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Assessment of Parameters Measured with Volumetric Pulmonary Artery Catheter as Predictors of Fluid Responsiveness in Patients with Coronary Artery Occlusive Disease (관상동맥 질환을 가진 환자에서 폐동맥카테터로 측정한 전부하 지표들은 수액부하 반응을 예상할 수 있는가?)

  • Lee, Ji-Yeon;Lee, Jong-Hwa;Shim, Jae-Kwang;Yoo, Kyung-Jong;Hong, Seung-Bum;Kwak, Young-Lan
    • Journal of Chest Surgery
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    • v.41 no.1
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    • pp.41-48
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    • 2008
  • Background: Accurate assessment of the preload and the fluid responsiveness is of great importance for optimizing cardiac output, especially in those patients with coronary artery occlusive disease (CAOD). In this study, we evaluated the relationship between the parameters of preload with the changes in the stroke volume index (SVI) after fluid loading in patients who were undergoing coronary artery bypass grafting (CABG). The purpose of this study was to find the predictors of fluid responsiveness in order to assess the feasibility of using. certain parameters of preload as a guide to fluid therapy. Material and Method: We studied 96 patients who were undergoing CABG. After induction of anesthesia, the hemodynamic parameters were measured before (T1) and 10 min after volume replacement (T2) by an infusion of 6% hydroxyethyl starch 130/0.4 (10 mL/kg) over 20 min. Result: The right ventricular end-diastolic volume index (RVEDVI), as well as the central venous pressure (CVP) and pulmonary capillary wedge pressure (PCWP), failed to demonstrate significant correlation with the changes in the SVI (%). Only the right ventricular ejection fraction (RVEF) measured at T1 showed significant correlation. with the changes of the SVI by linear regression (r=0.272, p=0.017). However, when the area under the curve of receiver operating characteristics (ROC) was evaluated, none of the parameters were over 0.7. The volume-induced increase in the SVI was 10% or greater in 31 patients (responders) and under 10% in 65 patients (non-responders). None of the parameters of preload measured at T1 showed a significant difference between the responders and non-responders, except for the RVEF. Conclusion: The conventional parameters measured with a volumetric pulmonary artery catheter failed to predict the response of SVI following fluid administration in patients suffering with CAOD.

A Study on the Development of a Simulation Model for Predicting Soil Moisture Content and Scheduling Irrigation (토양수분함량 예측 및 계획관개 모의 모형 개발에 관한 연구(I))

  • 김철회;고재군
    • Magazine of the Korean Society of Agricultural Engineers
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    • v.19 no.1
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    • pp.4279-4295
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    • 1977
  • Two types of model were established in order to product the soil moisture content by which information on irrigation could be obtained. Model-I was to represent the soil moisture depletion and was established based on the concept of water balance in a given soil profile. Model-II was a mathematical model derived from the analysis of soil moisture variation curves which were drawn from the observed data. In establishing the Model-I, the method and procedure to estimate parameters for the determination of the variables such as evapotranspirations, effective rainfalls, and drainage amounts were discussed. Empirical equations representing soil moisture variation curves were derived from the observed data as the Model-II. The procedure for forecasting timing and amounts of irrigation under the given soil moisture content was discussed. The established models were checked by comparing the observed data with those predicted by the model. Obtained results are summarized as follows: 1. As a water balance model of a given soil profile, the soil moisture depletion D, could be represented as the equation(2). 2. Among the various empirical formulae for potential evapotranspiration (Etp), Penman's formula was best fit to the data observed with the evaporation pans and tanks in Suweon area. High degree of positive correlation between Penman's predicted data and observed data with a large evaporation pan was confirmed. and the regression enquation was Y=0.7436X+17.2918, where Y represents evaporation rate from large evaporation pan, in mm/10days, and X represents potential evapotranspiration rate estimated by use of Penman's formula. 3. Evapotranspiration, Et, could be estimated from the potential evapotranspiration, Etp, by introducing the consumptive use coefficient, Kc, which was repre sensed by the following relationship: Kc=Kco$.$Ka+Ks‥‥‥(Eq. 6) where Kco : crop coefficient Ka : coefficient depending on the soil moisture content Ks : correction coefficient a. Crop coefficient. Kco. Crop coefficients of barley, bean, and wheat for each growth stage were found to be dependent on the crop. b. Coefficient depending on the soil moisture content, Ka. The values of Ka for clay loam, sandy loam, and loamy sand revealed a similar tendency to those of Pierce type. c. Correction coefficent, Ks. Following relationships were established to estimate Ks values: Ks=Kc-Kco$.$Ka, where Ks=0 if Kc,=Kco$.$K0$\geq$1.0, otherwise Ks=1-Kco$.$Ka 4. Effective rainfall, Re, was estimated by using following relationships : Re=D, if R-D$\geq$0, otherwise, Re=R 5. The difference between rainfall, R, and the soil moisture depletion D, was taken as drainage amount, Wd. {{{{D= SUM from { {i }=1} to n (Et-Re-I+Wd)}}}} if Wd=0, otherwise, {{{{D= SUM from { {i }=tf} to n (Et-Re-I+Wd)}}}} where tf=2∼3 days. 6. The curves and their corresponding empirical equations for the variation of soil moisture depending on the soil types, soil depths are shown on Fig. 8 (a,b.c,d). The general mathematical model on soil moisture variation depending on seasons, weather, and soil types were as follow: {{{{SMC= SUM ( { C}_{i }Exp( { - lambda }_{i } { t}_{i } )+ { Re}_{i } - { Excess}_{i } )}}}} where SMC : soil moisture content C : constant depending on an initial soil moisture content $\lambda$ : constant depending on season t : time Re : effective rainfall Excess : drainage and excess soil moisture other than drainage. The values of $\lambda$ are shown on Table 1. 7. The timing and amount of irrigation could be predicted by the equation (9-a) and (9-b,c), respectively. 8. Under the given conditions, the model for scheduling irrigation was completed. Fig. 9 show computer flow charts of the model. a. To estimate a potential evapotranspiration, Penman's equation was used if a complete observed meteorological data were available, and Jensen-Haise's equation was used if a forecasted meteorological data were available, However none of the observed or forecasted data were available, the equation (15) was used. b. As an input time data, a crop carlender was used, which was made based on the time when the growth stage of the crop shows it's maximum effective leaf coverage. 9. For the purpose of validation of the models, observed data of soil moiture content under various conditions from May, 1975 to July, 1975 were compared to the data predicted by Model-I and Model-II. Model-I shows the relative error of 4.6 to 14.3 percent which is an acceptable range of error in view of engineering purpose. Model-II shows 3 to 16.7 percent of relative error which is a little larger than the one from the Model-I. 10. Comparing two models, the followings are concluded: Model-I established on the theoretical background can predict with a satisfiable reliability far practical use provided that forecasted meteorological data are available. On the other hand, Model-II was superior to Model-I in it's simplicity, but it needs long period and wide scope of observed data to predict acceptable soil moisture content. Further studies are needed on the Model-II to make it acceptable in practical use.

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Composition and pollution characteristics of TSP, PM2.5 atmospheric aerosols at Gosan site, Jeju Island (제주도 고산지역 TSP, PM2.5 대기에어로졸의 조성 및 오염 특성)

  • Lee, Soon-Bong;Kang, Chang-Hee;Jung, Duk-Sang;Ko, Hee-Jung;Kim, Haeng-Bum;Oh, Yong-Soo;Kang, Hae-Lim
    • Analytical Science and Technology
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    • v.23 no.4
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    • pp.371-382
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    • 2010
  • TSP and PM2.5 atmospheric aerosols have been collected at Gosan site of Jeju Island, and their compositions were analyzed to understand the pollution characteristics. The composition ratios of nss (non-sea salt)-$SO_4^{2-}$ and $NH_4^+$ were higher in Gosan site than those in other Korean background and urban sites. However the composition ratio of $NO_3^-$ was conversely lower in Gosan site. From the study of aerosol components according to particle sizes, the anthropogenic nss-$SO_4^{2-}$, $NO_3^-$ and $NH_4^+$ components were mostly existed in the fine particles. But the nss-$Ca^{2+}$, $Na^+$, $Cl^-$ and $Mg^{2+}$ originated from soil and marine sources were distributed relatively in the coarse particles. In the seasonal comparison, the concentrations of nss-$Ca^{2+}$, Al, Fe, Ca and $NO_3^-$ increased in spring season, and nss-$SO_4^{2-}$ showed higher concentration in summer and spring seasons. Based on the factor analysis, the atmospheric aerosols in Gosan site have been found to be influenced largely by anthropogenic sources, and next by marine and soil sources. The backward trajectory analyses showed that the concentrations of nss-$SO_4^{2-}$, $NO_3^-$, Pb and nss-$Ca^{2+}$ increased when the air mass moved from Chinese continent to Jeju area. On the other hand, their concentrations decreased when the air mass moved in from the North Pacific Ocean.

Clinical Characeristics of Intracordal Cysts (성대낭종의 임상적 특성)

  • Hong, Ki-Hwan;Park, Jung-Hoon;Kim, Won;Kim, Chang-Hyun
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.10 no.2
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    • pp.164-169
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    • 1999
  • Background and Objectives : The intracordal cysts are more increasingly diagnosed and treated due to advanced laryngeal stroboscopy and laryngeal microsurgical technique. The intracordal cysts are frequently misdiagnosed as vocal polyp or nodule The purpose of this study is to evaluate clinical features of intracordal cysts. Materials and Methods : In the present series, 83 cases of the intracordal cysts treated with laryngeal microsurgery are reported. The intracordal cysts are diagnosed preoperatively with indirect laryngoscopy, laryngeal endoscopy, laryngeal stroboscopy and confirmed with laryngeal microsurgical findings and biopsies. Results : Intracordal cysts are 83 of 1900 patients treated with laryngeal microsurgery(4.4%)-ductal cysts are 56 cases and epidermoid cysts are 27 cases. Intracordal cysts are more frequent in women, forties and the frequent site is an anterior third of the true vocal cord. With the indirect laryngoscopic examination, the ductal cysts are frequently misdiagnosed as vocal polyps or nodules but the epidermoid cysts are relatively easily diagnosed. The etiologic factors of the intracordal cysts are suspected as voice abuse and upper respiratory infection. The degree of postoperative voice satisfaction is similar to that of the vocal polyps. Conclusion : Intracordal cysts are frequently misdiagnosed as polyps or nodules, therefore preoperative stroboscopic findings and laryngeal microsurgical findings is important. An ideal treatment is to enucleate the cysts avoiding rupture of cyst and injury of lamina propria of the vocal cord.

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Preliminary Report of Observed Urban - Rural Gradient of Carbon Dioxide Concentration across Seoul, Suwon, and Icheon in South Korea (도시 - 전원간 이산화탄소(CO2) 농도구배 예비관측 결과)

  • Chung, U-Ran;Lee, Kyu-Jong;Lee, Byun-Woo
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.9 no.4
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    • pp.268-276
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    • 2007
  • Urban atmosphere may play as a harbinger for the future climate change with respect to temperature and $CO_2$ concentration. The Seoul metropolitan area is unique in rapid urbanization and industrialization during the last several decades, providing a natural $CO_2$ dome with increased temperature. This study was carried out to evaluate the feasibility of using the urban-rural environmental gradient in replacement of the IPCC mid-term scenario (after 30-50 years). For this, we measured atmospheric $CO_2$ concentration and air temperature at three sites with different degree of urbanization (Seoul, Suwon, and Icheon). Results from 11-month measurement can be summarized as follows: (1) The annual mean $CO_2$ concentration across 3 sites was in the order of Seoul (439 ppm) > Suwon (419 ppm) > Icheon (416 ppm), showing a substantial urban-rural environmental gradient. (2) The diurnal fluctuation in $CO_2$ concentration was greater in summer than in winter, showing the effect of photosynthesis on local $CO_2$ concentration. (3) The daily maximum $CO_2$ concentration was observed at 0500 LST in spring and summer, 0800 LST in autumn, and 0900 LST in winter, showing the sunrise-time dependence. (4) The observed hourly maximum $CO_2$ concentration averaged for the whole period was 446 ppm in Seoul at 0700 LST, while the minimum was 407 ppm in Suwon at 1500 LST. (5) Compared with the background atmospheric concentration of $CO_2$ in Anmyeon-do (377.4 ppm annual mean), $CO_2$ concentration of the study sites was higher by 14% in Seoul, by 10% in Suwon, and by 9% in Icheon. The observed $CO_2$ concentration in Seoul reached already 98% of the 2030-2040 projection (450 ppm) and 80% of the 2040-2050 projection (550 ppm) under the IPCC BAU scenario, showing a feasibility of using the $CO_2$ dome of Seoul as a natural experimental setting for the mid-term climate change impact assessment.

Geographical Distribution of Diving Beetles (Dytiscidae) in Korean Paddy Ecosystem (우리나라 논 서식 물방개과의 지리적 분포)

  • Han, Min-Su;Kim, Myung-Hyun;Bang, Hea-Son;Na, Young-Eun;Lee, Deog-Bae;Kang, Kee-Kyung
    • Korean Journal of Environmental Agriculture
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    • v.30 no.2
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    • pp.209-215
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    • 2011
  • BACKGROUND: The paddy ecosystem is periodically disturbed with a relatively consistent cycle in short term. However, in long term aspect, the paddy as habitats of organisms has been affected by the change in farming practices. Accordingly, the composition and their densities of fauna species inhabiting the wet paddy has been changed. The geological distribution of a species is very helpful to understand the past and current status of habitats and biodiversity. METHODS AND RESULTS: We monitored 290 sites of open plain paddy or terraced valley paddy located in 138 cities or counties of South Korea and analyzed examine geological distribution of a taxon of freshwater invertebrates, diving beetles (Dytiscidae) which inhabited the paddy ecosystem. This survey was conducted from 2005 through 2007. The total species of diving beetles found in the paddy were identified to be 15 genus 26 species among the family of Dytiscidae. Among them, 24 species were found in the terraced valleys-in paddy fields, and 19 species were found in the open plain paddy fields. Eleven species of them were rarely found in the paddy. The average body size of the adult diving beetles of each species was between 2.0 and 35.0 mm. Most of the diving beetle species except for 11 species with rare frequency of occurrence were found in almost all sites of the terraced valley paddy fields but three species (Agabus browni, Agabus japnicus, and Ilybius apicalis) were not found in the open plain paddy fields. The species distributed relatively widely over some sites of the open plain paddy fields were Guignotus japonicus, and Rhantus pulverosus. Specifically, Ilybius apicalis was found in a specific region, the east-southern part of Korean peninsula, whereas Coelambus chinensis was found only in valley paddy field of the region where Ilybius apicalis was not found. Overall distribution range of diving beetles in open plain paddy fields was limited to few area than in terraced valley paddy fields. CONCLUSION(s): The differences in the range of distribution of diving beetles between terraced valley paddy fields and open plain paddy fields was thought to be the result of an complex action of physico-chemical environments such as annual water status and the degree of chemical application involving differences in the extent of disturbance of the paddy ecosystem, the connectivity of the paddy to an adjacent biotope, and interrelationships among competitors.

Wet Deposition of Heavy Metals during Farming Season in Taean, Korea (태안지역 강우의 중금속 함량 평가)

  • Jung, Goo-Bok;Kim, Min-Kyeong;Lee, Jong-Sik;Kim, Won-Il;Kim, Gun-Yeob;Ko, Byong-Gu;Kang, Kee-Kyung;Kwon, Soon-Ik
    • Korean Journal of Environmental Agriculture
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    • v.30 no.2
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    • pp.153-159
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    • 2011
  • BACKGROUND: This experiment was conducted to investigate the distribution and burden characteristics of heavy metal in the rainwater sampled at Taean area, in the middle part of Korea, from April 2002 to October 2003. METHODS AND RESULTS: The relationship between concentration of heavy metal and other chemical properties in the rainwaters was also evaluated. Chemical properties in the rainwater were various differences with raining periods and years. It appeared that a weighted average pH values of rainwater was ranged from 5.0 to 5.1. Heavy metal concentrations in the rainwater were ranked as Pb > Zn > Cu > Ni > As > Cr > Cd. As compared with heavy metal concentrations of rainwater in 2002, Cu, Pb, and Zn were higher than other elements in 2003. There were positive correlation between major ionic components, such as ${NH_4}^+$, $Ca^{2+}$, $Mg^{2+}$, $K^+$, $Na^+$, ${SO_4}^{2-}$ and ${NO_3}^-$, and As, Cd, Zn, Cr, and Ni concentrations in rainwater. For heavy metal distribution of rainwater, the order of average enrichment factor was Cd > Pb > As > Cu > Zn > Ni > Cr, and these were relatively higher than the natural components such as Fe, Mg and Ca. The monthly enrichment factor were relatively high, from August to October at Taean. The monthly amount of heavy metal precipitation was high in the rainy season from July to August because of great influence of rainfall. CONCLUSION(s): The results of this study suggest that the heavy metals(Cd, Pb, As, Cu, and Zn) of rainwater is strongly influenced by anthropogenic sources rather than natural sources.

A Study on Traditional Costume of China's Minorities (I) - Centering Around Yunna Province Minorities - (중국(中國) 소수민족(少數民族)의 민족복식(民族服飾)에 관(關)한 연구(硏究)(I) - 운남성(雲南省)의 소수민족(少數民族)을 중심(中心)으로 -)

  • Kim, Young-Sin;Hong, Jung-Min
    • Journal of Fashion Business
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    • v.2 no.3
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    • pp.137-156
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    • 1998
  • In this study, the researcher studied the historical background, and the traditional culture about dress and ornament of Yunnan Province of China, The results of the study are as follows. 1. Dress and personal ornaments of the Va peoples vary with the locality. Their traditional dress and adornment is characterized by those in the Ximeng area. Men usually wear black or dark blue collarless jackets and black and dark blue loose and short bagged trousers with folding waist. Women usually wear close-fitting sleeveless pullover blouses with V-shaped necks and straight skirts with patterns of red and black cross stripes. 2. Jingpo men have changed to wear shirts with button down the front and trousers. They also entwine white turbans with red bobbles on both ends, and carry diagonally long knives, firelocks and red woolen figured satchels on their shoulders. Women usually wear black velvet blouses with silver bowl-shaped ornaments and chains around collars and on the fronts. They also wear red straight skirts with overlapped slit on the right, waistbands and waist hoops made of rattan and bamboo. 3. The Naxi nationality has a long history and excellent traditional culture. In modern times, women like to wear red, blue or purple laced blouses, long double-layered pleated skirts, waistbands and embroidered shoes. They wear their hair in buns with either hats or kerchiefs over them. While working or going out, they put on their "seven-star" capes made of sheepskin and embroidered with two big circles and seven small ones, while is a symbol of their frog totem. 4. The dress and adorment of the Jinuo people is simple, elegant and has its own unique characteristics. Men usually wear white buttonless shirts with round necks and an opening on the front, knee-length bagged trousers and legging. They wear cloth turbans, earrings and also put small bamboo or silver pipes in the holes of their earlobes. Women wear short buttonless blouses with round necks and seven coloured stripes and thin tight-fitting or embroidered triangular underwear. 5. The dress and ardorment of the Benglong (De' ang) nationality has its own strong national colour. Most of the men wear jackets with buttons arranged diagonally on the front, loose, short trousers and black or white turbans. Some young men like to wear eardrops and silver necklaces. Women's dress and adornment differs according to various branches. For example, the women of the Bielie and Liang branches have their hair shaved and wear black turbans. They use large square silver tablets as buttons and wear blue or black blouses with buttons down the front. 6. Oai men usually wear trousers, white or blue cloth turbans and round-necked shirts with buttons down the front or arranged diagonally on the front. Women usually wear long straight skirt and blouses. But dress and adornment varies in regions. 7. The Bai nationality dress and adornment has unique national style. The dress fabrics are mainly cotton cloth, silk and velvet. Men usually wear red velvet vests over white shirts with buttons down the front or black velvet vests over light blue shirts. They also wear white of blue turbans and carry satchels with beautiful embroidered designs over their shoulders. Women usually wear red velvet vests over white blouses, or black vests over light-coloured blouses.

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Evaluating the Usefulness of the ICT Tuberculosis Test Kit for the Diagnosis of Tuberculosis (결핵 진단에서 ICT Tuberculosis Test Kit의 효용성)

  • Chang, Chul-Hun;Son, Han-Chul;Ryu, Ki-Chan;Park, Soon-Kew;Lee, Seon-Ho;Kim, Sung-Ryul;Park, Ki-Hyung;Kim, Woo-Seok;Koo, Kyong-Soo
    • Tuberculosis and Respiratory Diseases
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    • v.46 no.4
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    • pp.473-480
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    • 1999
  • Background: Early diagnosis of tuberculosis is critical, especially in Korea, an area where tuberculosis is endemic. Because antibody responses to some membrane proteins of Mycobacterium tuberculosis are not comparable, and the policy of BCG vaccination and the prevalence of tuberculosis are different from country to country, the usefulness of the serological diagnostic tests is questionable in Korea, even though they have been confirmed to be useful in other countries. In the specific context of Korea, we tried to evaluate the validity of the ICT Tuberculosis Test (ICT), a membrane-based antibody kit that purports to detect the 5 M. tuberculosis complex-specific antigens including 38-kDa protein. Method: 68 patients with tuberculosis were tested : 37 had no history of previous tuberculosis, and 31 were reactivated cases. The control group comprised 77 subjects : 25 healthy adults, 35 hospital workers with frequent contact with tuberculosis patients, and 17 in-patients with non-tuberculous respiratory diseases. Results: The diagnostic sensitivities of the ICT were 87% and 73% in patients with versus without previous history of tuberculosis, respectively. The sensitivities of smear-positive and smear-negative patient groups were 81% and 73%, respectively. Both of the two patients with extrapulmonary tuberculosis tested positive through the ICT. The specificities of the ICT were 88%, 94%, and 94% in healthy adults, hospital workers, and non-tuberculous patients, respectively, with an overall specificity of 92%. Conclusion: It is suggested that when combined with traditional techniques, the ICT is an useful tool for the diagnosis of pulmonary tuberculosis. The procedure is simple, easy to perform, rapid, and needs no equipment. It shows 73% sensitivity and 92% specificity for the diagnosis of tuberculosis.

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Usefulness and Comparison of $^{201}TI$-chloride, $^{99}mTc$-MIBI, $^{99}mTc(V)$-DMSA Single Photon Emission Computed Tomography in Distinguishing Lung Cancer from Benign Lesion (폐암과 양성질환의 감별에 $^{201}TI$-chloride, $^{99}mTc$-MIBI, $^{99}mTc(V)$-DMSA 단일광자전산화단층촬영술의 비교 및 가치)

  • Kim, Chang Ho;Chae, Sang Cheol;Park, Jae Yong;Jung, Tae Hoon;Ahn, Byeong Cheol;Lee, Jae Tae
    • Tuberculosis and Respiratory Diseases
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    • v.43 no.5
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    • pp.720-727
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    • 1996
  • Objectives: $^{201}TI$ - chloride, $^{99m}Tc$ - MIBI, $^{99m}Tc$(V) - DMSA SPECT has been used in distinguishing lung cancer from benign lesion. To compare the diagnostic efficacy of SPECT with these tumor - seeking agents, we perfonned three consecutive SPECT using $^{201}TI$, $^{99m}Tc$ - MIBI, $^{99m}Tc$(V) - DMSA in same subjects with a solitary pulmonary lesion. Methods: SPECT was carried out at 10min and 3hr for $^{201}TI$ after injection of 20mCi, and 2hr for $^{99m}Tc$ - MIBI and $^{99m}Tc$(V) - DMSA after injection of 20mCi, respectively, in 37 patients with a solitary pulmonary lesion(27 lung cancer and 10 benign diseases). In patients showing visual uptake on lesion site, we obtained the lesion - to - background(target lesion/contralateral normal lung) uptake ratio from transverse slice for each radionuclide and also calculated the retention index for $^{201}TI$. Results: The diagnostic sensitivity of $^{201}TI$, $^{99m}Tc$ - MIBI and $^{99m}Tc$(V) - DMSA SPECT to lung cancer was 100%, 96% and 73%, and the specificity was 40%, 70% and 70%, respectively. The low specificities for these agents were mainly due to high positive uptake in patients with active pulmonary tuberculosis. There were no significant differences in uptake ratios and retention index between malignant and benign lesions, and among the histologic types of lung cancer. Conclusion : $^{201}TI$ and $^{99m}Tc$ - MIBI showed higher sensitivity than $^{99m}Tc$(V) - DMSA for detecting lung cancer, but was of limited usefulness in distinguishing lung cancer from benign lesion due to low specificity, especially in area with a high prevalence of active pulmonary tuberculosis.

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