• 제목/요약/키워드: CSF flow study

검색결과 37건 처리시간 0.029초

Role of Catheter's Position for Final Results in Intrathecal Drug Delivery. Analysis Based on CSF Dynamics and Specific Drugs Profiles

  • De Andres, Jose;Perotti, Luciano;Villanueva, Vicente;Asensio Samper, Juan Marcos;Fabregat-Cid, Gustavo
    • The Korean Journal of Pain
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    • 제26권4호
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    • pp.336-346
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    • 2013
  • Intrathecal drug delivery is an effective and safe option for the treatment of chronic pathology refractory to conventional pain therapies. Typical intrathecal administered drugs are opioids, baclofen, local anesthetics and adjuvant medications. Although knowledge about mechanisms of action of intrathecal drugs are every day more clear many doubt remain respect the correct location of intrathecal catheter in order to achieve the best therapeutic result. We analyze the factors that can affect drug distribution within the cerebrospinal fluid. Three categories of variables were identified: drug features, cerebrospinal fluid (CSF) dynamics and patients features. First category includes physicochemical properties and pharmacological features of intrathecal administered drugs with special attention to drug lipophilicity. In the second category, the variables in CSF flow, are considered that can modify the drug distribution within the CSF with special attention to the new theories of liquoral circulation. Last category try to explain inter-individual difference in baclofen response with difference that are specific for each patients such as the anatomical area to treat, patient posture or reaction to inflammatory stimulus. We conclude that a comprehensive evaluation of the patients, including imaging techniques to study the anatomy and physiology of intrathecal environment and CSF dynamics, could become essential in the future to the purpose of optimize the clinical outcome of intrathecal therapy.

A Study on the Flow with Interfacial Phenomena Using VOF Method

  • Baek, J.H.
    • 한국전산유체공학회:학술대회논문집
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    • 한국전산유체공학회 2006년도 추계 학술대회논문집
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    • pp.9-10
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    • 2006
  • A numerical method for simulating tree surface flows including the surface tension is presented. Numerical scheme is based an a fractional-step method with a finite volume formulation and the interface between liquid and gas is tracked by Volume of Fluid (VOF) method. Piecewise Linear Interface Calculation (PLIC) method is used to reconstruct the interface and the surface tension is considered using a Continuum Surface Force (CSF) model. Several free surface flow phenomena were simulated to show its effectiveness to find such phenomena.

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뇌압 펄스하에서 션트밸브의 압력-유량제어 특성곡선의 변화 (Changes in The Pressure-Flow Control Characteristics of Shunt Valves Under Brain Pressure Pulsation)

  • 홍이송;이종선;장종윤
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2002년도 학술대회지
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    • pp.699-702
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    • 2002
  • Shunt valves implanted in the subcutaneous tissue of brain to treat patient with hydrocephalus were numerically simulated to investigate influence of pressure pulsation on their flow control characteristics. Shunt valves are subjected to pressure variation since ventricles enclosing the brain are under pressure pulsation rather than uniform pressure due to blood pressure variation. We modeled flow orifice through shunt valve and imposed pulsating pressure and valve diaphragm movement to compute flow through the valve. The results of our study indicated that flow rate increased by $40{\%}$ by introducing pressure pulsation and diaphragm movement on the shunt valve. Our results demonstrate the pressure-flow control characteristics of shunt valves unplanted above human brain may be quite different from the characteristics obtained by syringe pump test with uniform pressure and no diaphragm movement.

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인터넷을 활용한 중국정보제공 서비스에 관한 비교연구 : 중국전문가포럼 구축현황을 중심으로 (A Comparative Study of Internet Services Providing Information on China : Focusing on the Formation of the China Specialist Forum)

  • 정다송
    • 정보관리연구
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    • 제33권3호
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    • pp.87-104
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    • 2002
  • 중국시장 및 중국의 국제적 정치적 위상의 강화로, 우리는 경제의 활력을 보충해 나가고 21세기 성장 흐름을 새롭게 창출해 나가기 위해 중국과의 교류협력을 증진시킬 필요성이 더욱 높아지고 있다. 이를 위한 정보의 공유, 전문가 양성, 중국전문가 간의 네트워크, 중국정보 DB및 정보공유체제의 확립이 불가피한 현실이다. 이에 따라 대외경제정책연구원에서는 제한된 전문인력과 정보를 최대한 활용하여, 체계적이고 종합적인 대중국 교류협력 증진에 발판이 될 중국정보 포탈시스템인 중국전문가포럼웹사이트(China Specialist Forum WebSite : CSF)를 개발하였다. 중국전문가가 필요로 하는 정보를 한 곳에서 편리하고 신속하게 제공받을 수 있고, 단순 정보제공의 차원을 넘어서 중국방면의 학술, 무역, 기타 이슈들을 상호교류할 수 있도록 설계한 국내 최대규모의 중국정보포털사이트인 CSF의 분석과 대만의 중국무역포털사이트인 $\ulcorner$대륙과 대만의 전 세계 상업정보망-대륙대상전구자신망(大陸臺商全球資訊網)$\lrcorner$, 싱가포르의 IE Singapore를 비교 분석함으로써 중국정보 전문 포털사이트의 발전방향을 제시했다.

수 종의 한약제제가 조혈작용에 미치는 영향 (Effects of Korean Traditional Medicine on Murine Hematopiesis (Regulation of Hematopoietic Cytokine & $CD34^{+}$ cell Expression))

  • 전재현;김영철;이장훈;우흥정
    • 대한한의학회지
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    • 제22권3호
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    • pp.156-168
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    • 2001
  • Objectives : To evaluate the diverse actions of stimulation on the hematopoietic system, 4 formulas (KH I, KH 2, KH 3, KH 4) were studied. Method and Result : RT-PCR was performed to measure the gene expression of hematopoietic cytokines (TPO, GM-CSF, SCF, IL-3). When bone marrow cells were treated with KH 1, 2, 3, 4, the gene expressions of TPO, SCF, IL-3, and GM-CSF were increased. Flow cytometric analysis was performed to measure the expression of CD34+ cell activity. After 72 hrs culture supplemented with KH 1, 2, 3, 4, the percent of CD34+ cell of KH 2, 3, 4 were increased. To measure the expression of colony forming units - granulocyte erythrocytes, macrophages, megakaryocytes (CFU-GEMM) and burst forming unit-erythroid (BFU-E), semisolid clonogenic assay was performed. After 14 days of culture the number of CFU-GEMM and BFU-E of KH I, 2, 3, 4 were significantly increased compared to those of EPO groups (KH 1 P<0.0l, KH 2 P<0.05, KH 3 P<0.001, KH 4 P<0.0l). To determine the intracelluar TPO expression by KH 3, KH 4 in bone marrow cells, intracelluar staining and flow cytometric analysis were performed. After 24 hrs cultures, the TPO expression of the KH 3 and KH 4 treated groups were increased over those of the controlled groups (control : 50%, KH 3 : 87%, KH 4 : 78%). Conclusion : These results suggest that KH I, KH 2, KH 3, KH 4 have hematopoietic effects through increasing the production of hematopoietic cytokines and stimulating the activity of $CD34^{+}$ cells. This study also shows that KH 3 has a more effective hematopoietic effect than KH 1, 2, 4. These results suggest that the formulas (KH I, 2, 3, 4) can be applied to the patients with inappropriate hematopoietic system, and that KH 3 can be the most effective formula among these 4 in treating bone marrow disease in clinics.

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정상인 경수에 대한 확산텐서영상과 PC기법을 이용한 뇌척수액 속도 측정에 관한 연구 (Diffusion Tensor Imaging and Cerebrospinal Fluid Flow Study of Cine Phase Contrast in Normal Cervical Spinal Cords)

  • 손봉경;곽소영;한용희;유장선;김옥화;고현윤;문치웅
    • Investigative Magnetic Resonance Imaging
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    • 제17권2호
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    • pp.123-132
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    • 2013
  • 목적 : 정상인 경수에 대한 내부 부위별, 경수 레벨별 확산텐서영상과 뇌척수액 속도에 대한 정상인 기준을 마련하고자 하였다. 대상 및 방법 : 정상인을 대상으로 3T MRI를 이용하여 영상을 획득하였다. 확산텐서영상은 척수 레벨별로 각각 미리 정의해둔 백질의 후삭, 좌, 우 측삭과 회백질에 관심영역을 정하여 FA, MD에 대한 평균값을 구하였다. PC 기법을 이용한 뇌척수액 속도 측정은 C2-3, C4-5, C5-6 척수레벨을 각각 스캔한 후, 척수 레벨별 최대 수축기 및 이완기 속도를 측정하였다. 결과 : FA 값과 MD 값에서 회백질과 백질의 내부 구조 사이에서는 통계적으로 유의한 차이 (p < 0.05)를 보였다. 경수 레벨별에서는 회백질의 FA 값에서 통계적으로 유의한 차이(p < 0.05)를 보였으며, 나머지 부분에서는 통계적으로 유의한 차이를 보이지 않았다 (p > 0.05). 뇌척수액 속도 측정 결과, 평균 최대 수축기 속도 $5.18{\pm}2.00cm/sec$, 평균 최대 이완기 속도 $-7.32{\pm}3.18cm/sec$ 이었으며, 경수 레벨별로는 통계적으로 유의한 차이를 보이지 않았다 (p > 0.05). 결론 : 정상인에 대한 경수 확산텐서영상의 정량적 수치 및 경수 레벨에 영향을 받지 않는 뇌척수액 속도에 대한 평균치를 알 수가 있었다.

Changes in Pressure-Flow Control Characteristics of Shunt Valves by Intracranial Pressure Pulsation: an In Vitro Study

  • Lee, Chong-Sun;Kim, Joo-Young
    • 대한의용생체공학회:의공학회지
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    • 제26권4호
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    • pp.193-197
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    • 2005
  • Shunt valves used to treat patients with hydrocephalus were tested to investigate influence of intracranial pressure pulsation on their flow control characteristics. Five commercial shunt valves were tested in the flow loop that simulates pulsed flow under pressure pulsation. As 20cc/hr of flow rate was adjusted at a constant pressure, application of $40mmH_2O$ of pressure pulse increased the flow rate by $67.9\%.$ As a 90cm length catheter was connected to the valve outlet, increase in the flow rate was substantially reduced to $17.5\%.$ As the flow rate was adjusted to 40cc/hr at a constant pressure, increase in the flow rate was $51.1\%$ with the same pressure pulsation of $40mmH_2O$. The results indicated that pressure-flow control characteristics of shunt valves implanted above human brain ventricle is quite different from those obtained by syringe pump test at constant pressures right after manufacture. The influence of pressure pulsation was observed to be more significant at low flow rate and the flexibility of the outlet silicone catheter was estimated to significantly reduce flow increase due to pressure pulsation.

단순포진 뇌염의 $^{99m}TC-HMPAO$ 국소 뇌혈류 SPECT의 소견 (Findings of $^{99m}TC-HMPAO$ Regional Cerebral Blood Flow SPECT in a Case of Herpes Simplex Encephalitis)

  • 안명임;이성용;김종우;박용휘
    • 대한핵의학회지
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    • 제23권1호
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    • pp.85-87
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    • 1989
  • Herpes simplex encephalitis (HSE) is one of the fulminant necrotizing, often fatal sporadic form of the encephalitis caused by herpes simplex type I virus. Characteristically, there is early and almost constant involvement of one or both temporal lobes, although there are common additional areas of involvement. Appropriate early treatment following correct diagnosis by clinical findings, CSF study, EEG and several radiological studies including angiography, redionuclide studies, CT or MRI can reduce its mortality and severity of the sequelae. We report a case of HSE diagnosed by adjuvant study of $^{99m}Tc-HMPAO$ regional cerebral blood flow SPECT, which showed a marked increase in bitemporal cerebral blood flow in a 24-year-old man.

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유동모형을 이용한 저속유동의 자기공명영상 (MR Imaging of Slow-flow Using a Flow Phantom)

  • Dae-Cheol Cheong;Kyung-Jae Jung;Young-Hwan Lee;Nak-Kwan Sung;Duck-Soo Chung;Ok-Dong Kim;Jong-Ki Kim
    • Investigative Magnetic Resonance Imaging
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    • 제5권2호
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    • pp.116-122
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    • 2001
  • 목적 : 고식적 스핀에코, 위상 대조 경사에코, 고속 GRASS, 중T-2강조 고속스핀에코 연쇄를 각각 유동모형에 적용시켜, 저속유동에 대한 자기공명영상의 민감도를 찾아내고자 한다. 대상 및 방법 뇌실-복강 단락 도관과 GE 모형으로 이루어진 유동모형으로 싸이폰 효과에 의한 지속적인 가변 유속의 흐름을 내보내고, 각각의 유속에 위의 네 가지 자기공명영상연쇄를 적용시켰다. 0.08 ml/min 에서 1.7 ml/min 범위의 유량의 흐르는 액체와 정지된 액체에서 획득된 자기공명영상의 신호강도를 비교한 결과를 요약하면 다음과 같다. 결과 0.17 ml/min 이상의 느린 흐름에서는 고식적 스핀에코영상이 가장 우수한 정지-유동 액체사이의 겉보기대조를 보이나, 그 이하의 매우 느린 흐름에서는 GRASS 영상이 더 높은 민감도를 보였다. 결론 : 4가지 자기공명펄스연쇄는 0.08 ml/min에서 1.7 ml/min 범위의 유량의 흐름에서 서로 다른 민감도를 보였다. 이 결과는 임상적으로, 단락수술후의 뇌척수액의 흐름이나 혈관내의 혈전에 의한 흐름의 변이 등의 인체내의 저속유동을 검출하는 비침습적방법으로 유용하게 적용될 수 있을 것이다.

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