min)compared to CF dialyzers(4.32${\pm}$0.55mmHg/min)(p<0.05). However, there was no observable difference in the UFR between the two dialyzers. Neither APD nor UFR showed any significant increase with an increasing number of reuses for up to more than 20reuses. A substantial number of failures observed in APD(larger than 20mmHe/min)on the reused dialyzers(2 out of 40 CP and S out 26 C-DAK) were attributed to the Possible damage on the fibers. The CF 15-11 HFDs which failed APD test did not show changes in the UFR compared to normal dialyzers indicating that APD is a more sensitive test than UFR test to evaluate the integrity of the fibers. 30527 T00401030527 ^x For quantitative measurement of reflected light from a clinical diagnostic strip, a prototype old reflectance photometer was designed. The strip loader and cassette were made to obtain more accurate reflectance parameters. The strip was illuminated at 45˚c through optical fiber and the intensity of reflected light was determined at rectanguLat angle using a photodiode. The kubelka-munk coefficient and reflection optical density were determined ar four different wavelengths(500,550,570 and 610nm) for blood glucose strip. For higher concentration than 300mg/41 about glucose, a saturation state of abforbance was observed at 500,550 and 570nm. The correlation between glucose concentration and parameters was the best at 610nm. 30535 T00401030535 ^x Radiation-induced fibrosarcoma tumors were grown on the flanks of C3H mice. The mice were divided into two groups. One group was injected with Photofrin II, intravenously (2.5mg/kg body weight). The other group received no Photofrin II. Mice from both groups were irradialed for approximately 15 minutes at 100,300, or 500 mW/cm2 with the argon (488nm/514.5 nm), dye(628nm) and gold vapor (pulsed 628 nm) laser light. A photosensitizer behaved as an added absorber. Under our experimental conditions, the presence of Photolfrin II increased surface temperature by at least 40% and the temperature rise due to 300 mW/cm2 irradiation exceeded values for hyperthermia. Light and temperature distributions with depth were estimated by a computer model. The model demonstrated the influence of wavelength on the thermal process and proved to be a valuable tool to investigate internal temperature rise. 30536 T00401030536 ^x We investigated the structural geometry of thirty-eight Korean femurs. The purpose of this study is to identify major geometrical differences between Korean femurs 3nd others that we believe belong to Caucasians so that we would be able to get insights into the femoral component design that fits Asians including Koreans. We utilized computerized tomography (CT) images of femurs extracted from cadavers. The CT images were transformed into bitmap data by using a film scanner, and then analyzed by using a commercially available software called Image v.1.0 and a Macintosh IIci computer.The resulting data were compared with already published data. The major results show that the geometry of the Korean femurs is significantly different from that of Caucasians: (1) the anteversion angle and the canal flare index are greater by the amount of approximately 8˚ and 0.5, respectively, (2) the shape of the isthmus cross section is more round, and (3) the distance between the teaser trochanter and the proximal border of the isthmus is shelter by about 15 mm. The results suggested that the femoral component suitable for Asians should be different from the currently-used components designed and manufactured mostly by European or American companies. 30537 T00401030537 ^x It is well known that nonlinear propagation characteristics of the wave in the tissue may give very useful information for the medical diagnoisis. In this paper, a new method to detect nonlinear propagation characteristics of the internal vibration in the tissue for the low frequency mechanical vibration by using bispectral analysis is proposed. In the method, low frequency vibration of f0( = 100Hz) is applied on the surface of the object, and the waveform of the internal vibration x (t) is measured from Doppler frequency modulation of silmultaneously transmitted probing ultrasonic waves. Then, the bispectra of the signal x (t) at the frequencies (f0, f0) and (f0, 2f0) are calculated to estimate the nonlinear propagation characteristics as their magnitude ratio, w here since bispectrum is free from the gaussian additive noise we can get the value with high S/N. Basic experimental system is constructed by using 3.0 MHz probing ultrasonic waves and the several experiments are carried out for some phantoms. Results show the superiority of the proposed method to the conventional method using power spectrum and also its usefulness for the tissue characterization. 30541 T00401030541 ^x This paper describes the implementation of a computerized radial pulse diagnosis by aids of a clinical expert. On this base, we composed of the radial pulse diagnosis system in korean traditional medicine. The system composed of a radial pulse wave detection system and a radial pulse diagnosis system. With a detection system, we detected Inyoung and Cheongu radial pulse wave and processed it. Then, we have got the characteristic parameters of radial pulse wave and also quantified that according to the method of Inyoung-Cheongu Comparison Radial Pulse Diagnosis. We defined the jugement standard of radial pulse diagnosis system and then we confirmed the possibility for realization of automatic radial pulse diagnosis in korean traditional medicine. 30545 T00401030545 ^x Microspheres are expected to be applied to biomedical areas such as solid-phase immunoassays, drug delivery systems, immunomagnetic cell separation. To synthesize microspheres for biomedical application, "two stage shot growth method" was developed. The uniformity ratio of synthesized microspheres was always smaller than 1.05. And the surface charge density (or the number of ionizable functional groups) of the microspheres synthesized by "two stage shot growth method" was 6~13 times higher than that of the microspheres synthesized by conventional seeded batch copolymerization. As a previous step for biomedical application, adsorption experiments of bovine albumin on microspheres were carried out under various conditions. The maximum adsorbed amount was obtained in the neighborhood of pH 4.5. Isoelectric point of bovine albumin is pH 5.0, so experimental result shows that it shifted to acid area. The adsorption isotherm was obtained, the plateau region was always reached at 2.Og/L (bulk concentration of bovine albumin).The effect of the kind and the amount of surface functional group was also examined. 30575 T00401030575 ^x A medical image workstation was developed using multimedia technique. The system based on PC-486DX was designed to acquire medical images produced by medical imaging instruments and related audio information, that is, doctors' reporting results. Input information was processed and analyzed, then the results were presented in the form of graph and animation. All the informations of the system were hierarchically related with the image as the apex. Processing and analysis algorithms were implemented so that the diagnostic accuracy could be improved. The diagnosed information can be transferred for patient diagnosis through LAN(local area network). 30592 T00401030592 ^x In the conventional infrared imaging system, complex infrared lens systems are usually used for directing collimated narrow infrared beams into the high speed 2-dimensional optic scanner. In this paper, a simple reflective infrared optic system with a 2-dimensional optic scanner is proposed for the realization of medical infrared thermography system. It has been experimentally proven that the intfrared thermography system composed of the proposed optic system has the temperature resolution of 0.1˚c under the spatial resolution of lmrad, the image matrix size of 256 X 240, and tile imaging time of 4 seconds. 30593 T00401030593 ^x In this paper, MIIS (Medical Image Information System) has been designed and implemented using INGRES RDBMS, which is based on a client/server architecture. The implemented system allows users to register and retrieve patient information, medical images and diagnostic reports. It also provides the function to display these information on workstation windows simultaneously by using the designed menu-driven graphic user interface. The medical image compression/decompression techniques are implemented and integrated into the medical image database system for the efficient data storage and the fast access through the network. 30594 T00401030594 ^x In this paper, computerized BEAM was implemented for the space domain analysis of EEG. Trans-formation from temporal summation to two-dimensional mappings is formed by 4 nearest point inter-polaton method. Methods of representation of BEAM are two. One is dot density method which classify brain electrical potential 9 levels by dot density of gray levels and the other is colour method which classify brain electrical 12 levels by red-green colours. In this BEAM, instantaneous change and average energy distribution over any arbitrary time interval of brain electrical activity could be observed and analyzed easily. In the frequency domain, the distribution of energy spectrum of a special band can easily be distinguished normality and abnormality. 30608 T00401030608 ^x Laboratory information system (LIS) is a key tool to manage laboratory data in clinical pathology. Our department has developed an information system for routine hematology using down-sized computer system. We have used an IBM 486 compatible PC with 16MB main memory, 210 MB hard disk drive, 9 RS-232C port and 24 pin dot printer. The operating system and database management system were SCO UNIX and SCO foxbase, respectively. For program development, we used Xbase language provided by SCO foxbase. The C language was used for interface purpose. To make the system use friendly, pull-down menu was used. The system connected to our hospital information system via application program interface (API), so the information related to patient and request details is automatically transmitted to our computer. Our system interfaced with fwd complete blood count analyzers(Sysmex NE-8000 and Coulter STKS) for unidirectional data tansmission from analyzer to computer. The authors suggests that this system based on down-sized computer could provide a progressive approach to total LIS based on local area network, and the implemented system could serve as a model for other hospital's LIS for routine hematology. 30609 T00401030609 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed a composite that is consisted of calcium phosphate and collagen. To use as the structural matrix of the composite, collagen was purified from human umbilical cord. The obtained collagen was treated by pepsin to remove telopeptides, and finally, the immune-free atelocollagen was produced: The cross linked atelocollagen was highly resistant to the collagenase induced collagenolysis. The cross linked collagen demonstrated an improved tensile strength. 30618 T00401030618 ^x This paper is a study on the design of adptive filter for QRS complex detection. We propose a simple adaptive algorithm to increase capability of noise cancelation in QRS complex detection with two stage adaptive filter. At the first stage, background noise is removed and at the next stage, only spectrum of QRS complex components is passed. Two adaptive filters can afford to keep track of the changes of both noise and QRS complex. Each adaptive filter consists of prediction error filter and FIR filter The impulse response of FIR filter uses coefficients of prediction error filter. The detection rates for 105 and 108 of MIT/BIH data base were 99.3% and 97.4% respectively. 30619 T00401030619 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed and produced a composite that is consisted of calcium phosphate and collagen. Human umbilical cord origin pepsin treated type I atelocollagen was used as the structural matrix, by which sintered or non-sintered carbonate apatite was encapsulated to form an inorganic-organic composite. With cross linking atelocollagen by UV ray irradiation, the resistance to both compressive and tensile strength was increased. Collagen degradation by the collagenase induced collagenolysis was also decreased. 30620 T00401030620 ^x We have developed a monoleaflet polymer valve as an inexpensive and viable alternative, especially for short-term use in the ventricular assist device or total artificial heart. The frame and leaflet of the polymer valve were made from polyurethane, To evaluate the hemodynamic performance of the polymer valve a comparative study of flow dynamics past a polymer valve and a St. Jude Medical prosthetic valve under physiological pulsatile flow conditions in vitro was made. Comparisons between the valves were made on the transvalvular pressure drop, regurgitation volume and maximum valve opening area. The polymer valve showed smaller regurgitation volume and transvalvular pressure drop compared to the mechanical valve at higher heart rate. The results showed that the functional characteristics of the polymer valve compared favorably with those of the mechanical valve at higher heart rate. 30621 T00401030621 ^x Explosive evaporative removal process of biological tissue by absorption of a CW laser has been simulated by using gelatin and a multimode Nd:YAG laser. Because the point of maximun temperature of laser-irradiated gelatin exists below the surface due to surface cooling, evaporation at the boiling temperature is made explosively from below the surface. The important parameters of this process are the conduction loss to laser power absorption (defined as the conduction-to-laser power parameter, Nk), the convection heat transfer at the surface to conduction loss (defined as Bi), dimensionless extinction coefficient (defined as Br.), and dimensionless irradiation time (defined as Fo). Dependence of Fo on Nk and Bi has been observed by experiment, and the results have been compared with the numerical results obtained by solving a 2-dimensional conduction equation. Fo and explosion depth (from the surface to the point of maximun temperature) are increased when Nk and Bi are increased.To find out the minimum laser power for explosive evaporative removal process, steady state analysis has been also made. The limit of Nk to induce evaporative removal, which is proportional to the inverse of the laser power, has been obtained. 30622 T00401030622 ^x N1 and N2 gross neural action potentials were measured from the round window of the guinea pig cochlea at the onset of the acoustic stimuli. N1-N2 audiograms were made by means of regulating stimulant intensities in order to produce constant N1-N2 potentials as criteria for different input tone pip frequencies. The lowest threshold was measured with an input tone pip I5 dB SPL in intensity and 12 KHz in frequency when the animal was in normal physiological condition. The procedure of experimental measurements is explained in detail. This experimental approach is very useful for the investigation of the Cochlear function. Both noN1inear and active functions of the Cochlea can be monitored by N1-N2 audiograms. 30623 T00401030623 ^x In electrical impedance tomography(EIT), we use boundary current and voltage measurements toprovide the information about the cross-sectional distribution of electrical impedance or resistivity. One of the major problems in EIT has been the inaccessibility of internal voltage or current data in finding the internal impedance values. We propose a new image reconstruction method using internal current density data measured by NMR. We obtained a two-dimensional current density distribution within a phantom by processing the real and imaginary MR images from a 4.77 NMR machine. We implemented a resistivity mage reconstruction algorithm using the finite element method and sensitivity matrix. We presented computer simulation results of the mage reconstruction algorithm and furture direction of the research. 30624 T00401030624 ^x A new method of digital image analysis technique for discrimination of cancer cell was presented in this paper. The object image was the Thyroid eland cells image that was diagnosed as normal and abnormal (two types of abnormal: follicular neoplastic cell, and papillary neoplastic cell), respectively. By using the proposed region segmentation algorithm, the cells were segmented into nucleus. The 16 feature parameters were used to calculate the features of each nucleus. A9 a consequence of using dominant feature parameters method proposed in this paper, discrimination rate of 91.11% was obtained for Thyroid Gland cells. 30625 T00401030625 ^x An electrical stimulator was designed to induce locomotion for paraplegic patients caused by central nervous system injury. Optimal stimulus parameters, which can minimize muscle fatigue and can achieve effective muscle contraction were determined in slow and fast muscles in Sprague-Dawley rats. Stimulus patterns of our stimulator were designed to simulate electromyographic activity monitored during locomotion of normal subjects. Muscle types of the lower extremity were classified according to their mechanical property of contraction, which are slow muscle (msoleus m.) and fast muscle (medial gastrocneminus m., rectus femoris m., vastus lateralis m.). Optimal parameters of electrical stimulation for slow muscles were 20 Hz, 0.2 ms square pulse. For fast muscle, 40 Hz, 0.3 ms square pulse was optimal to produce repeated contraction. Higher stimulus intensity was required when synergistic muscles were stimulated simultaneously than when they were stimulated individually. Electrical stimulation for each muscle was designed to generate bipedal locomotion, so that individual muscles alternate contraction and relaxation to simulate stance and swing phases. Portable electrical stimulator with 16 channels built in microprocessor was constructed and applied to paraplegic patients due to lumbar cord injury. The electrical stimulator restored partially gait function in paraplegic patients. 30626 T00401030626 ^x Two-Dimensional modelling of the Cochlear biomechanics is presented in this paper. The Laplace partial differential equation which represents the fluid mechanics of the Cochlea has been transformed into two-dimensional electrical transmission line. The procedure of this transformation is explained in detail. The comparison between one and two dimensional models is also presented. This electrical modelling of the basilar membrane (BM) is clearly useful for the next approach to the further. Development of active elements which are essential in the producing of the sharp tuning of the BM. This paper shows that two-dimension model is qualitatively better than one-dimensional model both in amplitude and phase responses of the BM displacement. The present model is only for frequency response. However because the model is electrical, the two-dimensional transmission line model can be extended to time response without any difficult. 30627 T00401030627 ^x A method has been proposed for the fully automatic detection of left ventricular endocardial boundary in 2D short axis echocardiogram using geometric model. The procedure has the following three distinct stages. First, the initial center is estimated by the initial center estimation algorithm which is applied to decimated image. Second, the center estimation algorithm is applied to original image and then best-fit elliptic model estimation is processed. Third, best-fit boundary is detected by the cost function which is based on the best-fit elliptic model. The proposed method shows effective result without manual intervention by a human operator. 30628 T00401030628 ^x The intelligent trajectory control method that controls moving direction and average velocity for a prosthetic arm is proposed by pattern recognition and force estimations using EMG signals. Also, we propose the real time trajectory planning method which generates continuous accelleration paths using 3 stage linear filters to minimize the impact to human body induced by arm motions and to reduce the muscle fatigue. We use combination of MLP and fuzzy filter for pattern recognition to estimate the direction of a muscle and Hogan's method for the force estimation. EMG signals are acquired by using a amputation simulator and 2 dimensional joystick motion. The simulation results of proposed prosthetic arm control system using the EMf signals show that the arm is effectively followed the desired trajectory depended on estimated force and direction of muscle movements. 30638 T00401030638 ^x A new neural network architecture for the recognition of patterns from images is proposed, which is partially based on the results of physiological studies. The proposed network is composed of multi-layers and the nerve cells in each layer are connected by spatial filters which approximate receptive fields in optic nerve fields. In the proposed method, patterns recognition for complicated images is carried out using global features as well as local features such as lines and end-points. A new generating method of matched filers representing global features is proposed in this network. 30659 T00401030659 ^x An implementation scheme of the magnetic nerve stimulator using a switching mode power supply is proposed. By using a switching mode power supply rather than a conventional linear power supply for charging high voltage capacitors, the weight and size of the magnetic nerve stimulator can be considerably reduced. Maximum output voltage of the developed magnetic nerve stimulator using the switching mode power supply is 3,000 volts and switching time is about 100 msec. Experimental results or human nerve stimulations using the developed stimulator are presented. 30768 T00401030768 ^x In this paper, we describe the design methodology and specifications of the developed module-based bedside monitors for patient monitoring. The bedside monitor consists of a main unit and module cases with various parameter modules. The main unit includes a 12.1" TFT color LCD, a main CPU board, and peripherals such as a module controller, Ethernet LAN card, video card, rotate/push button controller, etc. The main unit can connect at maximum three module cases each of which can accommodate up to 7 parameter modules. They include the modules for electrocardiograph, respiration, invasive blood pressure, noninvasive blood pressure, temperature, and SpO2 with Plethysmograph.

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CBCT와 Simulation CT를 이용한 치료계획의 선량비교 (Comparison of using CBCT with CT Simulator for Radiation dose of Treatment Planning)

  • 김대영;최지원;조정근
    • 한국콘텐츠학회논문지
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    • 제9권12호
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    • pp.742-749
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    • 2009
  • 최근의 방사선치료용 선형가속기에 부착된 진단용 kV 에너지 영역의 X선 선원과 아모퍼스 실리콘(a-Si)의 검출기로 구성된 온보드영상장치(OBI)를 이용하여 콘빔 전산화단층촬영 영상(CBCT)획득이 가능하다. CBCT영상을 이용하여 치료계획을 세우게 되면 치료실에서 CT영상 촬영이 가능해짐으로써 고식적 치료환자들의 부담이 많이 감소될 수 있고 더 나아가 선량을 재계산하여 치료과정 중 치료계획 재수립도 가능하다. 본 연구에서는 CBCT를 이용한 치료계획과 기존의 모의치료용 CT를 이용한 치료계획을 비교 연구 함으로서 CBCT영상만으로 광자선 선량계산이 정확한지를 평가하고 임상에서 고식적방사선치료를 목적으로 하는 환자들을 대상으로 온라인 방사선치료계획의 가능성을 연구하였다. 선량계산에 필요한 CT수와 밀도간의 상호관계 확인을 위하여 Catphan 600 팬텀을 이용하여 교정곡선을 산출하였고 팬텀과 환자들의 모의 치료용 CT영상과 CBCT영상을 획득하여 치료계획 및 선량계산 된 결과를 비교하였다. CBCT 영상을 이용한 치료계획에서의 MU차이는 중심점에 100cGy 처방하였을 때 Phantom에서의 경우 3~4MU로 약 2.7%, 환자에서의 경우 1~3MU로 약 2.5% 이하로 차이가 났다. 팬텀과 환자에서의 Monitor unit(MU)차이는 2.7%, 2.5% 이내였으나, CBCT영상의 경우 검출기의 크기의 제약 및 환자의 불수의적인 움직임에 의하여 전자밀도가 큰 물질에서 산란선과 artifact의 발생이 크게 증가한다. 따라서 뇌 및 폐 영역의 치료계획시 선량의 오차가 더 커질 수 있어 이에 대한 주의가 요구된다. 치료시작 전 CBCT 영상을 획득하여 환자의 자세와 내부 장기의 위치를 보정하고 선량을 재계산하여 치료계획을 재수립하는 적응방사선치료(ART)를 시행하기 위해서는 산란선과 움직임에 의한 artifact의 감소방안이 마련되어야 할 것으로 사료된다.

의료영상 분석과 유한요소법을 통한 추체 성형술의 다양한 인자들에 대한 생체 역학적 효과 분석 (A Biomechanical Study on the Various Factors of Vertebroplasty Using Image Analysis and Finite Element Analysis)

  • 전봉재;권순영;이창섭;탁계래;이권용;이성재
    • 대한의용생체공학회:의공학회지
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    • 제25권3호
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    • pp.171-182
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    • 2004
  • 본 연구에서는 의료 영상과 유한요소 해석을 이용하여 골절된 척추체의 치료를 위해 골 시멘트를 주입하는 추체 성형술(vertebroplasty)에 영향을 미치는 여러 인자들에 대해 생체 역학적으로 분석하여 평가하고자 하였다. 의료 영상을 통해 구현된 모델들은 분석하고자 하는 인자에 대하여 크게 단분절과 다분절 유한요소 모델의 2 가지 형태로 구분하였다. 단분절 유한요소 모델을 통해 골다공증의 정도, 주입된 골 시멘트의 양, 골 시멘트의 주입량 및 환자에게 주입된 골 시멘트 양의 적절성을 평가하였으며, 골 시멘트의 주입이 척추체의 구조적 안정성에 미치는 효과를 분석하기 위하여 척추체 상종판에 수직 압축하중을 가하여 이때의 최대 수진 변위량을 분석하였다. 또한 단분절 척추체의 강성도(stiffness) 값을 산출한 뒤, 정상 상태의 척추체의 강성도 값으로 정규화 하였다. 다분절 유한요소 모델의 경우, 압박 골절 상태를 적용하여 척추 만곡의 변화가 인체에 미치는 영향을 분석하기 위하여 골절의 정도를 3 가지로 구현하였으며, 모델의 최상부에 압축 하중을 가한 후의 척추 만곡의 변화 정도를 분석하였다. 추체 성형술에 대한 다양한 인자들에 대한 분석 결과, 추체 성형술을 통해 환자의 골밀도가 상대적으로 높은 경우(BMD 50mg/$m\ell$이상)와 환자의 척추체 망상골 부피의 약 15%에 해당하는 골 시멘트 주입 시 가장 큰 척추체의 구조적 안정성의 증가 효과를 가져올 것으로 예측되었다. 또한 척추 골절이 미치는 영향에 대한 분석 결과, -2.8$^{\circ}$의 정상적인 후만곡을 가지는 T12∼L2 운동 분절이 골절의 모델링 후 약 9∼17$^{\circ}$의 큰 전만곡을 가지게 되었으며 이러한 척추 만곡의 변화는 동일한 하중 하에서 급격한 척추 만곡의 변화를 야기하는 것으로 나타났다. 또한 골절의 정도가 심할수록 척추 변형은 더욱 크게 증가하는 것으로 나타났다. 이러한 연구 결과들로부터, 전반적으로 추체 성형술은 골 시멘트의 주입량 또는 골밀도에 상관없이 약화된 척추체의 자체의 구조적 안정성의 증가 효과를 가져왔으며 골절로 인해 추체의 높이가 손상되었을 경우 이를 회복하는 것이 중요한 인자의 하나임을 나타내는 결과로 사료되어진다.

[15O-H2O] 심근 양전자 단층 촬영에서 혈류 분포의 비균일성과 분배계수 (The Heterogeneity of Flow Distribution and Partition Coefficient in [15O-H2O] Myocardium Positron Emission Tomography)

  • 안지영;이동수;김경민;정재민;정준기;신승애;이명철;고창순
    • 대한핵의학회지
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    • 제32권1호
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    • pp.32-49
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    • 1998
  • O-15 표지 물 동적 PET을 이용하여 비균일 심근조직의 혈류를 정확히 추정하기 위하여 일차구획 모델을 변형한 두 개의 혈류 모델을 고안하였다. 첫 모델에서는 혈류, PTI, 조직회수 분획($F_{MM}$)을 추정하였고, 두 번째 모델에서는 혈류, PTI, 그리고 분배계수를 추정하였다. 비균일 심근조직의 비균일성을 나타낼 지표를 도입하여 여러 종류의 비균일 조직을 모사하고 이 지표로 비균일성을 표현하였다. 우리 모델을 적용하여 PTI가 혈류분포의 비균일성과 상관이 적음을 확인하고 분배계수를 변수로 취급한 두 번째 모델에서 추정한 분배계수가 비균일성을 나타냄을 알았다. 분배계수는 비균일성에 따라 굽은 선형(curvilinear)으로 감소하였다. 분배계수와 함께 추정된 혈류도 비균일성이 커지면 참값보다 작게 추정되었다. 추정된 분배계수로 혈류 추정값의 과소평가플 보정하여 추정값의 바이어스를 바로잡을 수 있었다. O-15 표지 물 동적 PET으로 심근혈류를 측정할 때 분배계수를 변수로서 혈류와 함께 추정하여 비균일성을 나타내는 지표로 쓰고 동시에 혈류 추정값을 참값에 가까운 값을 얻는데 쓸 수 있다고 본다. 혈류분포의 비균일성 정도를 수치적으로 표시할 수 있는 지표를 임상에 적용하면 허혈성 심근 질환의 혈류 비균일성을 해석할 수 있을 것으로 생각한다.

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이중 구조의 X선 차폐시트 설계를 위한 FLUKA 수송코드의 신뢰성 검증 (Reliability Verification of FLUKA Transport Code for Double Layered X-ray Protective Sheet Design)

  • 강상식;허승욱;최일홍;전제훈;양승우;김교태;허예지;박지군
    • 한국방사선학회논문지
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    • 제11권7호
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    • pp.547-553
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    • 2017
  • 현재 의료분야에서는 방사선 차폐체로서 납(Pb)이 널리 쓰이고 있다. 하지만 납은 무게가 매우 무거워 납치마 등의 방호복은 장시간 착용이 어려우며, 인체에 치명적인 납 중독의 위험이 상시 가지고 있다는 문제점을 가지고 있다. 이러한 문제점을 해결하고자 납을 대체 할 수 있는 물질에 대한 많은 연구가 진행되고 있다. 현재 납의 대체물질로써 대표적인 바륨(Ba)과 요오드(I) 등은 우수한 차폐능을 가지고 있지만, 30keV 근처의 에너지 영역에서 특성 X선을 방출하는 특성을 가지고 있다. 환자나 방사선 종사자의 경우 차폐체를 인체에 접촉하고 있는 경우가 많으므로 차폐체에서 발생되는 특성 X선이 인체에 직접 조사되어 방사선 피폭을 증가시킬 위험이 매우 높다. 본 연구에서는 바륨(Ba)과 요오드(I)등에서 발생되는 특성 X선을 제거하기에 적절한 이중구조 차폐체를 방사선 수송코드 중 하나인 FLUKA 수송코드를 개발하여 선행연구로서 진행된 MCNPX 시뮬레이션과 비교 분석하여 이중구조 차폐체의 차폐율에 대한 신뢰성을 검증하고자 하였다. MCNPX와 FLUKA를 이용하여 황산바륨($BaSO_4$)과 산화비스무스($Bi_2O_3$)로 이루어진 다양한 두께조합의 이중구조 차폐체를 설계하였으며, IEC61331-1에 제시된 모식도를 기하학적으로 동일하게 시뮬레이션 상에 구현하였다. 또한, 120 kVp의 연속 X선 스펙트럼에 대한 차폐체의 투과스펙트럼과 흡수선량을 납과 비교 평가하였다. 평가결과, $0.3mm-BaSO_4/0.3mm-Bi_2O_3$$0.1mm-BaSO_4/0.5mm-Bi_2O_3$ 구조에서는 33 keV와 37 keV의 특성 X선을 모두 흡수하였으며, 90 keV 이상의 고에너지 X선에 대해서도 납과 거의 유사한 차폐효율을 보였다. 또한, FLUKA의 수송코드는 33 keV 이하에서는 cut-off 가 발생하여 저에너지 X선 광자에 대한 전산모사에 제약이 있지만, 40 keV 이상의 고에너지 영역에서 MCNPX와의 상대오차가 6 % 이내로 신뢰성이 매우 우수하다는 것을 확인할 수 있었다.

위부분절제술 후 방사선치료에서 음식물 배출지연에 따른 영향 (Influence of Delayed Gastric Emptying in Radiotherapy after a Subtotal Gastrectomy)

  • 김동현;김원택;이미란;기용간;남지호;박달;전호상;전계록;김동원
    • Radiation Oncology Journal
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    • 제27권4호
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    • pp.194-200
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    • 2009
  • 목 적: 위부분절제술 후 방사선치료를 받는 환자들 중에서 위 내 음식물의 배출지연으로 인한 위 용적 및 주변 장기의 위치 변화와 이것의 임상적 의의를 알아보고자 하였다. 대상 및 방법: 2005년 3월 1일부터 2008년 12월 31일까지 위암으로 위부분절제술을 받은 후 보조적 동시항암화학 방사선치료를 받았던 총 32명의 환자들 중, 전산화단층촬영모의치료 영상에서 12시간 이상의 금식에도 불구하고 위 내 음식물이 50 ml 이상 남아 잔존 위의 팽대를 보였던 경우들이 이번 연구 대상이었다. 이 환자들에 대해 방사선치료 기간 동안 주기적으로 시행된 컴퓨터단층촬영 자료를 바탕으로 잔존 위 용적 및 주변 장기들의 위치 변화를 평가하였다. 또한 방사선치료 설계 자료를 바탕으로, 잔존 위 및 주변 장기들의 변화를 고려하지 않고 치료를 지속했을 경우의 치료 표적 및 정상조직의 방사선분포 변화를 알아보았다. 결 과: 총 5명의 전산화단층촬영모의치료 영상에서 배출장애에 의한 50 ml 이상의 위 내 음식물의 저류가 확인되었다. 대상 환자들에서 위 용적은 치료과정 중에 다양한 변화양상을 보였고, 각 환자에서 최대 64.2~340.8 ml (평균, 188.2 ml)의 변화를 보였다. 또한 위 용적에 따라 좌측 신장이 각 환자별 최대 0.7~2.2 cm (평균, 1.2 cm)까지 상하 방향으로 이동하는 양상을 보였다. 모의치료 시의 설계를 위 용적의 변화에 따라 변경하지 않고 치료를 진행한 경우 유의하게 계획용표적체적(V43, 79.5${\pm}$10.4%)에 조사선량이 부족하고 좌측 신장(V20, 34.1${\pm}$12.1%; Mean dose, 23.5${\pm}$8.3 Gy)에 과도한 선량이 조사되는 결과를 얻을 수 있었다. 결 론: 위부분절제술 후 방사선치료를 받는 일부 환자에서 배출지연에 따른 위 용적의 변화와 좌측 신장의 위치변화를 확인할 수 있었다. 배출지연이 발생하는 환자를 선별하여 위 용적의 변화를 파악하고 이를 방사선치료 설계에 반영하는 것이 효과적일 것으로 생각된다.

MICROLEAKAGE AND WATER STABILITY OF RESIN CEMENTS

  • Choi Sun-Young;Lee Sun-Hyung;Yang Jae-Ho;Han Jung-Suk
    • 대한치과보철학회지
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    • 제41권3호
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    • pp.369-378
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    • 2003
  • Statement of Problem: Recently, resin cements have become more widely used and have been accepted as prominent luting cements. Current resin cements exhibit less microleakage than conventional luting cements. However, the constant contact with water and exposure to occlusal forces increase microleakage even in resin cements inevitably. Most bonding resins have been modified to contain a hydrophilic resin such as 2-hydroxyethylmethacrylate (HEMA) to overcome some of the problems associated with the hydrophobic nature of bonding resins. By virtue of these modifications, bonding resins absorb a significant amount of water, and there may also be significant stresses at bonding interfaces, which may adversely affect the longevity of restorations. Therefore the reinforcement of water stability of resin cement is indispensable in future study. Purpose: This study was conducted to examine the influence of water retention on microleakage of two resin cements over the period of 6 months. Materials and Methods: 32 extracted human teeth were used to test the microleakage of a single full veneer crown. Two resin cements with different components and adhesive properties - Panavia F (Kuraray Co., Osaka, Japan) and Super-Bond C&B (Sun Medical Co., Kyoto, Japan)- were investigated. The storage medium was the physiological saline solution changed every week for 1 month, 3 months, and 6 months. One group was tested after storage for 1 day. At the end of the each storage period, all specimens were exposed to thermocycling from $5^{\circ}C$ to $55^{\circ}C$ of 500 cycles and chewing simulation of 50,000 cycles, and then stained with 50% silver nitrate solution. The linear penetration of microleakage was measured using a stereoscopic microscope at ${\times}40$ magnification and a digital traveling micrometer with an accuracy of ${\pm}3{\mu}m$. Values were analyzed using two-way ANOVA test, Duncan's multiple range tests (DMRT). Results : Statistically significant difference of microleakage was shown in the 3-month group compared with the1-day or 1-month group in both systems (p<0.05) and there were statistically significant differences in microleakage between the 3-month group and the 6-month group in both systems (p<0.05). The two systems showed different tendency in the course of increased microleakage during 3 months. In Panavia F, microleakage increased slowly throughout the periods. In Super-Bond C&B, there was no significant increase of microleakage for 1 month, but there was statistically significant increase of microleakage for the next 2 months. For the mean microleakage for each period, in the 3-month group, microleakage of Super-Bond C&B was significantly greater than that of Panavia F. On the other hand, in the 6-month group, microleakage of Panavia F was significantly greater than that of Super-Bond C&B (p<0.05). Conclusion: Within the limitation of this study, water retention of two different bonding systems influence microleakage of resin cements. Further studies with the longer observation periods in viro are required in order to investigate water stability and the bonding durability of the resin cement. CLINICAL IMPLICATIONS Microleakage at the Cement-tooth interfaces did not necessarily result in the failure of the crowns. But it is considered to be a major factor influening the longerity of restorations. Further clinical approaches for decreasing the amount of microleakage are required.

고선량률 강내조사선원을 이용한 근접조사선량계획전산화 개발 (Development of Dose Planning System for Brachytherapy with High Dose Rate Using Ir-192 Source)

  • 최태진;예지원;김진희;김옥배;이호준;한현수
    • Radiation Oncology Journal
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    • 제20권3호
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    • pp.283-293
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    • 2002
  • 목적 : 고선량률의 Ir-192 선원을 이용한 근접조사의 모의촬영 영상을 개인컴퓨터(PC)에 입력하여 해부학적 영상에 선량분포를 구현하고 히스토그램, 선량-용적히스토그램 및 3차원 선량분포를 전산화하였다. 대상 및 방법 : 선량전산화에 이용된 선원은 원격근접조사장치(Buchler 3K, 독일)의 Co-60 대체선원으로 한국원자력 연구소와 공동으로 개발한 Ir-192이다. 선원 모양에 의존하는 선량분포의 비등방성은 선원을 미소 분할하여 구한 선량과 선원 중심에서 측방 기준점의 공중선량을 기준으로 규격화한 값을 이용하였다. 선원 주위의 조직선량은 선원 중심에서 측방으로 실측된 조직감쇠와 산란에 의한 보정계수와 에너지에 따른 공기 저지능에 대한 조직의 저지능 비로 공중-조직선량 변환계수를 적용하고 기준점에 대해 규격화한 선량률표를 검색하여 얻도록 하였다. 선량계획 전산화 과정에 모의촬영 영상입력, 선원입력과 선원의 축면 결정과 해부학적 영상을 이용한 선량분포와 점선량, 히스토그램 및 선량-용적 히스토그램을 구현하였다. 결과 : 저자들이 개발한 근접조사 선량계획시스템에는 선원모의촬영 영상을 스켄하여 비트맵 파일로 저장하고, 좌표원점과 확대율을 정해, 선원위치를 결정하고 선량분포와 선량분석 프로그램을 포함한 선량전산화를 구현하였다. 실험에 이용된 Ir-192 선원의 조직내 선량은 공중선량율과 조직에 의한 감쇠 및 산란에 의한 실험식을 이용하였다. 선원 중심에서 축상의 거리와 축에서 떨어진 거리에 따른 선량률표에서 행렬 검색하여 얻도록 하였다. 근접조사선량계획은 선원좌표 입력과 선원의 축면(principal plane)을 결정하여 선원이 포함된 평면상의 선량을 구현하였으며, 시뮬레이션 영상인 관상면과 시상면에 선량분포를 구현하였다. 선량-히스토그램에 의한 선량분포 분석은 임의의 해부학적 영상면 위에 커서가 놓인 위치의 선량 스켓치로 얻었다. 임상에 필요한 선량분석은 선원의 축에서 면의깊이를 이동하여 선량분포를 구할 수 있게 하였으며, 선량-용적 히스토그램과 3차원 선량분포를 구현하였다. 결론 : 고선량률 Ir-192를 이용하여 근접조사선량계획을 전산화하였으며, 선량분포의 분석에는 해부학적 영상의 선량분포와 선량-히스토그램, 선량-용적히스토그램을 구현하였으며, 선량분포의 면을 임의 선택할 수 있고 3차원 선량분포를 포함한 선량계획시스템을 준비하였다.