• Title, Summary, Keyword: 전산화단층촬영

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Study of Lung Cancer Screening in Health Examination (건강검진에서 폐암검진의 대한 연구)

  • You, In Gyu;Lim, Cheong Hwan
    • Proceedings of the Korea Contents Association Conference
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    • pp.199-200
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    • 2014
  • 저선량 흉부 전산화단층촬영을 이용한 페암의 대한 조기검진 시기도 남녀공통 40세 이상을 시작연령으로 제시하고 있으나 조기검진의 연령확대로 인하여 다양한 연령층에서 시행하고 있다. 이에 본 연구에서는 임상적 증상이 없는 자기결정에 의해 저선량 흉부 전산화단층촬영을 시행한 건강검진 대상자를 대상으로 40세 전후로 구분하여 진단적 효용성과 저선량 흉부 전산화 단층촬영의 대한 바람직한 방향을 제시하고자 한다. 분석한 결과 결절의 개수는 유의하게 나타났으나 방사선 피폭에 대한 전체적인 위해와 이득에 대한 정당성 확보가 이루어지지 않았다. 저선량 흉부 전산화단층촬영 정당성 확보를 위해 흡연력 있는 40대 이상을 시작연령으로 해야 한다.

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Density Profile Evaluation of Needle-punched Carbon/Carbon Composites Nozzle Throat by the Computed Tomography (전산화 단층촬영에 의한 니들펀칭 탄소/탄소 복합재료 노즐 목삽입재의 밀도 분포 평가)

  • Kim Dong-Ryun;Yun Nam-Gyun;Lee Jin-Yong
    • Journal of the Korean Society of Propulsion Engineers
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    • v.10 no.1
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    • pp.44-53
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    • 2006
  • In this study, the non-destructive computed tomography was adopted to observe the density profile of the needle-punched Carbon/Carbon(C/C) composites nozzle throat. The density profile of C/C was evaluated within ${\pm}0.01g/cm^3$ with 98.74% confidence when the correction of the image and high signal-to-noise ratio were achieved by the optimization of the beam hardening, the electrical noise and the scattered X-ray. The density variation of C/C with the computed tomography was in good agreement with the results obtained by the water immersion method and the observation with scanning electron microscope.

3차원 치료계획용 전산화단층촬영에서 영상증강을 위한 최적의 프로토콜에 관한 연구

  • 이상규;이석;김주호;백종걸;조정희;신동봉;박재일
    • The Journal of Korean Society for Radiation Therapy
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    • v.14 no.1
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    • pp.15-22
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    • 2002
  • 1. 목적 : 방사선종양학과에서 3차원 치료계획용 전산화단층촬영 시 조영제 주입율에 따른 CT 값(hounsfield unit, H.U) 변화를 정량적으로 평가하여 최적의 영상증강효과 및 방사선치료계획을 위한 기초 프로토콜을 제시하고자 한다. 2. 대상 및 방법: 연세암센터 방사선종양학과에서 3차원 치료계획용 전산화단층촬영을 시행한 상복부(폐암)환자 20명을 대상으로 하였다. 조영제 양(130mL)은 일정하게 고정하였고, 조영제주입율을 1.2, 1.5, 2.0 mL/sec로 변화시켜가며 조영제를 주입하면서 3차원 방사선치료계획영상에 적합한 조영제주입율(contrast flow rate)과 지연시간(delay time)을 도출하였고, CT 값을 측정하여 정량적 평가를 시행하였다. 관심부위는 폐동맥과 폐정맥으로 하였다. 그리고, 환자 기본정보, 조영제주입율, H.U 등 영상증강에 영향을 미치는 인자들을 통계처리 프로그램인 SPSS를 이용하여 최적의 영상을 획득할 수 있는 기초 프로토콜을 작성하였다. 3. 결과 : 폐암환자의 전산화단층촬영영상 획득 시 3차원 방사선치료계획에 적합한 영상을 얻을 수 있는 조건중 조영제주입율은 1.5 mL/sec 이었고, 지연시간은 $60{\sim}70$초이었다. 통계처리를 수행한 결과 환자의 기본정보 및 조영제주입율 등이 영상증강에 영향을 미치는 인자임을 알 수 있었다. 본 연구에서 작성한 기초 프로토콜을 이용하여 3차원 방사선치료계획 시 정확한 종양 및 정상조직 설정이 용이하게 되어 방사선치료 효율을 극대화 할 수 있었다. 4. 결론 : 방사선종양학과에서 3차원 치료계획용 전산화단층촬영 시 사용할 수 있는 기초적인 영상획득 프로토콜을 도출하였고, 향후 더 많은 임상경험과 정량적 평가가 수반된다면 임상에 적극 사용할 수 있을 것이라 사료된다.

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body fat thresholds in computed tomography image processing (전산화 단층촬영 영상처리의 체지방 문턱치)

  • 김승환;이건형;이수열;박선희;표현봉;조준식;권순태
    • Proceedings of the Korean Information Science Society Conference
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    • pp.438-440
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    • 1998
  • 본 논문에서는 복부의 전산화 단층촬영 영상으로부터 체지방의 양을 측정하기 위한 영상처리에서 사용되는 문턱치의 자동 설정 방법을 제안한다. 체지방의 정량적 측정은 비만과 관련된 진단 및 치료에 있어서 중요하다. 기존의 비만도 측정은 체중과 신장의 비, 허리와 둔부 둘레의 비, 손으로 잡히는 복부의 두께 등 단순한 측정방법을 사용하여 실제 지방의 양을 제대로 반영하지 못하는 단점이 있다. 이러한 단점을 보완하기 위하여 최근에 전산화 단층촬영 영상으로부터 영상처리를 통하여 직접 지방의 양을 측정하려는 시도가 있다. 전산화 단층촬영 영상을 이용하면 지방의 양을 정량적으로 측정할 수 있고 피하지방과 복강내지방 등 특정부위의 체지방의 양을 측정할 수 있다. 전산화 단층촬영은 밀도에 비례하는 하운스필드 단위 값으로 구성된 영상을 제공한다. 일반적으로 체지방은 하운스필드 단위 값이 -150에서 -50사이인 것으로 알려져 있다. 그러나, 체지방의 문턱치는 사람에 따라 다르고, 또한 같은 사람에 대해서도 촬영 부위에 따라 다르다. 본 논문에서는 이러한 차이를 히스토그램을 통하여 보이고 히스토그램의 가우시안 함수 근사로부터 체지방의 문턱치를 자동으로 설정하는 방법을 제안한다.

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EFFECTIVE DOSE FROM CONE BEAM CT FOR IMAGING OF MESIODENS (상악 정중과잉치 진단을 위한 cone beam CT의 유효선량)

  • Han, Won-Jeong;Kim, Jong-Soo
    • THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY
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    • v.39 no.3
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    • pp.273-279
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    • 2012
  • Purpose : This study was aimed to calculate effective dose from cone beam CT and compare effective dose from periapical and panoramic radiography for mesiodens. Materials and Methods : Upper anteiror periapical, panoramic radiography and cone-beam CT were taken for diagnosis of mesiodens. The effective dose were calculated by using an anthropomorphic phantom loaded with thermoluminescent dosimeters at the 23 sites related to sensitive organs. Results : The highest absorbed doses were received by the mandibular body, parotid gland and cheek from periapical, panoramic and cone-beam CT, respectively. The effective doses for periapical, panoramic radiography and cone-beam CT measured 2, 18 and 48 ${\mu}Sv$. Conclusion : Cone-beam CT, although providing additional diagnostic benefits, exposes patients to higher levels of radiation than conventional periapical and panoramic radiography.

Image Quality Evaluation in Computed Tomography Using Super-resolution Convolutional Neural Network (Super-resolution Convolutional Neural Network를 이용한 전산화단층상의 화질 평가)

  • Nam, Kibok;Cho, Jeonghyo;Lee, Seungwan;Kim, Burnyoung;Yim, Dobin;Lee, Dahye
    • Journal of the Korean Society of Radiology
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    • v.14 no.3
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    • pp.211-220
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    • 2020
  • High-quality computed tomography (CT) images enable precise lesion detection and accurate diagnosis. A lot of studies have been performed to improve CT image quality while reducing radiation dose. Recently, deep learning-based techniques for improving CT image quality have been developed and show superior performance compared to conventional techniques. In this study, a super-resolution convolutional neural network (SRCNN) model was used to improve the spatial resolution of CT images, and image quality according to the hyperparameters, which determine the performance of the SRCNN model, was evaluated in order to verify the effect of hyperparameters on the SRCNN model. Profile, structural similarity (SSIM), peak signal-to-noise ratio (PSNR), and full-width at half-maximum (FWHM) were measured to evaluate the performance of the SRCNN model. The results showed that the performance of the SRCNN model was improved with an increase of the numbers of epochs and training sets, and the learning rate needed to be optimized for obtaining acceptable image quality. Therefore, the SRCNN model with optimal hyperparameters is able to improve CT image quality.

The efficacy of computerized tomographic scan for chest trauma (흉부외상 환자에 대한 전산화 단층촬영의 효용성)

  • Roh, Hwan-Kyu;Choi, Ho;Kim, Young-Jin;Kim, Jung-Tae;Soh, Dong-Moon;Ryu, Han-Young;Lee, Cheol-Joo
    • The Korean Journal of Thoracic and Cardiovascular Surgery
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    • v.31 no.3
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    • pp.298-303
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    • 1998
  • Computerized tomography(CT) is an effective technique in the initial evaluation of the abdomen and head following blunt trauma. To evaluate the efficacy of CT of the thorax, a retrospective study comparing early thoracic CT scanning with initial chest roentgenogram (CXR) was carried out on 134 patients with blunt trauma on the chest. Among 134 patients, 45 patients had normal initial chest roentgenogram and 24 patients showed normal CT findings. Sensitivities of diagnosing pneumothorax and pleural effusion by CXR were low (46.2 and 62.9% respectively), whereas 71.4%(45/63) of patients had thoracostomy only by CXR. Although sometimes abused, CT of the thorax is effective in the initial diagnosis.

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The Effect of a Chest CT Scan on the Treatment and Diagnosis of Major Blunt Chest Trauma (흉부 둔상환자에서 흉부전산화단층촬영이 진단과 치료에 미치는 영향)

  • Park, Il-Hwan;Oh, Joong-Hwan;Lee, Chong-Kook
    • The Korean Journal of Thoracic and Cardiovascular Surgery
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    • v.42 no.2
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    • pp.226-232
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    • 2009
  • Background: Blunt chest trauma accounts for 90% of all chest traumas in Europe and the United States and this causes 20% of all trauma-related deaths. The major cause of morbidity and mortality after blunt chest trauma is undetected injuries. For this reason, chest computerized tomography has gained popularity for the evaluation of trauma, but it is expensive and it exposes patients to radiation. This study identified the clinical features associated with the diagnosic information obtained on a CT chest scan, as compared with a standard chest X-ray, for patients who sustained blunt trauma to the chest. This study also evaluated the role of a routine computed tomographic (CT) scan for these patients. The patients who had chest computed tomography done after the initial chest x-ray were analyzed separately for the presence of occult injuries. Material and Method: We studied 100 consecutive patients from November 2006 to July 2007: 74 patients after motor vehicle crashes and 26 patients after a fall from a height >2m. Simultaneous with the initial clinical evaluation, an anteroposterior chest radiograph and a helical chest CT scan were obtained for all the patients. The data extracted from the medical record included the vital signs, the interventions and the type and severity of injury (RTS). Result: Among the 100 cases, 79 patients showed at least more than one pathologic sign on their chest radiograph, and 21 patients had a normal chest radiograph. For 17 of the patients who had a normal chest X ray, the CT scan showed multiple injuries, which were pneumothorax, hemothorax, lung contusion, sternal fracture etc. This represents that a CT scan is statistically superior to a chest radiograph to diagnose the pathologic signs. But on the other hand, as for treatment, only 31 patients were diagnosed by CT scan and they were treated with chest tube insertion ect. 42 patients needed ony conservative management without invasive thoracosurgical treatment such as chest tube insertion or open thoracotomy. 27 patients were treated based on the diagnosis made by the chest radiograph and physical examination. Conclusion: Chest computerized tomography was significantly more effective than routine chest X-ray for detecting lung contusion, pneumothorax and mediastinal hematoma, as well as fractured ribs, scapula and, sternum. Although the occult findings increased, the number of patients who needed treatment was small. Therefore, we suggest making selective use of a CT scan to avoid its overuse in ERs.

Analysis of the O-ring Deformation Behavior by the Computed Tomography (전산화 단층촬영에 의한 오링 변형 거동 분석)

  • Kim, Dong-Ryun;Park, Sung-Han;Lee, Hwan-Gyu;Koo, Hyung-Hoi
    • Proceedings of the Korean Society of Propulsion Engineers Conference
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    • pp.25-29
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    • 2006
  • The object of this study is to develop new examination techniques for measuring the O-ring deformation behavior under the pressure condition. The extrusion lengths measured from the computed tomography were in good agreement with the results that measured from non-contact laser displacement sensor. The deformed shapes of O-ring measured by the computed tomography and evaluated by the FEM agreed well with the extrusion length and the expanded diameter. But the contact widths of the O-ring and steel measured by the computed tomography were a little larger than the results of the FEM.

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