• Journal of the Korean Society of Radiology
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• v.10 no.3
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• pp.201-206
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• 2016

Social interest in breast cancer has increased. The most basic exams for diagnosis include breast X-ray and breast ultrasound. In particular, breast microcalcification requires histological diagnosis, and breast microcalcification biopsy is commonly performed. Therefore, this study aimed to analyze and assess X-ray guided biopsy (needle localized open biopsy) and ultrasound guided biopsy (sono guided core needle biopsy), which are basics in diagnosis of microcalcification. Targeting 241 cases in which magnification mammography was performed for patients who visited the hospital due to breast microcalcification, age distribution and the location of lesions were analyzed in X-ray guided biopsy and ultrasound guided biopsy. By classifying exams performed after magnification mammography, the frequencies of X-ray guided biopsy and ultrasound guided biopsy were analyzed, and malignant and benign results were confirmed. The results showed that 64 cases(26.6%) were X-ray guided biopsy, which was 5.4 times higher than 12 cases(4.9%) of ultrasound guided biopsy. Due to development of ultrasound equipments, stereotactic vacuum-assisted biopsy, etc. the methods of histological diagnosis of microcalcification have become diverse, but when considering characteristics and limitations of each exam, X-ray guided biopsy is thought to be most accurate and useful.

• Journal of the Korean Society of Radiology
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• v.84 no.2
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• pp.361-371
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• 2023

The success of image-guided breast biopsy depends on the biopsy method, needle selection, and appropriate technique based on the accurate judgment by the radiologist at biopsy. However, insufficient or inappropriate sampling of specimens may result in false-negative results or pathologic underestimation. Therefore, image-pathology concordance assessments after biopsy are essential for appropriate patient management. Particularly, the assessment of image-pathology concordance can avoid false-negative reports of breast cancer as a benign pathology. Therefore, this study aimed to discuss factors that impact the accurate interpretation of image-guided breast biopsy along with the appropriate assessments.

• Korean Journal of Digital Imaging in Medicine
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• v.4 no.1
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• pp.58-61
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• 1998

현재 국내에서는 Virtual CT endoscopy가 초기단계에 있으므로 앞으로 많은 임상 경험과 data의 축적을 쌓는 것이 중요하다고 보여진다. Virtual CT endoscopy는 조직학적 검사를 위한 병변부위의 조직검사가 불가능한 단점을 갖고 있으나 내시경 검사와 거의 비슷한 소견을 얻을 수 있어 앞으로 병변의 진단 뿐 아니라 병변의 치료 후 추적 검사로도 유용하게 이용되리라 사료된다.

• The Proceeding of the Korean Institute of Electromagnetic Engineering and Science
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• v.5 no.3
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• pp.78-87
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• 1994

생물학 및 의학등의 생명과학에서는 현미경을 이용하여 생체물질 즉, 생체조직을 관찰하고 이에 대한 조직의 검사 결과를 판정하고 발표한다. 이때 필히 고정과정(fixation process)을 거쳐야 한 다. 즉, 생체조직중 조직의 구조, 특정 세포나 바이러스 및 효소등을 관찰할 때 고정과정을 거쳐 조직을 절편하고 이를 염색하여 현미경으로 검사하게 된다. 고정과정이란 생체물질을 안정화시키고 자기분해 혹은 부패를 방지하여 보존이 가능하도록 변화시키 는 과정으로, 조직내의 용해성 물질을 불용성 물질로 변형시키는 과정이다. 고정과정을 거친 생체조직 은 구조를 보존하고 있기 때문에 조직의 훼손이 없는 상태에서 절편이 가능하고 또한 염색상태를 좋게 하며 관찰시 contrast를 증진시킨다. 만약 고정과정을 거치지 않으면 물질의 세포막이 파괴되고 단백질 등의 물질이 용해되어 조직의 변형을 일으켜 제대로 조직을 관찰할 수 없게 된다. 고정과정에는 크게 화학적 고정법과 물리적 고정법이 있다. 화학적 고정법은 생체조직을 화학용액에 처리하는 방법이며, 물리적 고정법은 직접적인 열 혹은 초음파등으로 물질을 고정시키는 방법이다. 표 면과 내부의 열전도가 달라져 고정이 균일하게 되지 않는 단점을 가지고 있기 때문에 보통 2~6일의 고 정시간을 요하는 화학적 고정법을 사용하고 있다. 따라서 조직에 대한 총 검사시간이 최소 6일에서 최 대 12일이 요구된다. 병원등에서 조직검사의 결과가 늦게 발표되는 사유는 바로 화학적 고정법을 사용 하여 생체조직을 관찰하고 그 결과를 판정하기 때문이다. 본 고에서는 마이크로파를 이용하여 약 3시간만에 조직의 상태를 관찰할 수 있는 고정법을 소개한다. 마이크로파를 이용하여 조직을 고정하는 고정방법을 기존의 고정법과 비교하여 이들의 장단점을 나타 낸다. 본 연구자에 의해 개발된 마이크로파 고정기를 소개하고, 이를 이용하여 생체물질을 고정한뒤 절 편, 염색하여 현미경 관찰결과를 발표하여 본 연구의 방법이 기존 방법보다 우수함을 나타낸다.

• Korean Journal of Clinical Laboratory Science
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• v.53 no.3
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• pp.233-240
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• 2021

Evaluation of the resected margins of the frozen section during breast-conserving surgery can determine the presence of cancer cells in a short time and have a significant impact on the scope of surgery and the prognosis of the patient. However, breast tissue is composed of adipose tissue, which affects the accuracy of the test. In this study, a new method was applied to the resected surface of the frozen section in which wiping the surface of the frozen section block with alcohol was expected to expose the parenchyma to the surface as the adipose tissue would melt momentarily. Indeed, of the total of 98 cases, 37 cases showed a better exposure ratio of the parenchyma in the improved frozen section test than in the previous frozen section test. Of the 37 cases with increased visibility of parenchymal sections obtained by this method, two cases of ductal carcinoma in situ (DCIS) were detected. Although there are limitations such as turnaround time (TAT), the diagnostic accuracy of histopathologic examination of the frozen section may improve through this method and may have a direct impact on patient safety, and should therefore be researched further.

• The Journal of Korean Orthopaedic Ultrasound Society
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• v.4 no.2
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• pp.59-65
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• 2011

Purpose: To determine the clinical efficacy of the ultrasonography (US) for the diagnosis of the soft tissue masses comparing to the clinical diagnosis through the physical examination. Materials and Methods: 83 consecutive patients with palpable soft tissue masses were presented retrospectively. On the basis of the pathological diagnosis after the operation, the diagnostic accuracies were evaluated the cases diagnosed by history taking and physical examination, and the cases diagnosed by US before the operation. Results: The diagnostic accuracy of the cases using US was higher(86.7%) than that of the cases using physical examination and history taking. The accuracy of US of the epidermal inclusion cyst was 71.4%, ganglion cyst 85.7%, lipoma 88.6%, respectively. Accurate diagnosis were made 54 cases with 65.1% sensitivity in the cases diagnosed by history taking and physical examination. In this case, its accuracy of the ganglion cyst was 56.0%, and the lipoma was 67.9%. Conclusion: US is a useful diagnostic tool for the diagnosis of the palpable soft tissue masses before the operation.

• Journal of Veterinary Clinics
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• v.20 no.1
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• pp.7-11
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• 2003

The selection of a test as a reference with no perfect sensitivity and specificity may lead to bias, yielding distortion of the diagnostic performance. This means it is inappropriate to use imperfect diagnostic tests as a reference method to identify infected patients in clinical environments. In this study, diagnostic performance of rapid urease test, polymerase chain reaction (PCR), and histology of gastric biopsy specimens for diagnosing Helicobacter pylori infection separately and in combination was estimated by using non-linear regression. Based on this approach, the sensitivity, specificity and likelihood ration positive and negative values for each test were as follows: urease test 99.9%, 99.9%, 99.9%, 99.6%, respectively; PCR 88.6%, 99.9%, 99.9%, 70.5%, respectively; histology 78.3%, 97%, 78.3%, 97%, respectively. Predictive values for positive and negative changes with varying Combination of three diagnostic tests employed in the study gives no substantial benefit for practitioners to screen infected patients, and urease test or PCR represents an appropriate single test in clinical environments.

• Journal of the Korean Society of Radiology
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• v.84 no.6
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• pp.1198-1210
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• 2023

The extent of renal biopsy indication is being widened because of the increasing incidence of incidental renal masses; the increasing treatment options for renal cell carcinoma, including ablation therapy and novel targeted treatment; and the increasing incidence of kidney transplantation. However, percutaneous renal biopsy is technically difficult, particularly for beginners, because the skin-to-organ distance is relatively longer than those associated with other organs. In the present review, we will discuss the indications, technical considerations, efficacy, and complications of renal biopsy. Furthermore, we share practical tips of renal biopsy through many examples to help radiologists perform renal biopsy safely and effectively in various situations.

• Journal of Digestive Cancer Research
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• v.1 no.1
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• pp.48-51
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• 2013

We report an unusual case of postoperative early gastric cancer with liver metastasis mimicking pancreaticobiliary carcinoma. A 73-year-old man with early gastric cancer was transferred for endoscopic treatment. The patient underwent endoscopic submucosal dissection for the treatment of the early gastric cancer. The pathological diagnosis was adenocarcinoma with extension to the deep submucosa and some lymphatic invasion. Therefore, subsequent a subtotal gastrectomy was performed. The histological results demonstrated residual adenocarcinoma confined to the mucosa. The resection margin and lymph node metastasis were negative. Thus, he was closely monitored for recurrence every 6 months. After 2 years, he was suddenly suspected of developing liver metastasis and local recurrence. He received a liver biopsy, and the pathological result was poorly differentiated adenocarcinoma. Immunohistochemical staining suggested pancreaticobiliary carcinoma rather than metastatic adenocarcinoma from the stomach or colon, but primary focus was not found. We were sure that the recurrent stomach cancer metastasized to the liver because stomach cancer can show heterogeneous cytokeratin (CK) expression pattern with various histological features. Therefore, no single CK expression pattern has diagnostic value for distinguishing gastric carcinoma. The patient underwent chemotherapy for metastatic stomach cancer.

• Journal of the Korean Society for Nondestructive Testing
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• v.32 no.2
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• pp.198-209
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• 2012

The present paper reviews the widely used surface microstructural investigation technique and micro/nano nondestructive evaluation(NDE) technique which is able to evaluate the surface and subsurface. In general, the micro/nano defects and microstructural state of surface have great influence on the mechanical, physical, and chemical properties of bulk materials. The investigation technique of surface microstructure is possible to evaluate the defects and microstructural state with high reliability. The various applications and developments of each inspection technique have been introduced. Consequently, it is thought that the technique developments and applications of micro/nano NDE in nondestructive industries are extensively possible hereafter.