• 제목/요약/키워드: Evidence-based imaging

검색결과 107건 처리시간 0.031초

양성형 골화석증 (Benign Osteopetrosis : Report of a Case)

  • 김경아;임숙영;고광준
    • Imaging Science in Dentistry
    • /
    • 제30권1호
    • /
    • pp.80-86
    • /
    • 2000
  • A 37-year-old male with the complaint of intermittent gingival swelling and dull pain associated with the food impaction of the mandibular third molar area was referred to our department of Chonbuk National University Hospital. The dental history of the patient showed that he had extracted the maxillary left third molar without complications two years ago. Intraoral and panoramic radiographs showed diffuse increased radiopacity of the maxilla and mandible. The trabecular pattern was obliterated. Postero-anterior skull and lateral skull radiographs showed thickening of cortical bone and diffuse increased radiopacity of the skull. Additional radiographs showed similar changes in the lumbar spine, clavicles, iliac bone and femur. However, no evidence of osteomyelitis was observed clinically and radiographically. Laboratory findings showed normal values of serum calcium, phosphorus, and alkaline phosphatase. Based on the radiographic examinations and the laboratory findings, final diagnosis was made as a benign osteopetrosis.

  • PDF

Metabolic evaluation of children with global developmental delay

  • Eun, So-Hee;Hahn, Si Houn
    • Clinical and Experimental Pediatrics
    • /
    • 제58권4호
    • /
    • pp.117-122
    • /
    • 2015
  • Global developmental delay (GDD) is a relatively common early-onset chronic neurological condition, which may have prenatal, perinatal, postnatal, or undetermined causes. Family history, physical and neurological examinations, and detailed history of environmental risk factors might suggest a specific disease. However, diagnostic laboratory tests, brain imaging, and other evidence-based evaluations are necessary in most cases to elucidate the causes. Diagnosis of GDD has recently improved because of remarkable advances in genetic technology, but this is an exhaustive and expensive evaluation that may not lead to therapeutic benefits in the majority of GDD patients. Inborn metabolic errors are one of the main targets for the treatment of GDD, although only a small proportion of GDD patients have this type of error. Nevertheless, diagnosis is often challenging because the phenotypes of many genetic or metabolic diseases often overlap, and their clinical spectra are much broader than currently known. Appropriate and cost-effective strategies including up-to-date information for the early identification of the "treatable" causes of GDD are needed for the development of well-timed therapeutic applications with the potential to improve neurodevelopmental outcomes.

Microsurgical Fenestration of Middle Cranial Fossa Arachnoid Cyst

  • Kim, In-Soo;Kim, Dong-Won
    • Journal of Korean Neurosurgical Society
    • /
    • 제40권2호
    • /
    • pp.69-73
    • /
    • 2006
  • Objective : The optimal surgical treatment for symptomatic middle cranial fossa arachnoid cysts is controversial. Therapeutic options include endoscopic fenestration, excision, cyst shunting, and craniotomy for fenestration of basal cistern. We reviewed the results of surgically treated middle cranial fossa arachnoid cysts. Methods : We performed a retrospective study in 18 cases of middle cranial fossa arachnoid cysts who had been treated with microsurgical fenestration between 1995 to 2003. The analysis was based on the results of the patients' age, sex distribution, developed area, clinical symptoms, treatment method, and complications. Results : Eighteen surgical treated middle cranial fossa arachnoid cysts patients were evaluated. The age range of cyst development was between 2 years and 44 years with the average of 16.4 years. The follow-up periods averaged 31.48 months. There were 15 male and 3 female patients, with significantly more cyst development in males than females. The most common clinical symptom was headache, followed by seizure. In the entire series, 77.8% of patients demonstrated a decrease in cyst size In serial imaging studies. Of them, 67.3% demonstrated a complete cyst effacement. Overall, 100% of patients with Grade I cysts, 81.8% of patients with Grade II cysts, 60% of patients with Grade III cysts exhibited evidence of decrease in cyst size during long-term monitoring. Complications included headache, meningitis, and hydrocephalus. Conclusion : Patients who were treated with microsurgical fenestration showed good outcome with acceptable complications. We concluded that microsurgical fenestration is a safe and effective surgical method for middle cranial fossa arachnoid cysts.

유방암에서 PET의 응용 (Application of PET in Breast Cancer)

  • 노동영
    • 대한핵의학회지
    • /
    • 제36권1호
    • /
    • pp.34-38
    • /
    • 2002
  • Positron emission tomography(PET) is an imaging method that employs radionuclide and tomography techniques. Since 1995, we applied PET not only to the diagnosis of breast cancer but also to the detection of abnormalities in the augmented breast and to the detection of metastasis. Until 2001, we evaluated 242 breast cases by PET at PET center of Seoul National University Hospital. Our group has reported serially at the international journals. In the first report, PET showed high sensitivity for detecting breast cancer, both the primary and axillary node metastasis. A total of 27 patients underwent breast operations based on PET results at Seoul National University Hospital from 1995 to 1996. The diagnostic accuracy of PET were 97% for the primary tumor mass and 96% for axillary lymph node metastasis. In case of the breast augmented, PET also showed excellent diagnostic results for primary breast cancer and axillary lymph node metastasis where mammography and ultrasound could not diagnose properly. PET also had outstanding results in the detection of recurrent or metastatic breast cancer(sensitivity 94%, specificity 80%, accuracy 89%). In addition, our study gave some evidence that PET could be applied further to evaluate the growth rate of tumors by measuring SUV, and finally to prognosticated the disease. PET could also be applied to evaluate the response after chemotherapy to measure its metabolic rate and size. In conclsion, PET is a highly sensitive, accurate diagnostic tool for breast cancer of primary lesion in various conditions including metastasis.

Regional Variations in Spectra of (25143) Itokawa taken with Hayabusa/AMICA

  • Jin, Sunho;Ishiguro, Masateru
    • 천문학회보
    • /
    • 제43권1호
    • /
    • pp.73.2-73.2
    • /
    • 2018
  • The Hayabusa remote-sensing images of near-Earth asteroid (25143) Itokawa exhibited large diversity in spectral properties. The evidence suggests a various degrees of space weathering on the surface. It is known that the space weathering changes the spectra of S-type asteroids redder and reduces the depths of absorption around $1{\mu}m$. It is therefore possible to determine the surface ages through the investigation of the degree of space weathering. It is, however, reported that the scattered light components severely degrade the Asteroid Multiband Imaging Camera (AMICA) images, especially at the wavelengths > $0.86{\mu}m$. Our team came up with a technique for subtracting the scattered light components (Ishiguro 2014). Here, we upgraded the techniqu e by applying simplex algorism to correct the artifacts for all AMICA bands. This new technique enables to apply for the longest channel (i.e., zs-band at $1.01{\mu}m$) images, which was not studied so far. With the AMICA all bands data, we estimated the surface ages at the different location to be 0.6-2 Myr. Based on this data together with the geological information (e.g. gravitational potentials and local). we will discuss about the evolution of surface materials on the asteroid.

  • PDF

The Extended Indications of Endoscopic Submucosal Dissection (ESD) for Early Gastric Cancer Are Thus Not Entirely Safe

  • Lee, Ju-Hee;Kim, Hyung-Ho
    • Journal of Gastric Cancer
    • /
    • 제10권3호
    • /
    • pp.87-90
    • /
    • 2010
  • Early gastric cancer (EGC) is defined as tumor invasion confined to the mucosa or submucosa, regardless of the presence of regional lymph node metastasis. Lymph node metastasis is the most powerful and important prognostic factor for gastric cancer. Based on the risk of lymph node metastasis in EGC obtained from a large number of surgical cases in Japan, it was suggested that the criteria for endoscopic mucosal resection (EMR) and endoscopic submucosal resection (ESD) as local treatment for EGC might be extended. However, extending the indications for EMR and ESD remains controversial because the long-term outcomes of these procedures have not been fully documented, and there is a risk for lymph node metastasis. Furthermore, current diagnostic imaging techniques are unsatisfactory for accurately predicting metastasis to lymph nodes. Moreover, the long-term results of standard radical gastrectomy including minimally invasive procedures for stage IA have been increasing and have reached 99 to 100%. To determine the true efficacy of endoscopic resection of EGC, we need more evidence of long-term follow-up, standardization of techniques, and pathological interpretation.

뇌졸중의 운동신경기능 회복 (Motor Recovery in Stroke Patients)

  • 장성호;권용현
    • Journal of Yeungnam Medical Science
    • /
    • 제22권2호
    • /
    • pp.119-130
    • /
    • 2005
  • Stroke is a leading cause of chronic physical disability. The recent randomized controlled trials have that motor function of chronic stroke survivors could be improved through physical or pharmacologic intervention in the stroke rehabilitation setting. In addition, several functional neuroimaging techniques have recently developed, it is available to study the functional topography of sensorimotor area of the brain. However, the mechanisms involved in motor recovery after stroke, are still poorly understood. Four motor recovery mechanisms have been suggested, such as reorganization into areas adjacent to the injured primary motor cortex (M1), unmasking of the motor pathway from the unaffected motor cortex to the affected hand, attribution of secondary motor areas, and recovery of the damaged contralateral corticospinal tract. Understanding the motor recovery mechanisms would provide neurorehabilitation specialists with more information to allow for precise prognosis and therapeutic strategies based on the scientific evidence; this may help promote recovery of motor function. This review introduces several methodologies for neuroimaging techniques and discusses theoretical issues that impact interpretation of functional imaging studies of motor recovery after stroke. Perspectives, for future research are presented.

  • PDF

Lomustine Plus Hydroxyurea Chemotherapy for Primary Intramedullary Spinal Cord Tumor in a Maltese Dog

  • Song, Joong-Hyun;Yu, Do-Hyeon;Hwang, Tae-Sung;Lee, Hee-Chun;An, Su-Jin;Sur, Jung-Hyang;Kim, Young Joo;Jung, Dong-In
    • 한국임상수의학회지
    • /
    • 제36권3호
    • /
    • pp.180-183
    • /
    • 2019
  • A 7-year-old, male Maltese dog with a body weight of 2.8 kg was presented with a history of hind limbs ataxia that progressed to tetraparesis over a one-month period. Based on physical and neurological examinations, tetraparesis with concomitant UMN signs, kyphosis and severe neck pain were identified. On MRI scan, we tentatively diagnosed this patient as a primary intramedullary spinal cord tumor. Therapy with lomustine plus hydroxyurea and prednisolone was initiated and the clinical signs rapidly improved. The patient was regularly checked by MRI scan and the range of the mass was gradually reduced to complete remission for 11 months. About 19 months after treatment, the patient showed anemia and hematochezia which suspected as adverse effects of chemotherapy. The condition was getting worse over 2 months and the patient suddenly expired 657 days after initial presentation. On histopathological examination, the spinal cord sample was identified as a neuronal atrophy without evidence of tumor cell.

정형외과 영역에서의 증식치료 (Prolotherapy in Orthopedic Field)

  • 손민수;유재철
    • 대한정형외과 초음파학회지
    • /
    • 제4권2호
    • /
    • pp.101-110
    • /
    • 2011
  • 증식치료의 이론적 배경과 기전, 시술방법, 결과 및 합병증 등에 대하여 근거-중심의 문헌 고찰을 토대로 논의하고자 한다. 증식치료는 전통적으로 건 혹은 인대 이완으로 인한 통증을 포함한 만성적인 근-골격 계 통증의 치료법 중 하나로써 증식치료제를 주사하여 염증 반응을 유도하여 인체의 정상적인 치유 기전을 자극하는 최소 침습적 주사요법이다. 증식치료제는 크게 세가지 기전에 의하여 작용하며, 가장 흔히 사용되는 증식치료제는 10~25% 포도당이다. 최근 초음파 기기의 발달과 함께 증식치료에 있어서도 유용하게 이용되고 있어 진단 뿐 아니라 초음파 중재 하 시술을 통해 효율을 높이고 합병증을 줄일 수 있게 되었다. 가장 흔한 합병증은 주사 부위의 통증으로 대개 자기한정적이고 진통제에 잘 반응한다. 그 외 합병증은 드물며 경험이 많은 임상의에 의해 시행되었을 경우 비교적 안전한 것으로 보고되고 있다. 증식치료는 근-골격 계 통증 및 관절 이완의 치료방법으로써 최근 재조명되고 있으나, 현재까지 보고된 결과들은 아직까지는 그 적응과 효과에 대한 확실한 자료가 부족한 실정이다. 이에 향후 적응이 되는 대상의 선택을 확실히 할 수 있는 신체검진 혹은 진단 기술 등에 대한 연구 혹은 주사요법과 다른 보존적 치료와의 비교 연구 등을 통하여 증식치료에 대한 근-골격 계에 있어서의 독립적이면서 효과적인 역할에 대하여 명확히 해야 할 것이다.

  • PDF

Probing Organic Ligands and their Binding Schemes on Nanocrystals by Mass Spectrometric and FT-IR Spectroscopic Imaging

  • Son, Jin Gyeong;Choi, Eunjin;Piao, Yuanzhe;Han, Sang Woo;Lee, Tae Geol
    • 한국진공학회:학술대회논문집
    • /
    • 한국진공학회 2016년도 제50회 동계 정기학술대회 초록집
    • /
    • pp.355-355
    • /
    • 2016
  • There has been an explosive development of nanocrystal (NC) synthesis and application due to their composition-dependent specific properties. Despite the composition, shape, and size of NCs foremost determine their physicochemical properties, the surface state and molecule conjugation also drastically change their characteristics. To make practical use of NCs, it is a prerequisite to understand the NC surface state and the degree to which they have been modified because the reaction occurs on the interface between the NCs and the surrounding medium. We report in here an analysis method to identify conjugated ligands and their binding states on semiconductor nanocrystals based on their molecular information. Surface science techniques, such as time-of-flight secondary-ion mass spectrometry (ToF-SIMS) and FT-IR spectroscopy, are adopted based on the micro-aggregated sampling method. Typical trioctylphosphine oxide-based synthesis methods of CdSe/ZnS quantum dots (QDs) have been criticized because of the peculiar effects of impurities on the synthesis processes. Since the ToF-SIMS technique provides molecular composition evidence on the existence of certain ligands, we were able to clearly identify the n-octylphosphonic acid (OPA) as a surface ligand on CdSe/ZnS QDs. Furthermore, the complementary use of the ToF-SIMS technique with the FT-IR technique could reveals the OPA ligands' binding state as bidentate complexes.

  • PDF