• Title/Summary/Keyword: 2차 방사선

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A comparison study of the effects of hypertrophied adenoid tissue on jaws morphology (정상 교합자와 adenoid가 과식증된 부정교합자의 악골 형태의 비교)

  • Yu, Hyung-Seog;Park, Sun-Hyung
    • The korean journal of orthodontics
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    • v.32 no.1 s.90
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    • pp.19-31
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    • 2002
  • To investigate the association between the hypertrophy of adenoid and jaw morphology during growth, this paper was based on children patients with experimental adenoids (male-15 subjects at each bone age group, female-15 subjects at each bone group) and comparing them to data taken from a control group (male-15 subjects at each bone age group, female-15 subjects at each bone group) with normal respiratory function. The comparisons between the groups were done at each growth stage using cervical vertebrae maturation index(CVMI) of Hassel. The obtained results were as follows : 1. The differences in craniofacial morphology between experimental group and control group were appeared from CVMI 3 and CVMI 4 (aroud adolescent period) in males, and from CVMI 1 in females. 2. The mandibular position of experimental group was more inferior than control group. The difference appeared at adolescent period(male : at CVMI 4, female : at CVMI 5). 3. Experimental group had greater anterior facial height than control group. This difference seemed a relation with lower anterior facial height. The difference appears at CVMI 3(11.94 ${\pm}$ 1.38 years old, at adolescent period) in male and at CVMI 1 in female. 4. The adenoid size of control male group was increased until CVMI 2(10.58 ${\pm}$ 1.07 years old, just before adolescent growth peak) and then decreased, but in female the adenoid size was decreased from CVMI 1(6.92 ${\pm}$ 0.53 years old).

Clinical Implication of Cyclooxygenase-2 Expression for Rectal Cancer Patients with Lymph Node Involvement (림프절 전이를 동반한 직장암 환자들에서 Cyclooxygenase-2 발현의 임상적 의미)

  • Lee, Hyung-Sik;Choi, Young-Min;Hur, Won-Joo;Kim, Su-Jin;Kim, Dae-Cheol;Roh, Mee-Sook;Hong, Young-Seoub;Park, Ki-Jae
    • Radiation Oncology Journal
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    • v.27 no.4
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    • pp.210-217
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    • 2009
  • Purpose: To assess the influence of cyclooxygenase-2 (COX-2) expression on the survival of patients with a combination of rectal cancer and lymph node metastasis. Materials and Methods: The study included rectal cancer patients treated by radical surgery and postoperative radiotherapy at the Dong-A university hospital from 1998 to 2004. A retrospective analysis was performed on a subset of patients that also had lymph node metastasis. After excluding eight of 86 patients, due to missing tissue samples in three, malignant melanoma in one, treatment of gastric cancer around one year before diagnosis in one, detection of lung cancer after one year of diagnosis in one, liver metastasis in one, and refusal of radiotherapy after 720 cGy in one, 78 patients were analyzed. The immunohistochemistry for COX-2 was conducted with an autostainer (BenchMark; Ventana, Tucson, AZ, USA). An image analyzer (TissueMine; Bioimagene, Cupertino, CA, USA) was used for analysis after scanning (ScanScope; Aperio, Vista, CA, USA). A survival analysis was performed using the Kaplan Meier method and significance was evaluated using the log rank test. Results: COX-2 was stained positively in 62 patients (79.5%) and negatively in 16 (20.5%). A total of 6 (7.7%), 15 (19.2%), and 41 (52.6%) patients were of grades 1, 2, and 3, respectively for COX-2 expression. No correlation was found between being positive of COX-2 patient characteristics, which include age (<60-year old vs. $\geq$60), sex, operation methods (abdominoperineal resection vs. lower anterior resection), degrees of differentiation, tumor size (<5 cm vs. $\geq$5 cm), T stages, N stages, and stages (IIIa, IIIb, IIIc). The 5-year overall and 5-year disease free survival rates for the entire patient population were 57.0% and 51.6%, respectively. The 5-year overall survival rates for the COX-2 positive and negative patients were 53.0% and 72.9%, respectively (p=0.146). Further, the 5-year disease free survival rates for the COX-2 positive and negative patients were 46.3% and 72.7%, respectively (p=0.118). The 5-year overall survival rates were significantly different (p<0.05) for the degree of differentiation, N stage, and stage, whereas the 5-year disease free survival rates were significant for N stage and stage. Conclusion: Being positive for and the degree of COX-2 expression did not have a significant influence on the survival of rectal cancer patients with lymph node metastasis. However, N stage and stage did significantly influence the rateof survival. Further analysis of a greater sample size is necessary for the verification of the effect of COX-2 expression on the survival of rectal cancer patients with lymph node involvement.

Significance of Random Urine ${\beta}_2$-Microglobulin as a Marker for Vesico-ureteral Reflux in Children with Urinary Tract Infection (요로감염 환자에서 방광요관역류의 지표로서 무작위 추출뇨중 ${\beta}_2$-microglobulin의 의의)

  • Kim Ji-Hong;Kim Pyung-Kil
    • Childhood Kidney Diseases
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    • v.3 no.1
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    • pp.72-79
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    • 1999
  • Renal scarring associated with vesico-ureteral reflux(VUR) is one of the major causes of end stage renal failure and renal hypertension in children. Urinary ${\beta}_2$-microglobulin(MG) has been suggested as a potential marker for presence of renal tubular damage. This study was designed to evaluate the significance of random urine ${\beta}_2$-MG as a predictor of presence of vesico-ureteral reflux in children with urinary tract infection(UTI). 57 children with urinary tract infection were studied. Patients were devided into two groups; 35($78.9\%$) children have UTI without VUR and 12($21.1\%$) children have UTI and VUR. Beta2-MG and creatinine in random urine sample was measured to decide the excretion ratio(${\beta}_2$-MG/creatinine). Among the 57 children with UTI, 44 children were confirmed by urine culture study and 13 children suspected by compatible clinical feature. Random urine ${\beta}_2$-MG of VUR group ($2.2{\pm}5.91$ mg/L) were significantly higher than that of simple UTI group($0.19{\pm}0.16mg/L$)(P=0.03). The ${\beta}_2$-MG/creatinine ratio of VUR group($32.41{\pm}25.7$) were significantly higher than that of simple UTI group($3.93{\pm}3.44$)(P=0.007). In conclusion, random urine ${\beta}_2$-MG and excretion ratio deserved early predictor of presence of VUR in children with UTI. And this method was more simple and inexpensive than the method of measuring ${\beta}_2$-MG with 24 hour urine collection, so might be a useful screening test for VUR in children with UTI.

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Computer-Aided Detection of Clustered Microcalcifications using Texture Analysis and Neural Network in Digitized X-ray Mammograms (X-선 유방영상에서 텍스처 분석과 신경망을 이용한 군집성 미세석회화의 컴퓨터 보조검출)

  • 김종국;박정미
    • Journal of Biomedical Engineering Research
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    • v.19 no.1
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    • pp.1-8
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    • 1998
  • Clustered microcalcifications on X-ray mammograms are an important sign for early detection of breast cancer. This paper proposes a computer-aided diagnosis method for the detection of clustered microcalcifications and marking their locations on digitized mammograms. The proposed detection method consists of the region of interest (ROI) selection, the film-artifact removal, the surrounding texture analysis method for the detection of clustered microcalcifications, which is based on the second-order histogram in two nested surrounding regions on the current pixel. This paper also describes the effectiveness of the proposed film-artifact removal filter in terms of the classification performance with the receiver operating-characteristics(ROC) analysis. A three-layer backpropagation neural network is employed as a classifier. The appropriate marking for the locations of clustered microcalcifications can be used to alert radiologists to locations of suspicious lesions.

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CEPHALOMETRIC NORMS FOR ORTHOGNATHIC SURGERY (외과적 악교정술을 위한 두부방사선학 계측 기준치)

  • Sung, Jung-Ok;Kyung, Hee-Moon;Kwon, Oh-Won;Sung, Jae-Hyun
    • The korean journal of orthodontics
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    • v.19 no.1 s.27
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    • pp.169-185
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    • 1989
  • The purpose of this study was to establish Korean norms that will be valuable aids for diagnosis in orthognathic surgery patients. Lateral cephalometric measurements were established for adult Koreans (60 males, 62 females) with normal occlusion and acceptable profiles. The results were as follows: 1. Means, standard deviation and sexual differentiation were included within each measurement. 2. In skeletal measurements, FH to SN and SN to mandibular plane measurements in females were larger than those in males while all linear measurements in males were larger than those in males were larger than those in females. 3. Significant differences were observed between male and female groups on all of the items that showed vertical relationship in dental measurements. And the measurements of ADH, PDH and overbite in males were larger than those in females while the measurements of incisor exposure in females were larger than those in males. 4. In all measurements of soft tissue except NLA, that is, of FCA, UFH, ULL and LLL, males were larger than those in females.

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Successful Management with Vincristine after Failure of Prednisolone Therapy for Diffuse Neonatal Hemangiomatosis (Vincristine 투여로 호전된 미만성 신생아 혈관종증)

  • Lee, Hak-Sung;Heo, Soon-Young;Kim, Won-Duck
    • Clinical and Experimental Pediatrics
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    • v.48 no.9
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    • pp.1004-1008
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    • 2005
  • Hemangiomas are the most common benign tumors of infancy. Fifteen to 30% of these patients have multiple hemangiomas. Diffuse neonatal hemangiomatosis (DNH) is a disease that often has a fatal outcome if left untreated, and is characterized by multiple cutaneous and visceral hemangiomas. Corticosteroids are the commonly accepted first line treatment, but if no effect is seen, further treatment is required such as interferon, surgical excision, embolization and radiotherapy. Interferon is effective, but the neurologic sequela including spastic diplegia can be a complication. We experienced a case of DHN in a neonate. In this case, the baby presented with multiple cutaneous and visceral hemangiomas with Kasabach-Merritt syndrome (KMS) that included thrombocytopenia and consumptive coagulophthy. The baby was successfully treated with vincristine after the failure of steroid therapy.

Thymolipoma one case report - (흉선지방종 -1례 보고-)

  • Kim, Dae-Sig;Moon, Seung-Chul;Koo, Won-Mo;Kown, Kye-Weon;Lee, Yong-Hee;Park, Chung-Hyun;Lee, Gun;Lee, Hyeon-Jae;Lim, Chang-Young
    • Journal of Chest Surgery
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    • v.32 no.2
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    • pp.211-214
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    • 1999
  • We experienced a case of thymolipoma that is a rare benign mediastinal tumor, composed of normal thymic tissue and matured adipose tissue. A 46-years-old woman was admitted to the department of medicine due to lower abdominal pain. Simple chest PA showed a large mass shadow at right cardiac border. Chest CT scanning showed well defined large fatty mass at right cardiac border which was suggested thymolipoma. The mass was resected and confirmed as thymolipoma histopathologically.

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THE ASSESSMENT OF ULTRASONOGRAPHIC ECHOGENICITY IN NORMAL HUMAN PAROTID AND SUBMANDIBULAR GLANDS (정상 이하선과 악하선에 대한 초음파영상의 반향성 평가)

  • Lee Jean;Park Tae-Won
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.27 no.1
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    • pp.167-177
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    • 1997
  • 타액선 병변의 일반적인 영상진단법으로는 타액선조영술, 전산화단층촬영술, 자기공명 영상, 타액선 스캔, 초음파 촬영술이 있다. 이중 초음파촬영술은 타액선내 종양의 유무를 평가하는데 있어서 매우 우수하여, 전산화단층촬영이나 자기공명영상과 더불어 이용되고 있으나, 염증을 진단하는데 있어서는 타액선조영술보다 민감도가 떨어지는 단점이 있다. 일반적으로 타액선의 염증반응시 초음파상은 반향이 정상보다 낮아지며, 내부의 균질성이 떨어지는 양상을 보여 이를 진단의 기준으로 이용해왔으나 정상타액선에서도 반향이 편차가 심할 뿐만 아니라 연령에 따른 정상 타액선의 반향성에 대한 연구가 부족하여 진단에 어려움이 있었다. 이에 저자는 우선적으로 타액선에 병적인 증상이 없는 남녀 90명을 연령별(20-35세 : 청년군, 36~55세 : 중년군, 55-70세 노년군),성별에 따라 분류하여 정상 타액선의 초음파상을 얻었다. 이의 반향을 측정하고, 비만한 정도를 나타내는 체격지수를 구하여 다음과 같은 결과를 얻었다. 1. 이하선과 악하선 모두에서 연령군극_ 따라 반향성이 증가하는 양상을 보였으며, 청년군과 노년군 사이에는 유의한 차이가 있었다(p<0.05). 2. 이하선과 악하선 모두에서 성에 따른 반향성의 유의한 차이는 없었다. 3. 성에 관계없이 악하선의 반향성이 이하선의 반향성보다 높았으며, 남자에 있어서는 유의한 차이가 있었다(p<0.05). 4. 동일한 타액선에서 좌우측 타액선의 반향성의 평균 차이값은 유의한 차이가 없었다. 5. 이하선과 악하선의 반향성은 중등도의 양의 상관관계를 보였다(남자 : r=0.56, 여자 : r=0.54). 6. 체격지수와 타액선의 반향성은 약한 양의 상관관계를 보였다.

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A Fabrication and Properties of Ionization Chamber Using Madium Exposure Rate (중준위 조사선량율 측정용 전리함의 설계 및 특성)

  • Woo, Hong;Kim, Sung-Hwan;Kang, Hee-Dong
    • Progress in Medical Physics
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    • v.7 no.2
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    • pp.29-40
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    • 1996
  • We had designed and made the cylindrical ionization chamber which operated above 5 mR/h. Using commercial electrometer, we investigated the characterictic of charge collection in the ion chamber. The active volume was 190.4㎤ and overall length and diameter in the chamber was 15.5cm, 5.22cm, respectively. The chamber had three electrodes(inner, central, wall electrode). And background current was 8.39${\times}$10$\^$-14/${\pm}$1.5${\times}$10$\^$-15/A to arrange the electrodes which were coaxial in chamber axis. The collection efficiency of chamber for Cs$\^$137/ was 99.7% when the opreating voltage was applied 400V. Comparing with the commertial dosimetry system, the exposure calibration constant was 4.531${\times}$19$\^$7/R/C. By normalizing to CS$\_$137/ the relative energy response of the chamber was 1.30 for Am$\_$24/, 1.05 for C0$\_$60/, respectively. When the irrarition tranversed to the chamber axis, the isotropic effect of the chamber was not considerable.

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A Study on Improvement Strategies According to the Inconvenience Due to Female Cancer Wearing Alopecia Wigs (여성 암환우들의 탈모용 가발 착용 시 불편에 따른 개선방안 연구)

  • Jin, Soon-Ho;Kim, Young-Bae;Park, Jang-Soon
    • Journal of Digital Convergence
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    • v.15 no.8
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    • pp.417-422
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    • 2017
  • This study conducted frequency analysis for male and female patients aged 60 and over from the results of analyzing improvement strategies for inconvenience due to wearing alopecia wigs. When the patoent started perceive their depilatory diseases was right after treatment of anticancer drugs or radiotherapy, and they were found to suffer from inconveniences of being dried, etc. After treatment of chemotherapy, as for the falling-out parts, eyebrows were found to be the highest 52.1%, and pubic hair 38%, axilla hair 29% in that order. And the inconvenience level of wearing wigs among the patients with the different background of education indicates that the professions of the patients affect the ease of use. It is presumed that the easiness in use which the college graduates, high school graduates, and postgraduates showed is attributable to the age difference. to improve the inconveniences from cancer patients wearing wigs, scape troubles and close adhesion are constantly needed.