• Clinics in Shoulder and Elbow
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• 제24권4호
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• pp.209-214
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• 2021

Background: The treatment for acromioclavicular joint injuries (ACJI) ranges from a conservative approach to extensive surgical reconstruction, and the decision on how to manage these injuries depends on the grade of acromioclavicular (AC) joint separation, resources, and skill availability. After a thorough review of the literature, the researchers adopted a simple cost-effective technique of AC joint reconstruction for acute ACJI requiring surgery. Methods: This was a prospective single-center study conducted between April 2017 and April 2018. For patients with acute ACJI more than Rockwood grade 3, the researchers performed open coracoclavicular ligament reconstruction using synthetic sutures along with an Endobutton and a figure of 8 button plate. This was followed by AC ligament repair augmenting it with temporary percutaneous AC K-wires. Clinical outcomes were evaluated using the Constant Murley shoulder score. Results: Seventeen patients underwent surgery. The immediate postoperative radiograph showed an anatomical reduction of the AC joint dislocation in all patients. During follow-up, one patient developed subluxation but was asymptomatic. The mean follow-up period was 30 months (range, 24-35 months). The mean Constant score at 24 months was 95. No AC joint degeneration was noted in follow-up X-rays. The follow-up X-rays showed significant infra-clavicular calcification in 11 of the 17 patients, which was an evidence of a healed coracoclavicular ligament post-surgery. Conclusions: This study presents a simple cost-effective technique with a short learning curve for anatomic reconstruction of acute ACJI. The preliminary results have been very encouraging.

• Journal of Radiation Protection and Research
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• 제42권4호
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• pp.197-204
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• 2017

Background: X-ray imaging detectors for the nondestructive cargo container inspection using MeV-energy X-rays should accurately portray the internal structure of the irradiated container. Internal and external factors can cause noise, affecting image quality, and scattered radiation is the greatest source of noise. To obtain a high-performance transmission image, the influence of scattered radiation must be minimized, and this can be accomplished through several methods. The scatter rejection method using an anti-scatter grid is the preferred method to reduce the impact of scattered radiation. In this paper, we present an evaluation the characteristics of the signal and noise according to physical and material changes in the anti-scatter grid of the imaging detector used in cargo container scanners. Materials and Methods: We evaluated the characteristics of the signal and noise according to changes in the grid ratio and the material of the anti-scatter grid in an X-ray image detector using MCNP6. The grid was composed of iron, lead, or tungsten, and the grid ratio was set to 2.5, 12.5, 25, or 37.5. X-ray spectrum sources for simulation were generated by 6- and 9-MeV electron impacts on the tungsten target using MCNP6. The object in the simulation was designed using metallic material of various thicknesses inside the steel container. Using the results of the computational simulation, we calculated the change in the scatter-to-primary ratio and the signal-to-noise ratio improvement factor according to the grid ratio and the grid material, respectively. Results and Discussion: Changing the grid ratios of the anti-scatter grid and the grid material decreased the scatter linearly, affecting the signal-to-noise ratio. Conclusion: The grid ratio and material of the anti-scatter grid affected the response characteristics of a container scanner using high-energy X-rays, but to a minimal extent; thus, it may not be practically effective to incorporate anti-scatter grids into container scanners.

• Tuberculosis and Respiratory Diseases
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• 제39권1호
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• pp.15-23
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• 1992

연구배경 : 폐암은 가장 흔한 암중의 하나로 예후가 좋지 않아 폐암의 조기진단은 매우 중요하다. 폐암의 조기진단에는 객담세포진검사와 단순흉부 X-선 촬영이 쓰이고 있으나 이런 방법들에는 한계점들이 있다. 따라서 연구자들은 단순흉부 X-선 촬영상 종괴가 없었던 폐암환자들을 분석함으로써 폐암의 조기진단에 도움을 얻고자 본 연구를 시행하였다. 방법 : 1986년 8월부터 1989년 6월까지 서울대학교병원에서 폐암으로 진단 받은 환자중 단순흉부 X-선 촬영상 종괴가 없었던 11명의 환자들을 대상으로 후향적 연구를 시행하였다. 결과 : 11명중 10명이 남자였고, 8명에서 흡연력이 있었고, 증상으로는 가래, 기침, 그리고 각혈이 많았으며, 이학적 검사상 천명음이나 천음이 들렸던 환자는 3예였다. 단순흉부 X-선 촬영에서 3예에서 확실한 종괴는 없었으나 후에 폐암으로 밝혀진 부위에 불명확한 침윤, 주사열의 비후, 폐결핵증의 소견이 있었으며, 그리고 1예에서는 늑골에 종괴가 가려져 있었던 경우가 있었다. 또 1예에서는 단순흉부 X-선 촬영에서는 종괴가 없었으나 흉부 측면촬영상 종괴가 보였던 경우가 있었다. 폐암의 위치확인의 방법으로는 기관지내시경검사와 흉부 전산화 단층촬영이 유용하였다. 병리학적으로는 11명중 7예가 편평상피세포암이었다. 이들의 병기는 제 2기이하가 5예로서 비교적 조기에 발견된 경우가 많았으며, 11명중 4명이 수술후 2년반에서 4년동안 병의 재발의 증거없이 본원외래를 다니고 있다. 결론 : 호흡기증상이 있고 폐암의 가능성을 배제하지 못하는 환자들에서는 흉부 측면사진과 객담세포진검사 등이 필요할 것이고, 폐암이 의심되면 흉부 전산화 단층촬영과 기관지 내시경 등의 검사들이 적극적으로 시행되어 폐암의 조기진단에 도움을 주어야 한다고 생각된다.

• 천문학회지
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• 제37권5호
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• pp.387-392
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• 2004

X-ray observations of galaxy clusters have played an important role in cosmology, especially in determining the cosmological density parameter and the fluctuation amplitude. While they represent the bright side of the universe together with the other probes including the cosmic microwave background and the Type Ia supernovae, the resulting information clearly indicates that the universe is dominated by dark components. Even most of cosmic baryons turns out to be dark. In order to elucidate the nature of dark baryons, we propose a dedicated soft-X-ray mission, DIOS (Diffuse Intergalactic Oxygen Surveyor). Recent numerical simulations suggest that approximately 30 to 50 percent of total baryons at z = 0 take the form of the warm-hot intergalactic medium (WHIM) with $10^5K < T < 10^7K $which has evaded the direct detection so far. The unprecedented energy resolution (${\~} 2eV$) of the XSA (X-ray Spectrometer Array) on-board DIGS enables us to identify WHIM with gas temperature $T = 10^6 {\~} 10^7K$ and overdensity $\delta$ = 10 ${\~}$ 100 located at z < 0.3 through emission lines of OVII and OVIII. In addition, WHIMs surrounding nearby clusters are detectable with a typical exposure time of a day, and thus constitute realistic and promising targets for DIOS.

• 대한디지털의료영상학회논문지
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• 제11권2호
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• pp.69-77
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• 2009

This study gives an account of the collateral standards in IEC 60601-1-3: 2008 specifying the general requirements for basic safety and essential performance of diagnostic X-ray equipment regarding radiation protection as it pertains to the production of X-rays. The collateral standards establish general requirements for safety regarding ionization radiation in diagnostic radiation systems and describe a verifiable evaluation method of suitable requirements regarding control over the lowest possible dose equivalent for patients, radiologic technologists, and others. The particular standards for each equipment can be determined by the general requirements in the collateral standard and the particular standard is followed in the risk management file. The guidelines for radiation safety of diagnostic radiation systems is written up in ISO 13485, ISO 14971, IEC 60601-1-3(2002)1st edition, medical electric equipment part 1-3, and the general requirements for safety-collateral standards: programmable electrical medical systems. Therefore the diagnostic radiation system protects citizens' health rights with the establishment and revisions of laws and standards for diagnostic radiation systems as a background for the general requirements of radiation safe guards applies, as an international trend, standards regarding the medical radiation safety management. The diagnostic radiation system will also assure competitive power through a conforming evaluation unifying the differing standards, technical specifications, and recognized processes.

• Journal of Radiation Protection and Research
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• 제41권2호
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• pp.179-183
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• 2016

Background: As an important detecting device, TLD is a widely used in the radiation monitoring. It is essential for us to study the property of detecting element. The aim of this study is to calculate the thermo-luminescence efficiency of TL elements. Materials and Methods: A batch of thermo-luminescence elements were irradiated by the filtered X-ray beams of average energies in the range 40-200 kVp, 662 keV $^{137}Cs$ gamma rays and then the amounts of lights were measured by the TL reader. The deposition energies in elements were calculated by theory formula and Monte Carlo simulation. The unit absorbed dose in elements by photons with different energies corresponding to the amounts of lights was calculated, which is called the thermo luminescent efficiency (${\eta}^{(E)}$). Because of the amounts of lights can be calculated by the absorbed dose in elements multiply ${\eta}^{(E)}$, the ${\eta}^{(E)}$ can be calculated by the experimental data (the amounts of lights) divided by absorbed dose. Results and Discussion: The deviation of simulation results compared with theoretical calculation results were less than 5%, so the absorbed dose in elements was calculated by simulation results in here. The change range of ${\eta}^{(E)}$ value, relative to 662 keV $^{137}Cs$ gamma rays, is about 30% in the energy range of 33 keV to 662 keV, is in accordance by the comparison with relevant foreign literatures. Conclusion: The ${\eta}^{(E)}$ values can be used for updating the amounts of lights that are got by the direct ratio assumed relations with deposition energy in TL elements, which can largely reduce the error of calculation results of the amounts of lights. These data can be used for the design of individual dosimeter which used TLD-2000 thermo-luminescence elements, also have a certain reference value for manufacturer to improve the energy-response performance of TL elements by formulation adjustment.

• Asian Pacific Journal of Cancer Prevention
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• 제15권7호
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• pp.3211-3217
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• 2014

Background: The current study investigated the effects of Piper longumine on radio-sensitization of human breast cancer MDA-MB-231 cells and underlying mechanisms. Materials and Methods: Human breast cancer MDA-MB-231 cells were cultured in vitro and those in logarithmic growth phase were selected for experiments divided into four groups: control, X-ray exposed, Piper longumine, and Piper longumine combined with X-rays. Conogenic assays were performed to determine the radio-sensitizing effects. Cell survival curves were fitted by single-hit multi-target model and then the survival fraction (SF), average lethal dose ($D_0$), quasi-threshold dose ($D_q$) and sensitive enhancement ratio (SER) were calculated. Cell apoptosis was analyzed by flow cytometry (FCM). Western blot assays were employed for expression of apoptosis-related proteins (Bc1-2 and Bax) after treatment with Piper longumine and/or X-ray radiation. The intracellular reactive oxygen species (ROS) level was detected by FCM with a DCFH-DA probe. Results: The cloning formation capacity was decreased in the group of piperlongumine plus radiation, which displayed the values of SF2, D0, Dq significantly lower than those of radiation alone group and the sensitive enhancement ratio (SER) of D0 was1.22 and 1.29, respectively. The cell apoptosis rate was increased by the combination treatment of Piper longumine and radiation. Piper longumine increased the radiation-induced intracellular levels of ROS. Compared with the control group and individual group, the combination group demonstrated significantly decreased expression of Bcl-2 with increased Bax. Conclusions: Piper longumine at a non-cytotoxic concentration can enhance the radio-sensitivity of MDA-MB-231cells, which may be related to its regulation of apoptosis-related protein expression and the increase of intracellular ROS level, thus increasing radiation-induced apoptosis.

• Progress in Superconductivity
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• 제9권2호
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• pp.162-166
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• 2008

We are developing a sensitive gamma ray spectrometer based on superconducting transition edge sensors. The detector consists of a small piece of high purity Sn as an absorber and a Ti/Au bilayer as a temperature sensor. It is designed to measure the thermal signal caused by absorption of gamma rays. The mechanical support and the thermal contact between the absorber and the thermometer were made with Stycast epoxy. The bilayer was formed by e-beam evaporation and patterned by wet etching on top of a $SiN_X$ membrane. A sharp superconducting transition of the film was measured near 100 mK. When the film was biased to the edge of the transition, signals were observed due to single photon absorption emitted from an $^{241}Am$ source. The measured spectrum showed several characteristic peaks of the source including 59.5 keV gamma line. The full with at half maximum was about 900 eV for the 59.5 keV gamma line. The background was low enough to resolve low energy lines. Considerations to improve the energy resolution of the gamma ray spectrometer are also discussed.

• Journal of Trauma and Injury
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• 제18권1호
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• pp.17-25
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• 2005

Background: Traumatic rupture of the aorta is a life-threatening injury that must be diagnosed as rapidly as possible and treated immediately. The chest X-ray is a valuable tool for screening traumatic rupture of the aorta in blunt chest trauma. And various chest radiologic parameters are being used as diagnostic tools for aortic injury. The purpose of this study is to identify chest radiographic parameters that may assist in the detection of traumatic rupture of the aorta and to compare these findings with those of other reports. Methods: This study involved 30 adult patients with traumatic rupture of the aorta seen at the emergency department of the Asan Medical Center from 1997 to 2004. The control subjects were 30 healthy patients with neither lung nor cardiovascular disease. We retrospectively assessed over 14 parameters on chest X-rays. Results: In 11 of the 14 parameters, there were significant differences between the study group and the control group. There was no significant difference in the M/C ratio (mediastinumto-chest width ratio) between the two groups, and neither the left nor the right paraspinal interface was statistically significant (p value>0.05). Our study indicates that new criteria for the MC ratio and for the paraspinal interfaces are needed for screening traumatic aorta injury. The other radiographic parameters for traumatic rupture of the aorta need to be further assessed through a prospective study.

• The Korean Journal of Pain
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• 제24권3호
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• pp.141-145
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• 2011

Background: Stellate ganglion block is usually performed at the transverse process of C6, because the vertebral artery is located anterior to the transverse process of C7. The purpose of this study is to estimate the location of the transverse process of C6 using the cricoid cartilage in the performance of stellate ganglion block. Methods: We reviewed cervical lateral neutral-flexion-extension views of 48 patients who visited our pain clinic between January and June of 2010. We drew a horizontal line at the surface of the cricoid cartilage in the neutral and extension views of cervical lateral x-rays. We then measured the change in the shortest distance from this horizontal line to the lowest point of the transverse process of C6 between the neutral and extension views. Results: There was a statistically significant difference in the shortest distance from the horizontal line at the surface of the cricoid cartilage to the lowest point of transverse process of C6 between neutral position and neck extension position in both males and females, and between males and females in both neutral position and neck extension position. The cricoid cartilage level was 4.8 mm lower in males and 14.4 mm higher in females than the lowest point of transverse process of C6 in neck extension position. Conclusions: Practitioners should recognize that the cricoid cartilage has cephalad movement in neck extension. In this way, the cricoid cartilage can be still useful as a landmark for stellate ganglion block.