Journal of Korean Academy of Oral and Maxillofacial Radiology
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v.28
no.2
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pp.539-563
/
1998
39-year-old female had been treated for the exophytic mass on buccal aspect of the left, maxillary posterior area 2 years and 8 months ago. Tentative diagnosis was obtained as fibrous dysplasia on clinical and radiographic examinations and histopathologic findings revealed as osteochondroma after bone trimming at that time. She revisited for the treatment of recurred lesions. We reviewed this case with clinical. radiologic and histopathologic standpoints retrospectively, and came to a conclusion that the tumor primarily occurred was juxtacortical osteogenic sarcoma and recurred due to inadequate treatment and then expanded over intramedullary. This case shows that the diagnosis of osteosarcoma should take account of the patient history, clinical. radiographic and histopathologic findings and it requires attentive follow up check. Retrospectively reviewed results were as follows ; At first visit, oral examination revealed a bony hard swelling on the buccal aspect of the left maxillary posterior area. Radiographically, a dense radiopaque mass was noted on the site. The lesion showed hot uptake of /sup 99m/Tc-MDP. Histopathologic diagnosis was done as osteochondroma, but it was considered as osteogenic sarcoma when compared with the recurrent lesion. When she revisited for the treatment of multiple bony swelling on the left maxilla, radiograms showed typical features of malignancy such as widening of periodontal ligament space and sunray appearace, and coincided with benign characters as follows; relatively well circumscribed lesion and expansion and displacement of the adjacent structures. Finally, histopathologic findings of the lesion was well differentiated chondroblastic osteogenic sarcoma.
Kwon, Soon Hong;Song, Jin Kyung;Yoo, Gyeol;Byeon, Jun Hee
Archives of Plastic Surgery
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v.33
no.2
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pp.233-236
/
2006
Merkel cell carcinoma is rare skin malignancy originated from epidermal mechanoreceptor of neural origin. The tumor usually affects older individuals at sun exposed area such as head, neck and extremity. Subclinical involvement of regional lymph node is reported frequently at the time of initial treatment. Thus even asymptomatic patients who present with clinically localized tumor should undergo evaluation with computed tomography and lymphangiography. Positron emission tomography(PET) scans can imaging the metabolic difference of malignant tumors. Increased glucose uptake of malignant tumor cells are detected by PET scanner. PET scans can provide qualitative and quantitative informations about systemic metastasis of tumors. Although there are no data that define the efficacy of PET scans in the initial diagnostic evaluation of head and neck cancer, they could be considered. Current standards of treatment of Merkel cell carcinoma is wide surgical excision and regional lymphadenectomy if there are suspicious lymph nodes. The author reported a patient with Merkel cell carcinoma of cheek. Wide surgical excision and postoperative PET/CT was done for evaluation of regional lymph node and distant metastasis. There were two hot-uptakes in patient's neck, so they were considered as metastatic node, but finally they were proved to be tuberculosis lymphadenitis after excision.
Park, Sangheon;Jung, Kwangjin;Park, Min Woo;Jung, Kwang-Yoon
Korean Journal of Head & Neck Oncology
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v.29
no.2
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pp.65-67
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2013
Osteomyelitis is an infection of bone or bone marrow, caused by pyogenic bacteria or mycobacterium. Osteomyelitis can be acute or chronic, inflammatory process of the bone and its structures. Chronic osteomyelitis will result in variable sclerosis and deformity of the affected bone. With an infection of the bone, the subsequent inflammatory response will elevate this overlying periosteum, leading to a loss of the nourishing vasculature, vascular thrombosis, and bone necrosis, resulting occasionally in formation of sequestra. These become areas that are more resistant to systemic antibiotic therapy due to lack of the normal Havesian canals that are blocked by scar tissue. At this aspect, not only systemic antibiotic therapy, but also surgical debridement maybe required to remove the affected bone and prevent disease propagation to adjacent areas. We experienced a patient who diagnosed tongue cancer and underwent wide partial glossectomy few years before, with an ulcerative lesion around right retromolar trigon. We diagnosed cancer recurrence because PET indicated hot uptake on mandible which was nearby previous tongue tumor site. The patient received hemiglossectomy via paramedian mandibulotomy, partial mandibulectomy and fibula osteocutaneous free flap reconstruction. But final diagnosis was mandible osteomyelitis on pathology report. Here, we present the case with a review of the related literatures.
39 patients with focal hepatic lesions were evaluated by $^{99m}Tc-RBC$ liver scan. The diagnosis of focal hepatic lesions were made by percutaneous needle biopsy, angiography, surgery, or clinical courses. Thses diagnoses included 24 cases of hemangioma, 7 hepatomas, 6 metastatic disease, 1 abscess, and 1 cyst. 19 hemangiomas showed focal hot activity on delayed static planar images. 3 small deep seated hemangiomas were diagnosed by SPECT that would have been missed by planar images alone. 2 large hemangiomas had no radioisotope uptake within the lesions on delayed images and at surgery cavernous hemangioma with thrombosis, calcification, and fibrosis were found. For hepatic hemangiomas in our series, the sensitivity was 91.7% and the specificity was 100%. The remaining 15 patients including hepatomas, metastatic lesions, cyst and abscess showed cold defect on delayed blood pool images. It is concluded that $^{99m}Tc-RBC$ liver scan should be the choice of primary diagnostic procecure for clinically suspected hepatic hemangioma since it's inexpensive, non-invasive, and readly available.
In this study, eco-friendly functional leather was developed by recycling wastes such as eel skin, marigold(Tagetas erecta l.), hinoki cypress(Chamaecyparis obtusa). The hot water extracts of marigold and hinoki cypress leaves were freeze-dried at $-80^{\circ}C$ to prepare colorant powder. The dyeing of eel leather with marigold was carried out to investigate the effects of dyeing conditions, mordanting on dye uptake, color, morphological change, and color fastness. Considering shrinkage of eel leather caused by dyeing, the optimum dyeing conditions were $60^{\circ}C$ of dyeing temperature and 60 min of dyeing time at 1:100 of bath ratio, and color of the dyed eel leather was Y to YR Munsell series. In order to prevent the degradation of leather from microbe, we conducted combination dyeing with marigold and hinoki cypress leave colorants. In this case, the combination dyed eel leathers showed excellent antimicrobial activity with above 99% bacterial reduction rate against S. aurieus and K. pneumoniae. It was confirmed that all of the dyed eel leathers were sufficient to meet the Korean Standard for color fastness of leather products. It can be applied practically for the development of eco-friendly functional leather by utilizing some useful active components extracted from plant resources and by recycling food wastes.
This study was carried out through scanning electron microscopy to elucidate the mechanism of thickness swelling in wood particle-polypropylene composite which is a typical way of using wood and plastic materials. For this purpose, control particleboards and nonwoven web composites from wood particle and polypropylene fiber formulations of 100:0, 70:30, 60:40, and 50:50 were manufactured at target density levels of 0.5, 0.6, 0.7, and 0.8 g/cm3. Their water absorption and thickness swelling were tested according to ASTMD 1037-93 (1995). To elucidate thickness swelling mechanism of composite through the observation of morphological change of internal structures, the specimens before and after thickness swelling test by 24-hour immersion in water were used in scanning electron microscopy. From the scanning electron microscopy, thickness swelling of composite was thought to be caused by the complicated factors of degree of built-up internal stresses by mat compression and/or amount of wood particles encapsulated with molten polypropylene fibers during hot pressing. In the composites with wood particle contents of 50 to 60% at target densities of 0.5 to 0.8 g/cm3 and with wood particle content of 70% at target densities of 0.5 to 0.7 g/cm3, thickness swellings seemed to be largely dependent upon the restricted water uptake by encapsulated wood particles with molten polypropylene fibers. Thickness swelling in the composite with wood particle content of 70% at target density of 0.8 g/cm3, however, was thought to be principally dependent upon the increased springback phenomenon by built-up internal stresses of compressed mat.
Kim, Hee-Jin;Park, June-Sang;Ko, Myung-Yun;Ahn, Yong-Woo
Journal of Oral Medicine and Pain
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v.31
no.2
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pp.185-197
/
2006
The aim of this study was to investigate the beneficial effect of a daily dose of 300 mg of ASU taken for more than 3 months on the subjects diagnosed as osteoarthritis of temporomandibular joint by RDC/TMD. Total 68 outpatients(15-54y) of female except menopause in Orofacial Pain Clinics of the Pusan National University Hospital were randomly assigned to either an ASU group(n=36) or a placebo group(n=32). The pain, noise and limited mouth opening(LOM) were evaluated by numerical analogue scale(NAS, range 0-10) and maximum comfortable opening(MCO) were measured by milimeter scale. The difference of simple uptake rate(SUR) on bone scan, hot spot(HS) on coronal SPECT, condylar bony changes on CT between the ASU and placebo groups were compared to investigate the objective effect. The obtained results were as follows. 1. Comparison of the NAS of pain, noise, LOM and MCO before treatment and 3, 6 and 9 months after treatment showed no significant difference between the ASU and placebo groups. 2. Comparison of the NAS of pain, noise, LOM and MCO before treatment and 3, 6 and 9 months after treatment showed no significant difference between the ASU and placebo groups without splint treatment, but showed more increased MCO in the ASU group than the placebo group with splint treatment at 6, 9 months after treatment. 3. Comparison of the NAS of pain before treatment and 3, 6 and 9 months after treatment that the NAS of pain at first visit divided into two groups(above or below 6) showed more decreased the NAS of pain in the ASU group than the placebo group that the NAS of pain at first visit was above 6. 4. Comparison of the NAS of pain, noise, LOM and MCO during 6 months period showed improvement of clinical symptoms within group, but no significant difference between subjects. 5. The simple uptake ratio(SUR) on bone scan and hot spot(HS) on coronal SPECT showed more increased SUR and HS in affected side than non-affected side of the ASU and placebo groups. 6. Comparing of condylar bony changes, osseous remodeling were observed highest, osteophyte lowest in the affected and non-affected side of the two groups. After treatment, comparison of condylar bony changes were observed more decreased erosive features in the ASU group than the placebo group.
Kim, Tae-Yeob;Lim, Jung-Jin;Lee, Hong-Jae;Kim, Hyun-Joo;Kim, Joong-Hyun;Lee, Jae-Sung
The Korean Journal of Nuclear Medicine Technology
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v.15
no.1
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pp.34-38
/
2011
Purpose: The SUV is a widely used semi-quantitative index in PET for the estimation of radio-tracer accumulation in VOI. In this study, SUVs from three different PET/CT scanners were assessed, and differences between SUVs were evaluated. Materials and Methods: The PET/CT scanners which were assessed in this study were GEMINI, GEMINI TF 64 (Philips) and Biograph True Point True V 40 (Siemens). The NEMA PET phantom (Data Spectrum Corp., USA) was used to evaluate SUVs. The NEMA PET phantom has6.8 kg weight and three hot inserts. Two different activity distributions for the background and inserts were tested. The activity ratio were 3.7:3.7:7.4:11.1 MBq (1:1:2:3) and 1.85:7.4:9.25:11.1MBq (1:4:5:6) for each of background, insert 1, insert 2 and insert 3. Acquisition time was 2 minutes per bed position and NEMA PET phantom could be covered by two bed positions for all PET/CT scanners. The SUVs from each PET/CT scanner were compared with calculated true value. Results: For both activity ratios, all scanners showed similar results. The differences between each scanner were insignificant. Each scanner showed 91.2%, 85.9% and 87.2% of true SUV for GEMINI, GEMINI TF 64, Biograph True Point TrueV, respectively. Conclusion: For all scanners, SUVs were slightly lower than true value. However, the difference between scanners was insignificant. The SUVs from these scanners would be clinically meaningful if their consistent underestimation is kept in mind.
Purpose DMIDR(Discovery Molecular Imaging Digital Ready, General Electric Healthcare, USA) is a PET/CT scanner designed to allow application of PSF(Point Spread Function), TOF(Time of Flight) and Q.Clear algorithm. Especially, Q.Clear is a reconstruction algorithm which can overcome the limitation of OSEM(Ordered Subset Expectation Maximization) and reduce the image noise based on voxel unit. The aim of this paper is to evaluate the performance of reconstruction algorithms and optimize the algorithm combination to improve the accurate SUV(Standardized Uptake Value) measurement and lesion detectability. Materials and Methods PET phantom was filled with $^{18}F-FDG$ radioactivity concentration ratio of hot to background was in a ratio of 2:1, 4:1 and 8:1. Scan was performed using the NEMA protocols. Scan data was reconstructed using combination of (1)VPFX(VUE point FX(TOF)), (2)VPHD-S(VUE Point HD+PSF), (3)VPFX-S (TOF+PSF), (4)QCHD-S-400((VUE Point HD+Q.Clear(${\beta}-strength$ 400)+PSF), (5)QCFX-S-400(TOF +Q.Clear(${\beta}-strength$ 400)+PSF), (6)QCHD-S-50(VUE Point HD+Q.Clear(${\beta}-strength$ 50)+PSF) and (7)QCFX-S-50(TOF+Q.Clear(${\beta}-strength$ 50)+PSF). CR(Contrast Recovery) and BV(Background Variability) were compared. Also, SNR(Signal to Noise Ratio) and RC(Recovery Coefficient) of counts and SUV were compared respectively. Results VPFX-S showed the highest CR value in sphere size of 10 and 13 mm, and QCFX-S-50 showed the highest value in spheres greater than 17 mm. In comparison of BV and SNR, QCFX-S-400 and QCHD-S-400 showed good results. The results of SUV measurement were proportional to the H/B ratio. RC for SUV is in inverse proportion to the H/B ratio and QCFX-S-50 showed highest value. In addition, reconstruction algorithm of Q.Clear using 400 of ${\beta}-strength$ showed lower value. Conclusion When higher ${\beta}-strength$ was applied Q.Clear showed better image quality by reducing the noise. On the contrary, lower ${\beta}-strength$ was applied Q.Clear showed that sharpness increase and PVE(Partial Volume Effect) decrease, so it is possible to measure SUV based on high RC comparing to conventional reconstruction conditions. An appropriate choice of these reconstruction algorithm can improve the accuracy and lesion detectability. In this reason, it is necessary to optimize the algorithm parameter according to the purpose.
Vegetation can make not only to lower the urban ambient air temperature (UAAT) by crop evapotranspiration (ET) and increasing solar radiation albedo, but also to reduce the urban air pollution by $CO_2$ uptake and $O_2$ emission in addition to the reducing ozone concentrations by aid of lower the UAAT. To evaluate the effect of vegetation on urban heat island mitigation (UHIM), the climate change of 6 cities during 30 years are analysed, and the amount of ET, $CO_2$ uptake, $O_2$ emission and ozone concentrations are estimated in Korea. The most hot season is the last part of July and the first part of August, and the highest average UAAT of a period of ten days was $35.03^{\circ}C$ during 30 years (1979 - 2008). The mean values of maximum ET of rice and soybean in urban area during urban heat island phenomena were 6.86 and $6.00mm\;day^{-1}$, respectively. The effect of rice and soybean cultivation on lowering the UAAT was assessed to be 10.5 and $3.0^{\circ}C$ in Suwon, respectively, whereas the differences between the UAAT and canopy temperature at urban paddy and upland in Ansung were 2.6 and $2.2^{\circ}C$. On the other hand, the urban-garden in Suwon city had resulted in lowering the UAAT and the surface temperature of buildings to 2.0 and $14.5^{\circ}C$, respectively. Furthermore, the amounts of $CO_2$ uptake by rice and soybean were estimated to be 20.27 and $15.54kg\;CO_2\;10a^{-1}day^{-1}$, respectively. The amounts of $O_2$ emission by rice and soybean were also assessed to be 14.74 and $11.30kg\;O_2\;10a^{-1}day^{-1}$, respectively. As other cleaning effect of air pollution, the ozone concentrations could be also estimated to reduce 21.0, 8.8, and 4.0 ppb through rice-, soybean cultivation, and urban gardening during most highest temperature period in summer, respectively.
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