• Korean Journal of Head & Neck Oncology
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• v.17 no.1
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• pp.19-25
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• 2001

Objectives: The clinical efficacy of the color and pulsed Doppler ultrasound with spectral waveform analysis for differentiation of malignant from benign cervical lymphadenopathy was prospectively evaluated in cervical lymphadenopathy. Materials and Methods: Color and pulsed Doppler ultrasound examination was prospectively performed in 32 cervical lymph nodes in 28 patients. These 10 nodes from 10 patients were malignant and 22 nodes from 18 patients were benign, proved by operation, biopsy, and follow-up examination. Another 12 lymph nodes from 12 normal volunteers were evaluated as control group. The peak systolic velocity (PSV), minimal diastolic velocity (MDV) , and resistive indexes (RI) of arterial flows within the 32 lymph nodes were assessed to differentiate the malignant from benign nodes with pulsed Doppler ultrasonography. The results were qualitified with one-way ANOVA and Bonferroni method of multiple comparison. Results: The mean values of PSV of malignant, benign, and control nodes were 38.2(10.1-134)cm/sec, 23.3(9-38.5) cm/sec and 11.8(6.7-18.1) cm/sec, respectively. The mean values of MDV of them were 0.9(-7.5-10.7)cm/sec, 9.7(2.9-18.6)cm/sec and 6.5(3.7-9.3)cm/sec, respectively. However, there was no statistical significance in differentiation of malignant from benign nodes with PSV and MDV. The mean values of RI of malignant, benign, and control nodes were 0.99(0.80-1.30), 0.59(0.46-0.77) and 0.45(0.38-0.50), respectively. RI value of 0.8 is suggestive value for discrimination of malignant from benign lymphadenopathy during examination of color Doppler ultrasound of cervical lymphadenopathy. Conclusion: Color and pulsed Doppler ultrasound examination with spectral waveform analysis may be quite helpful in the differentiation between benign and malignant alterations of cervical lymph nodes.

• Journal of Korean Neurosurgical Society
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• v.48 no.4
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• pp.380-382
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• 2010

The authors present an extremely rare case of a pseudoaneurysm of the ulnar artery as a complication of a two-portal endoscopic carpal tunnel release (ECTR). A 70-year-old man with chronic renal failure and on maintenance hemodialysis with a left arteriovenous fistula presented with paresthesia of his right hand. A clinical diagnosis of right carpal tunnel syndrome was confirmed by ultrasonography and an electro physiologic study. He underwent two-portal ECTR, and the paresthesia was much improved. However, he presented to us one month after operation with severe pain, a tender mass distal to the right wrist crease and more aggravation of the paresthesia in the ulnar nerve distribution. Doppler ultrasound was performed and revealed a hypo echoic lesion 20 mm in diameter in the right palm, with arterial Doppler flow inside connected to the palmar segment of the ulnar artery. An ulnar artery pseudoaneurysm was diagnosed and treated by ultrasound-guided percutaneous thrombin injection. Transverse color Doppler ultrasound image showed complete thrombosis of the pseudoaneurysm and flow cessation after a total injection of 500 units of thrombin. The symptoms were also improved.

• Korean Journal of Veterinary Research
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• v.38 no.3
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• pp.659-663
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• 1998

Portal bood flow was measured with pulsed Doppler ultrasound in twenty anesthetized dogs. In anesthetized dogs with xylazine HCl, the average of portal blood flow velocity was reduced($11.68{\pm}1.55cm/sec$ vs. normal $16.67{\pm}1.77cm/sec$). Average portal blood flow was also decreased compared to normal($28.36{\pm}11.61ml/min/kg$ vs. normal $43.12{\pm}14.46 ml/min/kg$). And congestion index was increased($0.0368{\pm}0.0117cm{\cdot}sec$) vs. normal $0.0297{\pm}0.0062cm{\cdot}sec$). In anesthetized dogs with ketamine HCl, portal blood flow velocity was slightly increased ($22.62{\pm}2.53cm/sec$ vs. normal $16.67{\pm}1.77cm/sec$. Also mean portal blood flow was slightly increased($43.12{\pm}14.46ml/min/kg$ vs. normal $55.32{\pm}19.99ml/min/kg$). In anesthetized dogs with tiletamine and zolazepam, portal blood flow velocity and portal blood flow were unchanged.

• Journal of Information Processing Systems
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• v.15 no.4
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• pp.820-832
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• 2019

Estimation of accurate blood volume flow in ultrasound Doppler blood flow spectrograms is extremely important for clinical diagnostic purposes. Blood volume flow measurements require the assessment of both the velocity distribution and the cross-sectional area of the vessel. Unfortunately, the existing volume flow estimation algorithms by ultrasound lack the velocity space distribution information in cross-sections of a vessel and have the problems of low accuracy and poor stability. In this paper, a new robust ultrasound volume flow estimation method based on multigate (RMG) is proposed and the multigate technology provides detail information on the local velocity distribution. In this method, an accurate double iterative flow velocity estimation algorithm (DIV) is used to estimate the mean velocity and it has been tested on in vivo data from carotid. The results from experiments indicate a mean standard deviation of less than 6% in flow velocities when estimated for a range of SNR levels. The RMG method is validated in a custom-designed experimental setup, Doppler phantom and imitation blood flow control system. In vitro experimental results show that the mean error of the RMG algorithm is 4.81%. Low errors in blood volume flow estimation make the prospect of using the RMG algorithm for real-time blood volume flow estimation possible.

• Korean Journal of Bronchoesophagology
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• v.3 no.1
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• pp.159-163
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• 1997

The complications of deep neck infection have become much less common in the antibiotic era. The vascular complications of deep neck infection can have devasting consequences. Most commonly, the internal carotid artery is involved, although the common carotid and external carotid artery can also be affected.0 the cases of patients with a protracted course, recurrent bleeding, cranial neuropathies, or trismus, the presence of vascular complications must be considered. Appropriate imaging should be carried out to allow the localization of the infection and ascertain the status of the vessels in the neck The vascular structures can be imaged with duplex doppler or color doppler flow ultrasound to see the flow between the mass and vessels. Also angiography plays a key role in the diagnosis and management of vascular complication of deep neck infection. Prompt diagnosis and treatment of these patients is necessary to prevent significant hemmorrhagic complications. We experienced a case of pseudoaneurysm of the common carotid artery secondary to deep neck infection treated successfully with surgical excision in 45-year-old-male.

• The Journal of Korean Orthopaedic Ultrasound Society
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• v.6 no.1
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• pp.10-14
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• 2013

Pilomatricoma is a benign skin tumor that develops from hair matrix cells. It most commonly occurs in the head and neck, followed by the upper extremities. Accuracy of preoperative diagnosis was low in previous studies and excisional biopsy was even performed frequently without imaging studies. We report a case of pilomatricoma of the shoulder that was easily diagnosed by ultrasound including color Doppler, which is a more useful imaging modality than computed tomography or magnetic resonance imaging scans not only because of its cost effectiveness but also because of the precise information obtained from mass contents.

• Proceedings of the Acoustical Society of Korea Conference
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• 1992.06a
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• pp.103-106
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• 1992

기존의 혈류 속도 측정 방법으로는 인체내에 반사 물질을 투입하는 Fick technique과 electromagnetic flowmeter등을 이용한 invasive method와 Ultrasonic Doppler method에 의한 noninvasive method가 이용되고 있다. 이 방법들은 혈과의 모양이나 혈관에서의 flow velocity profile등에 관한 정확한 정보를 얻을 수 없다. 이와같은 문제점들을 해결하기 위한 혈류속도 측정 방법으로 실험실 조건하에서 인체에서와 유사한 혈류측정 장치를 제작하여, vessel의 표본 체적내의 산란체로부터 후방산란되는 초음파 신호의 correlation을 이용한 Ultrasound Time Domain Correlation (UTDC) technique을 연구하였다. UTDC technique을 이용하여 유속을 측정한 결과, 12% 이하의 정밀도로 평균 유체 유속이 측정되었고, Ultrasonic Doppler method에서 측정할 수 없는 혈과의 모양과 혈관의 각 위치에서의 유속 및 혈관벽에 이물질의 존재여부를 명확히 판단할 수 있었다.

• Korean Journal of Radiology
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• v.22 no.5
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• pp.677-687
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• 2021

Microvascular ultrasound (US) techniques are advanced Doppler techniques that provide high sensitivity and spatial resolution for detailed visualization of low-flow vessels. Microvascular US imaging can be applied to breast lesion evaluation with or without US contrast agents. Microvascular US imaging without a contrast agent uses a sophisticated wall filtering system to selectively obtain low-flow Doppler signals from overlapped artifacts. Microvascular US imaging with second-generation contrast agents amplifies flow signals and makes them last longer, which facilitates hemodynamic evaluation of breast lesions. In this review article, we will introduce various microvascular US techniques, explain their clinical applications in breast cancer diagnosis and radiologic-histopathologic correlation, and provide a summary of a recent radiogenomic study using microvascular US.

• Journal of Biomedical Engineering Research
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• v.6 no.1
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• pp.47-54
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• 1985

In this paper, clutter in ultrasound pulsed Doppler system is analyzed mathematically. And stationary canceler which reduce the clutter is designed. The operating characteristics of the stationary canceler is investigated in body (in vivo) by audio signal and spectrum analyzer.

• The Journal of Korean Orthopaedic Ultrasound Society
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• v.3 no.2
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• pp.69-73
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• 2010

Osteochondroma arising around the knee joint may sometimes be associated with vascular complication. Angiography is widely used to demonstrate the vascular complication, but it is invasive. Recently MR angiography is recommended as a non-invasive alternative, but it is very costly. We report a twenty-year-old man with popliteal arterial compression caused by osteochondroma who was diagnosed and assessed the surgical result by Doppler ultrasonography. And we also provide the usefulness of Doppler ultrasonography.