• 핵의학기술
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• 제17권2호
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• pp.90-94
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• 2013

PET/CT 영상에서 인공물은 정량성을 저하시키는 원인이 된다. 여러 인공물 중 방사성의약품 주사 시 주사오류로 인해 발생할 수 있는 열소는 그 주변부에 인공물을 발생시켜 영상의 질을 저하시킬 뿐 아니라 정량평가의 정확도를 저하시킨다. 본 연구에서는 영상의 재구성시 표시시야(Display Field of View, DFOV)의 중심이동법을 이용하여 주사부위에 발생한 열소부위를 제거하고 정량평가에 미치는 영향을 평가해 보고자 한다. GE Discovery STE 16 (GE Healthcare, Milwaukee, USA) 장비에 1994 NEMA 모형을 이용하였다. 모형에 0.005 MBq/mL의 $^{18}F-FDG$를 채우고 모형주변에 열소대 배후방사능의 농도비가 200:1이 되도록 열소를 만들어 모형외곽에 인위적으로 두었다. 영상획득 후 DFOV의 중심 위치를 이동하여 열소부위가 DFOV로부터 벗어나도록 영상을 재구성한 후 적용 전, 후를 비교하였다. 영상에 대한 평가는 열소의 영향을 받지 않은 부위에서 DFOV 중심이동 전, 후의 배후방사능의 평균 표준섭취계수와 표준편차를 산출하여 재구성에 의한 영향을 비교, 평가하였다. 또한 인공물이 발생한 부위에 관심영역을 설정하고 인공물의 발생 전, 후의 평균 표준섭취계수와 표준편차를 산출하여 백분율 오차를 각각 비교하였다. 모형영상 내 열소로 인한 인공물의 영향을 받지 않은 부위에서 DFOV 중심이동 법을 적용하기 전 평균 표준 섭취계수는 $0.67{\pm}0.06g/mL$이었고, 적용 후에는 $0.65{\pm}0.06g/mL$로 나타났다. 또한 영상에서 열소에 의해 발생한 인공물이 있는 부위의 평균 표준섭취계수와 표준편차는 $0.32{\pm}0.08g/mL$였으며, DFOV 중심이동을 적용한 경우는 $0.56{\pm}0.12g/mL$로 나타났다. 이 때 열소의 영향을 받은 열소 인접부위와 상대적으로 영향을 받지 않은 부위에 대한 백분율 오차는 65.3%와 97.4%로 각각 나타났다. PET/CT 영상에서 열소에 의해 발생 된 인공물은 DFOV의 중심이동법 적용 시 평균 표준섭취계수를 32.1% 향상시킬 수 있으며, 이 때 중심이동 법에 의한 다른 부위의 영향은 유의한 차이가 없음을 알 수 있다. 결과에서와 같이 방사성의약품의 주사오류 시 발생한 종 창 등으로 발생되는 인공물의 영향은 DFOV 중심이동법을 적용할 경우 보다 정확한 정량평가가 가능해지고 그로 인하여 영상의 진단적 가치를 높일 수 있을 것이다.

• 한국잠사곤충학회지
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• 제14권2호
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• pp.81-92
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• 1972

미립자 병원체의 병원성에 대한 연구로서 그 결과를 요약하면 다음과 같다. 1. 품종별 감잠비율에 있어서 원종은 교잡종보다 훨씬 높았으나 원종간에는 차이가 없었다. 2. 첨식농도별, $10^{5}$ /ml＜$10^{6}$/ml＜$10^{7}$ /ml＜$10^{8}$ /ml순으로 감잠비율이 높았다. 3. 영별로는 5령＜4령＜3령＜2령 순으로 감잠비율이 높았다. 4. 품종과 농도 사이의 감잠비율에 대한 교호작용에 있어서 1) 고농도($10^{8}$ /ml)에서는 원종과 교잡종간에는 차이가 없었으며 2) 저농도($10^{5}$ /ml)에서는 교잡종은 원종보다 낮았으나 원종간에는 차이가 없었다. 3) 중간농도($10^{7}$ /ml, $10^{6}$/ml)에서는 교호작용이 엇갈려 원종의 $10^{6}$/ml과 교잡종의 $10^{7}$ /ml에서 교호작용이 같았다. 5. 면역에 있어서 N. bombycis포자의 면역방법은 항원 주사량, 면역기간 및 주사간격이 중요하며 특히 항원 주사량은 20ml($10^{8}$ spores/ml)이상이 필요한 것으로 생각되며 4처리구(A.B.C.D)중에서 D구가 제일좋았다. 6. N. bombycis의 생존포자를 면역원으로 해서 토끼에 면역시키면 간접법 염색에 의한 항체가에서 1 : 12, 800의 항체가 N. bombycis 면역혈청을 얻었으며, 잠체조직 및 N. bombycis의 포자는 자기 형광을 볼 수 있었으나 U.V. filter로 관찰하게 되면 FITC의 형광색을 명확히 식별할 수 있었다. 7. 미립자 병잠의 소직학적 관찰에서 미립자 포자는 누에 조직 중에서도 제일 먼지 중위피막조직에 기생하는 것을 알 수 있었다.

• Pediatric Infection and Vaccine
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• 제8권2호
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• pp.181-190
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• 2001

목 적 : BCG 림파선염은 BCG 접종의 가장 흔한 부반응으로 다양한 임상 양상과 예후를 보이나 치료에 대한 확실한 정설은 없는 형편이다. 따라서 저자들은 BCG 접종 후 발생한 림파선염 환아에서 결핵 반응 검사 결과와, 림파선염의 크기, BCG 균주, 접종연령, 접종위치, 림파선염의 위치 및 침범한 림파선의 갯수에 따른 임상 경과, 관찰 및 약물치료 후의 임상결과의 차이를 조사하여 치료 방향의 설정에 도움을 얻고자 이 연구를 시행하였다. 방 법 : 1997년 1월부터 2000년 5월까지 광주기독병원 소아과 외래에 내원한 환아 중 BCG 접종 후 발생한 림파선염으로 진단된 생후 3개월에서 24개월의 73명을 대상으로 하였다. 의무기록지를 통해 후향적으로 접종균의 종류, 접종 장소, 시기, 림파선염의 크기, 부위별 특징을 알아보았고, 림파선염의 크기에 따라 세 군(A군 : 직경 2.0 cm 미만, B군 : 직경 2.0~3.0 cm, C군 : 직경 3.0 cm 이상)으로 분류하여 조사하였다. 결 과 : 1) BCG 림파선염의 크기와 결핵 반응 검사 경결의 크기, 자연치유율 및 화농화 빈도는 서로 상관 관계가 없었다. 2) 접종연령에 따른 임상경과를 보면, 림파선염의 크기는 1개월 이전 접종군 $22{\pm}2.5mm$, 1개월 이후 접종군 $25{\pm}3.3mm$이고, 화농화 빈도는 1개월 전 접종군 43례 중 17례(39.5%), 1개월 후에 접종군 30례 중 20례(66.6%)로 1개월 이후에 접종시 림파선염의 크기가 더 크고 화농화 빈도도 높았다(P<0.05). 3) 화농화가 된 빈도는 관찰군 29례 중 8례(27.6%), 항결핵제 투여군 14례 중 10례(71.4%), 바늘배농 및 수술적 절제가 요구된 경우는 관찰군의 27.6%(8례), 항결핵제 투여군의 64.3%(9례)로, 항결핵제 투여는 림파선염의 화농화 예방 및 치료에 효과가 없었고, 오히려 항결핵제 투여로 화농화 빈도와 외과적 처치 빈도가 높아졌다(P<0.05). 4) 화농화 유무에 따른 임상경과를 보면 관찰 중 치유된 경우가 비화농성 림파선염 36례 중 23례(63.9%), 화농성 림파선염 37례 중 3례(8.1%)였고, 배농을 비롯한 수술적 처치가 요구된 경우는 비화농성 림파선염은 36.1%(13례), 화농성 림파선염은 91.9%(29례)로 비화농성 림파선염인 경우가 관찰 중 치유된 예가 더 많았고, 수술적 처치 빈도가 낮았다(P<0.05). 5) 접종균주에 따른 경과로는 국내의 결핵협회 연구원이 생산한 French strain 1173 P2 접종군은 다른 접종군에 비해 화농화 경향은 높았지만 통계적인 의미는 없었고(P=0.1), 수술적 처치의 빈도는 더 높았다(P=0.005). 6) 림파선염의 발생 위치에 따른 경과는, 쇄골상와 림파선염이 액와 림파선염에 비해 화농화 빈도가 의미있게 높았고(P=0.04), 림파선염 발생 부위에 따른 수술빈도는 통계적인 차이가 없었다. 7) 림파선염의 갯수와 화농화 빈도 및 수술빈도는 서로 상관관계가 없었다. 결 론 : BCG 림파선염의 임상경과는 화농화의 유무, 접종시 연령, 접종 균주, 접종 위치와 림파선염이 발생한 위치에 영향을 받지만 림파선염의 크기, 림파선염의 갯수에는 영향을 받지 않는다. BCG 접종 후 림파선염 발생시 전신적인 항결핵제 투여는 필요 없고 정기적으로 추적 관찰하여 림파선염의 크기변화 및 화농화 발생을 관찰하는 것이 중요하고, 화농성 림파선염인 경우는 적극적인 외과적 절제가 필요하다 하겠다.

• Journal of Periodontal and Implant Science
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• 제26권1호
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• pp.1-26
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• 1996

This study was performed to estimate the effects of cultured bone cell inoculated on porous type hydroxyaptite for the regeneration of the artificial alveolar bone defect. In this experiment 3 beagle dogs were used, and each of them were divided into right and left mandible. Every surgical intervention were performed under the general anesthesia by using with intravenous injection of Pentobarbital sodium(30mg/Kg). To reduce the gingival bleeding during surgery, operative site was injected with Lidocaine hydrochloride(l:80,000 Epinephrine) as local anesthesia. After surgery experimental animal were feeded with soft dietl Mighty dog, Frisies Co., U.S.A.) for 1 weeks to avoid irritaion to soft tissue by food. 2 months before surgery both side of mandibular 1st premolar were extracted and bone chips from mandibular body were obtained from all animals. Bone cells were cultured from bone chips obtained from mandible with Dulbecco's Modified Essential Medium contained with 10% Fetal Bovine Serum under the conventional conditions. Porous type hydroxyapatite were immerse into the high concentrated cell suspension solution, and put 4 hours for attachin the cells on the surface of hydroxyapatite. Graft material were inserted on the artificial bone defect after 3 days of culture. Before insertion of cellinoculated graft material, scanning electronic microscopic observation were performed to confirm the attachment and spreading of cell on the hydroxyapatite surface. 3 artificial bone defects were made with bone trephine drill on the both side of mandible of the experimental animal. First defect was designed without insertion of graft material as negative control, second was filled with porous replamineform hydroxyapatite inoculated with cultured bone marrow cells as expermiental site, and third was filled with graft materials only as positive control. The size of every artificial bone defect was 3mm in diameter and 3mm in depth. After the every surgical intervention of animals, oral hygiene program were performed with 1.0% chlorhexidine digluconate. All of the animals were sacrificed at 2, 4, 6 weeks after surgery. For obtaining histological section, tissus were fixed in 10% Buffered formalin and decalcified with Planko - Rycho Solution for 72hr. Tissue embeding was performed in paraffin and cut parallel to the surface of mandibular body. Section in 8um thickness of tissue was done and stained with Hematoxylin - Eosin. All the specimens were observed under the light microscopy. The following results were obtained : 1. In the case of control site which has no graft material, less inflammatory cell infiltration and rapid new bone forming tendency were revealed compared with experimental groups. But bone surface were observed depression pattern on defect area because of soft tissue invasion into the artificial bone defect during the experimental period. 2. In the porous hydroxyapatite only group, inflammatory cell infiltration was prominet and dense connective tissue were encapsulated around grafted materials. osteoblastic activity in the early stage after surgery was low to compared with grafted with bone cells. 3. In the case of porous hydroxyapatite inoculated with bone cell, less inflammatory cell infiltration and rapid new bone formation activity was revealed than hydroxyapatite only group. Active new bone formation were observed in the early stage of control group. 4. The origin of new bone forming was revealed not from the center of defected area but from the surface of preexisting bony wall on every specimen. 5. In this experiment, osteoclastic cell was not found around grafted materials, and fibrovascular invasion into regions with no noticeable foreign body reaction. Conclusively, the cultured bone cell inoculated onto the porous hydroxyapatite may have an important role of regeneration of artificial bone defects of alveolar bone.

• 한국수정란이식학회지
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• 제27권2호
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• pp.113-119
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• 2012

Epigenetic modification including genome-wide DNA demethylation is essential for normal embryonic development. Insufficient demethylation of somatic cell genome may cause various anomalies and prenatal loss in the development of nuclear transfer embryos. Hence, the source of nuclear donor often affects later development of nuclear transfer (NT) embryos. In this study, appropriateness of porcine embryonic germ (EG) cells as karyoplasts for NT with respect to epigenetic modification was investigated. These cells follow methylation status of primordial germ cells from which they originated, so that they may contain less methylated genome than somatic cells. This may be advantageous to the development of NT embryos commonly known to be highly methylated. The rates of blastocyst development were similar among embryos from EG cell nuclear transfer (EGCNT), somatic cell nuclear transfer (SCNT), and intracytoplasmic sperm injection (ICSI) (16/62, 25.8% vs. 56/274, 20.4% vs. 16/74, 21.6%). Genomic DNA samples from EG cells (n=3), fetal fibroblasts (n=4) and blastocysts from EGCNT (n=8), SCNT (n=14) and ICSI (n=6) were isolated and treated with sodium bisulfite. The satellite region (GenBank Z75640) that involves nine selected CpG sites was amplified by PCR, and the rates of DNA methylation in each site were measured by pyrosequencing technique. The average methylation degrees of CpG sites in EG cells, fetal fibroblasts and blastocysts from EGCNT, SCNT and ICSI were 17.9, 37.7, 4.1, 9.8 and 8.9%, respectively. The genome of porcine EG cells were less methylated than that of somatic cells (p<0.05), and DNA demethylation occurred in embryos from both EGCNT (p<0.05) and SCNT (p<0.01). Interestingly, the degree of DNA methylation in EGCNT embryos was approximately one half of SCNT (p<0.01) and ICSI (p<0.05) embryos, while SCNT and ICSI embryos contained demethylated genome with similar degrees. The present study demonstrates that porcine EG cell nuclear transfer resulted in hypomethylation of DNA in cloned embryos yet leading normal preimplantation development. Further studies are needed to investigate whether such modification affects long-term survival of cloned embryos.

• 지구물리와물리탐사
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• 제16권3호
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• pp.154-162
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• 2013

지하수 인공함양 지역에 충적층 특성 평가를 위한 목적으로 수직탐사와 2차원 전기비저항탐사를 수행하였다. 지하수 인공함양의 주 대상 지층인 충적층 내에 존재하는 세립자들은 지하수와 함께 이동하여 클로깅 현상을 일으킬 수 있으므로 주의를 요하는데, 전기비저항탐사를 통해서 저비저항을 보이는 포화된 실트 또는 점토의 분포를 파악하는 것이 매우 효과적이다. 반면에, 이러한 저비저항대가 두터운 경우는 지층에서 인위적으로 보내진 전기가 저비저항대의 층으로만 통하여 그 이하의 지층 또한 저비저항대로 왜곡되는 단점을 가지므로 해석 시에 주의가 요구된다. 본 연구는 이러한 영향을 고려하여 격자형태의 35개의 수직탐사 측점과 10개의 2차원탐사 측선을 따라서 탐사를 수행하여 각각의 장점인 수직적인 분해능과 수평적인 분해능을 비교 및 보완하였다. 수직탐사를 통해 지하 30 m 이후에 약 15 m 두께로 인공함양의 주대상 지층인 모래자갈층이 퇴적되어 있을 것으로 사료되며 두 탐사의 비교를 통해 연구지 지하 일부 구간에 클로깅 현상을 유발할 수 있는 실트 또는 점토의 분포가 예상되었다. 이러한 결과는 지하수 인공함양을 위한 주입정 및 관측정의 위치와 심도를 설계하는데 있어 충적층의 퇴적양상 파악에 대한 전기비저항탐사의 적용성을 보여준다.

• 한국진공학회:학술대회논문집
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• 한국진공학회 2012년도 제43회 하계 정기 학술대회 초록집
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• pp.269-269
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• 2012

A new ion source has been designed, fabricated, and installed at the NBTS (Neutral Beam Test Stand) at the KAERI (Korea Atomic Energy Research Institute) site. The goalis to provide a 100 keV, 2MW deuterium neutral beam injection as an auxiliary heating of KSTAR (Korea Super Tokamak Advanced Research). To cope with power demand, an ion current of 50 A is required considering the beam power loss and neutralization efficiency. The new ion source consists of a magnetic cusp bucket plasma generator and a set of tetrode accelerators with circular copper apertures. The plasma generator for the new ion source has the same design concept as the modified JAEA multi-cusp plasma generator for the KSTAR prototype ion source. The dimensions of the plasma generator are a cross section of $59{\times}25cm^2$ with a 32.5 cm depth. The anode has azimuthal arrays of Nd-Fe permanent magnets (3.4 kG at surface) in the bucket and an electron dump, which makes 9 cusp lines including the electron dump. The discharge properties were investigated preliminarily to enhance the efficiency of the beam extraction. The discharge of the new ion source was mainly controlled by a constant power mode of operation. The discharge of the plasma generator was initiated by the support of primary electrons emitted from the cathode, consisting of 12 tungsten filaments with a hair-pin type (diameter = 2.0 mm). The arc discharge of the new ion source was achieved easily up to an arc power of 80 kW (80 V/1000 A) with hydrogen gas. The 80 kW capacity seems sufficient for the arc power supply to attain the goal of arc efficiency (beam extracted current/discharge input power = 0.8 A/kW). The accelerator of the new ion source consists of four grids: plasma grid (G1), gradient grid (G2), suppressor grid (G3), and ground grid (G4). Each grid has 280 EA circular apertures. The performance tests of the new ion source accelerator were also finished including accelerator conditioning. A hydrogen ion beam was successfully extracted up to 100 keV /60 A. The optimum perveance is defined where the beam divergence is at a minimum was also investigated experimentally. The optimum hydrogen beam perveance is over $2.3{\mu}P$ at 60 keV, and the beam divergence angle is below $1.0^{\circ}$. Thus, the new ion source is expected to be capable of extracting more than a 5 MW deuterium ion beam power at 100 keV. This ion source can deliver ~2 MW of neutral beam power to KSTAR tokamak plasma for the 2012 campaign.

• 한국임상약학회지
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• 제30권1호
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• pp.19-30
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• 2020

Objective: To describe patterns of spontaneous reporting on adverse events following immunization (AEFIs) using the human papilloma virus (HPV) vaccine according to the Brighton Collaboration (BC) criteria. Methods: We used the Korea Adverse Event Reporting System (KAERS) database including vaccinations between 2008 and 2017. To apply BC criteria, we classified 58 BC AEFIs into World Health Organization Adverse Reaction Terminology (WHO-ART) codes. We applied MedDRA standard medical queries that were pre-defined as five BC AEFIs. Terminology mapping between MedDRA and WHO-ART terms was performed by three researchers. Descriptive statistics of individual case safety reports were analyzed according to BC applicability. Disproportionality analyses were performed on each BC AEFI and each preferred AEFI term according to the case-noncase approach; reporting odds ratio (ROR) and 95% confidence intervals (CI) were calculated. Results: Among the 30,266 reports of vaccinations between 2008 and 2017, 2,845 reports included the HPV vaccine. Of these reports, 1,511 (53.1%) included at least one BC AEFI. Reports from physicians or manufacturers included more BC AEFIs than from other reporters. Injection site reactions and fever were frequently reported in BC AEFIs; spontaneous abortion and ectopic pregnancy (ROR, 14.29 [95% CI, 4.30-47.49]) and vasculitic peripheral neuropathy (ROR, 8.57 [95% CI, 2.61-28.10]) showed the highest ROR. Among non-BC AEFIs, dizziness or myalgia were frequently reported; exposure during pregnancy (ROR, 23.95 [95% CI, 16.27-35.25]) and inappropriate schedule of administration (ROR, 22.89 [95% CI, 16.74-31.31]) showed the highest ROR. Conclusion: BC criteria would be applicable for labeled AEFIs, whereas analyzing non-BC AEFIs would be useful for detecting unlabeled AEFIs.

• Radiation Oncology Journal
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• 제13권1호
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• pp.55-61
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• 1995

Purpose : Despite a development of therapeutic machines and advance in modern radiation therapy techniques, locally advanced cervical carcinoma has shown high rate of local failure and poor survival rate, Combination of chemotherapy and radiotherapy demonstrated benefit in improving local control and possibly the overall survival. Our study was performed to evaluate effect of concurrent chemoradiation on locally advanced uterine cervical cancer. Methods and Materials : Twenty six patients with locally advanced stage(FIGO stage IIB with ${\geq}5cm$ in diameter, III, IVA) were treated with combination of radiation therapy and concurrent cisplatinum between May of 1988 and September of 1993 at our hospital. Radiation therapy consisted of external irradiaton and 1-2 sessions of intracavitary irradiation. Cisplatinum was administered in bolus injection of 25mg/$m^2$ at weekly intervals during the course of external radiation therapy. Results : Of the 26 Patients, twenty-five patients were evaluable for estimation of response. Median follow-up period was 25 months with ranges from 3 to 73 months. Stage IIB, III, and IVA were 16, 5, 4 patients, respectively, Twenty patients were squamous cell carcinoma. Response was noted in all 25 patients: complete response(CR) in 17/25($68\%$), Partial response(PR) in 8/25($32\%$). Of the 24 patients except one who died of sepsis at 3 months follow-up, seventeen patients($70.8\%$) maintained local control in the pelvis: 16/17($94.1\%$) in CR, 1/17($14.3\%$) in PR. Fourteen of the 17 patients with CR are alive disease free on the completion of follow-up. Median survival is 28 months for CR and 15 months for PR. Analysis of 5-year survival by stage shows 11/16($59.8\%$) in IIB, 3/5($60.0\%$) in III, and 1/4($25.0\%$) in IVA. Overall 5-year survival rate was $55.2\%$. Ten patients recurred: 4 at locoregional, 3 in distant metastasis and 3 with locoregional and distant site. Toxicity by addition of cisplatinum was not excessive. Conclusion : Although the result of this study was obtained from small number of patients, it is rather encouraging in view of markedly improved response rate compared with the results of historical group.

• Archives of Plastic Surgery
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• 제35권3호
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• pp.235-242
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• 2008

Purpose: Due to increasing interest in the treatment of spinal cord injuries, many histopathological studies have been conducted to prove that many neurotrophic factors including growth hormone are important for regeneration of the injured spinal cord. Growth hormone has to be given everyday, however, and this negatively affects compliance in clinical trials. Recently, the invention of sustained release growth hormone (SRGH) that can be given just once a week may both help the regeneration of injured spinal cord and, at the same time, be more compliant and convenient for clinical patients. Methods: In this study, thirty 7-week-old female Spraque-Dawley rats were subjected to a weight-driven impact spinal cord injury. They were divided into 3 groups and Group I and II were injected with SRGH once a week for 4 weeks; Group I were injected into the injured spinal cord area, while Group II were injected into the peritoneal cavity. Meanwhile, Group III were injected with normal saline solution. The functional outcome was evaluated using the Basso-Beattie-Bresnahan motor rating score and the inclined plane test was done 4 weeks after the first injection. Histopathological examination was performed at the same time and the amount of residual white matter was measured in all groups. Results: After 4 weeks, Groups I and II showed greater improvement than Group III(the control group) in the functional test. In the control group, invasion of atypical phagocytes, axonal degeneration, edema and cavity formation in the posterior site of spinal cord gray matter was observed in histopatholgical examination. The rate of residual white matter in Group III was less than in the other groups. Conclusion: Data showed significant functional and histopathological improvement in the groups treated with SRGH into the spinal and peritoneal cavity compared with the control group. SRGH is therefore beneficial because it helps with regeneration of the injured spinal cord and improves the compliance and convenience of patients.