• Title/Summary/Keyword: 삼전이

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Malrotation and Midgut Volvulus in Children: Diagnostic Approach, Imaging Findings, and Pitfalls (소아의 장회전이상과 중장염전: 진단적 접근, 영상 소견 및 함정들)

  • Jeongju Kim;So-Young Yoo;Tae Yeon Jeon;Ji Hye Kim
    • Journal of the Korean Society of Radiology
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    • v.85 no.1
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    • pp.124-137
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    • 2024
  • Malrotation and midgut volvulus are surgical emergencies that commonly occur within the first month of life. The classic symptom is acute bilious vomiting, while nonspecific symptoms such as recurrent abdominal pain may be present in older children. Malrotation can be associated with duodenal obstruction caused by an abnormal peritoneal fibrous band or congenital anomalies, such as an annular pancreas or a preduodenal portal vein. Volvulus can lead to bowel ischemia and a life-threatening condition, thus prompt and accurate diagnosis is crucial. Diagnosis can be made through upper gastrointestinal series, ultrasonography, and CT, with ultrasonography being preferred as a screening tool due to its rapid and accurate diagnosis, without radiation exposure, in children. This pictorial essay discusses the key imaging findings and diagnostic approaches for malrotation and midgut volvulus, as well as diagnostic pitfalls based on actual cases.

MR Imaging Features of Pediatric Bone Marrow (소아 골수의 MR 영상 소견)

  • Arim Yeom;So-Young Yoo;Tae Yeon Jeon;Jieun Park;Ji Hye Kim
    • Journal of the Korean Society of Radiology
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    • v.85 no.3
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    • pp.505-519
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    • 2024
  • MRI plays a crucial role in bone marrow (BM) assessment, and has very high sensitivity in diagnosing marrow disorders. However, for radiologists who may not frequently encounter pediatric imaging, distinguishing pathologic BM lesion from normal BM can be challenging. Conditions involving the BM in pediatric patients, such as leukemia and metastatic neuroblastoma, often manifest with diverse musculoskeletal symptoms and may be diagnosed using musculoskeletal MRI examinations. Accurate interpretation of pediatric MRI requires not only an understanding of the normal composition of BM but also an awareness of age-related developmental changes in the marrow and familiarity with conditions that commonly involve pediatric BM. We aim to describe the composition of normal BM and outline the normal and abnormal MRI findings in pediatric BM. Additionally, we aim to present clinical cases of malignant BM disorders including leukemia, neuroblastoma metastasis, and other malignant BM disorders.

A Primary Neuroendocrine Tumor Mimicking a Thrombus in the Left Atrial Appendage (좌심방이에서 발생한 혈전을 모방한 심장의 일차성 신경 내분비 종양)

  • Myoung Kyoung Kim;Sung Mok Kim;Eun Kyoung Kim;Dong Seop Jeong;Yeon Hyeon Choe
    • Journal of the Korean Society of Radiology
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    • v.83 no.2
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    • pp.444-449
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    • 2022
  • Most cardiac tumors are metastases, and primary cardiac tumors are rare; even among primary cardiac tumors, primary cardiac neuroendocrine tumors (NETs) are extremely rare. Herein, we report a case of a patient presenting a left atrial mass without past medical history. Because of the location and movement of the mass, as well as the patient's cerebral infarction episode, the mass was initially suspected to be a thrombus. However, the mass was surgically diagnosed as NET.

A study on the structural and electric properties of fluorinated $YBa_2Cu_3O_{7-y}$ (불소화된 $YBa_2Cu_3O_{7-y}$ 초전도체의 구조적, 전기적 성질에 관한 연구)

  • 김재욱;김채옥
    • Electrical & Electronic Materials
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    • v.9 no.4
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    • pp.404-409
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    • 1996
  • The structural and electric properties of $Y_{1-x}$YbF$_{x}$Ba$_{2}$Cu$_{3}$O$_{7-y}$(x=0.0, 0.1, 0.2, 0.3, 0.4, 0.5 and 0.6) have been investigated by using XRD(X-ray diffraction), TMA(thennomechanical analysis), NMR(nuclear magnetic resonance) analysis and four probe method. $Y_{1-x}$YbF$_{x}$Ba$_{2}$Cu$_{3}$O$_{7-y}$ samples were prepared by conventional solid-state reaction method using $Y_{2}$O$_{3}$, BaCO$_{3}$, CuO and YbF$_{3}$ power. TMA and high temperature XRD results shows that orthorhombic to tetragonal phase transition occurs in the unfluorinated 1-2-3 sample while the phase change is not observed in the fluorinated 1-2-3 samples. Superconducting transition temperature(T$_{c}$) increases with increasing YbF$_{3}$ content ; T$_{c}$, of the sample reaching maximum of 102K for x=0.3, and then decreases with further increasing YbF$_{3}$ content. The structural analysis and T$_{c}$ results shows that the fluorine doping stabilize the orthorhombic phase, together with the increase in T$_{c}$.}$ c/.TEX> c/.

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Feasibility study of using Halcyon LINAC for Double-target spine stereotactic body radiation therapy (이중 표적 척추 전이암의 체부정위방사선치료 시 Halcyon LINAC의 치료 유용성 평가)

  • Jeong Hee Ju;An Ye Chan;Park Byung Suk;Park Myung Hwan;Park Yong Chul
    • The Journal of Korean Society for Radiation Therapy
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    • v.34
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    • pp.51-60
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    • 2022
  • Objectives: The purpose is to evaluate dosimetric performance and delivery efficiency of VMAT with Halcyon LINAC for double target spine SBRT Materials and Methods: 12 patients with spine oligometastases were retrospectively studied. Single-isocenter spine SBRT plans was established using Halcyon® with Dual Layer MLC and Truebeam® with High Definition MLC. All patients' plans were created in Eclipse TPS through the identical conditions and optimization. C.I, H.I, G.I (Gradient Index), maximal and volumetric doses to spinal cord and low dose area were evaluated for comparison of both plans. Also, total MU and BOT(Beam On Time) were evaluated. Results: Halcyon plans was no Statistical differences in C.I and H.I. However, the average of G.I was 4.64 for Halcyon, which decreased to 5.5% compared to Truebeam (P<0.001). Halcyon plans demonstrated statistically significant reduced G.I. The average of 50% and 25% isodose volume was 487.56 cc (-3.82%, P<0.001), 1859.45 cc (-4.75%, P<0.001) in Halcyon, respectively. Significantly reduced low dose spill were observed in Halcyon plans. In the evaluation of the spinal cord, the average of Dmean and V10 of Halcyon plans in the sample group with an overlap volume of less than 1 cc was 6.802 Gy (-3.504%, P=0.067), 5.766±1.683 cc (-8.199%, P=0.002), respectively. Halcyon plans demonstrated statistically significant reduced Dmean and V10. For delivery efficiency, MU and BOT(maximum dose rate for each machine), on average, increased in Halcyon plans. However, the average of BOT(800MU/min for each machine) was 648.33 sec for Halcyon (-1.74%, P<0.001). Conclusion: Halcyon plan for double-target spine SBRT demonstrated advantages in the low dose area with a steep dose gradient, while having dosimetrically equivalent target dose distribution and spinal cord protective effect. As a result, Halcyon LINAC produced a dosimetrically improved plan for double-target spine SBRT.

A Comparative Study of Survivor Outcomes between Preoperative Evaluation Using CT Alone and Combined CT and MRI in Patients with Pancreatic Ductal Adenocarcinoma (췌장선암 환자의 수술 전 CT 단독 평가와 추가적 MRI 평가에 따른 생존 결과 비교 분석)

  • Ji Eun Lee;Seong Hyun Kim;Soon Jin Lee;Seo-Youn Choi;Sunyoung Lee;Bo Ra Lee
    • Journal of the Korean Society of Radiology
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    • v.82 no.3
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    • pp.638-653
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    • 2021
  • Purpose To compare the recurrence pattern, disease-free survival (DFS), and overall survival (OS) after curative surgery for pancreatic ductal adenocarcinoma (PDAC) in patients who underwent preoperative evaluation with CT alone or in combination with MRI, and to compare the prognosis according to the first recurrence site. Materials and Methods We retrospectively evaluated 152 patients who underwent R0 resection of PDAC. Preoperative CT or combined CT and MRI were performed for 103 and 49 patients, respectively. Two radiologists recorded the location and date of the first recurrence in consensus. The recurrence pattern, DFS, and OS were compared between the two groups. OS was analyzed according to the first recurrence site. Results In both groups, liver metastasis was the most common recurrence pattern. DFS (p = 0.247) or OS (p = 0.067) showed no significant difference between the two groups. OS according to the first recurrence site was the lowest for liver metastasis, followed by locoregional recurrence (p < 0.001). Conclusion There were no significant differences in the recurrence pattern, DFS, or OS between patients evaluated with preoperative CT alone or with CT and MRI after curative resection of PDAC. Liver metastasis was the most common tumor recurrence pattern with the lowest OS.

Binary Classifier Construction for U87 Cell Shapes using Fourier Shape Descriptor and SVM (퓨리에 형태표현자와 SVM 을 이용한 U87 세포의 형태학적 분류기 모델구축)

  • Kang, Mi-Sun;Kim, Jeong-Sik;Kim, Myoung-Hee
    • Proceedings of the Korea Information Processing Society Conference
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    • 2010.11a
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    • pp.751-753
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    • 2010
  • 본 논문에서는 위상차 현미경 영상 내 U87 세포의 정확한 형태학적 분류를 위한 이진 분류기 구축 방법을 제안한다. 본 방법은 Fourier descriptor 기반 세포형상 표현을 SVM 이진분류기 구축에 사용함으로써 분류 대상인 원추형과 원형세포에 대해 영상 내 세포의 위치와 회전, 크기의 변화에 대해 강인한 분류성능을 제공한다. 본 실험을 통해 polynomial 커널에서 학습된 SVM 분류기가 linear, RBF, sigmoid 에 비교하여 가장 정확한 분류 성능을 보임을 확인하였다. 본 연구는 논문상 기준인 두 종류의 세포 형태 분류기를 기반 프레임워크로 삼아 좀더 다양한 세포 형태를 분류할 수 있도록 개선된다면 악성뇌종양의 전이억제치료에 효과적인 전이행동분석에 도움을 줄 수 있을 것으로 기대된다.

MRI Findings Suggestive of Metastatic Axillary Lymph Nodes in Patients with Invasive Breast Cancer (유방암 환자에서 액와부 림프절 전이를 시사하는 자기공명영상 소견)

  • Ka Eun Kim;Shin Young Kim;Eun Young Ko
    • Journal of the Korean Society of Radiology
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    • v.83 no.3
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    • pp.620-631
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    • 2022
  • Purpose This study aimed to investigate the diagnostic performance of features suggestive of nodal metastasis on preoperative MRI in patients with invasive breast cancer. Materials and Methods We retrospectively reviewed the preoperative breast MRI of 192 consecutive patients with surgically proven invasive breast cancer. We analyzed MRI findings of axillary lymph nodes with regard to the size, long/short ratio, cortical thickness, shape and margin of the cortex, loss of hilum, asymmetry, signal intensity (SI) on T2-weighted images (T2WI), degree of enhancement in the early phase, and enhancement kinetics. Receiver operating characteristic (ROC) analysis, chi-square test, t test, and McNemar's test were used for statistical analysis. Results Increased shorter diameter, uneven cortical shape, increased cortical thickness, loss of hilum, asymmetry, irregular cortical margin, and low SI on T2WI were significantly suggestive of metastasis. ROC analysis revealed the cutoff value for the shorter diameter and cortical thickness as 8.05 mm and 2.75 mm, respectively. Increased cortical thickness (> 2.75 mm) and uneven cortical shape showed significantly higher sensitivity than other findings in McNemar's test. Irregular cortical margins showed the highest specificity (100%). Conclusion Cortical thickness > 2.75 mm and uneven cortical shape are more sensitive parameters than other findings, and an irregular cortical margin is the most specific parameter for predicting axillary metastasis in patients with invasive breast cancer.

A Quality Prediction Model for Ginseng Sprouts based on CNN (CNN을 활용한 새싹삼의 품질 예측 모델 개발)

  • Lee, Chung-Gu;Jeong, Seok-Bong
    • Journal of the Korea Society for Simulation
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    • v.30 no.2
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    • pp.41-48
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    • 2021
  • As the rural population continues to decline and aging, the improvement of agricultural productivity is becoming more important. Early prediction of crop quality can play an important role in improving agricultural productivity and profitability. Although many researches have been conducted recently to classify diseases and predict crop yield using CNN based deep learning and transfer learning technology, there are few studies which predict postharvest crop quality early in the planting stage. In this study, a early quality prediction model is proposed for sprout ginseng, which is drawing attention as a healthy functional foods. For this end, we took pictures of ginseng seedlings in the planting stage and cultivated them through hydroponic cultivation. After harvest, quality data were labeled by classifying the quality of ginseng sprout. With this data, we build early quality prediction models using several pre-trained CNN models through transfer learning technology. And we compare the prediction performance such as learning period and accuracy between each model. The results show more than 80% prediction accuracy in all proposed models, especially ResNet152V2 based model shows the highest accuracy. Through this study, it is expected that it will be able to contribute to production and profitability by automating the existing seedling screening works, which primarily rely on manpower.

Mineral nutrition of field-grown rice plant. -III. Uptake, efficiency and percent translocation of N.P.K. and Si at various yield classes (포장재배수도(圃場栽培水稻)의 무기영양(無機營養) -III 수량등급별(收量等級別) 양분(養分)(N. P. K Si) 흡수량(吸收量), 양분효율(養分効率) 및 전이율(轉移率))

  • Park, Hoon
    • Korean Journal of Soil Science and Fertilizer
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    • v.7 no.2
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    • pp.119-125
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    • 1974
  • Uptake amount, percent translocation to grain and grain yield efficiency of N. P. K. Si were investigated with N. P. K simple trials (countrywide, 1967~69) and other nitrogen fertiltzer field trials in relation to yield class. 1) Uptake rate with yield increase were similar in all nutrients but silica showed greater yearly variation. 2) In N. P. K simple trials showing very low nitrogen efficiency(46kg grain/ nitrogen uptake kg) it and percent translocation increased with yield increase. 3) Nitrogen efficiency deacreased with the increase of nitrogen uptake and the decreasing rate depends greatly on fertilizer forms and variety. Nitrogen efficiency was greater in sandy loam where yield was higher than in clay loam. 4) Nitrogen efficiency positively correlated with percent translocation. 5) In high yielding fields yield was attributed only to the increase of nitrogen uptake, keeping efficiency around 50. 6) Major factor for high yield is considered as the increase of nitrogen efficiency rather than nitrogen uptake. 7) Phosphorus efficiency in N. P. K. simple trials was considerably low, suggesting too much uptake due to soil reduction.

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