• Title/Summary/Keyword: 신장결석

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Analysis of Twinkling Artifacts Caused by Kidney Stones on Abdominal Ultrasound (복부 초음파 검사에서 신장결석으로 인해 발생되는 Twinkling 인공물에 관한 분석)

  • Kim, Ju-Hee;Jang, Hyon-Chol;Cho, Pyong-Kon
    • Journal of the Korean Society of Radiology
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    • v.15 no.5
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    • pp.637-642
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    • 2021
  • Kidney stones are largely classified into kidney stones, ureter stones, and urolithiasis depending on the location of their occurrence. Therefore, in this study, from January 2019 to June 2021, kidney stones found in 112 patients with flank pain or who visited for abdominal ultrasonography at a general hospital located in Daegu were diagnosed with urolithiasis. We wanted to investigate the effect on twinkling artifacts. As a result of the study, the incidence of twinkling artifacts due to kidney stones was relatively high in the longitudinal scan among the scan methods. As the number of kidney stones increased, the incidence of twinkling artifacts increased by 1.296 times (p<0.05). As the kidney stone size increased, the incidence of twinkling artifacts increased by 0.086-fold (p<0.05). It was found that the number and size of kidney stones are factors affecting twinkling artifacts. Since the effect of kidney stones on twinkling artifacts is related to the number and size of kidney stones, continuous attention should be paid to helping the detection of kidney stones by using variables affecting twinkling artifacts.

Usefulness of Twinkling Artifacts in Color Doppler Ultrasonography (컬러 도플러 초음파에서 Twinkling artifacts의 유용성)

  • Sim, Hyun-Sun;Kwon, Kyung-Tae
    • The Journal of the Korea Contents Association
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    • v.16 no.10
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    • pp.291-298
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    • 2016
  • The aim of the study was to investigate the diagnostic value of the color Doppler twinkling artifact in disease of urinary system. The intensity of twinkling artifact(TA) with color Doppler was classified into 3 levels, 0(non-TA) to 3(distinct TA). In the in vitro study, acorn jelly with various materials on top was examined using color Doppler at B-mode sonography in a water bath for TA. 31 patients with diagnosis of urinary calculi(renal stones 16, urinary stones 15) based on B-mode sonography were studied in vivo for TA. The materials with rough surfaces such as salt, screw and cubics at B-mode sonography with color Doppler contributed to causing TA. At B-mode sonography without color Doppler 37% of renal stones and 60% of ureter stones were detected. but at B-mode sonography with color Doppler TA was demonstrated for all cases. Superficial roughness of materials affected occurrence of TA at B-mode sonography with color Doppler. Therefore, TA at B-mode sonography without color Doppler could play a role in confident diagnosis of the disease of urinary system.

Analysis of the Relationship between Abdominal Ultrasound Based Kidney Stones, Obesity and Metabolic Syndrome (복부 초음파 검사 기반 신장결석과 비만 및 대사증후군 관련성 분석)

  • Kim, Ju Hee;Jang, Hyon Chol;Cho, Pyong Kon
    • Journal of the Korean Society of Radiology
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    • v.14 no.4
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    • pp.495-502
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    • 2020
  • Kidney stones are a common disease with an annual prevalence of about 30,000 people in Korea, and are deeply related to an increase in chronic kidney disease, high blood pressure, coronary artery disease, metabolic syndrome, type 2 diabetes, hyperlipidemia, and abdominal obesity. Therefore, in this study, 135 examinees who visited a general hospital in Dalseong-gun from May 2019 to June 2020 for a medical examination were examined. The relationship between kidney stones and factors related to obesity and metabolic syndrome were found in abdominal ultrasound. I tried to find out the relevance. As a result of the study, the risk of kidney stones in the abnormal group was increased by 4.255 times compared to the normal group in total cholesterol factor, and the risk of kidney stones in the abnormal group was increased by 2.072 times compared to the normal group in the low-density lipoprotein cholesterol factor. Total cholesterol factor and low-density lipoprotein cholesterol It was found that the factor affects the prevalence of kidney stones and metabolic syndrome. Since the risk of kidney stones is related to total cholesterol and low-density lipoprotein cholesterol factors, active attention should be paid to preventive purposes through health check-ups.

The Study on the Factors for Detection of Renal Stone on Ultrasound (초음파 검사에서 신장 결석의 검출 요인에 관한 연구)

  • Sim, Hyun-Sun;Jung, Hong-Ryang;Lim, Cheong-Hwan
    • Journal of radiological science and technology
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    • v.29 no.1
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    • pp.1-6
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    • 2006
  • Purpose: Renal stones are common and typically arise within the collecting system. The renal sinus are contains the collection system, the renal vessels, lymphatcs, fat, and fibrous tissue. Because of the compression of all the large echoes in signal processing, the echo from the renal stone generally cannot be distinguished from large echoes emanating from normal structures of the renal sinus. Use of ultrasonography has been difficult for detecting small renal stone without posterior shadowing and chemical composition of stone. The aim of study was measuring for posterior acoustic shadowing to a stone for various scan parameter and it examines a help in renal stone diagnosis. Material & Methods: The stone was place on sponge examined in a water bath with a 3.5MHz or 7.5MHz transducer(LOGIQ 400, USA). First, tested a variety of gain. Second, tested a variety of dynamic range. Third, tested a variety of focal zone. Fourth, measuring of the echo level for low and high frequency for depth. Results: 1) Average echo level was 98 for low total gain(10 dB) and was 142 for high total gain(40 dB). Posterior acoustic shadowing of renal stone was clear for low gain. 2) Average echo level was 129 for low dynamic range(42 dB) and was 101 for high dynamic range(72 dB). Posterior acoustic shadowing of renal stone was clear for high dynamic range. 3) When stone is in focal zone of transducer, definite posterior acoustic shadow is identified. 4) Stone was clear appeared for high frequency(7.5 MHz) than low frequency(3.5 MHz) and it is not distorted. Conclusion: The demonstration of an posterior acoustic shadow of renal stone dependents on several technical factors such as gain, dynamic range, focus, and frequency. This various factors are a help in renal stone diagnosis.

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Extracorporeal Shock Wave Lithotripsy for Renal Stone with Infundibular Stenosis (신누두부 협착이 있는 신장결석의 체외충격파쇄석술)

  • Lee, Won-Hong;Son, Soon-Yong;Kang, Seong-Ho;Lee, Yong-Moon;Yoon, Seok-Hwan
    • Journal of radiological science and technology
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    • v.29 no.2
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    • pp.71-74
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    • 2006
  • We analyzed retrospectively our experience to evaluate an effect of extracorporeal shock wave lithotripsy (ESWL) for renal stone with infundibular stenosis. From January 2002 to August 2005, 35 patients with renal stone with infundibular stenosis were treated with ESWL. The diagnosis of infundibular stenosis was made by intraveneous pyelography or retrograde pyelography. The final follow-up check was performed by simple abdominal film or computed tomography and interview after 6 months to 24 months (mean 10 months). 7(20.0%) of 35 patients was freed completely, but Stone free rate including less than 2 mm size was 80%(28/35). 30(85.7%) patients became asymptomatic, 4(11.4%) patients were continued, and 1(2.9%) patient was required the percutaneous nephrostolithotomy. Although ESWL has a low complete stone free rate, We suggest that renal stone with infundibular stenosis should be treated with ESWL, because that is likely to produce a high symptom free and low complications.

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Radiation Dose during Fluoroscopy at the Organ from Extracorporeal Shock Wave Lithotripsy (체외충격파쇄석술에서 투시 시 주요 장기별 방사선 피폭선량)

  • Moon, Sung-Ho;Jung, Hong-Ryang;Lim, Cheong-Hwan
    • The Journal of the Korea Contents Association
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    • v.10 no.5
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    • pp.343-350
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    • 2010
  • We measured the radiation exposure for 55 persons (male: 36, female: 19) who was diagnosed with kidney and ureter stones and received ESWL. The absorbed dose was measured at the organ which is expected to absorb relatively much radiation (kidney, bladder, liver). The radiation dose measurement voltage 80kVp, current of 5mA as a fixed model of the human body by using the Rando phantom with Radiophotoluminescent Glass Dosimeter. Absorbed dose was measured for two times (5 minute and 10 minute, each) and converted to effective dose. Mean number of treatment was 1.8 times (1~4) per patient was the mean time of radiation exposure533 seconds (248-2516). For the treatment of right renal stone, the effective dose of right kidney, left kidney, liver and bladder was 2.458mSv, 0.152mSv, 1.404 mSv and 0.019mSv, respectively. For the treatment of left renal stone, the effective dose of right kidney, left kidney, liver and bladder was 2.496mSv, 0.252mSv, 0.178 mSv, and 0.017mSv, respectively. For the treatment of distal ureter stone, the effective dose of right kidney, left kidney and bladder was 0.009mSv, 0.01mSv and 3.742mSv, respectively.

Hypertensive Encephalopathy in a 10-year-old Boy with Ureteral Stone (10세 남아에서 생긴 요관 결석에 의한 고혈압성 뇌병증)

  • Kim Yong-Joo;Kang Hoon-Chul;Koo Ja-Wook
    • Childhood Kidney Diseases
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    • v.8 no.1
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    • pp.51-56
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    • 2004
  • Hypertensive encephalopathy is an acute neurologic syndrome that occurs in association with abrupt and marked elevation of blood pressure and is characterized by headache, vomiting, seizure, visual disturbances and altered mental status. Hypertensive encephalopathy is most commonly associated with renal disease in children, including acute glomerulonephritis, reno-vascular hypertension, and end-stage renal disease. Hypertensive encephalopathy associated with nephrolithiasis has not been reported. We have experienced a 10-year-old boy with hypertensive encephalopathy associated with ureteral stone.

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해외화제

  • Korean Federation of Science and Technology Societies
    • The Science & Technology
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    • v.16 no.2 s.165
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    • pp.26-28
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    • 1983
  • - 수퍼토마토 육성경쟁 - 핵융합 연구 큰 진전 - 새로운 신장결석 제거법 - 신제품 라스베가스 전자쇼

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Mini-review; Melamine-related Urinary Stone Disease (Mini-review: 멜라민에 의한 신요로계 결석)

  • Kang, Hee-Gyung
    • Childhood Kidney Diseases
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    • v.13 no.1
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    • pp.21-25
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    • 2009
  • Last year, an epidemic of infantile urinary stone disease developed in China. Investigation revealed that melamine-tainted diary product caused urinary stone in these infants. Young infants were susceptible to the melamine toxicity and dehydration or other stone-prone factors aggravated the toxicity. Melamine-related urinary stones were small, multiple, and mainly composed of uric acid, thus conservative treatment of hydration and urine alkalinization worked well in majority of the patients.