• 제목/요약/키워드: Cavity detection

검색결과 183건 처리시간 0.033초

두경부 이차암의 임상적 고찰 (A Clinical Analysis of Second Primary Malignancy in Head and Neck Cancer Patients)

  • 정근;김정배;민헌기;김영민;노영수
    • 대한두경부종양학회지
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    • 제14권1호
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    • pp.35-39
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    • 1998
  • Objectives: Minimal improvement in the long-term survival of head and neck cancer(HNC) patients has occurred despite a multitude of advances in the control of loco regional disease and a second primary malignancy(SPM) contribute to the continued poor prognosis for the HNC patients. This study was performed in order to identify the clinical characteristics of SPM in the HNC patients. Materials and Methods: The medical records of 354 patients of head and neck squamous cell carcinoma that were followed up after initial treatment during the period of 1987 through 1994 were reviewed. This study examines the medical records of 354 patients with squamous cell carcinoma of the head and neck, of whom 26 subsequently developed a second neoplasm. Results: The actuarial SPM rate was 7.3%, and median time to presentation for the SPM was 26.8 months. The SPM were more likely to occur in male patients who had oral cavity index tumors. Patient whose index tumor was small at diagnosis had a greater chance of developing a second tumor as did those with no cervical lymph node metastases to the neck. Initial treatment modality was not associated with an increased risk of developing a second tumor. The commonest sites for the SPM were the lung and other head and neck area. The 3-year survival for patients who developed a secondary tumor from the time of its diagnosis was 27.8%. Conclusion: The SPM in the head and neck cancer patients are not uncommon and early detection of the SPM will contribute to increase the long-term survival of HNC patients.

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가야시대 인골의 치아에 의한 성별 및 연령추정 (Sex and Age Determination of the Kaya s Ancient Human Skeletal Remains via Dental Approaches)

  • Mee-Eun Kim;Myung-Yun Ko;Bong-Soo Park
    • Journal of Oral Medicine and Pain
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    • 제21권2호
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    • pp.225-242
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    • 1996
  • The author studied to determine the sex and age of 8 ancient human skeletal remains, which had excavated from ancient tombs located in Yeanri, Kimhae. Some kinds of personal identification methods their skulls and teeth were used for this study and the results were obtained as follows : 1. Sex determination was possible in ancient teeth from 4th to 5th century, using detection of X-Y homologous amelogenin gene by polymerase chain reaction. 2. DNA analysis proved that the materials examined were all male, but which always did not coincide with the results from other methods for sex determination including comparison of sexual differentiation of cranium and teeth and use of discriminant functions in the dental measurement. 3. There was little difference of the estimated ages between the methods by regression of pulp cavity and attrition in teeth. The ages from these two methods always did not coincide with ones from evaluation closure of cranial and palatal sutures. 4. Sex and age of the materials were determined as follows ; $\cdot$ Y9 was estimated to be male in early sixties. $\cdot$ Yl2 was estimated to be male in late twenties to early thirties. $\cdot$ Y37 was estimated to be male in early forties. $\cdot$ Y70 was estimated to be male in early sixties. $\cdot$ Y87 was estimated to be male in late forties. $\cdot$ Y109 was estimated to be male in early forties. $\cdot$ Yl29 was estimated to be male in late thirties to early forties. $\cdot$ Yl42 was estimated to be male in late fifties to early sixties.

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Neurofibromatosis type 1: a single center's experience in Korea

  • Kim, Min Jeong;Cheon, Chong Kun
    • Clinical and Experimental Pediatrics
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    • 제57권9호
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    • pp.410-415
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    • 2014
  • Purpose: Neurofibromatosis 1 (NF1) is an autosomal dominant condition caused by an NF1 gene mutation. NF1 is also a multisystem disorder that primarily affects the skin and nervous system. The goal of this study was to delineate the phenotypic characterization and assess the NF1 mutational spectrum in patients with NF1. Methods: A total of 42 patients, 14 females and 28 males, were enrolled in this study. Clinical manifestations and results of the genetic study were retrospectively reviewed. Results: Age of the patients at the time of NF1 diagnosis was $15.8{\pm}14.6$ years (range, 1-62 years). Twelve patients (28.6%) had a family history of NF1. Among the 42 patients, $Caf\acute{e}$-au-lait spots were shown in 42 (100%), neurofibroma in 31 (73.8%), freckling in 22 (52.4%), and Lisch nodules in seven (16.7%). The most common abnormal finding in the brain was hamartoma (20%). Mental retardation was observed in five patients (11.9%), seizures in one patient (2.4%), and plexiform neurofibromas (PNFs) in four patients (9.5%). One patient with PNFs died due to a malignant peripheral nerve sheath tumor in the chest cavity. Genetic analysis of seven patients identified six single base substitutions (three missense and three nonsense) and one small deletion. Among these mutations, five (71.4%) were novel (two missense mutations: p.Leu1773Pro, p.His1170Leu; two nonsense mutations: $p.Arg2517^*$, $p.Cys2371^*$; one small deletion: $p.Leu1944Phefs^*6$). Conclusion: The clinical characteristics of 42 Korean patients with NF1 were extremely variable and the mutations of the NF1 gene were genetically heterogeneous with a high mutation-detection rate.

Tc-99m MDP 골 스캔에서 우연히 발견된 악성 심낭 삼출 (Malignant Pericardial Effusion Incidentally Detected by Tc-99m MDP Bone Scintigraphy)

  • 임석태;손명희;곽재용;임창열
    • 대한핵의학회지
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    • 제35권4호
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    • pp.291-292
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    • 2001
  • We report a case of malignant pericardial effusion originated from adenocarcinoma of the lung incidentally diagnosed by bone scintigraphy, prior to echocardiographic detection. A 76 year-old man with adenocarcinoma of the lung underwent Tc-99m MDP bone scintigraphy to evaluate skeletal metastasis. Anterior images of the chest of the bone scintigraphy unexpectedly showed diffuse increased activity in the region of the heart surrounded by an oval-shaped band of increased activity corresponding to the periphery of the cardiac silhouette (Fig. 1). There was no evidence of bony metastasis. Pericardial effusion was confirmed by echocardiography (Fig. 2) and malignant cells were revealed by subsequent microscopic examination of the pericardial fluid. Bone scintigraphy using Tc-99m phosphate compounds is commonly used to detect bony metastasis in cancer patients. Tc-99m phosphate compounds occasionally accumulate in extra-osseous sites, including $pleural^{1,2)},\;pericardial^{3,4)},\;and\;ascitic\;fluids^{5,6)}$. It has been reported that their accumulation in serous effusions should strongly suggest $malignancy^{1-6)}$. The exact mechanism for accumulation of Tc-99m phosphate compounds in serous effusions is unclear. Several investigators have proposed that the radiopharmaceuticals exuded directly from peripheral vessels to the serous cavity due to increased vascularity and vascular permeability, and bleeding by disruption of blood vessels due to cancerous $infiltration^{5,6)}$.

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치과용 Glass Polyalkenoate cement의 방사선 불투과성에 관한 비교 연구 (RADIOPACITY OF DENTAL GLASS POLYALKENOATE CEMENTS)

  • 임영일;엄정문;이정식;권혁춘
    • Restorative Dentistry and Endodontics
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    • 제22권1호
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    • pp.464-469
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    • 1997
  • The radiopacity of glass ionomer cements is quite variable. The use of a poorly radiopaque material as a base under other restorative materials can mislead the dentist to a diagnosis of recurrent decay. This study investigates the radiopacity of these materials and proposes a minimal radiopacity under which a material should not be used as a base or liner. It is important to determine the radiopacity of glass ionomer dental materials so that the clinician can appreciate the type of restorative materials used when radiographically evaluation the possibility of recurrent dental caries. In this study, radiopacity of Vitrement and Chemfil was compared with that of Cavalite, Miracle mix and polycarboxylate cement. Tooth model of artificial cavity preparation for diagnosis of recurrent caries was omitted. Radiopacity of each material was measured using relatives between thickness and radiopacity of Aluminium step wedge. The results were as follows : 1. Radiopacity of Vitrement was some higher than enamel. 2. Chemfil, restorative glass ionomer, was less radiopaque than enamel. 3. In order of higher radiopacity than enamel, Miracle mix was highest and was followed by polycarboxylate cement, Cavalite and Vitremer. 4. Vitremer, the Glass Ionomer Cement, is useful to detection of recurrent caries, because it is slightly higher radiopaque than enamel. So, it is suitable for restorative material and luting cement.

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3차원 전기비저항탐사에 의한 카르스트 지역에서의 공동탐지 (Detection of cavities in a karst area by means of a 3D electrical resistivity technique)

  • 박삼규;김창렬;손정술;이명종;김정호
    • 지구물리와물리탐사
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    • 제12권1호
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    • pp.27-32
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    • 2009
  • 이 연구는 한국 남서쪽에 위치한 무안군 용월리의 카르스트 지역에서 지하 공동 탐지를 위하여 3차원 전기비저항탐사의 적용성을 시험한 것이다. 현장 조사지역은 과거에 지반침하가 발생하였으며, 지하 공동은 충적층 하부에 분포하고 있는 석회암내에서 발견된다. 석회암 공동은 대부분 지하수와 점성토로 충진 되어 있기 때문에 주변의 기반암에 비하여 전기비저항이 상대적으로 낮게 나타난다. 이 연구 결과에 의하면 시추공에서 인식되고 있는 공동 분포대가 저비저항대와 일치하고 있으며, 이로부터 3차원 전기비저항탐사가 카르스트 지역에서의 지하 공동을 탐지하고 영상화 하는데 매우 유용함을 입증했다.

Brucella 감영농장에서 감염경로의 역학적 연구 (Epidemiological study for infection route of brucellosis in a infected dairy farms)

  • 윤여백;김영진;김추철;노영선;권미순;김철민;임채웅
    • 한국동물위생학회지
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    • 제27권2호
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    • pp.159-164
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    • 2004
  • A dairy farm that has been suffered continuously(more than 2 years) from brucellosis in Korea in spite of repeated legal test-and-slaughter was investigated the main source of infection in the farm. All cattle(22 milking cows, 44 heifers, 60 calves, 8 bull), dogs(3 mixed breed), feces from wild birds(3 samples), drinking water(3 sites), and soil in the paddocks(14 sites) inside the farm were examined with serological and/or bacteriological methods including specific DNA detection with PCR method. Brucella spp in the milk and blood were detected in 12/22 and 5/22 milking cows, respectively, although all of them were negative with conventional tube agglutination test. The number of serologically positive heifer was 15(15/44), but the isolation of Brucella spp was succeeded in the only 11(11/15) of them. Brucella were detected in vagina 1(1/11) and nasal(3/12) excretion in serologically positive heifers. All the three dogs were serologically positive, and Brucella spp were isolated from their blood. However, Brucella spp were not detected in the drinking water, soil in the paddocks, nor the feces of wild birds. The results suggest that milking cow secrete Brucella spp through milk, genital tract and nasal cavity, which are the major source of infection in this farm, The main infection route of Brucella spp is contact to contact with Brucella spp excreting animals rather than environmental contamination. The animals, living together with infected cow such as dogs, are the readily susceptible and are required to be examined for Brucella spp.

사기질모세포종에서 Cytokeratin 아형과 Vimentin의 발현 (EXPRESSION OF CYTOKERATIN SUBTYPES AND VIMENTIN IN AMELOBLASTOMA)

  • 강미선;윤혜경;김우형;최수임
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제31권4호
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    • pp.316-321
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    • 2005
  • Ameloblastoma is the most common odontogenic tumor of the jawbones, but the origin of this tumor has been remained to be unproven. Cytokeratins (CKs) are specific intermediate filament of epithelial cells, and vimentin is expressed in mesenchymal cells. The immunohistochemical detection of different CKs and vimentin has made it easier to know the origin of tumor. Paraffin-embedded tissue sections from 15 ameloblastomas and 1 ameloblastic carcinoma were used for immunohistochemical evaluation of CK 7, 8, 13, 14, 19 and vimentin. Their expression is evaluated in different tumor cells, which are observed in different type of tumors. In the follicular and reticular subtype, central stellate cells of tumor nests expressed CK 8, 14, 19 and peripheral columnar cells expressed CK 14. CK 7, and 13 were not expressed. Vimentin was detected in fibrous stroma around tumor nest, not in tumor cells. The tumor cells of ameloblastic carcinoma expressed CK 7, 14 and 19, but CK 8 was more weakly stained than that in ameloblastoma. Central stellate cells and peripheral columnar cells of acanthomatous subtype showed same expression pattern with others. Meta plastic squamous cells expressed CK 8, 14, 19 and keratinizing squamous cells expressed CK 13, 19. CK 7 and vimentin were not detected in tumor cells and vimentin was expressed in fibrous stroma. Most of the tumor cells of ameloblastoma showed CK 14 and CK 19 and did not express CK 7 and vimentin. These findings were similar to the immunophenotype of dental lamina. And these results will be beneficial to differential diagnosis of odontogenic tumors and other kind of tumors arising at the oral cavity.

$SCANORA^{(R)}$를 이용한 Mesiodens의 진단 (DIAGNOSIS OF MESIODENS BY $SCANORA^{(R)}$)

  • 전형준;김종수;권순원
    • 대한소아치과학회지
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    • 제27권4호
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    • pp.490-493
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    • 2000
  • 정중과잉치는 과잉치중 가장 흔한 양상이며, 여러 가지 합병증이 생길 수가 있다. 이러한 합병증이 있음에도 불구하고 항상 발견 즉시 외과적 발거를 하는 것이 최선의 방법은 아니다. 여러 가지 상황을 고려하여 외과적 발거를 연기해야할 경우가 있으며 이때 정확한 진단이 필수적이다. 진단은 주로 방사선학적 검사에 의존하게 되며 정중과잉치의 수, 위치, 방향의 판단에 중요하다. 그간 정중과잉치의 진단에 이용되었던 방사선 사진은 각각의 장단점이 있다. $SCANORA^{(R)}$(Soredex, Finland)는 narrow beam radiology와 spiral tomograph의 원리를 이용한 다기능 두부촬영장치이다. 정중과잉치의 정확한 위치를 결정하기 위해 tube shift technique을 이용한 방법이 주로 사용되고 있으나 $SCANORA^{(R)}$를 이용해 비교적 간단하고 정확히 진단할 수 있었기에 보고하는 바이다.

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사냑형 간섭계 광섬유 센서를 이용한 변압기유 내에서의 외부 음향 주파수 모니터링 (Applied Sound Frequency Monitoring in the Transformer Oil Using Fiber Optic Sagnac Interferometer)

  • 이종길;이승홍
    • 한국음향학회지
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    • 제34권4호
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    • pp.288-294
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    • 2015
  • 광섬유 사냑 간섭계는 음향 및 진동과 같은 물리적 변화량을 탐지하는 센서로 잘 개발되어 있다. 본 논문에서는 변압기유가 채워진 원통형 캐비티에 음압이 발생되었을 때 한 개의 루프내에 설치된 광섬유 배열 센서를 이용하여 음향을 탐지하였다. 서로 다른 외부 음향 주파수 $f_1$$f_2$를 피에조 재료를 이용하여 발생시키고 주파수는 5 kHz에서 90 kHz까지로 선정하였다. 실험 결과 광섬유 센서는 하모닉 성분인 $f_1$, $f_2$, $2f_1$, $2f_2$, ${\mid}f_1-f_2{\mid}$, ${\mid}f_1+f_2{\mid}$의 주파수를 탐지하였다. 제안된 광섬유 센서 배열은 변압기 내의 부분 방전으로 인한 음압과 진동과 같은 물리량을 모니터링 하는데 적용할 수 있을 것으로 판단된다.