Characteristics of Meniscus Tear in Tibial Plateau Fractures

이동훈,김병국,김재화,정주환,이인성,이준구,이순철,Lee, Dong-Hoon,Kim, Byung-Kuk,Kim, Jae-Hwa,Chung, Ju-Hwan,Lee, In-Sung,Lee, Jun-Ku,Lee, Soon-Chul Korean Arthroscopy Society 2012 대한관절경학회지 Vol.16 No.1

목적: 경골 고평부 골절은 슬관절에 다양한 문제를 발생시킨다. 본 연구는 관절경하 경골 고평부 골절에서 반월상 연골 손상 양상을 확인하고자 한다. 대상 및 방법: 2007년 3월부터 2010년 3월까지 경골 고평부 골절을 진단 받은 39명의 환자 중 33명 환자를 대상으로 골절 고정 시내 관절경을 시행하였다. Schatzker 분류에 따르면 1명의 I형(3.3%), 19명의 II형(53.3%), 4명의 III형(13.3%), 2명의 IV형(6.6%), 2명의 V형(6.6%), 5명의 VI형(20%) 소견을 보였다. 결과: 25명의 환자(75.8%)에서 외측 반월상 연골 파열 소견을 보였다. Schatzker II형 환자 19명 중 18명의 환자(94.7%)가, Schatzker III형 환자 4명 중 3명의 환자(75%)가, Schatzker VI형 환자 5명 중 4명의 환자(80%)가 반월상 연골 파열 소견을 보였다. 반월상 연골 중 가장 많이 손상된 부분은 외측 연골의 전각부분이다(22/25). 25명의 반월상 연골 파열 환자 중, 한 명을 제외한 모든 환자에서 반월상 연골 변연부 수직 종파열 양상을 보였으며, 이는 대부분의 경우에 있어 관절경하 봉합술을 시도할 수 있었다. 결론: 경골 고평부 골절에 있어 관절경하 반월상 연골 손상에 대한 파악 및 치료에 유용하며, 경골 고평부 골절환자에서 관절경을 권한다. Purpose: Tibial plateau fractures cause a variety of problems in the knee joint. The purpose of this study was to investigate the characteristics of the meniscus injuries in tibial plateau fracture arthroscopically. Materials and Methods: Thirty-three out of 39 consecutive patients diagnosed with tibial plateau fractures underwent arthroscopy between March 2007 and March 2010. According to Schatzker classification, there were 1 type I (3.3%), 19 type II (53.3%), 4 type III (13.3%), 2 type IV (6.6%), 2 type V (6.6%) and 5 type VI (20%) fracture patterns in 33 patients. Results: Twenty-five cases (75.8%) had lateral meniscus tears. There were 18 meniscal tears in 19 cases of Schatzker type II fractures (94.7%), 3 meniscal tears out of 4 cases of Schatzker type III fractures (75%) and 4 meniscal tears out of 5 cases of Schatzker type VI fractures (80%). The most commonly affected site (22/25) was the anterior horn of the lateral meniscus. Of the 25 documented meniscal tears, all but one were vertical longitudinal tear at meniscocapsular junction so most cases are amenable to arthroscopic repair. Conclusion: Arthroscopy for the meniscal injuries in tibial plateau fractures is a valuable diagnostic and treatment tool, we recommend arthroscopy in tibial plateau fracture.

선형적 위상배열 코일구조의 시뮬레이션을 통한 민감도지도의 공간 해상도 및 필터링 변화에 따른 MR-SENSE 영상재구성 평가

이동훈,홍철표,한봉수,김형진,서재준,김소현,이춘형,이만우,Lee, D.H.,Hong, C.P.,Han, B.S.,Kim, H.J.,Suh, J.J.,Kim, S.H.,Lee, C.H.,Lee, M.W. 대한의용생체공학회 2011 의공학회지 Vol.32 No.3

Parallel imaging technique can provide several advantages for a multitude of MRI applications. Especially, in SENSE technique, sensitivity maps were always required in order to determine the reconstruction matrix, therefore, a number of difference approaches using sensitivity information from coils have been demonstrated to improve of image quality. Moreover, many filtering methods were proposed such as adaptive matched filter and nonlinear diffusion technique to optimize the suppression of background noise and to improve of image quality. In this study, we performed SENSE reconstruction using computer simulations to confirm the most suitable method for the feasibility of filtering effect and according to changing order of polynomial fit that were applied on variation of spatial resolution of sensitivity map. The image was obtained at 0.32T(Magfinder II, Genpia, Korea) MRI system using spin-echo pulse sequence(TR/TE = 500/20 ms, FOV = 300 mm, matrix = $128{\times}128$, thickness = 8 mm). For the simulation, obtained image was multiplied with four linear-array coil sensitivities which were formed of 2D-gaussian distribution and the image was complex white gaussian noise was added. Image processing was separated to apply two methods which were polynomial fitting and filtering according to spatial resolution of sensitivity map and each coil image was subsampled corresponding to reduction factor(r-factor) of 2 and 4. The results were compared to mean value of geomety factor(g-factor) and artifact power(AP) according to r-factor 2 and 4. Our results were represented while changing of spatial resolution of sensitivity map and r-factor, polynomial fit methods were represented the better results compared with general filtering methods. Although our result had limitation of computer simulation study instead of applying to experiment and coil geometric array such as linear, our method may be useful for determination of optimal sensitivity map in a linear coil array.

Unusual Late Life-Threatening Arterial Bleeding after Salvage Total Laryngectomy Following Chemotherapy and Radiotherapy

이동훈,김록영,이재운,이준규,Lee, Dong-Hoon,Kim, Rok-Young,Lee, John Jae-Woon,Lee, Joon-Kyoo The Korean Society for Head and Neck Oncology 2012 대한두경부 종양학회지 Vol.28 No.1

본방사선 치료 후에 후두 절제술을 시행할 경우 인두피부누공, 감염, 출혈 등 상처부위 합병증의 가능성이 높다. 저자들은 최근에 항암치료와 방사선 치료 후에 재발한 성문상부암에 대해 후두 전적출술을 시행하였고, 수술 66일째 생명을 위협하는 인두의 동맥 출혈을 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Primary Leiomyosarcoma of the Submandibular Gland

이동훈,김영,이재운,이준규,Lee, Dong Hoon,Kim, Young,Lee, Jae Woon,Lee, Joon Kyoo The Korean Society for Head and Neck Oncology 2013 대한두경부 종양학회지 Vol.29 No.2

평활근육종은 주로 사지와 몸통에 주로 발생하며, 악하선의 원발성 평활근육종은 매우 드물다. 악하선의 원발성 평활근육종은 증상과 방사선 검사 모두에서 비특이적이며, 치료는 광범위 절제술이다. 최근 저자들은 악하선에 발생한 원발성 평활근육종을 광범위 적출술을 시행한 후에 술후 방사선 치료를 시행하여 치험하였기에 문헌 고찰과 함께 보고하는 바이다. 악하선의 평활근육종은 드물지만, 방사선 검사에서 경계가 분명하고 조영 증강이 잘되며, 세침흡입검사에서 방추세포가 발견될 경우에 감별 진단으로 고려해야 한다.

경계요소법을 이용한 위상변이 마스크의 단차 효과 분석

이동훈,김현준,이승걸,이종웅,Lee, Dong-Hoon,Kim, Hyun-Jun,Lee, Seung-Gol,Lee, Jong-Ung 대한전자공학회 1999 電子工學會論文誌, D Vol.d36 No.11

3차원 위상변이 마스크의 단차 효과를 분석하기 위해 투명 경계조건, 주기적인 경계조건, 및 연속조건을 가진 경계요소법을 광 리소그래피 공정 시뮬레이션에 새로이 적용하였으며, 해석적인 해와 참고문헌의 결과와 비교함으로써 구현된 모듈의 정확성을 검증하였다. 또한, 기존의 rigorous coupled wave analysis에 의한 방법에 비해 수렴성과 계산 시간 측면에서 경계요소법을 이용하는 것이 더 효율적임을 확인하였다. 끝으로 비교적 간단한 위상변이 마스크와 다층-위상변이 마스크에 대한 최적 설계 과정을 기술하였다. The boundary element method was newly implemented into an optical lithography simulator so that it could evaluate rigorously the topological effects of 2dimensional phase-shifting masks. Both transparent and periodic boundary conditions were applied for the method, and the continuity conditions were used for treating interface nodes. The accuracy of the module developed for simulating aerial images was verified by comparison with analytic solutions and published results. In addition, it was found that our simulator would be more efficient than the conventional method based on the rigorous coupled wave analysis in views of the convergence and the calculation speed. Finally, the optimal design of two phase-shifting masks was performed.

Goltz 증후군 1례

이동훈,박철한,박지민,박샛별,김흥식,류영욱,이규석,이희정,Lee, Dong Hoon,Park, Chul Han,Park, Ji Min,Park, Set Byul,Kim, Heung Sik,Ryoo, Young Wook,Lee, Kyu Suk,Lee, Hee Jung 대한소아청소년과학회 2003 Clinical and Experimental Pediatrics (CEP) Vol.46 No.6

저자들은 특징적인 진찰 소견과 피부 조직 생검에서 제 I형 교원질 유전자 발현의 감소를 보인 Goltz 증후군 1례를 경험하였기에 보고하는 바이다. Goltz syndrome(focal dermal hypoplasia) is a rare disorder characterized by ectodermal and mesodermal dysplasia described in 1962 by Goltz. In Korea, one case of Goltz syndrome was reported in 1994. The inheritance mode is mostly X-linked dominant. Skin abnormality is the most common manifestation including hypoplasia of the dermis. Skeletal involvement such as syndactyly, polydactyly, scoliosis, kyphosis and spina bifida occulta may be present, also ocular and dental abnormalities are reported. Radiologic findings are the osteopathy and striation of the long bone. We experienced a case of Goltz syndrome in a 9-year old female who was presented with right side hypotrophy, focal dermal hypoplasia, ocular(anidria, microcornea), dental(oligodontia, amelogenesis) and skeletal(syndactyly) abnormalities. Skin biopsy was performed and showed decreased expression of type I collagen gene with Northern blotting.

대기보전을 위한 탈황시설계획

이동훈,Lee, Dong-Hun 대한석유협회 1982 석유와 에너지 Vol.1982 No.3

비가시성 인터랙션 표면 생성을 통한 인터랙티브 입체영상 시연 시스템 개발

이동훈,양황규,Lee, Dong-Hoon,Yang, Hwang-Kyu 한국전자통신학회 2011 한국전자통신학회 논문지 Vol.6 No.3

본 논문에서는 입체 영상 디스플레이 시스템 환경 하에서 다중의 사용자가 입체 영상 내의 사물과 상호작용이 가능한 입체 인터랙티브 콘텐츠 시스템 개발 방법을 제안한다. 상호작용을 위한 방법으로는 최근 대중적으로 많이 보급된 멀티터치 방식을 이용하여 사용자의 제스쳐 정보를 입체 영상 환경 하의 사물에 적용한다. 기존 멀티터치 방식은 디스플레이 표면과의 직접적 접촉을 통해 상호작용이 발생하나, 입체 영상의 경우 디스플레이 표면과 참여자 간의 적정 거리가 떨어져야 한다는 제약조건으로 기존 방법을 적용하기 어렵다. 이를 해결하기 위해 공간 상에 상호작용을 위한 비가시성 표면을 생성하고, 생성된 표면과 참여자의 신체와의 접촉을 상호작용의 이벤트로 간주한다. 또한 본 논문에서는 상호작용이 가능한 입체 영상 저작을 위해 게임 엔진 기반의 입체 영상 생성 및 편집 기법을 제시한다. In this paper, we propose a development methodology of interactive stereoscopic image display system. In our case, we consider a multiple touch recognition technique as the interaction method. That's because we want to guarantee multiple user access and interaction to the content without any restriction. In this case, however, some restrictions are occurred on account of the distance between display and participants. For this reason, this paper propose an invisible interaction surfaces which are generated in the air. This surface is utilized as interaction medium instead of the display wall. We also present an effective way to generate and edit interactive stereoscopic images based on Game Engine.

기능적 자기공명영상 사용유무에 따른 확산텐서영상 분석의 유효성 평가

이동훈,박지원,홍철표,Lee, Dong-Hoon,Park, Ji-Won,Hong, Cheol-Pyo 대한물리치료학회 2013 대한물리치료학회지 Vol.25 No.5

Purpose: This study was conducted in order to evaluate the quantitative effectiveness of region of interest (ROI) setting in MR-DTI analysis with and without fMRI activation results. Methods: Ten right-handed normal volunteers participated in this study. DTI and fMRI datasets for each subject were obtained using a 1.5T MRI system. For neural fiber tracking, ROIs were drawn using two methods: The drawing points were located in the fMRI activation areas or areas randomly selected by users. In this study, the neural fiber tract targeted the corticospinal tract (CST) Quantitative analyses were performed and compared. The pixel numbers passing through the fiber tract in the individual brain volume were counted. The ratios between the ROI pixel numbers and the extracted fiber pixel numbers, and the ratios between the fiber pixel numbers and the whole-brain pixel numbers were also calculated. Results: According to our results, extracted CST fiber tract in which the ROI was drawn with fMRI activation areas showed higher distribution than drawing the ROI by users' hands. In addition, the quantitatively measured values represented higher pixel distribution: The counted average pixel numbers were 4553.8 and 1943.3. The average ratios of the ROI areas were 33.87 and 22.52. The average percentages of the individual whole-brain volume numbers were 2.06 and 0.87. Conclusion: Results of this study appear to indicate that use of this method can allow for more objectives and significant for study of the recovery of neural fiber mechanisms and brain rehabilitation.

단안성 시야장애를 보이는 정상안압 녹내장에서의 개인내 양안간 비교

이동훈,기창원,Dong Hoon Lee,Changwon Kee,Ph,D 대한안과학회 2008 대한안과학회지 Vol.49 No.1

`Purpose: To investigate whether there are differences in ocular risk factors reportedly associated with the development of normal tension glaucoma (NTG) between glaucomatous eyes and normal visual field (VF) eyes of monocular NTG patients. Methods: Thirty-six patients who had NTG in one eye and normal RNFL and VF in the fellow eye were included in this hospital-based cross-sectional retrospective survey. We analyzed the difference between glaucomatous eyes and normal VF eyes according to an intra-individual, inter-ocular comparison of ocular parameters, including intraocular pressures (IOP), central corneal thickness (CCT), optic disc size, myopia, optic disc hemorrhage, and zone β of peripapillary atrophy. Measurements of optic disc size and area and the angular and radial extent of zone β were obtained using a Heidelberg Retina Tomograph. We also evaluated the correlation of each parameter with mean deviation (MD) and pattern standard deviation (PSD). Results: There were no inter-ocular differences of IOP, CCT, optic disc size, or myopia (n=36). Optic disc hemorrhage was found in only three glaucomatous eyes. The area of zone β was greater in glaucomatous eyes than in normal VF eyes (p=0.003). No parameters were correlated with MD or PSD. Conclusions: Except for optic disc hemorrhage and zone β area, all other parameters showed no inter-ocular differences. The asymmetry of disc hemorrhage and zone β area in monocular NTG patients implies that optic disc ischemia might play a role in the pathogenesis of NTG.`