• Title/Summary/Keyword: 석회화

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Ultrasound-guided Exact Focusing of Extracorporeal Shock Wave Therapy for the Calcific Tendinitis of Gluteus Medius - A Case Report - (중둔건 석회화 건염의 초음파 유도하 정확한 조준에 의한 체외충격파치료 -증례 보고-)

  • Moon, Sang Ho;Lee, Song;Kim, Kwang Hai;Jeong, Jongpil;Hong, Seong Won
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.5 no.2
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    • pp.94-98
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    • 2012
  • Calcific tendinitis is characterized by inflammation around calcium hydroxyapatite crystal deposits. Minimally invasive extracorporeal shock wave therapy (ESWT) has been postulated to be an effective treatment option for treating calcific tendinitis. In clinical practice, shock waves usually are aimed at the painful area after palpation and not focused. It has been known that exact fluoroscopic focusing of ESWT at the calcific deposit for treatment of calcifying tendinopathy is highly effective. Ultrasound is a simple, inexpensive and radiation-free diagnostic tool that has been used to demonstrate tendinopathy including calcific tendinitis. However, focusing of shock wave under ultrasound is less well established. We present a patient in whom large calcific tendinitis of gluteus medius was completely resolved by exact focusing of ESWT by ultrasound with literature review.

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Calcific Tendinits at the Origin of Common Extensor Tendons of the Forearm - A Report of Two Cases - (전완부 총 신근 건 기시부의 석회화 건염 - 2예 보고 -)

  • Kim, Young-Kyu;Cho, Seung-Hyun;Moon, Sung-Hoon;Kim, Nam-Ki
    • Clinics in Shoulder and Elbow
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    • v.14 no.1
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    • pp.84-88
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    • 2011
  • Purpose: We report here on two cases of calcific tendinitis at the origin of the common extensor tendons of the forearm. Materials and Methods: A 42 year-old female complained of left elbow pain and flexion contracture. After obtaining the simple radiographs and MRI, surgical excision of the calcific deposits was done under the diagnosis of calcific tendinitis. A 25 year-old female complained of right elbow pain and a limited range of motion. Simple radiographs showed a calcific deposit just distal to the lateral epicondyle, and then she was managed with extracorporeal shock wave therapy. Results: The pain disappeared completely and both patients regained a full range of motion after treatments. Conclusion: Calcific tendinitis at the origin of the common extensor tendons of the forearm should be included in the differential diagnosis of the lateral elbow diseases that cause pain and a limited range of motion.

Discrimination Energy Range Analysis of Contrast Agents and Calcification using by VNC Application of DECT (DECT의 VNC 적용으로 조영제와 석회화의 식별 에너지 영역 분석)

  • Hyeon-Ju Kim
    • Journal of the Korean Society of Radiology
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    • v.18 no.2
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    • pp.179-185
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    • 2024
  • By applying the various energy spectrum imaging functions of DECT, To quantitatively distinguish between contrast agent and calcification, changes in image quality are analyzed by comparing CNR and SNR. We investigated the level of dose reduction during two scans and one VNC scan. As a result, contrast agent and calcification were best distinguished in the 70 keV area, CNR and SNR were excellent, and scan dose was reduced by about 26.5%. Therefore, by applying DECT, meaningful results were obtained that could visually and quantitatively distinguish between the intravascular contrast agent and the shade of calcification. If clinical research is conducted in the future considering the patient's age, gender, and body type, quantitative analysis of calcification will be possible even with intravascular contrast agent flowing in, which will have a significant effect in reducing the patient's scan dose and the burden of multiple scans.

CALCIFYING ODONTOGENIC CYST ASSOCIATED WITH ODONTOMA : CASE REPORT (치아종을 동반한 석회화 치성낭에 관한 증례 보고)

  • Lee, Seon-Suk;Lee, Chang-Seop;Lee, Sang-Ho;Lee, Nan-Young
    • Journal of the korean academy of Pediatric Dentistry
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    • v.33 no.1
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    • pp.109-115
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    • 2006
  • The calcifying odontogenic cyst (COC) predominantly affected Maxillary anterior segment and it is developmental cyst. But COC showed diverse terminology or classification, clinicopathologic features as well as its biologic behavior COC usually presents as slowly enlarging but otherwise symptomless swelling. Association with impacted teeth and odontoma is described in $24{\sim}30%$. The epithelial lining of COC(ghost cell) appears to have ability to induce the formation of dental tissues in the asjcents connective tissue wall. This case is a COC associated with a odontoma involving an impacted left maxillary canine in 14-year-old female child. Radiographic examination revealed a well-demarcated radiolucent lesion partially occupied by a radiopaque mass, involving the left canine. The histologic sections showed cystic cavity lined with ameloblastic epithelium containing ghost cell masses with regular and irregular shape odontoma. The final pathologic diagnosis was calcifying odontogenic cyst with odontoma(Type IB by Preatorius). Enucleation and elimination of the included tooth were performed. Now endodontic treatment was preformed on the 1st premolar of the upper left jaw, which had a lesion. And the patient and their parents want to have the orthodontic treatment performed and would like to keep the space maintainer.

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CALCIFYING ODONTOGENIC CYST ASSOCIATED WITH COMPLEX ODONTOMA : CASE REPORT (치아종을 동반한 석회화 치성낭의 치험례)

  • Lee, Sang-Yup;Kim, Dae-Eop;Lee, Kwang-Hee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.4
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    • pp.645-650
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    • 2004
  • Calcifying odontogenic cyst(COC) is a rare developmental odontogenic cyst, which shows diverse classification and terminology. Cystic epithelial lining of COC is composed of basal cell layer of columnar cells and overlying layer of stellate reticulum. In the epithelium, ghost cells that might induce adjacent mesenchymal tissue to develop dental organ are shown characteristically. In spite of low rate of recurrence, we have to get a histopathological examination so that odontogenic lesions may recur without fully curettage of lining epithelium. 7-year-old male child came pediatric dentistry in wonkwang university dental hospital in order to check the delayed eruption of left maxillary central incisor. Radiographic examination revealed a well-defined radiopaque mass, overlapping impacted left central and lateral incisor crown. Enucleated mass was tooth-like features and also had epithelium lining. Results of histopathologic procedure, we saw the lots of ghost cell and proliferating hard dental tissues. Also we saw the cystic epithelium cells. It revealed diagnosis of the COC associated complex odontoma. For this reason one should consider of COC when patients present odontoma-like lesion with impacted tooth.

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Diagnosis of Micro-Calcified Lesions of Breast Tissue Phantoms Using Acoustic Resonance Coupled with Power Doppler (공명현상과 파워도플러를 이용한 유방조직 팬텀의 미세 석회화 병변 진단)

  • Kim, Jeong-Koo;Ha, Myeung-Jin
    • The Journal of the Acoustical Society of Korea
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    • v.27 no.2
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    • pp.80-86
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    • 2008
  • Breast ultrasound has many advantages over mammography but suffers from a shortcoming of being not suitable in detecting microcalcification. We studied on a method based on acoustic resonance and power Doppler to detect calcification of breast tissue using a typical 7.5 MHz linear probe used in breast ultrasound examination. We first constructed a breast tissue phantom made of gelatin and then observed calcified legions as external vibrations varied. Calcification injected to the breast tissue phantom being resonated different from the surrounding medium, and its acoustic resonance driven by external vibrations was visualized by differences for color brightness and area in ROI of power doppler. In low frequency regions, the acoustic resonance almost not appeared and showed a plateau in $300{\sim}600\;Hz$ and the color vanished as the frequency further increased.

Substrate-immobilized bone morphogenic protein-7 peptides on titanium surface support the expression of extracellular matrix proteins

  • Kim, Young-Joon;Chung, Chan-Gil;Cui, De-Zhe
    • Journal of Periodontal and Implant Science
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    • v.36 no.3
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    • pp.627-637
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    • 2006
  • 이 연구는 rh BMP-7-immobilized substrates에 대한 백서 태자 두개관 세포의 반응을 석회화 결절 측정, 알카리 효소 분석, 역전사 중합반응 및 단백질 분석등으로 평가하여 다음과 같은 결과를 얻었다. 1. 배양 14일 째, 석회화 결절 형성율을 측정한 결과, rh BMP-7-immobilized substrates에서 대조군과 비교하여 더 많은 석회화 결절을 형성하였다. 2. 배양 7일에 염기성 인산 분해효소 활성도는 rh BMP-7-immobilized substrates에서 대조군에 비해 효소 활성도가 유의하게 높았다. 3. 역전사 중합반응의 결과에서 BSP 와 OCN 유전자 발현은 대조군보다 더 현저하였다. 4. 단백질 분석에서 rh BMP-7-immobilized substrates와 대조군 모두 Smad 1,5,8 단백질의 인산화를 활성화시키지 못했다. 이상의 결과 rh BMP-7-immobilized substrates는 백서 태자 두개관세포가 조골세포로의 분화와 석회화를 유도하며 따라서 rh BMP-7-immobilized substrates는 임프란트 주변의 골 형성에 유용하리라 사료된다.

Convergence of the Image Evaluation by BI-RADS Classification in Accordance with Algorithms in DR Mammography (디지털 유방촬영술에서 BI-RADS의 구분에 따른 알고리즘별 영상의 융복합적 평가)

  • Lee, Mi-Hwa
    • Journal of Digital Convergence
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    • v.13 no.9
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    • pp.489-495
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    • 2015
  • Image availability evaluated by the degree of agreement and sensitive using the process improve visualization according to the Algorithm modification in Image Post-Processing. Reliability measured by the Breast Imaging Reporting and Data System. 172 patients visit same period divided by BI-RADS, category five stages, and contents of breast parenchyma into Calcification, Nodule and Mass. Evaluated the TE/PV image reliability, visualization sensitive, agreement of diagnosis. Convergence analysis was an in various fields. According to the result of this research, PV has higher sensitive and accuracy about lesions than TE visual and there is a difference insensitive by contents of breast parenchyma. Therefore, practical use of Algorithm Modification(Tissue Equalization: TE, Premium View: PV) is expected to improve more accurate, useful diagnosis, which has not been easy until now.

Calcific Tendinitis of Shoulder Associated with Intraosseous Involvement -A Case Report- (골내 침범을 동반한 견관절 석회화 건염 - 증례 보고 -)

  • Ku, Jung-Hoei;Cho, Hyung-Lae;Park, Man-Jun;Kim, Jeong-Cheol
    • Clinics in Shoulder and Elbow
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    • v.14 no.2
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    • pp.242-247
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    • 2011
  • Purpose: We present an atypical case of calcific tendinitis of the shoulder with intraosseous loculation. Materials and Methods: A 59 year-old female complained of acute exacerbation of chronic left shoulder pain and restricted range of motion. Simple radiographs showed a subacromial calcific deposit and magnetic resonance imaging revealed cortical erosion with intraosseous extension of calcific material mimicking infection or tumor. She was managed with arthroscopic excision of the calcific deposit, curettage of the intraosseous lesion and subsequent rotator cuff repair with a suture anchor. Results: Her acute pain promptly subsided. Her rehabilitation was uneventful and she gained full range of motion. Radiographs five months after the operation showed no recurrence of calcific material. Conclusion: Calcific tendinitis of the shoulder can present with a variety of images involving the adjacent bone. The correct recognition of this disorder may avoid unnecessary investigation and treatment.