• Title/Summary/Keyword: Internal Defect

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A Case of Left Pulmonary Artery Hypoplasia in Adult (성인에서 발견된 좌측 폐동맥 형성부전증 1례)

  • Lee, Seung-Hyun;Choi, Koang-Ho;Lee, Heung-Bum;Lee, Yong-Chul;Rhee, Yang-Keun
    • Tuberculosis and Respiratory Diseases
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    • v.46 no.1
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    • pp.116-121
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    • 1999
  • Unilateral hypoplasia of the pulmonary artery is an uncommon anomaly, which commonly develops in combination with congenital cardiovascular defects such as tetralogy of Fallot, patent ductus arteriosus and septal defect of atrium or ventricle, but may also present as an isolated lesion. We have recently experienced a case of the left pulmonary artery hypoplasia in adult by chance of during the general health screen, which diagnosed by chest X-ray, chest spiral CT, lung perfusion and ventilation scan, digital substraction angiogram and bronchoscopy, then presented hereby with the review of relevant literature.

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Significant Reperfusion on $^{99m}Tc-HMPAO$ SPECT in a Case of Subacute MCA Infarction (한의학적 치료로 $^{99m}Tc-HMPAO$ SPECT상 현저한 재관류를 보인 아급성기 중대뇌동맥경색 환자 1례)

  • Park, Jung-Mi;Jung, Woo-Sang;Seo, Al-An
    • The Journal of Internal Korean Medicine
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    • v.22 no.3
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    • pp.437-442
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    • 2001
  • For ischemic cerebrovascular disease, it is well known that early luxury perfusion is related to a good clinical outcome and single photon emission computed tomography(SPECT) has the potential for providing useful information about regional cerebral blood flow. We report one case of Rt. MCA infarction mainly treated by oriental medicine and revealed luxury perfusion without thrombolysis. In acute stage, neurological deficits of the patient were very severe. 99mTc-HMPAO SPECT images obtained 10days after the attack showed large perfusion defect in the Rt. MCA territory. We followed up 99mTc-HMPAO SPECT 40days after the ictus. Despite of the poor early perfusion, we found considerably improved perfusion and neurological improvement.

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Comparison between Myocardial Perfusion and Function in Rest State in Coronary Artery Disease - Dipyridamole $^{99m}Tc-MIBI$ SPECT and Rest Gated Blood Pool Scan - (관상동맥질환에서 휴식기의 심근관류 정도와 휴식기 심기능 변화의 비교 - Dipyridamole 부하 $^{99m}Tc-MIBI$ SPECT와 휴식기 Gated Blood Pool Scan -)

  • Choi, Chang-Woon;Lee, Dong-Soo;Kim, Sang-Eun;Bae, Sang-Kyun;Yang, Hyung-In;Chung, June-Key;Lee, Myoung-Mook;Lee, Myung-Chul;Park, Young-Bae;Seo, Jung-Don;Lee, Young-Woo;Koh, Chang-Soon
    • The Korean Journal of Nuclear Medicine
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    • v.26 no.2
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    • pp.265-273
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    • 1992
  • Rest gated blood pool scan (Rest GBP scan) and dipyridamole $^{99m}Tc-MIBI$ SPECT were Performed in 34 patients with or suspected coronary artery disease. Both studies were performed within $2\sim32$ days (mean 8.1 days). A significant correlation was present between left ventricular ejection fraction (r= -0.7356, p<0.001) and peak ejection rate and peak filling rate in rest GBP scan and perfusion defect in MIBI SPECT. And there were acceptable correlations (0.05$26.2{\pm}10.8%$, severe hypokinesia, akinesia or dyskinesia in 16 regions: $78.2{\pm}23.7$, p<0.001). These data indicate there is a significant coupling between the degree of myocardial perfusion and the myocardial functional change in coronary artery disease.

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Repair of Postinfarction Ventricular Septal Defect on a Beating Heart -One case report (심근경색 후 심실중격렬손의 심박동 상태에서의 교정술 -1예 보고-)

  • Kim, Hyuck;Lee, Hyung-Chang;Kim, Young-Hak;Chung, Won-Sang;Kim, Kyung-Soo
    • Journal of Chest Surgery
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    • v.37 no.6
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    • pp.543-545
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    • 2004
  • Postinfarction ventricular septal defect often induces cardiogenic shock and requires operative treatment early after myocardial infarction. Although the operative mortality of this disease has decreased during the past 3 decades, it is still relatively high. In this case, to prevent global myocardial ischemia, we used the technique of repair of postinfarction ventricular septal defect on a beating heart. This approach does not requir aortic cross-clamping and provides superior myocardial protection.

Deep circumflex iliac artery free flap in the mandibular reconstruction (DCIA를 이용한 하악골 재건술)

  • Won, Ji-Hoon;Kim, Bong-Chul;Kim, Hyung-Jun
    • The Journal of the Korean dental association
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    • v.49 no.9
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    • pp.520-526
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    • 2011
  • Vascularized iliac crest flap include bone tissue of good quality and quantity for mandible segmental defect. Even if fibular flap can contain longer bone tissue, iliac crest has esthetic shape for mandible body reconstruction and large height for implant. Conventional vascularized iliac crest osteomyocutaneous flap is too bulky for reconstruction of intraoral soft tissue defect. But modified flap can reduce soft tissue volume, so is good for functional reconstruction of oral mucosa. It takes only one month for completely replace oral mucosa. The final mucosal texture is much better than other skin paddle flap, especially for implant prosthesis. Donor site morbidity of this method looks same level or less with other modalities functionally and socially. In case of oral mucosa-mandible combined defect, vascularized iliac crest with internal oblique muscle flap shows good outcomes for hard and soft tissue.

Analysis of Parameters on Partial Discharges from Insulation Defects of used Hydro Generator Stator Windings (수력발전기 고정자 노후권선의 모의결함 시편에 대한 부분방전 파라미터 변화 분석)

  • Oh, Bong-Keun;Kim, Hyun-Il;Kang, Seong-Hwa;Lim, Kee-Joe
    • Journal of the Korean Institute of Electrical and Electronic Material Engineers
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    • v.20 no.7
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    • pp.645-649
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    • 2007
  • Partial discharge(PD) test for simulated insulation defects of used hydro generator stator winding was conducted to analyze the PD Parameters. Simulated insulation defects are classified by 5 types corona, slot, internal, multi and aging defect. Phase resolved partial discharge, statistical parameter (skewness, kurtosis), PD magnitude as a function of the test voltage(Q-V curve) and PD magnitude change under test voltage for 2 minutes are used as PD parameters. The analysis of PD parameters by 4 types are proved to be useful methods. In particular, PD parameter characteristics of aging defect could help to assess the aging condition of stator winding because aging defect has more weak insulation strength than other insulation defects : PD distribution is wide and flat, PD rises rapidly near $0^{\circ}\;and\;180^{\circ}$ and Q-V curve rises sharply and then gently drops.

Defect Depth Measurement of Straight Pipe Specimen Using Shearography (전단간섭계를 이용한 직관시험편의 결함 깊이 측정)

  • Chang, Ho-Seob;Kim, Kyung-Suk
    • Journal of the Korean Society for Nondestructive Testing
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    • v.32 no.2
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    • pp.170-176
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    • 2012
  • In the nuclear industry, wall thinning defect of straight pipe occur the enormous loss in life evaluation and safety evaluation. To use non-destructive technique, we measure deformation, vibration, defect evaluation. But, this techniques are a weak that is the measurement of the wide area is difficult and the time is caught long. In the secondary side of nuclear power plants mostly used steel pipe, artificiality wall thinning defect make in the side and different thickness make to the each other, wall thinning defect part of deformation measure by using shearography. In addition, optical measurement through deformation, vibration, defect evaluation evaluate pipe and thickness defects of pressure vessel is to evaluate quantitatively. By shearography interferometry to measure the pipe's internal wall thinning defect and the variation of pressure use the proposed technique, the quantitative defect is to evaluate the thickness of the surplus. The amount of deformation use thickness of surplus prediction of the actual thickness defect and approximately 7 percent error by ensure reliability. According to pressure the amount of deformation and the thickness of the surplus through DB construction, nuclear power plant pipe use wall thinning part soundness evaluation. In this study, pressure vessel of thickness defect measure proposed nuclear pipe of wall thinning defect prediction and integrity assessment technology development. As a basic research defected theory and experiment, pressure vessel of advanced stability and soundness and maintainability is expected to contribute foundation establishment.

A Case of Unilateral Hyperlucent Lung by Main Bronchus Obstruction (주가관지 폐쇄에 의한 일측정 방사선 과투과성을 보이는 1예)

  • Cho, Yong-Bum;Park, Kyeong-Soo;Jeon, Jeong-Bae;Ryu, Jeong-Seon;Moon, Tae-Hoon;Cho, Jae-Hwa;Kwag, Seung-Min;Lee, Hong-Ryeol;Cho, Cheol-Ho
    • Tuberculosis and Respiratory Diseases
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    • v.48 no.2
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    • pp.268-273
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    • 2000
  • A 32-year-old woman complaining of cough, sputum, and chest discomfort for the past ten days was admitted to the hospital. The radiologic findings were transradiant left lung with reduced number and size of vessels, mediastinal shifting to the right at expiration, matched ventilation-perfusion defect on ventilation-perfusion scan, and diffuse hypoplasia of the left pulmonary artery and i1s branches on the pulmonary angiography. We describe a case of unilateral hyperlucent lung by main bronchus obstruction in a patient who presents a clinical picture suggestive of the Swyer-James syndrome.

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Comparison of Diagnostic Accuracy for Detecting Coronary Artery Disease of Dipyridamole $^{99m}Tc$-MIBI Myocardial SPECT and It's Defect Map between Men and Women (디피리다몰 부하 $^{99m}Tc$-MIBI 심근 SPECT 극성결손지도를 이용한 관동맥질환 진단의 남녀 비교)

  • Bae, Sang-Kyun;Lee, Dong-Soo;Oh, Byung-Hee;Chung, June-Key;Lee, Myoung-Mook;Park, Young-Bae;Lee, Myung-Chul;Seo, Jung-Don;Lee, Young-Woo;Koh, Chang-Soon
    • The Korean Journal of Nuclear Medicine
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    • v.27 no.1
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    • pp.59-64
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    • 1993
  • To evaluate the usefulness and differences in diagnosing coronary artery disease (CAD) between men and women of intravenous dipyridamole $^{99m}Tc$-MIBI myocardial SPECT, we obtained $^{99m}Tc$-MIBI myocardial SPECT and compared with the findings of coronary angiographies. Ninety eight male and 37 female patients who underwent dipyridamole $^{99m}Tc$-MIBI myocardial imaging within one month of cardiac catheterization were studied. Scans were considered abnormal if perfusion defect was detected and the defect size was more than 12% for left anterior descending artery (LAD) and circumflex (LCX) and 8% for right coronary artery (RCA) territories. Lesions${\geqq}$50% luminal diameter narrowing were considered significant CAD. Overall sensitivity for detection of CAD was 94.3% in men and 96.4% in women; specificity was 70% in men and 52.6% in women (P=not significant, ns). Vessel-matched sensitivity was 75.3% in men and 72.7% in women (P=ns): specificity was 84.6% in men and 67.9% in women (P < 0.025). For individual coronary artery, the sensitivity in men and women was 87.7%, 81.8% for LAD; 78%, 83.3% for RCA and 52.2%, 46.7% for LCX (P=ns): the specificity was 80%, 40% for LAD (P<0.01), 82.5%, 68.4% for RCA, 88.9%, 86.4% for LCX (P=ns). The hemodynamic parameter after intravenous dipyridamole in men and women were significantly changed; the heart rate was increased and systolic, diastolic blood pressure was decreased. Adverse effects were reported in 58.8% of men and 72.7% in women (P=ns). The incidence of chest pain and headache were higher in women. There was no significant difference in the incidences of nausea, abdominal pain, dizziness, facial flushing, dyspnea. In conclusion, dipyridamole $^{99m}Tc$-MIBI myocardial SPECT is a safe, noninvasive test for evaluation of CAD. There was no gender difference to detect CAD, but more false-positive rate in women especially in the territory of LAD.

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