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PET/CT 검사에서 Q.Clear 기법의 유용성에 대한 고찰
최용훈,김정열,최영숙,임한상,김재삼,Choi, Yong Hoon,Kim, Jung Yul,Choi, Young Sook,Lim, Han Sang,Kim, Jae Sam 대한핵의학기술학회 2017 핵의학 기술 Vol.21 No.2
최근 PET/CT 장비의 성능의 발전과 다양한 기법의 개발로 민감도와 해상도등 영상 품질을 개선할 수 있게 되었다. 본 논문에서는 GE사의 Discovery IQ 장비의 Q.Clear (a fully convergent iterative reconstruction) 기법을 이용하여 영상의 질 향상에 유용성이 있는지 알아보고자 한다. 장비는 Discovery IQ (GE Healthcare, MI, USA)를 사용하였다. NEMA IEC Body Phantom의 배후방사능과 열소 체적(10 mm, 13 mm, 17 mm, 22 mm)의 비를 1:4로 하고 3분간 촬영하여 VPHDs (VUE Point High-Definition SharpIR)와 Q.Clear의 대조도를 비교 분석하였다. PET/SPECT Performance Phantom에 $^{18}F-FDG$를 187 MBq을 주입 후 4분간 촬영하여 해상도와 균일도를 비교 분석하였다. 그리고 100명의 임상 환자에서 질환의 종류와 상관없이 2 cm 미만의 작은 병소의 SUVmax를 측정하여 t-test 통계분석하였다. NEMA IEC Body Phantom에서 VPHDs와 Q.Clear의 대조도가 $63.6{\pm}5.7%$, $75{\pm}4.8%$로 나왔고 PET/SPECT Performance Phantom에서 해상도는 VPHDs가 9.2 mm, Q.Clear가 7.3 mm로 나왔다. 균일도는 Q.Clear가 10.8% 더 우수하였다. 임상 환자의 t-test 통계 결과 p-value가 0.021로 유의한 차이가 있었다. 임상환자에서 SUVmax는 Q.Clear에서 높게 측정 되었으며, 신호대 잡음 비도 우수하였다. 이는 부분체적효과의 영향을 줄였기 때문으로 볼 수 있다. Phantom test와 임상 환자의 결과 모두 Q.Clear를 적용 하였을 때 영상품질이 향상된 것을 확인하였다. 이러한 영상 품질 향상은 병소를 더욱 정확하게 발견할 수 있고 나아가 선량저감과 환자평가 그리고 영상 분석 등 다양한 방면에서 활용할 수 있을 것으로 사료된다. Purpose Recently, the performance of PET/CT scanner has been improved and various techniques have been developed to increase the image quality such as Sensitivity and Resolution. The purpose of this study is to evaluate the usefulness of Q.Clear (a fully convergent iterative reconstruction) technique of GE Discovery IQ equipment to enhance the image quality. Materials and Methods All scans were acquired by Discovery IQ (GE Healthcare, MI, USA). In NEMA IEC Body Phantom test, Background to Hot-sphere (10 mm, 13 mm, 17 mm, 22 mm) ratio was 1:4 and scan time was 3 minutes. The images were reconstructed by VPHDs (VUE Point High-Definition + SharpIR) and Q.Clear to evaluate each Contrast. We injected 18F-FDG 187 M㏃ to PET/SPECT Performance Phantom. And then it was scanned for 4 minutes to evaluate Resolution and Uniformity. T-test statistical analysis was performed on SUVmax of small lesions less than 2 cm in 100 clinical patients regardless of disease type. Results In the NEMA IEC Body Phantom, the Contrast was $63.6{\pm}5.7%$ (VPHDs) and $75{\pm}4.8%$ (Q.Clear). In the PET/SPECT Performance Phantom, the Resolution was 9.2 mm (VPHDs) and 7.3 mm (Q.Clear). Uniformity of Q.Clear was 10.8% better than VPHDs. T-test statistic of the clinical patients showed a significant difference of p value of 0.021. Conclusion Both the phantom test and the clinical results showed that the quality of the image was improved in Q.Clear was applied. The SUVmax was highly measured in Q.Clear and the lesions were clearly distinguished visually. Therefore Q.Clear can be useful in various aspects such as dose-reduction, patients evaluation and image analysis.
<sup>18</sup>F-Florbetaben PET/CT 검사에서 영상분석에 대한 고찰
최용훈,반영각,임한상,김재삼,Choi, Yong-Hoon,Bahn, Young-Kag,Lim, Han-Sang,Kim, Jae-Sam 대한핵의학기술학회 2022 핵의학 기술 Vol.26 No.1
<sup>18</sup>F-FBB 판독은 회백질과 백질의 신호강도를 육안으로 비교하여 이루어진다. 정량화된 영상분석을 판독과 비교하여 영상분석의 유용성을 평가하고자 한다. 환자는 판독결과를 기준으로 음성과 양성을 100명씩 나누었고 FBB 300 MBq 주입하고 90분 뒤 20분간 촬영했다. 장비는 Discovery 600 (GE Healthcare, MI, USA)을 사용하였다. 제조사에서 제공하는 아밀로이드 판독 기준을 근거하여 4개의 관심영역을 설정하였다. 영상분석은 각 SUVmean을 소뇌로 나누어 SUVr를 산출하고 전체 영역에서의 평균 SUVr로 진행하였다. 통계분석은 ROC Curve를 통한 Cutoff 도출과 독립표본 t-test의 그룹간 차이, 그리고 Kappa test를 통한 판독결과와 일치도를 분석하였다. 전체 영역에서의 평균 SUVr의 Cutoff는 1.23으로 나왔다. Cutoff를 사용한 판독결과와 일치도는 음성에서 95/100 (95 %), 양성에서 92/100 (92 %)로 나왔다. t-test 결과 그룹 간에 통계적으로 유의한 차이가 있었고(P < 0.05) Kappa 통계 결과 0.867로 높은 일치도를 나타냈다(P < 0.05). 영상분석의 결과가 통계적으로 유의하며 판독결과에도 높은 일치도를 보여 주었다. 추가적으로 FBB 영상분석은 아밀로이드가 축적된 부위를 3D 매핑하여 볼 수 있고 위치추정이 가능하며 정량분석 결과를 세분화하여 볼 수 있다. 정량화된 FBB 영상분석을 보조지표로 활용한다면 판독에 도움이 될 것으로 사료된다.
장시간의 부동자세에 의한 횡문근융해증으로 유발된 구획증후군 1예
최용훈 ( Yong Hoon Choi ),김영백 ( Young Baek Kim ),안수영 ( Su Young Ahn ),장윤미 ( Yun Mi Jang ),김범성 ( Bum Sung Kim ),박정환 ( Jung Hwan Park ),이종호 ( Jong Ho Lee ),이승준 ( Seoung Joon Lee ),고성은 ( Sung En Koh ),오지영 ( 대한신장학회 2009 Kidney Research and Clinical Practice Vol.28 No.5
Compartment syndrome is rarely associated with non-traumatic rhabdomyolysis. We report the case of a 23-year-old man who developed compartment syndrome associated with rhabdomyolysis caused by prolonged immobilization after antidepressive drug overdose. Elevation of serum creatine phosphorkinase and myoglobinuria indicated rhabdomyolysis. Painful swelling of the right buttock and thigh and right lower limb paralysis with sensory and motor deficit were suggestive of gluteal and thigh compartment syndrome with the complication of sciatic nerve injury. The patient received an immediate fasciotomy, medical treatment and rehabilitation. At five months after initial treatment, the patient could walk independently with nearly full recovery of his right lower limb function.
혈복증으로 발현되어 장유착박리술로 치료된 피막성 복막 경화증 1예
김영백 ( Young Baek Kim ),유문원 ( Moon Won Yoo ),전혜정 ( Hae Jeong Jeon ),임소덕 ( So Dug Lim ),최용훈 ( Yong Hoon Choi ),김범성 ( Bum Sung Kim ),박중희 ( Jung Hee Park ),이종호 ( Jong Ho Lee ),박정환 ( Jung Hwan Park ),조영일 ( 대한신장학회 2009 Kidney Research and Clinical Practice Vol.28 No.5
Encapsulating peritoneal sclerosis (EPS) is an uncommon but fatal complication of peritoneal dialysis (PD). Recently, there were some reports of advanced EPS cases that were successfully treated by enterolysis although an intestinal perforation or leakage from intestinal anastomosis were associated with a high mortality. We experienced a case of EPS in a 53-year-old man on PD for 3.5 years without a previous history of episode of peritonitis who presented with hemoperitoneum during treatment of peritonitis. EPS was diagnosed radiologically according to typical CT findings; The series of CT scans revealed how to develop in sequence from a very subtle findings to full-blown findings of EPS. Enterolysis was performed because the patient did not respond to conservative management such as cessation of PD with transfer to hemodialysis, nutritional support and steroid therapy. In spite of intestinal perforation during surgery, he was successfully treated with enterolysis. Therefore, we report this case with review of the literature.
만성 B형간염 환자에서 아데포비어 투여에 의한 골연화증
안수영 ( Su Young Ahn ),고순영 ( Soon Young Ko ),장윤미 ( Yun Mi Jang ),최용훈 ( Yong Hoon Choi ),김병국 ( Byung Kook Kim ),최원혁 ( Won Hyeok Choe ),이창홍 ( Chang Hong Lee ),권소영 ( So Young Kwon ) 대한소화기학회 2010 대한소화기학회지 Vol.56 No.2
Adefovir dipivoxil, an acyclic nucleoside analogue, has been approved for the treatment of patients with chronic hepatitis B. This agent is efficacious particularly in those who have developed lamivudine resistance. The report according to hypophosphatemia induced by low dose adefovir therapy is very rare. We report one case in which osteomalacia with hypophosphatemia developed in a patient with chronic hepatitis B on adefovir dipivoxil at a low dose, 10 mg daily. A 66-year-old man, who had been taking adefovir for more than 4 years due to lamivudine resistance, presented with muscle weakness and bone pain in both thighs. After 3 years of adefovir therapy, hypophosphatemia and elevated serum alkaline phosphatase levels had been noted. A bone scan showed multiple hot uptakes. All the image findings and clinical symptoms, such as bone pain and muscle weakness were improved after correcting the hypophosphatemia with oral phosphorous supplementation. (Korean J Gastroenterol 2010;56:117-120)
도라지와 감자 재배가 유출과 비점오염부하에 미치는 영향
신재영,신민환,최용훈,강현우,원철희,황문영,양희정,임경재,최중대,Shin, Jae Young,Shin, Min Hwan,Choi, Yong Hoon,Kang, Hyun Woo,Won, Chul Hee,Hwang, Moon Young,Yang, Hee Jung,Lim, Kyoung Jae,Choi, Joong Dae 한국농공학회 2012 한국농공학회논문집 Vol.54 No.6
An upland monitoring was conducted for about 4 years with respect to the water and quality of rainfall-runoff. The objective was to characterize of runoff and nonpoint source (NPS) pollution from a sandy field with 4.5 % in slope under balloonflower (2008-2010) and potato (2011) cultivation. Balloonflower was cultivated without any surface cover but potato was grown under plastic mulching. Runoff rate, EMCs and NPS pollution loads were estimated. The first flush effect was evaluated, and the correlation coefficient among the selected water quality indices were analyzed. Average rainfall size was higher by 2.3 mm when balloonflower was cultivated but average runoff rate was higher by 0.02 when potato was cultivated due to the plastic mulching. EMCs monitored from balloonflower field were higher than potato field except SS and TN, but all NPS pollution loads of potato field were 2.1~22.9 times greater than balloonflower field because of larger runoff volume. As a result of first flush effects, balloonflower and potato field were more influenced by increasing of accumulated rainfall and rainfall intensity rather than first flush. In the result of correlation analysis, there were no evident correlations between runoff and water quality indices. However, there were obvious correlations between SS and the other indices except TN. As a result of this study, it was thought that perennial balloonflower crop could help reduce runoff and NPS pollution loads but annual crop with plastic mulching increase them.
반영각,김동희,최용훈,강천구,김재삼,Bahn, Young-Kag,Kim, Dong-Heui,Choi, Yong-Hoon,Kang, Chun-Koo,Kim, Jae-Sam 대한핵의학기술학회 2018 핵의학 기술 Vol.22 No.2
본 연구는 반도체 심근 전용 감마카메라를 이용하여 단시간에 검사가 가능한 이중 동위원소 심근 관류 동시스캔에 대해 임상적으로 연구 해보고자 한다. 심장 전용 감마카메라를 사용하여 Rest/Stress $^{99m}TC$-sestaMIBI 당일 심근관류 스캔과 Rest $^{99m}TC$-sestaMIBI/Stress $^{201}Tl$ 이중 동위원소 심근 관류 동시 스캔을 같이 검사한 86명의 환자 중 검사 결과가 동일하고 임상적으로 심장질환의 변화가 없는 환자 36명을 대상으로 분석 했다. 두 검사의 영상의 상관성을 확인하기 위해 QPS 프로그램을 이용하여 정량적 값을 통계적으로 분석 했다. Rest/Stress $^{99m}TC$-sestaMIBI 당일 심근관류 스캔과 $^{99m}TC$-sesta MIBI/Stress $^{201}Tl$ 이중 동위원소 심근 관류 동시 스캔을 summed score에서 상관도를 분석했다. RSS의 $R^2$ 값은 0.91로 나왔고, SSS의 $R^2$ 값은 0.71로 나왔다. $^{99m}TC$-sestaMIBI/Stress $^{201}Tl$ 이중 동위원소 동시 검사는 기존 당일 검사와 상관성을 확인했다. $^{99m}TC$-sestaMIBI/Stress $^{201}Tl$ 이중 동위원소 동시 검사는 검사시간이 약 30분만에 완료가 가능하다. 응급환자나 고령의 환자 등 짧은 검사시간이 필요한 환자에게 임상적으로 도움이 될 것으로 사료된다. Purpose The purpose of this study is to investigate the simultaneous dual isotope (SDI) myocardial perfusion scan that can be performed in a short time using a semiconductor gamma camera. Materials and Methods Of the 86 patients who underwent Rest/Stress $^{99m}TC$-sestaMIBI 1-day myocardial perfusion scan and Rest $^{99m}TC$-sestaMIBI/Stress $^{201}Tl$ simultaneous dual isotope myocardial perfusion scan using a heart-only gamma camera, the test results were the same, 36 patients who did not show any change in the clinical outcome. Quantitative values were statistically analyzed using a QPS program to confirm the correlation between the images of the two examinations. Results Rest/Stress $^{99m}TC$-sestaMIBI simultaneous dual myocardial perfusion scans and $^{99m}TC$-sestaMIBI/Stress $^{201}Tl$ double-isotope myocardial perfusion scans were analyzed for Summed score. The $R^2$ value of the Rest summed score (RSS) was 0.91 and the $R^2$ value of the stress summed score (SSS) was 0.71. Conclusion The $^{99m}TC$-sestaMIBI/Stress $^{201}Tl$ simultaneous dual isotope scan confirmed its correlation with the previous day's test. The $^{99m}TC$-sestaMIBI/Stress $^{201}Tl$ simultaneous dual isotope scan can be completed in approximately 30minutes. It maybe clinically useful for patients who need short examination time such as emergency patients or elderly patients.
수동형 전개힌지를 이용한 전개형 우주 구조물의 전개 동특성 해석
최영준,오현웅,최용훈,이경주,Choi, Young-Jun,Oh, Hyun-Ung,Choi, Yong-Hoon,Lee, Kyung-Joo 한국군사과학기술학회 2008 한국군사과학기술학회지 Vol.11 No.3
The deployable space structure is necessary to minimize the satellite volume and launch cost. For the deployment, passive deployment mechanism has widely been used to attenuate a latch shock induced when the structure is just fully deployed. To reduce the latch shock, viscous damper is applied to the passive deployment mechanism and it can control the deployment speed of the structure. In this paper, dynamic analysis of the deployable space structure using the passive deployment mechanism with the viscous damper has been performed. The viscous damping values have been optimized through numerical simulation. The satellite's attitude influenced by pyro activation for the release of the structure has also been investigated.