• Title/Summary/Keyword: 심장형

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Surgical Correction of Total Anomalous Pulmonary Venous Return (총폐정맥 환류이상증의 외과적 치료)

  • 금동윤;이광숙
    • Journal of Chest Surgery
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    • v.29 no.3
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    • pp.292-296
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    • 1996
  • Total anomalous pulmonary venous return is a rare but serious cardiac malformation, accounting for only about 1.5~3% of congenital heart disease. Surgical results have been dramatically improved in the last two decades, largely owing to improved techniques of cardiopulmonary bypass and perloperative management. Seven patients ranging in age from 15 days to 11 years with total anomalous pulmonary venous return underwent repair between 1984 and 1995. The types of anomalous return were supracardiac in 5, and cardiac in 2. There were 5 boys and 2 girls. There were two hospital death, occurred in 15-day-old, and 40-day-old infants with supracardiac type. Follow-up periods have ranged from 3 months to 11 years, and all survivors have remained asymptomatic with normal growth and development.

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Left Ventricle Segmentation Algorithm through Radial Threshold Determination on Cardiac MRI (심장 자기공명영상에서 방사형 임계치 결정법을 통한 좌심실 분할 알고리즘)

  • Moon, Chang-Bae;Lee, Hae-Yeoun;Kim, Byeong-Man;Shin, Yoon-Sik
    • Journal of KIISE:Software and Applications
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    • v.36 no.10
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    • pp.825-835
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    • 2009
  • The advance in medical technology has decreased death rates from diseases such as tubercle, pneumonia, malnutrition, and hepatitis. However, death rates from cardiac diseases are still increasing. To prevent cardiac diseases and quantify cardiac function, magnetic resonance imaging not harmful to the body is used for calculating blood volumes and ejection fraction(EF) on routine clinics. In this paper, automatic left ventricle(LV) segmentation is presented to segment LV and calculate blood volume and EF, which can replace labor intensive and time consuming manual contouring. Radial threshold determination is designed to segment LV and blood volume and EF are calculated. Especially, basal slices which were difficult to segment in previous researches are segmented automatically almost without user intervention. On short axis cardiac MRI of 36 subjects, the presented algorithm is compared with manual contouring and General Electronic MASS software. The results show that the presented algorithm performs in similar to the manual contouring and outperforms the MASS software in accuracy.

Diagnostic Performance of Cardiac CT and Transthoracic Echocardiography for Detection of Surgically Confirmed Bicuspid Aortic Valve: Effect of Calcium Extent and Valve Subtypes (외과적으로 확진된 이첨 대동맥 판막의 진단을 위한 심장 CT 및 경흉부 심초음파의 진단적 성능: 판막 아형 및 칼슘의 양이 미치는 효과)

  • Jeongju Kim;Sung Mok Kim;Joonghyun Ahn;Jihoon Kim;Yeon Hyeon Choe
    • Journal of the Korean Society of Radiology
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    • v.84 no.6
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    • pp.1324-1336
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    • 2023
  • Purpose This study aimed to compare the diagnostic performance of cardiac CT and transthoracic echocardiogram (TTE) depending on the degree of valvular calcification and bicuspid aortic valve (BAV) subtype. Materials and Methods This retrospective study included 266 consecutive patients (106 with BAV and 160 with tricuspid aortic valve) who underwent cardiac CT and TTE before aortic valve replacement. Cardiac CT was used to evaluate the morphology of the aortic valve, and a calcium scoring scan was used to quantify valve calcium. The aortic valves were classified into fused and two-sinus types. The diagnostic accuracy of cardiac CT and TTE was calculated using a reference standard for intraoperative inspection. Results CT demonstrated significantly higher sensitivity, negative predictive value, and accuracy than TTE in detecting BAV (p < 0.001, p < 0.001, and p = 0.003, respectively). The TTE sensitivity tended to decrease as valvular calcification increased. The error rate of TTE for CT was 10.9% for the twosinus type of BAV and 28.3% for the fused type (p = 0.044). Conclusion Cardiac CT had a higher diagnostic performance in detecting BAV than TTE and may help diagnose BAV, particularly in patients with severe valvular calcification.

Design and Implementation of a 9V Mini-Electrocardiograph(ECG) system (9V 초소형 심전도계의 설계 및 구현)

  • Song, Myeong-Kil;Park, Kwang-Min
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.9 no.5
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    • pp.1130-1133
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    • 2008
  • In this paper, a mini-Electrocardiograph(ECG) system operated by a general 9V alkaline battery is designed and implemented. The manufactured ECG consists of the instrumentation amplifier stage for detecting and amplifying the heart signal, the high pass filter(HPF), the low pass filter(LPF), the differentiator cirduit, and the peak detector. The detected heart signal through three leads is displayed cleanly on the oscilloscope, which shows the good operation of our ECG. As the detected heart signal is digitalized and displayed on the small LCD unit, the convenience of easy checkup and portability of the implemented ECG can be largely improved. Therefore, whenever and wherever anyone may checkup his/her cardiac state with ease.

Heart Transplantation Performed in a Patient with Isolated Cardiac Sarcoidosis (심장에 국한된 유육종증 환자에서 시행된 심장 이식)

  • Cho, Hyun Jin;Jung, Sung-Ho;Yun, Tae-Jin;Moon, Dukhwan
    • Journal of Chest Surgery
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    • v.42 no.1
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    • pp.92-95
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    • 2009
  • Sarcoidosis is a systemic inflammatory disease with granulomatous lesions, and cardiac involvement occurs in 20~60% of patients. Isolated cardiac sarcoidosis is extremely rare, and heart transplantation can be performed, if indicated, contingent upon the absence of systemic manifestations of the disease. We present a case of isolated cardiac sarcoidosis with progressive heart failure, which was successfully managed by heart transplantation.

Development of Energy Harvesting Technologies Platform for Self-Power Rechargeable Pacemaker Medical Device. (자가발전 심장박동기를 위한 에너지 수확 플랫폼 개발)

  • Park, Hyun-Moon;Lee, Jung-Chul;Kim, Byunng-Soo
    • The Journal of the Korea institute of electronic communication sciences
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    • v.14 no.3
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    • pp.619-626
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    • 2019
  • The advances of semiconductor and circuitry technology dovetailed with nano processing techniques have further enhanced micro-miniaturization, sensitivity, longevity and reliability in MID(Medical Implant Device). Nevertheless, one of the remaining challenges is whether power can sufficiently and continuously be supplied for the operation of the MID. Self-powered MID that harvest biomechanical energy from human motion, respiratory and muscle movement are part of a paradigm shift. In this paper, we developed a rechargeable pacemaker through self-power generation with the triboelectric nanogenerator. We demonstrate a fully implanted pacemaker based on an implantable triboelectric nanogenerator, which act as a storage as well as active movement on a large-animal(dog) scale. The self-power pacemaker harvested from animal motion is 2.47V, which is higher than the required pacemaker device sensing voltage(1.35V).

Design and Analysis of Motor-Driven Artificial Heart ( II );Analysis (모터 구동형 인공심장의 설계 및 해석(II) 해석)

  • 천길정;한동철;민병구
    • Transactions of the Korean Society of Mechanical Engineers
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    • v.15 no.3
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    • pp.855-868
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    • 1991
  • 본 연구에서는 위에서 언급한바와 같은 제반사항들에 대해 이론적인 해석을 행하고, 그 결과를 이용하여 설계된 모델이 생체내에 이식될 수 있는 가능성의 여부를 판단하며 생체내에 이식 되었을 때의 성능과 생체에 미치는 영향등을 예측하고자 한다.

T1-201 Per Rectum Scintigraphy in Chronic Liver Disease: Assessment of T1-201 Uptake Indices (만성 간질환에서의 T1-201 경직장 문맥 신티그라피: T1-201 섭취 지표의 평가)

  • Moon, Won-Jin;Choi, Yun-Young;Cho, Suk-Shin;Lee, Min-Ho
    • The Korean Journal of Nuclear Medicine
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    • v.33 no.1
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    • pp.49-56
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    • 1999
  • Purpose: Heart to liver ratio on T1-201 per rectal scintigraphy (shunt index) is known to be useful in the assessment of portal systemic shunt. We assessed T1-201 uptake pattern and early liver/heart uptake rate of T1-201 and correlated with shunt index in patients with chronic active hepatitis (CAH) and liver cirrhosis (LC). Materials and Methods: Fifty eight patients with biopsy-proven chronic liver disease (35 with CAH, 23 with LC) underwent T1-201 per rectum scintigraphy after instillation of 18.5 MBq of T1-201 into the upper rectum. We evaluated hepatic uptake (type 1 : homogeneous, 2: inhomogeneous segmental, 3: inhomogeneous nonsegmental) and extrahepatic uptake of spleen, heart and kidney (grade 0: no uptake, 1: less than liver, 2: equal to liver, 3: greater than liver). We measured the early liver/heart uptake rate (the slope of the liver to heart uptake ratio for 10 min) and shunt index (heart to liver uptake ratio). T1-201 uptake pattern and early liver/heart uptake rate of T1-201 was correlated with the pathologic diagnosis and shunt index. Results: Hepatic uptake patterns of type 1 and 2 were dominant in CAH (CAH: 27/35, LC. 8/23), and type 3 in LC (CAH: 8/35, LC: 15/23)(p<0.005). The grades of extrahepatic uptake were higher in LC than in CAH (spleen: p<0.001, other soft tissue: p<0.005). The early liver/heart uptake rate of CAH ($0.110{\pm}0.111$) was significantly higher than that of LC ($0.014{\pm}0.090$)(p<0.001). The sensitivity and specificity of the early liver/heart uptake rate were 77.7% and 67.7% in differentiating LC from CAH. There was negative correlation between early liver/heart uptake rate and shunt index (r=-0.3347, p<0.01). Conclusion: Hepatic and extrahepatic uptake pattern and early liver/heart uptake rate on T1-201 per rectum scintigraphy are useful in the assessment of portal systemic shunt in patients with chronic liver disease.

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Morphology and Protein Pattern During Microspore-derived Embryogenesis of Brassica napus (유채 소포자 유래 배의 발달과정에 따른 형태와 단백질 양상)

  • 윤석준
    • Journal of Plant Biology
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    • v.36 no.4
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    • pp.399-406
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    • 1993
  • 유채(Brassica napus L. cv. Topas) 소포자 배양에 의한 기내 배발생 과정을 관찰하고 발생과정에 따른 총단백질의 변화 양상을 이차원 전기영동을 통하여 분석하였다. 배양에 적합한 소포자의 발달 단계는 4,6-diamidino-2-phenylindole (DAPI) 형광염색으로 핵상관찰을 통하여 결정하였다. 최초의 소포자 생존율은 63.9%였으며 이러한 생존율의 차이로 배양초기에 소포자의 이형성이 나타났다. 배 발달 경로에 따른 최초의 세포분열은 화분벽 안에서 균등분열로 시작되어 배병의 발달이 선행된 후 배 발생이 일어났으며, 구형, 심장형, 어뢰형으로의 배 발달은 여러 조직의 분화와 더불어 빠르게 진행되었다. 소포자배 발달과정을 치상단계의 소포자, 배양 3일째의 초기 분열세포, 구형 및 심장형배, 어뢰형배, 성숙한 자엽단계의 배 등의 5단계로 나누어 각각 2차원 전기영동을 수행한 결과, 최초 소포자 단계에서 나타났던 23개의 단백질들은 배 달달 경로로 진행됨에 따라 사라지고, 배양 3일째에는 8개의 단백질이 특이적 또는 지속적으로 발현되었다. 배의 발달과 더불어 20∼50 kD 사이에서 총 42개의 단백질이 급격히 나타나거나 또는 후기 배로 진행하면서 점차적으로 발현되었다.

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