• Title/Summary/Keyword: 유방

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Radiation Dose Calculation using MIRD TYPE PHANTOM in the Surrounding Organs during Brachytherapy of Breast Cancer (유방암의 근접치료 시 수학적 모의피폭체를 이용한 인접장기의 선량평가)

  • Park, Eun-tae;Kim, Jung-hoon;Im, In-chul
    • Journal of the Korean Society of Radiology
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    • v.10 no.4
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    • pp.271-278
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    • 2016
  • This study was fulfilled to evaluate the absorbed dose of breast and adjacent organs using MIRD type phantom in brachytherapy of breast cancer. The absorbed dose was analyzed assuming left or right breast is source organ which is $^{103}Pd$ or $^{192}Ir$. As a result, $^{192}Ir$ dose is higher than $^{103}Pd$ in source organ and also in contralateral breast. Particularly, significant adjacent organs are lung, liver, heart and contralateral breast in brachytherapy of breast cancer.

Incidental Extramammary Findings on Preoperative Breast MRI in Breast Cancer Patients: A Pictorial Essay (유방암 환자의 수술 전 유방 MRI에서 우연히 발견된 유방 외 소견: 임상화보)

  • Jin-A Ryoo;Shin Young Kim
    • Journal of the Korean Society of Radiology
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    • v.84 no.2
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    • pp.372-385
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    • 2023
  • Breast cancer is one of the most common cancers and causes several complications in females. Currently, MRI is a necessary method for preoperative studies in patients with breast cancer. A high frequency of breast MRI can lead to an increase in the number of incidental extramammary findings. Moreover, it can provide accurate preoperative workup; therefore, the prognosis of patients can be improved. Herein, we provide several extramammary findings, including the mediastinum, lung, upper abdomen, bone, and soft tissue, correlating with US, chest CT, liver MRI, PET-CT, and bone scan.

Diagnostic Performance of Combined Single Photon Emission Computed Tomographic Scintimammography and Ultrasonography Based on Computer-Aided Diagnosis for Breast Cancer (유방 SPECT 및 초음파 컴퓨터진단시스템 결합의 유방암 진단성능)

  • Hwang, Kyung-Hoon;Lee, Jun-Gu;Kim, Jong-Hyo;Lee, Hyung-Ji;Om, Kyong-Sik;Lee, Byeong-Il;Choi, Duck-Joo;Choe, Won-Sick
    • Nuclear Medicine and Molecular Imaging
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    • v.41 no.3
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    • pp.201-208
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    • 2007
  • Purpose: We investigated whether the diagnostic performance of SPECT scintimammography (SMM) can be improved by adding computer-aided diagnosis (CAD) of ultrasonography (US). Materials and methods: We reviewed breast SPECT SMM images and corresponding US images from 40 patients with breast masses (21 malignant and 19 benign tumors). The quantitative data of SPECT SMM were obtained as the uptake ratio of lesion to contralateral normal breast. The morphologic features of the breast lesions on US were extracted and quantitated using the automated CAD software program. The diagnostic performance of SPECT SMM and CAD of US alone was determined using receiver operating characteristic (ROC) curve analysis. The best discriminating parameter (D-value) combining SPECT SMM and the CAD of US was created. The sensitivity, specificity and accuracy of combined two diagnostic modalities were compared to those of a single one. Results: Both SPECT SMM and CAD of US showed a relatively good diagnostic performance (area under curve = 0.846 and 0.831, respectively). Combining the results of SPECT SMM and CAD of US resulted in improved diagnostic performance (area under curve =0.860), but there was no statistical differerence in sensitivity, specificity and accuracy between the combined method and a single modality. Conclusion: It seems that combining the results of SPECT SMM and CAD of breast US do not significantly improve the diagnostic performance for diagnosis of breast cancer, compared with that of SPECT SMM alone. However, SPECT SMM and CAD of US may complement each other in differential diagnosis of breast cancer.

Usefulness about BSGI (Breast Specific Gamma Imaging) in Breast Cancer Patients (유방암 환자에서 Breast Specific Gamma Imaging (BSGI)의 유용성)

  • Cho, Yong-Gwi;Pyo, Seong-Jae;Kim, Bong-Su;Shin, Chea-Ho;Cho, Jin-Woo;Yeo, Ji-Yeon;Kim, Chang-Ho
    • The Korean Journal of Nuclear Medicine Technology
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    • v.13 no.3
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    • pp.92-101
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    • 2009
  • Purpose: Scintimammography is one of the screening tests for the early diagnosis of breast cancer. It has been widely accepted as very useful in assessing masses that have not been detected in breast scanning. This method is highly sensitive and specific with respect to the diagnosis of primary and relapsing breast cancer. It has some difficulties, however, in detecting tumors sized 1 cm and below due to the radioactivity around the breast and the geometrical structure of the equipment. The recent introduction of high-resolution Breast-specific Gamma Imaging (BSGI) has made it possible to more accurately discriminate between malignant and benign tumors than with any other test method. Thus, the possibility of an unnecessary biopsy being performed has decreased. The purpose of this study was to examine the diagnostic capacity of mammography, breast sonography, and scintimammography, which are used for the early diagnosis of known breast cancer, and of BSGI, and to evaluate the skillfulness of radiologists. Materials and Methods: The 53 volunteers participants who had no clinical manifestation of breast cancer underwent the BSGI in February 2009. In the BSGI procedure, scanning images were obtained from the craniocaudal projection (CC) and the mediolateral Oblique projection (MLO), as well as from the additional $80{\times}80$-matrix-sized views at various angles in the Present Time method, 10 minutes after the 25 mCi $^{99m}Tc$-MIBI was injected. Results: The results of the BSGI showed that two participants had masses in their breast tissue. As the results of the diagnosis of four participants were not clear, they were retested and the results of the second test were negative. The results of the clinical screening test for breast cancer showed that the sensitivity of BSGI, scintimammography, mammography, and breast sonography was 86.5%, 77.8%, 85~90%, and 66.7%, respectively, and that their specificity was 92.4%, 84.2%, 20~42%, and 68%, respectively. Conclusion: The autodiagnosis and breast cancer screening test are needed for the early diagnosis of breast cancer. It was not easy, however, to accurately determine the presence of a mass in the breast using the existing breast cancer screening test. The patients with unclear test findings were made to undergo a histologic biopsy for a more accurate diagnosis. It is expected that the BSGI can provide useful information for the early diagnosis of breast cancer and of primary breast cancer, and will reduce the performance of unnecessary biopsies because of its higher sensitivity and specificity than existing breast cancer screening tests.

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Evaluation of Usefulness of Image by Using New Compression Paddle for Mammoplasty Patient During Mammography (유방촬영 시 유방보형물 환자에 대한 새로운 압박대 적용의 유용성 평가)

  • Hong, Dong-Hee
    • Journal of radiological science and technology
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    • v.38 no.3
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    • pp.229-235
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    • 2015
  • Mammoplasty is currently increasing not only for cosmetic surgery, but as well as for the recovery after breast cancer surgery. The prostheses inserted into the breasts of women who have undergone mammoplasty, hide the breast substances and it is becoming increasingly difficult to diagnose breast disease, and fear is growing by the concern of the prostheses bursting by the strap. So we want to develop a strap applicable to women with prostheses inserted, to determine the usefulness, and we also want to compare the utility by comparing the total area of the Inner and Outer parts of the breast and Posterior Nipple Line (PNL), after obtaining video by applying the existing strap and the developed strap to phantom of the prostheses inserted patient shape. When the pressure by the developed pressure, the total area increased by 10.09% from CC view to $9,813.797mm^2$, 3.88% from CC-ID view to $7,621.531mm^2$, PNL increased by 3.41% from CC view to $90.916mm^2$, 1.64% from CC-ID view to$75.357mm^2$. And the breast tissue of the thorax side increased 3.53% from CC view to $177.725mm^2$, and 6.57% from CC-ID view to $152.510mm^2$, and we could verify that the prostheses were completely eliminated in the CC-ID images of developed strap, compared with the existing strap.

Development of Automatic Cluster Algorithm for Microcalcification in Digital Mammography (디지털 유방영상에서 미세석회화의 자동군집화 기법 개발)

  • Choi, Seok-Yoon;Kim, Chang-Soo
    • Journal of radiological science and technology
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    • v.32 no.1
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    • pp.45-52
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    • 2009
  • Digital Mammography is an efficient imaging technique for the detection and diagnosis of breast pathological disorders. Six mammographic criteria such as number of cluster, number, size, extent and morphologic shape of microcalcification, and presence of mass, were reviewed and correlation with pathologic diagnosis were evaluated. It is very important to find breast cancer early when treatment can reduce deaths from breast cancer and breast incision. In screening breast cancer, mammography is typically used to view the internal organization. Clusterig microcalcifications on mammography represent an important feature of breast mass, especially that of intraductal carcinoma. Because microcalcification has high correlation with breast cancer, a cluster of a microcalcification can be very helpful for the clinical doctor to predict breast cancer. For this study, three steps of quantitative evaluation are proposed : DoG filter, adaptive thresholding, Expectation maximization. Through the proposed algorithm, each cluster in the distribution of microcalcification was able to measure the number calcification and length of cluster also can be used to automatically diagnose breast cancer as indicators of the primary diagnosis.

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유방염 관리를 위한 기록의 분석

  • 한홍율
    • Journal of the korean veterinary medical association
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    • v.30 no.10
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    • pp.592-615
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    • 1994
  • 1. 체세포점수(SCS)는 적절히 사용되었을 때 큰 이익을 가져다 주는 가치있는 조사항목이다. 2. 권장된 유방염 예방관리계획을 잘 적용할 수 있는 대부분의 우군에서는 SCS 목표를 3.0으로 잡는 것이 바람직하다. 3. 체세포점수(SCS)자료는 비유횟수, 착유일수와 신규감염, 만성감염, 중증감염된 그 해의 달 그리고 평균 SCS별로 정돈하면 아주 유용하다. 4. 체세포점수(SCS)양상과 SCS치가 높은 젖소들은 우군의 유방염 문제를 진단하는데 유용하며 목표를 세우고 유방염 예방대책을 수립하는데 도움을 준다. 5. 임상관찰과 치료기록, 원인균 검사성적자료와 연관시킨 SCS 자료는 가장 좋은 유방염 평가기록일 수 있다. 6. 목장에 근무하는 전직원이 유방염에 관한 자료의 이용에 있어 전문적 지식을 갖추고 있으면 초기에 유방염 문제에 개입할 수 있게 되어 비유기중에 항생제에 사용을 줄일 수 있다. 따라서 유질이 향상되고 농가의 수입증대를 도모할 수 있다.

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개 유방 선암종(Adenocarcinoma) 분비물의 세포학적 진단

  • 황순신;조호성;조경오;박형선;김종은;박남용
    • Proceedings of the Korean Society of Veterinary Pathology Conference
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    • 2002.11a
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    • pp.137-137
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    • 2002
  • 개 유방 종양은 개에서 가장 흔한 종양들이지만 유방 분비물을 통한 세포학 진단의 의의는 크다. 이들 종양의 진단상 병리조직학적 진단은 보편화되어 있으며 그 정확성도 매우 높다. 그러나 진단에 걸리는 시간과 비용 문제를 간과 할 수는 없다. 본 증례는 전남대학교 부속동물병원에 내원한 9살된 암컷 요크셔테리어 종으로서 유선에서 혈액과 고름이 섞인 분비물이 5개월 동안 관찰되었다. 이들 분비물을 슬라이드에 도말하여 diff-quik 염색후 세포학적 진단결과 다양한 형태의 종양세포, 적혈구 및 호중구가 관찰되었다. 종양세포는 대소부동한 다형태성의 핵을 가지고 있었고, 핵소체는 뚜렷하였으며 핵과 세포질 비율(N/C) 도 매우 높았다. 전형적인 유방 선암종(adenocarcinoma) 세포로 진단되었으며 유방절제후 병리조직학적 검사 소견도 세포학적 진단과 일치하였다. 유방 선암종 분비물의 세포학적 진단은 보다 간편하고 적은 비용으로 진단해 낼 수 있었다. 개 유방 선암종 분비물의 세포학적 진단은 국내보고를 쉽게 찾을 수 없었다.

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Related Factors of Regular Breast Examination Before The Incidence of Breast Cancer (유방암(乳房癌) 발병전(發病前) 규칙적(規則的) 검진여부(檢診與否)와 관련요인(關聯要因))

  • Jeung, Jeung-Woo;Na, Baeg-Ju;Kim, Chul-Woung;Lee, Moo-Sik;Kim, Sang-Ha
    • Proceedings of the KAIS Fall Conference
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    • 2009.05a
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    • pp.9-12
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    • 2009
  • 본 연구는 임상적, 병리조직학적으로 유방암을 진단 받고 일개 대학병원의 2003년~2008년 유방암환자 440명 대상으로 통원 치료 받는 유방암 환자 382명을 대상으로 여성 유방암 발병전 규칙적 검진 요인을 찾고자 연구를 실시하였다. 즉 유방암 발병전 전문 검사기관에 규칙적인 검사 실시 여부와 요인을 연구하였다. 불충분한 설문지 58명을 제외하고 382명 최종선정 설문지를 연구 분석하였다. 본 연구의 유방암환자 발병전 관련요인에 대한 결과는 다음과 같다.

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Anthropometric Measurements and Volumetric Measurement of the Human Female Breast (유방용적 측정과 인체계측에 관한 연구 -중년여성을 대상으로-)

  • Lee, Kyung-Mi;Park, Hei-Sun
    • Journal of the Korean Home Economics Association
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    • v.38 no.12
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    • pp.249-256
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    • 2000
  • 본 연구는 유방절제수술을 받은 여성들이 착용하는 브래지어와 보정물의 중량을 결정하는데 필요한 예비자료를 수집하기 위하여 중년여성 12명을 대상으로 31항목에 대한 인체계측 및 석고법에 의한 유방용적측정을 실시하고 얻어진 유방관련 항목자료와 각 치수별 무게자료를 비교.분석하였다. 그 결과는 다음과 같다. 1.유방용적 측정결과 모든 피험자에 있어 오른쪽과 왼쪽 유방용적에 차이가 있는 것으로 나타났다. 2. 브래지어 컵 치수는 가슴둘레와 밑가슴둘레간의 차이로 결정되는 것이므로 유방용적과 브래지어 치수의 크기가 일치하지 않는 것으로 나타났다. 3.절반 이상의 피험자가 자신의 브래지어 치수를 잘못 선택하고 있는 것으로 나타났다.

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