• Title/Summary/Keyword: 치료 초음파

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Clinical features of congenital muscular torticollis (선천성 근성 사경의 임상적 특징)

  • Jun, Ji Eun;Ryu, Hye Kyeong;Shim, Jae Won;Shim, Jung Yeon;Jung, Hye Lim;Park, Moon Soo;Kim, Deok-Soo
    • Clinical and Experimental Pediatrics
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    • v.50 no.3
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    • pp.241-247
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    • 2007
  • Purpose : Congenital muscular torticollis (CMT) is a common and benign congenital disorder of the musculoskeletal system in neonates and infants. The pathophysiology is that the sternocleidomastoid muscle (SCM) is shortened on the involved side by fibrosis, leading to ipsilateral tilt and contralateral rotation of the face and chin. In this study, we investigated the clinical features of CMT, the role of ultrasonography (USG) in prediction of prognoses and the clinical significance of early detection and treatment. Methods : Forty seven patients (M:F=31:16) were diagnosed as a CMT between March 2003 and May 2006. We reviewed age at diagnosis, physical findings, USG findings, treatment and therapeutic outcome from their medical records. Results : The median age at diagnosis was 90 days (18 days-9 years, 7 months) and the right side of neck was affected in more patients (right : left=26:21). Of 24 patients with a palpable neck mass, 21 had USG; 19 cases showed sternocleidomastoid tumor (SMT). In cases with no neck mass, USG was performed in 11 patients; seven had postural torticollis (POST), three had SMT and one had muscular torticollis (MT). Among 40 patients with follow-up, 36 had total resolution. There was negative correlation between the age at diagnosis and the recovery time, whereas the final outcome was not correlated with USG findings. However, the patients without positive findings in USG had earlier resolution (1 month vs 2.6 months, P=0.0008). The patients with SMT had earlier diagnosis and excellent outcomes. The patients with MT were delayed to diagnosis and had the longest time to resolve. Lastly, the patients with POST had delayed diagnoses, but they had excellent outcomes. Conclusion : Since the patients with delayed diagnoses, in despite of benign courses, may take a long time to resolve and rarely need surgical treatment, it is important to diagnose and treat early. This study showed that USG findings of the SCM may be used as predictive factors.

Reproducibiity of setup error for prostate cancer by ultrasound image-guided radiation therapy (전립선암에 대한 초음파 영상유도 방사선치료의 Setup 오차 분석을 통한 재현성 평가)

  • Park, Sung Yong;Lim, Seung Kyu;Si, Myoung Geun;Lee, Ji Hae;Kim, Jong Yeol;Cho, Eun Joo
    • The Journal of Korean Society for Radiation Therapy
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    • v.29 no.2
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    • pp.75-81
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    • 2017
  • Purpose: To evaluate the reproducibility of image-guided radiotherapy using ultrasonography which is non-invasive, without radiation exposure for prostate cancer patients. Materials and Methods: We analyzed the setup variation of 1,105 images for 26 prostate cancer patients and the mean, standard deviation and 3D-error in AP, RL and SI directions. Setup variations were classified 0-1 mm, 1-3 mm, 3-5 mm, 5 mm and more. Results: The mean and standard deviation of setup variation in AP, RL and SI directions was $1.87{\pm}1.36mm$, $1.73{\pm}1.22mm$ and $2.01{\pm}1.40mm$. The 3D-error in AP, RL and SI directions was $3.63{\pm}1.63mm$. The frequency of setup variation in AP direction was 29 % in the range from 0 mm to 1 mm, 50.2 % in the range from 1 mm to 3 mm, 19.6 % in the range from 3 mm to 5 mm and 1.3 % in the range of 5 mm or more. In RL direction, the frequency was 31.3 % in the range from 0 mm to 1 mm, 52.5 % in the range from 1 mm to 3 mm, 15.8 % in the range from 3 mm to 5 mm and 0.5 % in the range of 5 mm or more. SI direction, the frequency of errors in the range from 0 mm to 1 mm was 26.3 %, 50.2 % in the range from 1 mm to 3 mm, 22.4 % in the range from 3 mm to 5 mm, and 1.1 % in the range of 5 mm or more. Conclusion: The setup error was highest in the SI direction of $2.01{\pm}1.40mm$. The frequency in each direction was the highest in more than 50 % in the range from 1 mm to 3 mm. $Clarity^{TM}$ Auto scan is possible to monitoring the motion of the prostate during the treatment and to repositioning the patient. In conclusion real-time image-guided radiotherapy using ultrasonography will be increase the reproducibility of radiation therapy.

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Symptomatic Spontaneous Pneumothorax in the Newborn : Comorbidities and Outcomes (증상이 있는 신생아 자발성 기흉의 관련 질환과 예후)

  • Joo, Ji-Won;Yang, Eun-Mi;Sohn, Young-Jun;Kim, Mi-Jeong;Song, Eun-Song;Choi, Young-Youn;Byun, Hyung-Suck
    • Neonatal Medicine
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    • v.15 no.2
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    • pp.166-171
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    • 2008
  • Purpose : This study was performed to determine the rate of neonatal symptomatic spontaneous pneumothorax, and the corresponding clinical characteristics, co-morbidities, and outcomes. Methods : The demographic characteristics, clinical symptoms and signs, associated abnormalities, methods of treatment, and outcomes were investigated in 22 neonates with symptomatic spontaneous pneumothorax in the neonatal intensive care unit (NICU) of Chonnam University Hospital between March 2003 and February 2008. Results : The rate of spontaneous pneumothorax was 0.55%. Among the 22 neonates, the number of outborns was 15 (68.2%) and the number of males was 12 (54.5%). The main symptoms and signs were chest retraction, tachypnea, and cyanosis. The pneumothoraces were more frequent on the right side (59.1%) and all cases were diagnosed within 3 days of life. Four cases (18.2%) had urologic abnormalities and 7 cases (31.8%) had cranial abnormalities by ultrasonography. The treatments included oxygen (81.8%) and oxygen with chest tube drainage (18.2%). All of the infants survived and the overall outcomes were favorable. Conclusion : When respiratory symptoms and signs are develop abruptly in otherwise healthy newborns, the clinician should suspect a spontaneous pneumothorax and check a chest x-ray as soon as possible. Although the outcome of neonatal symptomatic spontaneous pneumothorax is favorable, renal and cranial ultrasonography are needed because of the higher possibility of urologic abnormalities and germinal matrix/intraventricular hemorrhage than in newborns without a pneumothorax.

Experimental Evaluation of the Performance and Stability of an Ultrasonic Scaler for Dental Treatment (치과 치료용 초음파 스케일러의 성능 및 안정성에 대한 실험 평가)

  • Sa, Min-Woo;Ko, Tae-Jo;Jeon, Geum-sang;Lee, Jong-Min;Kim, Jong Young
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.41 no.1
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    • pp.13-19
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    • 2017
  • The use of ultrasonic surgery units and scalers are steadily increasing in the field of dentistry. Such units and scalers should be evaluated before they are commercialized because the mechanical performance and stability of equipment is crucial for patients. Hence, we created a hand-piece moving system that can test bone cutting and teeth scaling. The purpose of this study was to evaluate the teeth scaling performance of ultrasonic scaler unit. Additionally, we measured the temperature distribution and noise during the test. through an experimental test, we found that a high output of an Ultrasonic NX device can cause serious damage to the teeth surface, and it was not within range in heat generation distribution and noise test.

The Effect of Taping, Stretching and Ultrasound Intervention on Convergent Balance with Ankle Muscle Fatigue (발목 근 피로 시 테이핑, 스트레칭 그리고 초음파 중재가 융합적 균형에 미치는 효과)

  • Yu, Eun-Jeong;Lee, Su-Young
    • Journal of the Korea Convergence Society
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    • v.9 no.10
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    • pp.141-147
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    • 2018
  • The purpose of this study was to investigate the effects of taping, stretching and ultrasound on convergent balance ability with induced ankle muscle fatigue. Thirty-nine healthy adults participated voluntarily in this study. After the induction of their's ankle muscle fatigue, they were randomly assigned as taping, static stretching, or ultrasound group. And the intervention corresponding to each group was applied. Before and after induced ankle fatigue and after intervention, balance ability was measured using Space Balance 3D. Balance ability was no significant difference among groups (p>.05), but significantly increased within all three groups (p<.001). Therefore, the taping, static stretching, and ultrasound on ankle muscle fatigue are effective in convergent balance ability. In future studies, it is necessary to prove the therapeutic effect by applying various measurement variables and therapeutic intervention.

Ultrasonographic Evaluation of an Atypical De Quervain's Disease - A Case Report - (초음파를 이용하여 진단한 비전형적 De Quervain씨 병 - 1례 보고 -)

  • Koh, In-Jun;Kim, Jung-Man;Song, Chol
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.1 no.2
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    • pp.91-93
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    • 2008
  • De Quervain's disease is a stenosing tenosynovitis that affects the synovial sheath of the tendons of the abductor pollicis longus and extensor pollicis brevis; it can be considered a work-related disease, since it frequently is associated with highly repetitive movements in jobs using the hands. The usual sign and symptom of de Quervain's diseases are positive Finkelstein's sign and pain and tenderness around the radial styloid process. The majority of de Quervain's disease has a good results to conservative treatment, but surgery can be performed in case of recurrence or pain last more than 6 months without improvement in spite of conservative treatment. We diagnosed a patient with atypical de Quervain's disease by ultrasonography, treated by local steroid injection and pain was relieved. We report a case of atypical de Quervain's disease evaluated by ultrasonography with brief of literatures.

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