• Title/Summary/Keyword: CT scanning

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Review of the Radiation Risk and Clinical Efficacy Associated with Computed Tomography Cancer Screening (암의 조기발견을 위한 CT촬영에서의 임상적 효능과 방사선위해에 대한 고찰)

  • Kim, Hyun Ja
    • Journal of Radiation Protection and Research
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    • v.38 no.4
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    • pp.214-227
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    • 2013
  • Computed tomographic scan as a screening procedures in asymptomatic individuals has seen a steady increase with the introduction of multiple-raw detector CT scanners. This report provides a brief review of the current controversy surrounding CT cancer screening, with a focus on the radiation induced cancer risks and clinical efficacy. 1. A large study of patients at high risk of lung cancer(the National Lung Screening Trial[NLST]) showed that CT screening reduced cancer deaths by 20%(1.33% in those screened compared with 1.67% in those not screened). The rate of positive screening tests was 24.2% and 96.4% of the positive screening results in the low-dose CT group were false-positive. Radiation induced lung cancer risk was estimated the most important in screening population because ERR of radiation induced lung cancer does not show the decrease with increasing age and synergistic connection between smoking and radiation risk. Therefore, the radiation risk may be on the same order of magnitude as the benefit observed in the NLST. Optimal screening strategy remain uncertain, CT lung cancer screening is not yet ready for implementation. 2. Computed tomographic colonography is as good as colonoscopy for detecting colon cancer and is almost as good as colonoscopy for detecting advanced adenomas, but significantly less sensitive and specific for smaller lesions and disadvantageous for subsequent therapeutic optical colonoscopy if polyps are detected. The average effective dose from CT colonography was estimated 8-10 $mS{\nu}$, which could be a significant dose if administered routinely within the population over many years. CT colonography should a) achieve at least 90% sensitivity and specificity in the size category from 6 and 10 mm, b) offer non-cathartic bowl preparation and c) be optimized and standardized CT parameters if it is to be used for mass screening. 3. There is little evidence that demonstrates, for whole-body scanning, the benefit outweighs the detriment. This test found large portion of patient(86~90.8%) had at least one abnormal finding, whereas only 2% were estimated to have clinically significant disease. Annual scans from ages 45 to 75 years would accrue an estimated lifetime cancer mortality risk of 1.9%. There is no group within the medical community that recommends whole-body CT. No good studies indicate the accuracy of screening CT, at this time. The benefit/risk balance for any of the commonly suggested CT screening techniques has yet to be established. These areas need further research. Therefore wild screening should be avoided.

3D MDCT Reformation Findings of the Radiographic Contrast Medium Extravasation (조영제 혈관외유출 현상의 3D MDCT 재구성 영상)

  • Kweon Dae-Cheol;Kim Jeong-Koo
    • The Journal of the Korea Contents Association
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    • v.6 no.5
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    • pp.145-152
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    • 2006
  • Radiographic contrast medium may cause tissue injury by extravasation during intravenous automated injection during CT examination. A large - volume extravasation (140 mL) occurred in an adult during contrast-enhanced CT The patient had a swelling and injury on the dorsum right hand of intravenous catheter region. The extravasation injury site was determined by CT scanning. The extavasation compartment syndrome case was examined using four separate display techniques. These 3D MDCT findings might help to determine the best course of treatment for patient with contrast extravasation. 3D image reconstructions provide accurate views of high-resolution and soft-tissue imaging. This paper introduces extravasation with the radiography and 3D MDCT findings.

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Scrotal Sparganosis Mimicking Scrotal Teratoma in an Infant: A Case Report and Literature Review

  • Zhao, Yi-Ming;Zhang, Hao-Chuan;Li, Zhong-Rong;Zhang, Hai-Yan
    • Parasites, Hosts and Diseases
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    • v.52 no.5
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    • pp.545-549
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    • 2014
  • Sparganosis is an infection with a parasitic tapeworm larva that occurs by eating infected foods or drinking contaminated water. The larvae can migrate to a tissue or muscle in the chest, abdominal wall, extremities, eyes, brain, urinary tract, pleura, pericardium, spinal canal, or scrotum. Herein, we report a 5-month old infant with scrotal sparganosis who was initially suspected to have a scrotal inflammatory mass with a history of applying raw frog meat into the umbilicus. Preoperative ultrasound examinations and computed tomography (CT) scanning misdiagnosed the mass as a scrotal teratoma. The scrotal mass was surgically removed, and the histopathology proved it to be scrotal sparganosis. This case displays the youngest patient ever reported with scrotal sparganosis, and the first description of CT characteristics of scrotal sparganosis. A detailed medical history is necessary for patients with scrotal masses suspected of sparganosis. In addition, ultrasound and CT examinations are helpful to rule out other causes of a scrotal mass.

Enhancing Medical Images by New Fuzzy Membership Function Median Based Noise Detection and Filtering Technique

  • Elaiyaraja, G.;Kumaratharan, N.
    • Journal of Electrical Engineering and Technology
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    • v.10 no.5
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    • pp.2197-2204
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    • 2015
  • In recent years, medical image diagnosis has growing significant momentous in the medicinal field. Brain and lung image of patient are distorted with salt and pepper noise is caused by moving the head and chest during scanning process of patients. Reconstruction of these images is a most significant field of diagnostic evaluation and is produced clearly through techniques such as linear or non-linear filtering. However, restored images are produced with smaller amount of noise reduction in the presence of huge magnitude of salt and pepper noises. To eliminate the high density of salt and pepper noises from the reproduction of images, a new efficient fuzzy based median filtering algorithm with a moderate elapsed time is proposed in this paper. Reproduction image results show enhanced performance for the proposed algorithm over other available noise reduction filtering techniques in terms of peak signal -to -noise ratio (PSNR), mean square error (MSE), root mean square error (RMSE), mean absolute error (MAE), image enhancement factor (IMF) and structural similarity (SSIM) value when tested on different medical images like magnetic resonance imaging (MRI) and computer tomography (CT) scan brain image and CT scan lung image. The introduced algorithm is switching filter that recognize the noise pixels and then corrects them by using median filter with fuzzy two-sided π- membership function for extracting the local information.

Investigation of Microstructural Characteristics of Foamed Concrete with Different Densities (미세구조 분석방법을 활용한 서로 다른 밀도를 가진 기포콘크리트 특성 분석)

  • Chung, Sang-Yeop;Jo, Su-Sung;Oh, Seo-Eun
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.43 no.1
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    • pp.1-7
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    • 2023
  • A set of foamed concrete specimens with different densities were prepared, and several microscopic techniques, such as scanning electron microscope (SEM) and X-ray micro-computed tomography (micro-CT) were used to characterize the foamed specimens. The pore and solid characteristics of the specimens at different ages were examined to investigate the effect of aging on the materials. The compressive strength and the thermal conductivity of the foamed specimens were also evaluated, and the relationship between the material characteristics and properties was integrated to identify the effect of density and aging on the material properties.

Application of Virtual Endoscopy in Epiglottic Cyst (가상내시경으로 본 후두개 낭종)

  • Yoo, Young Sam;Choi, Jeong Hwan;Kim, Sang Woo;Woo, Kuk Sung;Kim, Dong Won
    • Korean Journal of Bronchoesophagology
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    • v.17 no.2
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    • pp.108-111
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    • 2011
  • Epiglottic cysts cause stridor mimicking asthma and hinder intubation in surgery. A huge cyst can obstruct the airway, making laryngeal examinations impossible. Before surgery, complete visualization of the larynx is necessary for the successful excision of a cyst. If laryngeal examination fails, computed tomography (CT) scanning can provide detailed information. Virtual endoscopy based on CT data reconstruction can yield a detailed three-dimensional image of the larynx. Here, we report two cases of epiglottic cysts along with virtual endoscopic findings and surgical photographs.

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Thoracoscopic Right Middle Lung Lobectomy in a Maltese Dog with Primary Pulmonary Bronchoalveolar Carcinoma

  • Park, Jiyoung;Lee, Hae-Beom;Jeong, Seong Mok
    • Journal of Veterinary Clinics
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    • v.35 no.4
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    • pp.166-169
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    • 2018
  • A 14-year-old, 3.9 kg, castrated male Maltese presented with an intermittent cough. A solitary mass ($1.6{\times}2{\times}1.8cm$) was located in right middle lung lobe on CT examination and thoracoscopic right middle lung lobectomy was performed without lung separation. The patient recovered uneventfully and was discharged at POD3. With a histopathologic diagnosis of pulmonary bronchoalveolar carcinoma, Re-evaluation via CT scanning with contrast on POD 50 and 255 revealed no evidence of residual, metastatic or recurrent lesions. The patient has been doing well since surgery during a 9-month follow-up period.

Development of sulfonated polysulfone composite membranes for ammonium rejection

  • Bastos, Edna T.R.;Barbosa, Celina C.R.;Silva, Jaciara C.;Queiroz, Vanessa B.C.;Vaitsman, Delmo S.
    • Membrane and Water Treatment
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    • v.4 no.2
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    • pp.83-93
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    • 2013
  • In the present investigation, were synthesized composite membranes prepared by simultaneous casting of two polymer solutions using the technique of phase inversion by immersion / precipitation. The support layer was prepared using polyethersulfone and polysulfone as base polymer and for the top layer was used sulfonated polysulfone (SPSU) with 50% sulfonation degree. The morphology of the resulting membranes were characterized by scanning electron microscopy (SEM). The final results showed that it is possible to prepare composite membranes by simultaneous casting of two polymer solutions with adherence between the two layers. Regarding the permeation tests, the developed membranes presented values of hydraulic permeability within the range of commercial nanofiltration (NF) membranes. Values rejection of 80% ammonium ions can be increased by using a SPSU with a greater degree of sulfonation.

Lung cancer and insurance medicine (폐암과 보험의학)

  • Lee, Sin-Hyung
    • The Journal of the Korean life insurance medical association
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    • v.31 no.1
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    • pp.34-36
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    • 2012
  • Lung cancer such as small cell lung cancer(SCLC) and non small cell lung cancer(NSCLC) have high mortality rate, so, we insurance doctors have little interest in their risk. But nowadays there's a lot of development in targeted therapy of NSCLC. Screening by CT scanning and early resection strategy also shows better prognosis. It is helpful for underwriters and insurance doctors to review the current development of targeted therapy of NSCLC and estimation of extra-risk of early lung cancer. The preferred treatment option for patients whose tumors contain EGFR-activating mutations are one of the EGFR-directed tyrosine kinase inhibitors, such as gefitinib or erlotinib. In patients with NSCLC whose tumors harboured an ALK rearrangement, there was 61% objective response rate to crizotinib in the phase 1 study. The median survival progression-free survival was 10 months. Mortality analysis of early lung cancer who were detected by CT screening, MR of 105% and EDR of 1‰ were calculated.

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Supratentorial Gangliocytoma Mimicking Extra-axial Tumor: A Report of Two Cases

  • Ho Sung Kim;Ho Kyu Lee;Ae Kyung Jeong;Ji Hoon Shin;Choong Gon Choi;Shin Kwang Khang
    • Korean Journal of Radiology
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    • v.2 no.2
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    • pp.108-112
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    • 2001
  • We report two cases of supratentorial gangliocytomas mimicking an extra-axial tumor. MR imaging indicated that the tumors were extra-axial, and meningiomas were thus initially diagnosed. Relative to gray matter, the tumors were hypointense on T1-weighted images and hyperintense on T2-weighted images. On contrast-enhanced T1-weighted images, homogeneous enhancement was observed, while CT scanning revealed calcification in one of the two cases.

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