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피부의 탄성변화에 따른 피부 가압과 복귀시간 측정을 통한정량적 림프부종 진단 시스템 개발

Development of Quantitative Lymphedema Screening System to Monitor Change in Skin Elasticity through the Measurement of Indentation Force and Return Time

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초록

Lymphedema is a phenomenon in which fluid is accumulated inside tissues due to the damaged lymphatic systems. Lymphedema can cause complications such as lymphangitis, infection, changes in skin texture, fibrosis, and lymphangiosarcoma. In this study, a lymphedema screening system based on the elasticity of the skin is proposed to easily quantify lymphedema. The developed probe consists of touch sensors, a load cell and hall-effect sensors to measure the indentation force on the skin and the return time of the skin. The developed system can be used to estimate the change in the elasticity of the skin to quantify lymphedema. The system was tested with a thyroid phantom and gelatin phantoms of different concentrations and the resulting force and the time were recorded. It was found that the increase in the elasticity leads to a higher indentation force and shorter return time. This shows that the developed system can monitor the change in the skin elasticity by measuring the return time and the indentation force. The feasibility of the system in clinical applications will be evaluated in the future study.

Abstract

Lymphedema is a phenomenon in which fluid is accumulated inside tissues due to the damaged lymphatic systems. Lymphedema can cause complications such as lymphangitis, infection, changes in skin texture, fibrosis, and lymphangiosarcoma. In this study, a lymphedema screening system based on the elasticity of the skin is proposed to easily quantify lymphedema. The developed probe consists of touch sensors, a load cell and hall-effect sensors to measure the indentation force on the skin and the return time of the skin. The developed system can be used to estimate the change in the elasticity of the skin to quantify lymphedema. The system was tested with a thyroid phantom and gelatin phantoms of different concentrations and the resulting force and the time were recorded. It was found that the increase in the elasticity leads to a higher indentation force and shorter return time. This shows that the developed system can monitor the change in the skin elasticity by measuring the return time and the indentation force. The feasibility of the system in clinical applications will be evaluated in the future study.

참고문헌 (19)

  1. 최윤선, "림프부종", 한국호스피스완화의료학회지, 3(2), pp.118~125 (2000), 한국호스피스완화의료학회
  2. J. Zuther, "Lymphedema management: the comprehensive guide for practition-ers" (2009), TCM Press
  3. J.R. Casley-Smith, "Grades of Iymphedema. In: Information about lymphedema for patients" (1997), Lymphedema Association of Australia Press
  4. J. Brody, "Lymphatic system: disease and disorders" (1998), NLN press
  5. 정향미, "림프부종 환자의 정서상태와 관련요인", Journal of Korean Academy of Nursing, 36(5), pp.845~852 (2006), 한국간호과학회
  6. 조명옥, "림프부종 환자의 자가관리에 관한 실태 조사", 성인간호학회지, 15(3), pp.383~392 (2003), 성인간호학회
  7. P.S. Mortimer, "The pathophysiology of lymphedema", Cancer Supplement, 83(12), pp.2798~2802 (1998)
  8. Korean Breast Cancer Society, "The Breast 2nd", pp.168~188 (2005), Ilchokak Press
  9. W. Olszewski, "Lymph stasis: pathophysiology, diagnosis, and treatment" (1991), CRC Press
  10. L.H. Gerber, "A review of measures of lymphedema", Cancer Society, 83(12), pp.2803~2804 (1998)
  11. National Cancer Institute, "Lymphedema" (1997)
  12. I.G. Lee, "Differential diagnosis and treatment of generalized edema", Journal of the Korean Academy of Family Medicine, 24(1), pp.6~10 (2004)
  13. C.W. Tan, "Measurement of lower limb volume : Agree-ment between the vertically oriented perometer and a tape measure method", Physiotherapy, 99(3), pp.247~251 (2013)
  14. J.H. Yeon, "Evaluation of Error Factors in Quantitative Analysis of Lymphoscintigraphy", The Korean journal of nuclear medicine technology, 15(2), pp.76~82 (2011)
  15. International Society of Lymphology, "The diagnosis and treatment of peripheral lymphedema. Consensus document of the International Society of Lymphology", Lymphology, 36(2), pp.84~91 (2003)
  16. H. Mayrovitz, "Assessing lymphedema by tissue indentation force and local tissue water", Lymphology, 42(2), pp.88~98 (2009)
  17. M. Zhang, "Estimating the effective Young's modulus of soft tissues from indentation tests-nonlinear finite element analysis of effects of friction and large deformation", Medical Engineering and Physics, 19(6), pp.512~517 (1997)
  18. Y.P. Zheng, "Objective assessment of limb tissue elasticity : development of a manual indentation procedure", Journal of rehabilitation research and development, 36(2), pp.71~85 (1999)
  19. H. Yegingil, "All-electrical indentation shear modulus and elastic modulus measurement using a piezoelectric cantilever with a tip", Journal of Applied Physics, 101(5), pp.054510~054510 (2007)

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