• Title/Summary/Keyword: Contrast safety

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In vivo Imaging Biodistribution Profile of a New Macrocyclic Gadolinium Chelate as a Highly Stable Multifunctional MRI Contrast Agent

  • Sung, Bo Kyung;Jo, Yeong Woo;Chang, Yongmin
    • Investigative Magnetic Resonance Imaging
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    • v.23 no.1
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    • pp.34-37
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    • 2019
  • Gadolinium contrast agents (CAs) are integral components of clinical magnetic resonance imaging (MRI). However, safety concerns have arisen regarding the use of gadolinium CAs, due to their association with nephrogenic systemic fibrosis (NSF). Furthermore, recently the long-term retention of $Gd^{3+}-based$ CAs in brains patients with normal renal function raised another possible safety issue. The safety concerns of $Gd^{3+}-based$ CAs have been based on the ligand structure of $Gd^{3+}-based$ CAs, and findings that $Gd^{3+}-based$ CAs with linear ligand structures showed much higher incidences of NSF and brain retention of CAs than $Gd^{3+}-based$ CAs with macrocyclic ligand structure. In the current study, we report the in vivo biodistribution profile of a new highly stable multifunctional $Gd^{3+}-based$ CA, with macrocyclic ligand structure (HNP-2006). MR imaging using HNP-2006 demonstrated a significant contrast enhancement in many different organs. Furthermore, the contrast enhanced tumor imaging using HNP-2006 confirmed that this new macrocyclic CA can be used for detecting tumor in the central nervous system. Therefore, this new multifunctional HNP-2006 with macrocyclic ligand structure shows great promise for whole-body clinical application.

Safety Evaluation of Iopamidol Contrast Medium Used for Radiological Examination of a Local Clinic in Korea (방사선 검사에 사용되는 조영제 Iopamidol의 안전성 평가)

  • Park, Chang-Mook;Lee, Bo-Reum;Song, Tea-Bum;Jang, Je-Kwan;Lee, Yu-Jeung;Lee, Myung-Koo;Lim, Sung-Cil
    • YAKHAK HOEJI
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    • v.53 no.6
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    • pp.328-333
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    • 2009
  • Contrast media are substances that are used to enhance the contrast of structures or fluids within the body in medical imaging. Those are commonly used to enhance the visibility of blood vessels and the gastrointestinal tract. The aim of this study is to evaluate patients who got injected iopamidol, developed as one of contrast medium regarding changes in cardiovascular system and especially, adverse drug reactions. This study were performed on randomly selected a total of 51 patients (range of 15~85 years old) who got injected contrast medium, Iopamidol at a P hospital in Gyeonggi province from September 22nd, 2008 to January 24th, 2009. Data were collected by questionnaire though person to person. We analyzed the data by SPSS (Version 12. for windows). Methods of analysis were frequency and cross analysis. In results, 19.6% (n=10) were founded for adverse drug reactions of contrast medium. 25.0% (n=4) of 10 patients who had adverse drug reactions of contrast medium had took abdomen contrast test. 2 patients of those took contrast test for chest. Also, 3.9% (n=2) patients felt vomiting and nausea after injection of contrast medium. In conclusion, 19.6% patients experienced adverse drug reaction of contrast medium. Therefore, when taking radiation test, we should make efforts to minimize adverse drug reactions to achieve suitable and effective treatment.

Ultrasonic Image of the Side Drilled Holes in SS Reference Block as Combining Bases of Support for Spatial Frequency Response

  • Koo, Kil-Mo;Song, Chul-Hwa;Beak, Won-Pil;Kang, Hee-Young
    • Proceedings of the KSME Conference
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    • 2008.11a
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    • pp.322-326
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    • 2008
  • In this paper, we have studied the images which have been reconstructed by using combination of images acquired by the variation of operating frequency. When inner images have been reconstructed, they have been superposed by the surface state effect. In this case, the images of the phase object can be enhanced by the contrast of inner images. There is a kind of specimen, one is a reference block having 1/4T, 1/2T, 3/4T side drilled holes as main run piping material of the steam generator in nuclear power plants. It has been shown that the two results of defect shapes have better than before in this processing and phase contrast grow about twice. And we have constructed the acoustic microscope by using a quadrature detector that enables to acquire the amplitude and phase of the reflected signal simultaneously. Further more we have studied the reconstruction method of the amplitude and phase images, the enhancement method of the defect images' contrast.

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Tests of Factor Effect Using Saturated Design in $K^n$ Factorial Design ($K^n$ 요인배치법에서 포화실험에 의한 요인효과의 검정)

  • Choi, Sung-Woon
    • Proceedings of the Safety Management and Science Conference
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    • 2008.04a
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    • pp.295-299
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    • 2008
  • This paper discusses tests of factor effect or contrast by the use of saturated design $k^n$ factorial design. The nine nonparametric rank measures in normality test using normal probability pot are proposed. Length's PSE(Pseduo Standard Error) test [4] which relies on the concept of effect sparsity is also introduced and extended to the margin of error(ME) and Simultaneous margin of error(SME).

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Effects of the Syllable Number, Font Type, Color Contrast, Display Type, Letter Size and Age Group on the Legibility of the Korean Characters (음절수, 폰트, 색 대비, 표시 형태, 글자 크기, 연령대가 한글 문자 정답률에 미치는 영향)

  • Song, Young-Woong;Lim, Chang-Wook;Lee, In-Seok;Jung, Myung-Chul;Mo, Seung-Min;Kong, Yong-Ku
    • Journal of the Korean Society of Safety
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    • v.24 no.5
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    • pp.92-100
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    • 2009
  • This study evaluated the effects of the syllable number(one, two), font type(gothic, myung), color contrast (black on white, white on black), display type(paper, LCD), age(20s, 60s) and character size(2~80pt) on the Korean characters' legibility. Total twenty subjects from two age groups (20s: n=10, 60s: n=10, five male and five female in each group) participated in the legibility test. A target panel was presented in the distance of 50 cm, and subjects conducted a reading tests for, in total, 16 treatment conditions (full combination of syllable number, font type, color contrast and display type). Results showed that two-syllable words revealed better legibility than one-syllable character. The main effects of the age, display type, font type, color contrast, and character size were statistically significant(p<0.01). Paper showed better legibility than LCD, particularly in the 20s and in the character sizes of less than 9pt. Gothic revealed more correct answers than Myung, particularly in the 60s, paper, and white on black conditions. It is expected that these results can provide basic data for the determination of the Korean characters' minimum legible size standards. For example, the minimum legible size for the Gothic and black on white characters presented in the paper should be 5pt for 20s and 1lpt for 60s if the 75% correct reading(3 correct answers in this study) was applied for the legibility criterion.

Safety of Administering Intravenous CT Contrast Agents Repeatedly or Using Both CT and MRI Contrast Agents on the Same Day: An Animal Study

  • Heejin Bae;Hyewon Oh;Ga Bin Park;Yong Eun Chung
    • Korean Journal of Radiology
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    • v.25 no.3
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    • pp.257-266
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    • 2024
  • Objective: To investigate molecular and functional consequences of additional exposures to iodine- or gadolinium-based contrast agents within 24 hours from the initial intravenous administration of iodine-based contrast agents through an animal study. Materials and Methods: Fifty-six Sprague-Dawley male rats were equally divided into eight groups: negative control, positive control (PC) with single-dose administration of CT contrast agent, and additional administration of either CT or MR contrast agents 2, 4, or 24 hours from initial CT contrast agent injection. A 12 µL/g of iodinated contrast agent or a 0.47 µL/g of gadolinium-based contrast agent were injected into the tail vein. Serum levels of blood urea nitrogen, creatinine, cystatin C (Cys C), and malondialdehyde (MDA) were measured. mRNA and protein levels of kidney injury molecule-1 (KIM-1) and neutrophil gelatinase-associated lipocalin (NGAL) were evaluated. Results: Levels of serum creatinine (SCr) were significantly higher in repeated CT contrast agent injection groups than in PC (0.21 ± 0.02 mg/dL for PC; 0.40 ± 0.02, 0.34 ± 0.03, and 0.41 ± 0.10 mg/dL for 2-, 4-, and 24-hour interval groups, respectively; P < 0.001). There was no significant difference in the average Cys C and MDA levels between PC and repeated CT contrast agent injection groups (Cys C, P = 0.256-0.362; MDA, P > 0.99). Additional doses of MR contrast agent did not make significant changes compared to PC in SCr (P > 0.99), Cys C (P = 0.262), and MDA (P = 0.139-0.771) levels. mRNA and protein levels of KIM-1 and NGAL were not significantly different among additional CT or MR contrast agent groups (P > 0.05). Conclusion: A sufficient time interval, probably more than 24 hours, between repeated contrast-enhanced CT examinations may be necessary to avoid deterioration in renal function. However, conducting contrast-enhanced MRI on the same day as contrast-enhanced CT may not induce clinically significant kidney injury.

Principles of Magnetic Resonance Angiography Techniques

  • Shin, Taehoon
    • Investigative Magnetic Resonance Imaging
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    • v.25 no.4
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    • pp.209-217
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    • 2021
  • Magnetic resonance angiography (MRA) plays an important role in accurate diagnosis and appropriate treatment planning for patients with arterial disease. Contrast-enhanced (CE) MRA is fast and robust, offering hemodynamic information of arterial flow, but involves the risk of a side effect called nephrogenic systemic fibrosis. Various non-contrast-enhanced (NCE) MRA techniques have been developed by utilizing the fact that arterial blood is moving fast compared to background tissues. NCE MRA is completely free of any safety issues, but has different drawbacks for various approaches. This review article describes basic principles of CE and NCE MRA techniques with a focus on how to generate angiographic image contrast from a pulse sequence perspective. Advantages, pitfalls, and key applications are also discussed for each MRA method.

Studies of the side effects on using the contrast media: It's characteristic and management (조영제를 사용하는 환자의 부작용: 특성과 관리에 관한 연구)

  • Seon, Jong-Ryoul;Yoo, Se-Jong
    • Journal of the Korea Safety Management & Science
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    • v.16 no.4
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    • pp.427-431
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    • 2014
  • The purpose of this study is to monitor the current adverse reactions in administering CT contrast agents at general hospitals and also to suggest the practical guidelines to minimize the risk and to show the successful patient management. At four Dajeon city general hospitals, the contrast agents were administered in 646,828 cases and the overall prevalence of adverse reactions was 4,110 cases from January 2010 to December 2013. However, we excluded the two hospitals' 3,658 cases because the patients' data was inadequate. Consequently, the case surveys on the rest of 452 cases have been studied and submitted. After comparing the patients with a control group, we evaluated that the key factors of the adverse reactions were the gender and age difference of the patients, the examination period, the examination method, the quantity and administrating speed of the contrast agents. Even though the four general hospitals have their own management systems on adverse reactions, but their systems were not satisfying. To improve the quality of the management systems and to investigate further cases, some hospital administration procedures on the subject should be systemized and general hospitals should follow the recommended procedures. Moreover, the existing three-year-term evaluation should not only judge the adverse reaction management but also conclude some details on the sub criteria of the evaluation. The details on the sub criteria include the contrast agent characters, the quantity and administrating speed of the drug, the incidents' occurred time, an anamnesis; a case history, the medical history of the patients and the reaction occurring body parts, and the examination title. The details of the medical examiners are also added to the sub criteria.

A Pilot Establishment of the Job-Exposure Matrix of Lead Using the Standard Process Code of Nationwide Exposure Databases in Korea

  • Ju-Hyun Park;Sangjun Choi;Dong-Hee Koh;Dae Sung Lim;Hwan-Cheol Kim;Sang-Gil Lee;Jihye Lee;Ji Seon Lim;Yeji Sung;Kyoung Yoon Ko;Donguk Park
    • Safety and Health at Work
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    • v.13 no.4
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    • pp.493-499
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    • 2022
  • Background: The purpose of this study is to construct a job-exposure matrix for lead that accounts for industry and work processes within industries using a nationwide exposure database. Methods: We used the work environment measurement data (WEMD) of lead monitored nationwide from 2015 to 2016. Industrial hygienists standardized the work process codes in the database to 37 standard process and extracted key index words for each process. A total of 37 standardized process codes were allocated to each measurement based on an automated key word search based on the degree of agreement between the measurement information and the standard process index. Summary statistics, including the arithmetic mean, geometric mean, and 95th percentile level (X95), was calculated according to industry, process, and industry process. Using statistical parameters of contrast and precision, we compared the similarity of exposure groups by industry, process, and industry process. Results: The exposure intensity of lead was estimated for 583 exposure groups combined with 128 industry and 35 process. The X95 value of the "casting" process of the "manufacture of basic precious and non-ferrous metals" industry was 53.29 ㎍/m3, exceeding the occupational exposure limit of 50 ㎍/m3. Regardless of the limitation of the minimum number of samples in the exposure group, higher contrast was observed when the exposure groups were by industry process than by industry or process. Conclusion: We evaluated the exposure intensities of lead by combination of industry and process. The results will be helpful in determining more accurate information regarding exposure in lead-related epidemiological studies.