• Title/Summary/Keyword: 병원 의학

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Diagnosis of Scoliosis Using Chest Radiographs with a Semi-Supervised Generative Adversarial Network (준지도학습 방법을 이용한 흉부 X선 사진에서 척추측만증의 진단)

  • Woojin Lee;Keewon Shin;Junsoo Lee;Seung-Jin Yoo;Min A Yoon;Yo Won Choi;Gil-Sun Hong;Namkug Kim;Sanghyun Paik
    • Journal of the Korean Society of Radiology
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    • v.83 no.6
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    • pp.1298-1311
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    • 2022
  • Purpose To develop and validate a deep learning-based screening tool for the early diagnosis of scoliosis using chest radiographs with a semi-supervised generative adversarial network (GAN). Materials and Methods Using a semi-supervised learning framework with a GAN, a screening tool for diagnosing scoliosis was developed and validated through the chest PA radiographs of patients at two different tertiary hospitals. Our proposed method used training GAN with mild to severe scoliosis only in a semi-supervised manner, as an upstream task to learn scoliosis representations and a downstream task to perform simple classification for differentiating between normal and scoliosis states sensitively. Results The area under the receiver operating characteristic curve, negative predictive value (NPV), positive predictive value, sensitivity, and specificity were 0.856, 0.950, 0.579, 0.985, and 0.285, respectively. Conclusion Our deep learning-based artificial intelligence software in a semi-supervised manner achieved excellent performance in diagnosing scoliosis using the chest PA radiographs of young individuals; thus, it could be used as a screening tool with high NPV and sensitivity and reduce the burden on radiologists for diagnosing scoliosis through health screening chest radiographs.

The Clinical Effects of Complex Korean Medicine Treatment in Patient with Avulsion Fracture of the Proximal 5th Metatarsal (제5 중족골 근위부 견열골절 환자의 복합 한의치료 효과)

  • An, Sung-Hu;Jeong, Yeong-Jin;Yeom, Seung-Ryong;Kwon, Young-Dal
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.2
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    • pp.109-114
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    • 2021
  • The purpose of this study is to report the effect in treating a patient with a case of avulsion fracture of the proximal 5th metatarsal with a combination of Korean medicine therapy. We treated the patient with acupuncture, pharmacopuncture, moxibustion, cupping, and herbal medicine The numeric rating scale, X-ray were applied as outcome measures. After complex Korean medicine treatment, this patient's avulsion fracture of the proximal 5th metatarsal was improved and pain was reduced. This result shows that Korean medical therapy may be an effective option for avulsion fracture of the proximal 5th metatarsal.

Postoperative Rehabilitation of Foot Fracture in Korean Medicine Treatment: Clinical Case Report (족부 골절수술 후 한방 재활치료의 효과: 증례보고)

  • Park, Na-Ri;Lee, Yun-Jin;Ahn, Hee-Duk;Yang, Doo-Hwa
    • Journal of Korean Medicine Rehabilitation
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    • v.29 no.3
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    • pp.165-172
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    • 2019
  • The objective of this study is to propose postoperative rehabilitation for foot fracture in Korean Medicine and to report its effectiveness. There were three patients who were got foot fracture surgery received korean medicine with acupuncture, herbal medicine, cupping and exercise treatment. Patients were evaluated numeric rating scale (NRS), range of motion (ROM), American Orthopaedic Foot and Ankle Society (AOFAS) ankle hindfoot score, foot function index (FFI) and EuroQol-5 dimension (EQ-5D) index. Case 1 and 2 were improved NRS from 6 to 3. Case 3 was improved NRS from 5 to 2. These cases were improved ROM in all directions, AOFAS score, FFI, EQ-5D and walking status. This study suggest that Korean medicine rehabilitation could be effective for patients who have received foot fracture operation.

Korean Medical Treatment Including Daoyin Exercise Therapy in Patient with Lower Back Pain Who Suffered from Idiopathic Scoliosis: A Case Report (특발성 척추측만증의 과거력을 가진 요통 환자에서 도인운동요법을 병행한 한방치료의 효과: 증례 보고)

  • Park, Hyeonsun;Kang, Shinwoo;Park, Seohyun;Keum, Dongho
    • Journal of Korean Medicine Rehabilitation
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    • v.32 no.3
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    • pp.153-160
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    • 2022
  • This retrospective study reports the effectiveness of Daoyin exercise therapy in a patient with lower back pain who suffered from idiopathic scoliosis. A patient was treated with Korean medicine containing Daoyin exercise therapy for 4 weeks. The patient was assessed for the numeral rating scale (NRS), Cobb's angle, correctability, and coronal balance. After treatment, the NRS of low back pain decreased from 9 to 1. The Cobb's angle of the thoracic curve decreased from 27.31° to 17.66°. The Cobb's angle of the lumbar curve decreased from 21.86° to 9.05°. Correctabililty was 35.34% in the thoracic curve and 58.60% in the lumbar curve. And coronal balance decreased from positive 32.80 mm to negative 3.20 mm. This study suggests that Daoyin exercise therapy could be effective therapeutic choice for lower back pain with idiopathic scoliosis.

Giant Infrascapular Rheumatoid Nodules Mimicking Elastofibroma Dorsi: A Case Report (배부 탄성섬유종과 유사한 견갑하부에 발생한 류마티스 결절: 증례 보고)

  • Hyuk Gi Hong;Seung-Jin Yoo;Yo Won Choi;Seung Sam Paik;Seung Yun Jee;Yeo Eun Kim
    • Journal of the Korean Society of Radiology
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    • v.82 no.6
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    • pp.1589-1593
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    • 2021
  • Rheumatoid nodules are the most common extra-articular presentations of rheumatoid arthritis. Although rheumatoid nodules can develop anywhere in the body, they develop most commonly in the subcutaneous region, where they are easily exposed to repetitive trauma or pressure. However, an infrascapular presentation has not yet been reported. We report a case of giant bilateral rheumatoid nodules that developed in the infrascapular area, complicating its distinction from elastofibroma dorsi on radiological examination.

Two Patients Who Were Hospitalized for Clavicle Fracture Caused by a Traffic Accident and Improved with Korean Medicine Complex Treatment (교통사고로 발생한 쇄골 골절로 입원하여 한방복합치료로 호전된 환자 2예)

  • Kang, Deok;Kang, ByungSoo;Jeong, Hwe-Joon;Shin, Dong-Hoon;Shin, Kyung-Moon;O, Ji-Hoon;Yang, Jae-Woo
    • Journal of Korean Medicine Rehabilitation
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    • v.32 no.3
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    • pp.179-187
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    • 2022
  • To report improvement of 2 hospitalized patients who had clavicle fractures due to traffic accident with Korean medicine complex treatment. We collected a data from February 2020 to April 2022. A total of 2 patients were studied and we compared numeric rating scale (NRS), neck disability index (NDI), range of motion (ROM) at admission and discharge date of hospitalization. After receiving an average of 28.5 days of Korean medicine inpatient treatment, both patients had reduced NRS, NDI scores and increased ROM. After Korean medicine complex treatment, 2 patients with clavicle fracture showed to have been effective. But further studies need to be done.

Missed Lung Cancers on Chest Radiograph: An Illustrative Review of Common Blind Spots on Chest Radiograph with Emphasis on Various Radiologic Presentations of Lung Cancers (놓치기 쉬운 폐암: 흉부 X선 진단의 함정에 대한 이해와 다양한 폐암 영상 소견의 중요성)

  • Goun Choi;Bo Da Nam;Jung Hwa Hwang;Ki-Up Kim;Hyun Jo Kim;Dong Won Kim
    • Journal of the Korean Society of Radiology
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    • v.81 no.2
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    • pp.351-364
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    • 2020
  • Missed lung cancers on chest radiograph (CXR) may delay the diagnosis and affect the prognosis. CXR is the primary imaging modality to evaluate the lungs and mediastinum in daily practice. The purpose of this article is to review chest radiographs for common blind spots and highlight the importance of various radiologic presentations in primary lung cancer to avoid significant diagnostic errors on CXR.

Imaging Findings of Primary Acinic Cell Carcinoma of the Breast: A Case Report (유방에서 발생한 선방세포암의 영상 소견: 증례 보고)

  • Eui Hyun Yu;Kyounglan Ko;Joon Yeun Park;Yoon Yang Jung;Hyuk Jai Shin;Hyun Jung Choi
    • Journal of the Korean Society of Radiology
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    • v.85 no.3
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    • pp.643-648
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    • 2024
  • Acinic cell carcinoma is a rare malignant tumor that accounts for 2%-3% of salivary gland tumors. Acinic cell carcinoma arising from the breast is extremely rare, with only approximately 70 cases reported to date. Owing to its rarity, previous studies have primarily focused on pathological findings. Herein, we present the clinical and radiological features of acinic cell carcinoma of the breast in a 33-year-old woman.

Medical Devices of the Abdomen and Pelvis and Their Complications: A Radiologic Atlas (복부 및 골반 내 의료기구와 관련 합병증: 영상의학 소견)

  • Yaewon Jeong;Jongmee Lee;Kyeong Ah Kim;Cheol Min Park
    • Journal of the Korean Society of Radiology
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    • v.81 no.4
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    • pp.863-885
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    • 2020
  • A variety of medical devices have evolved throughout the years. Commonly used devices have typical radiological appearances which are familiar to radiologists. However, some new devices, as well as devices that are not commonly used, may be missed or misinterpreted by radiologists. It is even more difficult to identify a certain medical device with limited clinical history. Therefore, accurate identification of medical devices is crucial to diagnose malposition and potential complications. In this article, we provide a pictorial review of medical devices of the abdomen and pelvis according to classifications that include gastrointestinal devices, hepatobiliary devices, genitourinary devices, and miscellaneous. We also comprehensively review the clinical and radiologic features of complications related to these medical devices.