• 제목/요약/키워드: 영상의학과

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치매 환자에서 기능 영상법의 역할 (The Role of Functional Imaging Techniques in the Dementia)

  • 유영훈
    • 대한핵의학회지
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    • 제38권3호
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    • pp.209-217
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    • 2004
  • Evaluation of dementia in patients with early symptoms of cognitive decline is clinically challenging, but the need for early, accurate diagnosis has become more crucial, since several medication for the treatment of mild to moderate Alzheimer' disease are available. Many neurodegenerative diseases produce significant brain function alteration even when structural imaging (CT or MRI) reveal no specific abnormalities. The role of PET and SPECT brain imaging in the initial assessment and differential diagnosis of dementia is beginning to evolve vapidly and growing evidence indicates that appropriate incorporation of PET into the clinical work up can improve diagnostic and prognostic accuracy with respect to Alzheimer's disease, the most common cause of dementia in the geriatric population. in the fast few years, studios comparing neuropathologic examination with PET have established reliable and consistent accuracy for diagnostic evaluations using PET - accuracies substantially exceeding those of comparable studies of diagnostic value of SPECT or of both modalities assessed side by side, or of clinical evaluations done without nuclear imaging. This review deals the role of functional brain imaging techniques in the evaluation of dementias and the role of nuclear neuroimaging in the early detection and diagnosis of Alzheimer's disease.

실리콘액 주사에 의한 급성 폐색전증: 영상의학적 소견 (Acute Pulmonary Embolism by Silicone Injection: Radiologic Findings)

  • 이재교
    • Journal of Yeungnam Medical Science
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    • 제21권2호
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    • pp.215-223
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    • 2004
  • 실리콘의 부적절한 피하 주입으로 발생한 폐색전증의 방사선학적 특징은 초기에는 호흡기 증상만 보이지만 염증 매개성 반응이 진행함에 따라 양측 폐 침윤이 급격히 진행하는 것을 볼 수 있었다. 또한 실리콘의 비중이 혈액보다 낮아 중력 비의존성 분포를 보임을 알 수 있었고, 이는 기존의 다른 원인에 의한 폐색전증과 구분되는 소견이다.

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영상피드백을 적용한 골반저근 수축이 복부 근 두께에 미치는 영향 (The Effect of Pelvic Floor Muscle Contraction with Image Feedback on Abdominal Muscle Thickness)

  • 김진희;김난수;장준혁
    • 대한물리의학회지
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    • 제7권4호
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    • pp.533-539
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    • 2012
  • PURPOSE: The purpose of this study was to investigate the effect of pelvic floor muscle contraction with image feedback on Abdominal muscle thickness. METHODS: Twenty three adults participated in this study. Abdominal muscle thickness was measured by ultrasound in three condition(rest, pelvic floor muscle contraction, pelvic floor muscle contraction with image feedback). Subjects was contraction pelvic floor muscle by general method. And ultrasound(convex probe, 3.5MHz) was used to image feedback for selective pelvic floor muscle contraction. One-way ANOVA was used to compare abdominal muscle thickness in three condition. RESULTS: There was no significant difference in external oblique(p=.514) and internal oblique muscle(p=.250) thickness by three condition. There was significant difference in transverse abdominis thickness by three condition (Transverse abdominis thickness was highest while Pelvic floor muscle contraction than pelvic floor muscle contraction with image feedback and rest.)(p=.000). CONCLUSION: This study shows that pelvic floor muscle contraction with image feedback increase the thickness of transverse abdominis lesser than general pelvic floor muscle contraction.

동영상을 이용한 근력 강화 운동이 허약 여성노인의 악력, 균형, 이동능력에 미치는 영향 (The Effects of a Video Strength Exercise on Grip Strength, Balance, TUG in the Frail Elderly Women)

  • 이사겸;박성규
    • 대한물리의학회지
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    • 제8권1호
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    • pp.91-98
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    • 2013
  • PURPOSE: The purpose of this study was to investigate characteristics of the effects of a video strength exercise on grip strength, balance, timed up and go in the frail elderly women. METHODS: Subjects were thirty frail elderly people selected by the screening tool and they were divided into exercise group and control group. The video strength exercise was carried out for three time a week for 12 weeks. Data was analyzed with independent t-test between exercise and control group and paired t-test between before and after. RESULTS: There were not significant differences between exercise and control group. However, there were significant effects between before and after in exercise group. The grip strength and one-leg stand with eyes open were significant improved and timed up and go was significant decreases. CONCLUSION: These results indicate that the video strength exercise for the frail elderly was very effective on improving grip strength and one-leg stand and timed up and go.

체외강력집속초음파치료 (Extracorporeal High Intensity Focused Ultrasound Therapy)

  • 한상석
    • 대한골관절종양학회지
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    • 제11권1호
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    • pp.17-24
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    • 2005
  • 의학의 발달과 더불어 종양에 대한 국소치료는 광범위근치술(extended radical surgery) 로부터 기능보존술(function preserving surgery)로 발달하고 이것은 다시 최소침습술(minimal-invasive surgery)로 발전하여 왔다. 그러나 최근 들어서는 기술의 혁신적인 진보로 비침습적수술법(non-invasive surgery)이 개발되어 감마나이프(gamma knife), 사이버나이프(cyber knife), 및 하이푸나이프(HIFU knife) 등이 출현하게 되었다. 본 논문에서는 이들 중 하이푸나이프를 이용한 체외강력집속초음파치료(extracorporeal high intensity focused ultrasound therapy)에 대하여 발달사, 치료기 구조 및 치료과정, 조직학적 변화와 기전, 임상적용, 장단점 및 전망 등을 살펴보고자 한다.

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건강인에서 동영상 공포 자극이 뇌파에 미치는 영향 (Effects of Fear Stimuli by Means of a Video Clip on the Power Spectra of Electroencephalograms in Healthy Adults)

  • 김유라;채정호
    • 대한불안의학회지
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    • 제6권2호
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    • pp.102-108
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    • 2010
  • Objective : Although studies have explored responses to fear had been assessed using various psychophysiological methods, results have been inconsistent. The present study examined psychophysiological responses in healthy subjects after viewing fear stimuli in a video clip for set up future fear related psychophysiological studies. Methods : We monitored three psychophysiological variables (electroencephalography, skin temperature, and heart rate variability) in adults who watched either a control stimulus movie clip or a fear-inducing movie clip. Results : In 16 healthy adults, theta activity decreased significantly after the fear stimulus as compared to the normal stimulus. However the participants showed no differences in heart rate variability or skin temperature between the fear and normal control stimulus situations. Conclusion : In the limbic area, theta activity corresponds with information processing, integration into previous memories and long-term potentiation. In this study, we suggest decreased theta activity represents amygdalo-hippocampal activity, associated with fear, short-term memory, and memory extinction in the healthy adults. Further studies are needed to evaluate the interaction of fear, memory, and the pathophysiology of anxiety disorder in patient with anxiety disorders.

요통(腰痛)의 운동요법(運動療法)에 관한 고찰(考察) (Therapeutic Exercise of Low Back Pain)

  • 송영상;임형호
    • 대한추나의학회지
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    • 제2권1호
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    • pp.51-84
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    • 2001
  • Objective : The therapeutic exercise on low back found In the literatures mostly have adopted methods that are applied to only certain muscles. The purpose of this paper to classify various low pains and to Investigate an active physical treatment can be applied to certain low back pain. Methods : By exploring the journals and medical publications. Results and Conclusions 1. A goal of low back exercise is reinforcement and extension of muscles in order to control pains. 2 Low back exercise which causes the movement of the spinal joint and disk can control pains. 3. Flexion exercise of lumbar spine can be generally applied to any low back pains except kyposis. 4. Extension exercise of lumbar spine can be applied to any low back pains except facet joint syndrome or hyperlordosis. 5. Rotation exercise of lumbar spine can be applied to any low back pains except facet joint syndrome. 6. Lateral bending exercise of lumbar spine can be applied to HNP. facet Joint syndrome, scoliosis.

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$Tc^{99m}$ phytate를 이용한 위암의 임파절 영상 (Assessment of Lymph Node Metastasis of the Stomach Cancer by Tc 99m Phytate Lymphoscintigraphy)

  • 유형식;이종태;박창윤;민진식;김충배
    • 대한핵의학회지
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    • 제19권2호
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    • pp.51-55
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    • 1985
  • Prospective study of lymph node imaging of twenty stomach cancer cases with dissected lymph nodes being injected into the submucosa layer of stomach under surgical field was done. Total dose of 5 mci in 5 cc of volume was injected along the multiple sites of the lesser and greater curvature of stomach and collected lymph nodes within 2 hour of surgical time were placed under gamma camera and lymph node imagings were obtained. Pathological invasion of tumor and correlation of cold defect or hot uptake was compared each other. Tumor invasion of nodes revealed cold defect area which was correlated well with the pathological specimen. Correlation rate was 84.6%. We are planning to extend these procedures and trying endoscopic injection of positive imgaing agents such as Ga-73-3 Ig 2 alpha in future.

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우울증과 전두엽 (Depression and the Frontal Lobe)

  • 채정호;이경욱;양완석;박원명;전태연;김광수
    • 생물정신의학
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    • 제9권2호
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    • pp.95-102
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    • 2002
  • Objectives:Abnormalities in the frontal lobe have been consistently suggested in the pathophysiology of depression. The purpose of this review is to discuss the relationship between the frontal lobe and depression. Methods:Recent researches on the frontal lobe in depression were reviewed and abnormalities in this region were considered within the context of modern functional neuroanatomy. Results:This paper reviewed evidence strongly implicating the frontal lobe as a key brain structure in depression. Conclusion:Taken together, these abnormalities in the function of the frontal lobe implicate interconnected neural circuits in depression and offer suggestions for the themes of future research and treatment. Further research is needed to investigate the association between emotion and the brain in the paradigm of "affective neuroscience".

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굴곡신연기법을 이용한 흉요추 추간판 탈출증과 척추 측만증의 치험 1례 (A Case Report on the Thoracic & Lumbar Disc and Scoliosis Treated by Flexion-Distraction Technique)

  • 김세종;민부기;윤일지;오민석
    • 척추신경추나의학회지
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    • 제1권2호
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    • pp.73-80
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    • 2006
  • 2006년 6월 13일부터 2005년 7월 10일까지 대전대학교 부속 청주한방병원 한방재활과에 입원하였던 교통사고로 인하여 악화된 요통 및 하지 방산통의 임상증상을 보이며 신경학적인 이학검사 및 X-ray 혹은 자기공명영상(MRI)에서 흉요추 추간판 탈출증 및 척추 측만증으로 확진된 환자에게 굴곡신연기법을 병행한 치료법을 시술하여 요통의 호전 및 측만각의 개선 효과를 거두어 이에 보고하는 바이다.

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