• Title/Summary/Keyword: 병원 의학

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A Rare Case of Large Hemolymphangioma in the Small Bowel Mesentery: A Case Report (소장 장간막 기원의 드문 거대 혈액림프관종: 증례 보고)

  • Hyun-Jae Lim;Kyung-Sook Shin;Jeong-Eun Lee;Sun-Kyoung You;Kyung-Hee Kim
    • Journal of the Korean Society of Radiology
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    • v.84 no.2
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    • pp.504-511
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    • 2023
  • Hemolymphangioma or hemangiolymphangioma is a rare venolymphatic vascular malformation composed of proliferations or networks of vascular spaces including the lymphatics, capillaries, veins, or arteries. The small bowel is a rare location for hemolymphangioma, and the small bowel mesentery is an even rarer site. Herein, we report a surgically confirmed large complex hemolymphangioma in the small bowel mesentery in a 55-year-old male.

The Therapeutic Effect of Mindfulness-Based Interventions on Depressive Symptoms in Patients With Major Depressive Disorder: A Meta-Analysis (주요우울장애 환자의 우울증상에 대한 마음챙김 기반의 치료적 개입의 효과에 관한 메타분석)

  • Hannui Park;Seyeon Hong;Euihyeon Na;Myoung-Nam Lim;Kanguk Lee
    • Korean Journal of Biological Psychiatry
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    • v.31 no.1
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    • pp.7-14
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    • 2024
  • Objectives We conducted a meta-analysis of randomized controlled trials to investigate the therapeutic effects of mindfulness-based interventions on depressive symptoms in patients with major depressive disorder. Methods In February 2021, we searched Embase, MEDLINE, Cochrane Library, PsycINFO, CINAHL, and AMED. Under the guidance of the corresponding author, two evaluators independently reviewed and selected articles based on predetermined selection criteria. Results Based on the selection criteria, we systematically screened and included a total of 12 randomized controlled trials comprising 720 cases for the final analysis. Utilizing a random-effects model for data analysis, we determined the Hedges' g value to be 0.787, indicating a medium-sized effect according to Cohen's interpretation. The 95% confidence interval for the effect size ranged from 0.414 to 1.160 (p-value < 0.0001). Conclusions This study reveals the potential effectiveness of mindfulness-based interventions in treating depressive symptoms among patients with major depressive disorder.

Correlation between Fatty Infiltration of Lumbar Paraspinal Muscle and Slip Percentage on 45 Korean Medicinal Treatment Cases of Spondylolisthesis: A Retrospective Study (척추전방전위증 환자 45예의 요추주변근육의 지방침착도와 전위정도의 상관성에 대한 후향적 연구)

  • Kim, Yu-Gon;Kim, Dae-Ho;Jeong, Hyeon-Gyo;Lim, Jin-Woong;Kim, Yong-Hwa;Kang, Deok;Jeong, Hwe-Joon;Shin, Kyung-Moon;Shin, Dong-Hoon;Yang, Jae-Woo;O, Ji-Hoon;Cho, Jae-Seong
    • Journal of Korean Medicine Rehabilitation
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    • v.32 no.1
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    • pp.51-62
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    • 2022
  • Objectives Objective of this study is to investigate the role of paraspinal muscles by examining the correlation between slip percentage (SP) of spondylolisthesis and fatty infiltration of lumbar paraspinal muscle. Methods Retrospective analysis was performed on 45 patients diagnosed with spondylolisthesis based on medical records. Using T2-weighted axial magnetic resonance imaging, cross-sectional areas (CSAs) of psoas major (PM), multifidus (MU) and erector spinae (ES) were calculated and divided by CSA of lower level vertebral body (VB). SP was measured using sagittal T2-weighted images. Correlation of SP with muscle relative cross-sectional area (RCSA) and muscle fatty infiltration by Goutallier classification was respectively analyzed using Spearman correlation. Statistic assessment conducted by Wilcoxon signed rank test and paired t-test using program GraphPad prism 5 (GraphPad Software, Inc., San Diego, CA, USA). Results Spondylolisthesis forward slip percentage by Taillard's method was negatively associated with both side MU RCSAs. No significant correlation was found between PM RCSA, ES RCSA and SP. Forward slippage was significantly correlated with fatty infiltration of lumbar paraspinal muscle measured by Goutallier classification. Conclusions This study is to understand the role of paraspinal muscle affecting spinal instability by investigating correlation between statistical deviation of lumbar muscle characters (RCSA, fatty infiltration of lumbar muscle) and SP. We found that spondylolisthesis SP is positively related to fatty infiltration of lumbar paraspinal muscle. and is negatively associated with both side MU RCSAs.

Musculoskeletal Ultrasound Application in Cervical Spine: Pictorial Essay (경추부의 초음파 적용: 임상화보)

  • Yoon, Yong-Soon;Lee, Jung-Hoo;Kim, Eun-Sil;Lee, Kwang Jae
    • Clinical Pain
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    • v.20 no.2
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    • pp.74-85
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    • 2021
  • Ultrasound (US) can depict of various anatomical structures, such as muscles, tendons, ligaments, nerve roots, and vessels, around the neck. The usage of US around the neck is increasing due to its quick and easy application for guided injection for nerves, tendons, and joints. This article elaborates the degenerative diseases causing neck pain, sonoanatomy, and the use of US for diagnosis and intervention; for example, small nerves around the neck, cervical root, stellate ganglion, medial branches, greater occipital nerve (GON), and third occipital nerve (TON). The aim of this review article is to lead readers to understand the anatomy around the neck and structural relations, and to get to know about several US-guided intervention of the neck.

Insufficiency Fracture of Proximal Tibia in a Young Male Patient with Osteoporosis (젊은 남성 골다공증 환자에서 발생한 경골의 부전 골절)

  • An, Min-Ji;Im, Nam-Gyu;Yoon, Seo-Ra;Ryu, Su-Ra
    • Clinical Pain
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    • v.19 no.2
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    • pp.111-115
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    • 2020
  • We report a case of a healthy 38-year-old man presenting with insufficiency fracture of proximal tibia associated with unrecognized osteoporosis. Radiologic bone DEXA (Dual Energy X-ray Absorptiometry) assessment revealed osteoporosis, but the patient displayed no apparent risk factors for insufficiency fractures and osteoporosis except for a history of smoking. Following right proximal tibial open reduction and internal fixation, the patient commenced smoking cessation and began taking alendronate. The patient was treated for gait rehabilitation, which included quadriceps strengthening exercises and his condition improved with independent walking. This report highlights an unusual site of proximal tibial insufficiency fractures and the potential effect of smoking on low bone mineral density in a young male patient.

Large Vessel Vasculitis as an Initial Manifestation of Acute Myeloid Leukemia: A Case Report (대혈관 혈관염이 첫 번째 징후로 나타난 급성 골수성 백혈병: 증례 보고)

  • Gayoung Jeon;Dongjin Yang;Jongchang Jang; Jongwan Kang
    • Journal of the Korean Society of Radiology
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    • v.83 no.4
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    • pp.918-923
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    • 2022
  • Large vessel vasculitis is characterized by chronic inflammation within the aortic wall and its major branches. The inflammation is considered to occur as a result of immune dysregulation. Hematologic malignancy is one of the rare causes of secondary vasculitis. Herein, we report a rare case of large vessel vasculitis associated with acute myeloid leukemia mimicking primary vasculitis.

Granular Cell Tumor Originating from the Pectoral Muscle: A Rare Extramammary Finding on Mammography (대흉근에서 발생한 과립 세포 종양: 유방촬영술에서 보이는 드문 유방외 병변)

  • Hyeongyu Yoo;Sung Eun Song;Jeong Hyeon Lee;Kyu Ran Cho
    • Journal of the Korean Society of Radiology
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    • v.83 no.5
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    • pp.1195-1200
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    • 2022
  • A granular cell tumor (GCT) is a rare soft tissue tumor that usually arises from the striated muscle of the tongue. Few literatures have reported pectoral muscle involvement of the GCT. Herein, we report a rare case of a GCT originating from the pectoral muscle below the breast with multimodal imaging appearance.

Balloon Angioplasty in a Pediatric Renal Artery Occlusion (소아 신장 동맥 폐색에서의 풍선 혈관성형술)

  • Song, Hwayoung;Jung, Hye Doo;Kim, Jeong-Eun;Lee, Sang Min;Hong, Wonju;Lee, Kwanseop
    • Journal of the Korean Society of Radiology
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    • v.79 no.6
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    • pp.332-336
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    • 2018
  • Renal artery injury is a rare complication in blunt trauma, but can cause devascularization of the kidney, leading to renal failure. It requires early diagnosis and management. The treatment of renal artery injury still remains controversial, but recent studies have reported the successful treatment outcome with endovascular stent placement. Nevertheless, there is no standard treatment strategy in cases of pediatric patients. We report a case of a 16-year-old girl with right renal artery occlusion associated with a grade IV liver laceration. She was treated with only balloon angioplasty, and the kidney showed marked improvement of parenchymal perfusion with normalized renal function. Treatment with only balloon angioplasty can be a treatment option in pediatric patients with renal artery injury.

Clinical Features and Radiological Differential Diagnoses of Symptomatic Sesamoid Bones and Accessory Ossicles: A Pictorial Essay (증상이 있는 종자골과 부골의 임상적 소견과 영상적 감별진단: 임상화보)

  • Hyun Gun Kim;Hee Young Choi;Ji Seon Park;Kyung Nam Ryu;So Young Park;Wook Jin
    • Journal of the Korean Society of Radiology
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    • v.82 no.1
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    • pp.82-98
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    • 2021
  • Sesamoid bones and accessory ossicles are normal anatomic variants with varying morphological appearances and incidences. They are usually small osseous fragments with well-corticated margins located adjacent to the joint space and bone. Patients with sesamoid bones and accessory ossicles are usually asymptomatic and commonly encountered in clinical practice. These sesamoids and accessory bones are occasionally painful because of fractures, dislocations, degenerative changes, avascular necrosis, accessory bone infections, or abnormalities of the adjacent tissue, such as nerve entrapment, tenosynovitis, or soft tissue impingement. This article aimed to illustrate the imaging features of symptomatic sesamoids bones and accessory ossicles at various anatomic locations and describe their clinical features and radiological differential diagnosis.

Clinical and Imaging Features of Cystic Fibrosis in Korean Children (한국인 소아에서의 낭포성 섬유증의 임상 및 영상 소견)

  • Yong Jae Kwon;So-Young Yoo;Tae Yeon Jeon;Ji Hye Kim;Ji Eun Park
    • Journal of the Korean Society of Radiology
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    • v.84 no.6
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    • pp.1257-1265
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    • 2023
  • Cystic fibrosis (CF) is a fatal hereditary disorder that primarily affects Caucasians and is rare in Asian populations, including Koreans. Diagnosing CF is often challenging and delayed owing to its rarity and its overlapping features with non-CF diseases, ultimately affecting the patient prognosis. Radiologists can provide initial clues for clinically unsuspected cases and play a crucial role in establishing an early childhood diagnosis. This pictorial essay reviews the clinical and imaging features of genetically confirmed CF in Korean children and increases awareness of this rare disease, thereby facilitating early diagnosis.