• Title/Summary/Keyword: 우연성

Search Result 406, Processing Time 0.031 seconds

Evaluate Utility of Thyroid Cancer Discrimination by 18F-FDG PET/CT Delay Scan Images (18F-FDG PET/CT검사에서 지연영상을 이용한 갑상선암 진단의 유용성 평가)

  • Lee, Hyeon-Guck;Han, Man-Seok;Kim, Yong-Kyun;Seo, Sun-Youl;Jeon, Min-Cheol;Kim, Tae-Hyung;Hong, Seong-Jong
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.14 no.6
    • /
    • pp.2958-2965
    • /
    • 2013
  • Purpose : To evaluate the degree of malignancy of incident thyroid lesion found in 18F-FDG PET/CT findings and the usefulness of the method suggested in this study, we applicate the Delay Scan Method that differentiate a false positive benign tumor, inflammation and malignancy, as well as make the criteria of SUV. Materials and Methods : A retrograde study was conducted of 25 patients(1 exception) who were admitted in E hospital to receive 18F-FDG PET/CT examination until Janaary and April of 2008. 18F-FDG PET/CT image photographing was taken in Biograph-Duo made by SIEMENS, after taking normal 18F-FDG PET/CT image(1hr) and then 1hr later we took the thyroid 1 bed-delayed image for the patients who showed abnormal thyroid 18F-FDG uptake and above 2.0 SUV for 2 minutes every 1 bed. For the patients who showed abnormal thyroid uptake and above 2.0 SUV, 1hr later, we took a 1 bed-delayed image and then made a comparative study between measured maxSUV of 1hr-abnormal uptake image and that of 2hr-delayed image. Results : In this 18F-FDG PET/CT study among the patients who showed incidental 18F-FDG thyroidal uptake the number of thyroid cancer was 5(20.8%), all of then showed benign findings. a comparison of results for 18F-FDG PET/CT. the benign patient measured maxSUV in the PET/CT. image(1hr) mean value 5.06maxSUV and delay image(2hr) mean value 5.23maxSUV differences of two value is 0.19maxSUV and the malignantIt patient measured maxSUV in the PET/CT. image(1hr) mean value 9.63maxSUV and delay image(2hr) mean value 10.65maxSUV differences of two value is 10.65maxSUV in Thyroid abnormal uptake patients. Conclusion : in the case of incidental 18F-FDG uptake in thyroid, max SUV of focal thyroid lesion is above 5.0 if 18F-FDG PET/CT examine the delayed images to add, You could see that reasonable diagnostic method useful. to differentiate whether lesions of malignant.

Clinical Manifestations and Characteristics in Patients with Horseshoe Kidney (소아 및 성인 마제신 환자들의 임상적 특징과 비교)

  • Kim, Yu Kyong;Kwon, Nam Hee;Kang, Dong Il;Chung, Woo Yeong
    • Childhood Kidney Diseases
    • /
    • v.17 no.2
    • /
    • pp.73-78
    • /
    • 2013
  • Purpose: We aimed to investigate the clinical characteristics and associated diseases in children with a horseshoe kidney and compared these data between children and adults. Method: We performed a retrospective analysis of the medical records and radiological findings of 43 patients diagnosed with a horseshoe kidney in the Busan Paik Hospital. The subjects were divided into the children's group (14 cases, age <18 years) and the adult group (29 cases, age ${\geq}18$ years). Results: The study group consisted of 17 males and 26 females with a median age of 34 years. In the children's group (14 cases), 5 subjects were male and 9 were female, with a mean age of $6.7{\pm}6.2$ years. Most of the subjects were asymptomatic and were incidentally diagnosed with horseshoe kidney during their evaluation for another disease. Among the associated diseases in the children's group, Turner syndrome was the most common (5 cases), whereas ureteropelvic junction (UPJ) stricture was observed in 2 cases (14.2%). None of the children exhibited abnormal renal function during the follow-up period. In the adult group (29 cases), 12 subjects were male and 17 were female, with a mean age of 48 years. Eighteen patients were incidentally diagnosed with horseshoe kidney during their evaluation for another disease, and 11 patients had hematuria or abdominal pain due to renal stones. Among the associated diseases in the adult group, Turner syndrome was the most common (5 cases), and UPJ stricture was observed in 5 cases; the other accompanying diseases included hydronephrosis and overactive bladder. Six patients exhibited decreased renal function (serum creatinine level >1.5) during the follow-up period. Conclusion: Horseshoe kidney is usually diagnosed incidentally in both children and adults. In the present study, we noted that Turner syndrome was the most common associated disease in children. In addition, most children were asymptomatic but had a high risk of urologic complications after the transition to adulthood. Therefore, children with horseshoe kidney require continuous follow-up.

A study on the moral instruction as a poetic act (시적 행위로서의 도덕과 수업)

  • Song, Young-min
    • The Journal of Korean Philosophical History
    • /
    • no.31
    • /
    • pp.87-111
    • /
    • 2011
  • In moral instruction, one of the important purposes is cultivate students' meaningful moral knowing. To obtain this purpose, generally systems approach has been adopted and used in moral instruction. Systems approach has emphasized efficient designs which do not occur incidental learning that does not contribute to obtain learning objectives. However, moral meaning may occur to the subject of knowing, then occurrence of coincidence can not be excluded. If we approach to moral instruction with operative and engineering ways, we may convey the learning object but it won't be received meaningfully. Because of such problem, moral instruction has been required an alternative perspective contrary to the systems approach. Above all we need to reconsider the logic of explanation based on the systems approach. Because the moral instruction is understood that it is a systematic and operative act according to the logic of explanation. According to the logic of explanation, education is an act that conveys the teachers' knowledge to students who have inferior knowledge to teachers'. During this process, students' interpretation has been overlooked. In moral instruction, the teachers' interpretation of moral meaning can occur and extend by students' interpretation. When we understand moral instruction as the course of alliance between interpretation, it could be stood out that teaching as a symbol, constitution of teaching text as a vacuum, learning as a coincidence. When we stand out these aspects, the moral instruction could be understand as a poetic act. And based on such understanding, we can abstract specific resemblances between the poetic act and the moral instruction. There are semantic invariants and semantic variants in the teaching text of moral instruction. The semantic variants premise uncertainty. The limitation, that is, semantic invariants and the openness which is possible within semantic variants are changed to the moral instruction by students' response. It is essential that a selective attention as esthetic transaction that could be changed from text to poet. Like this, we need to take notice of instructive aspects not to means for reaching learning objectives but to act for being possible disinterested experiential learning.

Clinicopathological Correlation of Intralobar Pulmonary Sequestration (내엽성 폐격리증의 임상적 특성과 조직병리학적 소견의 연관성)

  • Cho, Hyun-Min;Shin, Dong-Hwan;Kim, Kil-Dong;Lee, Sak;Chung, Kyung-Young
    • Journal of Chest Surgery
    • /
    • v.36 no.5
    • /
    • pp.356-362
    • /
    • 2003
  • Background: Intralobar and extralobar pulmonary sequestrations have been considered as congenital lesions that occur at different stages of embryonic life. However, most cases of intralobar pulmonary sequestration (IPS) seem to have an acquired origin, as they are absent in infants and associated anomalies are relatively, uncommon among them. Material and Method: The cases of 25 patients who were diagnosed as IPS after surgical resection from December, 1985 to July, 2002 were included in this study. The medical records wire retrospectively reviewed and the clinical characteristics were age at operation; gender; symptoms at presentation; presence of congenital anomalies; combined diseases; preoperative studies and diagnosis; location of the lesion; method of surgical resection; origin, size and numbers of aberrant artery; histopathological findings; and postoperative complications. Result: There were 17 (68%) female patients and 8 (32%) male patients, their ages ranged from 1 to 57 and mean value was 23 years old. Though 14 patients (56%) complained of respiratory symptoms such as pneumonia and recurrent respiratory infections, a large number of patients (44%) were asymptomatic or had chest pain only when the lesion was discovered. Only 8 patients (32%) were diagnosed as pulmonary sequestration preoperatively and 8 (32%) were suspected as mediastinal or lung tumor, 5 (20%) were congenital or acquired cystic lung disease, and 4 (16%) were lung abscess or bronchiectasis, respectively. The majority of aberrant arteries (86.4%) confirmed during the operation were originated from thoracic aorta and 2 were thoracic and abdominal aorta, 1 was abdominal aorta, respectively. The younger patients (less than 10 years old) had more other congenital anomalies (30% vs 6.7%) but the proportion of congenital IPS was not significantly different (10% vs 6.7%, p>0.05) compared with elder patients. Histopathologically, almost all lesions showed chronic inflammation, cystic changes and similar pleural adhesions regardless of age. Conclusion: The large portion of the patients with IPS (44%) was clinically asymptomatic or presented non-respiratory symptoms at diagnosis and likely to be diagnosed as mediastinal or lung tumor especially in elder patients. Though the younger patients had more other congenital anomalies, most cases of IPS proved to be acquired lesions in terms of the histopathlogical findings and the proportion of congenital evidences.

Reliable Transmission of Bio-Data for IEEE 11073 PHD Standards at 6LoWPAN Multi-Hop Wireless Sensor Networks (6LoWPAN 멀티-홉 무선 센서 네트워크에서의 IEEE 11073 PHD 표준을 위한 신뢰성 있는 생체 정보 전송)

  • Woo, Yeon Kyung;Park, Jong Tae
    • Journal of the Institute of Electronics and Information Engineers
    • /
    • v.50 no.10
    • /
    • pp.116-123
    • /
    • 2013
  • In mobile healthcare applications, the reliable transmission of the bio-data is very important. In this article, we present a reliable bio-data transmission technique for mobile healthcare monitoring service at 6LoWPAN multi-hop wireless networks. In particular, we expand IEEE 11073-20601 protocol, and propose the reliable path construction for 6LoWPAN aimed to reliably provide mobile healthcare service over wireless sensor network, using IPv6 network. 6LoWPAN is recognized possibility because it is agree with sensor network by raising Adaptation layer on the MAC layer to transmit IPv6 packets. In this article proposed minimize the algorithm complexity and reliability routing protocol because the 6LoWPAN devices are suitable for low cost, small size and battery that can be used to health care system environment. And detailed procedures and algorithms are presented. We the proposed method to prove the superiority of using NS-3 for compareing with AODV protocol.

A study on removal of unnecessary input variables using multiple external association rule (다중외적연관성규칙을 이용한 불필요한 입력변수 제거에 관한 연구)

  • Cho, Kwang-Hyun;Park, Hee-Chang
    • Journal of the Korean Data and Information Science Society
    • /
    • v.22 no.5
    • /
    • pp.877-884
    • /
    • 2011
  • The decision tree is a representative algorithm of data mining and used in many domains such as retail target marketing, fraud detection, data reduction, variable screening, category merging, etc. This method is most useful in classification problems, and to make predictions for a target group after dividing it into several small groups. When we create a model of decision tree with a large number of input variables, we suffer difficulties in exploration and analysis of the model because of complex trees. And we can often find some association exist between input variables by external variables despite of no intrinsic association. In this paper, we study on the removal method of unnecessary input variables using multiple external association rules. And then we apply the removal method to actual data for its efficiencies.

Botryoid Wilms Tumor in a Neonate Presenting with Fetal Hydronephrosis: A Case Report (수신증으로 발견된 신생아의 포도상의 윌름스 종양: 증례 보고)

  • Chu Hyun Kim;So-Young Yoo;Tae Yeon Jeon;Ji Hye Kim;Jung-Sun Kim;Minki Baek
    • Journal of the Korean Society of Radiology
    • /
    • v.81 no.3
    • /
    • pp.701-706
    • /
    • 2020
  • Botryoid Wilms tumor, a very rare variant of Wilms tumor, arises from the pelvocalyceal system, and its occurrence in the fetal or neonatal period has never been reported in the literature. Herein, we report an exceedingly rare and challenging case of botryoid Wilms tumor in a neonate who initially presented with fetal hydronephrosis. Postnatal ultrasonography revealed multiple lobulating hypoechoic masses with varying degrees of intralesional vascularity within the dilated pelvocalyceal system. To our knowedge, this is a case report of botryoid Wilms tumor of the youngest child in English literature.

Late adverse reactions to iopromide (Ultravist®) diagnosed by the patch test: a case report (첩포검사로 진단된 Iopromide (Ultravist®)의 지연성 부작용 1예)

  • Lee, Soon Joo;Yang, Eun Mi;Choi, Woo Yeon;Song, Eun Song;Han, Dong Kyun;Cho, Young Kuk;Ma, Jae Sook
    • Clinical and Experimental Pediatrics
    • /
    • v.52 no.4
    • /
    • pp.499-503
    • /
    • 2009
  • Iodinated contrast media (CM) can cause immediate and late reactions. We treated a patient with a recurrent generalized maculopapular rash and a fever that occurred within two days of exposure to iodinated CM, iopromide ($Ultravist^{(R)}$), for chest computed tomography. We performed skin testing including prick tests, intradermal tests, and patch tests. Our findings indicated a late skin reaction to $Ultravist^{(R)}$in addition to cross-reactions to other iodinated CM such as ioversol ($Optiray^{(R)}$), iohexol ($Iobrix^{(R)}$), and iobitridol ($Xenetix^{(R)}$). In this study, we report the case of a patient diagnosed with a late adverse reaction to $Ultravist^{(R)}$in addition to cross-reactions to other iodinated CM.

Policy-Based Identity Authentication and Transmission Architecture for Highly Reliable Emergency Bio-Data Management in Wireless Mesh Network for U-Healthcare (U-헬스케어를 위한 무선 매쉬 네트워크에서 고 신뢰성 있는 응급 생체 데이터 관리를 위한 정책기반의 신원 인증 및 전송 구조)

  • Chun, Seung-Man;Woo, Yeung-Kyung;Park, Jong-Tae
    • Journal of the Institute of Electronics and Information Engineers
    • /
    • v.50 no.10
    • /
    • pp.21-29
    • /
    • 2013
  • This paper proposed the architecture of the authentication and the transmission for high reliable emergency data management based on U-healthcare wireless mesh networks. In U-healthcare monitoring service, the high reliable bio data management as well as the data transmission are required because the monitoring emergency bio data is related linked to life. More specifically, the technologies of the identity authentication of the measuring bio data, the personalized emergency status diagnosis who is authenticated the bio data and the emergency data transmission are important first of all. To do this, this paper presents the structure and protocol of the identity authentication management with using the extended IEEE 11073 PHD, the structure of policy-based management of the emergency bio data for the highly reliable management and the resilient routing protocol based on wireless mesh network for the reliable data transmission.

A Study for The Accuracy Assessment Method of Satellite Sensor Modeling (위성영상 센서모형화의 정확도 평가방법에 관한 연구)

  • Ko, Hyun-Soo;Choi, Chul-Soon;Hong, Jae-Min;Yoon, Chang-Rak
    • Journal of Korean Society for Geospatial Information Science
    • /
    • v.13 no.2 s.32
    • /
    • pp.79-84
    • /
    • 2005
  • Recent researches about the accuracy assessment of the satellite sensor modeling usually focused on the quantitative analysis of errors. Quantitative error analysis contains its limitation that the distribution property of error can not be analyzed. The numerical evaluation of result of the satellite sensor modeling drop its confidence because of the absence of the distribution property of error. This study can be presented the distribution property of error to calculate RMSE and direction-coefficient of error. Moreover, Direction-coefficient which is closed to 1 s contains systematic errors. On the contrary, direction-coefficient which is closed to the zero contains random errors. To analyse the direction of errors, we will indicate that a formula is reduced the error.

  • PDF