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        Mid-Ventricular Obstructive Hypertrophic Cardiomyopathy Associated with an Apical Aneurysm: Evaluation of Possible Causes of Aneurysm Formation

        Yuichi Sato,Naoya Matsumoto,Shinro Matsuo,Shunichi Yoda,Shigemasa Tani,Yuji Kasamaki,Tadateru Takayama,Satoshi Kunimoto,Satoshi Saito 연세대학교의과대학 2007 Yonsei medical journal Vol.48 No.5

        Mid-ventricular obstructive hypertrophic cardiomyopathy (MVOHCM) is a rare type of cardiomyopathy, associated with apical aneurysm formation in some cases. We report a patient presenting with ventricular fibrillation, an ECG with an above normal ST segment, and elevated levels of cardiac enzymes but normal coronary arteries. Left ventriculography revealed a left ventricular obstruction without apical aneurysm. There was a significant pressure gradient between the apical and basal sites of the left ventricle. Cine magnetic resonance imaging (MRI), performed on the 10th hospital day, showed asymmetric septal hypertrophy, mid-ventricular obstruction, and an apical aneurysm with a thrombus. The first evaluation by contrast-enhanced imaging showed a subendocardial perfusion defect and delayed enhancement. It was speculated that the intraventricular pressure gradient, due to mid- ventricular obstruction, triggered myocardial infarction, which subsequently resulted in apical aneurysm formation.

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        MHD SIMULATIONS OF A MOVING SUB CLUMP WITH HEAT CONDUCTION

        ASAI NAOKI,FUKUDA NAOYA,MATSUMOTO RYOJI The Korean Astronomical Society 2004 Journal of The Korean Astronomical Society Vol.37 No.5

        High resolution observations of cluster of galaxies by Chandra have revealed the existence of an X-ray emitting comet-like galaxy C153 in the core of cluster of galaxies A2125. The galaxy C153 moving fast in the cluster core has a distinct X-ray tail on one side, obviously due to ram pressure stripping, since the galaxy C153 crossed the central region of A2125. The X-ray emitting plasma in the tail is substantially cooler than the ambient plasma. We present results of two-dimensional magnetohydrodynamic simulations of the time evolution of a sub clump like C153 moving in magnetized intergalactic matter. Anisotropic heat conduction is included. We found that the magnetic fields are essential for the existence of the cool X-ray tail, because in non-magnetized plasma the cooler sub clump tail is heated up by isotropic heat conduction from the hot ambient plasma and does not form such a comet-like tail.

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        Comparison of Dose Accuracy between Film and Two-dimensional Detectors in Intensity-modulated Radiation Therapy

        Yuichi Onishi,Shinichi Nakayama,Shinsaku Watanabe,Souichirou Kaneshige,Hajime Monzen,Kenji Matsumoto,Naoya Shintani,Takeshi Kamomae 한국물리학회 2015 THE JOURNAL OF THE KOREAN PHYSICAL SOCIETY Vol.67 No.1

        We constructed seven intensity-modulated radiation therapy (IMRT) treatment plans for prostate cancer (49 irradiation fields which contained seven randomly-sampled patients and seven fields) and evaluated the dose distributions by using a radiochromic film (EBT3 film) and a 2D detector. We superposed the calculated dose distribution of the IMRT treatment plan on EBT3 film and the 2D detector results and then compared those with the -analysis pass rate. The relative positions of the beam and the detector were varied; the results of the analysis of the superior-inferior (SI) direction potentially differed, depending on the detector position, under an irradiation beam with the same fluence map. The detector was moved over a range of ±8 mm in the SI direction in 1-mm step increments, measurement were made at each position, and the results were analyzed. The -analysis compared the dose distributions from EBT3 film and the radiation treatment planning system (RTPS) for each patient and field; the pass rate with the -analysis from 98 to 100% was 2.04%. When we compared the dose distributions of the 2D detector and the RTPS, the pass rate from 98 to 100% was 63.2%. The mean values for the -analysis pass rates for EBT3 film and the 2D detector were 94.2 and 97.6%, respectively. Volume averaging of the data indicated a mean pass rate and standard deviation of 98.6 and 0.91%, respectively, and a pass rate of more than 96% for all positions. A 2D detector can, therefore, be used as an alternative apparatus for IMRT dose verification.

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