Magnetic Resonance Imaging - SNUH

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Magnetic Resonance Imaging for Pre-clinical Applications ppli cati ons

Transcript of Magnetic Resonance Imaging - SNUH

Page 1: Magnetic Resonance Imaging - SNUH

Magnetic Resonance Imagingfor Pre-clinical Applicationspplications

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Applications

Brain Diffusion Tensor Imaging at 9.4T

Data courtesy: Laboratory of Functional and Metabolic Imaging,

Ecole Polytechnique Fรฉdรฉrale de Lausanne, Lausanne, Switzerland.

k-t SENSE Cardiac Imaging at 9.4T

Data Courtesy: CABI, University College London,

and BIC Imperial College London, UK

Sodium MRI of Kidney at 9.4T

Data Courtesy: Indiana University School of Medicine

Agilentโ€™s range of MRI systems are used in a variety of

applications. Each system is carefully confi gured to meet

your requirements and your demands, while offering the best

performance of that system.

Some of the pre-clinical applications include:

โ€ข Brain and organ imaging

โ€ข Cardiac investigation

โ€ข Tumour assessment

โ€ข Investigation of contrast agents

โ€ข Magnetic resonance spectroscopy

We understand that data and image acquisition can be time

consuming and labor intensive. Therefore, our systems are

designed to improve throughput, increase effi ciency and

improve accuracy, allowing you to collect high quality data.

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9.4T (above) and 14.1T (right) Brain Spectroscopy

Data courtesy: Laboratory of Functional and Metabolic

Imaging, Ecole Polytechnique Fรฉdรฉrale de Lausanne,

Lausanne, Switzerland.

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Complete, Flexible MRI Systems

Agilent offers a complete range of pre-clinical MRI systems.

Each Agilent MRI system includes the DD2 console, a

high fi eld or ultra-high fi eld magnet, gradient and RF coils,

VnmrJ 3.1 software, and a selection of sample handling

options to meet your specifi c needs.

Working together with a range of clients, Agilent is able to

produce high fi eld magnetic systems exhibiting very high

stability and consistency. The architecture of the Agilent DD2

console allows superior performance on multiple channels.

Our VnmrJ 3.1 Software supports an extensive library of 2D,

3D and advanced MRI pulse sequences.

Data courtesy: Center for Magnetic Resonance Research, University of Minnesota,

Minneapolis, MN, USA.

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High Field MRS4.7-9.4T Horizontal Bore Magnet Systems

9.4T/310mm

7T/210mm

Specifi cations for Horizontal Bore Magnet

Product

MRBR MRBR MRBR MRBR MRBR MRBR MRBR MRBR MRBR

4.7T/310 7.0T/160 7.0T/210 7.0T/310 7.0T/400 9.4T/160 9.4T/210 9.4T/310 9.4T/400

ASR ASR ASR ASR ASR ASR ASR ASR ASR

Operating fi eld (T) 4.7 7 7 7 7 9.4 9.4 9.4 9.4

Bore Size excl RT shim and Gradients (mm)

310 160 210 310 400 160 210 310 400

Homogeneity volume (mm DSV) 150 80 80 140 200 80 80 140 200

Homogeneity: fully shimmed peak to peak (ppm) / (mm) DSV

<ยฑ5ppm / 150mm

ยฑ2ppm / 80mm

ยฑ2ppm / 80mm

ยฑ2.5ppm / 150mm

ยฑ2.5ppm / 200mm

ยฑ2ppm / 80mm

ยฑ2ppm / 80mm

ยฑ2.5ppm / 140mm

ยฑ2.5ppm / 200mm

Homogeneity: superconducting only peak to peak (ppm) / mm DSV

ยฑ5ppm / 80mm

ยฑ4ppm / 80mm

ยฑ10ppm / 150mm

ยฑ10ppm / 200mm

ยฑ4ppm / 80mm

ยฑ4ppm / 80mm

ยฑ10ppm / 140mm

<10ppm / 200mm

System length (mm) 1280 1012 1280 1636 1998 1224 1420 1704 2286

Minimum ceiling height (mm) 3150 3130 2485 3030 3033 3300 3030 2990 3530

System diameter (mm) 1360 1350 1250 1655 2171 1500 1655 1740 2708

Zero boil-off Yes Yes Yes Yes Yes Yes Yes Yes Yes

Fringe fi eld (5 Gauss)(Axial x Radial) (m)

2.3 x 1.5 2.1 x 1.1 1.5 x 1.4 2.6 x 1.2 4.2 x 2.3 2.4 x 2.0 3 x 2 3.6 x 2.2 5 x 3.6

Pre-Clinical MRI at its Best

High Field MRI Systems

Available in a range of bore sizes from 160-900mm and in

fi eld strengths from 4.7-9.4T, Agilent's high fi eld magnets

are renowned for their market leading performance. Most

systems are available with active shielding technology. The

proton operating frequency of each system is dependent upon

fi eld strength.

The core products in the range comprise two MRI systems.

The Agilent MRI System is an adaptable MR imaging platform

that can be utilized in many MRI applications well as in the

development of novel research processes.

The Discovery MR901 System is a complete pre-clinical MRI

system operating on a clinical environment interface facili-

tated by GE Healthcare.

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Ultra High Field MRI11.7-18.8T Horizontal Bore Magnet Systems

11.74T/160mm

16.4T/260mm

Meeting our Customersโ€™ Needs

Agilentโ€™s Ultra High Field MRI magnets adopt the same high

standards and practices as the high fi eld magnets. In fi eld

strengths of 11.7T to 18.8T, and with bore sizes 160-400mm,

these cutting-edge designs take into account every aspect

of a clientโ€™s needs, including ease of use, running cost and

space constraints.

We incorporate market-leading superconducting technology

to meet even the most demanding requirements and techno-

logical specifi cations.

And with each one being built for individual purposes and

customer requirements, you can be confi dent of superb MRI

performance every time.

Specifi cations for UHF Horizontal Bore Magnet Systems

Product

MRBR MRBR MRBR MRBR MRBR MRBR MRBR MRBR

11.7/160 11.7/210 11.7/310 11.7/400 14.1/260 16.4/260 17.6/210 18.8/210

Active Active Passive Passive Passive Passive Passive Passive

Operating fi eld (T) 11.7 11.7 11.7 11.7 14.1 16.4 17.6 18.8

Operating temperature (K) 4.2 2.3 2.3 2.3 2.3 2.3 2.3 2.3

Bore Size excl RT shim and Gradients (mm) 160 210 310 400 260 260 210 210

Homogeneity volume (mm DSV) 80 100 150 200 130 100 100 100

Homogeneity fully shimmedpeak to peak (ppm /mm DSV)

ยฑ2.5ppm / 80mm

ยฑ2.5ppm / 100mm

ยฑ2.5ppm / 150mm

ยฑ2.5ppm / 200mm

ยฑ2.5ppm / 130mm

ยฑ4ppm / 100mm

ยฑ2.5ppm /100mm

ยฑ2.5ppm /100mm

Homogeneity super conductingonly peak to peak (ppm /mm DSV)

ยฑ10ppm / 80mm

ยฑ10ppm / 100mm

ยฑ5ppm /100mm

ยฑ5ppm /100mm

ยฑ10ppm /130mm

ยฑ10ppm / 100mm

ยฑ5ppm /100mm

ยฑ5ppm /100mm

Minimum Hold Time between Helium refi lls (days) 365 365 50 50 50 50 32 32

Minimum Hold Time between Nitrogen refi lls (days) N/A N/A 8 8 14 14 14 14

System length (mm) 1400 1680 2240 2600 2132 2572 2572 2920

Minimum ceiling height (mm) 2950 3030

System diameter (mm) 1840 1690 2100 2380 1820 2100 2100 2380

In vivo brain phase imaging at 14.1T

Data courtesy: Laboratory of Functional and Metabolic Imaging,

Ecole Polytechnique Fรฉdรฉrale de Lausanne, Lausanne, Switzerland.

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Gradient CoilsHigh Duty Cycle Gradient Coils

Nested Gradients

Agilent 205/120 HD gradient,

including cutaway 3D CAD

Agilentโ€™s latest generation of high performance gradients has

been designed and developed by MR scientists to address the

most challenging techniques and applications at the highest

magnetic fi elds.

Features include:

โ€ข Excellent heat extraction, providing industry-leading

high duty cycle performance

โ€ข Improved peak strength with short rise times

โ€ข Microgroove technology for superior magnetic shielding

โ€ข High slew-rates

โ€ข Superior gradient linearity

โ€ข High strength room-temperature shims

โ€ข HD 305/210 and HD 205/210 now rated to 300A peak

current providing increased gradient strength performance

Specifi cations for Gradients

Outside diameter: 395mm 305mm 205mm 156mm 156mm 115mm

Inside diameter: 290mm 210mm 120mm 100mm 90mm 60mm

Peak Current: 300A 300A 300A 200A 200A 200A

Peak Voltage: 500V 500V 500V 300V 300V 300V

Gradient sensitivity: 0.333mT/m/A 1.0mT/m/A 2.0mT/m/A 2mT/m/A 3.75mT/m/A 5.0mT/m/A

Maximum gradient strength: 100mT/m 300mT/m 600mT/m* 400mT/m 750mT/m* 1000mT/m*

Maximum slew rate: >380T/m/s >700T/m/s >4444T/m/s >3000T/m/s >5770T/m/s >7690T/m/s

Maximum DC current in all 3 axes simultaneously, I

DC Max

100A 75A 75A 55A 45A 50A

Duty cycle @ IMax

: 11.1% 6.25% 6.25% 7.6% 5.1% 6.25%

Minimum inductive rise time: 162ฮผsec 229ฮผsec 38ฮผsec 50ฮผsec 54ฮผsec 16ฮผsec

Gradient sub-system rise time: 260ฮผsec 425ฮผsec 135ฮผsec 130ฮผsec 130ฮผsec 130ฮผsec

Linearity (% over DSV): <5 %/200mm <5 %/120mm <5 %/80mm <5 %/75mm <5 %/60mm <5 %/40mm

Number of shims: 9 (including gradient shims)

Shim strengths:

Z0 348mG/A 380mG/A 530mG/A 470mG/A 505mG/A 510mG/A

Z2 16.6mG/cm2/A 29.7mG/cm2/A 87mG/cm2/A 89.7mG/cm2/A 127mG/cm2/A 157mG/cm2/A

ZX, ZY 5.1mG/cm2/A 12.2mG/cm2/A 41mG/cm2/A 62mG/cm2/A 73.5mG/cm2/A 124mG/cm2/A

2XY, X2-Y2 2.5mG/cm2/A 5.6mG/cm2/A 12.7mG/cm2/A 16.8mG/cm2/A 23.5mG/cm2/A 40mG/cm2/A

Shim algorithm 3D Automatic

Shim algorithm Manual Interactive

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A key feature of Agilentโ€™s complete range of RF coils is the

high level of RF homogeneity and stability, which is vital to

effective imaging, whether in the transmit or receive phase,

while maintaining excellent signal to noise ratios.

We have an extensive catalogue of RF coils, which fall into

fi ve key categories central to MRI applications. These are:

โ€ข Millipede: Suitable for whole body scanning and micro-

imaging, these coils produce consistent imaging with

reduced potential systematic errors

RF Coils

โ€ข Volume: suitable for all pre-clinical applications, the sample

fi ts fully inside the coil, minimizing the distance between

the coil body and the sample surface.

โ€ข Surface: ideal for oncology, surface coils enable increased

signal-to-noise ratios.

โ€ข Phased Array: ideal for neurological, spinal and cardiac

imaging, these coils are available in a variety of anatomical

spatial arrangements.

โ€ข Dual-tuned: these can increase your productivity by a signif-

icant amount, because they capture data at two different

frequencies at the same time. Volume and surface coils are

available in dual-tuned format.

For Every Application

Selection of Phased Array RF Coils and support devices.

Millipede RF Coil

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Sample HandlingSample Positioning System

Cart Option

SPS 60 for use with the

60mm inner diameter

gradient coil SPS 100

LITE version of

sample handling for

small lab settings

Table Top Sample

Handling System

Detail of Table Top Option

Cradle OD

Nominal Sample weight

RF coil Positioner confi guration Magnet bore size for 4.7T โ€“ 11.7T

mm Up to gmVolume/

phased arrayMillipede Brain Cardiac Surface LITE Table Cart

RF shielding Option

160mm 210mm 310mm 400mm

29 25 โ— โ— โ— โ— โ— โ— โ—

33 25 โ— โ— โ— โ— โ— โ— โ—

38/39 30 โ— โ— โ— โ— โ— โ— โ— โ—

62 30 โ— โ— โ— โ— โ— โ— โ— โ— โ— โ—

71 300 โ— โ— โ— โ— โ— โ— โ— โ— โ— โ— โ— โ—

138 300 โ— โ— โ— โ— โ— โ— โ— โ— โ—

148 300 โ— โ— โ— โ— โ— โ— โ— โ— โ—

Designed for Ease-of-use

Agilentโ€™s sample handling products are able to meet customer

demands, whatever the specifi cations. Each is made to a very

high standard, and greatly improve ease of sample handling

and image quality.

We offer two options: the LITE system for unscreened rooms,

and either the table top or cart system for screened rooms. .

Features and Benefi ts

โ€ข Fine adjustment from the end of the positioner ensures

repeatable placement of your sample in the iso-centre.

โ€ข Positioners and sample cradles are available across our

entire range of gradients.

โ€ข Easy adjustment of the table height seamlessly accomo-

dates sample preparation and insertion.

โ€ข The large fl at surfaces of the table and cart allow conven-

ient access to additional equipment.

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SoftwarePulse Sequence Library

FSEMS protocol

GEMS protocol

Agilent Pulse Sequence Library

The Agilent MRI sequence library is constantly being revised,

updated, and enhanced. The sequences are fully parameter-

ized for maximum fl exibility.

โ€ข VnmrJ 3.1 Software

โ€ข Standard 2D Imaging Sequences

โ€ข Diffusion-weighted 2D Imaging Sequences

โ€ข Standard 3D Sequences

โ€ข Advanced MRI Sequences

โ€ข Magnetic Resonance Spectroscopy (MRS) Sequences

โ€ข Shimming

Standard 2D Imaging Sequences

All standard 2D sequences described below are designed for

ease of use.

โ€ข SEMS โ€“ A 2D spin-echo MRI

โ€ข MEMS โ€“ A 2D multi-echo MRI

โ€ข GEMS โ€“ A 2D gradient-echo MRI

โ€ข MGEMS โ€“ A 2D gradient-echo MRI with multi-echo

acquisition

โ€ข GEMSIR โ€“ An inversion recovery MRI with 2D gradient-

echo - can be used for T1map

โ€ข FSEMS - A 2D Fast Spin Echo MRI

โ€ข FLAIR โ€“ Fluid-attenuated inversion recovery MRI

โ€ข Echo Planar 2D Imaging Sequence - Designed for use by a

non-MRI expert using a simple setup pre-scan for routine

EPI imaging

Advanced MRI Sequences

โ€ข Cardiac MRI โ€“ for looking at phases of the cardiac cycle

and reconstruction of the images for creating CINE views of

the beating heart

โ€ข Arterial spin labeling MRI โ€“ for measuring perfusion

โ€ข EPI-FAIR โ€“ slice-selective inversion recovery pulse on the

imaging slice. The control is a non-selective inversion

recovery pulse.

โ€ข EPI-STAR โ€“ slab-selective inversion recovery pulse applied

below the imaging slice. The control is above the imaging

slice.

โ€ข EPI-PICORE โ€“ slice-selective inversion recovery pulse

applied below the imaging slice. The control is a non-

selective inversion recovery pulse.

โ€ข SSFP โ€“ A steady-state free precession MRI

โ€ข Localized Spectroscopy - LASER, SPECIAL, Short Echo

STEAM

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Site Planning

Pre-clinical 9.4T/160

imaging suite with

preparation area

Pre-clinical 7T/310

imaging suite with

separate preparation room

Your Partner in Planning

Evaluating and deciding on the right MRI system takes time,

but it is just the beginning of our relationship with you the

customer.

Here at Agilent, we know that our role doesnโ€™t stop when

your system is ready. Site planning, and ensuring the correct

pre-requisites are in place, are just as important as helping

you select which system meets your research needs.

We will be on hand to help you plan and prepare the loca-

tion for the installation of your new imaging equipment. This

includes an additional site survey to identify and eliminate

potential issues that could impact operation of the magnet

once it is energized.

Maximum Capability, Minimum Footprint

All of our systems are designed to have the smallest

physical footprint possible, while providing you with

maximum imaging capability.

We recommend you have 3-4 rooms dedicated to your new

MRI system, but we will work with you to fi nd a solution to

whatever space constraints you may have.

Implementation Timeline

The implementation of our system is designed to be as effi -

cient as possible, allowing you to continue with your research

quickly.

The four key dates of the system implementation timeline are:

โ€ข Start of the project

โ€ข Build of the installation environment

โ€ข Delivery and installation of magnet system

โ€ข Commission and hand-over to the customer

Protecting Your Assets

RF shielding is an available option

with all of our systems, giving you

peace of mind that your installation

will provide a safe working environ-

ment for all personnel who come into

contact with the equipment.

The RF room is a custom, insulated,

turn-key magnet room, which includes

effective sound proofi ng designed to

shield the roomโ€™s exterior, while an

oxygen monitor gives you clear indica-

tion of the working conditions inside.

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Agilent is a name that is synonymous with measurement.

With expertise that spans electronic measurement, chemical

analysis and the life sciences, you can be sure that our prod-

ucts will meet your toughest requirements.

We pride ourselves on providing the worldโ€™s most complete,

most reliable laboratory productivity solutions, optimized for

your applications and workfl ows. Through a combination of

industry-leading instruments, accessible scientifi c expertise,

The Measure of Confi dence

Discovery MR901 (7T/310)

Agilent's magnet facility in Yarnton, UK.

9.4T/310mm magnet

easy-to-use software and a full range of global support

services, we are committed to delivering better results, faster

than ever.

Our MRI systems are no different. Our extensive expertise

dates back to the founding of Magnex Scientifi c in 1982. As

a result, our customers have benefi tted from the experience

and knowledge of our design teams and scientists, who bring

a wealth of information into the design of each and every

system we build.

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www.agilent.com

Product specifi cations and descriptions in this document are subject to change without notice.

ยฉ Agilent Technologies, Inc., 2011Published in USA, July 01, 2011Publication Number 5990-8104EN

At a Glance

We have provided this table so that you can compare our

best selling systems at a glance. Further information can

be found inside this brochure, or by contacting us using

the information on this page.

For more information

Learn more:

www.agilent.com/chem

Find an Agilent customer center in your country:

www.agilent.com/chem/contactus

U.S. and Canada

1-800-227-9770

[email protected]

Europe

[email protected]

Asia Pacifi c

[email protected]

Contact the MRI team

[email protected]

Magnet System 7T (300MHz) 9.4T (400MHz)

Bore size 210 310 210 310

Length 1280mm 1636mm 1420mm 1719mm

Width 1200mm 1690mm 1690mm 1740mm

Min. ceiling height 3125mm 3030mm 3030mm 2990mm

Homogeneity (ppm/DSV)

Fully shimmed < ยฑ2 / 8cm

< ยฑ2.5 / 15cm

< ยฑ2 / 8cm

< ยฑ2.5 / 14cm

Superconducting only < ยฑ4 / 8cm

< ยฑ10 / 15cm

< ยฑ4 / 8cm

< ยฑ10 / 14cm

Fringe Field (5 Gauss line)

Radial 1.5m 2.1m 2m 2.2m

Axial 1.4m 2.6m 3m 3.6m

Main Gradient

Outside diameter 205mm 305mm 205mm 305mm

Inside diameter 120mm 210mm 120mm 210mm

Peak current 300A 300A 300A 300A

Max. gradient strength 600mT/m 300mT/m 600mT/m 300mT/m

Sample Positioning (optional)

Trolley

OD of optional positioners available

N/A 210mm N/A 210mm

120mm 120mm 120mm 120mm

60mm 60mm 60mm 60mm

Table

OD of optional positioners available

N/A 210mm N/A 210mm

120mm 120mm 120mm 120mm

60mm 60mm 60mm 60mm

LITE

OD of optional positioners available

N/A 210mm N/A 210mm

120mm 120mm 120mm 120mm

100mm 100mm 100mm 100mm

90mm 90mm 90mm 90mm

60mm* 60mm* 60mm* 60mm*

* No additional cradles are required for use with this positioner

Applications of RF Coils

SurfaceDual-Tuned

VolumePhased Array

Millipede

Oncology โœ“ โœ“ โœ“

Spectroscopy โœ“ โœ“ โœ“

Neurology (Brain and Spinal)

โœ“ โœ“ โœ“ โœ“

Cardiac Scanning โœ“ โœ“

Micro-Imaging โœ“ โœ“

Whole Body Anatomic Scanning

โœ“ โœ“

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VisualSonics

Vevo2100 System& Vevo LAZR Image

System

SI healthcareJangwoo Cho

v1.0

<High frequency Preclinical Ultrasound System & Photoacoustic Image

System>

Functional/Physiological

Anatomical

Contrast

Image-Guided

Techniques

One Platform, Multiple Applications

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High frequency Preclinical Ultrasound System

Superior resolution and image

uniformity throughout the Entire

field of view

30 micron resolution

Wide field of view

Medical grade monitor provides

higher resolution,

non-glare view from any angle

Photoacoustic Imaging Platform

Technical Specifications:

โ€ข Real-time, in vivo imaging of deep tissue

(up to 1 cm)

โ€ข Integrated, 20Hz tunable laser

(680-970 nm)

โ€ข Resolution down to 45 ยตm

โ€ข Imaging through endogenous

hemoglobin signal

โ€ข High optical contrast co-registered with

high-resolution imaging

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Imaging station

Mouse & Rat Table

Temperature controlled platform maintaining

optimal physiological conditions for small animals

Integrated & displayed physiological monitoring โ€“

ECG, heart rate, core temperature,

respiration

Transducer mounting system โ€“ for precision,

accuracy and hands โ€“ free scanning

3D positioning system

Accessory

Anesthesia System for Animal

Image Acquisition

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Vevo MicroScan

MS700 : 70 MHz MicroScan transducer

- Broadband Frequency: 30 MHz - 70 MHz

- Applications: mouse embryology, epidermal imaging, superficial

tissue, subcutaneous tumors (< 9 mm), mouse vascular, ophthalmology

- Max Frame Rate: 476 fps

- Image Width: 9.7 mm, Image Depth: 12 mm

- Image Axial Resolution: 30 ๏ฟฝm

Vevo LAZR

LZ250 : 13-24 MHz Integrated Fiberoptic Transducer

- Integrated fiberoptics for pulsed laser light delivery

- 256 sensitive piezoelectric elements for acoustic detection

- Broadband Frequency: 13 MHz - 24 MHz

- Image Width: 23 mm, Image Depth: 30 mm

- Image Axial Resolution: 75 ๏ฟฝm

LZ550 : 32-55 MHz Integrated Fiberoptic Transducer

- Integrated fiberoptics for pulsed laser light delivery

- 256 sensitive piezoelectric elements for acoustic detection

- Broadband Frequency: 32 MHz - 55 MHz

- Image Width: 14.1 mm, Image Depth: 15 mm

- Image Axial Resolution: 40 ๏ฟฝm

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โ€ข LV Function

โ€ข Cardiac Output

โ€ข FractionalShortening

โ€ข VTI Interval

โ€ข Valvular Stenosis

โ€ข Vital Signs/BP integration

โ€ข RespiratoryGating/ECG

โ€ข Embryon lethal viability

โ€ข Great Vessels image and Dopplermeasurement

โ€ข Monitor Surgical sutures/hypertension

โ€ข Plaqueprogression

โ€ข Renal insuffiency

โ€ข Targetedcontrast to VCAM, P-Selectin

โ€ข Tumor size volumes

โ€ข Quantify relative vascular flow

โ€ข Monitor tumor metastasis

โ€ข TargetedMolecularImaging

โ€ข VEGFR2

โ€ข 3-D Modeling

โ€ข Injections

โ€ข Track Pharmaco-dynamic effects of novel compounds in real time

โ€ข Organ System Imaging

โ€ข Organ Blood flow at 30 microns

โ€ข Evaluate Path physiologiceffects of novel compounds

โ€ข Cardiac Function

โ€ข Renal Function

โ€ข Inflammation with molecular targets

โ€ข Injections and biopsy

โ€ข Tissue stiffness with DRF

โ€ข MonitorInflammation with molecular targets

โ€ข Injections

โ€ข Image joints

โ€ข QuantifyExpression with targetedcontrast from biotinilatedligand of choice

Ultrasound

Cardiovascular Oncology Metabolic Toxicology Immunology

Bridging Multiple Therapeutic Areas

Embryo through to adulthood

AdultEmbryo

Phenotypic Screening from Embryonic Stage to Adulthood

Video Loops

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Overview of Research Areas

โ€ข Cardiovascular Researchโ€ข Cancer Researchโ€ข Abdominal & Reproductive Imagingโ€ข Developmental Biologyโ€ข Photoacoustic Imaging

Cardiovascular Research

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Parasternal Long Axis

Video Loop

Parasternal Short Axis

Video Loops

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Carotid Artery

Video Loops

10 w ApoE/LDLr DKO mouse CCA

80 w ApoE/LDLr DKO mouse CCA

1 mm

40 w ApoE/LDLr DKO mouse CCA

Image sequence courtesy of Gan et al, University of Gothenburg, Sweden

Plaque Build-up in Carotid Arteries in Adult Mouse

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Cancer Research

โ€ข Screen for pre-palpable tumorsโ€ข Quantification in 2D and 3Dโ€ข Quantification in vascularity using

๏ฟฝ Color Doppler๏ฟฝ Power Doppler๏ฟฝ Contrast Agents (MicroMarker)

โ€ข Quantification of Biomarkers (VEGFR2, Integrinsโ€ฆ)

Cancer ImagingOrthotopic Tumor โ€“ B-Mode Imaging

*Images and histology courtesy of Dr. Marris & Nick Rhodin, Children's Hospital of Philadelphia

Pre-PalpableTumor (60 mm3)

Earliest PalpableTumor (180 mm3)

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Cancer ImagingSubcutaneous Tumor โ€“ 2D B-Mode Imaging

Cancer ImagingSubcutaneous Tumor โ€“ 3D B-Mode Imaging

Volume = 115.95mm2

Video Loop

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Vevo MicroMarker Contrast Agents

Exclusive Partnership:Bracco Group

Joint development and manufacturing of MicroMarkerโ„ข kits

Video Loop

Abdominal & Reproductive Imaging

โ€ข Midline Abdominal Landmarks โ€ข Adrenal Glandsโ€ข Kidneyโ€ข Pancreasโ€ข Ovary

Page 24: Magnetic Resonance Imaging - SNUH

Midline Abdominal Landmarks

Video Loop

Adrenal Gland

Video Loops

Page 25: Magnetic Resonance Imaging - SNUH

Mouse Left Kidney

Video Loop

Developmental Biology

Page 26: Magnetic Resonance Imaging - SNUH

1 mmAmnioticCavity

CoelomicCavity

EctoplacentalCavity

Atlas of Mouse Development, MH KaufmanFoster FS et al., Ultrasound in Med and Biol, 28:1165-1172, 2002

Embryonic Mouse Development at E7.5

Sagittal Profile at E12

Video Loop

Page 27: Magnetic Resonance Imaging - SNUH

Color Doppler in Placenta at E12

Video Loop

Injection into brain at E12

Video Loop

Page 28: Magnetic Resonance Imaging - SNUH

Profile at E17

Video Loop

Color Doppler demonstrating blood flow through the umbilical cord

Video Loop

Color Doppler โ€“ Umbilical Cord

Page 29: Magnetic Resonance Imaging - SNUH

Photoacoustic Imaging

Pulsed Laser Illumination

OpticalAbsorption

Heating of Light Absorbing Volume

ThermalExpansion

Pressure Waves

AcousticDetection

Optical Path Sound Path

Impactful images with the sensitivity of optical imaging and the resolution of

ultrasound

Novel features of Vevo LAZR system

โ€ข Inherent co-registration of photoacoustic and anatomical images๏ฟฝ Simultaneous registration of photoacoustic image on 2D and 3D planes๏ฟฝ Real-time acquisitions for true in vivo monitoring

What is this signal?

Where is this signal?

Needle SkinTumorNeedle SkinTumor

Delivery of nanoparticlesinto tumor

Page 30: Magnetic Resonance Imaging - SNUH

Microvascular Imaging โ€“Mouse skull, superficial cortex

Inherently co-registered high-resolution anatomical image and high-sensitivity photoacoustic signal acquired transcranially in vivo from the mouse superficial cortex (skull and skin intact, hair removed)

Sensitive photoacoustic signal acquired transcranially in vivo from the mouse superficial cortex (skull and skin intact, hair removed). Projection of 3D data, C-Scan shown.

Hindlimb ischemia

3D images of mouse hindlimb during

ischemia Unilateral hindimb ischemia: model of peripheral arterial disease (PAD)-low mortality rate-ease of access to femoral artery

Page 31: Magnetic Resonance Imaging - SNUH

3080 yonge street suite 6100box 66 toronto canada M4N 3N1

US

100 park avenue, suite 1600new york, NY 10017

Europe

Science Park 4061098 SM AMSTERDAMThe netherlands

www.visualsonics.com

+1 416 484-5000

TOLL FREE >

1.866.416.4636 (north america)

+ 800 0751.2020 (europe)

Advancing preclinical research

CardiovascularCancerDevelopmental BiologyDiabetesNeurobiologyReproductive BiologyRegenerative MedicineOphthalmologyMolecular ImagingOrthopedicGene Delivery

Thank You

VISUAL SONICS Korea: SI Healthcare โ€“ Mr. Jangwoo Cho

[email protected]

[email protected]

Page 32: Magnetic Resonance Imaging - SNUH

์‹คํ—˜๋™๋ฌผ์šฉ ๊ณ ํ•ด์ƒ๋„ ๋””์ง€ํ„ธ ์—‘์Šค์„  CT ์˜์ƒ ์†”๋ฃจ์…˜

NanoFocusRay Co., LTD.

June 2011

Page 33: Magnetic Resonance Imaging - SNUH

NFR Polaris-G90

์ „์ž„์ƒ์†Œ๋™๋ฌผ์šฉ in-vivo๋งˆ์ดํฌ๋กœ CT

SPECIFICATIONS

X-ray sourceSealed type microfocus tube20 ~ 90kvP, 180uA, Max. 8Watts

X-ray detectorFlat Panel Detector 145x115 mm, 74.8 um Pixel size

Scanning time < 15sec for 360views

Magnification 1.4x ~ 10x, variable zooming mechanism

FOV Transaxial ~100mm, length ~200mm120mm large bore size

Rotation method 360ยฐContinuous rotation using by Slip-Ring

Resolution < 13um voxel size

ReconstructionVolumetric Cone-beam Reconstruction (FDK)In-line / Off line mode

Radiation safety< 1uSv/h at any point on the instrument surface

Size / Weight 1250(W)x1450(D)x1600(H) mm, 350kg

Precision Gantry Rotation SystemHigh speed cone-beam reconstruction

Page 34: Magnetic Resonance Imaging - SNUH

X-ray ํŠœ๋ธŒMicro-focus X-ray tube

X-ray ๊ฒ€์ถœ๊ธฐFlat Panel Sensor

์ƒ˜ํ”Œ ์Šค์บ” ๋ฉ”์นด๋‹ˆ์ฆ˜

Gantry rotation

๋ฐฐ์œจ๊ฐ€๋ณ€ ๋ฉ”์นด๋‹ˆ์ฆ˜

Slip-ring technology

ํ˜ธํก๋งˆ์ทจ ์‹œ์Šคํ…œ

ํ˜ธํก ๋ฐ ์‹ฌ์žฅ ๊ฒŒ์ดํŒ… ์‹œ์Šคํ…œ (Optional)

์ œ์–ด์‹œ์Šคํ…œ

System control and image acquisition

์˜์ƒ์žฌ๊ตฌ์„ฑ ๋ชจ๋“ˆ

Reconstruction, 3-D viewer and image analysis

CabinetRadiation shield cabinet (1uSv/h)

NFR Polaris-G90 ์žฅ๋น„ ๊ตฌ์„ฑ

Page 35: Magnetic Resonance Imaging - SNUH

์ƒ˜ํ”Œ ์Šค์บ” ๋ฉ”์ปค๋‹ˆ์ฆ˜

Variable zooming mechanism ์ ์šฉ

๊ฐ€๋ณ€ ๋ฐฐ์œจ : 10x ~ 1.4x

FOV : transaxial 100mm ~ 14mm

์ง๊ฒฝ 10mm ์ด๋‚ด์˜ ์ ์ถœ ์‹œ๋ฃŒ

~ ์ง๊ฒฝ 100mm ํฌ๊ธฐ์˜ ์†Œ๋™๋ฌผ๊นŒ์ง€ ์ดฌ์˜ ๊ฐ€๋Šฅํ•จ.

Field of views (FOV) : Full body scan

Up to length 200mm

๋ฐฐ์œจ์— ๋”ฐ๋ฅธ FOV์™€ Voxel size ( 1 scan ์ˆ˜ํ–‰ ์‹œ)

๋ฐฐ์œจFOV (mm)

[transaxial x length]Voxel Size (um)

[X x Y x Z]

1.4x 100.2 x 82.1 101.4x80.1

2.0x 70.1 x 57.4 71.0x56.1

4.1x 34.2 x 28.0 34.6x27.4

10.0x 14.0 x 11.5 14.2 x 11.2

Page 36: Magnetic Resonance Imaging - SNUH

Physiological Monitoring & Gating

Small animal gas anesthesia systemQuickly anesthesia for rats and mice use with isofluraneEase of anesthetic control

Gas anesthesia Mask ; keep an inactive of sleeping stateVisual monitoring using by CCD camera with IR LEDs

Allows the operator to see a real-time image of the animal during scanningThe gating software analyzes the 30frames/sec video stream and provide a respiratory gating signal for synchronized scanning.Method of generating respiration gating signals for x-ray micro computed tomography scanner (Korean patent application 10-2010-0004635)

Carbon WireElectrode

CCD camera

Video motiondetection

Page 37: Magnetic Resonance Imaging - SNUH

Respiratory & Cardiac Gating

Page 38: Magnetic Resonance Imaging - SNUH

NFR Polaris-G90 ์ œํ’ˆ ๊ตฌ์„ฑ

์ œํ’ˆ ๊ตฌ์„ฑํ’ˆ

X-ray Micro-CT

์†Œ๋™๋ฌผ์šฉ ํ˜ธํก๋งˆ์ทจ ๋งˆ์Šคํฌ 1set

์†Œ๋™๋ฌผ์šฉ ๋ฒ ๋“œ 1set

์†Œ๋™๋ฌผ์šฉ ๋งˆ์ทจ ์‹œ์Šคํ…œ / ์˜ˆ๋น„๋งˆ์ทจ์ฑ”๋ฒ„ 1set

ํ˜ธํก ๊ฒŒ์ดํŒ… ์‹œ์Šคํ…œ 1set (Optional)

์‚ฌ์šฉ์ž ๋งค๋‰ด์–ผ(CD ํฌํ•จ)

์„ค์น˜ ์‚ฌ์–‘

์ •๊ฒฉ์ „์•• - AC 220V/60Hz 10A, ์ ‘์ง€, ๋ณ„๋„์˜ ๋‹จ์žํ•จ ์„ค์น˜

์™ธํ˜•์น˜์ˆ˜ - 1300(W)x1420(D)x1700(H)mm

์ œํ’ˆ๋ฌด๊ฒŒ - 350kg

Page 39: Magnetic Resonance Imaging - SNUH

Kwon-Ha Yoon, et al., โ€œArticular Cartilage Imaging by the Use of Phase-contrast Tomography in a Collagen-Induced Arthritis Mouse Modelโ€, Academic Radiology (2010)

Kwak Han Bok et al., โ€œInhibition of osteoclast differentiation and bone resorption by Rotenone, through down-regulation of RANKL-induced c-Fos and NFATc1 expressionโ€, Bone (2009).

Jaemin Oh et al., โ€œRisedronate Directly Inhibits Osteoclast Differentiation and Inflammatory Bone Lossโ€, Biol. Pharm. Bull. (2009).

Kang Y, Choi M, Lee J, Koh GY Kwon K, et al., โ€œQuantitative Analysis of Peripheral Tissue Perfusion Using Spatiotemporal Molecular Dynamicsโ€, PloS ONE (2009).

Hye Won Kim, Kwon-Ha Yoon, et al., โ€œMicro-CT Imaging with a Hepatocyte-selective Contrast Agent for Detecting Liver Metastasis in Living Miceโ€, Academic Radiology (2008).

Chul Ho Jang, et al., โ€œMastoid obliteration using a hyaluronic acid gel to deliver a mesenchymal stem cells-loaded demineralized bone matrix: An experimental studyโ€, International Journal of Pediatric Otorhinolaryngology (2008).

Quan-Yu Cai, Kwon-Ha Yoon, et al., โ€œColloidal Gold Nanoparticles as a Blood-Pool Contrast Agent for X-ray Computed Tomography in Miceโ€, Investigative Radiology (2007)

Lucia Martiniova, Karel Pacak, et al., โ€œIn vivo micro-CT imaging of liver lesions in small animal modelsโ€ Methods (2009)

NFR micro-CT๋ฅผ ์ด์šฉํ•œ ์—ฐ๊ตฌ

Page 40: Magnetic Resonance Imaging - SNUH

์ฃผ ์š” ๊ณ  ๊ฐ

์„ค์น˜์˜ˆ์ •

Page 41: Magnetic Resonance Imaging - SNUH

Image Gallery

Page 42: Magnetic Resonance Imaging - SNUH

32

Dental Application

Page 43: Magnetic Resonance Imaging - SNUH

Spine Image

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Spine Bone fusion in Rat

Page 45: Magnetic Resonance Imaging - SNUH

35

Anatomical Record,2002

Mouse Inner Ear by micro CT

Page 46: Magnetic Resonance Imaging - SNUH

BA-1 A-2

3D Volume Rendering & CPR

Page 47: Magnetic Resonance Imaging - SNUH

A. Volume of left atrium (LA), B. Volume of left ventricle (LV), C. Volume of right atrium (RA), D. Volume of right ventricle (RV)

A B C D

LA LV RA RV

Vol.(cm3) 0.747 0.966 0.675 0.763

3D Volume Measurement of each cardiac chamber

Page 48: Magnetic Resonance Imaging - SNUH

BA

Plaque Analysis

Page 49: Magnetic Resonance Imaging - SNUH

Aortic Aneurysm Model of Mice

Page 50: Magnetic Resonance Imaging - SNUH

์ฃผ์‹ํšŒ์‚ฌ๋‚˜๋…ธํฌ์ปค์Šค๋ ˆ์ด

์ „๋ถ์ „์ฃผ์‹œ๋•์ง„๊ตฌํŒ”๋ณต๋™ 2๊ฐ€์ „๋ถํ…Œํฌ๋…ธํŒŒํฌํ…Œํฌ๋…ธ๋นŒ B-114Tel. (063) 262-6795, Fax. (063) 262-6796

๊น€๊ฒฝ์šฐ(010-7504-8811, [email protected] )www.nanofocusray.com

Thank You!

Page 51: Magnetic Resonance Imaging - SNUH

philips

BV-Pulsera

I. System overview

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1. Battery management

: ๋งŒ์•ฝ energy level ์ด ํŠน์ •ํ•œ %์•„๋ž˜๋กœ ๋–จ์–ด์ง€๋ฉด, C-arm stand ์—

๊ฒฝ๊ณ ํ‘œ์‹œ๊ฐ€ ๋‚˜ํƒ€๋‚œ๋‹ค. . C-arm stand ์™€ mobile view station ๋‘˜ ๋‹ค

์—ฐ๊ฒฐ๋˜์–ด ์žˆ์–ด์•ผ๋งŒ ํ•˜๋ฉฐ mobile view station ์€ main power outlet

socket ์— ์—ฐ๊ฒฐ๋˜์–ด ์žˆ์–ด์•ผ๋งŒ ํ•œ๋‹ค.

์ด๊ฒƒ์€ ์žฌ์ถฉ์ „์„ ํ•˜๊ธฐ ์œ„ํ•ด์„œ์ด๋ฉฐ C-arm stand ์˜ ์™ผ์ชฝ ํ•ธ๋“ค ์ชฝ์—

connector panel ์—์„œ ์˜ค๋ Œ์ง€์ƒ‰ ๋ถˆ๋น›์ด ๋‚˜ํƒ€๋‚œ๋‹ค..

2. System ON/OFF

1) Switching the system on

C-arm stand ์ด๋‚˜ mobile view station ์œ„์˜

system on key ๋ฅผ ๋ˆ„๋ฅธ๋‹ค.

2) Switching the system off

mobile view station ์œ„์˜ system off ๋ฅผ ๋ˆ„๋ฅธ๋‹ค.

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๋‹จ, c-arm ์˜์˜ c-arm stand off ๋งŒ ๋ˆ„๋ฅด๋ฉด ์˜ค์ง c-arm

stand ๋งŒ ๊บผ์ง„๋‹ค.

3) Emergency Power Off

: ์‘๊ธ‰์ƒํ™ฉ์ด ๋ฐœ์ƒํ•˜์˜€์„ ๊ฒฝ์šฐ, ๋ชจ๋“  ์ž‘๋™์„ ๋ฉˆ์ถ”๊ฒŒ ํ•œ๋‹ค.

ํ•˜์ง€๋งŒ, mobile view stand ์˜ main power plug

๋ฅผ ์ œ๊ฑฐ ํ•ด ์ฃผ์–ด์•ผ ํ•œ๋‹ค.

3. Managing patients and examination

: ํ™˜์ž์™€ ๊ฒ€์‚ฌ๋Š” โ€˜Administrationโ€™ screen ์—์„œ ์กฐ์ž‘ ํ•  ์ˆ˜ ์žˆ๋‹ค.

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Schedule โ€“ ๊ฒ€์‚ฌ๋ฅผ ์œ„ํ•ด ์˜ˆ์•ฝ๋œ ํ™˜์ž ํ™•์ธ

Review โ€“ ์‹œ์Šคํ…œ์— ์ €์žฅ๋˜์–ด ์žˆ๋Š” ํš๋“๋œ ๊ฒ€์‚ฌ ํ™•์ธ

4. Adding a new examination

1) โ€˜Administrationโ€™ screen ์—์„œ โ€˜scheduleโ€™๋ฒ„ํŠผ์„ ๋ˆ„๋ฅธ๋‹ค.

2) โ€˜Addโ€™ ๋ฒ„ํŠผ์„ ๋ˆ„๋ฅธ๋‹ค.

3) keyboard ๋ฅผ ์‚ฌ์šฉํ•˜์—ฌ โ€˜Patient nameโ€™์˜์—ญ์—์„œ ํ™˜์ž์˜ ์ด๋ฆ„์„

๋„ฃ๊ณ  tab key ๋ฅผ ๋ˆŒ๋Ÿฌ์„œ ๋‹ค์Œ ์˜์—ญ์œผ๋กœ ์ด๋™ํ•œ๋‹ค.

4) โ€˜Patient IDโ€™์— ํ™˜์ž ID ๋ฅผ ๋„ฃ๊ณ  tab ์„ ๋ˆŒ๋Ÿฌ์„œ ๋‹ค์Œ์œผ๋กœ ์ด๋™ํ•œ๋‹ค.

5) โ€˜Date of Birthโ€™์— ํ™˜์ž์˜ ์ƒ๋…„์›”์ผ์„ ๋„ฃ๋Š”๋‹ค.

6) โ€˜Sexโ€™์— ์„ฑ๋ณ„์„ ์ž…๋ ฅํ•œ๋‹ค.

7) โ€˜Typeโ€™์—์„œ ๋ฉ”๋‰ด๋ฅผ ๋‚ด๋ ค์„œ ๊ฒ€์‚ฌ type ์„ ์„ ํƒํ•œ๋‹ค.

8) โ€˜Physicianโ€™์—์„œ ๋ฉ”๋‰ด๋ฅผ ๋‚ด๋ ค์„œ ์˜์‚ฌ ์ด๋ฆ„์„ ์„ ํƒํ•œ๋‹ค.

9) ์ƒˆ๋กœ์šด ๊ฒ€์‚ฌ๋ฅผ ํ™•์ธํ•˜๊ธฐ ์œ„ํ•ด OK ๋ฒ„ํŠผ์„ ๋ˆ„๋ฅธ๋‹ค.

5. modifying and Deleting an examination

: schedule list ์™€ review list ์—์„œ ๊ฒ€์‚ฌ๋Š” ์ˆ˜์ •ํ•  ์ˆ˜ ์žˆ๋‹ค.

list ์—์„œ ํš๋“ํ•œ ๊ฒ€์‚ฌํ•ญ๋ชฉ์„ ์„ ํƒํ•œ ํ›„ administration

screen ์—์„œ modify ๋˜๋Š” delete ํ•  ์ˆ˜ ์žˆ๋‹ค.

6. Selecting a patient for acquisition

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1) schedule list ๋กœ๋ถ€ํ„ฐ ํ™˜์ž๋ฅผ ์„ ํƒํ•œ๋‹ค.

2)start examination ๋ฒ„ํŠผ์„ ๋ˆ„๋ฅธ๋‹ค.

3)์„ ํƒ๋œ ๊ฒ€์‚ฌ๋Š” acquisition ๊ฒ€์‚ฌ๊ฐ€ ๋œ๋‹ค.

4) Administration screen ๋Š” ๊ฒ€์‚ฌ ๋ชจ๋‹ˆํ„ฐ ์œ„์— black screen ์— ์˜ํ•ด

์žฌ๋ฐฐ์น˜ ๋œ๋‹ค. ํ™˜์ž์˜ ์ด๋ฆ„์€ ์Šคํฌ๋ฆฐ์˜ ๊ฐ€์šด๋ฐ์— ๋‚˜ํƒ€๋‚˜๊ณ 

acquisition ์ด ์ค€๋น„๋œ๋‹ค.

7. Standard DICOM export tasks

1) โ€˜Administrationโ€™์Šคํฌ๋ฆฐ์—์„œ โ€˜Exportโ€™๋ฅผ ํด๋ฆญํ•œ๋‹ค.

2) ์›ํ•œ๋‹ค๋ฉด โ€˜Accession Numberโ€™ Field ์—์„œ ํ™˜์ž๋ฅผ ์„ ํƒํ•˜๊ธฐ ์œ„ํ•ด

Accession number ๋ฅผ ๋„ฃ์„ ์ˆ˜ ์žˆ๋‹ค.

3) โ€˜Targetโ€™ list ๋กœ๋ถ€ํ„ฐ ํ•„์š”ํ•œ network ์žฅ์น˜๋ฅผ ์„ ํƒํ•œ๋‹ค.

4) โ€˜Image Selectionโ€™ option ์—์„œ Image ๋ฅผ ์„ ํƒํ•œ๋‹ค.

5) โ€˜Image formatโ€™ option ์—์„œ ํ•„์š”ํ•œ format ์„ ์„ ํƒํ•œ๋‹ค.

6) ๋ชจ๋“  setting ์ด ์˜ฌ๋ฐ”๋ฅผ ๋•Œ โ€˜okโ€™๋ฒ„ํŠผ์„ ํด๋ฆญํ•œ๋‹ค.

II. Image Essentials

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1) Image Intensifier size ๋ณ€๊ฒฝ

๋˜๋Š” remote control ์—์„œ ๋ณ€๊ฒฝํ•œ๋‹ค.

2) Contrast and Brightness ์กฐ์ •

๊ฐ์†Œ ์ฆ๊ฐ€

๋˜๋Œ๋ฆฌ๊ธฐ

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- contrast ์™€ brightness ๊ธฐ๋Šฅ์„ ์ž๋™์œผ๋กœ ์กฐ์ ˆํ•˜๊ธฐ ์œ„ํ•ด

โ€œAutoโ€ ํ‚ค๋ฅผ ๋ˆ„๋ฅธ๋‹ค.

3) Rotate Image

์–ป๊ณ ์ž ํ•˜๋Š” ๊ณณ๊นŒ์ง€ ์ด๋ฏธ์ง€๋ฅผ ํšŒ์ „ํ•˜๊ธฐ ์œ„ํ•ด์„œ key ๋ฅผ ๊ณ„์† ๋ˆ„๋ฅด๊ณ ,

์›๋ž˜์˜ ์œ„์น˜๋กœ ์ด๋ฏธ์ง€๋ฅผ ๋ณต๊ตฌ ์‹œํ‚ค๊ธฐ ์œ„ํ•ด์„œ โ€œ0โ€์ ์„ ๋ˆ„๋ฅธ๋‹ค.

4) Mirror Image

Image ๋ฅผ ์ขŒ์šฐ ๋˜๋Š” ์œ„ ์•„๋ž˜๋กœ ๋Œ๋ฆฐ๋‹ค.

5) Iris and Shutter Adjustments

์›ํ•˜๋Š” shutter ๋ฅผ ์„ ํƒํ•˜์—ฌ ๋ˆ„๋ฅธ๋‹ค.

๋‘ ๊ฐ€์ง€ shutter ๋ชจ๋‘๋ฅผ ์กฐ์ •ํ•˜๋ ค๋ฉด ๋‘

๊ฐœ์˜ key ๋ฅผ ๋™์‹œ์— ๋ˆ„๋ฅธ๋‹ค.

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์„ ํƒ๋œ shutter ํšŒ์ „, reset ์€ โ€œ0โ€์ ์„

๋ˆ„๋ฅธ๋‹ค.

iris ๋ฅผ ์•ˆ์ชฝ ํ˜น์€ ๋ฐ”๊นฅ์ชฝ์œผ๋กœ ์ด๋™,

reset ์€ โ€œ0โ€์ ์„ ๋ˆ„๋ฅธ๋‹ค.

III. X-ray control

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1) Automatic kV/mA control

: ์ดˆ๊ธฐ์ƒํƒœ์— ์˜ํ•ด ์ด๋ฏธ์ง€ ๋ฐ๊ธฐ๋Š” kV ์™€ mA ๊ฐ’์„ ๋ฐ”๊ฟˆ์œผ๋กœ์จ

์ž๋™์œผ๋กœ ์กฐ์ ˆํ•  ์ˆ˜ ์žˆ๋‹ค.

2) Manual kV/mA control

: ์ž๋™์ œ์–ด๋ฅผ ์ˆ˜๋™์œผ๋กœ ๋ฐ”๊ฟ€ ์ˆ˜ ์žˆ๋‹ค.

(kV ๋ฒ„ํŠผ์„ ๋ˆ„๋ฅธ๋‹ค.)

3) Automatic mA increase in LDF mode

: ์ด๊ฒƒ ๋˜ํ•œ High penetration mode (HIP)๋ผ ๋ถ€๋ฅธ๋‹ค.

์‹œ์Šคํ…œ์ด ๊ฐ€์žฅ ๋†’์€ kV ๊ฐ’์—์„œ ์ข‹์€ ์ด๋ฏธ์ง€๋ฅผ ๋งŒ๋“ค์–ด ๋‚ผ ์ˆ˜ ์—†์„

๋•Œ, ๋” ๋†’์€ mA ๊ฐ’์— ์˜ํ•ด ์ž๋™ ์กฐ์ ˆ ๋  ๊ฒƒ์ด๋‹ค..

(ํ•œ๊ณ„ ์‹œ๊ฐ„์€ 30 ์ดˆ์ด๋‹ค. ์ด ์‹œ๊ฐ„ ํ›„์— ์‹œ์Šคํ…œ์€ normal mA ๋กœ

์Šค์œ„์น˜๊ฐ€ ๋Œ๋กœ ๋Œ๋ ค์ง„๋‹ค.)

IV. Making Image

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1. Making a Low Dose Fluoroscopy (LDF) image

: LDF imaging ์€ ์™ธ๊ณผ ์ˆ˜์ˆ  ์ง„ํ–‰ ๋™์•ˆ ์•ˆ๋‚ดํ•˜๊ณ  C-arm ์˜ ์œ„์น˜๋ฅผ

์กฐ์ •ํ•˜๋Š” ๋ชฉ์ ์„ ์œ„ํ•ด์„œ ์ถ”์ฒœํ•œ๋‹ค.

1/4dose ์™€ 1/2 dose LDF

1/4dose ๋˜๋Š” 1/2 dose LDF ๋Š” C-arm stand console ์— 'X mode'์˜

soft key ๋ฅผ ์‚ฌ์šฉํ•ด์„œ ์„ ํƒ๋  ์ˆ˜ ์žˆ๋‹ค. ์ด๋Ÿฌํ•œ ๊ธฐ์ˆ ์€ ๋” ์ ์€ ์ด๋ฏธ์ง€๋ฅผ

ํš๋“ํ•จ์œผ๋กœ์จ dose ๋ฅผ saving ํ•˜๋Š” ๊ธฐ์ˆ ์ด๋‹ค.

โ€ข 1/2 dose - 12.5 fr/s

โ€ข 1/4 dose - 6 fr/s

: LDF ์ด๋ฏธ์ง€๋ฅผ ๋งŒ๋“ค๊ธฐ ์œ„ํ•ด์„œ, ์™ผ์ชฝ hand switch key

๋˜๋Š” foot switch ์˜ ์™ผ์ชฝ pedal ์„ ๋ˆŒ๋Ÿฌ๋ผ.

(Storage speed ๊ฐ€ 0 ์ผ ๋•Œ, LIH ๋Š” ๋‹ค์Œ LIH ์— ์˜ํ•ด ๊ฒน์ณ์งˆ ๊ฒƒ์ด๊ณ 

disk ์— ์ €์žฅ๋˜์ง€ ์•Š๋Š”๋‹ค.)

image ๋Š” Live monitor ์— ๋‚˜ํƒ€๋‚œ๋‹ค. ๋‹ค์Œ run ์„ ์‹œ์ž‘ํ•˜๋ฉด

image ๋Š” ๋‹ค์‹œ LIH ๋  ๊ฒƒ ์ด๋‹ค.

LDF ๋™์•ˆ ๋‹ค์Œ ์ด๋ฏธ์ง€๊ฐ€ ๋ณด์—ฌ์ง€๊ณ  ์ €์žฅํ•˜๊ธฐ ์œ„ํ•ด์„œ

remote control ๋˜๋Š” mobile view station ์—์„œ Grab key ๋ฅผ ๋ˆŒ๋Ÿฌ๋ผ.

๊ทธ๋Ÿผ ์ƒˆ๋กœ์šด run ์ด ๋ฐœ์ƒํ•˜์—ฌ๋„ ์ €์žฅ ๋˜์–ด ์ง„๋‹ค.

2. Making high quality images

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: Hand ์Šค์œ„์น˜์˜ ์˜ค๋ฅธ์ชฝ key ๋˜๋Š” foot ์Šค์œ„์น˜์˜ ๊ธฐ๋Šฅ์€ ์„ ํƒ๋œ

examination type ๊ณผ technique ์— ์˜ํ•ด ์ž๋™์œผ๋กœ ๊ฒฐ์ •๋œ๋‹ค.

*exposure technique

- digital exposure

- pulsed exposure

- radiography

*fluoroscopy technique

- high definition fluoroscopy

: Switching X-ray mode - X-ray mode ๋Š” ํ•ญ์ƒ ๋ฐ”๊พธ๋Š” ๊ฒƒ์ด ๊ฐ€๋Šฅํ•˜๋‹ค.

'X-mode' soft key ๋ฅผ ๋ˆŒ๋Ÿฌ์„œ ์›ํ•˜๋Š” mode ๋ฅผ ์„ ํƒํ•ด๋ผ.

: Switching techniques - Fluoroscopy ์™€ Exposure technique ์€ ํ•ญ์ƒ

๋ฐ”๊พธ๋Š” ๊ฒƒ์ด ๊ฐ€๋Šฅํ•˜๋‹ค. 'Technique' soft-key ๋ฅผ ๋ˆŒ๋Ÿฌ์„œ ๋ฐ”๊พธ์–ด๋ผ.

: Storage - LIH ์˜ storage speed setting ์— ๊ด€๊ณ„์—†์ด ํ•ญ์ƒ disk ์—

์ €์žฅํ•  ์ˆ˜ ์žˆ๋‹ค.

(1) Digital Exposure (SharpShot)

: Digital exposure (๋˜ํ•œ SharpShot ์ด๋ผ๊ณ ๋„ ํ•œ๋‹ค) ๋Š”

๊ณ ํ™”์งˆ๋กœ ์ €์žฅํ•˜๋Š”๋ฐ ์‚ฌ์šฉ๋œ๋‹ค.

1) 'X mode' key ๋ฅผ ๋ˆŒ๋Ÿฌ์„œ Digital exposure ๋ฅผ ์„ ํƒํ•ด๋ผ.

2) single exposure ๊ฐ€ ๋‚˜์˜ค๊ธฐ ์œ„ํ•ด์„œ hand ์Šค์œ„์น˜์˜ ์˜ค๋ฅธ์ชฝ key

๋˜๋Š” foot ์Šค์œ„์น˜์˜ ์˜ค๋ฅธ์ชฝ pedal ์„ ๋ˆŒ๋Ÿฌ๋ผ.

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kV control: digital exposure ๋™์•ˆ kV ์™€ mA ๊ฐ’์€ ๊ณ ์ •๋˜์–ด ์žˆ๋‹ค.

์ตœ์ ์˜ ์ด๋ฏธ์ง€ quality ๋ฅผ ํ™•์ธํ•˜๊ธฐ ์œ„ํ•ด์„œ LDF ๋ฅผ ์‚ฌ์šฉํ•˜์—ฌ scout

์ด๋ฏธ์ง€๋ฅผ ๋งŒ๋“ค๊ณ  ์ ๋‹นํ•œ kV ๊ฐ’์„ ์ •ํ•ด๋ผ.

(2) Pulsed exposure

: Pulsed exposure ๋Š” dynamic ์ด๋ฏธ์ง€์— ์‚ฌ์šฉ๋œ๋‹ค.

1) 'X-mode' soft key ๋ฅผ ๋ˆ„๋ฅด๊ณ  'pulsed'๋ฅผ ์„ ํƒํ•ด๋ผ.

2) ๋ฏธ๋ฆฌ ์กฐ์ •๋œ pulse frequency ์™€ ํ•จ๊ป˜ pulsed exposure

sequence ๋ฅผ ์‹œ์ž‘ํ•˜๊ธฐ ์œ„ํ•ด์„œ ํ•ธ๋“œ์Šค์œ„์น˜์˜ ์˜ค๋ฅธ์ชฝ key ๋ฅผ

๋ˆ„๋ฅด๊ฑฐ๋‚˜ foot ์Šค์œ„์น˜์˜ ์˜ค๋ฅธ์ชฝ pedal ์„ ๋ˆŒ๋Ÿฌ๋ผ.

pulse frequency : pulse frequency ๋ฅผ ๋ฐ”๊พธ๊ธฐ ์œ„ํ•ด์„œ, 'Speed' key ๋ฅผ

๋ˆŒ๋Ÿฌ์„œ ์›ํ•˜๋Š” frequency ๋ฅผ ์„ ํƒํ•ด๋ผ.

fr/s Max run time Max images in one

run

30 15s 450

15 30s 450

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8 30s 240

5 30s 150

3 30s 90

(3) Pulsed fluoroscopy

: Pulsed fluoroscopy ๋Š” dose saving mode ์ด๊ฑฐ๋‚˜ positioning

catheters ๊ทธ๋ฆฌ๊ณ  ํ•ด๋ถ€ํ•™์ƒ์˜ ์ง€์—ญ์—์„œ ๋น ๋ฅด๊ฒŒ ์›€์ง์ด๋Š” ์žฅ์น˜๋ฅผ ์œ„ํ•ด์„œ

์›€์ง์ž„์„ ๋ฉˆ์ถฐ์ฃผ๋Š” mode ์ด๋‹ค.

hand ์Šค์œ„์น˜์˜ ์™ผ์ชฝ key ์ด๋‚˜ foot ์Šค์œ„์น˜์˜ ์™ผ์ชฝ pedal ์„ ๋ˆŒ๋Ÿฌ์„œ

์ž‘๋™ ๋˜์–ด์ง„๋‹ค.

(4) High Definition Fluoroscopy (X-ray mode continuous)

: Definition Fluoroscopy (HDF) ์ด๋ฏธ์ง€๋Š” ์ €์žฅํ•˜๊ฑฐ๋‚˜ ๊ณ ํ™”์งˆ์˜ ์ด๋ฏธ์ง€๋ฅผ

๋งŒ๋“ค ์ˆ˜ ์žˆ๋‹ค.

1/4dose and 1/2 dose HDF

1/4 dose ๋˜๋Š” 1/2 dose HDF ๋Š” C-arm stand console ์— 'X mode'

soft key ๋ฅผ ์‚ฌ์šฉํ•˜์—ฌ ์„ ํƒํ•  ์ˆ˜ ์žˆ๋‹ค. ์ด ๊ธฐ์ˆ ์€ ๋” ์ ์€ ์ด๋ฏธ์ง€๋ฅผ

์–ป์Œ์œผ๋กœ์จ dose ๋ฅผ saving ํ•˜๋Š” ๊ธฐ์ˆ ์ด๋‹ค.

โ€ข 1/2 dose - 12.5 fr/s

โ€ข 1/4 dose - 6 fr/s

HDF ์ด๋ฏธ์ง€๋ฅผ ๋งŒ๋“ค๊ธฐ ์œ„ํ•ด์„œ, ํ•ธ๋“œ์Šค์œ„์น˜์˜ ์˜ค๋ฅธ์ชฝ ํ‚ค ๋˜๋Š”

foot switch ์˜ ์˜ค๋ฅธ์ชฝ pedal ์„ ๋ˆŒ๋Ÿฌ๋ผ.

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note: HDF acquisition run ์€ 30 ์ดˆ ํ›„์— ์ž๋™์œผ๋กœ ๋๋‚œ๋‹ค.

3. Making vascular images

: Vascular image ๋ฅผ ์–ป๊ธฐ ์œ„ํ•œ Examination type ์„ ์„ ํƒํ•œ๋‹ค.

๊ทธ๋Ÿฌ๋ฉด 'Mode' soft-key ๋Š” ์‚ฌ์šฉ ๊ฐ€๋Šฅํ•ด์ง€๊ณ  subtraction, trace,

roadmap, normal fluoroscopy ์‚ฌ์ด์—์„œ ์„ ํƒ์ด ๊ฐ€๋Šฅํ•ด์ง„๋‹ค.

note

: vascular ์ด๋ฏธ์ง€๋Š” ์ผ๋ฐ˜์ ์ธ fluoroscopy ๊ฐ€ ์„ ํƒ๋œ ์ด์™ธ์˜ mode ์™€

vascular ๊ฒ€์‚ฌ type ์ผ ๋•Œ๋งŒ ์˜ค์ง ๊ฐ€๋Šฅํ•˜๋‹ค.

(1) Performing subtraction

โ‘  'Mode' soft key ๋ฅผ ๋ˆ„๋ฅด๊ณ  ๋‚˜์„œ 'Subtr'์„ ์„ ํƒํ•ด๋ผ.

or 'Subtr' mode ๋ฅผ ๊ณ ์ •์‹œํ‚ค๊ธฐ ์œ„ํ•ด์„œ foot ์Šค์œ„์น˜์˜ ์ค‘๊ฐ„ pedal

์„ ๋ˆŒ๋Ÿฌ๋ผ.

or 'Subtr' mode ๋ฅผ ๊ณ ์ •์‹œํ‚ค๊ธฐ ์œ„ํ•ด์„œ remote control ์— |Mode|

key ์„ ๋ˆŒ๋Ÿฌ๋ผ.

mode ๋Š” ๋ชจ๋‹ˆํ„ฐ์˜ ์˜ค๋ฅธ์ชฝ ์•„๋ž˜ ์ฝ”๋„ˆ์— ๋‚˜ํƒ€๋‚œ๋‹ค.

ยท storage frequency ๋ฅผ ๋ฐ”๊พธ๊ธฐ ์œ„ํ•ด์„œ 'Speed'์˜ soft key ๋ฅผ ๋ˆ„๋ฅด๊ณ 

์›ํ•˜๋Š” frame ์ˆ˜๋ฅผ ์„ ํƒํ•ด๋ผ.

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ยท HDF ๋Š” subtraction ์„ ์œ„ํ•ด ๋” ์ข‹์€ ์ด๋ฏธ์ง€ quality ๋ฅผ ๊ณต๊ธ‰ํ•˜๊ธฐ

๋•Œ๋ฌธ์— LDF ๋ณด๋‹ค ๋” ์„ ํ˜ธ๋œ๋‹ค.

ยทsubtraction ๊ณผ์ • ๋™์•ˆ ํ™˜์ž๋‚˜ ์‹œ์Šคํ…œ์„ ์›€์ง์ด์ง€ ๋งˆ๋ผ.

blurred ์ด๋ฏธ์ง€๊ฐ€ ๋ฐœ์ƒํ•  ์ˆ˜ ์žˆ๋‹ค.

โ‘ก hand switch ์˜ค๋ฅธ์ชฝ์ด๋‚˜ foot switch ์˜ ์˜ค๋ฅธ์ชฝ pedal ์„

๋ˆ„๋ฅธ๋‹ค.

โ‘ข mask ์˜ ์™„๋ฃŒ ํ›„์— ์ด๋ฏธ์ง€๋Š” ํšŒ์ƒ‰์œผ๋กœ ๋ฐ”๋€Œ๊ณ  ๋ชจ๋‹ˆํ„ฐ์— 'Inject'

๋ฉ”์‹œ์ง€๊ฐ€ ๋‚˜ํƒ€๋‚œ๋‹ค.

note

: subtraction ์ด ์™„์ „ํžˆ ๋๋‚˜๊ธฐ ์ „๊นŒ์ง€ hand/foot ์Šค์œ„์น˜๋ฅผ ๋–ผ์ง€ ๋งˆ๋ผ.

hand/foot ์Šค์œ„์น˜๊ฐ€ ํ•ด์ œ๋  ๋•Œ, ์ƒˆ๋กœ์šด mask ๊ฐ€ fluoroscopy ๊ฐ€ ๋‹ค์‹œ

์‹คํ–‰๋œ ํ›„์— ์ฆ‰์‹œ ๋งŒ๋“ค์–ด์ง„๋‹ค.

โ‘ฃ ์กฐ์˜์ œ๋ฅผ ์จ์„œ injecting ์„ ์‹œ์ž‘ํ•ด๋ผ. contrast bolus ์˜ ์ด๋ฏธ์ง€๊ฐ€

๋ชจ๋‹ˆํ„ฐ์— ๋‚˜ํƒ€๋‚  ๊ฒƒ์ด๋‹ค.

โ‘ค contrast bolus ๊ฐ€ ์‚ฌ๋ผ์ง€์ž ๋งˆ์ž Hand ๋˜๋Š” Foot ์Šค์œ„์น˜๋ฅผ

ํ•ด์ œํ•ด๋ผ

note

: ์‹คํ–‰๋˜๋Š” ๊ฐ๊ฐ์˜ ์ด๋ฏธ์ง€๋ฅผ ๋ณด๊ธฐ ์œ„ํ•ด์„œ mobile view station ์—์„œ

|Previous| ๊ทธ๋ฆฌ๊ณ  |Next| key ๋ฅผ ์‚ฌ์šฉํ•˜๊ฑฐ๋‚˜ remote control ์—์„œ

์•„๋ž˜์˜ ๋ฒ„ํŠผ์„ ์‚ฌ์šฉํ•ด๋ผ.

์–ป์–ด์ง„ ์ด๋ฏธ์ง€๋“ค์„ ํ™•์ธํ•˜๊ธฐ ์œ„ํ•ด์„œ mobile view station ์—์„œ

|Run cycle| key ๋˜๋Š” remote control ์—์„œ ์•„๋ž˜ ๋ฒ„ํŠผ์„ ๋ˆŒ๋Ÿฌ๋ผ.

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(2) Performing roadmap after subtraction

โ‘  ์ด์ „์— ์–ป์€ subtraction run ์œผ๋กœ๋ถ€ํ„ฐ roadmap ์œผ๋กœ ์‚ฌ์šฉํ•˜๊ธฐ ์œ„ํ•œ

์ด๋ฏธ์ง€๋ฅผ ์„ ํƒํ•ด๋ผ.

Or 'Mode' key ๋ฅผ ๋ˆ„๋ฅด๊ณ  'Roadmap'์„ ์„ ํƒํ•ด๋ผ.

Or 'Roadmap' mode ๋ฅผ ๊ณ ์ •ํ•˜๊ธฐ ์œ„ํ•ด์„œ foot ์Šค์œ„์น˜์˜ ์ค‘๊ฐ„ pedal ๋ฅผ

๋ˆŒ๋Ÿฌ๋ผ.

โ‘ก 'Roadmap' mode ๋ฅผ ๊ณ ์ •ํ•˜๊ธฐ ์œ„ํ•ด์„œ remote control ์— |Mode| key

๋ฅผ ๋ˆŒ๋Ÿฌ๋ผ.

mode ๋Š” ๋ชจ๋‹ˆํ„ฐ์˜ ์˜ค๋ฅธ์ชฝ ์•„๋ž˜ ์ฝ”๋„ˆ ์ชฝ์— ๋‚˜ํƒ€๋‚œ๋‹ค.

โ‘ข ํ•ธ๋“œ์Šค์œ„์น˜์˜ ์™ผ์ชฝ key ๋‚˜ foot ์Šค์œ„์น˜์˜ ์™ผ์ชฝ pedal ์„ ๋ˆŒ๋Ÿฌ๋ผ.

: ์‹œ์Šคํ…œ์€ roadmap ์œผ๋กœ ์Šค์œ„์น˜๊ฐ€ ๋Œ๋ ค์ง„๋‹ค. mask ์ด๋ฏธ์ง€๋Š” ๋’ค์ง‘ํž

๊ฒƒ์ด๊ณ  ํ˜ˆ๊ด€์€ ํฐ์ƒ‰์œผ๋กœ ๋ณด์—ฌ์ง„๋‹ค. 'Catheter' ๋ฉ”์‹œ์ง€๊ฐ€ ๋ชจ๋‹ˆํ„ฐ์—

๋‚˜ํƒ€๋‚œ๋‹ค. ์ด๋ฏธ์ง€๋Š” catheter ์œ ๋„์šฉ์œผ๋กœ ์‚ฌ์šฉ๋  ์ˆ˜ ์žˆ๋‹ค.

note

: ์ด์ „์— ์‹คํ–‰ํ•œ ์ด๋ฏธ์ง€๋ฅผ ์‚ฌ์šฉํ•  ๋•Œ BV Pulsera/patient ๋Š”

๊ทธ์‚ฌ์ด์— ์›€์ง์—ฌ์„œ๋Š” ์•ˆ ๋œ๋‹ค.

'Roadmap' mode ์—์„œ radiation ์€ ๋ฉˆ์ถœ ์ˆ˜ ์žˆ๊ณ  mode ์—์„œ

๋‚˜๊ฐ€์ง€ ์•Š๊ณ  ์‹œ์ž‘ํ•  ์ˆ˜ ์žˆ๋‹ค.

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(3) Remasking

: ์ดˆ๊ธฐ๊ฐ’์— ์˜ํ•ด ์ฒซ ๋ฒˆ์งธ ์ด๋ฏธ์ง€ ์‹คํ–‰์€ mask ๋กœ ์‚ฌ์šฉ๋œ๋‹ค. ๊ทธ๋Ÿฌ๋‚˜

mask ๋กœ์จ ๊ฐ™์€ ์‹คํ–‰์œผ๋กœ๋ถ€ํ„ฐ ๋‹ค๋ฅธ ์ด๋ฏธ์ง€๋ฅผ ์‚ฌ์šฉํ•˜๋Š” ๊ฒƒ์ด ๊ฐ€๋Šฅํ•˜๋‹ค.

โ‘  mobile view station ์—์„œ |remask| key ๋ฅผ ๋ˆŒ๋Ÿฌ์„œ

subtraction ์„ ๊บผ๋ผ.

โ‘ก ์ƒˆ๋กœ์šด mask ๋ฅผ ํ•˜๊ธฐ ์œ„ํ•ด ์ด๋ฏธ์ง€๋ฅผ ์„ ํƒํ•ด๋ผ.

โ‘ข subtraction ์„ ์ผœ๋ผ.

: remote control ์„ ์‚ฌ์šฉํ•ด์„œ remask ์—†์ด subtraction ์„ ๋„๊ณ  ์ผค ์ˆ˜

์žˆ๋‹ค. (์ƒˆ๋กœ์šด mask ๊ฐ€ ์„ ํƒ๋˜์–ด์ง€์ง€ ์•Š์„ ๊ฒƒ์ด๋‹ค.)

* SmartMask

: reference ๋ชจ๋‹ˆํ„ฐ์—์„œ ์ด๋ฏธ์ง€๋Š” remote control ์— |SmartMask| key ๋ฅผ

๋ˆŒ๋Ÿฌ์„œ roadmap ์œผ๋กœ์„œ ์‚ฌ์šฉ๋  ์ˆ˜ ์žˆ๋‹ค.

Fluoro image ๊ฐ€ ์•„๋‹Œ exposure image ๋ฅผ roadmap image ๋กœ ์‚ฌ์šฉํ• 

์ˆ˜ ์žˆ๋‹ค.

(4) Bolus chase

โ‘  'Technique' soft-key ๋ฅผ ๋ˆŒ๋Ÿฌ์„œ 'Exposure'๋ฅผ ์„ ํƒํ•ด๋ผ.

โ‘ก 'X-mode' soft-key ๋ฅผ ๋ˆŒ๋Ÿฌ์„œ 'Pulsed'๋ฅผ ์„ ํƒํ•ด๋ผ.

โ‘ข bolus chase ๋ฅผ ์œ„ํ•ด์„œ ์ดˆ๊ธฐ setting ๊ฐ’์€ ํ•„์š”์กฐ๊ฑด์— ๋”ฐ๋ผ์•ผ ํ•œ๋‹ค.

๋งŒ์•ฝ ์•„๋‹ˆ๋ผ๋ฉด, 'Speed' soft-key ๋ฅผ ๋ˆ„๋ฅด๊ณ  ์˜ฌ๋ฐ”๋ฅธ pulse

frequency ๋ฅผ ์„ ํƒํ•ด๋ผ.

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โ‘ฃ ํ•ธ๋“œ์Šค์œ„์น˜์˜ ์™ผ์ชฝ key ๋˜๋Š” foot ์Šค์œ„์น˜์˜ ์™ผ์ชฝ pedal ์„ ๋ˆ„๋ฅด๊ณ 

bolus chase route ์˜ covering ์„ ํ™•์ธํ•˜๊ธฐ ์œ„ํ•ด์„œ fluoroscopy ๋™์•ˆ

์ง€์†์ ์œผ๋กœ C-arm ์ด๋‚˜ tabletop ์„ ์›€์ง์—ฌ๋ผ.

โ‘ค Hand or Foot ์Šค์œ„์น˜๋ฅผ ๋–ผ๊ณ  bolus chase ์˜ ์‹œ์ž‘์œ„์น˜๋กœ C-arm ๋˜๋Š”

tabletop ์œ„์น˜๋ฅผ ๋†“๋Š”๋‹ค.

โ‘ฅ ํ•ธ๋“œ์Šค์œ„์น˜ ์˜ค๋ฅธ์ชฝ key ๋˜๋Š” foot ์Šค์œ„์น˜ ์˜ค๋ฅธ์ชฝ pedal ์„ ๋ˆ„๋ฅด๊ณ  C-

arm ๊ณผ tabletop ์„ ์ง€์†์ ์œผ๋กœ ์›€์ง์ด๋ฉด์„œ inject ๋œ ์กฐ์˜์ œ๋ฅผ

๋”ฐ๋ผ๊ฐ„๋‹ค.

โ‘ฆ bolus chase route ์˜ ๋์—์„œ exposure run ์„ ๋ฉˆ์ถ”๊ธฐ ์œ„ํ•ด Hand or

Foot ์Šค์œ„์น˜๋ฅผ ํ•ด์ œ ํ•œ๋‹ค.

Tip

- Leg coverage

: 12" II ๋Š” ๊ฐ™์€ ์‹œ๊ฐ„์— 2 ๊ฐœ์˜ leg ์„ cover ํ•˜๋Š” ๊ฒƒ์ด ๊ฐ€๋Šฅํ•˜๋‹ค. 9" II ๋Š”

์˜ค์ง ํ•˜๋‚˜์˜ leg ๋งŒ cover ํ•˜๋Š” ๊ฒƒ์ด ๊ฐ€๋Šฅํ•˜๋‹ค.

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4. Standard DIOCM package

:examination image ๋ฅผ ์ €์žฅํ•˜๊ธฐ ์œ„ํ•ด์„œ ๋ณ‘์›์ด๋‚˜ ๋ถ€์„œ์˜ network ์— ๋ณด๋‚ด๊ฒŒ

ํ•ด์ค๋‹ˆ๋‹ค. ์ด option ์„ ์‚ฌ์šฉํ•˜๊ธฐ ์œ„ํ•ด์„œ๋Š” ๊ธฐ๋ณธ์ ์œผ๋กœ ๋ณ‘์›์ด๋‚˜ ๋ถ€์„œ์˜

network ์— ๋ฐ˜๋“œ์‹œ ์—ฐ๊ฒฐ๋˜์–ด ์žˆ์–ด์•ผ๋งŒ ํ•ฉ๋‹ˆ๋‹ค.

1. โ€˜Administraionโ€™ ์Šคํฌ๋ฆฐ์—์„œ โ€˜Exportโ€™๋ฅผ ํด๋ฆญํ•ฉ๋‹ˆ๋‹ค.

2. โ€˜Exportโ€™ panel ์ด ๋‚˜ํƒ€๋‚ฉ๋‹ˆ๋‹ค.

๋งŒ์•ฝ, ํ•„์š”ํ•˜๋‹ค๋ฉด Auto matching ์„ ์œ„ํ•ด โ€˜Accession Numberโ€™ field ์—

Accession number ๋ฅผ ๋„ฃ์„ ์ˆ˜ ์žˆ์Šต๋‹ˆ๋‹ค. ๋‹จ, Name ๊ณผ Patient ID ๋Š”

์กฐ์ •ํ•  ์ˆ˜ ์—†์Šต๋‹ˆ๋‹ค.

3. โ€˜Targetโ€™ list ๋กœ๋ถ€ํ„ฐ ํ•„์š”ํ•œ network ์žฅ์น˜๋ฅผ ์„ ํƒํ•ฉ๋‹ˆ๋‹ค.

4. โ€˜Image Selectionโ€™ ์—์„œ ์›ํ•˜๋Š” Image ๋ฅผ ์„ ํƒํ•ฉ๋‹ˆ๋‹ค.

(๊ฐ๊ฐ์—์„œ image ์ˆ˜๊ฐ€ ์“ฐ์—ฌ์ ธ ์žˆ์Šต๋‹ˆ๋‹ค.)

5. โ€˜Image formatโ€™ ์—์„œ ํ•„์š”ํ•œ format ์„ ์„ ํƒํ•ฉ๋‹ˆ๋‹ค.

(๊ธฐ๋ณธ์ ์œผ๋กœ XA ๋กœ ๋„˜๊ธฐ์‹œ๋ฉด ๋ฉ๋‹ˆ๋‹ค.)

6. ๋ชจ๋“  ์…‹ํŒ…์ด ์˜ฌ๋ฐ”๋ฅด๋ฉด โ€˜OKโ€™๋ฒ„ํŠผ์„ ๋ˆ„๋ฅด์‹œ๋ฉด ๋ฉ๋‹ˆ๋‹ค.