• Tuberculosis and Respiratory Diseases
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• 제68권2호
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• pp.80-86
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• 2010

Background: Recently, many institutions have acquired multi-detector computed tomography (MDCT) systems. This made it easier and more convenient to use MDCT as a initial diagnostic modality for hemoptysis. The purpose of this study was to evaluate the usefulness of MDCT before bronchoscopy and/or bronchial arterial embolization (BAE) for hemoptysis. Methods: We studied a total of 125 patients with hemoptysis who underwent, between 2006 and 2008, MDCT in a routine protocol before bronchoscopy and/or BAE. One hundred two patients underwent bronchoscopy and 29 patients underwent BAE. We compared the usefulness of MDCT and bronchoscopy for detecting the bleeding site and identifying the cause. We also evaluated our ability, using MDCT, to detect instances where the bronchial artery caused hemoptysis. Results: The rate of detection of a bleeding site was 75.5% on MDCT and 50.9% on bronchoscopy. MDCT and bronchoscopy detected the bleeding site in agreement in 62.7% of patients. MDCT alone found the bleeding site in 27.5% of cases. MDCT identified the cause of hemoptysis in 77.5% and bronchoscopy in 11.8%. In 29 patients who underwent BAE, we detected a total of 37 hypertrophied bronchial arteries that were causing hemoptysis. Of 37 bronchial arteries, 23 (62.2%) were depicted on MDCT. Conclusion: MDCT is superior to bronchoscopy for detecting the bleeding site and identifying the cause of hemoptysis. MDCT can also predict the side of affected bronchial artery with depiction of hypertrophied bronchial artery and localizing the bleeding site. Doing MDCT before bronchoscopy and BAE can provide a guideline for the next step.

• 한국융합학회논문지
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• 제8권2호
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• pp.113-120
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• 2017

본 실험에서는 전산화단층영상장비에서 패각을 이용하여 제작한 방사선 융합차폐체의 표면 방사선 감소율과 방사선 인공물 영상을 평가하고자 하였다. 방사선 융합차폐체는 실리콘, 패각, 바륨분말을 이용하여 직경 50 mm, 두께 3.5 mm의 원형 차폐체 5종 (실리콘 차폐체, 바륨 차폐체, 실리콘과 패각 혼합 차폐체, 실리콘과 바륨 혼합 차폐체, 실리콘과 패각 그리고 바륨 혼합 차폐체)을 제작하였다. 방사선발생과 획득은 4 다중채널 전산화단층영상장비를 이용하였다. 그 결과 실리콘과 패각 혼합 차폐체가 영상의 인공물 발생 없이 5.3%의 표면 방사선 감소효과가 있었다. 향후 다양한 형태를 만들 수 있는 실리콘의 장점과 패각의 재활용으로 인한 친환경적인 소재로 방사선 융합차폐체 제작에 도움을 줄 수 있으리라 기대한다.

• 한국의학물리학회지:의학물리
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• 제17권1호
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• pp.32-39
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• 2006

CT 검사에서 조영제의 혈관외유출을 예방하기 위해 EDA시스템을 증폭기, ADC, 스트레인 게이지로 구성하여 개발하였고, 스트레인 게이지의 신호의 수치를 나타내도록 프로그램을 설계하였다. 신호비율은 500/1000 sec, 분해능 값은 0에서 4,096범위로 표시하고, 입력범위 $0{\sim}5$ V이다. 혈관외유출 검출 문턱 값은 50으로 하였고, 10 간격으로 조정하도록 하였다. 개발된 EDA 시스템을 성인 50명을 대상으로 적용하였다. 2명의 환자에서 혈관외유출이 검출되었고, 조영제 주입속도는 2.0 mL/sec, 2.5 mL/sec, 압력은 137 psi, 158 psi, 혈관외유출된 조영제 용량은 22 mL, 25 mL였다. 설정된 주입 조영제에 비해 20% 정도의 적은 용량이 혈관외유출되었다. 개발된 EDA 시스템은 소량의 조영제를 검출하여 혈관외유출을 예방하는 효과가 있다.

• Journal of Veterinary Science
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• 제21권5호
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• pp.75.1-75.8
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• 2020

Background: Dental diseases are common in dogs and cats, and accurate measurements of dentoalveolar structure are important for planning of treatment. The information that the comparison computed tomography (CT) with dental radiography (DTR) is not yet reported in veterinary medicine. Objectives: The purpose of this study was to compare the DTR with CT of dentoalveolar structures in healthy dogs and cats, and to evaluate the CT images of 2 different slice thicknesses (0.5 and 1.0 mm). Methods: We included 6 dogs (2 Maltese and 1 Spitz, Beagle, Pomeranian, mixed, 1 to 8 years, 4 castrated males, and 2 spayed female) and 6 cats (6 domestic short hair, 8 months to 3 years, 4 castrated male, and 2 spayed female) in this study. We measured the pulp cavity to tooth width ratio (P/T ratio) and periodontal space of maxillary and mandibular canine teeth, maxillary fourth premolar, mandibular first molar, maxillary third premolar and mandibular fourth premolar. Results: P/T ratio and periodontal space in the overall dentition of both dogs and cats were smaller in DTR compared to CT. In addition, CT images at 1.0 mm slice thickness was generally measured to be greater than the images at 0.5 mm slice thickness. Conclusions: The results indicate that CT with thin slice thickness provides more accurate information on the dentoalveolar structures. Additional DTR, therefore, may not be required for evaluating dental structure in small-sized dogs and cats.

• Imaging Science in Dentistry
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• 제40권1호
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• pp.15-23
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• 2010

Purpose : This study was designed to compare the effective doses from low-dose and standard-dose multi-detector CT (MDCT) scanning protocols and evaluate the image quality and the spatial resolution of the low-dose MDCT protocols for clinical use. Materials and Methods : 6-channel MDCT scanner (Siemens Medical System, Forschheim, Germany), was used for this study. Protocol of the standard-dose MDCT for the orthodontic analysis was 130 kV, 35 mAs, 1.25 mm slice width, 0.8 pitch. Those of the low-dose MDCT for orthodontic analysis and orthodontic surgery were 110 kV, 30 mAs, 1.25 mm slice width, 0.85 pitch and 110 kV, 45 mAs, 2.5 mm slice width, 0.85 pitch. Thermoluminescent dosimeters (TLDs) were placed at 31 sites throughout the levels of adult female ART head and neck phantom. Effective doses were calculated according to ICRP 1990 and 2007 recommendations. A formalin-fixed cadaver and AAPM CT performance phantom were scanned for the evaluation of subjective image quality and spatial resolution. Results : Effective doses in ${\mu}Sv$ ($E_{2007}$) were 699.1, 429.4 and 603.1 for standard-dose CT of orthodontic treatment, low-dose CT of orthodontic analysis, and low-dose CT of orthodontic surgery, respectively. The image quality from the low-dose protocol were not worse than those from the standard-dose protocol. The spatial resolutions of both standard-dose and low-dose CT images were acceptable. Conclusion : From the above results, it can be concluded that the low-dose MDCT protocol is preferable in obtaining CT images for orthodontic analysis and orthodontic surgery.

• Korean Journal of Radiology
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• 제21권12호
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• pp.1285-1293
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• 2020

Objective: To evaluate the effects of vasodilators on contrast enhancement and transluminal attenuation gradient (TAG) of coronary arteries at coronary computed tomography angiography (CCTA). Materials and Methods: We retrospectively reviewed CCTA scans of patients who underwent double-acquisition CCTA; CCTA without a vasodilator, and CCTA during a intravenous (IV) infusion of nitrate. Among them, we enrolled 19 patients who had no significant atherosclerotic lesions or coronary spasms. In the control group, 28 patients were enrolled who showed normal coronary arteries on CCTA, which was acquired by a conventional method (sublingual vasodilator). We measured the TAG and Hounsfield units for each of the three major epicardial coronary arteries (reported as 'ProxHU') and then compared the results between the nitrate administration methods (CT without vasodilator [CT_pre], CT with IV vasodilator [CT_iv], and CT with sublingual vasodilator [CT_sub]). Results: The mean TAG showed a significant difference between the coronary arteries (right coronary artery [RCA] > left anterior descending artery [LAD] > left circumflex artery [LCX], p < 0.05), while there was no difference in ProxHU of each coronary artery in all three types of nitrate administration methods (p > 0.05). The TAG of CT_pre group showed steeper slope than those of vasodilator groups (CT_iv and CT_sub) on LAD and LCX ([LAD: CT_pre = -22.1 ± 6.66, CT_iv = -16.76 ± 5.78, and CT_sub = -16.47 ± 5.78, p = 0.005], [LCX: CT_pre = -31.26 ± 17.43, CT_iv = -23.74 ± 14.06, and CT_sub = -20.94 ± 12.15, p = 0.051]), while that of RCA showed no significant differences (p = 0.600). When comparing proxHU, CT_iv showed higher proxHU than that of CT_pre or CT_sub, especially on LCX (CT_pre = 426.7 ± 68.3, CT_iv = 467.9 ± 84.9, and CT_sub = 404.9 ± 63.3, p = 0.013). ProxHU showed a negative correlation with TAG on all three of methods (r = -0.280, p < 0.001). Conclusion: TAG in CCTA was significantly affected by vasodilator administration. Both TAG and ProxHU of coronary arteries tend to increase with vasodilator administration on CCTA.

• 한국임상수의학회지
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• 제31권3호
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• pp.241-245
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• 2014

12년령의 미니어쳐 핀셔 1 마리와 각각 8년령, 10년령의 말티즈 2 마리가 호흡곤란을 주증으로 내원하여 흉부 방사선 촬영과 다중검출기 컴퓨터단층촬영을 실시하였다. 컴퓨터단층촬영 시, 호흡의 고정을 위하여 양압환기를 실시하여 무호흡을 유발하였다. 3 증례의 컴퓨터단층영상에서 폐의 과확장된 거대한 낭포성 가스 종괴가 확인되었으며, 종괴에 의한 전종격동 및 심장의 변위가 확인되어, 거대 낭포성 폐기종으로 진단하였다. 거대 낭포성 폐기종은 낭포성 가스 종괴가 동측 흉강의 1/3 이상을 차지하는 것으로 정의되며, 다중검출기 컴퓨터단층촬영을 통한 진단으로 유용한 정보를 획득할 수 있다.

• 한국임상수의학회:학술대회논문집
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• 한국임상수의학회 2009년도 추계학술대회
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• pp.214-214
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• 2009

• 한국안전학회지
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• 제28권1호
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• pp.1-5
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• 2013

In this paper, the finite element analysis using ADINA has performed to investigate an accident that a man's head was damaged by the falling object. The simulation condition has defined by the point of forensic medicine view and the CCTV image analysis. From the CCTV image analysis, we expected that the sphere diameter of object is 15cm and object color is white. Assuming the falling mass is the ice mass, the results of the ADINA simulation show that a man's head can be broken by the falling ice mass.

• Journal of Chest Surgery
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• 제52권5호
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• pp.372-375
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• 2019

A 55-year-old man was admitted to the trauma center after a car accident. Cardiac tamponade, traumatic aortic injury, and hemoperitoneum were diagnosed by ultrasonography. The trauma surgeon, cardiac surgeon, and interventional radiologist discussed the prioritization of interventions. Multi-detector computed tomography was carried out first to determine the severity and extent of the injuries, followed by exploratory sternotomy to repair a left auricle rupture. A damage control laparotomy was then performed to control mesenteric bleeding. Lastly, a descending thoracic aorta injury was treated by endovascular stenting. These procedures were performed in the hybrid-angio room. The patient was discharged on postoperative day 135, without complications.