• Journal of the Korean Society of Radiology
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• v.16 no.7
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• pp.927-934
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• 2022

This study attempted to find out the degree of agreement between ultrasound image findings along with analysis of attenuation index and scatter distribution index values within tissues through quantitative measurement analysis using liver ultrasound images. From August 2022 to October 2022, liver ultrasound was performed on 45 patients who were suspected of having fatty liver and who received a prescription for liver ultrasound. As a result of the study, as a result of analyzing the agreement between the ultrasound image findings and the tissue attenuation index, the Kappa value was 0.82 (p<0.05), showing a very high agreement between the two examination methods. In addition, as a result of the agreement analysis between the ultrasound image findings and the scatter distribution index in the tissue, the Kappa value was 0.642 (p<0.05), showing high agreement between the two examination methods. At the time of fat liver prediction, the use of liver ultrasound findings and quantitative ultrasonography techniques, such as intra-tissue attenuation index and intra-tissue scatter distribution index, may be helpful in determining the degree of progression of fatty liver patients.

• Journal of the Korean Society of Radiology
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• v.84 no.2
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• pp.361-371
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• 2023

The success of image-guided breast biopsy depends on the biopsy method, needle selection, and appropriate technique based on the accurate judgment by the radiologist at biopsy. However, insufficient or inappropriate sampling of specimens may result in false-negative results or pathologic underestimation. Therefore, image-pathology concordance assessments after biopsy are essential for appropriate patient management. Particularly, the assessment of image-pathology concordance can avoid false-negative reports of breast cancer as a benign pathology. Therefore, this study aimed to discuss factors that impact the accurate interpretation of image-guided breast biopsy along with the appropriate assessments.

• The Proceeding of the Korean Institute of Electromagnetic Engineering and Science
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• v.5 no.3
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• pp.78-87
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• 1994

생물학 및 의학등의 생명과학에서는 현미경을 이용하여 생체물질 즉, 생체조직을 관찰하고 이에 대한 조직의 검사 결과를 판정하고 발표한다. 이때 필히 고정과정(fixation process)을 거쳐야 한 다. 즉, 생체조직중 조직의 구조, 특정 세포나 바이러스 및 효소등을 관찰할 때 고정과정을 거쳐 조직을 절편하고 이를 염색하여 현미경으로 검사하게 된다. 고정과정이란 생체물질을 안정화시키고 자기분해 혹은 부패를 방지하여 보존이 가능하도록 변화시키 는 과정으로, 조직내의 용해성 물질을 불용성 물질로 변형시키는 과정이다. 고정과정을 거친 생체조직 은 구조를 보존하고 있기 때문에 조직의 훼손이 없는 상태에서 절편이 가능하고 또한 염색상태를 좋게 하며 관찰시 contrast를 증진시킨다. 만약 고정과정을 거치지 않으면 물질의 세포막이 파괴되고 단백질 등의 물질이 용해되어 조직의 변형을 일으켜 제대로 조직을 관찰할 수 없게 된다. 고정과정에는 크게 화학적 고정법과 물리적 고정법이 있다. 화학적 고정법은 생체조직을 화학용액에 처리하는 방법이며, 물리적 고정법은 직접적인 열 혹은 초음파등으로 물질을 고정시키는 방법이다. 표 면과 내부의 열전도가 달라져 고정이 균일하게 되지 않는 단점을 가지고 있기 때문에 보통 2~6일의 고 정시간을 요하는 화학적 고정법을 사용하고 있다. 따라서 조직에 대한 총 검사시간이 최소 6일에서 최 대 12일이 요구된다. 병원등에서 조직검사의 결과가 늦게 발표되는 사유는 바로 화학적 고정법을 사용 하여 생체조직을 관찰하고 그 결과를 판정하기 때문이다. 본 고에서는 마이크로파를 이용하여 약 3시간만에 조직의 상태를 관찰할 수 있는 고정법을 소개한다. 마이크로파를 이용하여 조직을 고정하는 고정방법을 기존의 고정법과 비교하여 이들의 장단점을 나타 낸다. 본 연구자에 의해 개발된 마이크로파 고정기를 소개하고, 이를 이용하여 생체물질을 고정한뒤 절 편, 염색하여 현미경 관찰결과를 발표하여 본 연구의 방법이 기존 방법보다 우수함을 나타낸다.

• Annual Conference of KIPS
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• 2019.10a
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• pp.1080-1081
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• 2019

만성간질환의 조기 발견과 적절한 관리는 중증 질환으로 진행을 차단하거나 완치하는데 큰 역할을 할 수 있다. 만성간질환을 진단하는 Gold Standard는 조직검사이지만 시간적·비용적인 측면에서 제한점이 있다. 현재 만성간질환 진단을 위해 최우선 시행하고 있는 검사는 혈액검사이며 진단정확도가 낮은 것으로 보고된다. 영상진단검사는 검사비용 측면에서 혈액검사보다 비싸며 진단정확도 측면에서 조직검사를 대체하기에는 정확도 향상이 요구된다. 본 연구에서는 획득된 의료영상을 활용하여 간세포 이질성과 결정성을 신속하게 정량 분석할 수 있는 소프트웨어를 개발하고 만성간질환 환자를 대상으로 정량 평가함으로서 임상활용 가능성을 확인하고자 한다.

• Journal of the Korean Society of Radiology
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• v.13 no.4
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• pp.547-555
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• 2019

The purpose of this study was to evaluate the usefulness of routine liver ultrasonography on the basis of the scoring system according to the morphological parameters of liver ultrasound images and the histopathological results of liver biopsy. The morphological parameters of the liver through ultrasonography were divided into liver surface, liver edge and liver parenchyma. Pathologic results of liver biopsy were classified as mild fibrosis(F1), significant fibrosis(F2), severe fibrosis(F3), and cirrhosis(F4). In conclusion, routine ultrasound examination showed a sensitive predictive factor for fibrosis with mild fibrosis (F1) to severe fibrosis (F3) were liver edge>liver parenchyma>liver surface. However, the predictive factors for detecting cirrhosis (F4) were liver parenchyma>liver surface>liver edge. The use of three variable combinations rather than individual variables in routine ultrasonography may be useful in evaluating the degree and progress of liver fibrosis.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.3 no.2
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• pp.151-159
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• 2000

Purpose: Recently, a wide application of gastrofiberscopy in the pediatric group have revealed that nodular duodenitis is not an uncommon disease in children and is suspected to be associated with H. pylori infection. The aim of this retrospective study was to investigate the clinical and histopathologic features in children with nodular duodenitis, and to assess the correlations beween both. Methods: During a period of 5 years (Jan. 1995~Dec. 1999), we investigated clinical, endoscopic and histopathologic features of 39 consecutive patients diagnosed as having nodular duodenitis at Pediatric department of Seoul Red Cross Hospital. In 35 children with nodular duodenitis endoscopic biopsy specimens were stained with Hematoxylin & Eosin and Giemsa's stain, and were graded according to the criteria outlined by Triadafilopoulos, Whitehead et al., and Prieto et al.. Statistical analyses were performed with Graph PAD InStat. Results: The prevalence rate of nodular duodenitis was 17.1% and the most frequent chief complaint was abdominal pain (69.2%). Endoscopically grade 1 was the most common (45.7%) and nodular gastritis was coexistent in 28.3%. The most common histology of the duodenum was grade 2 (54.3%), and the most common histologic score of the stomach was 2 (42.9%). H. pylori was found in the duodenum in 37.1%, and in the stomach in 31.4%. The correlation coefficient between the endoscopic grade and the histologic grade of nodular duodenitis was 0.3983 (p=0.0178). And the correlation coefficient between the histologic grade and the grade of H. pylori colonization in the duodenum was 0.5154 (p=0.0018). Conclusion: There was significant correlation between the endoscopic grade and the histologic grade of nodular duodenitis, and was also significant correlation between the histologic grade and the grade of H. pylori colonization in the duodenum. Therfore H. pylori infection should be regarded as an etiologic factor of nodular duodenitis.

• Journal of the Korean Society of Radiology
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• v.13 no.1
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• pp.9-14
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• 2019

This study aimed to investigate the performance of the S-detect method in breast ultrasonography and to determine how to reduce unnecessary biopsy by comparing the results of the S-detect method and biopsy. Thirty patients who had undergone breast ultrasonography between August and October 2018 and were scheduled to undergo biopsy because of the presence of breast nodules were retrospectively analyzed. The McNemar test was performed to determine whether detection of a malignant breast mass significantly differed between the S-detect method and biopsy. The following results were obtained from the analysis of the S-detect method: sensitivity, 90.9%; specificity, 84.21%; validity, 86.66%; positive predictive value, 76.92%; and negative predictive value, 94.11%. Analysis of the degree of agreement between the S-detect method and biopsy revealed a kappa value as high as 0.724 (p < 0.05), exhibiting good agreement between the two methods. The S-detect method in breast ultrasonography is diagnostically valuable in terms of distinguishing between malignant and benign breast masses, and if used properly before breast biopsy, unnecessary biopsy can be reduced.

• Biomedical Science Letters
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• v.5 no.1
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• pp.51-58
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• 1999

To evaluate an effect of liver damage on the dermal oxygen free radical metabolizing enzyme activities, the $CCl_4$ (0.1 ml/ 100 g body wt., 50% $CCl_4$ in olive oil) was intraperitoneally given to the rats every other day for 2 weeks. Based on the histopathological findings, liver weight (%), serum alanine aminotransferase, xanthine oxidase activities and hepatic lipid peroxide contents, the animals were induced severe liver damage. In the present liver damaged animal, all the activities of dermal scavenging enzymes such as superoxide dismutase, catalase and glutathione peroxidase were significantly decreased compared with central. And under the cytochemical electron microscopy the more coarse granules of cerrous perhydroxide were found compared with the control. In conclusion, the $CCl_4$-induced liver damage may influence upon the activities of some dermal oxygen free radical scavenging enzymes.

• Journal of Digestive Cancer Research
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• v.1 no.1
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• pp.48-51
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• 2013

We report an unusual case of postoperative early gastric cancer with liver metastasis mimicking pancreaticobiliary carcinoma. A 73-year-old man with early gastric cancer was transferred for endoscopic treatment. The patient underwent endoscopic submucosal dissection for the treatment of the early gastric cancer. The pathological diagnosis was adenocarcinoma with extension to the deep submucosa and some lymphatic invasion. Therefore, subsequent a subtotal gastrectomy was performed. The histological results demonstrated residual adenocarcinoma confined to the mucosa. The resection margin and lymph node metastasis were negative. Thus, he was closely monitored for recurrence every 6 months. After 2 years, he was suddenly suspected of developing liver metastasis and local recurrence. He received a liver biopsy, and the pathological result was poorly differentiated adenocarcinoma. Immunohistochemical staining suggested pancreaticobiliary carcinoma rather than metastatic adenocarcinoma from the stomach or colon, but primary focus was not found. We were sure that the recurrent stomach cancer metastasized to the liver because stomach cancer can show heterogeneous cytokeratin (CK) expression pattern with various histological features. Therefore, no single CK expression pattern has diagnostic value for distinguishing gastric carcinoma. The patient underwent chemotherapy for metastatic stomach cancer.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1991.06a
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• pp.44-44
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• 1991

선친성 경부 종양은 표재성, 무통성 종물로 임상적으로는 이차적 감염후 발견되는 경우가 많다. 이학적 검사 및 경부초음파 검사로 임상적 진단은 용이하나 확진을 위해서는 수술후 조직병리검사가 필수적이다. 저자들은 최근 2년간에 서울중앙병원에서 경부 종물을 주소로 내원하여 수술후 조직병리검사로 확진된 47례에 대해 후향적 조사를 실시하여 다음과 같은 결론을 얻었기에 문헌적 고찰과 함께 보고하는 바이다. 1)총 47례중 갑상설 낭종이 가장 많은 빈도를 차지하였고(31, 9%) 새성낭종(25.5%), 낭포성 히그로마(21.3%), 유표피낭포(14.9%), 혈관종(6.4% )순이었다. 2)성별 분포는 남녀간의 큰 차이 없었다. (남46.8%, 여 53.2%) 3)연령별 분포는 20대 이하에서 가장 많은 빈도를 보였다. (63.9%) 4)위치별 분포는 경부중앙(42.6%), 우측경부(38.3%), 좌측경부(19.1%)를 보였다. 5)주된 증상은 경부종물을 주소로 내원한 경우가 대부분이었으며, 증상의 기간은 1년 미만이(53.2%) 가장 많았다.