• 제목/요약/키워드: 병원 의학

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Intracerebral Hemorrhage Caused by Thrombosis of a Developmental Venous Anomaly with an Unusual Structure: A Case Report (특이한 구조의 뇌정맥발달기형 내 혈전증에 의해 생긴 뇌출혈: 증례 보고)

  • Sunhyang Lee;Dae Yoon Kim;Mi Kyung Kim;Hyun Jin Kim
    • Journal of the Korean Society of Radiology
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    • v.83 no.1
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    • pp.199-205
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    • 2022
  • Developmental venous anomalies (DVAs) are common intracranial vascular malformations and they are generally do not cause clinical complications. In cases showing DVA and hemorrhage, the hemorrhage is usually associated with adjacent cavernous malformations. Very few cases of intracerebral hemorrhage (ICH) caused by thrombosis in DVA have been reported in the literature. In this case report, we present an interesting case of a large ICH caused by thrombosis within a DVA with an unusual structure that may have potentiated the thrombosis.

Retroperitoneal Bronchogenic Cyst Located in the Presacral Space: A Case Report (전천추 부위에 생긴 후복강 기관지 낭종: 증례 보고)

  • A Yeon Kim;Seon Jeong Min;Hyunchul Kim;Jung-Ah Choi
    • Journal of the Korean Society of Radiology
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    • v.82 no.1
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    • pp.207-211
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    • 2021
  • Bronchogenic cysts are rare congenital anomalies that are most frequently found in the mediastinum along the tracheobronchial tree, especially in the posterior aspect of the superior mediastinum. Bronchogenic cysts have also been reported in intrapulmonary, intrapericardial, abdominal, and retroperitoneal locations. Herein, we report a case of a retroperitoneal bronchogenic cyst in the presacral space. The patient was diagnosed based on a post-operative histopathological examination.

Extradural Spinal Lymphoplasmacyte-Rich Meningioma in the Thoracic Spine: A Case Report and Literature Review (흉추에서 발생한 척수 경막 외 림프구 형질세포 과다형 수막종: 증례 보고와 문헌 고찰)

  • Eun Hye Seo;Jang Gyu Cha;Yu Sung Yoon;Ah Rim Moon
    • Journal of the Korean Society of Radiology
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    • v.83 no.4
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    • pp.924-930
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    • 2022
  • Most spinal meningiomas have an intradural or partly extradural location. The meningothelial origin is the most common pathologic type of spinal meningioma. Pure extradural spinal meningiomas are not common, and lymphoplasmacyte-rich meningioma (LPRM) is very rare. We report a case of isolated extradural spinal meningioma in the thoracic spine that was pathologically confirmed as LPRM.

Usefulness of Virtual Fluoroscopy in Emergency Interventional Radiology (응급 인터벤션 영상의학에서 가상 투시영상 검사의 유용성)

  • Yoshihiro Tanaka;Akitoshi Oosone;Asuka Tsuchiya
    • Journal of the Korean Society of Radiology
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    • v.81 no.4
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    • pp.852-862
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    • 2020
  • Interventional radiology (IR) embolization requires image guidance to steer catheters to the site of bleeding, where embolic agents such as Gelfoam or coils are administered to stem blood flow. In addition to treating iatrogenic trauma, embolization is suitable for injuries precluding surgery such as blush-bleeding of the liver or kidney and for locating and treating intimal blood vessel tears. However, during hospital off-hours (such as nights and holidays), experienced IR personnel are not always available. In such situations, there is a dire need to build a coordinated IR team to treat seriously injured patients rapidly and reliably. This article reviews the current principles and techniques used in IR such as virtual fluoroscopy and their usefulness, and makes a convincing case for emergency IR.

Langerhans Cell Histiocytosis of the Clavicle in a 50-Year-Old Male: A Case Report (50세 남자에게서 발견된 쇄골의 랑게르한스 세포 조직구증: 증례 보고)

  • Changhyun Park;Yong Hoon Kim;Soon Joo Cha;Ji-Ye Kim
    • Journal of the Korean Society of Radiology
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    • v.82 no.4
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    • pp.936-942
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    • 2021
  • Langerhans cell histiocytosis (LCH) is a rare condition that usually occurs in children and commonly affects the skeletal system. It is extremely rare in adults, especially in the clavicles. In this report, we describe a pathologically confirmed case of LCH in the clavicle of a 50-year-old male. We report various radiological findings, such as plain radiography, CT, MR, and PET-CT, along with a review of the literature.

Invasive Pulmonary Aspergillosis in a Immunocompetent Patient after Congenital Heart Disease Surgery: A Case Report (면역저하가 없는 환자에서 선천성 심장수술 후 발생한 폐 아스페르길루스증: 증례 보고)

  • So-Hyun Ji;Seung-Jin Yoo;Eun-Ah Park;Seung-Geun Song
    • Journal of the Korean Society of Radiology
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    • v.81 no.6
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    • pp.1529-1536
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    • 2020
  • Invasive pulmonary aspergillosis (IPA) has been known to occur in immunocompromised patients, but has been rarely reported in immunocompetent patients. In immunocompetent patients, pulmonary fungal infections are not initially considered. This results in diagnosis and treatment delays, as well as poor prognosis. We report a case and serial CT findings of IPA in an immunocompetent 29-year-old male after congenital heart disease surgery.

Extraskeletal Osteochondroma in the Posterior Neck of a Middle-Aged Female: A Case Report (중년 여성의 후경부에서 발생한 골격외 골연골종: 증례 보고)

  • Winnah Wu-in Lea;Suk-Joo Hong;Woo-Young Kang;Tae-Sung Jeon
    • Journal of the Korean Society of Radiology
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    • v.83 no.5
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    • pp.1141-1146
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    • 2022
  • Extraskeletal osteochondroma, a variant of chondroma, typically arises in the para-articular location of hands and feet. It is a rare disease and is particularly uncommon when joint components are not involved or localized away from joints. Herein, we report a case of extraskeletal osteochondroma in the posterior neck of a 66-year-old female. The characteristic radiologic finding of our case is presented, along with the typical findings of the disease and review of related literature reports.

Pulmonary Artery Intimal Sarcoma Involving the Peripheral Pulmonary Artery, Initially Misdiagnosed as Pulmonary Artery Thromboembolism and Vasculitis: A Case Report (폐동맥 혈전색전증과 혈관염으로 오진된 주변부 폐동맥에서 발생한 폐동맥 내막육종: 증례 보고)

  • Min Seong Kim;Jin Hee Lee;Jung Hee Hong;Il Seon Hwang
    • Journal of the Korean Society of Radiology
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    • v.84 no.6
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    • pp.1378-1383
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    • 2023
  • Pulmonary artery sarcomas are rare, high-grade malignancies, primarily affecting the proximal elastic pulmonary artery and usually manifesting as tumoral impaction on imaging. Due to similar clinical and imaging findings, pulmonary artery sarcomas are frequently misdiagnosed as pulmonary thromboembolism or, occasionally, as vasculitis. Herein, we reported a case of pulmonary artery intimal sarcoma initially misdiagnosed as pulmonary thromboembolism and vasculitis due to its relatively atypical location and morphology, along with a literature review.

A Case Report of Large Tailgut Cyst Located from the Perirenal to the Perivesical Spaces (콩팥 주위와 방광 주위에서 발생한 커다란 원장미부 낭종의 증례 보고)

  • Ji Soo Oh;Jin Sol Choi;Seol Bong Yoo;Dong Min Kang
    • Journal of the Korean Society of Radiology
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    • v.83 no.1
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    • pp.168-172
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    • 2022
  • Tailgut cysts are known to originate from the remnants of the embryonic hindgut. They occur exclusively in the retrorectal and presacral spaces. There have been limited reports of tailgut cysts occurring in the left perirenal space. The present case features a huge tailgut cyst extending from the right perirenal to the perivesical space. We believe that this case report will help to further elucidate the characteristics of perirenal and perivesical tailgut cysts.

Evaluation of Radiation Exposure to Medical Staff except Nuclear Medicine Department (핵의학 검사 시행하는 환자에 의한 병원 종사자 피폭선량 평가)

  • Lim, Jung Jin;Kim, Ha Kyoon;Kim, Jong Pil;Jo, Sung Wook;Kim, Jin Eui
    • The Korean Journal of Nuclear Medicine Technology
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    • v.20 no.2
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    • pp.32-35
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    • 2016
  • Purpose The goal for this study is to figure out that medical staff except Nuclear Medicine Department could be exposed to radiation from the patients who take Nuclear Medicine examination. Materials and Methods Total 250 patients (Bone scan 100, Myocardial SPECT 100, PET/CT 50) were involved from July to October in 2015, and we measured patient dose rate two times for every patients. First, we checked radiation dose rate right after injecting an isotope (radiopharmaceutical). Secondly, we measured radiation dose rate after each examination. Results In the case of Bone scan, dose rate were $0.0278{\pm}0.0036mSv/h$ after injection and $0.0060{\pm}0.0018mSv/h$ after examination (3 hrs 52 minutes after injection on average). For Myocardial SPECT, dose rate were $0.0245{\pm}0.0027mSv/h$ after injection and $0.0123{\pm}0.0041mSv/h$ after examination (2 hrs 09 minutes after injection on average). Lastly, for PET/CT, dose rate were $0.0439{\pm}0.0087mSv/h$ after examination (68 minutes after injection on average). Conclusion Compared to Nuclear Safety Commission Act, there was no significant harmful effect of the exposure from patients who have been administered radiopharmaceuticals. However, we should strive to keep ALARA(as low as reasonably achievable) principle for radiation protection.

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