• Title/Summary/Keyword: Cancer imaging

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The development of a fully automated homemade system for [11C] acetate synthesis using an open source PLC

  • Kang, Se Hun;Hong, Sung Tack;Park, Kwangseo;Kim, Seok-ki
    • Journal of Radiopharmaceuticals and Molecular Probes
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    • v.2 no.2
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    • pp.103-107
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    • 2016
  • Solid phase extraction (SPE) purification method is the efficient and well-known tool for automated [$^{11}C$]acetate synthesis. A fully automated homemade module adopting the SPE method and 'pinch' valves was developed very economically with a universal interface board, a relay card and an open source programmable logic controller. The radiochemical yield of the optimized [$^{11}C$]acetate synthesis by this system was $58.8{\pm}2.1%$ (n=10, decay-corrected) from $15.5{\pm}0.19GBq$ of $[^{11}C]CO_2$ as starting activity, and total synthetic time was 15 minutes. HPLC analysis showed its high radiochemical purity as $97.4{\pm}1.1%$ without possible by-products.

New Diagnostic Techniques in Cancer of the Pharynx and Esophagus (인두암과 식도암의 새로운 진단내시경)

  • Cho, Joo Young;Cho, Won Young
    • Korean Journal of Bronchoesophagology
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    • v.17 no.1
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    • pp.14-18
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    • 2011
  • The diagnosis and treatment of early gastrointestinal cancers is the gastroenterologists' mission because of national cancer screening program in South Korea. The detection of early cancers is emphasized, because these were previously treated with surgical treatment can be currently cured with endoscopic treatment. Gastroenterologists who achieved at least on some level can make an exact diagnosis regardless of what type of endoscopy, but generally, there are some required conditions for an optimal diagnosis. First, clinically important lesions have to be detected easily. Second, the border and morphology of lesions have to be characterized easily. Third, lesions have to be diagnosed exactly. Precancers and early cancers are often subtle and can pose a challenge to gastroenterologists to visualize using standard white light endoscopy. The use of dye solutions aids the diagnosis of early gastrointestinal cancers, however, it is a quite cumbersome to use dye solutions all the time and the solution often bothers the exact observation by pooling into the depression or ulceration of the lesion. To overcome this weakness, newer endoscopes are now developed so called "image enhanced endoscopy" using optical and/or electronic methods such as narrow band imaging (NBI), autofluorescence imaging (AFI), i-scan, flexible spectral imaging color enhancement (FICE) and confocal endomicroscopy (CLE).

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FAP Inhibitors as Novel Small Molecules for Cancer Imaging using Radionuclide

  • Anvar Mirzaei;Jung-Joon Min;Dong-Yeon Kim
    • Journal of Radiopharmaceuticals and Molecular Probes
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    • v.9 no.1
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    • pp.49-55
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    • 2023
  • Tumors are encircled by various non-cancerous cell types in the extracellular matrix, including fibroblasts, endothelial cells, immune cells, and cytokines. Fibroblasts are the most critical cells in the tumor stroma and play an important role in tumor development, which has been highlighted in some epithelial cancers. Many studies have shown a tight connection between cancerous cells and fibroblasts in the last decade. Regulatory factors secreted into the tumor environment by special fibroblast cells, cancer-associated fibroblasts (CAFs), play an important role in tumor and vessel development, metastasis, and therapy resistance. This review addresses the development of FAP inhibitors, emphasizing the first, second, and latest generations. First-generation inhibitors exhibit low selectivity and chemical stability, encouraging researchers to develop new scaffolds based on preclinical and clinical data. Second-generation enzymes such as UAMC-1110 demonstrated enhanced FAP binding and better selectivity. Targeted treatment and diagnostic imaging have become possible by further developing radionuclide-labeled fibroblast activation protein inhibitors (FAPIs). Although all three FAPIs (01, 02, and 04) showed excellent preclinical and clinical findings. The final optimization of these FAPI scaffolds resulted in FAPI-46 with the highest tumor-to-background ratio and better binding affinity.

Pancreatic Arteriovenous Malformation as an Unusual Cause of Chronic Gastrointestinal Bleeding in a Patient with Early Gastric Cancer: Multimodality Imaging Spectrum with Pathologic Correlation

  • Lee, Borahm;Lee, Jeong Eun;Cho, June Sik;Shin, Kyung Sook;You, Sun Kyoung;Cheon, Kwang Sik;Song, In Sang;Kim, Kyung Hee
    • Investigative Magnetic Resonance Imaging
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    • v.19 no.4
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    • pp.241-247
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    • 2015
  • Arteriovenous malformation (AVM) of the pancreas is extremely rare, although it may be increasingly diagnosed due to the widespread use of cross-sectional imaging of the abdomen. Early diagnosis of this disease is important to prevent delay of treatment and resulting fatal complications. We report a rare case of pancreatic AVM in a 48-year-old man who presented with severe chronic anemia and early gastric cancer, which made diagnosis challenging. Imaging findings, including ultrasound, computed tomography, and magnetic resonance imaging, are shown, as well as the pathologic features.

Upgrade of gamma electron vertex imaging system for high-performance range verification in pencil beam scanning proton therapy

  • Kim, Sung Hun;Jeong, Jong Hwi;Ku, Youngmo;Jung, Jaerin;Cho, Sungkoo;Jo, Kwanghyun;Kim, Chan Hyeong
    • Nuclear Engineering and Technology
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    • v.54 no.3
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    • pp.1016-1023
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    • 2022
  • In proton therapy, a highly conformal proton dose can be delivered to the tumor by means of the steep distal dose penumbra at the end of the beam range. The proton beam range, however, is highly sensitive to range uncertainty, which makes accurately locating the proton range in the patient difficult. In-vivo range verification is a method to manage range uncertainty, one of the promising techniques being prompt gamma imaging (PGI). In earlier studies, we proposed gamma electron vertex imaging (GEVI), and constructed a proof-of-principle system. The system successfully demonstrated the GEVI imaging principle for therapeutic proton pencil beams without scanning, but showed some limitations under clinical conditions, particularly for pencil beam scanning proton therapy. In the present study, we upgraded the GEVI system in several aspects and tested the performance improvements such as for range-shift verification in the context of line scanning proton treatment. Specifically, the system showed better performance in obtaining accurate prompt gamma (PG) distributions in the clinical environment. Furthermore, high shift-detection sensitivity and accuracy were shown under various range-shift conditions using line scanning proton beams.

Comparison Analysis of Donor Liver Volumes Estimated with 3D Magnetic Resonance and 3D Computed Tomography Image Data

  • Kim, Myeong-Seong;Park, Kyeong-Seok;Cho, Jae-Hwan
    • Journal of Magnetics
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    • v.19 no.3
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    • pp.261-265
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    • 2014
  • Three-dimensional computed tomography is an effective tool to estimate the liver volume of living donors for the live liver transplantation. When additional operation is required, magnetic resonance imaging is conducted to determine the safety of the donor. This study compared the accuracy of magnetic resonance imaging and computed tomography in estimating 3D liver volume of 23 male and 7 female donors who underwent both magnetic resonance imaging and computed tomography tests before the transplantation. The analysis was conducted to see whether the liver's estimated total volumes and the left lobe volumes obtained from 3D-magnetic resonance imaging and 3D-computed tomography were identical. Volumes of the right lobe estimated with 3D-magnetic resonance imaging and 3D-computed tomography were compared with the actual volume of the right lobe harvested in the operating room because the volume of the right lobe is an important determinant in the safety of the donor. The total volume of the liver estimated from 3D-magnetic resonance imaging and 3D-computed tomography differed (1238.1904 units and 1402.364 units respectively). The left lobe volume of the liver estimated with 3D-magnetic resonance imaging and 3D-computed tomography also differed (450.530 units and 554.490 units, respectively). The right lobe volume of the liver estimated with 3D-magnetic resonance imaging and 3D-computed tomography were 787.660 units and 847.545 units, respectively, while the actual average right lobe volume of the harvested liver was 678.636 units. 3D-computed tomography has been widely used to estimate the right lobe volume of the donors' liver. However, 3D-magnetic resonance imaging was also very effective in estimating the volume of the liver. Thus, 3D-magnetic resonance imaging is also expected to become an important tool in determining the safety of the donors before transplantation.

Review of Photoacoustic Imaging for Imaging-Guided Spinal Surgery

  • Han, Seung Hee
    • Neurospine
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    • v.15 no.4
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    • pp.306-322
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    • 2018
  • This review introduces the current technique of photoacoustic imaging as it is applied in imaging-guided surgery (IGS), which provides the surgeon with image visualization and analysis capabilities during surgery. Numerous imaging techniques have been developed to help surgeons perform complex operations more safely and quickly. Although surgeons typically use these kinds of images to visualize targets hidden by bone and other tissues, it is nonetheless more difficult to perform surgery with static reference images (e.g., computed tomography scans and magnetic resonance images) of internal structures. Photoacoustic imaging could enable real-time visualization of regions of interest during surgery. Several researchers have shown that photoacoustic imaging has potential for the noninvasive diagnosis of various types of tissues, including bone. Previous studies of the surgical application of photoacoustic imaging have focused on cancer surgery, but photoacoustic imaging has also recently attracted interest for spinal surgery, because it could be useful for avoiding pedicle breaches and for choosing an appropriate starting point before drilling or pedicle probe insertion. This review describes the current instruments and clinical applications of photoacoustic imaging. Its primary objective is to provide a comprehensive overview of photoacoustic IGS in spinal surgery.

Molecular Imaging Using Sodium Iodide Symporter (NIS) (Sodium Iodide Symporter (NIS)를 이용한 분자영상)

  • Cho, Je-Yoel
    • The Korean Journal of Nuclear Medicine
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    • v.38 no.2
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    • pp.152-160
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    • 2004
  • Radioiodide uptake in thyroid follicular epithelial cells, mediated by a plasma membrane transporter, sodium iodide symporter (NIS), provides a first step mechanism for thyroid cancer detection by radioiodide injection and effective radioiodide treatment for patients with invasive, recurrent, and/or metastatic thyroid cancers after total thyroidectomy. NIS gene transfer to tumor cells may significantly and specifically enhance internal radioactive accumulation of tumors following radioiodide administration, and result in better tumor control. NIS gene transfers have been successfully performed in a variety of tumor animal models by either plasmid-mediated transfection or virus (adenovirus or retrovirus)-mediated gene delivery. These animal models include nude mice xenografted with human melanoma, glioma, breast cancer or prostate cancer, rats with subcutaneous thyroid tumor implantation, as well as the rat intracranial glioma model. In these animal models, non-invasive imaging of in vivo tumors by gamma camera scintigraphy after radioiodide or technetium injection has been performed successfully, suggesting that the NIS can serve as an imaging reporter gene for gene therapy trials. In addition, the tumor killing effects of I-131, ReO4-188 and At-211 after NIS gene transfer have been demonstrated in in vitro clonogenic assays and in vivo radioiodide therapy studies, suggesting that NIS gene can also serve as a therapeutic agent when combined with radioiodide injection. Better NIS-mediated imaging and tumor treatment by radioiodide requires a more efficient and specific system of gene delivery with better retention of radioiodide in tumor. Results thus far are, however, promising, and suggest that NIS gene transfer followed by radioiodide treatment will allow non-invasive in vivo imaging to assess the outcome of gene therapy and provide a therapeutic strategy for a variety of human diseases.

Multifocal nodular lymphoid hyperplasia of the lung

  • Lee, Gil Tae;Kim, Eun Kyoung;Cho, Eirie;Lee, Seung-Sook;Kim, Seo Yun;Kim, Cheol Hyeon;Kim, Hye-Ryoun
    • Journal of Yeungnam Medical Science
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    • v.34 no.1
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    • pp.84-87
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    • 2017
  • Nodular lymphoid hyperplasia (NLH) is a benign lymphoproliferative disease that can affect the lung. Because of its rarity, little is known about the etiology and natural history of NLH. Most cases are usually asymptomatic and found incidentally on imaging studies. Imaging finding of NLH has shown most commonly as a solitary lesion, although multifocal pulmonary nodules may be seen. Surgical resection has proved curative in the cases previously described. We report a rare case of NLH in a 55 year-old man who presented with bilateral multiple pulmonary nodules on chest radiography. Open biopsy was performed from the upper and lower lobe of the left lung. The lesions were pathologically diagnosed as pulmonary NLH. Multifocal residual nodules in both lungs remain stable without spontaneous regression during the 3 years of follow-up.

Review of Neurosurgical Fluorescence Imaging Systems for Clinical Application

  • Kim, Hong Rae;Lee, Hyun Min;Yoo, Heon;Lee, Seung Hoon;Kim, Kwang Gi
    • Journal of the Optical Society of Korea
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    • v.20 no.2
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    • pp.305-313
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    • 2016
  • A number of fluorescence imaging techniques for use in the surgical removal of glioma have been developed over the course of the long history of neurosurgery. Various biomarkers, biochemical agents, and detection systems for glioma have also been developed. This review focuses on 5-aminolevulinic acid (5-ALA), which is used to detect glioma. Numerous forms of fluorescence-guided surgery use 5-ALA, which is helpful to the surgeon. The surgical microscope system is the observational method generally used with 5-ALA, while the loupe, endoscope, and exoscope are simpler alternatives. A system is needed for minimal resection and other issues that arise during neurosurgery. Such an enhanced system should be able to detect low-grade tumors and provide information on microinvasive diseases, resulting in an improved survival rate and better surgical skills. Development of systems that fulfill certain needs would help protect the brain function of the patient and broaden the use of such systems in neurosurgery.