• Title/Summary/Keyword: LR

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LI-RADS version 2018 in Patients with Prior History of Hepatocellular Carcinoma: Are LR4 Observations Enough for the Diagnosis of Recurrent HCC?

  • Kim, HeeSoo;Choi, Joon-Il;Kim, Bo Hyun;Youn, Seo Yeon;Kim, Hokun;Kim, Dong Hwan;Rha, Sung Eun
    • Investigative Magnetic Resonance Imaging
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    • v.25 no.3
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    • pp.172-182
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    • 2021
  • Purpose: We evaluated the diagnostic performance of LI-RADS version 2018 using gadoxetic acid enhanced MRI for recurrent but untreated HCC in patients with prior history of HCC. Materials and Methods: We enrolled 50 consecutive patients who 1) prior history of treatment of HCC, 2) underwent liver surgery for radiological/clinical diagnosis of new HCC between 2013 to 2018, 3) had gadoxetic acid enhanced MRI within one month before surgery, and 4) did not have more than five HCCs or infiltrative tumors only. Two radiologists reviewed MRI and determined the presence of LR3, LR4 and LR5 observations except previously treated tumors based on LI-RADS version 2018 in consensus. We sub-classified LR4 into LR4m (LR4 with major features only) and LR4u (LR4 upgraded from LR3 by ancillary features). LR4u were further sub-classified into LR4ua (with arterial phase hyperenhancement) and LR4un (without arterial phase hyperenhancement). Results: PPV for LR5, LR4 and LR3 observations for recurrent HCC were 100%, 61.5% and 25.0%, respectively. 100% (3/3) of LR4m were HCC. However, PPV of LR4u was 56.5%. PPV of LR4ua and LR4un were 73.3% and 25.0%, respectively. Sensitivity of LR5 and LR5+LR4 observations as a diagnostic threshold were 32.1% and 89.3%, respectively. Sensitivity for LR5+LR4m+LR4ua observations for diagnosis of HCC were 83.7% and significantly superior to that of LR5 without significant deterioration of specificity (75.0%). Conclusion: In patients with prior history of HCC, LR4 observations by major features or with APHE may be regarded as recurrent HCCs given high sensitivity and comparable specificity/PPV to LR5 observations.

Body Systemic Circulation Assessment Method through Analysing the Radial, Dorsalis Pedis, Temporal Arterial Pulse Wave (3부위 최적맥파의 주파(h1) 비율 분석을 통한 전체 체순환 평가방법)

  • Yu, Seung-Yeon;Park, Eun-Sung;Choi, Ye-Bin;Lee, Yong-Heum
    • Korean Journal of Acupuncture
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    • v.33 no.3
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    • pp.121-130
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    • 2016
  • Objectives : Recently, people who have normal brachial blood pressure(BP) are being threatened by high-risk disease such as stroke. The aim of this study is to suggest that new method to assess systemic circulation. It can be performed by analyzing optimal blood pulse wave on 3 sites belonging to subjects that have normal BP. Methods : We respectively extracted main peaks(h1) of optimal blood pulse wave on left/right temporal artery(LR1=h1), radial artery(LR2=h1) and dorsalis pedis artery(LR3=h1). We obtained h1 from 30 subjects who are discreetly chosen and have normal BP. Main peak(h1) can be extracted by using 3D pulse imaging analyser(DMP-1000+, DAEYOMEDI Co., Korea) that has 5-level pressure method. We analyzed the ratio of [LR1/LR2] and [LR3/LR2]. Results : In the case of male group, the results are [LR1/LR2=0.7100.177] and [LR3/LR2=0.9290.317]. In the case of female group, the results are [LR1/LR2=0.6680.121] and [LR3/LR2=0.7050.195]. Especially, it is statistically verified that the result of ratio [LR3/LR2] is much higher in male group than in female group(p<0.05). Conclusions : We suggested the standard ratio of [LR1/LR2] and [LR3/LR2] for normal subjects, respectively. It can be adopted as a new method to evaluate the systemic circulation.

Effects of Invasive Low Level Laser Acupuncture Therapy(LLLAT) at LU7, LR5, LU7+LR5 on the Hyperlipemia Rats Induced by High Fat Diet (열결(列缺), 여구, 열결배여구에 침습적(侵襲的)으로 조사(照射)된 레이저침료법(鍼療法)이 고지혈증(高脂血症) 백서(白鼠)에 미치는 영향(影響))

  • Ihm, Seon-Joo;Youn, Dae-Hwan;Na, Chang-Su
    • Korean Journal of Acupuncture
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    • v.22 no.3
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    • pp.1-15
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    • 2005
  • Objectives: This research was performed to investigate the effect of invasive low level laser acupuncture therapy(LLLAT) at Yolgyol(LU7), Yogu(LR5) and Yolgyol+Yogu(LU7+LR5) on weight gain, food intake, food efficiency, lipid metabolism, atherogenic index, HTR(HDL-cholesterol to total cholesterol ratio) and liver function in hyperlipidemia rats. Methods : Experimental groups were divided into high fat diet group(Control group), high fat diet and LLLAT at LU7(LU7 group), high fat diet and LLLAT at LR5(LR5 group), LLLAT at LU7 and LR5(LU7+LR5 group). Animals was treated by the LLLAT at 30mW-5min once a 2day during 5 weeks. Results: Body weight was decreased significantly in LU7+LR5 group when compared with control group. Food intake was increased significantly in LU7, LR5, LU7+LR5 group when compared with control group. Food efficiency was decreased significantly in LU7, LR5, LU7+LR5 group when compared with control group. In the lipid metabolism, total cholesterol and HDL-cholesterol was decreased significantly in LU7+LR5 group, LDL-cholesterol and phospholipids were decreased significantly in LR5, LU7+LR5 group, triglyceride and fee fatty acid were decreased significantly in LU7 group when compared with control group. Atherogenic index was decreased significantly in LU7, LR5, LU7+LR5 group when compared with control group. HTR was increased significantly in LU7 group when compared with conool group. In the liver function, the significance was not showed in AST and ALT, ALP was decreased significantly in LU7+LR5 group when compared with control group. Conclusions: LLLAT at LU7 and LR5 maybe can manage hyperlipidemia by controlling body weight, food intake, food efficiency ratio and lipid metabolism.

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Effect of Solidified/Stabilized Sewage Sludge using Neutral Solidifying Chemical Agent and Alkaline Agent as Landfill Cover on Decomposition of Organic Matter in Lysimeter (중성계 및 알칼리성 고화재를 이용한 고화하수슬러지의 복토재가 모형매립조 내 유기물 분해에 미치는 영향)

  • Kim, Hye-Jin;Park, Jin-Kyu;Song, Sang-Hoon;Lee, Nam-Hoon
    • Journal of Korean Society of Environmental Engineers
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    • v.30 no.8
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    • pp.768-774
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    • 2008
  • To evaluate the effect of the solidified/stabilized sewage sludge on landfill sites, lysimeter tests were conducted. Lysimeters (LR1, LR2, and LR3) were filled with the material(Compost : Fodder : Sand = 10 : 10 : 80) and covered with different types of the cover soils, the G solidified sludge produced from the neutral solidifying chemical agent(LR1), the A solidified sludge produced from the alkali solidifying chemical agent(LR2), and the weathered granite soil(LR3). Those lysimeters were kept at the temperature controlled room with 30 $\pm$ 2$^{\circ}C$ for about 450 days. As the results, it was appeared LR2 > LR1 > LR3 that total gas production rate(L), gas production rate(L/VS(kg)) and cumulative gas(CO$_2$ + CH$_4$) production. There were not significant differences at decrease of the COD$_{Cr}$ in the leachate from LR1 and LR3. Thus, it had been shown that the use of the G solidified sludge as cover soil did not affect the COD$_{Cr}$ in the leachate. The COD$_{Cr}$ from LR2 had been increased since around 250 days because solidified/stabilized sewage sludge became re-slurry. T-N and T-P from LR3 also were higher than LR1 and LR2. Also were, the use of the solidified/stabilized sewage sludge as a cover soil, therefore, did not affect the T-N and T-Pconcentrations in the leachate.

Complexity Reduction Scheme for Lattice Reduction-based MIMO Receiver under Time Varying Fading Environments (시변 페이딩 환경에서 Lattice Reduction 기반 MIMO 수신기를 위한 계산량 감소 기법)

  • Kim, Han-Nah;Choi, Kwon-Hue
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.34 no.11A
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    • pp.852-861
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    • 2009
  • We propose a complexity reduced Lattice Reduction(LR) scheme for MIMO detection under time varying fading environments. It is found that for successive MIMO transmission instances, the integer matrix P after LR decomposition remains the same or only a few elements of the matrix P are slightly changed. Based on this feature, we perform LR reduction by setting the initial values for P matrix for the decomposition to be the one obtained in the previous instance not starting from the identity matrix. Simulation results reveal that the proposed scheme drastically reduces overall complexity of LR reduction compared to the conventional scheme for various system parameters under time varying channels. We also show that the proposed scheme can be applied to Seysen LR as well as LLL(Lenstra, Lenstra, and Lavasaz)-LR.

A Study on the Degradation of Cyanobacterial Toxin, Microcystin LR Using Chemical Oxidants (화학적 산화제를 이용한 남조류 독소, 마이크로시스틴 LR의 분해연구)

  • Pyo, Dong-Jin;Kim, Eun-Jung
    • Journal of the Korean Chemical Society
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    • v.48 no.5
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    • pp.467-472
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    • 2004
  • Cyanobacterial toxins, microcystins which exist in korean lakes show strong toxicity to fish, cattles and human. In this study, we tried to degrade microcystin LR using various chemical oxidants, Chlorine, Potassium permanganate and Hydrogen Peroxide. The detection method for the concentrations of microcystin LR in water samples was Enzyme-Linked Immunosorbent Assay (ELISA) method using the monoclonal antibody of microcystin. Chlorine degraded microcystin LR effectively at the concentration of 800 pg/mL microcystin LR and 12 ppm chlorine. The reaction took 40 minutes at pH 7. Potassium Permanganate also degraded microcystin LR successfully at the concentration of 2000 pg/mL microcystin LR and 1.2 ppm chlorine. The degradation reaction took 60 minutes at pH 7. In the case of hydrogen peroxide, the degradation rate of microcystin LR was very slow because of the slow reaction rate.

The Effects of Acupuncture at Sobu (HT8) and Haenggan (LR2) on Scopolamine-induced Cognitive Impairment in Rat Model

  • Song, Ho-Joon;Cho, Myoung-Rae
    • Journal of Acupuncture Research
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    • v.35 no.1
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    • pp.28-36
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    • 2018
  • Background: This study investigated the effects of acupuncture at Sobu (HT8) and Haenggan (LR2) on scopolamine-induced, cognitively impaired rats. Methods: Scopolamine-treated Sprague-Dawley rats were divided into 6 groups; normal, control, HT8, LR2, HT8 + LR2 and sham group. Cognitive impairment was induced by scopolamine, in control, and then in HT8, LR2, HT8 + LR2 and sham groups. Acupuncture treatment was performed at HT8, LR2, HT8 + LR2, and a random acupoint, respectively, every other day for 2 weeks. After each treatment, behavior change was observed and the rats were sacrificed. The change in brain-derived neurotrophic factor, glutathione peroxidase, and superoxide dismutase activity was evaluated by polymerase chain reaction. Results: Latency time to target in Morris Water-Maze test for the HT8 + LR2 group showed a significant decrease compared with control (p<0.05). Target crossing times and time zone ratios in Morris Water-Maze test for HT8 + LR2 group showed a significant increase compared with control (p<0.01). In the Y-Maze test the HT8 + LR2 group showed a significant increase compared with control (p<0.05). Brain-derived neurotrophic factor, glutathione peroxidase, and superoxide dismutase, in the HT8 + LR2 group, showed a significantly increased level compared with control (p<0.05). Neural activity of acetylcholine esterase in HT8 + LR2 group showed a significant decrease compared with the control group (p<0.01), choline acetyltransferase activity in the HT8 + LR2 group showed a significant increase compared with control (p<0.05). Conclusion: Acupuncture at HT8 + LR2 restored scopolamine-induced cognitive impairment, suggesting acupuncture could be an alternative to improve cognitive function.

Application of Single-State Parsing Automata to LR Grammars (LR 문법에 대한 단일상태파싱오토마톤의 적용)

  • Lee, Gyung-Ok
    • Journal of KIISE
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    • v.43 no.10
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    • pp.1079-1084
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    • 2016
  • Single-state parsing automata have a characteristic such that the decision of an action depends only on the current state but not on the parsing history. The memory space and the parsing time of single-state parsing automata are less than the memory space and the parsing time of LR automata. However, the applicable grammar class of single-state parsing automata is less than that of LR automata. This paper provides extended single-state parsing automata, which are applicable to LR grammars. In the prior work, the special state, referred to as the cyclic state was not treated in the construction of single-state parsing automata, and hence, the applicable grammar class was less than LR grammars. The paper solves the problem of cyclic states by processing dynamic information depending on an input string. The proposed method expands the application of grammar class of single-state parsing automata to LR grammars.

Generalized LR Parser with Conditional Action Model(CAM) using Surface Phrasal Types (표층 구문 타입을 사용한 조건부 연산 모델의 일반화 LR 파서)

  • 곽용재;박소영;황영숙;정후중;이상주;임해창
    • Journal of KIISE:Software and Applications
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    • v.30 no.1_2
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    • pp.81-92
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    • 2003
  • Generalized LR parsing is one of the enhanced LR parsing methods so that it overcome the limit of one-way linear stack of the traditional LR parser using graph-structured stack, and it has been playing an important role of a firm starting point to generate other variations for NL parsing equipped with various mechanisms. In this paper, we propose a conditional Action Model that can solve the problems of conventional probabilistic GLR methods. Previous probabilistic GLR parsers have used relatively limited contextual information for disambiguation due to the high complexity of internal GLR stack. Our proposed model uses Surface Phrasal Types representing the structural characteristics of the parse for its additional contextual information, so that more specified structural preferences can be reflected into the parser. Experimental results show that our GLR parser with the proposed Conditional Action Model outperforms the previous methods by about 6-7% without any lexical information, and our model can utilize the rich stack information for syntactic disambiguation of probabilistic LR parser.