• 제목/요약/키워드: ultrasound radiation

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Diagnosis of Nonmigrating Metallic Foreign Bodies in the Abdomen Using Ultrasound: An Alternative Approach Using a Traditional Method

  • Pak, Seong Min;Lee, Yeoun Joo;Hwang, Jae Yeon
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제25권1호
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    • pp.87-91
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    • 2022
  • Ingestion of foreign bodies (FBs) is a common phenomenon among young children. Plain radiography is the first step diagnostic modality to detect the radio-opaque FBs. And computed tomography has been recommended by several guidelines as useful modalities for diagnosing ingested FBs. However, there is a risk of radiation exposure, making it burdensome to use in asymptomatic patients. Ultrasound (US) is not a commonly used technique for diagnosing ingested foreign bodies. However, US can provide real-time imaging with good resolutions without radiation exposure in pediatric patients. Herein, we report two pediatric cases of metallic foreign body ingestion that were successfully diagnosed using US for localizing foreign bodies. This study indicates that US may be used as an alternative method for detecting the localization of metallic foreign bodies in the gastrointestinal tract without exposure of radiation, particularly in pediatric patients.

주관절의 초음파 소견 및 이용 (The Use and Findings of Ultrasound in the Elbow Joint)

  • 배정연;이승준;이건우
    • 대한정형외과 초음파학회지
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    • 제6권2호
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    • pp.94-100
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    • 2013
  • 근골격계 초음파는 방사선 노출에서 자유로우며, MRI 에 비해 저렴한 가격, 외래에서 쉽게 시술할 수 있는 접근성, 또한, 이학적 검사와 함께 병행하면서 검사의 정확성을 더 높일 수도 있는 독특한 장점을 가지고 있다. 스트레스 검사와 함께 동적으로 시행하는 초음파 검사는 건, 인대, 신경 등의 숨은 병변을 확인하는 데에 유용한 것으로 알려져 있다. 주관절 초음파는 관절면, 활액막 공간에 대한 검사, 외측 상과염, 내측 상과염 등의 건 관련 질환이나 말초 신경의 병적 상태에 대한 진단 및 초음파 유도하 전, 후방 점액낭 및 관절내 주사를 위해 외래에서 손쉽게 사용될 수 있다.

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골반통 환자의 질환 검사: 초음파와 컴퓨터단층촬영 간의 비교 (Disease Testing in Pelvic Pain Patients: Comparison between Ultrasound and Computed Tomography Imaging)

  • 구은회
    • 방사선산업학회지
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    • 제17권4호
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    • pp.385-390
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    • 2023
  • The uterus, one of women's reproductive organs, is also closely related to women's health. Among them, hemorrhagic luteal cysts, one of the causes of pelvic pain that women often experience, were observed through CT and ultrasound, and the quality of images was evaluated through quantitative and qualitative evaluations. This study sought to find out whether the test method is more helpful to patients during CT and ultrasound. This study was conducted on 15 adolescent women and 15 adult women(21.31±3.45 average age). The equipment used for filming used EC3-10X (3~10 MHZ) and Philips Mx8000 iCT 256 among Endocavity Probes among Ecube Platinum. After setting a constant ROI on the cyst and the interface as a quantitative analysis method, SNR and CNR values were measured on a 5-point scale based on image quality, lesion clarity, image distortion, clarity of the interface, and motion artifacts (p<0.05). Independent t-test and Mann Whiteny U were performed, and the statistical program used was noted when SPSS (Version 22.0 for windows software package, Chicago, IL, USA) was statistically less than 0.05. Comparing the SNR and CNR values for this experiment, it can be seen that the SNR value was higher in the case of CT images(p<0.05). As a result of the qualitative evaluation, the quality of the image, the clarity of the lesion, the distortion of the image, the clarity of the interface, and the clarity of the boundary were measured on a 5-point scale based on the movement artifact. Comparing each score, CT images scored higher with a finer difference than ultrasound images(p<0.05). In conclusion, both test methods showed excellent results in finding the patient's lesions. However, in quantitative and qualitative evaluations, CT produced higher results in detecting lesions than ultrasound. However, for cyst tests that require continuous observation, ultrasonography, a non-invasive method that is advantageous for patients, will be clinically useful. Therefore, observing the patient's lesions by appropriately distributing these two test methods will provide optimal diagnostic information. These results will be useful for providing clinical basic data and educational materials to CT and US users in the future.

Ultrasound-Guided Pain Interventions - A Review of Techniques for Peripheral Nerves

  • Soneji, Neilesh;Peng, Philip Wenn Hsin
    • The Korean Journal of Pain
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    • 제26권2호
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    • pp.111-124
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    • 2013
  • Ultrasound has emerged to become a commonly used modality in the performance of chronic pain interventions. It allows direct visualization of tissue structure while allowing real time guidance of needle placement and medication administration. Ultrasound is a relatively affordable imaging tool and does not subject the practitioner or patient to radiation exposure. This review focuses on the anatomy and sonoanatomy of peripheral non-axial structures commonly involved in chronic pain conditions including the stellate ganglion, suprascapular, ilioinguinal, iliohypogastric, genitofemoral and lateral femoral cutaneous nerves. Additionally, the review discusses ultrasound guided intervention techniques applicable to these structures.

표면결함유형이 초음파 후방산란 프로파일에 미치는 영향 (Effect of Surface Flaw Type on Ultrasonic Backscattering Profile)

  • 권성덕;윤석수
    • 비파괴검사학회지
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    • 제21권6호
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    • pp.658-662
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    • 2001
  • 후방산란된 초음파의 입사각 의존성을 이용한 표면 결함유형의 평가가 시도되었다. 평탄한 유리위에 순수한 홈, 구리로 채워진 홈, 표면위 붙여진 구리선등의 표면결함 시편에 대한 후방산란 프로파일은 제 1 임계각에서 종파의 산란과 관련된 새로운 프로파일을 보여주었다. 결함에 의한 산란효과가 클수록 후방프로파일들의 정점 위치는 작게 나타났으며 후방복사 프로파일과 정점 위치에서의 파열의 모양은 결함의 유형과 위치에 따라 누수파와 산란파의 복합적 요인에 의해 다른 형태를 보여주었다.

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무작위로 거친 표면에서의 후방복사 초음파 (Ultrasonic Backward Radiation on Randomly Rough Surface)

  • 권성덕
    • 비파괴검사학회지
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    • 제25권1호
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    • pp.9-14
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    • 2005
  • 표면 거칠기가 다른 유리시편에 대해 후방 복사된 초음파 세기의 입사각 의존성(프로파일)이 측정되었다. 후방복사 세기와 레일리(Rayleigh) 표면파 속도는 표면 거칠기에 비례하였고 이 경향은 각기 초음파의 산란규칙과 경화현상으로 설명되었다. 후방복사 프로파일의 면적 역시 표면 거칠기에 민감함을 보여 표면상태에 대한 새로운 비파괴적 평가 변수의 가능성을 보였다. 레일리 각 C-스캔 기법은 화상 명도의 반전과 높은 신호대 잡음비(S/N)를 보여주었다.

강내온열 치료를 위한 원통형 초음파 치료기 개발 (Development of a cylindrical ultrasound applicator for Intracavitary Hyperthermia)

  • Lee, Rena J.;Hyunsuk Suh
    • 한국의학물리학회지:의학물리
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    • 제13권2호
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    • pp.79-84
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    • 2002
  • 항문암 및 자궁경부암 치료시 사용되는 고선량률 강내 근접치료기와 병행하여 사용할 원통형 초음파 온열치료가 개발되었다. 온열치료를 위한 에너지원으로 원통형 트랜스듀서가(PZT-8 물질, 길이=1.5 cm 두께=1.5 mm 외경= 2.5cm) 사용되었다. PZT-8 물질의 특성을 측정하기위해 세 개의 단일 엘리멘트 어플리케이터가 제작되었다. PZT 물질을 작동하기 위한 주파수를 결정하기 위하여 벡터 임피던스가 측정되었다. 선택된 물질이 온열치료에 사용될 수 있는지 가능성을 타진하기위해 방사능력을 측정하는 방법으로 각 엘리맨트의 초음파발생 효율을 입력한 전기량과 발생한 초음파량의 비로 계산하였다. 마지막으로 질암의 온열치료에 사용할 수 있는 다채널 초음파 치료기가 디자인 되었다. 임피던스 실험결과 각 엘리맨트 1, 2, 그리고 3에 대해 1.78, 1.77, 그리고 1.77 MHz의 주파수에서 최대 임피더스 값을 얻었다. 방사능력 측정 실험결과 본 연구에서 사용된 에너지 소스는 40와트 이상의 초음파량이 방출되었다. 또한 각 엘리맨트 1, 2, 그리고 3의 평균 효율은 61.4, 65.2, 그리고 54.0% 이다. 본 연구에서 디자인되어진 원통형 초음파 치료기는 질 또는 항문 치료 시 고선량 강내근접치료와 더불어 사용할 수 있음이 증명되었다. 따라서 본 연구에서 개발된 온열 치료기구가 고 선량 강내 근접치료와 함께 사용하여 병변조직의 방사능 민감도를 증가시켜 암 치료효율을 높일수 있다.

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Hepatic Hemangiomas: Spectrum of US Appearances on Gray-scale, Power Doppler, and Contrast-Enhanced US

  • Kyoung Won Kim;Tae Kyoung Kim;Joon Koo Han;Ah Young Kim;Hyun Ju Lee;Seong Ho Park;Young Hoon Kim;Byung Ihn Choi
    • Korean Journal of Radiology
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    • 제1권4호
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    • pp.191-197
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    • 2000
  • Because US plays a key role in the initial evaluation of hepatic hemangiomas, knowledge of the entire spectrum of US appearances of these tumors is important. Most hemangiomas have a distinctive US appearance, and even with those with atypical appearances on conventional gray-scale US, specific diagnoses can be made using pulse-inversion harmonic US with contrast agents. In this essay, we review the spectrum of US appearances of hepatic hemangiomas on conventional gray-scale, power Doppler, and pulse-inversion harmonic US with contrast agents.

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식도암에서의 $^{18}F-FDG$ PET의 임상 이용 (Clinical Application of $^{18}F-FDG$ PET in Esophageal Cancer)

  • 최준영
    • Nuclear Medicine and Molecular Imaging
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    • 제42권sup1호
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    • pp.32-38
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    • 2008
  • This review focuses on the clinical use of $^{18}F-FDG$ PET in esophageal cancer. For initial staging of esophageal cancer, $^{18}F-FDG$ PET is better than chest CT and is complementary to endoscopic ultrasound. Due to its good results for detecting distant metastasis, $^{18}F-FDG$ PET evades unnecessary curative surgery. Also, PET findings are associated with prognosis in esophageal cancer. $^{18}F-FDG$ PET seems to be useful for detecting recurrence and restaging in esophageal cancer. For therapy response assessment, $^{18}F-FDG$ PET is effective after chemotherapy or radiation therapy. $^{18}F-FDG$ PET is useful to predict pathological response after neoadjuvant therapy in esophageal cancer, which is better than chest CT and endoscopic ultrasound. For radiation therapy planning, $^{18}F-FDG$ PET may be helpful, but requires further investigations.

초음파를 이용한 온열료법시 온도분포에 관한 연구 (Thermometry in Hyperthermia induced by Ultrasound A Phantom study)

  • 박찬일;고경환;하성환
    • Radiation Oncology Journal
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    • 제2권1호
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    • pp.21-23
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    • 1984
  • Temperature homogeniety and stationary temperature is the most important thermometric considerations for the clinical use of hyperthermia. A thermal mapping was done in a phantom with thermocouple during hyperthermia which was induced by 1.0MHz,$0.7\~0.8watts/cm^2$ ultrasound and unfocused 2.5cm-diameter transducer. The results were as follows 1. Effective heating range$(42.5^{|circ}C\pm0.5^{\circ}C)$ were obtained 3cm in width and 4cm in depth from surface of phantom and temperature distribution was relatively uniform. 2. There was little heating effect more than 2cm away from transducer axis and more than 5cm in depth. 3. There was hot spots(more than $43^{\circ}C$) in $2.0\pm0.5cm$ depth from transducer along tranducer axis.

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