• 제목/요약/키워드: In-situ diagnosis

검색결과 153건 처리시간 0.03초

Extraosseous Ewing's Sarcoma Presented as a Rectal Subepithelial Tumor: Radiological and Pathological Features

  • Bae, Heejin;Chung, Taek;Park, Mi-Suk;Kim, Myeong-Jin;Lim, Joon Seok;Kim, Honsoul
    • Investigative Magnetic Resonance Imaging
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    • 제21권1호
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    • pp.51-55
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    • 2017
  • Purpose: Extraosseous Ewing's sarcoma (EOE) of the rectum is extremely rare: only three cases have been reported in the literature and none of these reports described their imaging findings in detail. Herein, we describe the tumor imaging and pathological features in detail. Materials and Methods: We report a case of rectal EOE in a 72-year-old female who received local excision and was provisionally diagnosed with a rectal submucosal spindle cell tumor. We used immunohistochemistry, histopathology, and fluorescence in situ hybridization to characterize the tumor and provide a definitive diagnosis of EOE. Results: MRI revealed a well-demarcated submucosal tumor with heterogeneous enhancement and hemorrhagic foci in rectum. EOE was diagnosed by positive staining of tumor cells for CD99 and Fli-1 by immunohistochemistry and the presence of the EWSR1 gene translocation by fluorescence in situ hybridization. Although the patient underwent radiation treatment and surgery, the tumor recurred after 4 months as revealed by computed tomography and magnetic resonance imaging. Conclusion: Rectal EOE may present as a rectal submucosal tumor. The understanding of imaging and histological characteristics of this tumor are critical for accurate diagnosis and appropriate aggressive treatment.

적외선열화상을 이용한 베어링의 실시간 윤활상태에 따른 상태감시에 관한 연구 (Condition Monitoring under In-situ Lubrication Status of Bearing Using Infrared Thermography)

  • 김동연;홍동표;유청환;김원태
    • 비파괴검사학회지
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    • 제30권2호
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    • pp.121-125
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    • 2010
  • 회전기기의 결함진단에 있어서 기존의 방법과 달리 적외선열화상기술은 회전기기의 결함진단에 대해 비접촉, 비파괴 및 상태감시 모니터링을 할 수 있다. 본 논문에서는 적외선열화상 상태진단을 기반으로 하는 회전기기의 결함진단에 대한 새로운 접근법을 제안한다. 따라서 회전기에서 가장 많이 사용되어지는 볼베어링을 이용하여 실험을 수행하였고, 진동 스펙트럼 분석과 적외선열화상을 이용하여 실시간 모니터링을 수행하였다. 적외선열화상기법을 이용하여 볼베어링의 윤활 불균형에 따른 온도 특성을 확인할 수 있었다. 이러한 실험을 통한 결과를 분석 검토하여 향후 산업전반의 회전기기의 상태감시연구에 있어서 다양한 분야에 사용되어 질 것으로 예상된다.

조직내교잡법을 이용한 결핵균의 검출 (Detection of Mycobacterium Tuberculosis by In Situ Hybridization)

  • 박창수;김영철;이지신;정종재;김두홍;김진
    • Tuberculosis and Respiratory Diseases
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    • 제48권5호
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    • pp.699-708
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    • 2000
  • 배경 : 올리고누클레오티드 탐식자를 이용한 조직내교잡법은 감염성 질환의 진단에 이용되고 있는 분자병리학적 검사방법이다. 그러나 결핵균의 세포벽에는 다량의 지방 성분이 포함되어 있어 탐식자의 침투에 어려움이 있다. 따라서 본 연구에서는 탐식자의 침투력을 높일 수 있는 조건을 알아보고, 결핵의 조직학적 진단법으로써 조직내교잡법의 이용 가능성을 확인해 보고자 한다. 방법 : 결핵으로 진단된 환자의 인체조직 절편과 배양된 결핵균을 흰쥐의 간 조직 내에 인위적으로 주입하여 제작한 실험조직 절편을 실험대상으로 하고, 바이오틴을 부착시킨 올리고누클레오티드 탐식자를 이용하여 조직내교잡법을 시행하였으며, 탐식자의 효과적인 침투를 위해 전처리를 시도하였다. 결과 : 펩신-염산 (2 mg/ml, 0.1M) 혼합액을 이용한 전처리 과정 (5-6분) 후 조직내교잡법을 수행한 결과 배양된 결핵균을 주입한 실험조직에서 결핵균의 검출에 성공할 수 있었다. 간 조직이 주사바늘에 의해 기계적으로 손상된 자리를 따라 군데군데 위치하고 있는 배양액 내에서 불규칙하게 모여있는 점상 혹은 간상의 양성반응을 관찰할 수 있었으며, 민감도는 80-90% 수준이었다. 그러나 결핵환자의 조직절편에서는 조직내교잡법을 이용하여 결핵균을 검출할 수 없었다. 결론 : 이는 배양액 내에서 빠르게 증식하는 결핵균과는 달리 인체에 감염된 결핵균에서는 rRNA의 양이 적어, 바이오틴이 부착된 탐식자를 이용한 조직내교잡법의 민감도를 벗어났을 것으로 추정된다. 따라서 향후 조직내교잡법으로 인체조직 내의 결핵균을 진단하기 위해서는 제자리 중합효소연쇄반응 (in situ PCR) 법의도입이나, 보다 높은 민감도를 갖는 동위원소를 부착 시킨 탐식자의 사용이 필요하다고 생각된다.

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Histopathological features and viral genome detection in caprine arthritis encephalitis virus infected dairy goats in Korea

  • Son, Gain;Cho, Eun-Sang;Shin, Hyun-Jin;Son, Hwa-Young
    • 한국동물위생학회지
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    • 제40권3호
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    • pp.161-168
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    • 2017
  • Caprine arthritis encephalitis (CAE) virus is a causative agent of caprine arthritis-encephalitis. In our previous study we reported a prevalence of CAE. In this study, we described the further detailed pathological features of CAE and examined the detection of virus by in situ hybridization (ISH). Histopathologically, interstitial pneumonia and bronchopneumonia in lung, focal inflammation in mammary glands, perivascular cuffing in brain, arthritis, and focal necrosis, mild steatosis, inflammatory cell infiltration of liver were noted. CAEV proviral-DNA was identified by nested polymerase chain reaction (PCR) in blood cells, brain, synovial fluid, and lymph node. Confirmation by nested PCR involved amplification of a 296 bp ($1^{st}$ PCR) and 185 bp ($2^{nd}$ PCR) fragments corresponding to a conserved region on the gag gene of CAEV. Positive ISH signals were detected in the brain and liver. In conclusion, significant histopathological findings included parenchymal infection in various organs, including the lung, liver, brain, joint, and mammary gland were noted in the CAEV infected dairy goat. ISH can help confirm the diagnosis of CAE in formalin-fixed samples.

Factors Predicting Microinvasion in Ductal Carcinoma in situ

  • Ozkan-Gurdal, Sibel;Cabioglu, Neslihan;Ozcinar, Beyza;Muslumanoglu, Mahmut;Ozmen, Vahit;Kecer, Mustafa;Yavuz, Ekrem;Igci, Abdullah
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권1호
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    • pp.55-60
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    • 2014
  • Background: Whether sentinel lymph node biopsy (SLNB) should be performed in patients with pure ductal carcinoma in situ (DCIS) of the breast has been a question of debate over the last decade. The aim of this study was to identify factors associated with microinvasive disease and determine the criteria for performing SLNB in patients with DCIS. Materials and Methods: 125 patients with DCIS who underwent surgery between January 2000 and December 2008 were reviewed to identify factors associated with DCIS and DCIS with microinvasion (DCISM). Results: 88 patients (70.4%) had pure DCIS and 37 (29.6%) had DCISM. Among 33 DCIS patients who underwent SLNB, one patient (3.3%) was found to have isolated tumor cells in her biopsy, whereas 1 of 14 (37.8%) patients with DCISM had micrometastasis (7.1%). Similarly, of 16 patients (18.2%) with pure DCIS and axillary lymph node dissection (ALND) without SLNB, none had lymph node metastasis. Furthermore, of 20 patients with DCISM and ALND, only one (5%) had metastasis. In multivariate analysis, the presence of comedo necrosis [relative risk (RR)=4.1, 95% confidence interval (CI)=1.6-10.6, P=0.004], and hormone receptor (ER or PR) negativity (RR=4.0, 95%CI=1.5-11, P=0.007), were found to be significantly associated with microinvasion. Conclusions: Our findings suggest patients presenting with a preoperative diagnosis of DCIS associated with comedo necrosis or hormone receptor negativity are more likely to have a microinvasive component in definitive pathology following surgery, and should be considered for SLNB procedure along with patients who will undergo mastectomy due to DCIS.

In situ hybridization에 의한 돼지 뇌심근염 바이러스의 검출 (Detection of porcine encephalomyocarditis virus by in situ hybridization)

  • 오상현;박남용;정치영;조경오;이봉주;박영석;박형선
    • 대한수의학회지
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    • 제39권1호
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    • pp.148-158
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    • 1999
  • The purpose of this study was to establish a rapid, reliable diagnostic method detecting Encephalomyocarditis virus(EMCV) RNA in formalin-fixed, paraffin-embedded tissues of EMCV naturally infected pigs by cDNA probe of EMC $K_3$, the EMCV strain isolated from Korea. Using a biotin-labelled nick translated probe for the cDNA marker. We made up for some defects of radiolabeled method. In sits hybridization(ISH) technique, differently from the other nucleic acid hybridization methods, is able to detect the virus genome specifically in the state of the intact shapes of cells and/or tissues. We succeeded in performing the experiment to detect the EMCV within 1~2 hours using the $MicroProbe^{TM}$ capaillary action system. In this study, we observed highly specific positive signals of red color by staining the paraffin-embedded tissue sections of naturally EMCV-infected pig organs or tissues, including brain, heart, kidney and lacrimal gland with the Fast Red TR salt/Naphtol phosphate chromogen. The results suggested that this ISH method is considered as a highly sensitive and reliable tool for molecular biologic diagnosis of the EMC viral disease.

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Clinical Significance of Atypical Squamous Cells of Undetermined Significance among Patients Undergoing Cervical Conization

  • Nishimura, Mai;Miyatake, Takashi;Nakashima, Ayaka;Miyoshi, Ai;Mimura, Mayuko;Nagamatsu, Masaaki;Ogita, Kazuhide;Yokoi, Takeshi
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권18호
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    • pp.8145-8147
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    • 2016
  • Background: Atypical squamous cells of undetermined significance (ASCUS) feature a wide variety of cervical cells, including benign and malignant examples. The management of ASCUS is complicated. Guidelines for office gynecology in Japan recommend performing a high-risk human papillomavirus (HPV) test as a rule. The guidelines also recommend repeat cervical cytology after 6 and 12 months, or immediate colposcopy. The purpose of this study was to determine the clinical significance of ASCUS. Materials and Methods: Between January 2012 and December 2014, a total of 162 patients underwent cervical conization for cervical intraepithelial neoplasia grade 3 (CIN3), carcinoma in situ, squamous cell carcinoma, microinvasive squamous cell carcinoma, and adenocarcinoma in situ at our hospital. The results of cervical cytology prior to conization, the pathology after conization, and high-risk HPV testing were obtained from clinical records and analyzed retrospectively. Results: Based on cervical cytology, 31 (19.1%) of 162 patients were primarily diagnosed with ASCUS. Among these, 25 (80.6%) were positive for high-risk HPV, and the test results of the remaining 6 patients (19.4%) were uncertain. In the final pathological diagnosis after conization, 27 (87.1%) and 4 patients (12.9%) were diagnosed with CIN3 and carcinoma in situ, respectively. Conclusions: Although ASCUS is known as a low-risk abnormal cervical cytology, approximately 20% of patients who underwent cervical conization had ASCUS. The relationship between the cervical cytology of ASCUS and the final pathological results for CIN3 or invasive carcinoma should be investigated statistically. In cases of ASCUS, we recommend HPV tests or colposcopic examination rather than cytological follow-up, because of the risk of missing CIN3 or more advanced disease.

1p36 deletion syndrome confirmed by fluorescence in situ hybridization and array-comparative genomic hybridization analysis

  • Kang, Dong Soo;Shin, Eunsim;Yu, Jeesuk
    • Clinical and Experimental Pediatrics
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    • 제59권sup1호
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    • pp.14-18
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    • 2016
  • Pediatric epilepsy can be caused by various conditions, including specific syndromes. 1p36 deletion syndrome is reported in 1 in 5,000-10,000 newborns, and its characteristic clinical features include developmental delay, mental retardation, hypotonia, congenital heart defects, seizure, and facial dysmorphism. However, detection of the terminal deletion in chromosome 1p by conventional G-banded karyotyping is difficult. Here we present a case of epilepsy with profound developmental delay and characteristic phenotypes. A 7-year-and 6-month-old boy experienced afebrile generalized seizure at the age of 5 years and 3 months. He had recurrent febrile seizures since 12 months of age and showed severe global developmental delay, remarkable hypotonia, short stature, and dysmorphic features such as microcephaly; small, low-set ears; dark, straight eyebrows; deep-set eyes; flat nasal bridge; midface hypoplasia; and a small, pointed chin. Previous diagnostic work-up, including conventional chromosomal analysis, revealed no definite causes. However, array-comparative genomic hybridization analysis revealed 1p36 deletion syndrome with a 9.15-Mb copy loss of the 1p36.33-1p36.22 region, and fluorescence in situ hybridization analysis (FISH) confirmed this diagnosis. This case highlights the need to consider detailed chromosomal study for patients with delayed development and epilepsy. Furthermore, 1p36 deletion syndrome should be considered for patients presenting seizure and moderate-to-severe developmental delay, particularly if the patient exhibits dysmorphic features, short stature, and hypotonia.

Ultrasound Breast Elastographic Evaluation of Mass-Forming Ductal Carcinoma-in-situ with Histological Correlation - New Findings for a Toothpaste Sign

  • Leong, Lester Chee Hao;Sim, Llewellyn Shao-Jen;Jara-Lazaro, Ana Richelia;Tan, Puay Hoon
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권5호
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    • pp.2673-2678
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    • 2016
  • Background: It is unclear as to whether the size ratio elastographic technique is useful for assessing ultrasound-detected ductal carcinoma-in-situ (DCIS) masses since they commonly lack a significant desmoplastic reaction. The objectives of this study were to determine the accuracy of this elastographic technique in DCIS and examine if there was any histopathological correlation with the grey-scale strain patterns. Materials and Methods: Female patients referred to the radiology department for image-guided breast biopsy were prospectively evaluated by ultrasound elastography prior to biopsy. Histological diagnosis was the gold standard. An elastographic size ratio of more than 1.1 was considered malignant. Elastographic strain patterns were assessed for correlation with the DCIS histological architectural patterns and nuclear grade. Results: There were 30 DCIS cases. Elastographic sensitivity for detection of malignancy was 86.7% (26/30). 10/30 (33.3%) DCIS masses demonstrated predominantly white elastographic strain patterns while 20/30 (66.7%) were predominantly black. There were 3 (10.0%) DCIS masses that showed had a co-existent bull's-eye sign and 7 (23.3%) other masses had a co-existent toothpaste sign, a strain pattern that has never been reported in the literature. Four out of 4/5 comedo DCIS showed a predominantly white strain pattern (p=0.031) while 6/7 cases with the toothpaste sign were papillary DCIS (p=0.031). There was no relationship between the strain pattern and the DCIS nuclear grade. Conclusions: The size ratio elastographic technique was found to be very sensitive for ultrasound-detected DCIS masses. While the elastographic grey-scale strain pattern should not be used for diagnostic purposes, it correlated well with the DCIS architecture.

초음파를 이용한 광학창 오염방지 모듈 개발 (The Development of the Contamination Prevention Module of an Optical Window Using Ultrasonic Waves)

  • 이창희;전기문;신재수;윤주영;조승현;강상우
    • 한국진공학회지
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    • 제22권4호
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    • pp.175-180
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    • 2013
  • 본 연구에서는 반도체 소자 생산 공정 중 발생하는 오염입자에 의해 실시간 오염입자 측정장치인 In-Situ Particle Monitor(ISPM)의 광학창의 오염을 방지하기 위한 모듈 개발에 관한 연구이다. 개발한 광학창 오염방지 모듈은 실시간으로 측정하는 ISPM 내 광학창 표면에 오염입자가 흡착되는 것을 방지하기 위한 장치로 적합한 초음파 모듈 개발이 성공적 연구의 핵심내용이다. 또한 그 효과를 극대화하기 위한 구조적인 최적화도 필요하지만 초음파 힘의 표면 전달효율 향상 기술도 개발이 필요한 핵심 기술이다. 개발된 광학창 오염방지 모듈이 장착된 ISPM은 양산용 증착공정 장비(BPSG 증착장비) 배기구에 설치되었으며, 공정조건 별 오염방지 모듈의 성능과 더불어 ISPM 측정 효율도 함께 검증하였다.