Knee joint CT 검사 시, 금속 인공물 삽입 환자에 대한 O-MAR, SBI 영상 비교, 분석평가

김해솔(Hae-Sol Kim),한현종(Hyun-Jong Han),김재영(Jae-Young Kim),박천필(Cheon-Pil Park),장상규(Sang-Gyu Chang),최정원(Jung-Won Choi),김장섭(Jang-Seob Kim) 대한CT영상기술학회 2018 대한CT영상기술학회지 Vol.20 No.1

목적 : CT영상 에서 Metal Artifact는 영상 진단정보를 얻는데 지장을 초래한다. 이러한 Metal artifact를 감소시킬 수 있는 Program인 PHILIPS사 iQon 장비의 SBI Data 영상과 O-MAR Data 영상을 정량, 정성적 비교 분석 하고 SBI Data의 Energy level 중 영상이 왜곡 되지않고 진단이 용이한 이상적인 영상을 획득할 수 있는 Energy level을 찾아보고자 하였다. 대상 및 방법 : 2016년 7월1일부터 2017년 1월31일까지 고려대학교 안산병원을 내원하여 슬개골 골절, 인대손상, 경골골절 및 감각이상으로 CT 검사를 시행한 환자 중 금속 인공물 시술이나 수술을 받은 20명을 대상으로 하였으며 환자의 평균 연령은 46.3세, 남·여 비율은 남성 14명, 여성 6명으로 PHILIPS사 의 O-MAR Reconstruction, SBI Reconstruction 기법을 적용하여 데이터를 획득하였다. 스캔 변수는 관전압 120kVp, 관전류 120mAs, Pitch 0.391, Thickness 3mm, Rotation time 0.4 (sec) 검사하였다. 결과 : 측정결과는 Knee joint Conventional data 영상의 SNR 평균값은 7.79, CNR 평균값은 19.09, 평균HU값은 312.93 평균SD값은 45.86 O-MAR data SNR 평균값은 1.72, CNR 평균값은 3.79, 평균HU값은 188.75, 평균SD값은 147.03 SBI data Energy level (40-200KeV) SNR 평균값은 16.77, CNR 평균값은 22.65, 평균HU값은 76.22, 평균SD값은 15.84로 측정되었다. 결론 : 본 연구에서는 Conventional 영상보다 O-MAR 영상이 Metal Artifact를 감쇠시키는데 효과가 있었다. 그렇지만 Soft tissue를 보상시 영상 재구성 과정에서 왜곡이 발생하였다. 그에 비해 SBI data 영상은 Energy level를 조절하며 Metal Artifact를 감쇠시키고 soft tissue, bone의 왜곡이 적은 영상을 동시에 획득할 수 있다는 면에서 진단적 가치가 있었다. Purpose : In the CT images, the Metal artifact causes disruption in imaging diagnosis. The study analyzes SBI Data images and O-MAR Data images of IQon CT (Philips) that reduces metal artifact, the study finds ideal Energy level that not have distortion of images for diagnosis among Energy levels of SBI Data. Object and method : The study is targeted 20 peoples (The mean age - 46.3 years / The sex ratio - 14 males and 6 females) with the knee arthroplasty surgery of patellar fracture, ligament injury of knee, tibial fracture – who examined the IQon CT scan from July 1, 2016 to January 31, 2017. The study acquired the data was applied O-MAR Reconstruction, SBI Reconstruction technique. The scan parameter is 120kVp, 120mAs, Pitch 0.391, Thickness 3mm, Rotation time 0.4 (sec). Result : The SNR average value of the Knee joint Conventional data images is 7.79, the CNR average value is 19.09, HU average value is 312.93 SD average value is 45.86 the SNR average value of the O-MAR data images is 1.72, the CNR average value is 3.79 HU average value is 188.75 SD average value is 147.03 the SNR average value of the SBI Data 16.77, CNR average value is 22.65 HU average value is 76.22 SD average value is 15.84 Conclusion : In the study, the O-MAR image is effective to reduce the Metal artifact than conventional images. But, it was distortion of image reconstruction of soft tissue. On the other hand, the SBI data image is less distortion of image of Metal, soft tissue, bone to control Energy level.

한국 지폐에서의 잠재지문 현출실험

김해솔 ( Hae Sol Kim ),손다솜 ( Da Som Son ) 이실학회(구 한국경찰이론과실무학회) 2013 경찰연구논집 Vol.11 No.-

우리나라의 지폐는 다공성의 특성과 비다공성의 특성 모두를 갖고 있는 표면 재질로 인하여 잠재지문을 현출하기에 매우 까다로운 물체이다. 또한 지폐는 일반적으로 종이류 잠재지문 현출에 사용되는 DFO, IND (1,8-Diazafluorenone-9-one, 1,2-Indanedione)와 같은 형광성을 가진 아미노산 반응 시약들을 적용하는 것도 지폐 자체가 갖고 있는 형광 물질들 때문에 쉽지 않다. 본 실험은 매우 특별한 성질을 가진 지폐 표면에서 잠재지문을 현출해 내는 가장 적절한 방법을 찾기 위해서 시도 되었고 연구자들은 다양한 종류의 분말들과 Cyanoacrylate fuming(Superglue fuming)법 및 아미노산 반응 시약을 적용해 보았다. 결론적으로, Cyanoacrylate fuming (Superglue fuming)법 이후에 자석분말을 적용하는 것이 가장 좋은 결과 물을 보였으며 BVDA사의 젤라틴 리프터(Gel-lifter)를 사용하여 전사하여 가장 양호한 상태의 지문을 확보할 수 있었다. It is very difficult to detect and develop latent fingerprints on Korea paper money, because Korea paper money has both characteristics of porous surface and non-porous surface. Korea paper money also has fluorescence property that make using some amino acid-sensitive reagents difficult such as 1, 8-Diazafluorenone-9-one, 1, 2-Indanedione and so on. In this experiment, Researchers tried to find the most proper methods to develop latent fingerprints on this unusual surface. We used various powder, Cyanoacrylate fuming (Superglue fuming) method, and amino acid-sensitive reagents. As a result, Cyanoacrylate fuming method followed magnetic powdering is considered as the best method. The fingermarks visualized by Cyanoacrylate fuming method and magnetic powdering were enhanced strongly by transferring to BVDA white gel lifter.

Sacralization를 동반한 급성 요추 추간판탈출증 환자를 요방형근 MST를 비롯한 한방치료를 통하여 치료한 치험 1례

김문휘(Moon-Hwi Kim),배영현(Young-Hyeon Bae),김호선(Ho-Sun Kim),김해솔(Hae-Sol Kim),김재영(Jae-Young Kim),김성환(Sung-Hwan Kim),이상건(Sang-Gun Lee) 척추신경추나의학회 2014 척추신경추나의학회지 Vol.9 No.2

Objectives : The Purpose of this study is to investigate the clinical application of conservative treatment including quadratus lumborum MST for lumbar HIVD(Herniated Intervertebral Disc) with sacralization. Methods : We used acupunture, herbal acupuncture, herbal medicine, Quadratus Lumborum MST for this patient. This patient received hospital treatment for 25 days. Results : After conservative treatment, the patient’s pain was controlled and NRS score was decreased. ODI and ROM also were improved. Conclusions : Oriental conservative treatment including quadratus lumborum MST has a positive effect to control pain of lumbar HIVD(Herniated Intervertebral Disc) with sacralization.

요추 추간판 탈출증과 대퇴 비구 충돌 증후군 진단 받은 환자를 대상으로 시행한 고관절 부위 봉약침 치료 및 한방 보존적 치료 치험 1례

김해솔,이종환,전재윤,임수진,배영현,김호선,송주현,김문휘,조창영,정유화,Kim, Hae-Sol,Lee, Chong-Hwan,Jeon, Jae-Yoon,Lim, Su-Jin,Bae, Young-Hyeon,Kim, Ho-Sun,Song, Ju-Hyun,Kim, Moon-Hwi,Cho, Changyoung,Jung, You-Hwa 척추신경추나의학회 2014 척추신경추나의학회지 Vol.9 No.2

Objectives : The Purpose of this study is to investigate the clinical application of Bee venom pharmacopuncture and conservative treatment for lumbar HIVD(Herniated Intervertebral Disc) and Femoroacetabular Impingement. Methods : Patient is hospitalized at Dept. of Oriental Internal Medicine, Jaseng Oriental Medicine Hospital, diagnosed as lumbar HIVD(Herniated Intervertebral Disc) and Femoroacetabular Impingement and treated by Bee venom pharmacopuncture, herbal medicine, acupuncture and moxibustion. This study was measured by NRS(Numerical Rating Scale), ODI and EQ-5D. Results : After Bee venom pharmacopuncture and conservative oriental medical treatment, the patient's pain was controlled and NRS score was decreased. ODI and EQ-5D also were improved. Conclusions : As seen in this one case, Oriental conservative treatment and Bee venom pharmacopuncture have a positive effect to control pain with lumbar HIVD(Herniated Intervertebral Disc) and Femoroacetabular Impingement.

소아에서의 간종양

김해솔,임라주,김혜은,이철구,서정민,이석구,Kim, Hae-Sol,Im, Ra-Joo,Kim, Hye-Eun,Lee, Chul-Gu,Seo, Jeong-Meen,Lee, Suk-Koo 대한소아외과학회 2007 소아외과 Vol.13 No.2

Liver tumors in children are rare, relatively complex, and encompass a broad spectrum of disease processes. This study reviews our experience of liver tumors during the last 10 years. Medical records of 36 cases of liver tumors in children, treated at Samsung Medical Centers, from October 1994 to December 2005, were reviewed in this study. We analyzed disease characters and survival rates as a whole and by specific disease. The median age was 3.6 years. Male and female ratio was 1:1. The most common symptom was the palpable mass in 15 cases. Others were abdominal distension in 9 cases, jaundice in 2, vomiting in 2, weight loss in 2, and pubic hair growth in 1. CT or US and liver biopsy were performed for diagnosis. There were 28 malignant tumors: malignant rhabdoid tumor (1 case), hepatocellular carcinoma (3 cases), hemangioendothelioma type II (3 cases), angiosarcoma (1 case), and hepatoblastoma (20 cases). Eight tumors were benign; hepatic adenoma (1 case), focal nodular hyperplasia (2 cases), hemangioendothelioma type I (2 cases), mesenchymal hamartoma (3 cases). In this study the clinical characteristics were not different from the other reports. Liver transplantation was performed in 3 cases-1 with hepatoblastoma and 2 with hepatocelleular carcinoma. Accurate and early diagnosis, and individualized multimodality therapeutic approaches might be important for better outcome.

소아 췌장종양의 임상적 고찰

임라주,김해솔,김태석,이철구,서정민,이석구,Im, Ra-Joo,Kim, Hae-Sol,Kim, Tae-Seok,Lee, Cheol-Gu,Seo, Jeong-Meen,Lee, Suk-Koo 대한소아외과학회 2007 소아외과 Vol.13 No.2

Pancreatic tumors in children are very rare but have a better prognosis compared with that in adult. Pediatric pancreatic tumors are more often benign and easier to resect. To evaluate the characteristics and prognosis, the records of 13 patients who underwent pancreatic resection, from June 1997 to May 2005, at Samsung Medical Center were reviewed. The mean follow up period was 48 months. The male to female ratio was 1: 1.6. Mean age was 10.3 years. Signs and symptoms included abdominal pain (7), abdominal palpable mass (5), jaundice (1), hypoglycemic (1), and non-specific GI symptoms (4). The commonly used diagnostic tools were CT and abdominal sonography. In addition, MRI, ERCP, EEG, and hormone test were also done when indicated. Surgical procedures included distal pancreatectomy (5), pylorus preserving pancreaticoduodenectomy (4), tumor excision (3), and subtotal pancreatectomy (1). Locations of lesions in pancreas were head (4), tail (5), and body and tail (4). Postoperative complications developed in 3 cases; postoperative ileus (1), wound problem (1), and pancreatitis (1). The pathologic diagnosis included solid-pseudopapillary tumor (6), congenital simple cyst (1), pancreatic duplication cyst (1), serous oligocystic adenoma (1), mucinous cystadenocarcinoma (1), rhabdomyosarcoma (1), insulinoma (1), and pancreatoblastoma (1). Three cases received adjuvant chemotherapy and radiotherapy. Overall survival rate was 81 %. One patient with a mucinous cystadenocarcinoma died. In this study, pancreatic tumors in children were resectable in all patients and had good survival. Surgery of pancreatic tumors should be regarded as the gold standard of treatment and a good prognosis can be anticipated in most cases of benign and malignant tumors.

유방암의 척추전이 환자에 대한 천수근 약침을 병행한 한의학적 치료 증례 1례

배영현,이종환,김해솔,김호선,서창용,김노현,송주현,염승철,Bae, Young-Hyeon,Lee, Chong-Hwan,Kim, Hae-Sol,Kim, Ho-Sun,Suh, Chang-Yong,Kim, No-Hyeon,Song, Ju-Hyun,Yeom, Seung-Chul 척추신경추나의학회 2015 척추신경추나의학회지 Vol.10 No.1

Objectives : Most of pains are important symptoms caused by cancer transpered to spine. Harpagophyti Radix Pharmacopuncture is highly effective in reducing fever, pain, inflammation but was never used to reduce pain from cancer transpered to spine. So I intended to use Harpagophyti Radix Pharmacopuncture to control pain. The purpose of this study is to evaluate the clinical application of Harpagophyti Radix Pharmacopuncture for Bone Metastasis of Breast Cancer and Spinal Stenosis. Methods : We examined patient with Bone Metastasis of Breast Cancer and Spinal Stenosis who admitted Jaseng Korean Medicine Hospital. The patient was treated by Korean Medicine treatment and Harpagophyti Radix Pharmacopuncture. This case was assessed by Numerical Rating Scale(NRS), Oswestry Low Back Pain Disability Index(ODI), Short-Form 36 Health Survey(SF-36), ROM(Range of Movement) and Special Test. Results : In this study, the patient's pain was controlled and NRS, ODI were decreased. I could identify the improvement in life quality from the positive change of SF-36 and also found out that treatment was successful from the improvement of ROM, Special test. Conclusions : Harpagophyti Radix Pharmacopuncture with Korean Medicine treatment for Bone Metastasis of Breast Cancer and Spinal Stenosis was proved to be useful to the pain relief and function recovery, but further research should take place for clear understanding of the exact amount of dosage and safety. Moreover it must be accompanied by long term follow up research.

근이완 약침을 병행한 섬유근육통 증후군 치험 2례

배영현,전재윤,임수진,이종환,김해솔,김호선,송주현,염승철,김문휘,Bae, Young-Hyeon,Jeon, Jae-Yoon,Lim, Su-Jin,Lee, Chong-Hwan,Kim, Hae-Sol,Kim, Ho-Sun,Song, Ju-Hyun,Yeom, Seung-Chul,Kim, Moon-Hwi 척추신경추나의학회 2014 척추신경추나의학회지 Vol.9 No.2

Objectives : The purpose of this study is to evaluate the clinical application of Muscle Relaxation Pharmacopuncture for Fibromyalgia. Methods : We examined 2 patients with Fibromyalgia who admitted Jaseng Korean Medicine Hospital. The patients were treated by Korean Medicine treatment and Muscle Relaxation Pharmacopuncture. These cases were assessed by Numerical Rating Scale (NRS), American College of Rheumatology Preliminary Diagnostic Criteria(ACR), ROM(Range of Movement) and Special Test. Results : In this study, the patient's pain was controlled and NRS, Widespread Pain Index(WPI), Symptom Severity(SS) scale score were decreased. ROM and Special Test were also improved. Conclusions : Muscle Relaxation Pharmacopuncture with Korean Medicine treatment for Fibromyalgia was proved to be helpful to the pain relief and function recovery, but more studies are needed to investigate the effectiveness of Muscle Relaxation Pharmacopuncture.

멀티챔버 에어스프링 공기유동에 의한 소음 개선

조창호(Chang-ho Cho),김해솔(Hae-sol Kim),강귀현(Kwi-hyun Kang) 한국자동차공학회 2020 한국자동차공학회 학술대회 및 전시회 Vol.2020 No.11

증례보고 : 보존적 치료를 통한 연골무형성증을 가진 요통 환자

이종환,박상원,변장훈,김해솔,임수진,전재윤,김기원,남지환,이민정,송주현,Lee, Chong-Hwan,Park, Sang-Won,Byun, Jang-Hoon,Kim, Hae-Sol,Lim, Su-Jin,Jeon, Jae-Yoon,Kim, Kie-Won,Nam, Ji-Hwan,Lee, Min-Jung,Song, Ju-Hyun 척추신경추나의학회 2013 척추신경추나의학회지 Vol.8 No.2

Objectives : The purpose of this study is to investigate the efficacy of conservative treatment on Achondroplasia patient who has low back pain with radiation. Methods : The patient was treated by conservative treatment including acupuncture, pharmaco acupuncture, chu-na manipulation, herbal medicine. Numeric rating scale(NRS), Oswestry disability index(ODI) were used to evaluate pain reduction. Physical examination also used to compare with admission state and discharge state. Results : After 1 month admission treatment, NRS decreased 9 to 6, ODI dcreased 56 to 42, ROM improved as normal person. Conclusions : It was efficient that Achondroplasia patient who has low back pain with radiation treated as conservative treatment including acupuncture, pharmaco acupuncture, chu-na manipulation, herbal medicine. But It was just one case and treatments were carried out in Integrative Package. So further studies are required to compare that which treatment is efficient.