• The Korean Journal of Nuclear Medicine
• /
• v.36 no.4
• /
• pp.255-260
• /
• 2002

Purpose: SAPHO syndrome is well known to various disease entities including synovitis, acne, pustulosis, hyperostosis and polyarthritis. The purpose of this study is to evaluate sicntigraphic findings and to compare with radiologic findings in SAPHO syndrome. Materials and Methods: Five patients (M:F=5.0, Age $22.8{\pm}4.78$ yrs) with SAPHO syndrome were enrolled in our study. All patients underwent whole-body bone scintigraphy with intravenous administration of 740 MBq of Tc-99m MDP. Among them, two patients were additionally perfomed SPECT of the spine to evaluate the location and extort of spinal lesion. Results: All patients were demonstrated abnormal increased uptakes in sternoclavicular joint (SC), sacroiliac joint (SI), and small joints of both hands. Among them, three patients were bilateral involvement (3/5) and two were unilateral (2/5) in SC. involvement of SI showed bilateral in four patients (4/5) and unilateral in one (1/5). SPECT images demonstrate that the lesion sites of the lumbar spine are more likely facet joints than vertebral bodies or pedicles. Conclusion: As SAPHO syndrome is the disease entity involved polyarticular joints with various dermatologic manifestations, the bone scintigraphy may be a very useful method to evaluate the location and extent of joint involvement, and to avoid inadequate surgical management or ineffective antibiotic treatment.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.20 no.3
• /
• pp.417-422
• /
• 2019

Hemodynamically unstable pelvic fractures show a remarkably high mortality rate of 40% to 60%. However, their standard of care remains controversial. We report here a case of a 78-year-old woman who was admitted to the Emergency Department with pelvic pain following a fall. Based on pelvic radiography, she was diagnosed with an unstable pelvic fracture. Her blood pressure was 60/40 mmHg, and owing to her unstable vital signs, emergency angiography was performed without computed tomography (CT). Both internal iliac arteries were embolized without sub-branch selection for prompt control of pelvic bleeding. Following embolization, her vital signs were stabilized. Subsequent CT revealed free intra-abdominal air, suggesting bowel perforation had occurred and necessitating emergency laparotomy. An approximately 1 cm-sized free perforation of the small intestine was identified intraoperatively, and primary closure was performed. A retroperitoneal hematoma identified intraoperatively was not explored further because it was a non-expanding and non-pulsatile mass. The patient was admitted to the Intensive Care Unit and transferred to the general ward on postoperative day 3. In this case, the hemodynamically stable pelvic fracture with bowel perforation was successfully and safely treated by prompt angioembolization without conducting CT.

• The Journal of the Korean bone and joint tumor society
• /
• v.8 no.2
• /
• pp.48-53
• /
• 2002

Although direct skeletal muscle invasion by carcinoma is well recognized, distant metastasis to skeletal muscle is uncommon. Furthermore, multifocal skeletal muscle metastasis is a very exceptional event. Some factors such as variable intra-muscular blood flow, mechanical factors including turbulent blood flow and muscle contraction, intra-muscular acidic condition, lactic acid, protease inhibitors in the extra-cellular matrix were proposed as causes of the rarity of distant metastasis to skeletal muscle. We report here a case of a 67 year old male who had multifocal skeletal muscle metastasis from the transitional cell carcinoma of left kidney.

• Tuberculosis and Respiratory Diseases
• /
• v.47 no.6
• /
• pp.797-806
• /
• 1999

Background: About 20% of small cell lung cancer(SCLC) patients have bone marrow(EM) metastasis at the time of diagnosis and the remaining patients are also considered with micrometastasis. In an attempt to detect EM micrometastasis, we used cytokeratin(CK)-20 as a molecular marker, which is specific for epithelial cells. Method: A sensitive RT-PCR assay was used to compare CK-20 expression both in SCLC cell line H209 and normal leukocyte and to evaluate EM aspirates of 28 SCLC patients. Result: H209 cell line showed CK-20 expression but normal leukocyte did not, suggesting CK-20 expression is lung tissue-specific. Of 28 patients(11 limited disease, 17 extensive disease), only 2(1/11, 1/17) samples tested revealed positive signal for CK-20. Two patients with CK-20 expression had EM metastasis or multiple bone involvement during follow-up. Conclusion: Although circulating tumor cells were detected in EM of small portion of patients with bone metastasis, CK-20 doesn't seem to be a reliable marker for the detection of micrometastasis in SCLC. This study emphasizes that identification of more specific marker for micrometastsis is mandatory prior to clinical application.

• Proceedings of the Korea Society for Industrial Systems Conference
• /
• 1999.05a
• /
• pp.58-67
• /
• 1999

기존 의사 랜덤순서 발생회로에서 존재하는 출력이 일치할 가능성을 없애고, 출력이 전 계에 골고루 이상적으로 분포시켜 랜덤성을 높일 필요가 있다. 본 논문은 기존의 의사 랜덤순서 발생회로에 결정론적 카오스 함수의 특성을 덧 붙임으로써 보다 랜덤성이 뛰어난 랜덤순서 신호를 발생시켰다. 결정론적 카오스 함수는 이미 카오스 특성이 입증된 톱니함수를 이용하였으며, 카오스적인 랜덤신호는 예측가능하면서, 혼돈적 특성으로 인해 보다 랜덤한 카오스적인 랜덤신호 발생회로와 개념을 제시 하였다.

• Proceedings of the Korean Society of Precision Engineering Conference
• /
• 2009.10a
• /
• pp.31-32
• /
• 2009

• 대한관절경학회:학술대회논문집
• /
• 2009.10a
• /
• pp.165-169
• /
• 2009

연골 결손은 자체 치유 능력이 적어 그 크기가 1 cm 이상인 경우 골관절염이 발생할 수 있다. 최근에는 3-tesla MRI 등의 발전으로 인해 수술 전에 미리 연골 손상을 정확히 진단할 수 있어 연골 손상의 치료를 더욱 적극적으로 할 수 있다. 이제까지 연골 손상에 대한 수술적 치료는 세척술(lavage) 및 변연 절제술(debridement), 미세 천공술(microfracture), 자가 골연골 이식술(autologous osteochondral graft), 자가 연골 세포 이식술(autologous chondrocyte implantation, ACI), 동종 골연골 이식술(osteochondral allograft)이 있다.

• The Academic Congress of Korean Shoulder and Elbow Society
• /
• 2008.11a
• /
• pp.212-214
• /
• 2008

전위가 경미한 경우 대부분 보존적인 치료로 가능하고 좋은 결과를 얻을 수 있다는 것을 잊지 말자. 또한 전위나 각 형성 정도에 따른 수술의 결정도 환자의 나이와 활동 정도에 따라서 결정되어야 하겠다. 많은 경우에서 골다공증이 심하여 수술을 선택할 때 사전에 준비를 철저히 시행하고 세심한 주의를 기울일 필요가 있다. 아무리 복잡하고 고도의 술기를 요하는 골절이라도, 수술 전에 골절의 형태와 양상을 잘 이해하고 철저한 계획을 세운다면 기대보다 훌륭한 결과를 얻을 수 있다.

• Proceedings of the Korean Society of Precision Engineering Conference
• /
• 2004.05a
• /
• pp.292-292
• /
• 2004

치과용 임플란트(Implant)란 상실된 자연치아를 대신하여 골 내에 매식하는 인공치근을 말한다. 임플란트는 인접 자연치아의 보호, 심미적 안정 등의 장점으로 인해 그 수요가 늘어나고 있으며, 단일치아 임플란트의 경우, 부분 무치악 환자들에게 있어서 우수한 치의학적 해법이 되어왔다. 대부분의 임플란트는 두 개 이상의 구성요소로 이루어져 있으며, 각각의 구성요소는 나사에 의해 결합되어 있다. 많은 연구결과를 통해, 임플란트의 나사 풀림 현상(Screw loosening)은 임플란트와 관련하여 가장 흔한 문제로 나타나고 있다.(중략)

• Proceedings of the Korean Society of Fisheries Technology Conference
• /
• 2000.05a
• /
• pp.352-354
• /
• 2000

제주연안에 서식하는 소쿠리조개, Vasticardium burchardi(DUNKER)는 이매패(Bivalvia) 이치목(Heterodonta) 새조개과(Cardiidae)에 속하는 패류로 제주도 외에 일본 및 우리나라 동해안에 분포하고, 생태적으로는 여과섭식자로 분류된다. 제주도에서는 전 연안에 걸쳐 사니질이 형성된 곳에서는 골고루 분포하고 있으며 이들이 주로 채집되는 수심은 18m∼29m이고, 어획도구는 형망에 의해서 주로 포획된다. (중략)