• Title/Summary/Keyword: Chest imaging

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Imaging Characteristics of Digital Chest Radiography with an Amorphus Silicon Flat Panel Detectors (비정질 평판형 측정기를 이용한 디지털 방사선 영상의 특징)

  • Jeong, Hoi-Woun;Kim, Jung-Min;Jeong, Man-Hee;Im, Eun-Kyung
    • Korean Journal of Digital Imaging in Medicine
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    • v.8 no.1
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    • pp.27-32
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    • 2006
  • The rapid development in digital acquisition technology in radiography has not been accompanied by information regarding optimum radiolographic technique for use with an amorphus silicon flat panel detector. The purpose of our study was to compared imaging characteristics and image quality of an amorphus silicon flat panel detectors for digital chest radiography. All examinations were performed by using an amorphus silicon flat panel detector. Chest radiographs of an chest phantom were obtained with peak kilovoltage values of 60$\sim$150 kVp. Published data ell the effect of x-ray beam energy on imaging characteristics and image qualify when using an amorphus silicon flat panel detector. It is important that radiographers are aware of optimum kVp selection for an amorphus silicon flat panel detector system, particularly for the commonly performed chest examination.

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Plain Chest X-ray Diagnosis of Respiratory Disease (호흡기 질환에서 단순흉부 X-선 진단)

  • Kim, Sang-Jin
    • Tuberculosis and Respiratory Diseases
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    • v.40 no.4
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    • pp.353-356
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    • 1993
  • Advent of new imaging modalities such as computed tomography, magnetic resonance imaging and ultrasound contributed greately to the specific imaging diagnosis. However plain chest X-ray is still most prequently used for imaging diagnosis of respiratory disease in clinical pratic and it is important to make a good quality of X-ray film and good interpretation. The optimal chest X-ray should be taken with full inspiration without rotation and motion and the exposure is at the level of barely demonstrable thoracic vertebral disc space. It is recommended that higk KVP technique for detection of lesions which is overlaped by mediastinum, heart and rib cage. It is better to examine chest X-ray film start at some distance(6-8 feet) and closer to the film later on and the reader should not read a film in fatigue condition. The reading room should be quiet and relately dark illumination. It is important, to make a good X-ray film and good interpretation to reduce the observer error.

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Chest Wall Lipogranuloma after Hydrogel Implant Rupture: Case Report

  • Park, So Yoon;Han, Boo-Kyung;Cho, Eun Yoon;Bang, Sa-Ik
    • Investigative Magnetic Resonance Imaging
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    • v.19 no.3
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    • pp.191-195
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    • 2015
  • We present a 53-year-old woman with a large chest wall mass in the interpectoral space, which was eventually confirmed as a lipogranuloma resulting from hydrogel implant rupture. Ultrasonography (US) showed reduced implant volume with surrounding peri-implant fluid collection, suggesting the possibility of implant rupture. A heterogeneously hypoechoic mass was found between the pectoralis major and minor muscles adjacent to the ruptured implant. On magnetic resonance imaging (MRI), there was a large mass in the left interpectoral space of the upper inner chest wall. The mass showed slightly high signal intensity (SI) on pre-contrast T1-weighted image (WI) with mixed iso and high SI on T2-WI. The signal of the mass was suppressed using the water suppression technique but not with the fat suppression technique on T2-WI. The mass showed diffuse enhancement upon contrast enhancement. The enhancing kinetics showed persistent enhancement pattern. US-guided core needle biopsy revealed a lipogranuloma and removal confirmed a ruptured PIP hydrogel implant.

Development of portable digital radiography system with device for sensing X-ray source-detector angle and its application in chest imaging (엑스선촬영 각도를 측정할 수 있는 장치 개발과 흉부 X선 영상촬영에서의 적용)

  • Kim, Tae-Hoon;Heo, Dong-Woon;Ryu, Jong-Hyun;Jeong, Chang-Won;Jun, Hong Young;Kim, Kyu Gyeom;Hong, Jee Min;Jang, Mi Yeon;Kim, Dae Won;Yoon, Kwon-Ha
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2017.01a
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    • pp.235-238
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    • 2017
  • This study was to develop a portable digital radiography (PDR) system with a function measuring the X-ray source-with-detector angle (SDA) and to evaluate the imaging performance for the diagnosis of chest imaging. The SDA device consisted of an Arduino, an accelerometer and gyro sensor, and a Bluetooth module. According to different angle degrees, five anatomical landmarks on chest images were assessed using a 5-point scale. Mean signal-to-noise ratio and contrast-to-noise ratio were 182.47 and 141.43. Spatial resolution (10% MTF) and entrance surface dose were 3.17 lp/mm ($157{\mu}m$) and 0.266mGy. The angle values of SDA device were not significant difference as compared to those of the digital angle meter. In chest imaging, SNR and CNR values were not significantly different according to different angle degrees (repeated-measures ANOVA, p>0.05). The visibility scores of the border of heart, 5th rib and scapula showed significant differences according to different angles (rmANOVA, p<0.05), whereas the scores of the clavicle and 1st rib were not significant. It is noticeable that the increase in SDA degree was consistent with the increase of visibility score. Our PDR with SDA device would be useful to be applicable to clinical radiography setting according to the standard radiography guideline at various fields.

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Frequently Asked Questions in the Interpretation of Preoperative and Postoperative Chest CT Scans Related to Lung Cancer Imaging

  • Lee, Kyung-Soo
    • 대한핵의학회:학술대회논문집
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    • 2002.05a
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    • pp.25-27
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    • 2002
  • With the advent of multidetector-row CT, lung cancer imaging is much more promising than before. However, the effectiveness of multidetector-row CT in making an initial diagnosis, staging, and evaluating post-treatment changes of lung cancer still remains to be proved. Fast imaging along with volumetric data set and attendant multi-planar imaging provide much more details on the anatomic changes and pathology associated with lung cancer. However, with images showing anatomic and pathologic changes only, radiologists confront with several questions the answers of which may help evaluate lung cancer more thoroughly. The frequent questions that I have in dally practice of chest CT interpretation are as follows.

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Unilateral Chronic Organizing Hematoma after Breast Explantation Mimicking Chest Wall Tumor: a Case Report with Imaging Features

  • Jang, Seon Woong;Lee, Ji Young
    • Investigative Magnetic Resonance Imaging
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    • v.26 no.1
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    • pp.76-81
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    • 2022
  • The number of women undergoing breast augmentation surgery with a prosthesis for cosmetic purposes or reconstruction after a mastectomy is steadily increasing. Hematoma is one of complications associated with breast augmentation surgery. It usually occurs early in the postoperative period. It rarely occurs late (after six months). However, chronic hematomas after prosthesis removal have not yet been reported in the radiological literature. We present a case of unilateral chronic organizing hematoma that developed late and grew persistently over long period after breast explantation, mimicking a soft tissue tumor of the chest wall clinically. Meanwhile, characteristic magnetic resonance imaging features of heterogeneous signal intensities on T1-weighted and T2-weighted images and dark signal intensity with a persistent enhancement of the peripheral wall of the lesion were found. These can be used for a differential diagnosis.

Analysis on Optimal Approach of Blind Deconvolution Algorithm in Chest CT Imaging (흉부 컴퓨터단층촬영 영상에서 블라인드 디컨볼루션 알고리즘 최적화 방법에 대한 연구)

  • Lee, Young-Jun;Min, Jung-Whan
    • Journal of radiological science and technology
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    • v.45 no.2
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    • pp.145-150
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    • 2022
  • The main purpose of this work was to restore the blurry chest CT images by applying a blind deconvolution algorithm. In general, image restoration is the procedure of improving the degraded image to get the true or original image. In this regard, we focused on a blind deblurring approach with chest CT imaging by using digital image processing in MATLAB, which the blind deconvolution technique performed without any whole knowledge or information as to the fundamental point spread function (PSF). For our approach, we acquired 30 chest CT images from the public source and applied three type's PSFs for finding the true image and the original PSF. The observed image might be convolved with an isotropic gaussian PSF or motion blurring PSF and the original image. The PSFs are assumed as a black box, hence restoring the image is called blind deconvolution. For the 30 iteration times, we analyzed diverse sizes of the PSF and tried to approximate the true PSF and the original image. For improving the ringing effect, we employed the weighted function by using the sobel filter. The results was compared with the three criteria including mean squared error (MSE), root mean squared error (RMSE) and peak signal-to-noise ratio (PSNR), which all values of the optimal-sized image outperformed those that the other reconstructed two-sized images. Therefore, we improved the blurring chest CT image by using the blind deconvolutin algorithm for optimal approach.

Part 4. Clinical Practice Guideline for Surveillance and Imaging Studies of Trauma Patients in the Trauma Bay from the Korean Society of Traumatology

  • Chang, Sung Wook;Choi, Kang Kook;Kim, O Hyun;Kim, Maru;Lee, Gil Jae
    • Journal of Trauma and Injury
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    • v.33 no.4
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    • pp.207-218
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    • 2020
  • The following recommendations are presented herein: All trauma patients admitted to the resuscitation room should be constantly (or periodically) monitored for parameters such as blood pressure, heart rate, respiratory rate, oxygen saturation, body temperature, electrocardiography, Glasgow Coma Scale, and pupil reflex (1C). Chest AP and pelvic AP should be performed as the standard initial trauma series for severe trauma patients (1B). In patients with severe hemodynamically unstable trauma, it is recommended to perform extended focused assessment with sonography for trauma (eFAST) as an initial examination (1B). In hemodynamically stable trauma patients, eFAST can be considered as the initial examination (2B). For the diagnosis of suspected head trauma patients, brain computed tomography (CT) should be performed as an initial examination (1B). Cervical spine CT should be performed as an initial imaging test for patients with suspected cervical spine injury (1C). It is not necessary to perform chest CT as an initial examination in all patients with suspected chest injury, but in cases of suspected vascular injury in patients with thoracic or high-energy damage due to the mechanism of injury, chest CT can be considered for patients in a hemodynamically stable condition (2B). CT of the abdomen is recommended for patients suspected of abdominal trauma with stable vital signs (1B). CT of the abdomen should be considered for suspected pelvic trauma patients with stable vital signs (2B). Whole-body CT can be considered in patients with suspicion of severe trauma with stable vital signs (2B). Magnetic resonance imaging can be considered in hemodynamically stable trauma patients with suspected spinal cord injuries (2B).

The Relationship of Radiation Dose and Image Quality According to the Condition of Chest PA

  • Son, Jin-Hyun;Min, Jung-Whan;Kang, Byung-Sam;Dong, Kyung-Rae
    • Korean Journal of Digital Imaging in Medicine
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    • v.13 no.4
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    • pp.165-169
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    • 2011
  • The purpose of this study is to compare the measurement result of radiation dose by using standard thoracic phantom and ionization chamber to advice proposal in the shooting condition of chest PA projection at hospitals recently. And to understand the change between radiation dose and resolution in different conditions. The period this study was from August 2010 to September 2010 and the subjects of the study was 3 general hospitals, 4 personal hospitals and 1 laboratory at the college. Finally we study with 6 DR, 1 CR, and 4 F/S equipments. Most hospitals met advice proposal, but some of the hospitals exceed advice dose from the result of our study. We can lower radiation dose about 25% when kVp is lowered about 20% in DR equipment. And we can lower radiation dose about 50% when mAs is lowered about 35%. The image quality was similar to the original in the study. Most hospitals which exceed advice dose were personal hospitals. The reason why it happened is that radiation dose for chest PA projection at personal hospitals is higher than general hospitals and the personal hospitals' equipments are older than general hospitals' equipments. We guess that patients' radiation dose of chest PA projection can be lowered from the result.

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