• 제목/요약/키워드: Dexa

검색결과 158건 처리시간 0.023초

치조 골소주 모폴로지 특성과 골다공증의 연관관계에 대한 연구 (Relationship between the morphologic features of alveolar trabecular bone and systemic osteoporosis)

  • 이창진;장훈상;이병도
    • Imaging Science in Dentistry
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    • 제35권3호
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    • pp.141-146
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    • 2005
  • Purpose : The purpose of this study was to investigate the preliminary use of morphologic operation (MO) in analyzing trabecular pattern of alveolar bone for the predicting systemic osteoporosis. Materials and Methods : Study subjects consisted of 35 females (average age 48.5 years) and 25 males (average age 25.8 years). Bone mineral density BMD $(grams/cm^2)$ of lumbar spine and proximal femur of these subjects were measured by a dual energy X-ray absorptiometry (DEXA). Regions of interest (ROIs) were selected from the digitized periapical radiographs of subjects' posterior jaw. A custom computer program processed morphology operations of ROIs. We compared mean values of 11 MO variables according to the osteoporotic group divided by the T-scores of DEXA. We also studied correlation between radiographic density and these MO variables. Results : The mean radiographic densities insignificantly correlated with MO variables. There were statistically significant differences among the values of 9 MO variables according to the osteoporotic group. Conclusion Morphologic operation can be effective in analyzing trabecular pattern of alveolar bone for the predicting osteoporosis.

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SOS를 이용한 초음파 골밀도 측정 장치 (Ultrasonic Bone Densitometer by Measuring the Speed of Sound)

  • 정민상;한은주;김영식
    • 한국의학물리학회지:의학물리
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    • 제18권3호
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    • pp.172-178
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    • 2007
  • 가로축 방식이 아닌 세로축 방식으로 초음파를 송수신하여 골밀도 측정을 하는 장치를 개발하였다. 반사된 초음파의 시간 차이를 이용하는 speed of sound (SOS) 방식은 주파수 차이를 비교하는 broadband ultrasound attenuation (BUA) 방식에 비하여 더욱 정확한 결과를 얻을 수 있다. 측정부위의 경우 엄지는 초음파 수신율이 좋으나 피부 두께의 변위가 많은 단점을 고려하여 중지를 채택하여 정확성을 높였다. SOS 방식만을 사용하여 측정한 결과 기존의 dual-energy x-ray absorptiometry (DEXA) 방식과 비교하여 거의 동일한 정확도를 얻을 수 있었다.

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이중에너지 방사선 흡수계측법(DEXA)을 이용한 성인들의 체구성과 골밀도 분석 (The analysis of body composition and bone mineral density in adult by using dual energy X-ray absorptiometry)

  • 이중철;한상완
    • The Journal of Korean Physical Therapy
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    • 제15권4호
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    • pp.466-478
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    • 2003
  • This study was to evaluate the body composition and bone mineral density according to aging in adult and investigated the relationship between various parameters such as body mass index(BMI), bone mineral density(BMD), bone mineral content(BMC), lean body mass(LBM), fat mass(FM) and the value obtained from dual energy X-ray absorptiometry(DEXA). The subjects were composed of healthy adult male and female who were $20^{\sim}73$ years old and they were divided three group according to age (A group : 20-39 yrs., B group : 40-59 yrs., C group : more than 60 yrs.). The conclusion derived from statistical analysis was as follows : 1. Bone mineral content and density were significantly affected by lean body mass(relatively, R=0.85 - 0.63). 2. There was significant difference among age groups in total bone mineral density. 3. There was significant difference among age groups in bone mineral content of male and female. 4. Lean body mass is diminished according to age, but there was not significant difference among age groups. 5. Fat mass of A group in male had the highest mass and followed by C group and B group. In female groups, fat mass of A group had the highest mass and followed by B group and C group. Abdominal fat mass is increased according to age. This result suggest that aging was closely relation with loss of muscle mass, bone mineral density and bone mineral content.

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양방사선 골밀도 측정 장치의 공간산란선량분포측정 (Bone Density Spatial Distribution of Radiation Dose Measurement)

  • 김선칠;원도연;박창희;동경래
    • 대한디지털의료영상학회논문지
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    • 제13권2호
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    • pp.59-62
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    • 2011
  • In this experiment, how DEXA(Dual-energy X-ray Absorptiometry) bone mineral density was measured using the equipment. In order to maintain the same measurement conditions, bone mineral density measurements of 10 cm thick phantom, with an actual patient at a point when examining the same conditions(100 kVp, 1 mA) and then out to the five doses of radiation and its average was calculated by dividing measured. X-ray dose rate measured at the Research Institute, Sword of the gamma survey meters calibrated MEDCOM Ltd. (Inspector GM counter tube) was used, calibration factor is 1.15. On a horizontal plane around the patient, depending on the distance was significantly reduced dose rate. In addition, orientation $0^{\circ}$ head end was higher in the direction of the highest dose rate, $0^{\circ}$ $180^{\circ}$ direction from the direction towards the higher dose rate reduced to some extent in the direction of all the $120^{\circ}$ were able to identify.

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ICR 마우스를 이용한 마황윤폐탕(麻黃潤肺湯)의 진해, 거담, 및 항염 효과 평가 (Antitussive, Expectorant, and Anti-inflammatory Effects of Mahwangyounpae-tang, a Polyherbal Formula in ICR Mice)

  • 정영은;김종대
    • 대한한방내과학회지
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    • 제43권4호
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    • pp.503-513
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    • 2022
  • Objectives: The antitussive, expectorant, and anti-inflammatory effects of Mahwangyounpae-tang (MHYPT) aqueous extracts were observed in appropriate animal models of various respiratory disorders. Methods: MHYPT aqueous extracts were orally administered once a day for 11 days at dose levels of 400, 200, and 100 mg/kg. The effect of MHYPT was determined by comparing its antitussive effect with theobromine (TB), its expectorant effect with ambroxol (AM), and its anti-inflammatory effect with dexamethasone (DEXA). Results: MHYPT aqueous extracts (400 mg/kg) showed favorable antitussive effects comparable to those of TB (50 mg/kg) in the NH4OH-exposure coughing mouse model and expectorant effects comparable to those of AM (250 mg/kg) in the phenol red-secretion mouse model, but MHYPT (400 mg/kg) showed less anti-inflammatory activity compared to DEXA (1 mg/kg) in the xylene-induced acute inflammatory mouse ear model under the experimental conditions used. Conclusion: MHYPT aqueous extracts administered at dosage levels of 400, 200, and 100 mg/kg induced dose-dependent and favorable antitussive, expectorant, and anti-inflammatory activities that occurred by simultaneous modulation of the activity of mast cells and respiratory mucous production under the experimental conditions used in this study.

수축력과 신장력을 병용한 골신장술에서의 다양한 힘의 비와 부여시기에 따른 신연골 반응 (THE REACTION OF BONE REGENERATE TO THE VARIOUS FORCE RATIO AND PERIODS ON DISTRACTION OSTEOGENESIS WITH COMBINED DISTRACTION FORCE AND COMPRESSION FORCE)

  • 김욱규;신상훈;정인교;김철훈;허준;윤일
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제27권5호
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    • pp.403-414
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    • 2005
  • The purpose of this study was to identify the effectiveness of the modified distraction osteogenesis (DO) method with the concept of overdistraction and compression stimulation which have been previously suggested by the authors in 2002 and to explore the optimal distraction-compression ratio and appropriate latency period for the compression force application during consolidation. The experimental specimens were assessed with radiography, histologic findings, and dual energy x-ray absorptiometry (DEXA) after the conventional DO method and the modified DO technique had been applied on rat mandibles. Total 60 rats were used for the study. In experimental group of 54 adult rats, mandibular osteotomies between the first and second molar areas were performed and customized external distractors were applied. The surgeries on 6 rats of control group also were done with same osteotomy technique and DO device application. Final amount of distraction was set-up as 2 mm on both groups. But, in a experimental group of 54 rats, distraction osteogenesis with a compression force were performed with the different distraction-compression ratio and variant latency periods for compression. The three ratio-subgroups were made as distraction 4 mm group with compression 2 mm, distraction 3 mm group with compression 1 mm, and distraction 2.5 mm group with compression 0.5 mm. In addition, The three subgroups with 3, 7, 11 days latency period prior compression were allocated on each ratio-subgroups. Total 9 subgroups consisted of 6 rats on each subgroup. In control group of 6 rats, conventional distraction technique were routinely performed. The rats of control groups were sacrificed on postoperative 3, 6 weeks after 2 mm distraction. The rats in the experimental groups also were sacrificed on the same euthanasia days of control groups to compare the wound healing. Final available specimens were 55 rats except 5 due to osteomyelitis, device dislodgement. Distraction-compression combined group on 6 weeks generally had showed increased bone mineral density than the same period group of conventional distraction technique on the DEXA study. More matured lamellar bone state and extended trabecular pattern in the combined group than those of control group were also observed in the histologic findings on 6 weeks. In the distraction-compression combined groups, the bone density of 2.5 mm distraction subgroups with 0.5 mm compression showed the highest value on the DEXA study among various force ratio groups. In the distraction-compression combined groups, the bone density of 3 day latency period subgroups showed the highest value on the DEXA study among various latency period groups for the compression application. From this study, we could deduce that 1/5 force ratio for the compression versus distraction, 3 day latency period prior compression application would be the most effective condition if modified distraction osteogenesis technique might be applicable. The modified DO method with a compression force may improve the quality of bone regenerate and shorten total treatment period in comparison with conventional DO technique clinically.

골밀도 검사에서 환자 자세 변경 최소화에 따른 수검자의 불필요한 피폭선량 감소 및 생산성 향상 (Reduction of the Useless Radiation Exposure to Patients and Improvement of the Skill to Manage the Test according to Minimizing Changes of Posture in Bone Mineral Density)

  • 김호성;동경래;김창복
    • 한국콘텐츠학회논문지
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    • 제9권4호
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    • pp.228-235
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    • 2009
  • 골밀도검사는 건강관리에 인식이 높아지면서 매년 증가되고 있으며, 골밀도 측정은 여러 가지 방법이 있으나 그 중 정밀도와 정확도 및 의료피폭이 적은 이중 에너지 방사선 흡수법(Dual Energy X-ray Absorptiometry : DEXA)이 가장 많이 사용되고 있다. 골밀도의 변화를 관찰하기 위해서는 최초 검사 후 보통 1년 단위로 추적검사가 이루어지는데 정확한 비교를 하기 위해서는 환자의 자세가 최초검사와 추적검사 시 동일해야한다. 본 논문은 개선전과 후의 검사자에 대한 검사시간, 사전스캔건수의 차이, 검사 시 해부학적 위치의 촉지 및 시트의 사용 유무에 따른 시간 변화 및 피폭선량의 차이를 분석하였을 때 사전 스캔의 건수 및 검사시간이 단축되었고 피폭선량이 감소되었으며 이를 수검자 1인으로 환산하면 검사시간은 52초, 평균 사전 검사 건수는 0.79회, 피폭선량은 $13{\mu}Sv$로 단축되었다. 따라서 골밀도 검사 시 환자 자세의 변경을 최소화하고 올바르고, 정확하고, 쉬운 방법을 적용하여 검사 처리 능력의 증가와 함께 수검자의 불필요한 피폭선량을 감소하여 국민 건강관리의 일환인 의료 피폭을 줄이기 위함이다.

Cell Behavior of Human Papillomavirus-immortalized and Tumorigenic Human Oral Keratinocytes Does Not Depend on the Integrin Expression

  • Park, Kyung-Hee;Min, Byung-Moo
    • International Journal of Oral Biology
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    • 제32권3호
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    • pp.93-101
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    • 2007
  • Cell behavior of the transformed cells is known to affect by interaction with extracellular matrix (ECM) proteins and integrin. To investigate the alterations of both integrin expression and cell-matrix interaction during neoplastic conversion of human oral kerationcytes, we studied expression levels of integrin subunits by flow cytometry and cellular responses to the ECM proteins in normal human oral keratinocytes (NHOKs), HPV-immortalized HOK-16B line, and three oral cancer cell lines established from HOK-16B line, CTHOK-16B-BaP, CTHOK-16B-DMBA, and CTHOK-16B-Dexa lines. The expression levels of ${\alpha}\;and\;{\beta}$ integrin subunits were shown decreased tendency in human oral keratinocytes undergoing immortalization and tumorigenic transformation except CTHOK-16B-DMBA line tested. Although ${\alpha}v{\beta}6$ integrin is known to be highly expressed in squamous cell carcinomas, and the altered integrin expression is suspected to be associated with cellular carcinogenesis, ${\alpha}v$ integrin subunit and ${\alpha}v{\beta}6$ integrin did not express in oral cancer cell lines tested. Cell behavior to the ECM proteins in HOK-16B line was generally similar to that of exponentially proliferating NHOKs. The adhesion activity profiles of type I collagen were very similar to that of its laminin counterparts, but fibronectin showed minimal adhesion activity under our conditions compared to the BSA control. The ability of the CTHOK-16B-BaP line to spread upon type I collagen and laminin markedly decreased, but migration was notably increased on type I collagen. In contrast, CTHOK-16B-DMBA and CTHOK-16B-Dexa lines spread less but migrated more upon type I collagen than immortalized HOK-16B line. These data indicate that downregulation of integrin subunits causes the changes of cellular responses to the ECM proteins during neoplastic conversion of human oral keratinocytes, and that cellular responses to the ECM proteins in oral cancer cell lines established by exposing different carcinogens are variable according to chemical carcinogens treatment.