• Title/Summary/Keyword: Medical Ultrasonography

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Parametric Image Generation and Enhancement in Contrast-Enhanced Ultrasonography (조영증강 초음파 진단에서 파라미터 영상 생성 및 개선 기법)

  • Kim, Shin-Hae;Lee, Eun-Lim;Jo, Eun-Bee;Kim, Ho-Joon
    • KIPS Transactions on Software and Data Engineering
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    • v.6 no.4
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    • pp.211-216
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    • 2017
  • This paper proposes image processing techniques that improve usability and performance in a diagnostic system of the contrast-enhanced ultrasonography. For a methodology for visualizing diagnostic parameter data in an ultrasonic medical image, an expression of transition time data with successive pixel values and a method of generating a lesion diagnostic parameter image with four categorized values are presented. We also introduce a MRF-based image enhancement technique to eliminate noises from generated parametric images. Such parametric image generation technique can overcome the difficulty of discriminating dynamic change in patterns in the ultrasonography. The technique clarifies the contour of the region in the original image and facilitates visual determination of the characteristics of the lesion through four colors. With regard to this MRF-based image enhancement, we define the energy function of consecutive pixel values and develop a technique to optimize it, and the usability of the proposed theory is examined through experiments with medical images.

Correlation Analysis between Gastric Emptying Measurement by Ultrasonography and Korean Medical Questionnaires (초음파 위배출 측정과 한의설문 간의 상관성 분석)

  • Cho, Soo-ho;Lee, Jae-hong;Ko, Seok-jae;Kim, Jin-sung;Park, Jae-woo
    • The Journal of Internal Korean Medicine
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    • v.39 no.4
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    • pp.570-591
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    • 2018
  • Objective: This study was designed to investigate the correlation between gastric emptying measurement by ultrasonography and the findings of various questionnaires of functional dyspepsia (FD) or in Korean medicine to explore the possibility of quantification of questionnaires. Methods: Eighty-eight patients (44 patients with FD and 44 healthy controls) were recruited from October 2016 to November 2017. Gastric emptying half-time (T1/2) was measured by ultrasonography at fasting, and at 0, 15, 30, 45, 60, 90, and 120 min after meals (apple juice, 500 ml, 224 kcal). The average half-time (average T1/2) was calculated by averaging all measured half-times. A visual analogue scale (VAS), food retention questionnaire (FRQ), damum questionnaire (DQ), cold and heat questionnaire (CHQ), deficiency and excess questionnaire (DEQ), spleen-qi deficiency questionnaire (SQDQ), Nepean dyspepsia index-Korean version (NDI-K), and quality of life of NDI (NDI-QoL) were filled out by all participants. Correlation between the average T1/2 and questionnaires were analyzed for 79 patients (37 patients with FD and 42 healthy controls) after excluding missing and erroneous data. Results: The FRQ, DEQ, SQDQ, NDI-K, and NDI-QoL scores, especially for some gastrointestinal symptoms and general weakness-related symptoms, showed statistically significant correlations with average T1/2. Conclusions: Our results suggest that gastric emptying measurement by ultrasonography may be a quantitative substitute method for some Korean medical questionnaires or for some dyspepsia-related and deficiency-related items among them. However, further studies using various measurements of gastric emptying will be needed.

Hepatic Angiomyolipoma: Contrast Patterns with SonoVue-enhanced Real-time Gray-scale Ultrasonography

  • Wei, Rui-Xue;Wang, Wen-Ping;Ding, Hong;Huang, Bei-Jian;Li, Chao-Lun;Fan, Pei-Li;Hou, Jun;He, Nian-An
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.2
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    • pp.493-497
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    • 2012
  • This study was conducted to retrospectively evaluate the pattern of contrast enhancement with SonoVue on gray-scale ultrasonography of hepatic angiomyolipoma (HAML). Imaging features of 33 pathologically proven HAML lesions in 33 patients who underwent baseline ultrasound and contrast-enhanced ultrasonography (CEUS) were assessed retrospectively. All lesions were enhanced in the arterial phase and showed whole-tumor filling in. Thirty-two of 33 (97%) lesions showed early positive enhancement in the arterial phase. Twenty-three of these exhibited isoechoic or hyperechoic features in the portal phase. HAML demonstrate characteristic manifestations with SonoVue-enhanced real-time gray-scale ultrasonography.

Radiographic and Ultrasonographic Diagnosis of Single Intrahepatic Portosystemic Shunt in a Dog (개의 단순 간내성 간문맥전신단락증의 영상진단학 및 치료 1예)

  • 전혜영;장동우
    • Journal of Veterinary Clinics
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    • v.20 no.4
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    • pp.508-515
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    • 2003
  • A 4-month-old 5.7 kg male Golden retriever with history of seizure, depression, lethargy and anorexia was referred to Veterinary Medical Teaching Hospital, Chungbuk National University. Hematologic examination revealed microcytosis and nonregenerative anemia. Serum chemical values showed increased serum ammonia (423 $\mu$mol/L), ALP (1101 U/L), r-GTP (13.9 U/L) and CPK (1454 U/L), and decreased total protein (4.9 g/dl) and BUN (1.6 mg/dl). Microhepatia was shown in survey abdominal radiographs. Color doppler ultrasonographic examination revealed dilated tortuous vein with turbulent flow within liver parenchyma. Intraoperative jejunoportography and intraoperative ultrasonography confirmed the location and size of single intrahepatic shunt vessel in the left medial liver lobe. Also, the anomalous vessel entering the caudal vena cava was identified beneath the diaphragm. The shunting vessel was ligated with using an Ameroid constrictor. General conditions, hematologic and serum chemical values resolved gradually after surgery. One month after surgery abdominal radiograph showed normal gastric axis and it was consistent whit the normal size liver. Normal echogenecity of liver and enlargement of portal vein were shown in ultrasonography. It is assumed that survey radiography and ultrasonography are useful for diagnosis of single intrahepatic shunt in a dog and especially jejunoportography vein portography and intraoperative ultrasonography are suitable for confirmation of the anatomic location and size of the shunting vessels.

Effect of Seven Points of CVA Acupuncture on Cerebral Blood Flow (중풍칠처혈(中風七處穴) 자침(刺鍼)이 뇌혈류(腦血流)에 미치는 영향)

  • Lee, Sun-ho;Shin, Kyung-ho;Kim, Jong-uk
    • Journal of Acupuncture Research
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    • v.21 no.3
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    • pp.83-97
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    • 2004
  • Objective : This study was performed to evaluate the effect acupuncture on cerebral blood flow by Transcranial Doppler Ultrasonography(TCD). Methods : Monitoring of TCD was examined in stroke patients before and after acupuncture on seven points of CVA. Mean Velocity, pulsatility index, systolic velocity, diastolic velocity values are analyzed from TCD at middle cerebral artery. Results : The results showed a insignificant(p>0.05: Paired T-test) decrease in mean velocity, pulsatility index, systolic velocity, diastolic velocity, which was measured at normal middle cerebral artery. The results showed a significant($p{\leq}0.05$: Paired T-test) decrease in mean velocity, pulsatility index, systolic velocity, which was measured at injuried middle cerebral artery, except diastolic velocity. Conclusion : These results suggest that acupuncture could have a specific effect on injuried cerebral artery.

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Imaging findings in a case of Gorlin-Goltz syndrome: a survey using advanced modalities

  • Bronoosh, Pegah;Shakibafar, Ali Reza;Houshyar, Maneli;Nafarzade, Shima
    • Imaging Science in Dentistry
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    • v.41 no.4
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    • pp.171-175
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    • 2011
  • Gorlin-Goltz syndrome is an infrequent multi-systemic disease which is characterized by multiple keratocysts in the jaws, calcification of falx cerebri, and basal cell carcinomas. We report a case of Gorlin-Goltz syndrome in a 23-year-old man with emphasis on image findings of keratocyctic odontogenic tumors (KCOTs) on panoramic radiograph, computed tomography, magnetic resonance (MR) imaging, and Ultrasonography (US). In this case, pericoronal lesions were mostly orthokeratinized odontogenic cyst (OOC) concerning the MR and US study, which tended to recur less. The aim of this report was to clarify the characteristic imaging features of the syndrome-related keratocysts that can be used to differentiate KCOT from OOC. Also, our findings suggested that the recurrence rate of KCOTs might be predicted based on their association to teeth.

Diagnostic imaging features of calyceal diverticulum in a cat

  • Nam, Yunjeong;Lee, Youngwon;Choi, Hojung
    • Korean Journal of Veterinary Research
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    • v.61 no.2
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    • pp.17.1-17.4
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    • 2021
  • A seven-year-old, castrated male, Korean domestic shorthair cat was referred because of a kidney abnormality. Radiography revealed left renal agenesis and right kidney enlargement. Ultrasonography and computed tomography (CT) showed amorphous calcified materials in a cyst-like lesion of the right kidney. In the excretory phase of the CT images, the lesion was opacified with contrast materials, indicating communication with the collecting system. Based on these findings, the cat was diagnosed with a calyceal diverticulum. A calyceal diverticulum may cause various clinical symptoms related to the urinary system. The excretory phase of CT is useful for diagnosing a calyceal diverticulum.

Ultrasonographic findings of mesenchymal chondrosarcoma of the mandible: report of a case

  • Shahidi, Shoaleh;Shakibafard, Alireza;Zamiri, Barbod;Mokhtare, Mohammad Reza;Houshyar, Maneli;Houshyar, Maral;Amanpour, Sara
    • Imaging Science in Dentistry
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    • v.42 no.2
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    • pp.115-119
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    • 2012
  • Today, ultrasound imaging is being widely used to assess soft tissue lesions in the maxillofacial region. However, ultrasound investigations of intra-osseous lesions are rare, especially for tumors of the jaws. This report emphasized the capability of this useful imaging modality in identification of the characteristics of malignant conditions involving the bone. Mesenchymal chondrosarcoama, one of the unusual malignant conditions of the jaw, was presented in a young male with significant facial swelling. Different imaging modalities parallel with the histopathologic investigation confirmed the diagnosis. Interestingly, destruction of the bony cortex and new bone formation with a characteristic "sun ray appearance", highly suggestive of sarcomas, was manifested on the ultrasonograph. Thus, this report presented the ultrasonographic features of chondrosarcoma of mandible and considered the ultrasonography to be a useful imaging modality to evaluate intra-osseous jaw lesions.

Traumatic hematoma-based pseudoaneurysm of the superficial temporal artery in a 7-year-old boy: a case report

  • Dae Hwan Park;June Key Lee;Bong Soo Baik;Wan Suk Yang;Sun Young Kim
    • Archives of Craniofacial Surgery
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    • v.24 no.1
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    • pp.32-36
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    • 2023
  • The superficial temporal artery (STA), the terminal branch of the external carotid artery, is divided into the frontal (anterior) and parietal (posterior) branches. The frontal branch of the STA is located superficially on the anterior region of the scalp, making it especially susceptible to trauma. Here, we report a traumatic pseudoaneurysm of the STA in a 7-year-old boy who was injured in a minor car accident. A physical examination showed only a small bruise on the patient's forehead, and all vital signs were stable at the emergency room of our medical center. A facial computed tomography scan showed no significant findings. However, the boy later re-visited the hospital with slight swelling on the right forehead, and an ultrasonography scan revealed a hematoma near the right temporal artery. The resected hematoma (approximately 2 cm) was diagnosed as a traumatic pseudoaneurysm. Awareness of the possibility of a traumatic pseudoaneurysm in the STA may prevent a circumspect diagnosis in the future.