• 대한방사선치료학회지
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• 제26권2호
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• pp.183-189
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• 2014

목 적 : 조영제는 CT모의치료시 정상조직과 악성종양을 구분하는데 뛰어난 대조도를 제공하기 때문에 CT모의치료에 널리 사용하고 있다. 하지만 조영제는 치료계획 CT에서 일시적으로 존재하기 때문에, 치료계획과 실제 치료 사이에는 Hounsfield Unit(HU)의 차이가 발생하게 된다. 이에 본 연구에서는 조영제 사용으로 인한 HU의 변화가 양성자 치료계획에 미치는 영향을 확인 하고자한다. 대상 및 방법 : 20명의 간암 환자에게서 Phase에 따른 HU값의 변화를 측정하였다, 그리고 5명의 양성자치료계획에서 HU변화에 따른 Range와 Spread-Out Bragg peak(SOBP)의 변화를 살펴보았다. Hand made water phantom을 이용하여 깊이와 HU의 변화에 따른 Range와 SOBP의 변화를 확인하였다. 결 과 : 20명 간암 환자의 HU 변화(Pre contrast, Arterial phase, Porta phase)는 간 조직에서 ($58{\pm}5.7$, $75{\pm}9.5$, $117{\pm}14.6$)이었으며 대동맥에서($40{\pm}6.1$, $279{\pm}49.0$, $154{\pm}22.8$)이었다. 5명의 간암 양성자치료계획에서 HU 변화에 따른 Range 변화는 평균 2.5 mm, SOBP 변화는 평균 1.4 mm 이었다. Hand made water phantom study에서는 HU가 증가함에 따라 Range는 감소되었고 SOBP는 줄어들었다. 결 론 : 양성자 치료계획에서 HU값의 변화는 양성자 Range와 SOBP를 변화시켰다. 실제 양성자 빔에서 HU 변화에 따른 Range와 SOBP의 변화에 대한 추가적인 연구가 필요할 것으로 사료 된다.

• The Korean Journal of Pain
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• 제34권3호
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• pp.339-345
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• 2021

Background: Ultrasound-guided caudal epidural injection (CEI) is limited in that it cannot confirm drug distribution at the target site without fluoroscopy. We hypothesized that visualization of solution flow through the inter-laminar space of the lumbosacral spine using color Doppler ultrasound alone would allow for confirmation of drug distribution. Therefore, we aimed to prospectively evaluate the usefulness of this method by comparing the color Doppler image in the paramedian sagittal oblique view of the lumbosacral spine (LS-PSOV) with the distribution of the contrast medium observed during fluoroscopy. Methods: Sixty-five patients received a 10-mL CEI of solution containing contrast medium under ultrasound guidance. During injection, flow was observed in the LSPSOV using color Doppler ultrasonography, following which it was confirmed using fluoroscopy. The presence of contrast image at L5-S1 on fluoroscopy was defined as "successful CEI." We then calculated prediction accuracy for successful CEI using color Doppler ultrasonography in the LS-PSOV. We also investigated the correlation between the distribution levels measured via color Doppler and fluoroscopy. Results: Prediction accuracy with color Doppler ultrasonography was 96.9%. The sensitivity, specificity, positive predictive value, and negative predictive value were 96.7%, 100%, 100%, and 60.0%, respectively. In 52 of 65 patients (80%), the highest level at which contrast image was observed was the same for both color Doppler ultrasonography and fluoroscopy. Conclusions: Our findings demonstrate that color Doppler ultrasonography in the LS-PSOV is a new method for determining whether a drug solution reaches the lumbosacral region (i.e., the main target level) without the need for fluoroscopy.

• 한국의학물리학회지:의학물리
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• 제24권3호
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• pp.176-182
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• 2013

본 연구의 목적은 건강한 검진자들을 대상으로 F-18 FDG PET/CT 전신 영상에서 진단 수준을 향상하고자 관심부피를 이용하여 정상부위의 SUVs, 즉 SUVLBM, SUVBW, SUVBSA의 데이터를 마련하였다. 각각의 최대치(maximum), 평균치(mean), 표준편차(standard deviation), 역치(threshold)를 제시 하고자 한다. 2012년 7월부터 8월까지 전신 F-18 FDG PET/CT 검사를 시행한 총 31명을 대상으로 SUVs를 측정 하였다. 측정의 정확도를 높이고자 핵의학 전문의의 소견으로 이중에서 26명의 건강한 수검자를 대상으로 하였다. 조영제 사용유무와 관계없이 PET/CT의 SUVs 측정에서 SUVBW의 측정치가 가장 높았으며, SUVLBM, SUVBSA 순으로 나타났다. SUVLBM-최대치를 이용하여 조영제를 사용하지 않은 군과 사용한 군을 비교했을 경우, 조영제를 사용했을 경우 측정치가 증가하는 경향을 보였으며, 8부위 중 간, 대동맥, 요추-5, 소뇌는 매우 유의하게 차이가 있는 것으로 나타났다(p<0.05). PET/CT의 모든 영상의 판독에서 본 SUVs 데이터가 조기정밀/진단 수준을 향상 하는데 기초 자료가 될 것이라고 판단되며, VOI를 이용한 연구가 활발히 이루어지길 기대한다.

• 대한가정학회지
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• 제35권2호
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• pp.159-172
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• 1997

The purpose of this study was to investigate visual evaluation according to various methods of motif presentation and the value contrast between the motif and background. The instruments developed for this purpose were two sets of stimuli and a response scale. the first set consisted of pattern stimuli. they were eight photographs of floral patterns constructed by using six different motif presentation methods and two different value contrasts. The second set had eight clothing stimuli, photographs of clothings with the above floral patterns. The 7-point sementic differential scale of 19 bipolar adjectives was used as the response scale. The data was analyzed by factor analysis, ANOVA and T-test. The major findings from this study were as follows; 1. Four factors emerged to account for the dimensional structure of the floral pattern image. These factors were attractiveness, tenderness, attention, and maturity. among them attractiveness and tenderness were the major dimensions 2. The patterns and the clothings had no significant difference from each other in terms of attractiveness and tenderness, but in terms of maturity and attention. The pattern presented a cute and sober image, but the clothing presented mature and gorgeous image. 3. methods of motif presentation had significant effects on all the factors. The pattern by shading method gave the most attractive and soft image, the one by line the most soberest, the one by area the most gorgeous, the one by collage the most unattractive, hardest, and cutest, and the one by mosaics the maturest. 4. The value contrast between the motif and background had no significant effects on attractiveness and maturity, but on tenderness and attention. The patterns with a high valued background presented a soft image, but the one with a low valued background a hard image. The patterns with a low valued area presented gorgeous image.

• 방송공학회논문지
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• 제22권3호
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• pp.375-380
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• 2017

본 논문은 single image에서 측정한 빛 전달량 값과 local contrast 값을 사용하여 안개 량을 수치화하는 방법을 제안한다. 제안하는 방법은 빛 전달량 값을 사용하여 안개로 예측되는 지역을 추정하고, 추정된 안개 예측 지역의 넓이와 해당 지역의 local contrast 크기의 범위를 사용하여 안개 정도를 수치화 한다. single image에서 측정 가능한 안개 의 물리적 특성들을 고려하였기 때문에 기존의 안개 검출 알고리즘들이 구분하지 못했던 영상들에서도 안개 량을 정확하게 측정하였다. 실제 빛의 산란 정도를 측정하는 감광 계수 측정계를 사용하여 측정한 안개 량과 제안하는 방법의 수치를 비교했을 때, 다양한 환경과 물체를 포함한 영상들에서 95%이상의 정확도로 안개 정도를 수치화 하였다. 또한 빛 전달량 추정 과정에서 local contrast 값을 추출하여 사용하기 때문에 기존의 빛 전달량을 측정하는 방법에서 복잡도를 거의 증가시키지 않는다.

• 대한방사선기술학회지:방사선기술과학
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• 제20권2호
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• pp.73-78
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• 1997

The goal of this paper is that we know the usefulness of echo-planar imaging(EPI) for discriminate between hepatocellular carcinoma(HCC) and hemangioma. We get a time signal intensity curve for liver diseases from the dynamic contrast enhancement images and compared and analyze both the contrast ratio(CR) and the contrast to noise ratio(CNR) using echo planar imaging. The obtained results are follows : 1. Hepatocellular carcinoma was shown the best contrast after about 20 seconds when Is the earlist time in the main artery, and then reduced. The center where is disease was shown the characteristic that the best contrast is appeared after about 35-45 seconds and then slowly reduced. Liver parenchyma was shown the best contrast and reduced after 60 seconds. 2. The peripheral nodular of hemangioma was shown the better contrast soon. On the other hend, the contrast of center where is disease started to increase after 60 seconds and was equal to that of liver parenchyma. Increasing of the contrast continued after. 3. Turbo SE technic was used, the average of CR for hepatocellular carcinoma was $36.7{\pm}1.2$ and the average of CNR was $2.4{\pm}3.2$, while the average of CNR for hemangioma was $54.9{\pm}1.0$ and the average of CNR was $9.7{\pm}1.3$. 4. EPI technic was used, the average of CR for hepatocellular carcinoma was $47.8{\pm}1.2$ and the average of CNR was $3.4{\pm}2.1$, while the average of CNR for hemangioma was $75.7{\pm}2.2$ and the average of CNR was $9.5{\pm}1.1$. According to above we can find that hemangioma is more bright than hepatocellular carcinoma and the difference of brightness between hepatocellular carcinoma and hemangioma is useful sequence.

• 대한방사선기술학회지:방사선기술과학
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• 제22권1호
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• pp.43-47
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• 1999

In order to obtain effective utilization of intensifying screens[$CaWO_4(W),\;Gd_2O_2S:Tb(Gd)$, BaFCl : Eu(Ba)] over the diagnostic radiology range, we calculated absorption coefficient (${\mu}$), absorption efficiency (${\eta}_{\alpha}$) and absorbed energy ratio(R) and analyzed effects of these properties on X-ray image, finally concluded as below. Regardless of presence of contrast media, absorption coefficient of Gd the highest and decreased with increase of thickness and kVp. Absorption efficiency related with absorbance of fluorescent materials showed the highest value for the Gd, and discontinuous points exhibited at around $80{\sim}90\;kVp$ and $90{\sim}100kVp$ for the Ba and the Gd, respectively. Furthermore, the absorbed energy ratio(R) correspond to contrast of reflection showed the largest value for the W in the absence of contrast media, and for the Gd in the case of the existence of it, and the ratio was decreased with increasing of incident energy. Owing to these properties, we assumed that it was more preferable to use rare earth type intensifying screen for the radiography using in the C.M.(I, Ba), while in the general radiography, $CaWO_4$ intensifying screen was applicable.

• 한국소음진동공학회논문집
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• 제18권7호
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• pp.701-710
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• 2008

Including a TV set and a monitor, personal audio system is raising a great interest. In this study, we applied a method to make a good bright zone around the user and dark zone to other region by maximizing the ratio of sound energy between the bright and dark zone. It has been well known as acoustic contrast control. We have attempted to use a line loudspeaker array system to localize the sound in our listening zone. It depends on the size of the zone and array parameters, for example, array size, loudspeaker unit spacing, wave length of sound. We have considered these parameters as spatial variables and studied the effects. And we have found that each spatial variable has its own characteristic and shows very different effect. Genetic algorithms are introduced to find out the optimum value of spatial variables. As a result, we can improve the result of the acoustic contrast control by optimum value of spatial variables.

• 센서학회지
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• 제13권1호
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• pp.56-65
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• 2004

In this paper, we proposed the detection algorithm of microcalcification based on region growing method with contrast and edge sharpness in digital X-ray mammographic images. We extracted the local maximum pixel and watershed regions by using watershed algorithm. Then, we used the mean slope between local maximum and neighborhood pixels to extract microcalcification candidate pixels among local maximum pixels. During increasing threshold value to grow microcalcification region, at the maximum threshold value of the contrast and edge sharpness, the microcalcification area is decided. The regions of which area of grown candidate microcalfication region is larger than that of watershed region are excluded from microcalcifications. We showed the diagnosis algorithm can be used to aid diagnostic-radiologist in the early detection breast cancer.

• 대한방사선기술학회지:방사선기술과학
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• 제39권4호
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• pp.535-541
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• 2016

심장혈관검사에서 전산화단층검사(cardiac computed tomography; CCTA)와 혈관조영검사(coronary angiography; CAG)의 입사표면선량을 후향적 방법으로 분석하여 선량의 저감화 방안을 알아보고 조영제 사용량을 실제 측정하여 신기능 저하 환자 및 부작용 발생 확률이 높은 환자 등의 검사 선택 결정에 대한 역할을 확인하고자 하였다. 양 검사의 입사표면선량인 전산화단층촬영지수($CTDI_{vol}$)값과 공기 커마(air kerma)값, 그리고 프레임 수에 따른 조영제 사용량 등을 비교 분석하였다. 실험 대상으로는 2014년 5월부터 2016년 5월까지 본원에서 CCTA와 CAG를 시행한 21명(남11, 여10)을 대상으로 하였고 연령대는 48~85세(평균 $65{\pm}10$세)이고, 몸무게는 37.6~83.3 kg(평균 $63{\pm}6kg$)였다. CAG보다 CCTA를 이용한 심장혈관 검사가 선량의 감소를 기대할 수 있고 조영제 사용량에 있어서는 CCTA보다 CAG가 더 적은 양을 사용한다는 것을 알 수 있었다. 특히 CAG에서 프레임 수가 증가함에 따라 조영제 사용량이 늘어나므로 촬영범위에 적합한 프레임 수를 선택하여 검사 할수록 조영제 사용량을 더욱 감소시킬 수 있을 것으로 사료된다.