• Title/Summary/Keyword: 간혈도

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Examination Techniques and Imaging Findings of Hepatic Hemangioma (간혈관종의 검사기법과 영상소견)

  • Chang-Hoe Koo;Jong-Wan Keum;Ji-Eun Seok;Dong-Chul Choi;Yun-Ho Choi;Man-Seok Han;Min-Cheol Jeon
    • Journal of the Korean Society of Radiology
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    • v.17 no.3
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    • pp.375-384
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    • 2023
  • Most Hepatic hemangiomas are asymptomatic and small in size, making them difficult to find by pathological examination. Therefore, radiological diagnosis is essential for the early finding and diagnosis of Hepatic hemangioma. Three-phase method using contrast medium in computed tomography, T1, T2-weighted imaging in magnetic resonance imaging, dynamic magnetic resonance imaging using contrast medium, echo planar imaging method, diffusion-weighted imaging method, blood pool scan using 99mTc-labeled red blood cells in nuclear medicine, we looked at the color doppler method In ultrasound, and it is important to accurately understand the imaging findings of hepatic hemangioma and perform the examination in order to make an accurate diagnosis. most hepatic hemangioma are benign tumors, care should be taken not to confuse them with malignant tumors such as hepatocellular carcinoma to prevent unnecessary procedures. Therefore, in order to make an accurate diagnosis, it is important to accurately understand the imaging findings of hemangioma and perform the examination.

Correlation of the Speed of Enhancement of Hepatic Hemangiomas with Intravoxel Incoherent Motion MR Imaging (간혈관종의 조영증강속도와 복셀내비결집운동 MR영상과의 상관관계)

  • Yang, Dal Mo;Jahng, Geon-Ho;Kim, Hyun Cheol;Kim, Sang Won;Kim, Hyug-Gi
    • Investigative Magnetic Resonance Imaging
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    • v.18 no.3
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    • pp.208-218
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    • 2014
  • Purpose : To evaluate the relationship between the speed of enhancement of hepatic hemangiomas on gadolinium-enhanced MRI and ADC values by using various parameters, including the D, f, $D^*$ and $ADC_{fit}$ on intravoxel incoherent motion (IVIM) MR Imaging. Materials and Methods: The institutional review board approved this retrospective study. A total of 47 hepatic hemangiomas from 39 patients were included (20 men and 19 women). The hemangiomas were classified into three types according to the enhancement speed of the hepatic hemangiomas on gadolinium-enhanced dynamic T1-weighted images: rapid (Type A), intermediate (Type B), and slow (Type C) enhancement. The D, f, $D^*$ and $ADC_{fit}$ values were calculated using IVIM MR imaging. The diffusion/perfusion parameters and ADC values were compared among the three types of hemangiomas. Results: Both the $ADC_{fit}$ and D values of type C were significantly lower than those of type A (P = 0.0022, P = 0.0085). However, for the f and $D^*$, there were no significant differences among the three types. On DWI with all b values (50, 200, 500 and $800sec/mm^2$), the ADC values of type C were significantly lower than those of the type A (P < 0.012). For b values with $800sec/mm^2$, the $ADC_{800}$ values of the type C hemangiomas were significantly lower than those of type B (P = 0.0021). We found a negative correlation between hepatic hemangioma enhancement type and $ADC_{50}$ (${\rho}=-0.357$, P = 0.014), $ADC_{200}$ (${\rho}=-0.537$, P = 0.0001), $ADC_{500}$ (${\rho}=-0.614$, P = 0.0001), and $ADC_{800}$ (${\rho}=-0.607$, P = 0.0001). Therefore, four ADC values of $ADC_{50}$, $ADC_{200}$, $ADC_{500}$, and $ADC_{800}$ were decreased with decreasing enhancement speed. Conclusion: Hepatic hemangiomas had variable ADCs according to the type of enhancement, and the reduced ADCs in slowly enhancing hemangiomas may be related to the reduced pure molecular diffusion (D).

Diagnosis of Hepatic Hemangioma by $^{99m}Tc-RBC$ Scintigraphy ($^{99m}Tc-RBC$ 간신티그램에 의한 간혈관종의 진단)

  • Chung, Soo-Kyo;Son, Hyung-Sun;Lee, Myung-Hee;Shinn, Kyung-Sub;Bahk, Yong-Whee
    • The Korean Journal of Nuclear Medicine
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    • v.19 no.2
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    • pp.97-99
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    • 1985
  • 간혈관종은 가장 흔한 양성 간종양이다. 그러나 혈관종의 감별진단은 용이하지 않다. 근래에 간현관종의 진만에 $^{99m}Tc-RBC$를 이용한 간신티그램이 많이 이용되고 있다. 저자들은 $^{99m}Tc-RBC$를 사용하는 간신티그램을 시행하여 (1) 간혈관 신티그램상 혈류 증가에 의한 냉소변연부의 방사능 섭취 증가를 동맥기에서 관찰할 수 있었고, (2) 시간 경과에 따라 방사능 집적이 냉소의 변연부에서부터 차츰 중앙으로 진행되어 마침내, (3) 지연 촬영 영상에서는 냉소가 완전히 열소로 변하는 것을 확인함으로써, 간혈관종을 진단할 수 있었기에 문헌고찰과 함계 보고하는 바이다.

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The Objective Image Analysis for HCC and HH with a Axial Image of Liver CT Scan (Liver CT 단면영상에서 간세포암과 간혈관종의 객관적 영상분석)

  • Hwang, In-Gil;Ko, Seong-Jin;Choi, Seok-Yoon
    • The Journal of the Korea Contents Association
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    • v.15 no.9
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    • pp.411-417
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    • 2015
  • To distinguish between HCC and HH is one of the important test methods in determining the treatment method by determining the treatment method by distinguishing malignant growth and benign tumors in liver CT scan. Currently, the specialist is reading CT images by their subjective judgment. So, the purpose of this study is to treat reading the CT images even more objective way. The test times after injection contrast medium in this study are the before injection phase(Pre.), artery phase(35sec), portal phase(70sec) and delay phase(180sec). The general pattern change of HCC in change of contrast enhancement pattern shows 26.6% matching. And the case of HH shows 16.6% matching. In order to observe the change of HU value between HCC and HH, each average values and standard deviation was confirm and as a result, it shows the lagre difference between artery and portal phase in lesion.(HCC$19.76{\pm}23.52$, HH$60.23{\pm}29.43$). And it shows the 76.6% matching in HCC and 80.0% matching in HH. Thorough this study, to suggest a HU value as objective analysis method and if the anlaysis method was used in clinical will assist in the diagnosis.

Development of the intermittency turbulence model for a plane jet flow (자유 평면 제트유동 해석을 위한 간혈도 난류모델의 개발)

  • 조지룡;정명균
    • Transactions of the Korean Society of Mechanical Engineers
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    • v.11 no.3
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    • pp.528-536
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    • 1987
  • In a turbulent free shear flow, the large scale motion is characterized by the intermittent flow which arises from the interaction between the turbulent fluid and the irrotational fluid of the environment through the mean velocity gradient. This large scale motion causes a bulk convection whose effect is similar to the spatial diffusion process. In this paper, the total diffusion process is proposed to be approximated by weighted sum of the bulk convection due to the large scale motion and the usual gradient diffusion due to small scale motion. The diffusion term in conventional .kappa.-.epsilon. model requires on more equation of the intermittency transport equation. A production term of this equation means mass entrainment from the irrotational fluid to the turbulent one. In order to test the validity of the proposed model, a plane jet is predicted by this method. Numerical results of this model is found to yield better agreement with experiment than the standard .kappa.-.epsilon. model and Byggstoyl & Kollmann's model(1986). Present hybrid diffusion model requires further tests for the check of universality of model and for the model constant fix.

Three Cases of the Foreign Bodies in the Trachea & Bronchus (최근에 경험한 기관 이물 3례)

  • 이용화;이동수;옥흥남;이선철
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1978.06a
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    • pp.3.5-4
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    • 1978
  • Foreign body in the trachea & bronchus is considered as one of the frequently observed accidental cases in the field of E.N.T. and many cases & analysis of them are reported by many authors. We have, recently, experienced three cases of the foreign bodies in the trachea & bronchus and removed successfully through bronchoscopy under general anesthesia. Case A : a kind of plastic reed (2.2CM$\times$0.8CM$\times$0.8CM) was removed from the carina of trachea of a 7 year old female. Case B: a nail (4.9CM$\times$0.3CM$\times$0.3CM) was removed from the right main bronchus of a 2 year old male. Case C : a kind of plastic reed (2.0CM$\times$0.8CM$\times$0.8CM) was removed from the right main bronchus of a 7 year old female.

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Readeveloping Turbulent Boundary Layer after Separation-Reattachment(I) (박리-재부착 이후의 재발달 난류경계층 I)

  • 백세진;유정열
    • Transactions of the Korean Society of Mechanical Engineers
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    • v.13 no.4
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    • pp.780-788
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    • 1989
  • An experimental study has been performed to investigate the process from nonequilibrium state to equilibrium state in redeveloping turbulent boundary layer beyond separation-reattachment using pitot tube and hot-wire anemometer. The model sued in the experiment has the form of a backward facing step which is assembled by a two-dimensional 4:1 half elipse and a plate. Measurements are carried out up to a distance of about 50 step height downstream of the step, where the reattachment observed at about x/h=6.5. The profiles of the shape factor H the Clauser parameter G and the coefficient of friction $C^{f}$ exhibited the characteristics similar to those of the equilibrium turbulent boundary layer from x/h=25, and the profiles of the trubulent quantities did from x/h=35. However, the wake region of the boundary layer does not seem to recover the equilibrium turbulent boundary layer even at x/h=50. By considering the distributions of the intermittency factor it has been noted that the turbulence structure changes gradually from a mixing layer to a turbulent boundary layer along downstream direction after reattachment. This becomes clearer as we analyse the one-dimensional energy spectra and the dissipation energy spectra which are measured and caculated at various downstream positions after the backward facing step.p.

A Clinical Report of Patient with Tremor diagnosed as Ganhyeolbujok(肝血不足) (간혈부족(肝血不足)으로 변증한 진전(振顫)환자 치험(治驗) 1례(例))

  • Kim, Tae-Yong;Park, Jun-Beom;Oh, Min-Kyu;Shin, Hyeon-Su
    • The Journal of Internal Korean Medicine
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    • v.27 no.3
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    • pp.776-783
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    • 2006
  • Tremor is a rhythmic and involuntary muscular contraction characterized by oscillations of a part of the body. The most common of all involuntary movements, tremor can affect various body parts such as hands, head, facial structures, vocal cords, trunk, and legs; most tremors, however, occur in the hands. Clinically, tremor is classified into postural tremor, resting tremor, action tremor, and other kinds of tremor, and treated according to the causes. The author reports the improvement of the patient, hospitalized at Dong Seo Medical Center, whose tremor was not classified specifically in western medicine but was diagnosed as Ganhyeolbujok (肝血不足) by Korean medicine.

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Accounting for zero flows to develop a hydrological model for Yongdam Basin (무유출의 고려를 통한 용담댐 유역에 수문모형의 구축)

  • Lee, Dong Gi;Ahn, Kuk-Hyun
    • Proceedings of the Korea Water Resources Association Conference
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    • 2020.06a
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    • pp.138-138
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    • 2020
  • 본 연구에서는 우리나라에서 발생하는 무유출량을 고려하는 확률기반 격자형 수문 모형을 용담댐 유역에 구축하였다. 용담댐 유역은 무유출량이 종종 나타나는 간혈하천 (Ephemeral catchment) 유역으로 우리나라의 많은 유역들이 여기에 해당한다. 격자형 수문 모형의 구축을 위하여 Sacramento Soil Moisture Accounting Model (SAC-SMA) 유출 모형을 사용하여 라우팅 모형과 결합하였다. 무유출량을 표현하기 위해서 본 연구에서는 검열된 오류 모형 (censoring error model)을 사용하였다. 구축한 오류 모형과 기존에 많이 사용되는 정규화된 오류 모형의 비교를 하였으며 이를 통하여 본 연구에서 구축한 모형의 적합성을 평가하였다. 결과적으로 본 연구에서 구축한 두 개의 모형이 둘 다 신뢰할 만한 결과를 보여주지만 검열된 오류 모형이 더 적합한 결과를 보여주며 무유출의 빈도 증가에 따라 효율이 증가하는 것을 보여 준다. 그리고 기존의 방법론은 확률 기반의 유출량의 표현에 있어서 0 이하의 음수값을 표현하여 현실적이지 못한 수문 모델링을 표현한다. 따라서 본 연구에서 얻어진 결과는 간헐하천 유역에 대한 고려가 우리나라에 수문 모델 구축에 있어서 필요하다는 것을 의미한다.

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