• Title/Summary/Keyword: 복부 초음파 검사

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Clinical Significance of the Degree of Fatty Liver Diagnosed by Ultrasonography (초음파검사로 진단된 지방간 정도의 임상적 의의)

  • Kim, Yong-Kyun
    • Journal of radiological science and technology
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    • v.31 no.2
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    • pp.135-140
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    • 2008
  • Purpose: Fatty liver is one of the most commonly found disease by abdominal ultrasonography. The status of fatty liver is classified into mild, moderate and severe degrees. The study was conducted to investigate the clinical significance of fatty liver using ultrasonography. Materials and method: Test set consisted of 2,185 patients who visited D healthcare center in Daejeon to receive an abdominal ultrasonic test from January to December 2007. Out of the 2185 patients, 524 patients was diagnosed as fatty liver (290 male and 234 female patients). They were divided into three groups, group I for mild degree. II for moderate degree, and III for severe degree, depending on the echo of liver parenchyma, the sound attenuation, and the visibility of intrahepatic blood vessels and diaphragm. Then the correlation of obesity indices, liver function tests and metabolic syndrome was analyzed for males and females separately. Results : As for the degree of fatty liver, 350 cases (66.8%) were classified as group I, 153 cases (29.2%) as group II, and 21 cases (4.1%) as group III. In addition, severe degree of fatty liver was more frequently found in males than in females. The mean ages of three groups for males were 46.1, 44.5, and 39.1, and those for females were 48.8, 50.2, 52.4, respectively. Males with lower mean ages have severely of fatty liver for both males and females. Conclusion: The results in this study show that the classification into three degrees of fatty liver in ultrasonography practice is helpful to treat and observe the progress of fatty liver. In addition, careful examination is required to measure the severity of fatty liver as well as detection of it. A standardized method to classify the degree of fatty liver is also needed for more objective measurement.

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Diagnostic Value of Ultrasonographic Findings of Clonorchiasis - Including Positive Infestation Rate of Nakdong River Basin in Korea - (간흡충증 환자에서 복부초음파 검사의 진단적 가치 - 낙동강유역 환자의 감염율을 포함하여 -)

  • Kim, Jong-Deok
    • Journal of agricultural medicine and community health
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    • v.16 no.1
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    • pp.33-39
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    • 1991
  • 1989년 1월부터 1990년 2월까지 2년간 건강진단을 목적으로 본병원의 성인병예방센타를 방문했던 경상남북도 거주자 5,978명중 간흡충증 환자 528명을 대상으로 하여 낙동강유역 거주자와 나머지 지역 거주자의 감염율을 비교하였고, 같은 기간동안 본병원의 외래 또는 입원환자 중 간흡충증으로 진단된 206명의 복부초음파 소견을 분석하여 다음과 같은 결과를 얻었다. 1) 낙동강유역 거주자의 감염율이 나머지 지역 거주자에서 보다 3.8배 높았으며, 남녀의 비가 2 : 1이었고, 30세에서 59세 사이가 86%를 차지하였다. 2) 간내담관의 미만성 확장 및 여러정도의 간내담관벽의 에코증가와 아울러 담낭내의 떠다니는 뚜렷한 에코소견들이 간흡충증의 특징적 초음파 소견이며, 이중 간내담관의 확장으로 인한 parallel channel sign은 활동성 감염증이거나 또는 후유증일 수 있지만 담낭내에 떠도는 에코소견은 활동성 감염증을 나타내는 소견이다.

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Diagnostic Imaging of Liver Cirrhosis in a Shih-Tzu Dog (시츄견에서 발생한 간경화의 영상 진단)

  • Choi, Ho-Jung;Lee, Ki-Ja;Chang, Jin-Hwa;An, Ji-Young;O, I-Se;Ahn, Se-Joon;Jeong, Seong-Mok;Park, Seong-Jun;Cho, Sung-Whan;Lee, Young-Won
    • Journal of Veterinary Clinics
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    • v.26 no.4
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    • pp.367-370
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    • 2009
  • A 5-year-old, intact female Shih-Tzu dog was presented with 1 year history of icterus, ascites and anorexia. The serum biochemistry revealed elevated liver enzyme levels. Microhepatica and decreased serosal detail were detected in abdominal radiography. Abdominal ultrasonographic findings included irregular liver margins, multifocal hypoechoic nodules in the liver parenchyma, and ascites. Computed tomography (CT) showed multifocal hypodense nodules with ring-like contrast enhancement. Cytologic and histopathologic examination by liver core biopsy revealed fibrosis. Cirrhosis was diagnosed based on above results. This report focuses on the imaging characteristics of ultrasonography and CT for liver cirrhosis in a dog.

Analysis of Hematological Factor to Predict of the Gallbladder Stone in Abdominal Ultrasound Images (복부초음파 영상에서 담낭담석을 예측하는 혈액학적 수치의 분석)

  • An, Hyun;Hwang, Chul-Hwan;Im, In-chul
    • Journal of the Korean Society of Radiology
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    • v.11 no.3
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    • pp.131-137
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    • 2017
  • This study investigated the risk factor of Gallbladder stone in Busan and Kyungnam area. The subjects of the experiment was performed with patients by abdominal ultrasonography among the patients who came to the P hospital from June 2016 to December 2016. Among them, risk factors were analyzed on 353 people at the same time when abdominal ultrasonography and hematological test. The statistical analysis of risk factors related to the Gallbladder stone was performed by independent t-test and chi-square test. In consider of difference verification result for calculations odds ratio about independent variables, multiple logistic regression analysis to conduct verify adequacy by calculating forecasting model from variable. As a result, Gallbladder stone risk factors have relevance to age ${\gamma}GTP$ with probability model and values to calculated. Age was showed sensitivity 49.7%, specificity 82.2%, receiver operating characteristic area under curve 0.724. Forecasting probability sensitivity 69.3%, specificity 62.4%, receiver operating characteristic area under curve 0.699 showed, ${\gamma}GTP$ confirmed validity of forecasting model.

Analysis of the Correlation Between Ultrasonography Diagnosis Fatty Liver Grade and Hyperlipidemia and Obesity Indicators by Age Groups (연령대별 초음파 진단 지방간 등급과 고지혈증 및 비만 지표 간의 상관관계 분석)

  • Hyeon, Sang-Yeon;Seoung, Youl-Hun
    • Journal of the Korean Society of Radiology
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    • v.14 no.7
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    • pp.863-870
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    • 2020
  • The purpose of this study was to analyze the correlation between the grade of fatty liver diagnosed by ultrasonography and hyperlipidemia and obesity indicators by age groups. A total of 1,470 patients of various sex and age groups were examined by abdominal ultrasonography at the H Center in Chungbuk. The patients were classified as normal and fatty liver by age groups (below twenty, the thirties, forty, fifties, and over sixties). The grade of fatty liver was classified in detail as Grade 1 (mild fatty liver), Grade 2 (moderate fatty liver), Grade 3 (severe fatty liver). We selected indicators of hyperlipidemia as total cholesterol, triglyceride, low-density lipoprotein cholesterol, and high-density lipoprotein cholesterol. The obesity indicators were height, weight, body mass index, and waist circumference. The demographical descriptive statistic analysis and frequency analysis by age groups were performed. The difference of average and correlation between hyperlipidemia and obesity indicators were analyzed. As a result, patients over 60 have fatty liver regardless of sex. there was a difference between triglyceride, high-density lipoprotein cholesterol, weight, body mass index, and waistline for all age groups. The degree of fatty liver was highly correlated with waist size and body mass index for all age groups.

The Usefulness of the Abdominal Computerized Tomography for the Diagnosis of Childhood Obesity and Its Correlation with Various Parameters of Obesity (소아 복부비만 진단을 위한 복부 전산화 단층 촬영의 유용성과 여러 지표와의 상관성 연구)

  • Shim, Yoon Hee;Cho, Su Jin;Rhyu, Jung Hyun;Hong, Young Mi
    • Clinical and Experimental Pediatrics
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    • v.48 no.10
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    • pp.1082-1089
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    • 2005
  • Purpose : Abdominal obesity is encountered as a risk factor for cardiovascular diseases. However, the anthropometric cut-off value to estimate the cardiovascular risk, has not been suggested. This study was designed to find the relationship between the abdominal fat and various parameters of obesity to find the cardiovascular risk factors related to abdominal obesity and to establish practical methods to measure them. Methods : Twenty seven obese Korean adolescents of moderate to severe degree and 22 healthy adolescents were enrolled. The body mass index(BMI), arm circumference and skinfold thickness were measured. Furthermore, blood lipid, sugar, insulin and four different cytokines' levels were checked and the distribution of body composition was measured by bioelectrical impedance analysis. The subcutaneous and intra-abdominal fat thickness by abdominal ultrasonography(US) and the total and intra-abdominal fat area by abdominal computerized tomography(CT) were measured in the obese group. Results : The most accurate method to measure abdominal fat in children is abdominal CT and the fat mass measured by bioelectrical impedance was strongly correlated with it(r=0.954). It was also correlated with arm circumference, fat thickness measured by abdominal US, BMI, aspartate aminotransferase(AST), alanine aminotransferase(ALT) and triglyceride level. Conclusion : Abdominal CT is the most accurate method to measure intra-abdominal fat, and it can be replaced by abdominal US for cost effectiveness. The screening methods that can be used at school or in outpatient basis include bioelectrical impedance, waist/hip ratio, and arm circumference. The cardiovascular risk factors include leptin, triglyceride and insulin level.

Ultrasonographic Findings of Pneumatosis Intestinalis in a Dog (개에서 장 기종의 초음파적 특징 1례)

  • Song, Yu-Mi;Lee, Jeong-Yang;Lee, Jung-Woo;Jeung, Woo-Chang;Lee, Young-Won;Choi, Ho-Jung
    • Journal of Veterinary Clinics
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    • v.30 no.2
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    • pp.138-141
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    • 2013
  • A 4-month-old, intact male mongrel dog was presented with trauma (hit by car), astasia, stupor and abdominal pain. Radiographic findings were peritoneal effusion, intestinal dilation, right iliac fracture, and microcardia. Abdominal ultrasonography revealed severely, dilated small intestine containing anechoic fluid in lumen and intramural gas within the wall. The sonographic finding suggested pnematosis intestinalis (PI), and vascular compromise of bowel loop by trauma was strongly suspected. After the dog was dead, postmortem examination revealed discolored and necrotized small intestine strangulated by sublumbar muscle. The detection of echogenic gas bubbles in the wall of bowel using ultrasound may be helpful in detecting PI.

A Case of Canine Uterine Adenocarcinoma with Negative Estrogen and Progesterone Receptor Expression (개의 에스트로겐과 프로케스테론 수용체 발현이 되지 않은 자궁 선암종 증례)

  • Cho, Hyang-Mi;Kim, Hyun-Wook;Kim, Hye-Jin;Choi, Ji-Hye;Jang, Jae-Young;Choi, Ul-Soo
    • Journal of Veterinary Clinics
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    • v.28 no.3
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    • pp.303-306
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    • 2011
  • A 12-year-old female mixed breed dog receiving a progesterone drug was referred for evaluation of an abdominal mass. Abdominal radiography and ultrasonography revealed a swollen uterus and an associated mass. Serum chemistry revealed hyperglobulinemia consistent with acute inflammation based on the results of serum protein electrophoresis. Fine needle aspiration of the mass guided by ultrasonography was performed for cytological evaluation. The cytological impression was consistent with adenocarcinoma. Exploratory laparotomy identified a uterine body mass, which was surgically removed for histopathology. Histology of the mass identified a uterine adenocarcinoma. Immunochemistry using anti-estrogen and progesterone receptor antibodies was performed and neoplastic cells were negative to both antibodies while some normal elements were reactive to both of them. Computer tomography demonstrated evidence of metastatic disease in the lung one week after the surgery and the dog died about 40 days after surgery.

지혜 깊어지는 건강_건강검진 캘린더: 30대 복부 초음파 간 기능 검사를 받자

  • 한국건강관리협회
    • 건강소식
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    • v.35 no.6
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    • pp.30-31
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    • 2011
  • 30대는 젊다는 이유로 건강에 자만하기 쉬운 시기다. 그러나 30대는 사회활동에 따른 스트레스, 운동 부족, 불규칙한 생활로 몸에 이상이 생기는 시기다. 긴장 연속의 직장생활, 결혼에 따른 출신과 육아, 음주와 흡연으로 건강에 빨강 신호등이 켜지기 전에 건강검진을 통해 질병을 미리 예방하는 자세가 필요하다.

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Extraction of Transverse Abdominis Muscle form Ultrasonographic Images (초음파 영상에서 복횡근 근육 추출)

  • Kim, Kwang-Baek
    • Journal of the Korean Institute of Intelligent Systems
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    • v.22 no.3
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    • pp.341-346
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    • 2012
  • In rehabilitation where ultrasonographic diagnosis is not popular, it could be subjective by medical expert's experience. Thus, it is necessary to develop an objective automative procedure in ultrasonic image analysis. A disadvantage of existing automative analytic procedure in musculoskeletal system is to designate an incorrect muscle area when the figure of fascia is vague. In this study, we propose a new procedure to extract more accurate muscle area in abdomen ultrasonic image for that purpose. After removing unnecessary noise from input image, we apply End-in Search algorithm to enhance the contrast between fascia and muscle area. Then after extracting initial muscle area by Up-Down search, we trace the fascia area with a mask based on morphological and directional information. By this tracing of mask movements, we can emphasize the fascia area to extract more accurate muscle area in result. This new procedure is proven to be more effective than existing methods in experiment using convex ultrasound images that are used in real world rehabilitation diagnosis.