• 고신대학교 의과대학 학술지
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• 제33권3호
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• pp.358-368
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• 2018

Objectives: To identify the relationship between surgical success rate and preoperative nasal mucosal thickness around the lacrimal sac fossa, as measured using computed tomography. Methods: We reviewed 33 eyes from 27 patients who underwent endoscopic dacryocystorhinostomy after diagnosis of primary nasolacrimal duct obstruction and who were followed-up with for at least six months between 2011 and 2014. We measured preoperative nasal mucosal thickness around the bony lacrimal sac fossa using computed tomography and analyzed patient measurements after classifying them into three groups: the successfully operated group, the failed operation group, and the non-operated group. Results: Surgery failed in six of the 33 eyes because of a granuloma at the osteotomy site and synechial formation of the nasal mucosa. The failed-surgery group showed a clinically significantly greater decrease in nasal mucosal thickness at the rearward lacrimal sac fossa compared with the successful-surgery group. However, nasal mucosal thickness of fellow eyes (i.e., non-operated eyes) was not significantly different between the two groups, and the location of the uncinate process did not appear to influence mucosal thickness. In the failed group, posteriorly located mucosal thickness of operated eye fossa was thinner than that of the non-operated eyes, but not significantly so. Conclusions: Our results from this quantitative anatomical study suggest that nasal mucosal thickness is a predictor of endoscopic dacryocystorhinostomy results.

• 대한치과교정학회지
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• 제51권4호
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• pp.260-269
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• 2021

Objective: To identify the most favorable sites that optimize the initial stability and survival rate of orthodontic mini-implants, this study measured hard and soft tissue thicknesses in the median and paramedian regions of the palate using cone-beam computed tomography (CBCT) and determined possible sex- and age-related differences in these thicknesses. Methods: The study sample comprised CBCT images of 189 healthy subjects. The sample was divided into four groups according to age. A grid area was set for the measurement of hard and soft tissue thicknesses in the palate. Vertical lines were marked at intervals of 0, 1.5, and 3.0 mm lateral to the midpalatal suture, while horizontal lines were marked at 2-mm intervals up to 24 mm from the posterior margin of the incisive foramen. Measurements were made at 65 points of intersection between the horizontal and vertical lines. Results: The palatal hard tissue thickness decreased from the anterior to the posterior region, with a decrease in the medial-to-lateral direction in the middle and posterior regions. While the soft tissue was rather thick around the lateral aspects of the palatal arch, it formed a constant layer that was only 1-2-mm thick throughout the palate. Statistically significant differences were observed according to sex and age. Conclusions: The anterolateral palate as well as the midpalatal suture seem to be the most favorable sites for insertion of orthodontic mini-implants. The thickness of the palate differed by age and sex; these differences should be considered while planning the placement of orthodontic mini-implants.

• 대한영상의학회지
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• 제82권4호
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• pp.808-816
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• 2021

폐기종은 만성 폐쇄성 폐질환을 유발하는 질환으로, CT는 폐기종을 정확하게 진단하는 데 가장 유용한 검사이다. 폐기종의 중증도는 시각적 분류 혹은 정량적 분석 등의 방법으로 평가할 수 있으며, 최근에는 딥러닝을 활용한 폐기종 연구도 다양하게 이루어지고 있다. 이러한 폐기종의 중증도 분류 방법은 다양한 연구에서 그 임상적 유용성을 입증받고 있으며, 한계점으로 지적되고 있는 측정의 신뢰성을 향상시키려는 노력 또한 이어지고 있다.

• Journal of Korean Neurosurgical Society
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• 제56권5호
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• pp.400-404
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• 2014

Objective : Clip artifacts limit the visualization of intracranial structures in CT scans from patients after aneurysmal clipping with cobalt alloy clips. This study is to analyze the parameters influencing the degree of clip artifacts. Methods : Postoperative CT scans of 60 patients with straight cobalt alloy-clipped aneurysms were analyzed for the maximal diameter of white artifacts and the angle and number of streak artifacts in axial images, and the maximal diameter of artifacts in three-dimensional (3-D) volume-rendered images. The correlation coefficient (CC) was determined between each clip artifact type and the clip blade length and clip orientation to the CT scan (angle a, lateral clip inclination in axial images; angle b, clip gradient to scan plane in lateral scout images). Results : Angle b correlated negatively with white artifacts (r=-0.589, p<0.001) and positively with the angle (r=0.636, p<0.001) and number (r=0.505, p<0.001) of streak artifacts. Artifacts in 3-D images correlated with clip blade length (r=0.454, p=0.004). Multiple linear regression analysis revealed that angle b was the major parameter influencing white artifacts and the angle and number of streak artifacts in axial images (p<0.001), whereas clip blade length was a major factor in 3-D images (p=0.034). Conclusion : Use of a clip orientation perpendicular to the scan gantry angle decreased the amount of white artifacts and allowed better visualization of the clip site.

• 한국방송∙미디어공학회:학술대회논문집
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• 한국방송공학회 2013년도 하계학술대회
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• pp.274-277
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• 2013

CT(Computed Tomography)영상에서 선량과 화질은 중요한 요소이다. 선량은 환자에게 직접적으로 악영향을 끼치는 요소이며, 화질은 환자의 병변을 판단하는데 매우 중요하게 작용한다. 반복적 재구성 알고리즘을 이용하면 저선량 영상에서도 고화질의 영상을 얻을 수 있는지 FBP와 정량적, 정성적으로 비교하였다. 촬영 프로토콜은 관전압 80, 100, 120kVp에서 관전류를 동일하게 200mA로 촬영하여 획득하였으며, 정량적 평가를 위해 SD(Standard Deviation), SNR(Signal to Noise Ratio), MTF(Modulation Transfer Function)를 측정하여 분석하였다. 선량은 80kVp일 때 가장 낮았으며, 120kVp일 때 가장 높았다. 80kVp의 영상을 Toshiba 사(社)의 AIDR 3D(Adaptive Iterative Reduction integrated into $^{SURE}Exposure$)로 재구성하고, 120kVp의 영상에 FBP로 재구성한 다음 정량적 비교를 한 결과 AIDR 3D를 적용한 영상의 SD가 낮게 나왔으며, SNR이 높게 나타났고, MTF 곡선은 유사하게 나타났다. 그리고 FWHM(Full Width at Half Maximum) 값의 오차가 거의 없었다. 결론적으로 AIDR 3D는 저선량에서도 높은 화질을 나타냄을 확인하였다.

• Imaging Science in Dentistry
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• 제42권4호
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• pp.201-205
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• 2012

Purpose: This study was performed to assess the compatibility of cone beam computed tomography (CBCT) synthesized cephalograms with conventional cephalograms, and to find a method for obtaining normative values for three-dimensional (3D) assessments. Materials and Methods: The sample group consisted of 10 adults with normal occlusion and well-balanced faces. They were imaged using conventional and CBCT cephalograms. The CBCT cephalograms were synthesized from the CBCT data using OnDemand 3D software. Twenty-one angular and 12 linear measurements from each imaging modality were compared and analyzed using paired-t test. Results: The linear measurements between the two imaging modalities were not statistically different (p>0.05) except for the U1 to facial plane distance. The angular measurements between the two imaging modalities were not statistically different (p>0.05) with the exception of the gonial angle, ANB difference, and facial convexity. Conclusion: Two-dimensional cephalometric norms could be readily used for 3D quantitative assessment, if corrected for lateral cephalogram distortion.

• Imaging Science in Dentistry
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• 제52권4호
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• pp.359-364
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• 2022

Purpose: The aim of this study was to investigate the prevalence of infraorbital canal protrusion in an Egyptian subpopulation using cone-beam computed tomography and to describe its radiographic representation. Materials and Methods: This retrospective cross-sectional study was conducted using the records of 77 patients and 123 maxillary sinuses. The full lengths of the sinuses were visible for the detection of infraorbital canal protrusion. The infraorbital canals were classified into 3 types based on their relation to the sinus. If the septum was present, its length and its distance from the sinus floor were measured. Qualitative and quantitative variables were described as percentages and means with standard deviations, respectively. Results: The infraorbital canal most commonly presented as the normal confined type (detected in 78.1% of sinuses), whereas the suspended (or protruded) variant was found in 14.6% of the examined sinuses. The septal length ranged from 0.9 to 5.1 mm, with a mean of 2.8±1.1 mm. The distance to the sinus floor ranged from 5.2 to 29.6 mm depending on the sinus shape and size. Conclusion: The present study indicates that protrusion of the infraorbital canal is not rare, and surgeons that use the maxillary sinuses as corridors for their procedures must be more cautious, especially in the upper lateral confines of the sinus.

• Nuclear Engineering and Technology
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• 제55권8호
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• pp.2854-2863
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• 2023

Objective: To present a hybrid approach that incorporates a constrained beam-hardening estimator (CBHE) and deep learning (DL)-based post-refinement for metal artifact reduction in dental cone-beam computed tomography (CBCT). Methods: Constrained beam-hardening estimator (CBHE) is derived from a polychromatic X-ray attenuation model with respect to X-ray transmission length, which calculates associated parameters numerically. Deep-learning-based post-refinement with an artifact disentanglement network (ADN) is performed to mitigate the remaining dark shading regions around a metal. Artifact disentanglement network (ADN) supports an unsupervised learning approach, in which no paired CBCT images are required. The network consists of an encoder that separates artifacts and content and a decoder for the content. Additionally, ADN with data normalization replaces metal regions with values from bone or soft tissue regions. Finally, the metal regions obtained from the CBHE are blended into reconstructed images. The proposed approach is systematically assessed using a dental phantom with two types of metal objects for qualitative and quantitative comparisons. Results: The proposed hybrid scheme provides improved image quality in areas surrounding the metal while preserving native structures. Conclusion: This study may significantly improve the detection of areas of interest in many dentomaxillofacial applications.

• 치위생과학회지
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• 제23권1호
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• pp.60-67
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• 2023

Background: In our study, a silver diamine fluoride (SDF) compound for the treatment of dental caries was synthesized to characterize its remineralization activity upon direct application to deciduous teeth. This study aimed to use microscopic computed tomography (microCT) and nanoindentation to evaluate whether SDF composite application could effectively arrest dental caries in five exfoliated primary molars. Methods: Carious teeth were extracted and visually examined using quantitative photofluorescence devices (Qraycam and QraypenTM). After performing microCT, the SDF composite was applied to the teeth according to the manufacturer's instructions. The researchers exchanged and precipitated the irritant saliva once daily for 1 week. The teeth were sectioned longitudinally through the centers of the mesial and distal surfaces, embedded, polished, and measured using nanoindentation. Thereafter, microCT was repeated. Statistical analyses were performed using GraphPad Prism software. Results: Following SDF composite application, a remineralized layer was observed on microCT images, and the hardness increased when measured using nanoindentation. We found that demineralized enamel presented with an increased number of irregular crystals in the deep carious lesion group compared with those in the shallow carious lesion group, resulting in a rougher surface. Conclusion: The SDF composite may be used for remineralization of early caries and cessation of advanced caries in primary molars.

• Nuclear Engineering and Technology
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• 제55권5호
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• pp.1527-1532
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• 2023

The noise reduction algorithm using the non-local means (NLM) approach is very efficient in nuclear medicine imaging. In this study, the applicability of the NLM noise reduction algorithm in single-photon emission computed tomography (SPECT) images with a brain phantom and the optimization of the NLM algorithm by changing the smoothing factors according to various reconstruction methods are investigated. Brain phantom images were reconstructed using filtered back projection (FBP) and ordered subset expectation maximization (OSEM). The smoothing factor of the NLM noise reduction algorithm determined the optimal coefficient of variation (COV) and contrast-to-noise ratio (CNR) results at a value of 0.020 in the FBP and OSEM reconstruction methods. We confirmed that the FBP- and OSEM-based SPECT images using the algorithm applied with the optimal smoothing factor improved the COV and CNR by 66.94% and 8.00% on average, respectively, compared to those of the original image. In conclusion, an optimized smoothing factor was derived from the NLM approach-based algorithm in brain SPECT images and may be applicable to various nuclear medicine imaging techniques in the future.