• 제목/요약/키워드: Interstitial

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간질성 방광염의 사암침법(舍巖鍼法) 자침 1례 (A Case Report of Interstitial Cystitis Treated with $Sa-am$ Acupuncture Treatments)

  • 임용균;황원덕
    • Journal of Acupuncture Research
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    • 제29권2호
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    • pp.107-113
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    • 2012
  • Objectives : The purpose of this study was to evaluate the effects of $Sa-am$ acupuncture treatment on an interstitial cystitis patient. Methods : A 51 year-old woman who diagnosed as interstitial cystitis, was enrolled in this study. The clinical data was analyzed on a patient with interstitial cystitis due to $Shinheo$(腎虛). The patient had visited Korean medicine department of Yangsan public health care center, and was treated with a $Sa-am$ acupuncture($Sinjeongkyeok$) for 4 weeks. Results : After 4 weeks of $Sa-am$ acupunture treatment($Sinjeongkyeok$), improvement was seen in the subsection of the international prostate symptom score and the part of qualiveen questionnaire score. Conclusions : This clinical case indicates that acupuncture treatment is significantly effective in treatment of a interstitial cystitis.

폐섬유화를 동반한 재발성 박리성 간질성 폐렴 (Recurrent Desquamative Interstitial Pneumonia with Fibrotic Lung Disease)

  • 김원진;최정희;박용범;조성우;남은숙;모은경
    • Tuberculosis and Respiratory Diseases
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    • 제65권4호
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    • pp.328-333
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    • 2008
  • 박리성 간질성 폐렴은 흡연가에 호발하는 비교적 드문 미만성 간질성 폐질환이다. 박리성 간질성 폐렴은 치료에 대한 반응과 예후가 좋은 질환이나, 재발하는 경우가 있고 치료기간이 명확히 정해져 있지 않으며, 심한 섬유화가 동반되는 경우는 드문 질환이다. 저자들은 흉부 전산화단층 촬영에서 견인성 기관지확장증과 초기의 벌집모양 폐 소견과 함께 미만성 간유리혼탁화를 보이는 환자에서 흉강경하 폐 조직 검사로 박리성 간질성 폐렴을 진단하였고, 치료 종결 후 재발한 박리성 간질성 폐렴을 경험하였기에 이를 보고하는 바이다.

A Case of IgG4-Related Lung Disease Presenting as Interstitial Lung Disease

  • Ahn, Jee Hwan;Hong, Sun In;Cho, Dong Hui;Chae, Eun Jin;Song, Joon Seon;Song, Jin Woo
    • Tuberculosis and Respiratory Diseases
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    • 제77권2호
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    • pp.85-89
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    • 2014
  • Intrathoracic involvement of immunoglobulin G4 (IgG4)-related disease has recently been reported. However, a subset of the disease presenting as interstitial lung disease is rare. Here, we report a case of a 35-year-old man with IgG4-related lung disease with manifestations similar to those of interstitial lung disease. Chest computed tomography showed diffuse ground glass opacities and rapidly progressive pleural and subpleural fibrosis in both upper lobes. Histological findings showed diffuse interstitial lymphoplasmacytic infiltration with an increased number of IgG4-positive plasma cells. Serum levels of IgG and IgG4 were also increased. The patient was diagnosed with IgG4-related lung disease, treated with anti-inflammatory agents, and showed improvement. Lung involvement of IgG4-related disease can present as interstitial lung disease and, therefore, should be differentiated when evaluating interstitial lung disease.

Usefulness of Temporal Subtraction for The Detection of Interval Changes of Interstitial Lung Diseases on Chest Radiographs

  • Higashida, Yoshiharu;Ideguchi, Tadamitsu;Muranaka, Toru;Akazawa, Fumio;Miyajima, Ryuichi;Tabata, Nobuyuki;Ikeda, Hirotaka;Ohki, Masafumi;Toyofuku, Fukai;Doi, Kunio
    • 한국의학물리학회:학술대회논문집
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    • 한국의학물리학회 2002년도 Proceedings
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    • pp.454-456
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    • 2002
  • The evaluation of interval changes between temporally sequential chest radiographs is necessary for the detection of new abnormalities or interval changes, such as pulmonary nodules and interstitial disease. For interstitial lung disease, the interval changes are very important for diagnosis and treatment. Especially, interstitial lung disease may show rapid changes in the radiographs, show changes in the entire lung field in minute detail, or show changes in multiple parts depending on the type. It is therefore difficult to have an accurate grasp of the condition of the disease only with conventional radiographs. The temporal subtraction technique which was developed at the University of Chicago, provides a subtraction image of the current warped image and the previous image. A temporal subtraction image, shows only differences and changes between the two images, can be very useful for a diagnosis of interstitial lung disease. However, the evaluation of the temporal subtraction technique for interstitial lung disease using receiver operating characteristic(ROC) studies has not been reported yet. Therefore, we have evaluated the clinical usefulness of a temporal subtraction technique for detection of interval changes of interstitial lung disease by ROC analysis.

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특발폐섬유증 진단의 최신 지견과 간질성폐이상 (Update in Diagnosis of Idiopathic Pulmonary Fibrosis and Interstitial Lung Abnormality)

  • 남보다;황정화
    • 대한영상의학회지
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    • 제82권4호
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    • pp.770-790
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    • 2021
  • 최신 국제 임상진료지침을 기반으로 한 특발폐섬유증의 진단은 부합하는 임상 소견과 함께 고해상 CT에서 전형적인 상용간질폐렴 소견을 보일 때 조직학적 폐 생검 없이 진단 가능하다. 영상 검사는 특발폐섬유증의 평가 및 진단에 중추적인 역할을 하며, 정확한 진단을 위하여 임상적, 영상의학적 및 병리학적 소견에 대한 다학제 검토의 중요성이 강조된다. 간질성폐이상(interstitial lung abnormality)은 우연히 발견된 영상의학적 이상 소견을 지칭하며, 간질성폐이상과 임상적으로 의미 있는 간질폐질환에 대한 구분은 적절한 임상 평가를 기반으로 이루어져야 한다. 저자들은 이번 종설을 통하여 특발폐섬유증 진단의 최신 지견 및 간질성폐이상에 대한 이해를 도움으로써 미만성 간질폐섬유증 환자의 정확한 진단과 치료 및 예후 증진에 도움이 되고자 한다.

An Analysis of Chest X-ray by Laplacian Gaussian Filtering and Linear Opacity Judgment

  • Kim, Jin-Woo
    • Journal of information and communication convergence engineering
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    • 제6권4호
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    • pp.425-429
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    • 2008
  • We investigated algorithm to detect and characterize interstitial lung abnormalities seen at chest radiographs. This method includes a process of 4 directional Laplaction-Gaussian filtering, and a process of linear opacity judgment. Two regions of interest (ROIs) were selected in each right lung of patients, and these ROIs were processed by our computer-analyzing system. For quantitative analysis of interstitial opacities, the radiographic index, which is the percentage of opacity areas in a ROI, was obtained and evaluated in the images. From or result, abnormal lungs were well differentiated from normal lungs. In our algorithm, the processing results were not only given as the numeric data named "radiographic index" but also confirmed with radiologists observation on CRT. The approach, by which the interstitial abnormalities themselves are extracted, is good enough because the results can be confirmed by the observations of radiologists. In conclusion, our system is useful for the detection and characterization of interstitial lung abnormalities.

Interstitial Lung Diseases: Respiratory Review of 2013

  • Kim, Yong Hyun;Kwon, Soon Seog
    • Tuberculosis and Respiratory Diseases
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    • 제75권2호
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    • pp.47-51
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    • 2013
  • Interstitial lung diseases are heterogeneous entities with diverse clinical presentations. Among them, idiopathic pulmonary fibrosis and connective tissue disease-associated interstitial lung disease are specific categories that pulmonologists are most likely to encounter in the clinical field. Despite the accumulated data from extensive clinical trial and observations, we continue to have many issues which need to be resolved in this field. In this update, we present the review of several articles regarding the clinical presentation, prognosis and treatment of patients with idiopathic pulmonary fibrosis or connective tissue disease-associated interstitial lung disease.

Pathological interpretation of connective tissue disease-associated lung diseases

  • Kwon, Kun Young
    • Journal of Yeungnam Medical Science
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    • 제36권1호
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    • pp.8-15
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    • 2019
  • Connective tissue diseases (CTDs) can affect all compartments of the lungs, including airways, alveoli, interstitium, vessels, and pleura. CTD-associated lung diseases (CTD-LDs) may present as diffuse lung disease or as focal lesions, and there is significant heterogeneity between the individual CTDs in their clinical and pathological manifestations. CTD-LDs may presage the clinical diagnosis a primary CTD, or it may develop in the context of an established CTD diagnosis. CTD-LDs reveal acute, chronic or mixed pattern of lung and pleural manifestations. Histopathological findings of diverse morphological changes can be present in CTD-LDs airway lesions (chronic bronchitis/bronchiolitis, follicular bronchiolitis, etc.), interstitial lung diseases (nonspecific interstitial pneumonia/fibrosis, usual interstitial pneumonia, lymphocytic interstitial pneumonia, diffuse alveolar damage, and organizing pneumonia), pleural changes (acute fibrinous or chronic fibrous pleuritis), and vascular changes (vasculitis, capillaritis, pulmonary hemorrhage, etc.). CTD patients can be exposed to various infectious diseases when taking immunosuppressive drugs. Histopathological patterns of CTD-LDs are generally nonspecific, and other diseases that can cause similar lesions in the lungs must be considered before the diagnosis of CTD-LDs. A multidisciplinary team involving pathologists, clinicians, and radiologists can adequately make a proper diagnosis of CTD-LDs.

Interstitial Lung Abnormalities: What Radiologists Should Know

  • Kum Ju Chae;Gong Yong Jin;Jin Mo Goo;Myoung Ja Chung
    • Korean Journal of Radiology
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    • 제22권3호
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    • pp.454-463
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    • 2021
  • Interstitial lung abnormalities (ILAs) are radiologic abnormalities found incidentally on chest CT that are potentially related to interstitial lung diseases. Several articles have reported that ILAs are associated with increased mortality, and they can show radiologic progression. With the increased recognition of ILAs on CT, the role of radiologists in reporting them is critical. This review aims to discuss the clinical significance and radiologic characteristics of ILAs to facilitate and enhance their management.