• 대한영상의학회지
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• 제84권1호
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• pp.75-91
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• 2023

전립선영상 판독과 자료체계 버전 2.1에서는 다중 매개 자기공명영상(multiparametric MRI; 이하 mpMRI)을 사용하는 버전 2의 기술적인 변수와 영상 판독 기준이 개정되었다. 이러한 변화를 통해 전립선암 평가의 발전이 예상지만, 어떤 사항들은 아직까지 해결되지 않았고 새로운 문제점들이 부각되고 있다. 본 종설에서는 전립선영상 판독과 자료체계 2.1 버전의 간단한 개요와 새롭게 부상하는 다음과 같은 문제들에 대해 비판적인 관점에서 논의하고자 한다: mpMRI의 보다 자세한 프로토콜에 대한 필요, 개정된 이행부 판독기준에 대한 검증 부족, 개정된 확산강조영상 및 조영 증강 영상 판독기준, anterior fibromuscular stroma, 중심부 평가, 주변부 신호 및 종양 공격성, 구조화된 판독문 변화에 대한 명료화의 필요, 영상 품질과 수행능력 제어에 대한 필요 및 기타 적응증을 포함하도록 시스템 확장을 위한 적응증.

• 대한핵의학회:학술대회논문집
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• 대한핵의학회 1995년도 제34차 춘계학술대회 초록집
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• pp.212-212
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• 1995

• Asian Pacific Journal of Cancer Prevention
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• 제16권2호
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• pp.707-712
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• 2015

Background: To evaluate use of magnetic resonance imaging (MRI) and a logistic model including risk factors for lymph node metastasis for improved diagnosis. Materials and Methods: The subjects were 176 patients with rectal cancer who underwent preoperative MRI. The longest lymph node diameter was measured and a cut-off value for positive lymph node metastasis was established based on a receiver operating characteristic (ROC) curve. A logistic model was constructed based on MRI findings and risk factors for lymph node metastasis extracted from logistic-regression analysis. The diagnostic capabilities of MRI alone and those of the logistic model were compared using the area under the curve (AUC) of the ROC curve. Results: The cut-off value was a diameter of 5.47 mm. Diagnosis using MRI had an accuracy of 65.9%, sensitivity 73.5%, specificity 61.3%, positive predictive value (PPV) 62.9%, and negative predictive value (NPV) 72.2% [AUC: 0.6739 (95%CI: 0.6016-0.7388)]. Age (<59) (p=0.0163), pT (T3+T4) (p=0.0001), and BMI (<23.5) (p=0.0003) were extracted as independent risk factors for lymph node metastasis. Diagnosis using MRI with the logistic model had an accuracy of 75.0%, sensitivity 72.3%, specificity 77.4%, PPV 74.1%, and NPV 75.8% [AUC: 0.7853 (95%CI: 0.7098-0.8454)], showing a significantly improved diagnostic capacity using the logistic model (p=0.0002). Conclusions: A logistic model including risk factors for lymph node metastasis can improve the accuracy of MRI diagnosis of rectal cancer.

• Asian Pacific Journal of Cancer Prevention
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• 제13권12호
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• pp.6435-6439
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• 2012

Chemoresistance to cancer therapy is a major obstacle to the effective treatment of human cancers with cisplatin (DDP), but the mechanisms of cisplatin-resistance are not clear. In this study, we established a cisplatin-resistant human ovarian cancer cell line (COC1/DDP) and identified differentially expressed proteins related to cisplatin resistance. The proteomic expression profiles in COC1 before and after DDP treatment were examined using 2-dimensional electrophoresis technology. Differentially expressed proteins were identified using matrix-assisted laser desorption/ ionization time-of-flight mass spectrometry (MALDI-TOF-MS) and high performance liquid chromatography-electrospray tandem MS (NanoUPLC-ESI-MS/MS). 5 protein spots, for cytokeratin 9, keratin 1, deoxyuridine triphosphatase (dUTPase), aarF domain containing kinase 4 (ADCK 4) and cofilin1, were identified to be significantly changed in COC1/DDP compared with its parental cells. The expression of these five proteins was further validated by quantitative PCR and Western blotting, confirming the results of proteomic analysis. Further research on these proteins may help to identify novel resistant biomarkers or reveal the mechanism of cisplatin-resistance in human ovarian cancers.

• Asian Pacific Journal of Cancer Prevention
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• 제15권20호
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• pp.8981-8985
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• 2014

Objective: To explore the effect of lysine-coated oxide magnetic nanoparticles (Lys@MNPs) on viability and apoptosis of A549 lung cancer cells. Methods: Transmission electron microscopy (TEM), vibrating sample magnetometer (VSM) and Zeta potentiometric analyzer were employed to characterize Lys@MNPs. Then Lys@MNPs and lung cancer A549 cells were co-cultured to study the effect of Lys@MNPs on cell viability and apoptosis. The pathway of Lys@MNPs entering A549 cells was detected by TEM and cell imaging by 1.5 T MRI. Results: Lys@MNPs were 10.2 nm in grain diameter, characterized by small size, positive charge, and superparamagnetism. Under low-dose concentration of Lys@MNPs (< $40{\mu}g/mL$), the survival rate of A549 cells was decreased but remained higher than 95% while under high-dose concentration ($100{\mu}g/mL$), the survival ratewas still higher than 80%, which suggested Lys@MNPs had limited influence on the viability of A549 cells, with good biocompatibility and and no induction of apoptosis. Moreover, high affinity for cytomembranes, was demonstrated presenting good imaging effects. Conclusion: Lys@MNPs can be regarded as a good MRI negative contrast agents, with promising prospects in biomedicine.

• 대한기관식도과학회지
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• 제17권1호
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• pp.5-8
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• 2011

The proliferation of new technologies has significantly enhanced the diagnostic capabilities of flexible bronchoscopy compared with traditional methods. Narrow band imaging (NBI), an optical technique in which filtered light enhances superficial neoplasms based on their neoangiogenic patterns, was developed to screen for central intraepithelial moderate or severe dysplasia, carcinoma in situ (CIS), and microinvasive neoplasia in patients at risk for lung cancer. Because angiogenesis occurs preferentially in dysplastic and neoplastic lesions, NBI may identify early dysplastic lesions better than white light bronchoscopy (WLB) currently in use. NBI bronchoscopy can be used not only to detect precancerous lesions, but also to screen for cancerous lesions. We prospectively evaluated 101 patients with suspected lung cancer between July 2009 and June 2010. All were previously scheduled for flexible bronchoscopy CT scans. Abnormal NBI was defined by Shibuya's descriptors (tortuous, dotted, or spiral and screw patterns). Biopsies of 132 lesions in 92 patients showed that 78 lesions (59.1%) were malignant and 54 (40.9%) were benign. The diagnostic sensitivity of bronchoscopy in detecting malignancy was 96.2% (75/78). When assorted by lesion pattern, the sensitivity and specificity of NBI bronchoscopy in detecting malignancies were 69.2% (54/78) and 96.3% (52/54), respectively, for the spiral and screw pattern and 14.1% (11/78) and 96.3% (52/54), respectively, for the dotted pattern. Unexpectedly, additional cancerous lesions were detected in five patients (2 dotted and 3 spiral and screw). As a screening tool for malignant lesions, NBI bronchoscopy should assess combinations of all three lesion. The dotted and spiral and screw patterns may be helpful in determining which lesions should be biopsied. NBI bronchoscopy may be useful not only for the diagnosis of early-stage lung cancer but also for more accurate local staging of lung cancer.

• Investigative Magnetic Resonance Imaging
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• 제17권3호
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• pp.224-231
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• 2013

목적 : 유방암이 진단된 환자에서 시행한 자기공명영상에서 배경 실질 조영 정도에 따른 추가적인 조직 검사율 및 악성률의 차이를 알아 보고자 하였다. 대상 및 방법 : 유방암을 진단받고 유방 자기공명영상을 촬영한 322명의 환자를 대상으로, 2명의 영상의학과 의사가 이들의 유방 자기공명영상을 분석하여 배경 실질 조영 증강 정도를 평가하였으며, 판독지를 통해 추가적인 BI-RADS 범주 4 이상의 병변 유무를 확인하였다. 추가적인 BI-RADS 범주 4 이상의 병변에 대해서는 조직검사를 시행하였고, 악성률을 구하기 위해 조직검사 결과를 확인하였다. 결과 : 총 322명의 유방암 환자의 배경 실질 조영 증강 단계별 환자수는 최소 조영 증강 47.5%, 경한 조영 증강 28.9%, 중간 조영 증강 12.4% 그리고 현저한 조영 증강 11.2%였다. 이 중 70예에서 추가적으로 악성이 의심되는 조영 증강 병변이 발견되었고, 4예를 제외한 66예에서 조직 검사가 시행되었다. 배경 실질 조영 증강이 적은 경우 (최소/경한 조영 증강)와 많은 경우 (중간/현저한 조영 증강) 에 따른 조직 검사율은 각각 19.9%, 22.3%이었고, 악성률은 각각 6.5%, 5.2%이었으나, p-value가 각각 0.77, 0.88로 통계적으로 유의한 차이를 보이지 않았다. 결론 : 유방암이 진단된 환자에서 시행한 자기공명영상에서 배경 실질 조영 정도와 조직 검사율 및 악성률 사이에는 차이가 없었다.

• 대한방사선협회지
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• 제27권2호
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• pp.124-136
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• 2001

Endorectal sonography can be used for staging the lower rectal tumors. Also can be applied for the classification of perianal fistula & identification of anal sphincters defects in patients with faecal incontinence. In the treatment of lower rectal cancer

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제31권2호
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• pp.178-182
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• 2005

With the development of systemic diagnostic technique in cancer, the diagnostic methods of head and neck region are developing, also. Now, it is usually used computed tomography(CT), magnetic resornance image(MRI) in head and neck cancer and positron emission tomography(PET) is being increased in diagnostic use because of tumor specificity and accuracy. However, CT and MRI show the advantage of showing precise anatomical landmarks, but the disadvantage of these methods is much affecting by anatomical variations and changes. Otherwise, PET presents the imaging of physiologic and biochemical phenomenon and the disadvantage is the difficult differentiation of normal physiologic uptake, the lack of normal anatomical landmarks. PET/CT, the combination of clinical PET and CT imaging in a single unit is introduced recently, and it helps to get more accurate diagnostic interpretation and to improve in evaluating response to therapy, in management of patients with malignant tumors. So, we report the advantages of PET/CT in the diagnosis of oral cancer with review of literatures.

• Journal of Korean Neurosurgical Society
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• 제56권1호
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• pp.71-74
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• 2014

Cancer-related facial pain refractory to pharmacologic management or nondestructive means is a major indication for destructive pain surgery. Stereotactic mesencephalotomy can be a valuable procedure in the management of cancer pain involving the upper extremities or the face, with the assistance of magnetic resonance imaging (MRI) and electrophysiologic mapping. A 72-year-old man presented with a 3-year history of intractable left-sided facial pain. When pharmacologic and nondestructive measures failed to provide pain alleviation, he was reexamined and diagnosed with inoperable hard palate cancer with intracranial extension. During the concurrent chemoradiation treatment, his cancer-related facial pain was aggravated and became medically intractable. After careful consideration, MRI-based stereotactic mesencephalotomy was performed at a point 5 mm behind the posterior commissure, 6 mm lateral to and 5 mm below the intercommissural plane using a 2-mm electrode, with the temperature of the electrode raised to $80^{\circ}C$ for 60 seconds. Up until now, the pain has been relatively well-controlled by intermittent intraventricular morphine injection and oral opioids, with the pain level remaining at visual analogue scale 4 or 5. Stereotactic mesencephalotomy with the use of high-resolution MRI and electrophysiologic localization is a valuable procedure in patients with cancer-related facial pain.