• Title/Summary/Keyword: 뇌 전이

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Detection of Brain Metastatses Using Limited Brain MR Imaging : Usefulness of Limited Contrast-Enhanced MR Imaging in Brain Metastasis (뇌전이암 진단을 위한 제한적 뇌 자기공명영상의 유용성에 관한 연구)

  • Kwon, Sun Jung;Lee, Yun Sun;An, Jin Yong;Park, Hee Sun;Jung, Sung Soo;Kim, Ju Ock;Kim, Jin Hwan;Song, Chang Joon;Kim, Sun Young
    • Tuberculosis and Respiratory Diseases
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    • v.55 no.5
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    • pp.499-505
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    • 2003
  • Background : The brain is a common site of a metastasis in lung cancer patients. If left untreated, the patients succumb to progressive neurological deterioration with a lower survival rate than with other metastases sites. Contrast-enhanced MR imaging in the absence of symptoms or clinical signs is not recommended for identifying a cerebral metastasis in lung cancer patients because of management effectiveness. This pilot study was performed to estimate whether or not limited brain MR imaging, which has a lower cost, could be used to replace conventional brain MR imaging. Method : Between April 1999 and March 2001, 43 patients with a primary lung cancer and the others (breast cancer, stomach cancer, colon cancer, malignant melanoma etc), who had neurological symptoms and signs, were examined using conventional brain MR imaging to examine brain metastases. The control group involved four patients who had no evidence of brain metastases the sensitivity, specificity and correlation of limited brain MR imaging were compared with conventional brain MR imaging. Results : All the 43 patients who were examined with conventional brain MR imaging showed evidence of brain metastases, whereas limited brain MR imaging indicated that 42 patients had brain metastases(sensitivity=97.67%). One patient in whom limited brain MR imaging showed no brain metastasis had a metastasis in the cerebellum, as shown by the contrast-enhanced T1 weighted axial view using conventional brain MR imaging. The conventional brain MR imaging and the limited brain MI imaging of the 4 control patients both indicated no brain metastases (specificity=100 %). The Pearson Correlation of the two groups was 0.884(Confidence Interval : 99%) observed. Conclusion : Limited brain MR imaging can detect a brain metastasis with the same accuracy. In addition, it is cost-effective (229,000 won, 180$) compared to conventional brain MR imaging(529,000 won, 480$) when patients had neurological symptoms and signs or staging.

The Role of Radiotherapy in Patients with Brain Metastasis (고형암의 뇌전이시 방사선치료 효과)

  • Lee Soon Nam;Choo Mi-Soon;Lee Kyung-Ja;Nam Eunmi
    • Radiation Oncology Journal
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    • v.17 no.4
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    • pp.281-286
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    • 1999
  • Purpose : Brain metastases are the most frequent metastatic neurologic complication of systemic cancer. Even if the prognosis of brain metastases is grave, with available treatments, most patients experience effective palliation of neurologic symptoms and meaningful extension of life. We evaluated the clinical features and prognostic factors of the patients who were diagnosed as solid tumors with brain metastasis and received radiotherapy for brain metastases. Materials and Methods: Between January 1987 and January 1998, 71 patients with brain metastases from solid malignancy were included. We reviewed neurologic symptoms and signs of patients and evaluated improvememt of neurologic symptoms and signs. Survival durations after brain metastasis were ana lysed according to several factors such as age, performance status, primary malignancies, the pre-sence of brain metastasis at initial diagnosis of primary tumor, multiplicity of brain metastass, the presence of metastases other than brain, and treatment method. Results: Frequent symptoms associated with brain metastasis were headache (47.9$\%$), motor weakness (40.8$\%$), nausea and vomiting (19.7$\%$) and mental change (19.7%). Palliation of these symptoms was accomplished in 64.9$\%$ of cases. The overall median survival time was 16 weeks and 1- and 2-year survival rates were 15.0$\%$ and 5.1$\%$ respectively. Patients without extracranial metastases (n=27) had longer median survival than patients with extracranial metastases (33 weeks vs 10 weeks, p=0.0018). In patients with single brain metastasis (n=37), the median survival time was longer in patients treated with surgery plus radiotherapy than in patients treated with radiotherapy alone (40 weeks vs 16 weeks, p=0.0438). Conclusion: Patients who has brain metastases only constitute a prognostically favorable group and they may be benefited from radiotherapy and surgery if indicated.

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뇌가 원하는 음식

  • Korean Bean Sprouts Association
    • 물만먹고자라요
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    • no.17
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    • pp.62-65
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    • 2005
  • 머리 즉 뇌와 영양상태를 알아보기 전에 먼저 뇌의 역할과 구성을 알아보자. 뇌가 정상적으로 일을 하기 위해서는 대뇌, 소뇌, 간뇌, 척수, 신경조직 등에 이상이 없어야 한다. 뇌는 신기하게도 에너지원으로 포도당만 사용한다.

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A Study on the effects of mental processing on the corelation of kids (유아들의 좌우뇌 균형 발달정도가 인지처리과정에 미치는 영향)

  • Bak, Ki-Ja;Ahn, Sang-Kyun
    • Proceedings of the KAIS Fall Conference
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    • 2011.05b
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    • pp.878-880
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    • 2011
  • 이 연구는 유아들의 좌우뇌균형 정도가 인지처리과정에 미치는 영향을 보기 위하여 뉴로피드백 훈련전과 후의 좌우뇌균형 변화와 인지처리과정 변화 차이를 비교하였다. 대상자는 2009년 9월에서 2010년 6월까지 S시 W 유치원 원아 52명(실험군 26명, 대조군 26명)을 기준으로 선정한 자료이다. 훈련 전과 후의 뇌기능 변화는 시계열 선형 분석을 통하여 비교하였으며 연구 검증 결과 뉴로피드백 훈련을 적용한 원아들의 좌우뇌 균형의 변화가 인지처리과정에 유의미한 차이를 보여주었으며, 좌우뇌균형의 정도가 높을 수록 인지처리과정이 빠르다는 결과를 나타내었다,

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A Case of Metastatic Brain Cancer from Squamous Cell Carcinoma of the Tonsil (편도 편평세포암종의 뇌전이 1례)

  • Chu Hyung-Ro
    • Korean Journal of Head & Neck Oncology
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    • v.15 no.2
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    • pp.232-234
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    • 1999
  • Distant metastases of head and neck cancer have become an increasingly common cause of death as local and regional control has improved. The most frequent metastatic sites of head and neck cancer are the lung, liver, bone and kidney; but metastases to the gastrointestinal tract, brain and heart have also been reported. We report a recent case of a 37-year-old male patient with squamous cell carcinoma of the tonsil who had undergone composite operation with left radical neck dissection and postoperative radiotherapy. The patient presented three years later, cachexic and complaining of severe deep seated headache. Radiologic evaluation revealed a cystic mass with peripheral enhancement in left temporal lobe that was proven to be metastatic cancer by burrhole exploration. However, in spite of various modalities, the patient expired.

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A Case of Cerebral Metastasis from Malignant Fibrous Histiocytoma (뇌로 전이한 악성 섬유성 조직구종 1례)

  • Kang, Kwan-Soo;Lee, Jung-Il;Suh, Yeon Lim
    • Journal of Korean Neurosurgical Society
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    • v.30 no.11
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    • pp.1340-1344
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    • 2001
  • This is a rare case of cerebral metastasis from malignant fibrous histiocytoma(MFH) of the soft tissue. A 62-year-old man underwent craniotomy for resection of multiple intracerebral masses under the impression of metastatic brain tumor with unknown primary site. Preoperative investigation failed to detect any extracranial lesion. At six months after the operation and whole brain radiotherapy, right shoulder mass was detected to grow and excised. Specimen from the brain and shoulder lesions revealed identical pathological findings of malignant fibrous histiocytoma except existence of glial fibrillary acidic protein(GFAP)-positive cells only in brain lesions. Palliative radiotherapy was performed for subsequently developing metastatic lesions in skeletal system. At twelve months after initial diagnosis recurrent lesion at right shoulder was detected and chemotherapy is given. This case is unique because metastatic brain lesion from MFH is rare and also cerebral metastasis as an initial manifestaion of MFH has not been reported before. Another important finding is that there was expression of GFAP only in brain lesions but not in extracranial primary site lesion. Although the presence of GFAP-positive cells is thought as one of characteristic histological findings of primary intracrainal MFH, our observation supports the hypothesis that GFAP-positive cells in primary intracranial MFH may be nonneoplastic astrocytes secondarily involved by MFH.

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A Study on the effects of prefrontal lobe neurofeedback training on the corelation of children by timeseries linear analysis (시계열 선형분석을 통한 유아들의 좌우뇌균형에 전전두엽 뉴로피드백 훈련이 미치는 영향 연구)

  • Bak, Ki-Ja;Park, Pyung-Woon;Ahn, Sang-Kyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.7
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    • pp.1673-1679
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    • 2009
  • This study was to examine the effectiveness of prefrontal Neurofeedback training by observing the pre and post brainwave measurement results of about Y kindergarten kids 50 (experimental group 25.comparative group 25) subjects who have shown corelation, in between the months of Mar. 2008 and Nov. 2008. As the brainwaves are adjusted by timeseries linear analysis, the result confirmed the differences of both corelation. The result of the study suggest Neurofeedback technique's possibility in positively affecting the subjects' corelation and mental state.

The impact of functional brain change by transcranial direct current stimulation effects concerning circadian rhythm and chronotype (일주기 리듬과 일주기 유형이 경두개 직류전기자극에 의한 뇌기능 변화에 미치는 영향 탐색)

  • Jung, Dawoon;Yoo, Soomin;Lee, Hyunsoo;Han, Sanghoon
    • Korean Journal of Cognitive Science
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    • v.33 no.1
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    • pp.51-75
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    • 2022
  • Transcranial direct current stimulation (tDCS) is a non-invasive brain stimulation that is able to alter neuronal activity in particular brain regions. Many studies have researched how tDCS modulates neuronal activity and reorganizes neural networks. However it is difficult to conclude the effect of brain stimulation because the studies are heterogeneous with respect to the stimulation parameter as well as individual difference. It is not fully in agreement with the effects of brain stimulation. In particular few studies have researched the reason of variability of brain stimulation in response to time so far. The study investigated individual variability of brain stimulation based on circadian rhythm and chronotype. Participants were divided into two groups which are morning type and evening type. The experiment was conducted by Zoom meeting which is video meeting programs. Participants were sent experiment tool which are Muse(EEG device), tdcs device, cell phone and cell phone holder after manuals for experimental equipment were explained. Participants were required to make a phone in frount of a camera so that experimenter can monitor online EEG data. Two participants who was difficult to use experimental devices experimented in a laboratory setting where experimenter set up devices. For all participants the accuracy of 98% was achieved by SVM using leave one out cross validation in classification in the the effects of morning stimulation and the evening stimulation. For morning type, the accuracy of 92% and 96% was achieved in classification in the morning stimulation and the evening stimulation. For evening type, it was 94% accuracy in classification for the effect of brain stimulation in the morning and the evening. Feature importance was different both in classification in the morning stimulation and the evening stimulation for morning type and evening type. Results indicated that the effect of brain stimulation can be explained with brain state and trait. Our study results noted that the tDCS protocol for target state is manipulated by individual differences as well as target state.

뇌로의 약물송달 (III)- 혈액-뇌관문(BBB)의 Osmotic Opening법에 의한 뇌로의 약물송달

  • 황만용;박경호;손영택;이민화
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 1994.04a
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    • pp.345-345
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    • 1994
  • BBB opening 에 의란 수용성 약물 및 지용성 약물의 뇌혈관 투과 패턴을 알아보기 위해 모델약물로서 수용성 약물인 $^{99}$Tc-DTPA, 지용성 약물인 Pherlytoin을 선택하여 뇌혈관 투과성(PA)의 증가율을 검토하고자 하였다. 랫트의 좌측 외경동맥(left external carotid artery)에 혈류의 역방향으로 PE-50 catheter를 분지점에서 1-2mm 전까지 삽입하고, 1.6 molal L-(+)-arabinosg 고장액 (1580 mOsm)을 0. 12ml/sec의 일정한 속도로 30초간 infusion 한 후. $^{99}$Tc-DTPA 혹은 phenytoin 약물 용액을 대뢰정맥으로 주사하고, 대뢰동맥으로부터 약물 투여전 및 투여후 10, 30초, 1, 1.5, 2, 3. 4, 5. 7, 10분 간격으르 혈액을 채취하였으며. 마지막 채혈후 즉시 단두하여 뇌조직을 취하였다. 채취한 뇌를 좌, 우반구 및 각 부위별로 분리하고 감마 카운터와 HPLC를 이용하여 뇌증농도를 정량하였다. 또한 뇌 실질 조직내 약물량을 구하기 위해 뇌 혈관내에 존재하는 약물양을 보정하였는데, 이때 계산에 필요한 뇌증 혈액부피의 측정은 $^{99}$Tc-albumin을 이용하여 구하였다.

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A study on the effect prefrontal lobe neurofeedback traing on the primary student about self regulation ability (전전두엽 뉴로피드백 훈련이 초등학생들의 자기조절 능력에 미치는 영향 연구)

  • Ahn, Sang-Kyun
    • Proceedings of the KAIS Fall Conference
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    • 2009.12a
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    • pp.558-561
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    • 2009
  • 본 연구는 2008년 1월부터 2008년 12월까지 B. 뇌훈련 센타에 자기조절 능력 및 학업 성취도 향상을 위하여 방문한 내담자 52명(실험군 26명, 대조군 26명)의 뇌파를 검사하여 뉴로피드백 훈련 전과 훈련후의 뇌 기능과 자기 조절 능력 변화를 보고자 하였다. 자기조절 능력에 영향을 미치는 특정한 뇌 기능의 훈련 전과 후의 결과를 시계열 선형분석으로 비교하였으며, 자기조절 능력 반응 측정 변화를 보기 위하여 5점 척도 설문지를 이용하였다. 연구의 결과로는 자기조절지수, 훈련모드, 최대편차에서 집단 간에 유의미한 차이가 나타났다. 또한 자기조절 능력 반응 설문지에서도 두 집단이 유의미한 차이를 나타냈다. 이는 전전두엽 뉴로피드백의 기술을 적용한 뇌 훈련은 자기조절지수와 자기조절 능력에 긍정적인 영향을 미친다고 볼 수 있겠다.

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