• 제목/요약/키워드: ultrasound

검색결과 2,992건 처리시간 0.028초

경동맥 혈류 속도 및 산소 포화도 측정을 위한 다중모드 패치형 프로브 개발 (A development of a multimodal patch-type probe for measuring blood flow and oxygen saturation in carotid artery)

  • 윤상연;이기준;김재관;황재윤
    • 한국음향학회지
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    • 제38권4호
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    • pp.443-449
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    • 2019
  • 심혈관계 질환 환자가 발생 하였을 때, 환자의 뇌와 내부 장기를 보호하고 생존율을 높이기 위해서는 사건발생 이후 신속하게 응급 의료 서비스를 제공하여 경과 시간을 줄이는 것이 가장 중요하다. 뿐만 아니라 심폐소생술의 실시를 위한 판단은 경동맥의 맥을 직접 짚는 '경동맥 촉진법'은 실시자의 주관적인 판단과 약해진 심혈관 기능에 따른 뇌혈류 차단을 할 수 있다. 본 연구는 개발된 다중 초음파 도플러 채널 쌍과 산소포화도 측정 모듈이 결합된 패치형 프로브를 이용하여 경동맥의 혈류 속도, 맥박, 산소포화도를 생체 내 실험을 통해 정성적으로 측정하였다. 따라서 본 시스템은 응급 상황에서 정량적이고 신속하게 환자의 심폐 기능을 모니터링 하여 심폐소생술 판단 여부를 객관적으로 제공하여 응급 상황 시 심혈관계 질환 환자의 생존률을 높일 수 있는 차세대 진단 기기로 활용 될 수 있다.

주파수 필터링 함수에 따른 시간 및 주파수 영역 광음향 측정에 대한 신호 대 잡음비 분석 (Signal-to-noise Ratio in Time- and Frequency-domain Photoacoustic Measurements by Different Frequency Filtering)

  • 강동열
    • 한국광학회지
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    • 제30권2호
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    • pp.48-58
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    • 2019
  • 구면 초점 초음파 측정기에 의해 구형의 광 흡수체로부터 측정된 시간(즉, 펄스 형태 광원) 및 주파수 영역(즉, 처프 형태 광원) 광음향 신호의 신호 대 잡음비(signal-to-noise ratio)를 이론 및 시뮬레이션으로 분석하였다. 이전 문헌과 마찬가지로 시간 영역 광음향 측정에 의한 신호 대 잡음비 값이 주파수 영역 광음향 측정의 경우보다 더 높았는데 이 근본적인 이유를 최대허용노광량(maximum permissible exposure)에 따른 광원의 세기와 주파수 필터링을 통한 두 측정 모드의 광음향 스펙트럼들에 대한 분석을 통해 이해하였다. 또한, 분석의 결과로서 주파수 영역 광음향의 처프 형태 광원에 대한 정합 필터링에 더해 DC 스펙트럼 부분을 제거하니 신호 대 잡음비가 5 dB 정도 상승하는 것을 발견하였다. 특히, 주파수 필터 함수의 주파수 상한 값의 변화에 따라 신호대 잡음비 값이 급격하게 변동하였는데 신호 대 잡음비가 최대가 되는 주파수 상한 값이 두 광음향 측정 모드에서 서로 다르게 나타남을 관찰하였다.

Effect of two types of muscle contraction training on muscle thickness, strength, and delayed onset of muscle soreness in persons with chronic stroke

  • Lim, Seung-yeop;Lee, Wan-hee
    • Physical Therapy Rehabilitation Science
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    • 제7권4호
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    • pp.154-163
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    • 2018
  • Objective: The purpose of this study was to investigate the effects of eccentric contraction training (ECT) and concentric contraction training (CCT) on the muscle thickness (MT), muscle strength (MS) and delayed onset of muscle soreness (DOMS) of the lower extremities in persons with chronic stroke. Design: Randomized controlled trial. Methods: Thirty persons with chronic stroke were randomly assigned to the ECT or the CCT group. The ECT was performed in a specially designed system of eccentric contraction of both legs and, the CCT was performed using a traditional stepper system for concentric contraction of both legs. The training was performed for 30 min/times, 3 times/wk for 6 weeks. Rehabilitation ultrasound imaging was used to measure MT of the vastus medialis/lateralis (VL), and soleus (SOL), a digital muscle tester was used to measure MS, and a visual analog scale was used to assess DOMS. Results: In the ECT group, MT was significantly improved except for SOL resting (p<0.01). In the CCT group, the MT was significantly improved except for VL contraction (p<0.05). The MS was significantly improved in both groups, especially in the ECT group (p<0.01). In the ECT group, muscle soreness was highest in the first week after training but gradually decreased, and in the CCT group, it was highest in the second week of training but gradually decreased (p<0.01). Conclusions: ECT can improve lower limb MT, MS, and DOMS of chronic stroke survivors. Therefore, it is recommended that ECT be used in the rehabilitation of persons with chronic stroke.

디지털 유방촬영술을 이용한 선별적 유방암 검진의 효용성에 대한 연구(2차 병원을 중심으로) (A Study on the Effectiveness of Screening for Selective Breast Cancer Using Digital Mammography Centered on General Hospital)

  • 김현진
    • 한국방사선학회논문지
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    • 제15권2호
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    • pp.147-152
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    • 2021
  • 본 연구에서는 선별적 유방촬영술 방법의 하나인 디지털 유방촬영술을 시행한 5320명의 유방암검진 결과를 후향적으로 분석하여 디지털 유방촬영술을 통한 유방암검진의 효용성을 살펴보았다. 유방암 검진을 시행한 환자들의 평균 나이는 57.7세(범위 30~87세)이며 암 발견율은 26건으로 1000명당 4.6건에서 유방암이 발견 되었다. 유방암 검진을 실시한 환자들의 위험인자별 암 발견율을 살펴보면 대부분 아무런 기저질환이나 기왕력이 없는 환자에서 유방암이 발견되는 비율이 높았다. 추가적인 초음파 검사등을 통해 확인된 위음성율은 3.6 %로 Film-Screen system의 위음성율에 비해 상대적으로 매우 낮은 것을 확인할 수 있다.

초음파기기를 이용한 맥상(脈象) 연구 (A Study on Pulse Pattern Using Ultrasonic Device)

  • 김희영;박정빈;금유정;여인금;엄동명;송지청
    • 대한한의학원전학회지
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    • 제34권2호
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    • pp.85-94
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    • 2021
  • Objectives : Pulse diagnosis is one of the main diagnostic methods of Korean Medicine that understands the patient's condition and illness by reading changes in the patient's pulse, which is described in terms of pulse condition While they are described in detail in medical texts, it is difficult to grasp their true nature, as the written descriptions fail to do justice to the experience of pulse taking it tries to convey. As a way to approach pulse condition the effect of the body's tension on the radial vein was measured using an ultrasonic device, after which the measured changes and how they could be reflected in pulse condition were studied. In other words, changes in the radial vein following induced tension were analyzed. Methods : 1) The thickness of the subject's radial vein was measured using a linear probe of an ultrasonic device[LOGIQ 5 Basic, GE, USA]. 2) Fatigue level was increased through artificial stimulation using the Gripmeter[ks-301, Lavisen, Korea]. 3) Thickness of the radial vein post tension induction was measured. 4) The results were analyzed with the Tukey test or paired t-test as post hoc tests. Results : Thickness of the radial vein of the subject pre- and post- Gripmeter stimulation decreased with significance. Conclusions : Constriction of the radial vein that happened after tension induction could be linked to the Tight Pulse[緊脈] that is related to patterns of contraction and pulling.

건강한 20대 성인여성의 브래지어 착용 여부에 따른 흉곽 가동성과 가로막 움직임 및 폐활량에 대한 비교 (Comparison of Chest Mobility, Diaphragm Movement, and Lung Capacity Between With and Without Bras in a Healthy 20s Adult Women)

  • 정아름;이지현;정성대
    • 한국융합학회논문지
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    • 제12권3호
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    • pp.281-286
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    • 2021
  • 본 연구는 여성의 브래지어 착용 여부와 가슴 크기에 따른 흉곽 가동성과 가로막의 움직임 및 폐활량을 비교해보고자 하였다. 충남 B 대학에 재학 중인 10명을 대상으로 실험하였으며 속옷의 사이즈가 75A인 5명을 A그룹, 85B인 5명을 B그룹으로 나누어 실험을 진행하였다. 브래지어 착용 전후 원형 줄자를 이용하여 흉곽 가동성을, 초음파를 이용하여 가로막의 움직임을 측정하였으며 폐활량 측정을 위하여 Pony FX를 이용하였다. 브래지어 착용 여부를 비교한 결과, A그룹과 B그룹 모두에서 브래지어를 착용하였을 때 흉곽 가동성과 가로막 움직임이 유의하게 감소하였지만. 폐활량은 A 그룹에서만 유의하게 감소하였다. A그룹과 B그룹을 비교한 결과, 모든 종속변수에서 유의한 차이는 없었다. 그러므로 본 연구는 가슴 크기에 상관없이 브래지어 착용 자체만으로도 흉곽 가동성과 가로막의 움직임에 부정적 영향을 끼칠 수 있음을 시사한다.

퍼지 이진화를 이용한 IVUS 영상의 내막/외막 분할 (Segmentation of Intima/Adventitia of IVUS Image using Fuzzy Binarization)

  • 김광백
    • 한국정보통신학회논문지
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    • 제23권12호
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    • pp.1514-1519
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    • 2019
  • 혈관내 초음파(IVUS)는 인간 관상 동맥의 혈관 벽 구조를 관찰하고 평가하는데 적용되는 영상이다. IVUS는 정기적으로 관상 동맥에서 죽상 동맥 경화 병변을 찾는 데 적용된다. 혈관 구조의 자동 분할은 관상 동맥 장애를 감지하는데 중요하다. 따라서 본 논문에서는 혈관 내 영상에서 퍼지 이진화 기법을 적용하여 효과적으로 내막/외막 영역을 추출하는 방법을 제안한다. 제안된 방법에서는 혈관을 탐색하기 위해 기본적으로 퍼지 이진화 기법을 적용하지만 픽셀 강도의 상이한 균질성을 갖는 경우에는 평균 이진화 기법을 적용한다. 우리는 퍼지 이진화 결과와 평균 이진화 결과를 IVUS 이미지와 차별화하여 혈관벽의 내부/ 외부를 감지하기에 효과적인 자동 분할 방법을 구현하였다. 제안된 방법의 구현 결과로부터 Intima-Media Thickness (IMT) 또는 대상 영역의 부피와 같은 중요한 통계를 쉽게 계산할 수 있도록 하였다.

Parent Perspectives of Diagnostic and Monitoring Tests Undertaken by Their Child with Inflammatory Bowel Disease

  • Ho, Shaun Siong Chung;Keenan, Jacqueline Ilene;Day, Andrew Stewart
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제24권1호
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    • pp.19-29
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    • 2021
  • Purpose: To assess parent perspectives of the current and potential future tests for their child with inflammatory bowel disease (IBD). Methods: New Zealand parents of a child with IBD were invited to complete an anonymous online survey. Experiences relating to their child's blood or faecal tests, medical imaging (abdominal ultrasound [US], abdominal computerised tomography [CT] and magnetic resonance enterography) and colonoscopy were collected. Perceived attitudes to potential future testing of urine, saliva, and breath, were sought. Results: Twenty-eight parents, 93% female completed the survey, and 86% were aged between 35 and 54 years. Baseline information was provided by parents for 27 of 28 children, 70.3% had Crohn's disease with a mean disease duration of 2.67 years. Blood tests were the most requested and completed tests, while CT was the least ordered and most refused test. Colonoscopy was rated as the least comfortable and generated the most worry. Explanation of test significantly improved parent's levels of understanding when their child had blood, faecal, imaging (US) or colonoscopy tests. Providing an explanation, test invasiveness and the impact of the blood results may have on their child's treatment significantly improved parents' comfort levels. However, explanation of colonoscopy generated a significant parental concerns. Saliva, urine and blood tests were chosen as the most preferred disease monitoring tests. Conclusion: Parents preferred any tests less invasive than colonoscopy for monitoring their child's IBD. Although providing explanation of their child's tests enhanced parents' understanding, it can also affect parents' levels of concern and comfort.

Vitamin D Effect on Ultrasonography and Laboratory Indices and Biochemical Indicators in the Blood: an Interventional Study on 12 to 18-Year-Old Children with Fatty Liver

  • Namakin, Kokab;Hosseini, Mahya;Zardast, Mahmoud;Mohammadifard, Mahyar
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제24권2호
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    • pp.187-196
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    • 2021
  • Purpose: The rising prevalence of childhood obesity in the past decades has caused non-alcoholic fatty liver disease (NAFLD) to become the most common cause of pediatric chronic liver disease worldwide. This study was aimed at determining the effect of vitamin D (Vit D) on ultrasonography and laboratory indices of NAFLD and some blood biochemical indicators in children. Methods: In this interventional study liver ultrasonography was performed in 200 children with overweight and obesity. A 108 had fatty liver among which 101 were randomly divided into two groups of study (n=51) and control (n=50). The study group was treated with Vit D, 50000 U once a week whereas the control group received placebo with the same dose and package, both for 12 weeks. At the end of the intervention lab tests and ultrasound study was performed once again to evaluate the response to treatment. Results: It was found out that Vit D supplementation improved the fatty liver grade in the study group. The mean changes in hemoglobin (Hb), uric acid, highdensity lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), insulin, albumin and alanine aminotransferase (ALT) was significantly higher in the study group compared to controls (p<0.05). After the intervention and means adjustment, a significant difference was obtained in HDL-C, insulin, LDL-C and homeostasis model assessment of insulin resistance (HOMA-IR) between the two groups. Conclusion: Vit D supplementation in addition to improving the fatty liver grade in ultrasonography and increasing the blood Vit D level, increases the HDL and Hb level besides decreasing uric acid, LDL, HOMA-IR, insulin and ALT levels.

Pregnancy diagnosis in goat by using vaginal cytology and trans-abdominal ultrasonography

  • Ali, Md. Aziz;Islam, Md. Faruk;Rahman, SM Latifur;Zohara, Begum Fatema
    • 한국동물생명공학회지
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    • 제35권4호
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    • pp.338-346
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    • 2020
  • The present study was conducted in a goat farm for pregnancy diagnosis by using vaginal cytology and B-mode real time ultrasound using 5 MHz probe by transabdominal method. Seventeen pregnant does were used for this study. The objective of the study was to determine the earliest day of pregnancy and describe the chronological characteristics of pregnancy from day 22 to day 40 for vaginal cytology and day 25 to day 60 for ultrasonography of gestation. The differences among the average percentage of cell value in different age of pregnancy were significant (p < 0.05). The average percentage of intermediate cells (81.12%) was also significantly (p < 0.05) higher than superficial (9.41%), keratinized (7.10%) and neutrophil (2.61%) on 22-40th days of pregnancy. In case of real time B-mode ultrasonography, the gestational sac was observed only in three does out of seventeen (17.6 %) at 25-30 days whereas the placentomes and heart beat of the foetus were first detected at 31-35 days in six does (35.3%). The foetal leg buds were first visualized at 36-40 days in four does (23.5%) whereas the foetal vertebral column was first observed at 36-40 days of gestation in only three does (17.6%). In conclusion, vaginal cytology and trans-abdominal ultrasonography can be used for detection of early pregnancy in does.