• Title/Summary/Keyword: Mimic

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Immunoglobulin G4-Related Lung Disease Mimicking Lung Cancer: Two Case Reports (폐암으로 오인된 면역글로불린 G4 연관 폐 질환: 2예에 대한 증례 보고)

  • Dae Yun Park;Su Young Kim;Suk Hyun Bae;Ji Young Lee
    • Journal of the Korean Society of Radiology
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    • v.83 no.5
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    • pp.1168-1174
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    • 2022
  • Immunoglobulin G4 (IgG4)-related disease is a rare systemic fibroinflammatory condition characterized by elevated serum IgG4 levels and infiltration of IgG4-positive plasma cells in various organs. IgG4-related lung disease shows varied radiologic features on chest CT. Patients usually present with a solid nodule or mass mimicking lung cancer; therefore, distinguishing between IgG4-related disease and other conditions is often challenging. Additionally, co-existing radiologic findings of IgG4-related lung disease may mimic metastasis or lymphangitic carcinomatosis of the lung. We report two cases of histopathologically confirmed IgG4-related lung disease mimicking lung cancer. Chest CT revealed a solid nodule or mass with ancillary radiologic findings, which suggested lung cancer; therefore, IgG4-related lung disease was radiologically indistinguishable from lung cancer in both cases. Measurement of serum IgG4 levels and clinical evaluation to confirm involvement of various organs may be useful to establish the differential diagnosis. However, surgical biopsy evaluation is needed for confirmation.

Vertebral Venous Congestion That May Mimic Vertebral Metastasis on Contrast-Enhanced Chest Computed Tomography in Chemoport Inserted Patients

  • Jeong In Shin;Choong Guen Chee;Min A Yoon;Hye Won Chung;Min Hee Lee;Sang Hoon Lee
    • Korean Journal of Radiology
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    • v.25 no.1
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    • pp.62-73
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    • 2024
  • Objective: This study aimed to determine the prevalence of vertebral venous congestion (VVC) in patients with chemoport insertion, evaluate the imaging characteristics of nodular VVC, and identify the factors associated with VVC. Materials and Methods: This retrospective single-center study was based on follow-up contrast-enhanced chest computed tomography (CT) of 1412 adult patients who underwent chemoport insertion between January 2016 and December 2016. The prevalence of venous stenosis, reflux, and VVC were evaluated. The imaging features of nodular VVC, including specific locations within the vertebral body, were analyzed. To identify the factors associated with VVC, patients with VVC were compared with a subset of patients without VVC who had been followed up for > 3 years without developing VVC after chemoport insertion. Toward this, a multivariable logistic regression analysis was performed. Results: After excluding 333 patients, 1079 were analyzed (mean age ± standard deviation, 62.3 ± 11.6 years; 540 females). The prevalence of VVC was 5.8% (63/1079), with all patients (63/63) demonstrating vertebral venous reflux and 67% (42/63) with innominate vein stenosis. The median interval between chemoport insertion and VVC was 515 days (interquartile range, 204-881 days). The prevalence of nodular VVC was 1.5% (16/1079), with a mean size of 5.9 ± 3.1 mm and attenuation of 784 ± 162 HU. Nodular VVC tended to be located subcortically. Forty-four patients with VVC underwent CT examinations with contrast injections in both arms; the VVC disappeared in 70% (31/44) when the contrast was injected in the arm contralateral to the chemoport site. Bevacizumab use was independently associated with VVC (odds ratio, 3.45; P < 0.001). Conclusion: The prevalence of VVC and nodular VVC was low in patients who underwent chemoport insertion. Nodular VVC was always accompanied by vertebral venous reflux and tended to be located subcortically. To avoid VVC, contrast injection in the arm contralateral to the chemoport site is preferred.

Coexisting Bronchogenic Carcinoma and Pulmonary Tuberculosis in the Same Lobe: Radiologic Findings and Clinical Significance

  • Young Il Kim;Jin Mo Goo;Hyae Young KIm;Jae Woo Song;Jung-Gi Im
    • Korean Journal of Radiology
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    • v.2 no.3
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    • pp.138-144
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    • 2001
  • Objective: Bronchogenic carcinoma can mimic or be masked by pulmonary tuberculosis (TB), and the aim of this study was to describe the radiologic findings and clinical significance of bronchogenic carcinoma and pulmonary TB which coexist in the same lobe. Materials and Methods: The findings of 51 patients (48 males and three females, aged 48-79 years) in whom pulmonary TB and bronchogenic carcinoma coexisted in the same lobe were analyzed. The morphologic characteristics of a tumor, such as its diameter and margin, the presence of calcification or cavitation, and mediastinal lymphadenopathy, as seen at CT, were retrospectively assessed, and the clinical stage of the lung cancer was also determined. Using the serial chest radiographs available for 21 patients, the possible causes of delay in the diagnosis of lung cancer were analyzed. Results: Lung cancers with coexisting pulmonary TB were located predominantly in the upper lobes (82.4%). The mean diameter of the mass was 5.3 cm, and most tumors (n=42, 82.4%) had a lobulated border. Calcification within the tumor was seen in 20 patients (39.2%), and cavitation in five (9.8%). Forty-two (82.4%) had mediastinal lymphadenopathy, and more than half the tumors (60.8%) were at an advanced stage [IIIB (n=11) or IV (n=20)]. The average delay in diagnosing lung cancer was 11.7 (range, 1-24) months, and the causes of this were failure to observe new nodules masked by coexisting stable TB lesions (n=8), misinterpretation of new lesions as aggravation of TB (n=5), misinterpretation of lung cancer as tuberculoma at initial radiography (n=4), masking of the nodule by an active TB lesion (n=3), and subtleness of the lesion (n=1). Conclusion: Most cancers concurrent with TB are large, lobulated masses with mediastinal lymphadenopathy, indicating that the morphologic characteristics of lung cancer with coexisting pulmonary TB are similar to those of lung cancer without TB. The diagnosis of lung cancer is delayed mainly because of masking by a tuberculous lesion, and this suggests that in patients in whom a predominant or growing nodule is present and who show little improvement of symptoms despite antituberculous or other medical therapy, coexisting cancer should be suspected.

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Enhancing A Neural-Network-based ISP Model through Positional Encoding (위치 정보 인코딩 기반 ISP 신경망 성능 개선)

  • DaeYeon Kim;Woohyeok Kim;Sunghyun Cho
    • Journal of the Korea Computer Graphics Society
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    • v.30 no.3
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    • pp.81-86
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    • 2024
  • The Image Signal Processor (ISP) converts RAW images captured by the camera sensor into user-preferred sRGB images. While RAW images contain more meaningful information for image processing than sRGB images, RAW images are rarely shared due to their large sizes. Moreover, the actual ISP process of a camera is not disclosed, making it difficult to model the inverse process. Consequently, research on learning the conversion between sRGB and RAW has been conducted. Recently, the ParamISP[1] model, which directly incorporates camera parameters (exposure time, sensitivity, aperture size, and focal length) to mimic the operations of a real camera ISP, has been proposed by advancing the simple network structures. However, existing studies, including ParamISP[1], have limitations in modeling the camera ISP as they do not consider the degradation caused by lens shading, optical aberration, and lens distortion, which limits the restoration performance. This study introduces Positional Encoding to enable the camera ISP neural network to better handle degradations caused by lens. The proposed positional encoding method is suitable for camera ISP neural networks that learn by dividing the image into patches. By reflecting the spatial context of the image, it allows for more precise image restoration compared to existing models.

Spatial Distribution Patterns and Planar Geometric Characteristics of Vegetated Bars in the Naesungcheon Stream (내성천 식생사주의 공간적 분포 유형과 평면 기하 특성)

  • Jiwon Ryu;Eun-kyung Jang;Un Ji
    • Ecology and Resilient Infrastructure
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    • v.11 no.3
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    • pp.90-99
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    • 2024
  • This study classified spatial distribution patterns of vegetated bars in the Naesungcheon Stream, defined universally applicable planar geometric variables, and quantified characteristics of dominant vegetated bar distribution forms. The analysis identified four primary types of spatial distribution, with two types (vegetated alternate/point bars and vegetated floodplains with single or multi-vegetated bars) accounting for more than 90% of the study area. Study results indicated that relatively large vegetated bars tended to be widely spaced or distributed in combination with multiple smaller vegetated bars that were overlapped in the Naesungcheon stream. Quantified spatial distribution characteristics of vegetated bars derived from this study could be used as essential basis information for vegetation management in rivers similar to the Naesungcheon Stream. Additionally, analysis results for planar geometric variables and spatial distribution forms are expected to facilitate experimental designs that mimic river conditions in flood management and ecohydraulic studies, contributing to the interpretation of complex characteristics of interactions between vegetated bars, flow, and bed changes.

Modernist painting style in Disney animation (디즈니 애니메이션에 나타난 모더니즘 회화스타일 : 색, 형태, 공간을 중심으로)

  • Moon, Jae-Cheol;Kim, Yu-Mi
    • Cartoon and Animation Studies
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    • s.33
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    • pp.31-53
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    • 2013
  • In the early twentieth century, history of animation began by modern artists, they produced various experimental images with the newly invented film and cameras. Artists in the field of movie, photography, paintings and others manipulated images in motion. But as some animated movies won industrial success and popularity, they became the trend but experimental style of early animation preserved by so-called non-mainstreamers or experimental animators, counteracting commercialism. Disney animation also followed the trend by applying realistic Hollywood film style, the worse critics placed a low value on the animation and it tarnished the image, although it was profitable investment from a business standpoint. To make images realistic, they opened a drawing class that animators developed skills to imitate motions and forms from subjects in real life. Also some techniques and gizmos were used to mimic and simulate three dimensional objects and spaces, multiplane camera and compositing 3D CG images with 2D drawings. Moreover, they brought animation stories from fairly tales or folk tales, and Walt's personal interest in live-action movies, they applied Hollywood-film-like narratives and realistic visual, and harsh criticism ensued. On the surface early disney animations' potential seems to be weakened, but in reality it still exists by simplifying and exaggerating forms and color as modern arts. Disney animation employs concepts of the modernism paintings such as simplified shapes and colors to a character design, when their characters are placed together in a scene, that visual elements cause mental reaction. This modification gives a new internal experience to audiences. As conceptual colors in abstract paintings make images appeared to be flat, coloring characters with no shading make them look flat and comparing to them, background images are also appeared to be flat. On top of that, multi-perspective at background images recalls modernist paintings. This essay goes in details with the animation pioneers' works and how Disney animation developed its techniques to emulate real life and analyses color schemes, forms, and spaces in Disney animation compared with modern artists' works, in that the visual language of Disney animation reminds of impression from abstract paintings in the beginning of the twentieth centuries.

A Structural Relationship of Topography, Developed Areas, and Riparian Vegetation on the Concentration of Total Nitrogen in Streams (지형, 개발지역, 수변림과 하천 내 총질소 농도와의 구조적 관계 분석)

  • Lee, Sang-Woo;Lee, Jong-Won;Park, Se-Rin
    • Journal of the Korean Institute of Landscape Architecture
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    • v.48 no.1
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    • pp.25-34
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    • 2020
  • Land use in watersheds has been shown to be a major driving factor in determining the status of the water quality of streams. In this light, scientists have been investigating the roles of riparian vegetation on the relationships between land use in watersheds and the associated stream water quality. Numerous studies reported that riparian vegetation could alleviate the adverse effects caused by land use in watersheds and on stream water quality through various hydrological, biochemical and ecological mechanisms. However, this concept has been criticized as the true effects of riparian vegetation must be assessed by comprehensive models that mimic real environmental settings. This study aimed to estimate a comprehensive structural equation model integrating topography, land use, and characteristics of riparian vegetation. We used water quality data from the Nakdong River system monitored under the National Aquatic Ecosystem Monitoring Program (NAEMP) of the Korean Ministry of Environment (MOE). Also, riparian vegetation data and land use data were extracted from the Land Use/Land Cover map (LULC) produced by the MOE. The number of structural equation models (SEMs) were estimated in Amos of IBM SPSS. Study results revealed that land use was determined by elevation, and developed areas within a watershed significantly increased the concentration of Total Nitrogen (TN) in streams and LDI in riparian vegetation. On the contrary, developed areas significantly reduced LPI and PLAND. At the same time, PLAND and LDI significantly reduced the concentration of TN in streams. Thus, it was clear that developed areas in watersheds had both a direct and an indirect impact on the concentration of TN in streams, and spatial pattern and the amount of vegetation of riparian vegetation could significantly alleviate the negative impacts of developed areas on TN concentration in streams. To enhance stream water quality, reducing developed areas in a watershed is critical for long-term watershed management plans, restoration patterns for riparian vegetation could be immediately implemented since riparian areas were less developed than most other watersheds.

Accuracy of soft tissue Profile change prediction in mandibular set-back surgery patients: a comparison of Quick Ceph Image $Pro^{TM}$ (ver 3.0) and $V-Ceph^{TM}$(ver 3.5) (하악골 후퇴 수술 환자의 연조직 측모 예측의 정확성: Quick Ceph Image $Pro^{TM}$(ver 3.0)와 $V-Ceph^{TM}$(Ver 3.5)의 비교)

  • Kim, Myoung-Kyun;Choi, Yong-Sung;Chung, Song-Woo;Jeon, Young-Mi;Kim, Jong-Ghee
    • The korean journal of orthodontics
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    • v.35 no.3 s.110
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    • pp.216-226
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    • 2005
  • The purpose of this study was to test and compare the accuracy and reliability of soft tissue profile predictions generated from two computer software programs (Quick Ceph Image $Pro^{TM}$ (ver 3.0) and $V-Ceph^{TM}$(ver 3.5)) for mandibular set-back surgery. The presurgical and postsurgical lateral cephalograms of 40 patients (20 males and 20 females) were traced on the same acetate paper with the reference taken as the cranial base outline. The presurgical skeletal outlines were digitized onto each computer program and the mandible was moved to mimic the expected surgical procedure with reverence to the mandibular anterior border and lower incisor position of the actual postsurgical skeletal outline. The soft tissue profile was generated and the amount and direction of skeletal movement was calculated with each software. The predicted soft tissue profile was compared to the actual postsurgical soft tissue profile. There were differences between the actual and the predicted surgical soft tissue profile charges in the magnitude and direction, especially the upper lip. lower lip and the soft tissue chin (P<0.05). Quick Ceph had more horizontal measurement errors and thickness errors for the upper lip and lower lip, but V-Ceph had more vertical measurement errors of the lower lip (P<0.05). There was a positive correlation between the prediction errors and the amount of mandibular movements in the vertical position of Sn, the horizontal position of Ls and the upper lip thickness for V-Ceph, and there was a negative correlation in the horizontal position and the thickness of the lower lip for Quick Ceph (P<0.05). However all of the Prediction errors of both imaging softwares were ranged within 3mm, and this was considered to be allowable clinically.

A Study Bioremediation of Tidal Flat by Microorganism in Pilot Scale Test (환경정화 미생물에 의한 갯벌의 생물학적 정화에 대한 파일럿 규모의 연구)

  • Choi, Hye Jin;Han, Young Sun;Park, Doo Hyun;Oh, Bo Young;Hur, Myung Je;Jo, Nam-Gyu;Kim, Young Hee;Kim, Jong-Guk
    • Journal of Life Science
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    • v.24 no.10
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    • pp.1110-1117
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    • 2014
  • Tidal flats are continuously contaminated by human activities. This study assessed the bioremediation efficiency of tidal flat soil using microcosm reactors and microorganisms originating from the tidal area. We screened 135 bacterial strains that produce extracellular enzymes from the tidal area located in the North port of Incheon bay. Two bacterial strains (Pseudoalteromonas sp. and IC35 Halothiobacillus neapolitanus IC_S22) were selected and used in the microcosm reactors, which were specially designed to functionally mimic the ecological conditions of the tidal flats. Pseudoalteromonas sp. IC35 was selected based on its relatively high activity of the enzymes amylase, cellulose, lipase, and protease. Halothiobacillus neapolitanus IC_S22 was selected for oxidation of sulfur. The M1 and M2 microcosm reactors were operated by continuous feeding of seawater under the same conditions, but M2 was first inoculated with Pseudoalteromonas sp. IC35 before the seawater feeding. The initial COD in both the M1 and M2 microcosm reactors was 320 mg/l. The final COD was 21 mg/l (M1) and 7 mg/l (M2). The M3 and M4 microcosm reactors were operated by continuous feeding of seawater under the same conditions, but M4 was first inoculated with H. neapolitanus IC_S22. The initial sulfate concentration in both the M3 and M4 microcosm reactors was 660 mg/l, and the maximum sulfate concentration was 1,360 mg/l (M3) and 1,600 mg/l (M4).

Blockade of Thromboxane Influences Does Not Affect Renal Blood Flow Deficit in Anesthetized Diabetic Rats (마취된 당뇨 흰쥐의 신혈류량 감소에 관여하는 기전 : 내인성 쓰롬복산계의 무관성)

  • Ha, Hun-Joo;Dunham, Earl W.
    • The Korean Journal of Pharmacology
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    • v.24 no.2
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    • pp.221-232
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    • 1988
  • Studies were conducted to determine whether reduced renal blood flow (RBF) exhibited by rats with uncontrolled, streptozotocin (STZ)-induced diabetes is attributable to diabetes-associated, enhanced renal vasoconstrictor influence of endogenous thromboxane $(TX)A_2$. Rats which were injected with STZ after pretreatment with 3-O-methyl glucose (3OMG), an agent which prevents STZ-induced hyperglycemia, were also studied. Basal values of total RBF (RBF; ml $min^{-1}$ $gKw^{-1}$; electromagnetic flow probe), systemic arterial pressure (BP; mm Hg) and renal vascular resistance (RVR;BP $RBF^{-1})$in pentobarbital-anesthetized rats during a control period were $5.9{\pm}0.3$(P<0.1_{VS}. CR), $115{\pm}3$ and $20.3{\pm}1.0$(P<0.1_{VS}. CR) for STZR (n=15), and $8.4{\pm}0.4$, $123{\pm}3$ and $15.1{\pm}0.8$ for age-matched control rats (CR; n= 15), respectively. Basal values of RBF, BP and RVR in 3OMG pretreated STZR were identical to CR. In preparations shown capable of renal vasodilatation, OKY 1581 (1 mg/kg, i.v. followed by 0.4 mg/kg min infusion) abolished arachidonate-induced $(TX)A_2$ synthesis, but did not alter basal BP, RBF or RVR in either STZR or CR (n=4/group). Similarly, i.r.a. infusion of SQ29548 (100 ng/ml RBF) abolished renal vasoconstriction induced by a TX/prostaglandin endoperoxide mimic, U46619, but had no discern able affect on RVR in either STZR (n=8) or CR (n=8). The data indicates that $TXA_2$ does not participate in the elevated basal RVR of STZR which are associated with the diabetic state.

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