• Proceedings of the Korean Society of Computer Information Conference
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• 2012.07a
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• pp.35-38
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• 2012

본 논문에서는 경추 초음파 DICOM 영상에서 심부 경부 굴곡근의 하단 후보 경계선을 이용하여 경추가 위치하는 후보 영역을 추출한다. 추출한 경추 후보 영역에 퍼지 시그마 이진화 기법을 적용하여 경추 객체를 추출한다. 심부 경부 굴곡근의 두께를 측정하기 위한 측정 기준점을 정확하게 추출하기 위해 심부 경부 굴곡근의 하단 경계선의 위치 정보를 이용하여 심부 경부 굴곡근내의 지방이 경추 객체로 추출되는 문제점을 개선하고, 개선된 영상에서 경추 객체들이 가진 픽셀 좌표를 이용하여 측정 기준점을 설정한다. 그 후, 객체들의 위치 정보를 이용하여 측정 기준점을 다시 설정한다. 심부 경부 굴곡근 영역과 측정 기준점을 이용하여 심부 경부 굴곡근의 두께를 측정한다. 제안된 방법을 경추 초음파 DICOM 영상에 적용하여 심부 경부 굴곡근의 두께를 측정한 결과, 기존의 심부 경부 굴곡근 두께 측정 방법보다 정확한 결과를 얻을 수 있는 것을 확인하였다.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2011.10a
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• pp.204-207
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• 2011

본 논문에서는 경추 초음파 DICOM 영상에서 개선된 퍼지 시그마 기법을 이용하여 경부심굴곡근을 추출하고 두께를 측정하는 방법을 제안한다. 제안된 방법은 ROI 영역에서 Ends-In Search Stretching을 적용하여 명암 대비를 강조한다. Stretching된 ROI 영역에서 평균 이진화를 적용한 후, Blob 알고리즘을 적용하여 흉쇄유돌근과 경부심굴곡근의 후보 영역을 추출한다. 추출된 경부심굴곡근 후보 영역에서 경추의 위치 정보를 이용하여, 경추의 경계 영역을 검출한 후, Cubic Spline 보간법 알고리즘을 적용하여 스플라인 곡선을 추출한다. 스플라인 곡선 영상에서 상/하 탐색 알고리즘을 적용하여, 최대/최소 범위 영역을 설정한다. Stretching된 ROI 영역에서 최대/최소 범위에 해당하는 영역에 대해 개선된 퍼지 시그마 이진화를 적용한다. 적용된 영역을 Blob 알고리즘을 이용하여 잡음을 제거하고 Morphology 알고리즘을 이용하여 초음파 영상의 첫 번째 경추 기준점의 좌표 정보를 추출한다. 경추 기준점을 기준으로 두께 측정에 필요한 경부심굴곡근 후보 영역을 추출하고 개선된 퍼지 시그마 이진화 알고리즘을 적용한다. 개선된 퍼지 시그마 이진화 알고리즘이 적용된 영상에서 근막의 위치 정보를 이용하여 경부심굴곡근상단 경계선을 추출한다. 추출된 각 경추 객체에 DDA(Digital Differential Analyzer) 알고리즘과 Cubic Spline 보간법 알고리즘을 적용하여 경부심굴곡근의 하단 경계선을 추출한다. 추출된 경부심 굴곡근의 상/하단 경계선의 위치 정보를 이용하여, 측정에 필요한 경부심굴곡근을 추출한다. 제안된 방법을 경추 초음파 영상에 적용하여 경부심굴곡근을 추출한 결과, 기존의 경부심굴곡근추출 방법보다 효율적으로 경부심굴곡근을 추출하는 것을 확인할 수 있었다.

• 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.

• Nuclear Medicine and Molecular Imaging
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• v.43 no.5
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• pp.411-420
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• 2009

Purpose: The aim of this study was to investigate the usefulness of $^{18}F$-FDG PET/CT with neck ultrasonography (neck US) in patients with recurrent, papillary thyroid cancer. Material and methods: This retrospective study (December 2006 to April 2008) enrolled sixty-one patients (ninety-one lesions) who underwent high-dose $^{131}I$-ablation therapy after total thyroidectomy, and evaluated recurred papillary thyroid cancer. All lesions were confirmed by histopathology and compared histopathologic findings to PET, PET/CT, and neck US findings. Results: In sixty-one patients (57 women, 4 men; age range, 24-81 years, mean 49 years; 61 papillary carcinomas), the sensitivity, specificity, accuracy of $^{18}F$-FDG PET/CT was 87.2%, 64.0%, 78.1% on a patient basis and 92.3%, 66.7%, 80.9% on a lesion basis, respectively. The sensitivity, specificity, accuracy of $^{18}F$-FDG PET was 71.8% (p=0.03), 59.0% (p=1.00), 67.2% (p=0.03) on a patient basis and 78.8% (p<0.01), 64.1% (p=1.00), 72.5% (p=0.02) on a lesion basis, respectively. The sensitivity, specificity, accuracy of neck US was 71.1% (p=0.07), 52.2% (p=0.75), 63.9% (p=0.05) on a patient basis and 71.2% (p<0.01), 61.5% (p=1.00), 67.0% (p=0.06) on a lesion basis, respectively. Combined $^{18}F$-FDG PET/CT with neck US improved the sensitivity, specificity, accuracy to 94.7% (p=0.50), 82.6% (p=0.13), 90.2% (p=0.03) on a patient basis and 96.2% (p=0.50), 89.7% (p<0.01), 93.4% (p<0.01) on a lesion basis, respectively. Conclusion: $^{18}F$-FDG PET/CT demonstrated significantly higher sensitivity than neck US for the detection of recurred papillary thyroid cancer lesions. Furthermore, combined $^{18}F$-FDG PET/CT with neck US showed more improved sensitivity, specificity, accuracy for diagnosis of recurrent papillary thyroid cancer.

• Tuberculosis and Respiratory Diseases
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• v.56 no.5
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• pp.505-513
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• 2004

Background : In lung cancer patients, the presence of metastatic neck nodes is a crucial indicator of inoperabilty. So thorough physical examination of neck is always mandatory, but sometimes those are hardly palpable even by the skillful hand. Ultrasonography is a useful diagnostic method in detection of small impalpable lymph nodes and in guidance of fine needle aspiration biopsy. In this study we evaluated the clinical usefulness of ultrasonography(USG) and ultrasound-guided fine needle aspiration cytology(US-FNA) in lung cancer patients without palpable neck nodes. Methods and Materials : From Sep 2002 to Sep 2003, 36 non-small cell lung cancer patients (20 adenocarcinoma, 16 squamous cell cancer) and 10 small cell lung cancer patients without palpable neck nodes on physical examiation were enrolled. patients who had contralateral mediastinal nodal enlargement(>1cm) on chest CT were excluded. After the routine check of USG on the neck, US-FNA was done in cases with enlarged neck nodes (${\geq}5mm$ in the short axis). The presence of enlarged lymph node on USG, and of malignant cells on cytology were evaluated by the histological type and the patients' clinical stage of lung cancer. Results : Among 36 non-small lung cell cancer patients, 14 (38.8%) had enlarged neck nodes on USG, and 5 of 10 small cell lung carcinoma patients. The mean diameter of the neck nodes was 9.8 mm (range, 7-12 mm). US-FNA of 14 non-small cell lung cancer patients revealed tumor cells in eight patients (57.1%). In 5 small cell lung cancer pateints, tumor cells were found in all cases. By the result of US-FNA, the clinical stage of 8 out of 36 (22.2%) non-small cell lung cancer patients had changed, including two cases of shift from the operable IIIa to the inoperable IIIb. In small cell lung cancer patients their clinical stage was not changed after US-FNA, but their pathological diagnosis was easily done in two cases, in whom endobronchial lesions were not found on bronchoscopy. Conclusions : USG and US-FNA of neck node seem to be safe, sensitive and cost-effective diagnostic tools in the evaluation of lung cancer patients without palpable neck nodes.

• Journal of the Korean Society of Radiology
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• v.83 no.3
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• pp.693-698
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• 2022

Angioleiomyoma (vascular leiomyoma) of the uterine cervix is an extremely rare type of benign tumor composed of smooth muscle cells and thick-walled blood vessels. Only a few cases of cervical angioleiomyoma have been reported. Here, we present imaging, including ultrasonography, contrast-enhanced CT, MRI, and histopathological findings of a 38-year-old female with an angioleiomyoma of the uterine cervix.

• Journal of Yeungnam Medical Science
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• v.22 no.1
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• pp.43-51
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• 2005

Background: To examine the ultrasonographic and magnetic resonance (MRI) imaging findings of a cervical mass type cervical pregnancy. Materials and Methods: The ultrasonographic and MRI findings of 5 patients pathologically confirmed as having a cervical pregnancy were analyzed retrospectively. On ultrasonography, the size and echo pattern of the uterine cervix, the shape and echo pattern of the lesion, the degree and the pattern of blood flow on the color Doppler study and the spectral Doppler pattern were analyzed. The shape, signal intensity, and degree and pattern of enhancement of the lesion were evaluated on MRI. Results: The uterine cervix was enlarged and the size of the lesion was 6.1 to 7.1 (average, 6.5) cm. The endocervical canal was irregularly dilated and showed heterogeneous echogenicity in all 5 cases. Four of the 5 lesions were heterogeneously hyper- or mixed echoic and remaining one was relatively homogeneous echogenic. Doppler ultrasonography revealed an increased vascularity of the peritrophoblastic flow pattern. In all 4 cases where MRI performed, the lesion was irregular in shape and the margin was not sharply demarcated. The T2-weighed image showed that the lesions were mixed signal intensity. Three of the 4 lesions contained high signal intensity nodular portions and a low signal intensity rim was observed along the margin of the nodular portions. The T1-weighted image revealed multiple signal voids along the periphery of the lesions and high signal intensity portions as a result of hemorrhage were noted. The dynamic enhanced study showed that the high signal intensity portions on the T2-weighted image were strongly enhanced similar to the vessels on the early phase and the contrast enhancement gradually decreased with time. Conclusion: A cervical mass type cervical pregnancy can be correctly diagnosed using the patient's clinical symptom, the elevation in the serum ${\beta}$-HCG level, and characteristic ultrasonographic and MRI findings.

• Journal of Yeungnam Medical Science
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• v.16 no.1
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• pp.131-136
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• 1999

자궁경관 임신은 최근에 인공유산의 증가와 인공 보조 생식술(assisted reproductive technology) 등에 의하여 증가되는 양상을 보인다. 과거에는 자궁경관 임신은 대량의 무통성 질출혈로 진단을 내리고 치료 방법은 천자궁적출술이 유일한 수단이었으나, 지금은 질식 초음파의 개발로 자궁경관 임신을 조기에 진단하고 자궁 보존적 방법으로 치료하여 차후 임신을 기대할 수 있게 되었다. 그 치료 방법 중 하나로 Methotrexate(MTX)를 주사하여 성공적으로 치유된 많은 보고들이 있었다. 본 저자들은 임신 8주에 자궁경관 임신으로 진단된 환자에서 전신적 MTX 투여와 복식 초음파 관찰 하에 양막강내 MTX 투여 병합 요법으로 치료한 1례를 보고하고 치료과정에서 자궁경부 병변의 지연 관해에 대해서 문헌 고찰과 함께 보고하는 바이다.

• Journal of Chest Surgery
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• v.42 no.4
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• pp.528-531
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• 2009

Transesophageal echocardiography (TEE) is widely used to evaluate the heart function and the result of surgery during a cardiac operation. The incidence of complications associated with TEE is low, yet critical complications such as lower pharyngeal injury and esophageal perforation may happen. We report hereon a case of 77-year old male patient who suffered from injury to the pyriform sinus and concurrent deep neck infection after off pump coronary artery bypass surgery and intraoperative TEE.

• Clinical and Experimental Pediatrics
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• v.45 no.8
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• pp.1043-1047
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• 2002

Phlebectasia is an abnormal dilatation of an isolated vein and a rare venous anomaly and is usually asymptomatic. Clinically internal jugular phlebectasia is a self limited benign condition and usually no treatment is required after initial diagnosis. So suspection of this disease and appropriate diagnostic approaches are essential to avoid unnecessary surgical intervention. We present three cases of internal jugular phlebectasia of which diagnosis was made by neck sonography and CT.