• Title/Summary/Keyword: CT/MRI/PET

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Imaging Cancer Metabolism

  • Momcilovic, Milica;Shackelford, David B.
    • Biomolecules & Therapeutics
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    • v.26 no.1
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    • pp.81-92
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    • 2018
  • It is widely accepted that altered metabolism contributes to cancer growth and has been described as a hallmark of cancer. Our view and understanding of cancer metabolism has expanded at a rapid pace, however, there remains a need to study metabolic dependencies of human cancer in vivo. Recent studies have sought to utilize multi-modality imaging (MMI) techniques in order to build a more detailed and comprehensive understanding of cancer metabolism. MMI combines several in vivo techniques that can provide complementary information related to cancer metabolism. We describe several non-invasive imaging techniques that provide both anatomical and functional information related to tumor metabolism. These imaging modalities include: positron emission tomography (PET), computed tomography (CT), magnetic resonance imaging (MRI), magnetic resonance spectroscopy (MRS) that uses hyperpolarized probes and optical imaging utilizing bioluminescence and quantification of light emitted. We describe how these imaging modalities can be combined with mass spectrometry and quantitative immunochemistry to obtain more complete picture of cancer metabolism. In vivo studies of tumor metabolism are emerging in the field and represent an important component to our understanding of how metabolism shapes and defines cancer initiation, progression and response to treatment. In this review we describe in vivo based studies of cancer metabolism that have taken advantage of MMI in both pre-clinical and clinical studies. MMI promises to advance our understanding of cancer metabolism in both basic research and clinical settings with the ultimate goal of improving detection, diagnosis and treatment of cancer patients.

Principle and Recent Advances of Neuroactivation Study (신경 활성화 연구의 원리와 최근 동향)

  • Kang, Eun-Joo
    • Nuclear Medicine and Molecular Imaging
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    • v.41 no.2
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    • pp.172-180
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    • 2007
  • Among the nuclear medicine imaging methods available today, $H_2^{15}O-PET$ is most widely used by cognitive neuroscientists to examine regional brain function via the measurement of regional cerebral blood flow (rCBF). The short half-life of the radioactively labeled probe, $^{15}O$, often allows repeated measures from the same subjects in many different task conditions. $H_2^{15}O-$ PET, however, has technical limitations relative to other methods of functional neuroimaging, e.g., fMRI, including relatively poor time and spatial resolutions, and, frequently, insufficient statistical power for analysis of individual subjects. However, recent technical developments, such as the 3-D acquisition method provide relatively good image quality with a smaller radioactive dosage, which in turn results in more PET scans from each individual, thus providing sufficient statistical power for the analysis of individual subject's data. Furthermore, the noise free scanner environment $H_2^{15}O$ PET, along with discrete acquisition of data for each task condition, are important advantages of PET over other functional imaging methods regarding studying state-dependent changes in brain activity. This review presents both the limitations and advantages of $^{15}O-PET$, and outlines the design of efficient PET protocols, using examples of recent PET studies both in the normal healthy population, and in the clinical population.

Current Status of Health Screening in Korea (한국의 건강검진 현황)

  • Jo, Han-Ik
    • Journal of Korea Association of Health Promotion
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    • v.2 no.3
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    • pp.73-96
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    • 2004
  • Along with a development of medical technology, a variety of tests, such as laboratory tests, x-ray and endoscopies are being used in health screening tests. As the tests determine the quality of health screening, test items and methods should be carefully selected. This study was to get hold of the test items of major health screening programs in Korea Most of the health screening programmes focused upon detection of risk factors and diagnosis of life - style related diseases (diabetes, hypertension, cardiovascular diseases, hypercholesterolemia, overweight, drinking, smoking, cerebrovascular diseases, osteoporosis) ,cancers (stomach, cervix, lung, breast, liver, colon, prostate, ovary, pancreas, thyroid, esophagus) , infectious diseases (hepatitis, tuberculosis, sexually-transmitted diseases, parasites) , chronic obstructive respiratory diseases, chronic renal diseases (bacteriuria hematuria, proteinuria) , anemia, glaucoma, hearing loss, Alzheimer disease, stress, early psychiatric diseases. The health screening tests were basic physical examination, basic laboratory tests (CBC, urinalysis, liver function tests, lipid tests, glucose, HbAlc, uric acid, electrolytes, serological tests (HBsAg, HBs-Ab, HCV-Ab, HIV-Ab, VDRL) EKG, x-ray (chest PA, CT) , endoscopy (gastroscopy, colonoscopy) , sonography(abdomen, thyroid, pelvis, breast) ,cytology (cervix) , bone density, tumor markets (NMP22, alpha-FP, CEA, CA-19-9, CA12S, PSA) and eye tests. Advanced technologies, like CT, PET, MRI, MRT/Angio, molecular testings) were widely used in hospital health screening programmes .In summary, a variety of tests were utilized in health screening in Korea. Those tests were utilized by stages or according to sex and age in most of health screening programmes, however a few program used tests to excess disregarding health screening subjects.

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Mucoepidermoid Carcinoma with Distant Metastases to the Kidney, Adrenal Gland, Skull and Gluteus Maximus Muscle: a Case Report

  • Son, Sang-wook;Lee, Kye-ho;Lee, Jai Hyuen;Myong, Na-Hye;Yoo, Dong-soo
    • Investigative Magnetic Resonance Imaging
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    • v.20 no.1
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    • pp.66-70
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    • 2016
  • Introduction: Distant metastases of mucoepidermoid carcinoma (MEC) are reported with the most common sites being the soft tissue of skin, lung, liver, and bone. We report here a very rare case of MEC with multiple metastases to the kidney, adrenal gland, skull and gluteus maximus muscle. Case report: A 63-year-old male patient presented with left-sided headache. Radiologic evaluations including CT and MRI showed ill-defined soft tissue lesion involving the left infratemporal fossa and left sphenoid sinus, and multiple enlarged lymph nodes in neck and mediastinum. PET-CT demonstrated multiple hypermetabolic lesions in and around the left kidney, left adrenal gland, right ischium, right gluteus maximus and skull base. These lesions were confirmed as MEC with multiple metastases through biopsy. Discussion: Only one case of metastasis to the skull has been previously reported, and moreover, there has not been a case of metastatic MEC to the kidney, adrenal gland and gluteus maximus muscle so far in the medical literature. It is important to acknowledge the possibility of every unusual MEC metastases, since the presence of metastasis has statistically significant influence on the survival of MEC.

Primary Diffuse Large B-Cell Lymphoma of the Seminal Vesicle: a Case Report

  • Kwag, Kyung Su;Jang, Suk Ki;Yeon, Jae Woo;Kwon, Kye-Won;Son, Jeong Hwan;Kim, Hyuk Jung
    • Investigative Magnetic Resonance Imaging
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    • v.20 no.4
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    • pp.259-263
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    • 2016
  • Primary diffuse large B-cell lymphoma of the seminal vesicle is an extremely rare disorder, with only two cases reported in the English literature. Here, we present imaging findings of a case of primary diffuse large B-cell lymphoma of the seminal vesicle. On transrectal ultrasonography, the mass presented as a 3.0-cm-sized heterogeneous, hypoechoic lesion in the right seminal vesicle. Computed tomography (CT) revealed a mass with rim-like enhancement in the right seminal vesicle. On magnetic resonance imaging (MRI), the tumor showed iso-signal intensity on T1-weighted images and heterogeneously intermediate-high signal intensity on T2-weighted images. The tumor showed rim-like and progressive enhancement with non-enhancing portion on dynamic scanning. Diffusion restriction was observed in the mass. On fluorodeoxyglucose positron emission tomography-computed tomography (FDG PET/CT) imaging, a high standardized uptake value (maxSUV, 23.5) by the tumor was noted exclusively in the right seminal vesicle.

Feature Extraction of Molecular Images by DWT (DWT에 의한 분자영상의 특징 추출)

  • Choi, Guirack;Ahng, Byungju;Lee, Sangbock
    • Journal of the Korea Society of Computer and Information
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    • v.18 no.12
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    • pp.21-26
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    • 2013
  • In this paper, We are suggested methods of feature extraction in molecular images. The result of image transform DWT examination by suggested method, we are obtained as follows. 1-level and 2-levels of decomposition results showed the composition of the low frequency region. But, 3-level decomposition results did not appear in the data component is almost. Observed not with the naked eye is not, but the 3-level output data values of the results were decomposed. We are printed the horizontal and vertical directions of low-frequency region of the data, the high frequency region of the horizontal and vertical data, and diagonal high frequency region of the horizontal and vertical directions data. If the output data using molecular imaging and CT, PET, MR imaging will be compared with the data.

Image-guided radiation therapy in lymphoma management

  • Eng, Tony;Ha, Chul S.
    • Radiation Oncology Journal
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    • v.33 no.3
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    • pp.161-171
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    • 2015
  • Image-guided radiation therapy (IGRT) is a process of incorporating imaging techniques such as computed tomography (CT), magnetic resonance imaging (MRI), Positron emission tomography (PET), and ultrasound (US) during radiation therapy (RT) to improve treatment accuracy. It allows real-time or near real-time visualization of anatomical information to ensure that the target is in its position as planned. In addition, changes in tumor volume and location due to organ motion during treatment can be also compensated. IGRT has been gaining popularity and acceptance rapidly in RT over the past 10 years, and many published data have been reported on prostate, bladder, head and neck, and gastrointestinal cancers. However, the role of IGRT in lymphoma management is not well defined as there are only very limited published data currently available. The scope of this paper is to review the current use of IGRT in the management of lymphoma. The technical and clinical aspects of IGRT, lymphoma imaging studies, the current role of IGRT in lymphoma management and future directions will be discussed.

개인용 컴퓨터를 이용한 뇌 합성영상에 대한 재구성

  • Min, Hyeong-Gi;Nam, Sang-Hui
    • Korean Journal of Digital Imaging in Medicine
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    • v.3 no.1
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    • pp.110-118
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    • 1997
  • Recently, to make a diagnosis of the patient different X-Ray examinations are used. To name a few, Computed Tomography(CT). Magnetic Resonance Image(MRI) Single Photon Emission Computed Tomography(SPET) and Positron Emission Tomography(PET). But diagnosticians face difficulties sometimes when they make a diagnosis with images from those examinations. One of the problem is whether the Lesions of the patient is captured in the image correctly. Another one is whether the images are taken with same angle. in this paper, a study 9 on the method to obtain the hybrid image from the different images to different examinations. The procedure done in this paper is described as future study. Although small errors in position between images would occurred, this method more useful as it does not make patients in convenient. To reconstruct a image, some images are scanned by scanner and stored to personal computer for further image processing with Aldus photostyler program. The method to generate a sharpened image are also described.

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Research of operators and patients exposed to electromagnetic field in the hospital (병원에서의 환자, 의료진의 전자파 노출 실태 조사)

  • Ji, Hyo-Chul;Hong, Hyun-Ki;Kim, Sung-Woo;Lee, Ju-Hyung;Kim, Deok-Won
    • Proceedings of the KIEE Conference
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    • 2007.04a
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    • pp.70-72
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    • 2007
  • In this study, electromagnetic fields emitted from the various environment in the hospital were measured. Measurement spot was patients' head. To monitor how much magnetic fields are emitting from operation room, monitoring device was attached to 19 anesthesiologist and monitoring lasted 8 hours. We also took a measurement from various medical devices. Devices include ESWL, PET, MRI, CT, Gamma knife, X-ray, Angiogram, Echocardiogram, Upper GI and Linear Accelerator. Electromagnetic fields were measured from 10 spots from each of 5 patient waiting room. As a results, there were no places showing risk of high exposure. All the measurement values were below the reference levels for general public exposure to time varying electric and magnetic fields which is issued by ICNIRP.

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