• Title/Summary/Keyword: ${\mu}-CT$

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INTRAVENOUS SEDATION OF CEREBRAL PALSY PATIENT FOR DENTAL IMPLANT CT TAKING -A CASE REPORT (정신지체가 동반된 뇌성마비 환자의 임플란트 치료를 위한 CT 촬영 시 진정법 시행 -증례보고-)

  • Seo, Kwang-Suk;Lee, Ju-Hwan;Shin, Teo-Jeon;Yi, Young-Eun;Kim, Hyun-Jeong;Yum, Kwang-Won;Kim, Myung-Jin
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.4 no.1
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    • pp.21-25
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    • 2008
  • A 33-years-old female pateint with cerebral palsy showing spastic quardriplegia and severe mental retardation was scheduled for dental implant restorations. Before implant surgery we had to take implant CT. But, because of her involuntary motion and communication difficulty, sedation was needed in order to take CT. After 8 hour NPO, propofol infusion sedation with TCI (target controlled infusion) system was administered. The propofol blood concentration of the patient was maintained 2-3 ${\mu}$/ml to keep deep sedation to prevent uncontolled movement. During sedation, we monitored ECG, pulse oximetry, blood pressure, capnometry for patient safety. Oxygen was administered via nasal prong for preventing hypoxemia and to keep airway during sedation some bands were applied to lift mandible. Total duration was 20 minutes for taking CT, and she was discharged from hospital after 30 minute rest without complication.

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Cholera Toxin Production Induced upon Anaerobic Respiration is Suppressed by Glucose Fermentation in Vibrio cholerae

  • Oh, Young Taek;Lee, Kang-Mu;Bari, Wasimul;Kim, Hwa Young;Kim, Hye Jin;Yoon, Sang Sun
    • Journal of Microbiology and Biotechnology
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    • v.26 no.3
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    • pp.627-636
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    • 2016
  • The causative agent of pandemic cholera, Vibrio cholerae, infects the anaerobic environment of the human intestine. Production of cholera toxin (CT), a major virulence factor of V. cholerae, is highly induced during anaerobic respiration with trimethylamine N-oxide (TMAO) as an alternative electron acceptor. However, the molecular mechanism of TMAO-stimulated CT production is not fully understood. Herein, we reveal that CT production during anaerobic TMAO respiration is affected by glucose fermentation. When the seventh pandemic V. cholerae O1 strain N16961 was grown with TMAO and additional glucose, CT production was markedly reduced. Furthermore, an N16961 Δcrp mutant, devoid of cyclic AMP receptor protein (CRP), was defective in CT production during growth by anaerobic TMAO respiration, further suggesting a role of glucose metabolism in regulating TMAO-mediated CT production. TMAO reductase activity was noticeably decreased when grown together with glucose or by mutation of the crp gene. A CRP binding region was identified in the promoter region of the torD gene, which encodes a structural subunit of the TMAO reductase. Gel shift assays further confirmed the binding of purified CRP to the torD promoter sequence. Together, our results suggest that the bacterial ability to respire using TMAO is controlled by CRP, whose activity is dependent on glucose availability. Our results reveal a novel mechanism for the regulation of major virulence factor production by V. cholerae under anaerobic growth conditions.

Effect of the neuroprotetion and anti-Alzheimer's disease in CT99-induced Neuro 2A cells by Ikgiansintang water extract (CT99 발현 신경 세포주에서 익기안신탕(益氣安神湯)의 신경보호 및 항치매 효과)

  • Hwang, Yeon-Kyu;Lee, So-Yeon;Yoon, Hyeon-Deok;Shin, Oh-Chul;Park, Chang-Gook;Park, Chi-Sang
    • Herbal Formula Science
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    • v.13 no.1
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    • pp.103-121
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    • 2005
  • Alzheimer's disease(AD) is a geriatric dementia that is widespread in old age. In the near future AD will be the biggest problem in public health service. It has been widely believed that $A{\beta}$ peptide devided from APP causes apoptotic neurotoxicity in AD brain. However, recent evidence suggests that n99 may be an important factor causing neurotoxicity in AD. Mouse Neuro 2A cells expressed with CT99 exhibited remarkable apoptotic cell damage. We invesgated the protective effects of Ikgiansintang water extract(IGA). Findings from our experiment have shown that IGA inhibits the activities of CT99, which has neurotoxicities and apoptotic activities in cell line. In addition treatment of IGA($50{\mu}g/ml$ for 24 hours) partially prevented CT99-induced cytotoxicity in Neuro 2A cells. As the result of this study, In IGA group, the apoptosis in the nervous system is inhibited, the repair against the degerneration of Neuro 2A cells by n99 expression is promoted. Base on these findings, IGA may be beneficial for the treatment of AD.

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Geometric Calibration of Cone-beam CT System for Image Guided Proton Therapy (영상유도 양성자치료를 위한 콘빔 CT 재구성 알고리즘: 기하학적 보정방법에 관한 연구)

  • Kim, Jin-Sung;Cho, Min-Kook;Cho, Young-Bin;Youn, Han-Bean;Kim, Ho-Kyung;Yoon, Myoung-Geun;Shin, Dong-Ho;Lee, Se-Byeung;Lee, Re-Na;Park, Sung-Yong;Cho, Kwan-Ho
    • Progress in Medical Physics
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    • v.19 no.4
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    • pp.209-218
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    • 2008
  • According to improved radiation therapy technology such as IMRT and proton therapy, the accuracy of patient alignment system is more emphasized and IGRT is dominated research field in radiation oncology. We proposed to study the feasibility of cone-beam CT system using simple x-ray imaging systems for image guided proton therapy at National Cancer Center. 180 projection views ($2,304{\times}3,200$, 14 bit with 127 ${\mu}m$ pixel pitch) for the geometrical calibration phantom and humanoid phantoms (skull, abdomen) were acquired with $2^{\circ}$ step angle using x-ray imaging system of proton therapy gantry room ($360^{\circ}$ for 1 rotation). The geometrical calibration was performed for misalignments between the x-ray source and the flat-panel detector, such as distances and slanted angle using available algorithm. With the geometrically calibrated projection view, Feldkamp cone-beam algorithm using Ram-Lak filter was implemented for CBCT reconstruction images for skull and abdomen phantom. The distance from x-ray source to the gantry isocenter, the distance from the flat panel to the isocenter were calculated as 1,517.5 mm, 591.12 mm and the rotated angle of flat panel detector around x-ray beam axis was considered as $0.25^{\circ}$. It was observed that the blurring artifacts, originated from the rotation of the detector, in the reconstructed toomographs were significantly reduced after the geometrical calibration. The demonstrated CBCT images for the skull and abdomen phantoms are very promising. We performed the geometrical calibration of the large gantry rotation system with simple x-ray imaging devices for CBCT reconstruction. The CBCT system for proton therapy will be used as a main patient alignment system for image guided proton therapy.

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A prospective study on the effectiveness of newly developed autogenous tooth bone graft material for sinus bone graft procedure

  • Jun, Sang-Ho;Ahn, Jin-Soo;Lee, Jae-Il;Ahn, Kyo-Jin;Yun, Pil-Young;Kim, Young-Kyun
    • The Journal of Advanced Prosthodontics
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    • v.6 no.6
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    • pp.528-538
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    • 2014
  • PURPOSE. The purpose of this prospective study was to evaluate the effectiveness of newly developed autogenous tooth bone graft material (AutoBT)application for sinus bone graft procedure. MATERIALS AND METHODS. The patients with less than 5.0 mm of residual bone height in maxillary posterior area were enrolled. For the sinus bone graft procedure, Bio-Oss was grafted in control group and AutoBT powder was grafted in experimental group. Clinical and radiographic examination were done for the comparison of grafted materials in sinus cavity between groups. At 4 months after sinus bone graft procedure, biopsy specimens were analyzed by microcomputed tomography and histomorphometric examination for the evaluation of healing state of bone graft site. RESULTS. In CT evaluation, there was no difference in bone density, bone height and sinus membrane thickness between groups. In microCT analysis, there was no difference in total bone volume, new bone volume, bone mineral density of new bone between groups. There was significant difference trabecular thickness ($0.07{\mu}m$ in Bio-Oss group Vs. $0.08{\mu}m$ in AutoBT group) (P=.006). In histomorphometric analysis, there was no difference in new bone formation, residual graft material, bone marrow space between groups. There was significant difference osteoid thickness ($8.35{\mu}m$ in Bio-Oss group Vs. $13.12{\mu}m$ in AutoBT group) (P=.025). CONCLUSION. AutoBT could be considered a viable alternative to the autogenous bone or other bone graft materials in sinus bone graft procedure.

Error Analysis of Delivered Dose Reconstruction Using Cone-beam CT and MLC Log Data (콘빔 CT 및 MLC 로그데이터를 이용한 전달 선량 재구성 시 오차 분석)

  • Cheong, Kwang-Ho;Park, So-Ah;Kang, Sei-Kwon;Hwang, Tae-Jin;Lee, Me-Yeon;Kim, Kyoung-Joo;Bae, Hoon-Sik;Oh, Do-Hoon
    • Progress in Medical Physics
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    • v.21 no.4
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    • pp.332-339
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    • 2010
  • We aimed to setup an adaptive radiation therapy platform using cone-beam CT (CBCT) and multileaf collimator (MLC) log data and also intended to analyze a trend of dose calculation errors during the procedure based on a phantom study. We took CT and CBCT images of Catphan-600 (The Phantom Laboratory, USA) phantom, and made a simple step-and-shoot intensity-modulated radiation therapy (IMRT) plan based on the CT. Original plan doses were recalculated based on the CT ($CT_{plan}$) and the CBCT ($CBCT_{plan}$). Delivered monitor unit weights and leaves-positions during beam delivery for each MLC segment were extracted from the MLC log data then we reconstructed delivered doses based on the CT ($CT_{recon}$) and CBCT ($CBCT_{recon}$) respectively using the extracted information. Dose calculation errors were evaluated by two-dimensional dose discrepancies ($CT_{plan}$ was the benchmark), gamma index and dose-volume histograms (DVHs). From the dose differences and DVHs, it was estimated that the delivered dose was slightly greater than the planned dose; however, it was insignificant. Gamma index result showed that dose calculation error on CBCT using planned or reconstructed data were relatively greater than CT based calculation. In addition, there were significant discrepancies on the edge of each beam while those were less than errors due to inconsistency of CT and CBCT. $CBCT_{recon}$ showed coupled effects of above two kinds of errors; however, total error was decreased even though overall uncertainty for the evaluation of delivered dose on the CBCT was increased. Therefore, it is necessary to evaluate dose calculation errors separately as a setup error, dose calculation error due to CBCT image quality and reconstructed dose error which is actually what we want to know.

Growth Characteristics for Toxic Marine Dinoflagellate Alexandrium catenella Isolated from Jinhae Bay, Korea (진해만의 유독 플랑크톤 Alexandrium catenella의 성장특성)

  • Lee, Hae-Ok;Lee, Na-Woon;Katano, Toshiya;Han, Myung-Soo
    • Korean Journal of Environmental Biology
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    • v.24 no.2 s.62
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    • pp.147-154
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    • 2006
  • Effects of water temperature, salinity and irradiance on the growth of toxic dinoflagellate Alexandrium catenella (AlCt-01) were investigated, which was isolated from Jinhae Bay, Korea. The maximum growth of A. catenella strain was obtained at $150{\mu}E\;m^{-2}s^{-1}$. The ranges of temperature and salinity for the growth of the strain were $15\sim25^{\circ}C$ and $20\sim34$ PSU. The maximum growth rate of A. catenella determined was $0.45d^{-1}$ at $20^{\circ}C$, 30 PSU and $150{\mu}E\;m^{-2}s^{-1}$ We also examined the Se and Fe effects on the toxic dinoflagellate A. catenella in optimal growth conditions. As Fe concentration of medium increased from 0 to $11.7{\mu}M$, growth rate of A. catenella increased and the maximum growth rate(k=0.48 $d^{-1}$) was obtained at $11.7{\mu}M$ of Fe cone. Growth of A. catenella were stimulated at> 1nM of Se.