• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제1권1호
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• pp.133-137
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• 1998

Although midgut volvulus is clinically characterized by bilous vomiting and abdominal distention, plain abdominal X-ray is usually non-specific and therefore it can be misdiagnosed to other diseases. Upper gastrointestinal contrast study and computed tomography have been used as a routine diagnostic tool but it takes cost and time. Abdominal ultrasonography is a relatively good alternatives in diagnosing midgut volvulus and it relatively saves cost and time. But case presentation of midgut volvulus diagnosed with abdominal ultrasonography are rarely found in literature. We experienced a 6 month old girl who had come to our hospital with bilous vomiting and was diagnosed as midgut volvulus with ultrasonography. Thus we report this case with the presentation of typical ultrasonographic findings of midgut volvulus.

• Archives of Plastic Surgery
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• 제32권4호
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• pp.479-484
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• 2005

Raynaud's syndrome causes discolorization, ischemic claudication(pain) and necrosis of the digits through insufficiency in the circulation which is induced by intermittent spasms of the digital arteries. From January, 2002 to December, 2004, 10 patients were surgically treated for Raynaud's syndrome. 9 patients were female and 1 patient was male. 2 patients showed unilateral involvement, 8 patients were operated on both hands. 6 patients had necrotic changes on the finger tips due to the disease. Ages ranged from 21 to 60 with an average of 39.1. Ischemic pain, discolorization, and cold intolerance of the digits were the common symptoms. All patients were evaluated with color doppler before the surgery. Two different procedures were applied according to the severity of the disease: Patients with decreased circulation received, what we call a limited digital sympathectomy, i.e. stripping of the adventitia of the ulnar, radial and common digital arteries. An extended procedure, radical digital sympathectomy, was performed on patients with a complete block of circulation. Stripping of the adventitia in these patients also involved the proper digital arteries. Symptoms like discolorization, ischemic pain, and cold intolerance improved immediately after the surgery. The patients did not suffer from pain even with exposure to cold weather. We conclude that digital sympathectomy could improve the symptoms in Raynaud's patients who do not respond to conservative treatment such as calcium channel blocker and other vasodilators.

• 대한의용생체공학회:의공학회지
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• 제36권5호
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• pp.150-154
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• 2015

Long time ultrasound scan can cause a temperature rise in human tissue and affect the physical body. This is closely connected with patients' safety. So many researchers have been studied on this matter with animals such as mammals and experimental rat, because diagnostic ultrasound has been used many types of human organ to find disease. Therefore, this study is tested on bean sprouts to search how far the tissue temperature changes because of the excessive scanning consequence from ultrasound diagnosis and frequent number of ultrasonic scanning and how much affect their growth. The United States and several European countries have restrictions for number of scanning, while South Korea does not have any limitation for using ultrasound diagnosis. Comparison was that how different condition affect its' growing. The testing group is like many pregnancy moms to have 50 minutes in B-mode and color doppler mode by linear, convex and sector probe every day for a week and the other is to scan only once during the testing period. As a result, it was confirmed that there was a significant growing difference on frequent ultrasonic scanning group compared to normal one. So the final conclusion is that there needs to have a significant limitation of ultrasound scan time and a number of inspection when having for diagnostic ultrasound and recommendation like USA and a few European countries.

• 전자공학회논문지SC
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• 제38권1호
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• pp.45-52
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• 2001

PISA 방법은 주로 승모판에서 역류하는 혈류량을 측정하기 위해 사용되고 있다. 이 방법은 PISA isotach의 기하학적 모양에 대한 모델링에 관한 것이다. PISA의 일반적인 유동모델은 isotach의 표면이 수식적으로 반구이거나 비반구임을 가정하여 계산된 것이지만, 본 논문에서는 영역기반방법으로 isotach를 추정한 후, 타원체의 높이에 기초한 실제적인 표면분할 유동모델을 이용하여 유체량을 추정하였다. 제안한 밥법을 평가하기 위해, $30cm^3/sec-60\;cm^3/sec$의 실제 유량을 가지는 동적인 180개의 유동영상에 대해서 기존 방법들과 비교하였다. 실험한 결과, 반구 유동모델의 유체량 평균이 $29\;cm^3/sec$로 실제 유체량 평균보다 35%정도 적게 추정을 하였고, 제안한 방법의 평균은 $45\;cm^3/sec$으로 비반구 유동모델의 평균과 같았고, 유체량 변화파형도 유사한 결과를 가짐을 알 수 있었다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권8호
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• pp.3555-3559
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• 2014

Background: The triple-negative breast cancer (TNBC) is an aggressive cancer characterized by the absence of estrogen receptor (ER), progesterone receptor (PR) and human epidermal growth factor receptor 2 (HER2). Preoperative mammography and ultrasound features of TNBC may potentially suggest characteristics of the disease and assist in treatment decisions. Materials and Methods: The study covered 153 patients with TNBC from May 2011 to May 2012 who were confirmed by postoperative pathology results in our hospital. We compared the radiological findings among the patients and sought to determine the significant iconographic features. The biomarkers p53 and Ki-67 are regarded as significant factors in TNBC. They were therefore used to divide the TNBC into four groups for assessment of relationships with TNBC imaging features. Results: On mammography, most TNBCs exhibit obscure (44.3%) masses. On ultrasound, the majority of masses (95.4%) were predominantly indistinct (50.7%), irregular (76.0%) or featuring posterior echo enhancement/shadowing. Color Doppler flow imaging (CDFI) emphasized hypervascular (32.9%) masses. Differences in CDFI by ultrasound among the four groups were statistically significant (p=0.009). There were obvious differences in the percentages of spiculated margin (p=0.049) and intensive posterior echo (p=0.006) with spotty flow imaging by ultrasound between the Ki-67 (+) p53 (+) and other groups. Conclusions: A combination of mammography and ultrasound revealed the imaging characteristics of TNBC included an obscure mass with less attenuated posterior echoes and some vascularity. A worse prognosis was associated with spiculated margin and intensive posterior echoes with spotty flow imaging.

• Archives of Plastic Surgery
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• 제36권1호
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• pp.89-92
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• 2009

Purpose: The clinical syndrome of unilateral finger ischemia, caused by digital artery occlusions from embolization from the palmar ulnar artery associated with repetitive striking of the palm, has been called the hypothenar hammer syndrome (HHS). We report the case of a man with this unique disease probably caused by manual work. Methods: A 52 - year - old male left - hand dominant manual worker complained of pain and coldness in the left 4,5th finger. On physical examination, there was a tip necrosis and the result of Allen's test was mildly positive(sluggish filling of hand from the ulnar artery). Arteriograms confirmed occlusion of the distal ulnar artery without direct perfusion of the superficial palmar arch and distal digital artery. Surgical bypass with reverse autologous vein grafting was performed between ulnar artery and superficial palmar arch, common digital artery. Results: He had an uneventful postoperative course and has remained asymptomatic for 18 months since discharge. Patency has been confirmed by color doppler with resolution of cold intolerance and successful digital preservation. Conclusion: We introduce very unique pattern of vascular ischemic disease and recommend the arterial bypass with vein interpositional grafting.

• 한국임상수의학회지
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• 제37권2호
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• pp.100-105
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• 2020

A 9-month-old, 11.3 kg, intact, male, mixed-breed dog was referred for treatment of cor triatriatum dexter (CTD); a 5-month-old, 1.9 kg, intact, male Maltese for pulmonic stenosis (PS); and a 3-year-old, 6.62 kg, intact, female West Highland white terrier for esophageal stricture with regurgitation. A balloon catheter intervention was performed in the dog with CTD, and subsequent color Doppler ultrasound and abdominal ultrasound showed normal blood flow across the perforated membrane dividing the right atrium and the disappearance of the severe ascites present before treatment. Balloon catheter intervention in the dog with PS reduced the blood flow through the stenosis from 5.82 m/s to 3.97 m/s. In the dog with esophageal stricture, balloon catheter intervention widened the esophagus and no subsequent regurgitation was observed. Balloon catheter intervention is an interventional radiology procedure that represents a definitive treatment option for various stenotic lesions in dogs, including CTD, PS, and esophageal stricture. Although interventional radiology procedures for these diseases have already been reported, details of procedures and successful outcome have not been reported in Korea.

• 한국임상수의학회지
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• 제31권5호
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• pp.412-416
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• 2014

7년령 수컷 핏불테리어에서 두드러진 복부팽창과 심각한 운동 불내성으로 내원했다. 진단검사에서 우심의 확장과 확연한 폐동맥의 확장, 간질성 폐침윤과 우심방과 우심실에 많은 수의 사상충이 발견 되었다. 심초음파의 컬러와 연속 도플러에서 역시 심각한 폐성 고혈압을 동반한 삼첨판과 폐동맥의 역류가 나타났다. 104마리의 심장사상충이 루프 스네어(Snare, Boston Scientific, USA)를 이용한 심장중재술을 통해 제거되었다. 사상충의 제거 후 임상컨디션은 눈에 뛰게 회복되었다. 본 증례는 한국에서 첫 번째로 시행된 루프를 이용한 사상충 제거 케이스이다.

• 한국임상수의학회지
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• 제22권2호
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• pp.119-124
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• 2005

This study was performed to validate the procedure of transarterial embolization of the renal artery (TAE-RA) and sclerotherapy of renal pelvis using iohexol-ethanol solution in dogs with unilateral experimental hydronephrosis. Experimental hydronephrosis was induced by unilateral ureter ligation for 20 days in five Beagle dogs. Renal artery embolization with iohexol-ethanol solution was performed using selective catheterization technique in the hydronephrotic kidney and sclerotherapy was done by injection of the iohexol-ethanol solution through percutaneously placed pig-tail catheter. EKG, $SpO_2$ body temperature, pulse, and respiratory rate were within normal ranges during procedures. Average pure ethanol dose for renal artery embolization was $1.1\pm0.3ml/kg$. Renal artery embolization was confirmed by the detection of no blood flow signal at the interlobar and arcuate artery using color Doppler ultrasonography. There were no dogs expired after TAE-RA and sclerotherapy and no side effects associated with regurgitation of iohexol-ethanol solution. The value of BUN, creatinine, ALT, AST, Ca, P in five dogs were within normal range during the experiment period. Ultrasonographically, the mean longitudinal and transverse length and the depth of the embolized kidney significantly decreased at 28 days after TAE-RA. We may conclude that TAE-RA and sclerotherapy with iohexol-ethanol solution is an effective methods for the treatment of unilateral hydronephrosis in dogs.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2017년도 춘계학술대회
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• pp.71-73
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• 2017

본 논문에서는 4 방향 윤곽선 추적 기법과 히스토그램 분석 기법을 기반으로 한 개선된 FCM 알고리즘을 적용하여 색조 도플러 초음파 영상에서 상완 동맥의 혈류를 추출하고 분석하는 방법을 제안한다. 제안된 방법에서는 상완 동맥의 혈류를 정확히 추출하기 위해 전처리 과정으로 색조 도플러 초음파 영상 이외의 환자 정보가 있는 영역을 제거한 후, ROI 영역을 추출한다. 추출된 ROI 영역에서 영상의 최대 명암도를 임계치로 설정한 이진화 기법을 적용하여 ROI 영역을 이진화한다. 이진화된 ROI 영역에서 4 방향 윤곽선 추적 기법을 적용하여 상완 동맥이 존재하는 사다리꼴 형태의 영역을 추출한다. 색 정보를 분석한 히스토그램을 이용하여 특징점의 개수를 계산하고 계산된 특징점의 개수를 FCM 알고리즘의 초기 클러스터의 개수로 설정한 후, 추출된 사다리꼴 형태의 영역에 적용하여 양자화 한다. 양자화된 영역 중에서 빨간색으로 분류된 영역을 고혈압 영역으로 추출한다. 제안된 추출 방법을 20개의 색조 도플러 초음파 영상을 대상으로 실험한 결과, 20개의 색조 도플러 초음파 영상에서 18개의 색조 도플러 초음파 영상이 정확히 추출되었다.