• Title/Summary/Keyword: 병변

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Hill-Sachs 병변을 동반한 재발된 외상성 견관절 불안정성에서 'Remplissage' 술기를 이용한 관절경적 술식 - 증례 보고 -

  • Go, Sang-Hun
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2009.03a
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    • pp.185-185
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    • 2009
  • 관절와 및 상완골의 의미 있는 골결손을 동반한 불안정한 견관절에 대해 어떻게 최선의 치료를 할 것인가에 대한 의문은 남아있다. 어떤 저자들은 외회전과 외전을 제한하는 것으로 Hill-Sachs 병변의 진입을 예방하는 일종의 관혈적 관절낭 변위를 통한 제한된 상완와관절 운동을 주장해왔으며, 다른 관혈적 시술들은 극하근건과 관절낭을 Hill-Sachs 병변 내로 관혈적 전이시키는 것으로 기술되어왔다. 최근에는 여러 저자들에 의해 Hill-Sachs 병변의 진입을 치료하는 더 새로운 접근법들이 기술되었으며, Bankart 병변 복원술에 더하여 Hill-Sachs 병변을 채우기 위해 관절경 하 후방 관절낭 고정술과 극하근건 고정술로 이루어진 이른바 'Remplissage'술기가 소개된 바 있어, 이에 저자는 외상성 견관절 불안정성으로 관절경 하 Bankart 병변 복원술 및 관절낭 축화술 시행 후 외상으로 재발된 견관절 불안정성이 발생하여 관절경 하 Bankart 병변 복원술과 함께'Remplissage'술기를 이용한 Hill-Sachs 병변 복원술을 시행한 예를 보고하는 바이다.

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Bankart Lesion and ALPSA Lesion in Anterior Instability of the Shoulder (견관절 전방 불안정성에서 Bankart 병변과 ALPSA 병변)

  • Kim, Young-Kyu;Ahn, Seung-Jun;Ko, Young-Hwan
    • Journal of the Korean Arthroscopy Society
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    • v.9 no.2
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    • pp.186-193
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    • 2005
  • Purpose: To determine whether it is possible to differentiate between ALPSA(anterior labroligamentous periosteal sleeve avulsion) lesion and Bankart lesion using arthroscopic findings and to investigate the clinical significance of ALPSA lesion. Materials and Methods: This study was performed on 66 cases that underwent arthroscopic Bankart repair for the anterior instability of the shoulder. By the readings of MRI, there were 56 cases(85%) of Bankart lesion and ten cases(15%) of ALPSA lesion. Arthroscopic findings of Each cases were classified and their average follow-up period was 22 months. Results: It was observed that ALPSA lesions developed in younger age groups than Bankart lesions. Under the arthroscope, ALPSA lesions showed various forms, especially there were five cases of severe inferomedial displacements. Within Bankart lesion, 21 cases were observed to be severely displaced and from the arthroscopic findings, it was difficult to distinguish the difference of Bankart lesion cases displaced inferomedially from the neck of scapula without severe lateral displacements and ALPSA lesion. Regarding the recurrence, there were no redislocation but apprehension shows in two cases(20%) with severe inferomedial displacement in ALPSA group. In Bankart lesion, there were four recurrent cases(7.1%); one of redislocation; one case of subluxation; two of apprehension. Conclusion: It was difficult to differentiate Bankart lesion and ALPSA lesion with severe inferomedial displacement and severely displaced ALPSA lesion showed high rate of recurrence. Thus, complete detachment of ALPSA lesion should be performed more carefully to reduce the recurrence rate.

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Various Intratesticular Hypoechoic Lesions on Scrotal Sonography (초음파에서 보이는 다양한 고환 내 저음영 병변)

  • Jung In Jo;Dal Mo Yang;Hyun Cheol Kim;Sang Won Kim
    • Journal of the Korean Society of Radiology
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    • v.83 no.4
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    • pp.861-875
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    • 2022
  • Sonography with a high-frequency transducer is the modality of choice for imaging the scrotum. Most intratesticular lesions are hypoechoic. Differentiation of intratesticular hypoechoic lesions as either malignant or benign is important because the treatment of these lesions vary. In this paper, we review the sonographic features of different types of intratesticular hypoechoic lesions, such as testicular cysts, testicular tumors, testicular inflammatory lesions, segmental testicular infarction, and testicular trauma.

종양성 병변으로 인한 구강점막질환

  • Gi, U-Cheon
    • The Journal of the Korean dental association
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    • v.26 no.11 s.234
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    • pp.1008-1012
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    • 1988
  • 구강점막에 발생하는 종양성 병변으로는 대표적으로 구강점막암(oral mucous membrane cancer), 유두종(papilloma),혈관종(hemangioma), 임파관종(lymphangioma),섬유종(fibroma)등이 있는데 이들 병변들은 구강내 협점막, 치은, 경구개, 연구개, 구강저, 혀 등에 궤양이나 증식성 병소로 나타나서 동통, 출혈, 치아동요, 종창 등의 증상을 유발시킨다. 이러한 병변들에 대한 명확한 치료와 예후를 결정하기 위해서는 무엇보다도 이들 병변들에 대한 정확한 소견에 근거한 진단이 우선되어야 할 것이다. 따라서 본 장에서는 정확한 진단과 치료를 위해 이들 병변들에 대해 소개하고자 한다.

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Hill-Sachs Lesion on MR Arthrography of the Shoulder: Relationship with Bankart Lesion on Arthroscopy and Frequency of Shoulder Dislocations (견관절자기공명관절조영술에서의 Hill-Sachs병변과 관절경에서의 Bankart병변, 견관절탈구빈도와의 상관성)

  • Kim, Ji Na;Lee, Min Hee;Ahn, Joong Mo
    • Investigative Magnetic Resonance Imaging
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    • v.17 no.1
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    • pp.26-32
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    • 2013
  • Purpose : This study was performed to evaluate the presence and severity of Hill-Sachs (HS) lesions on MR arthrography (MRA) of shoulder in patients with Bankart lesions following anterior dislocation and to investigate their relationship with Bankart lesions and frequency of dislocations. Materials and Methods: 86 MRA of shoulder were evaluated in patients with arthroscopic Bankart repairs following anterior dislocations. The largest surface length of HS lesion on MRA and extent of Bankart lesions on arthroscopy were measured. Relationships between length of HS lesions and extent of Bankart lesions and frequency of dislocations were assessed. Results: HS lesions were identified on MRA in 78 patients. The largest surface length of HS lesion ranged from 9.3 mm to 29.6 mm (mean, 18.8 mm). The extent of Bankart lesion ranged from one to six o'clock extent (mean, 4.25 o'clock extent). Three patients had single dislocation and the other 75 patients had recurrent dislocations (mean 24.5 times). The largest surface length of HS lesions was positively correlated with extent of Bankart lesions (p = 0.001, r = 0.37), but not with frequency of dislocation. Conclusion: HS lesion was very common in patients with Bankart lesion. The severity of HS lesions was correlated with extent of Bankart lesions.

Posterior type II SLAP Lesion Combined with Posterior Bankart Lesion - A Case Report - (후방 Bankart 병변을 동반한 후방 II형 SLAP 병변 - 증례보고 -)

  • Cheon, Sang-Jin;Youn, Myung-Soo;Kim, Hui-Taek;Suh, Jeung-Tak
    • Journal of the Korean Arthroscopy Society
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    • v.12 no.2
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    • pp.134-138
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    • 2008
  • SLAP(Superior labrum anterior to posterior) lesion is found in superior labrum injury alone and also combined with extension of the Bankart lesion(anteroinferior labral tear) in recurrent shoulder dislocation patients and rarely accompanied by the posterior Bankart lesion. There have been reports about SLAP lesions associated with various lesions, however, posterior type II SLAP lesion associated with posterior Bankart lesion has been rarely reported. In such a case, there are important technical tips in inserting anchors and suturing during arthroscopic repair. We experienced a rare case of posterior type II SLAP lesion associated with posterior Bankart lesion, occurred not after repetitive throwing(common mechanism) but after trauma in slipping down with the arm stretched during riding a bicycle. The satisfactory result was obtained after arthroscopic repair in this case.

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Study of Relationship between Histologic Findings and Variation of Number of Mast Cell in Psoriasis (건선의 조직소견과 비만세포수의 변화)

  • Mun, Byung-Chun;Choi, Jong-Soo;Kim, Ki-Hong;Lee, Tae-Sook
    • Journal of Yeungnam Medical Science
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    • v.4 no.1
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    • pp.49-57
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    • 1987
  • To evaluate whether mast cells are involved in developing pathologic feature of psoriasis, 60 biopsy specimens of patients with psoriasis were analysed. They had not been treated for at least 1 week before skin biopsy. Histological findings in early and fully developed lesions and numbers of mast cells in their dermal papillae were investigated. The result were as follows : 1. In epidermal changes of psoriatic lesions, parakeratosis and acanthosis revealed different findings between early lesions and fully developed lesions. While early lesions revealed mounds of parakeratosis and mild to moderate acanthosis, fully developed lesions revealed confluent parakeratosis and moderate to severe acanthosis. In dermal changes of psoriatic lesions, papillomatosis revealed different findings between early developed lesions and fully developed lesions. While early lesions revealed normal to mode-rate papillomatosis, fully developed lesions revealed moderate to severe papillomatosis. 2 Degree of acanthosis is related to the degree of papillomatosis. The more increase in the degree of acanthosis, papillomatosis, and parakeratosis, mast cell numbers in dermal papillae were more increased. 3. Mast cell numbers in dermal papillae were more increased in fully developed lesions than early lesions. 4. These findings suggest that mast cell may play an active role in developing pathologic finding of psoriasis.

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Poultry Coccidiosis Lesions and Lesion Scoring (가금콕시듐증 병변과 Lesion Scoring)

  • Conway, Donal P.
    • Korean Journal of Poultry Science
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    • v.6 no.2
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    • pp.103-108
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    • 1979
  • 1 닭의 콕시듐증 병변을 인식하고 확인하는데는 장의 각기 다른 부위에서 발견되는 콕시듐 원충에 달려있다. 병변에 대한 지식과 원충 확인이 lesion scoring에서 요구되고 있지만. 원충을 확인하는 것이 lesion scoring의 기본목적은 아니다. (중략)

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Deep Learning based Skin Lesion Segmentation Using Transformer Block and Edge Decoder (트랜스포머 블록과 윤곽선 디코더를 활용한 딥러닝 기반의 피부 병변 분할 방법)

  • Kim, Ji Hoon;Park, Kyung Ri;Kim, Hae Moon;Moon, Young Shik
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.26 no.4
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    • pp.533-540
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    • 2022
  • Specialists diagnose skin cancer using a dermatoscopy to detect skin cancer as early as possible, but it is difficult to determine accurate skin lesions because skin lesions have various shapes. Recently, the skin lesion segmentation method using deep learning, which has shown high performance, has a problem in segmenting skin lesions because the boundary between healthy skin and skin lesions is not clear. To solve these issues, the proposed method constructs a transformer block to effectively segment the skin lesion, and constructs an edge decoder for each layer of the network to segment the skin lesion in detail. Experiment results have shown that the proposed method achieves a performance improvement of 0.041 ~ 0.071 for Dic Coefficient and 0.062 ~ 0.112 for Jaccard Index, compared with the previous method.

A Study on Pathological Pattern Detection using Neural Network on X-Ray Chest Image (신경회로망을 이용한 X-선 흉부 영상의 병변 검출에 관한 연구)

  • 이주원;이한욱;이종회;조원래;장두봉;이건기
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.4 no.2
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    • pp.371-378
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    • 2000
  • In this study, we proposed pathological pattern detection system for X-ray chest image using artificial neural network. In a physical examination, radiologists have checked on the chest image projected the view box by a magnifying glass and found out what the disease is. Here, the detection of X-ray fluoroscopy is tedious and time-consuming for human doing. Lowering of efficiency for chest diagnosis is caused by lots mistakes of radiologist because of detecting the micro pathology from the film of small size. So, we proposed the method for disease detection using artificial neural network and digital image processing on a X-ray chest image. This method composes the function of image sampling, median filter, image equalizer used neural network and pattern recognition used neural network. We confirm this method has improved the problem of a conventional method.

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