RISS 학술연구정보서비스

검색
다국어 입력

http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.

변환된 중국어를 복사하여 사용하시면 됩니다.

예시)
  • 中文 을 입력하시려면 zhongwen을 입력하시고 space를누르시면됩니다.
  • 北京 을 입력하시려면 beijing을 입력하시고 space를 누르시면 됩니다.
닫기
    인기검색어 순위 펼치기

    RISS 인기검색어

      검색결과 좁혀 보기

      선택해제
      • 좁혀본 항목 보기순서

        • 원문유무
        • 원문제공처
          펼치기
        • 등재정보
          펼치기
        • 학술지명
          펼치기
        • 주제분류
          펼치기
        • 발행연도
          펼치기
        • 작성언어
        • 저자
          펼치기

      오늘 본 자료

      • 오늘 본 자료가 없습니다.
      더보기
      • 무료
      • 기관 내 무료
      • 유료
      • KCI등재

        Quasi-breath-hold (QBH) Biofeedback in Gated 3D Thoracic MRI: Feasibility Study

        김태호,이레나,김시용,Kim, Taeho,Pooley, Robert,Lee, Danny,Keall, Paul,Lee, Rena,Kim, Siyong Korean Society of Medical Physics 2014 의학물리 Vol.25 No.2

        연구의 목적은 의사호흡정지(QBH) 바이오 피드백이 의료영상획득 시간의 큰변화 없이 잔류 호흡 운동을 조절함으로써 호흡 운동에 의한 영상 오류를 줄이고, 게이트 3차 흉부 자기 공명 영상을 향상시킬 수 있다는 가설을 실험하는 것이다. 가설을 확인하기 위해 건강한 다섯 사람을 대상으로 3T 지멘스 엠알아이의 호흡 탐색기가 포함된 T2 가중 스페이스 엠알 펄스 시퀀스를 이용해 두번의 게이트 자기공명 영상 연구를 시행 하였다: 자유 호흡 상태와 의사호흡정지 바이오 피드백 호흡상태, 의사호흡정지 바이오 피드백 시스템은 알피엠(RPM) 시스템(실시간 위치 관리시스템, 베리안)을 사용하여, 복부의 외부 위치를 측정하고, 음향과 시각적으로 각각의 호흡주기의 90% 위치에서 2초 숨을 정지하도록 안내하는 방법을 사용했다. 평가방법은 의사호흡정지 바이오 피드백 시스템을 이용시 간 상부의 호흡정지모습의 재현성이 게이팅 영역 내에서 향상되는지를 지원자의 실험을 통해 평가하였다. 자유호흡상태와 의사호흡정지 바이오 피드백상태에서 3차 흉부자기공명영상내에 호흡 운동에 의한 영상 오류와 게이팅영역 내에서의 잔류 호흡 운동 조절여부도 함께 평가했다. 또한, 복부 변위의 RMSE도 (제곱근오차) 조사되었다. 의사호흡정지 바이오 피드백방법을 사용함으로 자유호흡의 경우보다 게이트 3차 흉부 엠알 영상에서 폐와 간에서 호흡운동에 의한 영상오류의 감소 결과를 획득했다(영상획득시간: ~6분). 이는 의사호흡정지 바이오 피드백사용시, 게이팅 영역에서 복부 운동 감소와 횡경막의 잔류 움직임 감소가 일치함을 의미한다. 따라서, 알피엠을 통해 얻은 복부 변위의 전체 자료에서평균 RMSE는 (제곱근오차) 자유 호흡의 2.0 mm에 비해 7 mm (67% 감소, p값=0.02)로 감소하였으며, 게이팅영역만을 고려했을때는 자유 호흡의 1.7 mm가 의사호흡정지 바이오 피드백 호흡을 사용함으로써 0.7 mm (58 % 감소, p값=0.14) 로 개선되었다. 선형 피팅을 사용하여 얻은 평균 기준 이동값은 의사호흡정지 바이오 피드백 을 사용하면 자유 호흡 5.5 mm/분보다 0.6 mm/분(89% 감소, p값=0.017)으로 감소되었다. 이 연구는 의사호흡정지 바이오 피드백을 이용해 게이트 3차 흉부 자기 공명 영상 중에 간 상부의 호흡정지 재현성이 향상되는 것을 보여 주었다. 이 시스템은 내부 해부학의 운동을 조절함으로써 게이트 의료 영상과 방사선 치료에 임상적으로 적용 할 수 있다. The aim of the study is to test a hypothesis that quasi-breath-hold (QBH) biofeedback improves the residual respiratory motion management in gated 3D thoracic MR imaging, reducing respiratory motion artifacts with insignificant acquisition time alteration. To test the hypothesis five healthy human subjects underwent two gated MR imaging studies based on a T2 weighted SPACE MR pulse sequence using a respiratory navigator of a 3T Siemens MRI: one under free breathing and the other under QBH biofeedback breathing. The QBH biofeedback system utilized the external marker position on the abdomen obtained with an RPM system (Real-time Position Management, Varian) to audio-visually guide a human subject for 2s breath-hold at 90% exhalation position in each respiratory cycle. The improvement in the upper liver breath-hold motion reproducibility within the gating window using the QBH biofeedback system has been assessed for a group of volunteers. We assessed the residual respiratory motion management within the gating window and respiratory motion artifacts in 3D thoracic MRI both with/without QBH biofeedback. In addition, the RMSE (root mean square error) of abdominal displacement has been investigated. The QBH biofeedback reduced the residual upper liver motion within the gating window during MR acquisitions (~6 minutes) compared to that for free breathing, resulting in the reduction of respiratory motion artifacts in lung and liver of gated 3D thoracic MR images. The abdominal motion reduction in the gated window was consistent with the residual motion reduction of the diaphragm with QBH biofeedback. Consequently, average RMSE (root mean square error) of abdominal displacement obtained from the RPM has been also reduced from 2.0 mm of free breathing to 0.7 mm of QBH biofeedback breathing over the entire cycle (67% reduction, p-value=0.02) and from 1.7 mm of free breathing to 0.7 mm of QBH biofeedback breathing in the gated window (58% reduction, p-value=0.14). The average baseline drift obtained using a linear fit was reduced from 5.5 mm/min with free breathing to 0.6 mm/min (89% reduction, p-value=0.017) with QBH biofeedback. The study demonstrated that the QBH biofeedback improved the upper liver breath-hold motion reproducibility during the gated 3D thoracic MR imaging. This system can provide clinically applicable motion management of the internal anatomy for gated medical imaging as well as gated radiotherapy.

      • KCI등재

        4-포트 수평/수직 겸용 프로브용 교정키트

        김태호(Taeho Kim),김종현(Jonghyeon Kim),김성준(Sungjun Kim),김광호(Kwangho Kim),푸보(Bo Pu),나완수(Wansoo Nah) 한국전자파학회 2014 한국전자파학회논문지 Vol.25 No.5

        본 논문에서는 4-포트 수평/수직 프로브 스테이션을 사용하여 수직 커넥터 핀의 특성 측정 시 사용되는 회로망 분석기의 교정용 키트(calibration kit)를 제안한다. 기존의 수평면에서 사용되는 교정키트를 사용하면, 교정 후 프로브 암의 변경 및 추가적인 장치가 필요하며, 이로 인한 시간 소요뿐 아니라, 주변 상황에 민감한 프로브 팁의 위치 변동에 기인한 정밀도 훼손의 위험이 있다. 본 논문에서는 이를 보완할 수 있는 4-포트 수평/수직 겸용 교정키트를 제시한다. 교정은 SOLT 방법을 이용하였으며, Short, Open, Load는 수평면에서 교정하며, Thru는 프로브의 위치에 따라서 교정기판의 같은 수평면에서 교정하거나 또는 교정기판의 위쪽, 아래쪽을 수직으로 연결하여 사용할 수 있도록 설계/제작하였다. 즉, 기판에 수직한 Thru를 교정할 때에는 교정키트를 수직으로 세워 키트 양면을 사용하여 교정할 수 있는 방법을 제안하였다. 제안한 교정키트에서의 SOLT 회로 반사/전달 특성을 기존 교정키트의 SOLT 회로의 반사/전달 특성과 비교 분석하였으며, 두 교정키트의 전달 특성은 길이 보정 후, 300 kHz부터 8.5 GHz까지 약 ±0.1 dB의 차이가 있음을 확인할 수 있었다. 이와 같이 설계/제작된 4-포트 수평/수직 교정키트의 유용성을 입증하기 위하여 각각 수평 측정의 경우와 수직 측정의 경우의 두 가지 경우 사례 연구를 수행하였으며, 그 결과를 기존의 교정키트를 사용한 후 측정된 결과 데이터와 비교 분석하였다. In this paper, we propose a horizontal/vertical calibration kit for calibrating a vector network analyzer(VNA) to measure the vertical connector pin. If the conventional calibration kit is used, we should change the arm for a probe or need an assistant device and it takes a long time. In addition there is a risk of precision degradation caused by the position change of the probe tip sensitive to the surroundings. We suggest a 4-port vertical calibration kit to make up for the aforementioned shortcomings. The calibration kit was manufactured for the SOLT calibration method. ‘Short’, ‘Open’, and ‘Load’ are available in the horizontal plane, ‘Thru’ is available not only in the horizontal plane on the two planes of a PCB, but in the vertical plane between the two planes according to the positions of the probes. We complemented the conventional calibration kit to make a vertical calibration kit to be used for the vertical measurement method. We compared and analysed their reflection/transfer characteristics of the SOLT calibration standards of the proposed calibration kit and conventional one, we get a ±0.1 dB differences of transfer characteristics in the range from 300 kHz to 8.5 GHz. In order to demonstrate usefulness, and we performed a case study for horizontal and vertical cases, and compared the results of the proposed calibration kit and conventional one.

      • KCI등재
      • KCI등재

        고등학교 세계지리 교과서의 사막포도 형성에 대한 고찰

        김태호 ( Taeho Kim ) 한국지형학회 2016 한국지형학회지 Vol.23 No.3

        High school textbooks of world geography show geomorphic features in arid environments such as sand dune, yardang and ventifact which are largely created by aeolian processes. Desert pavements, ubiquitous armored surfaces composed of a mosaic of clasts in hot and arid regions, are introduced as a major landform which can be attributed to wind erosion. However, they are formed by a variety of processes including deflation, surface runoff, upward clast migration and dust accretion that cause coarse particles concentration at the surface. The deflation by wind leaving a lag of coarse clasts has been solely regarded at home, even though the classical mechanism of deflation has been evaluated as a relatively unimportant process of pavement formation abroad through empirical studies. The accretionary model is gaining wider acceptance, thus implying that desert pavements could be formed through deposition of aeolian material. In addition, sheetflood and upward migration of clasts, irrelevant to the aeolian processes, could also create stone pavements. As a consequence, the deflation process in high school textbooks has to be urgently modified into a range of processes including aeolian mantling. By stressing that desert pavements are an exceptional geomorphic feature in deserts where wind is a predominant geomorphic agent, they can be used as a good example to demonstrate that a landform is not monogenetic.

      • 삼일열 말라리아의 비장경색에 대한 증례보고

        김태호 ( Taeho Kim ),이현경 ( Hyeon Kyeong Lee ) 국군의무사령부 2015 대한군진의학학술지 Vol.46 No.1

        Malaria is a protozoan disease transmitted by the bite of infected Anopheles mosquitoes. Since Plasmodium vivax malaria reemerged in the north areas of South Korea, various manifestations related to malaria have been reported. During malarian infection, combined splenic complications such as hematoma formation, rupture, splenomegaly, and splenic infarction should be carefully identified. Splenic infarction is a rare complication and it is probably undiagnosed. We described the case of a 20-year-old male soldier who had acute Plasmodium vivax malaria complicated with splenic infarction. The patient were successfully treated with anti-malarial medications.

      • 서혜부 총상환자에서의 CT 혈관조영술 후 동맥 색전술에 대한 증례보고

        김태호 ( Taeho Kim ),손락채 ( Rak Chae Son ),이현경 ( Hyeon Kyeong Lee ) 국군의무사령부 2016 대한군진의학학술지 Vol.47 No.1

        Gunshot in military troop could cause a high energy wound combined with multiple injuries through adjacent bone, soft tissue and vessel. Among these, vessel injury is the most important factor that determined the survival rate of gunshot patients. Because of these reasons, rapid and accurate detection and treatment is cruciate to prevent unintended death in the gunshot patient. Recently, CT angiography has been developed with multiple detectors and it provides prompt whole-body scan in the patient with severe trauma. Moreover it has a powerful detection ability using dynamic phase images with contrast administration when the vessel injury is suggested. Recently, transcatheter arterial embolization is a alternative treatment option in the patient with vessel injury. Also it has some benefits with less invasive procedure with short procedure time compared with emergency operation. Recently arterial embolization for the vessel injury with severe trauma shows high technical successful rate. We described a case of a 21-year-old male soldier who had injured by gunshot combined with active arterial bleeding at Lt inguinal area. The patient were accurately evaluated by pelvic CT angiography and successfully treated by arterial embolization with glue materials.

      • 젊은 군인에서의 음낭외상 : 초음파 소견과 임상양상과의 비교연구

        김태호 ( Taeho Kim ),이현경 ( Hyeon Kyeong Lee ) 국군의무사령부 2015 대한군진의학학술지 Vol.46 No.1

        Objective : To evaluate the usage of sonography in the initial diagnosis of scrotal injuries and to correlate the clinical manifestations in young military soldiers with scrotal trauma. Method : We retrospectively reviewed the medical records of patients who visited the hospital with scrotal trauma between July 2012 and August 2014. Sonographic findings for scrotal trauma were reviews based on the predefined abnormal findings (hematoma, hydrocele, testicular fracture or rupture and tunica albuginea rupture). Also we analyzed the clinical information including trauma type, interval time during hospitalization, pain score and hospital stay. Results : We included 28 patients with the history of scrotal trauma. The patients' mean age was 21.1 years, and most patients had blunt trauma during the sport activity. Mean hospitalized time interval was 3.2 day. The patients who visited emergency department shows shorter time interval compared with urology visit (p<0.05). Sonography showed unusual finding in 16 patients such as scrotal wall thickening, intratesticular hematoma and testicular rupture. Among 28 patients, 16 patients was decided to manage under hospitalization and there mean hospital stay was 17.2 days. The patients with abnormal sonographic findings showed longer hospital stay tendency compared those without abnormal sonographic findings (p<0.05). Most of the patients improved there symptom after conservative management without surgical approach. Only 4 patients underwent surgical treatment and preserved there testis. Conclusion: Once the scrotal trauma was occurred, the patient should quickly tranfered to the emergency department to accurate diagnosis of the testis with ultrasonography. Also we should carefully manage the patient when there were abnormal sonographic findings, regardless of the degree of pain for preserve testis.

      연관 검색어 추천

      이 검색어로 많이 본 자료

      활용도 높은 자료

      해외이동버튼