• Title/Summary/Keyword: 신경해부

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Development of the Multi-Parametric Mapping Software Based on Functional Maps to Determine the Clinical Target Volumes (임상표적체적 결정을 위한 기능 영상 기반 생물학적 인자 맵핑 소프트웨어 개발)

  • Park, Ji-Yeon;Jung, Won-Gyun;Lee, Jeong-Woo;Lee, Kyoung-Nam;Ahn, Kook-Jin;Hong, Se-Mie;Juh, Ra-Hyeong;Choe, Bo-Young;Suh, Tae-Suk
    • Progress in Medical Physics
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    • v.21 no.2
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    • pp.153-164
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    • 2010
  • To determine the clinical target volumes considering vascularity and cellularity of tumors, the software was developed for mapping of the analyzed biological clinical target volumes on anatomical images using regional cerebral blood volume (rCBV) maps and apparent diffusion coefficient (ADC) maps. The program provides the functions for integrated registrations using mutual information, affine transform and non-rigid registration. The registration accuracy is evaluated by the calculation of the overlapped ratio of segmented bone regions and average distance difference of contours between reference and registered images. The performance of the developed software was tested using multimodal images of a patient who has the residual tumor of high grade gliomas. Registration accuracy of about 74% and average 2.3 mm distance difference were calculated by the evaluation method of bone segmentation and contour extraction. The registration accuracy can be improved as higher as 4% by the manual adjustment functions. Advanced MR images are analyzed using color maps for rCBV maps and quantitative calculation based on region of interest (ROI) for ADC maps. Then, multi-parameters on the same voxels are plotted on plane and constitute the multi-functional parametric maps of which x and y axis representing rCBV and ADC values. According to the distributions of functional parameters, tumor regions showing the higher vascularity and cellularity are categorized according to the criteria corresponding malignant gliomas. Determined volumes reflecting pathological and physiological characteristics of tumors are marked on anatomical images. By applying the multi-functional images, errors arising from using one type of image would be reduced and local regions representing higher probability as tumor cells would be determined for radiation treatment plan. Biological tumor characteristics can be expressed using image registration and multi-functional parametric maps in the developed software. The software can be considered to delineate clinical target volumes using advanced MR images with anatomical images.

Neuroanatomical Comparative Studies on the Motor and Sensory Neurons Associated with Daereung(PC7) in the Rats (흰쥐에서 대릉(PC7)과 관련된 운동신경과 감각신경의 분포영역에 대한 신경해부학적 연구)

  • Lee, Sun-Ho;Lee, Chang-Hyun;Lee, Sang-Ryong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.29 no.5
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    • pp.416-421
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    • 2015
  • This study was performed to comparative investigate the distribution of primary sensory and motor neurons associated with Daereung(PC7) acupoints by using neural tracing technique. A total 16 SD rats were used in the present study. After anesthesia, the rats received microinjection of 6 ㎕ of cholera toxin B subunit(CTB) into the corresponding sites of the acupoints Daereung(PC7), in the human body for observing the distribution of the related primary sensory neurons in dorsal root ganglia(DRGs) and motor neurons in the spinal cord(C3∼T4) and sympathetic ganglia. Three days after the microinjection, the rats were anesthetized and transcardially perfused saline and 4% paraformaldehyde, followed by routine section of the DRGs, sympathetic chain ganglia(SCGs) and spinal cord. Labeled neurons and nerve fibers were detected by immunohistochemical method and observed by light microscope equipped with a digital camera. The labeled neurons were recorded and counted. From this research, the distribution of primary sensory and motor neurons associated with Daereung(PC7) acupoints were concluded as follows. Muscle meridian related Daereung(PC7) controlled by spinal segments of C5∼T1, C6∼T4, respectively.

A Neuroanatomical and Neurophsiolgical basic Study on the Mechanism of Acupuncture in central nervous system (침자기전(鍼刺機轉)의 중추신경계(中樞神經系)에서의 신경해부(神經解剖).생리학적(生理學的) 기초연구(基礎硏究))

  • Kim, Jeong-Heon
    • Korean Journal of Oriental Medicine
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    • v.2 no.1
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    • pp.514-550
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    • 1996
  • There are many theory in acupuncture mechanism, so we must know the detail contents. and then we can use the acupuncture as we know. the follow article will be helpful in this part. 1. Spinal cord are role in intermediate part in somatosensorypathway also in acupuncture stumulating tract 2. Acute pain pathway started in laminae I, V of gray colmn, next are the spinothalamic tract(trigeminal spinothalamic tract in above neck part) and then go to the specific thalamic nucleus. but chronic pain in laminae II, III, VI, VII, next are spinoreticular tract(trigeminal spinoreticular tract in the neck part) and finally to the nonspecific thalamic nucleus. 3. Thalamus is very important area in somatosensory stimuation including acupuncture stumulating sensory also as a pain control center. but except this, there are Hypothalamus, Limbic system Cerebral cortex and Cerebellum as intermediator. as we Know hypothalamus is related to the emotional analgesic system with a limbic system. 4. A ${\delta$ fiber has relationship in Acute, sharp and initial pain, contrary this C fiber is related with Chronic, dull and last pain. 5. In Acupuncture mechanism of pain analgesia, there are two theory, one is gate control theory as large fiber another is stimuation produced analgesia as small diameter fier. 6. In DNIC, the stimulation sources are mechanical, thermal, heating, pain and acupuncture stimulation etc. we call these as a Heterotopic Noxious Stimulation. 7. In DNIC, SRD(Subnucleus reticularis dorsalis)is core nucleus in pain imtermediated analgesic mechanism. 8. Takeshige insisted nonacupuncture point dependent analgesic mechanism and acupuncture point dependent analgesic mechanism. and protested that Stimulation acupuncture piing evoke blocking nomacupuncture point analgesic pathway.

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A Review of Spatial Neglect: Types, Theories, Neuroanatomy, Assessments and Treatment (편측 공간무시에 관한 고찰: 유형 및 이론, 해부학적 영역, 평가와 치료)

  • Jeong, Eun-Hwa
    • Therapeutic Science for Rehabilitation
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    • v.6 no.1
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    • pp.11-23
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    • 2017
  • Spatial neglect is a neurological disorder following stroke, a lesion that usually affects the right hemisphere, fail to process or attention on the contralateral side of body and space. Functional neuroimaging studies report that spatial neglect is associated with lesions of large middle cerebral artery, perisylvian network and attention network. Spatial neglect is associated with a poor outcome. For optimal diagnosis and intervention, Types and theories of spatial neglect should be considered, in addition to clinical assessment with the conventional test and functional test. The treatment for spatial neglect could be consist of top-down approaches and bottom-up approaches. Recent trends in rehabilitation intervention for spatial neglect have reported prism adaptation.

Surgical Anatomy of Sural Nerve for the Peripheral Nerve Regeneration in the Oral and Maxillofacial Field (구강악안면 영역의 말초신경 재생을 위한 비복신경의 외과적 해부학)

  • Seo, Mi-Hyun;Park, Jung-Min;Kim, Soung-Min;Kang, Ji-Young;Myoung, Hoon;Lee, Jong-Ho
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.34 no.2
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    • pp.148-154
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    • 2012
  • Peripheral nerve injuries in the oral and maxillofacial regions require nerve repairs for the recovery of sensory and/or motor functions. Primary indications for the peripheral nerve grafts are injuries or continuity defects due to trauma, pathologic conditions, ablation surgery, or other diseases, that cannot regain normal functions without surgical interventions, including microneurosurgery. For the autogenous nerve graft, sural nerve and greater auricular nerve are the most common donor nerves in the oral and maxillofacial regions. The sural nerve has been widely used for this purpose, due to the ease of harvest, available nerve graft up to 30 to 40 cm in length, high fascicular density, a width of 1.5 to 3.0 mm, which is similar to that of the trigeminal nerve, and minimal branching and donor sity morbidity. Many different surgical techniques have been designed for the sural nerve harvesting, such as a single longitudinal incision, multiple stair-step incisions, use of nerve extractor or tendon stripper, and endoscopic approach. For a better understanding of the sural nerve graft and in avoiding of uneventful complications during these procedures as an oral and maxillofacial surgeon, the related surgical anatomies with their harvesting tips are summarized in this review article.

Low Frequency Fluctuation Component Analysis in Active Stimulation fMRI Paradigm (활성자극 파라다임 fMRI에서 저주파요동 성분분석)

  • Na, Sung-Min;Park, Hyun-Jung;Chang, Yong-Min
    • Investigative Magnetic Resonance Imaging
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    • v.14 no.2
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    • pp.115-120
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    • 2010
  • Purpose : To separate and evaluate the low frequency spontaneous fluctuation BOLD signals from the functional magnetic resonance imaging data using sensorimotor active task. Materials and Methods : Twenty female archery players and twenty three control subjects were included in this study. Finger-tapping task consisted of three cycles of right finger tapping, with a subsequent 30 second rest. Blood oxygenation level-dependent (BOLD) data were collected using $T2^*$-weighted echo planar imaging at a 3.0 T scanner. A 3-D FSPGR T1-weighted images were used for structural reference. Image processing and statistical analyses were performed using SPM5 for active finger-tapping task and GIFT program was used for statistical analyses of low frequency spontaneous fluctuation BOLD signal. Results : Both groups showed the activation in the left primary motor cortex and supplemental motor area and in the right cerebellum for right finger-tapping task. ICA analysis using GIFT revealed independent components corresponding to contralateral and ipsilateral sensorimotor network and cognitive-related neural network. Conclusion : The current study demonstrated that the low frequency spontaneous fluctuation BOLD signals can be separated from the fMRI data using finger tapping paradigm. Also, it was found that these independent components correspond to spontaneous and coherent neural activity in the primary sensorimotor network and in the motor-cognitive network.

Ferulic Acid Regulates Heme Oxygenase-1 Expression in Focal cerebral Ischemia (국소적 대뇌허혈시 ferulic acid의 heme oxygenase-1 조절작용)

  • Koh, Phil-Ok
    • Journal of agriculture & life science
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    • v.46 no.6
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    • pp.137-146
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    • 2012
  • This study investigated whether ferulic acid modulates the heme oxygenase (HO)-1 and HO-2 expression in middle cerebral artery occlusion (MCAO)-induced brain injury. Rats (Sprague-Dawley, male) were treated with vehicle or ferulic acid (100 mg/kg, i.v.) before MCAO, and cerebral cortex tissues were collected 24 h after MCAO. This study clearly confirmed the protective effects of ferulic acid during MCAO-induced damage using hematoxylin and eosin staining. MCAO induces nuclear chromatin condensations and necrotic changes with scalloped shrunken form. However, ferulic acid prevented MCAO-induced histopathological changes. HO-1 and HO-2 expression levels were measured using reverse-transcription PCR and Western blot analyses. HO-1 levels were decreased in vehicle-treated animals after MCAO, whereas this decrease in HO-1 levels was attenuated by ferulic acid treatment. However, the level of HO-2 was consistently maintained in the cerebral cortex of vehicle- and ferulic acid-treated animals after MCAO. These results demonstrated that ferulic acid regulates HO-1 expression in ischemic brain injury, while ferulic acid do not modulate HO-2 expression in MACO. In conclusion, these findings suggest that ferulic acid exerts a neuroprotective effect by preventing the MCAO-induced decrease of HO-1 expression.

Anatomic Study of the Vessels of the Digital Nerves in the Fingers (손가락 신경의 혈관 구조에 대한 해부학적 연구)

  • Lee, Joo Chul;Choi, Hwan Jun;Kim, Jun Hyuk;Lee, Young Man;Nam, Doo Hyun
    • Archives of Reconstructive Microsurgery
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    • v.21 no.2
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    • pp.149-152
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    • 2012
  • Purpose: The vessels of peripheral nerves have been extensively studied since Breidenbach used vascularizd nerve grafts. Tayor and Pinel studied the course and distribution of the vessels of peripheral nerves. However, the vessels of digital nerves are still not well known. The objective of this study was to prove vessels of digital nerves and to investigate the pathway of that. Materials and Methods: 36 patients and 2 fresh human cadavers were studied under the microscope and histologic sections under the light microscope.. Results: We found that digital nerves had own arterioles and venules as well as peripheral nerves. This small vessels of digital nerves paralleled the digital nerves or run in a spiral. Digital nerves were abundantly vascularized throught their length by a succession of vessels and by their repeated divisions and anastomoses. Conclusion: The clinical implications of this results can be discussed in relation to the dissection of nerves, the possibility of vasculized nerve grafts.

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An anatomic study of the facial nerve (임상가를 위한 특집 3 - 얼굴신경의 해부학)

  • Kwak, Hyun-Ho;Park, Bong-Su;Kim, Hee-Jin
    • The Journal of the Korean dental association
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    • v.50 no.10
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    • pp.624-629
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    • 2012
  • This study examined the anatomical relationships along with the variability of the facial nerve trunk and its branches with an emphasis on the intraparotid connections between the divisions. And histomorphometric observations of the facial nerve branches and fascicles were performed on 40 Korean half-heads. The facial nerve trunk was bifurcated into two main divisions(35/40, 87.5%) and the other five cases were divided into a trifurcation pattern. According to the origin of the buccal branch, the branching patterns of the facia l nerve were classified into four categories. Communications between the facial and auriculotemporal nerve branches were observed in 37 out of 40 cases(92.5%). In the histological observation, the buccal branch had the greatest number of branches(3.47), however the zygomatic branch had the largest diameters(0.93mm). This detailed description of the facial nerve anatomy wi ll provide useful information for surgical procedures such as a tumor resection. a facial nerve reconstruction, autonerve graft. and facelift.

Comparative Study on Cognitive Scheme of Movement Verbs (이동동사의 인지 도식에 관한 비교 연구)

  • 오현금;남기춘
    • Proceedings of the Korean Society for Cognitive Science Conference
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    • 2002.05a
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    • pp.59-64
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    • 2002
  • 인지심리학 및 인지언어학 분야에서 시도한 어휘 표상, 특히 움직임과 관련된 동사의 인지도식에 관한 연구들을 비교해보고자 한다. 인간의 언어학적인 지식을 도식적으로 표상 하고자 하는 노력은 언어의 통사적인 외형에만 치중하는 연구에서는 언어의 의미구조를 파악하기 힘들다고 판단하고 의미적인 범주화를 중요시하게 되었다. 본 연구에서는 시각적 이미지 도식을 중점적으로 살펴보기로 한다. 이미지 도식은 공간적 위치 관계, 이동, 형상 등에 관한 지각과 결부되어 있다. 이미지로 나타낸 표상은 근본적으로 세상의 인식과 세상에 대한 행동방법을 사용하게 하는 유추적이고 은유적인 원칙에 기초하고 있다. 이러한 점에 있어서, 언술을 발화한 화자는 어느 정도 주관적인 행동의 능력과 그가 인식한 개념화에서부터 문자화시킨 표상을 구성한다. 인지 원칙에 입각한 의미 표상에 중점을 둔 도식으로는, Langacker, Lakoff, Talmy의 도식이 있다. 프랑스에서 톰 R. Thom과 같은 수학자들은 질적인 현상에 관심을 가져 형역학(morphodynamique)이론을 확립하였는데, 이 이론은 요즘의 인지 연구에 수학적 기초를 제공하였다. R. Thom, J. Petitot-Cocorda의 도식 및 구조 의미론의 창시자라고 불리는 B.Pottier의 도식이 여기에 속한다 J.-P. Descles가 제시한 인지연산문법(Grammaire Applicative et Cognitive)은 다른 인지문법과는 달리 정보 자동처리과정에서 사용할 수 있는 연산자와 피연산자의 관계에 기초한 수학적 연산작용을 발전시켰다. 동사의 의미는 의미-인지 도식으로 설명되는데, 이것은 서로 다른 연산자와 피연산자로 구성된 형식화된 표현이다. 인간의 인지 기능은 언어로 표현되며, 언어는 인간의 의사소통, 사고 행위 및 인지학습의 핵심적 기능을 담당한다. 인간의 언어정보처리 메카니즘은 매우 복잡한 과정이기 때문에 언어정보처리와 관련된 언어심리학, 인지언어학, 형식언어학, 신경해부학 및 인공지능학 등의 관련된 분야의 학제적 연구가 필요하다.

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