• Title/Summary/Keyword: Noninvasive diagnosis

Search Result 166, Processing Time 0.032 seconds

Clinical Application of Bone Mineral Density Measurement (골밀도 측정의 올바른 임상 적용)

  • Kim, Deog-Yoon
    • The Korean Journal of Nuclear Medicine
    • /
    • v.38 no.4
    • /
    • pp.275-281
    • /
    • 2004
  • Compared with the earlier technique of dual photon absorptiometry (DPA) using $^{153}Gd$ radionuclide source, dual energy X-ray absorptiometry (DXA) has advantages of higher precision, accuracy and shorter scanning time. Despite the change from DPA to DPX, the nuclear medicine physicians has remained one of major suplier of this service due to long-standing use of DPA. Among many kinds of bone densitometries, DXA is the "gold standard" for the noninvasive diagnosis of osteoporosis. Especially there is no role for peripheral devices in the monitoring of patients on therapy. But, there are some areas of controversy related to the application of DXA, such as proper site of measurement, accurate interpritation, appropriate use of T-score, and the reference population young database. And the accuracy, precision, and quality control issues relating to bone density measurement are important subjects. To address these issues, the International Society for Clinical Densitometry (ISCD) has convened two Position Development Conferences and addressed official positions. This review deals the key elements of ISCD position paper and other important issues on the management of bone densitometry.

Atrial myxoma: a report of 16 cases (심방 점액종 치험 16례 보)

  • 정경영
    • Journal of Chest Surgery
    • /
    • v.16 no.4
    • /
    • pp.485-491
    • /
    • 1983
  • From July 1966 to July 1983, sixteen atrial myxomas in fifteen patients were seen at Severance Hospital. Fifteen of the sixteen myxomas were located in the left atrium and one in the right atrium. All the cases except three were correctly diagnosed preoperatively. Presently, M-mode and two-dimensional echocardiography are utilized as safe, reliable, and noninvasive imaging modalities. Echocardiography provided an accurate diagnosis in twelve cases since November 1977. In all cases, myxoma were excised successfully. On patient had reoperation and mitral valve replacement on postoperative first day due to persist mitral regurgitation after excision of left atrial myxoma. One patient had recurrence requiring reoperation 37 months after primary operation. Follow up results of each patient were excellent.

  • PDF

Two Cases of Massive Hydrothorax Complicating Peritoneal Dialysis (CAPD중에 생긴 흉막삼출 2예)

  • Bae, Sang-Kyun;Yum, Ha-Yong;Rim, Hark
    • The Korean Journal of Nuclear Medicine
    • /
    • v.28 no.1
    • /
    • pp.153-156
    • /
    • 1994
  • Massive hydrothorax complicating continuous ambulatory peritoneal dialysis (CAPD) is relatively rare. A 67-year-old male and a 23-year-old female patients during CAPD presented massive pleural effusion. They have been performing peritoneal dialysis due to end-stage renal disease for 8 months and 2 weeks respectively. We injected $^{99m}Tc$-labelled radiopharmaceutiral (phytate and MAA, respectively) into peritoneal cavity with the dialysate. The anterior, posterior and right lateral images were obtained. The studies reveal visible radioactivity in the right chest indicating the communication between the peritoneal and the pleural space. After sclerotherapy with tetracycline, the same studies reveal no radioactivity in the right chest suggesting successful therapy. We think nuclear imaging is a simple and noninvasive method for the differential diagnosis of pleural effusion in patients during CAPD and the evaluation of therapy.

  • PDF

Automatic Basal Cell Carcinoma Detection using Confocal Raman Spectra (공초점 라만스펙트럼을 이용한 자동 기저세포암 검출)

  • Min, So-Hee;Park, Aaron;Baek, Seong-Joon;Kim, Jin-Young
    • Proceedings of the IEEK Conference
    • /
    • 2006.06a
    • /
    • pp.255-256
    • /
    • 2006
  • Raman spectroscopy has strong potential for providing noninvasive dermatological diagnosis of skin cancer. In this study, we investigated two classification methods with maximum a posteriori (MAP) probability and multi-layer perceptron (MLP) classification. The classification framework consists of preprocessing of Raman spectra, feature extraction, and classification. In the preprocessing step, a simple windowing method is proposed to obtain robust features. Classification results with MLP involving 216 spectra preprocessed with the proposed method gave 97.3% sensitivity, which is very promising results for automatic Basal Cell Carcinoma (BCC) detection.

  • PDF

Ultrasound Evaluation of Ulnar Neuropathy at the Elbow Caused by a Mass Lesion (종괴 병변에 의한 척골신경병증의 초음파검사)

  • Kwon, Jungim;Park, Min Su
    • Annals of Clinical Neurophysiology
    • /
    • v.18 no.1
    • /
    • pp.7-10
    • /
    • 2016
  • Ulnar neuropathy at the elbow (UNE) may seem easy to diagnose when the characteristic clinical manifestations are present, and electrodiagnostic studies have high sensitivity, although they are non-localizing in some cases and unable to reveal structural lesions. Ultrasonography is noninvasive and able to find the exact location of the lesion and visualize perineural structures. We present two cases of UNE in which we found hypoechoic mass lesions near medial epicondyle with ultrasonography and discuss its usefulness in diagnosis of UNE.

Microwave and RF Heating for Medical Application under Noninvasive Temperature Measurement Using Magnetic Resonance

  • Nikawa, Yoshio;Ishikawa, Akira
    • Journal of electromagnetic engineering and science
    • /
    • v.10 no.4
    • /
    • pp.244-249
    • /
    • 2010
  • Recent development of magnetic resonance imaging (MRI) equipment enables interventional radiology (IVR) as diagnosis and treatment under MRI usage. In this paper, a new methodology for magnetic resonance (MR) scanner to apply not only diagnostic equipment but for treatment one is discussed. The temperature measuring procedure under MR is to measure phase shift of $T_1$, which is the longitudinal relaxation time of proton, for the position inside a sample material with the application of pulsed RF for heating inside the sample as artificial dielectrics. The result shows the possibility to apply MR as temperature measuring equipment and as a heating equipment for applying such as hyperthermia heating modality.

Atrial Myxoma [A Report of 5 Cases] (심장 점액종 치험:5례 보고)

  • Choe, Yong-Dae;Kim, Min-Ho;Kim, Gong-Su
    • Journal of Chest Surgery
    • /
    • v.25 no.7
    • /
    • pp.756-762
    • /
    • 1992
  • From August 1990 to October 1991, we performed operation on 5 patients with cardiac myxoma, which was located in the left atrium, There was 1 male and 4 female patients ranging in age 45 years to 61 years. Chief complaints included exertional dyspnea, palpitation, cough, orthopnea, general weakness. M-mode and two dimensional echocardiography provided an accurate diagnosis in all cases which was utilized as safe, reliable and noninvasive imaging modalities. In all cases, myxoma was excised successfully. Follow up is current. No recurrent myxoma has been identified clinically or by echocardiography. In this series, excellent results were obtained by simple excision of the tumor, with or without a margin of normal atrial septum.

  • PDF

Chorionic villus sampling

  • Shim, Soon-Sup
    • Journal of Genetic Medicine
    • /
    • v.11 no.2
    • /
    • pp.43-48
    • /
    • 2014
  • Chorionic villus sampling has gained importance as a tool for early cytogenetic diagnosis with a shift toward first trimester screening. First trimester screening using nuchal translucency and biomarkers is effective for screening. Chorionic villus sampling generally is performed at 10-12 weeks by either the transcervical or transabdominal approach. There are two methods of analysis; the direct method and the culture method. While the direct method may prevent maternal cell contamination, the culture method may be more representative of the true fetal karyotype. There is a concern for mosaicism which occurs in approximately 1% of cases, and mosaic results require genetic counseling and follow-up amniocentesis or fetal blood sampling. In terms of complications, procedure-related pregnancy loss rates may be the same as those for amniocentesis when undertaken in experienced centers. When the procedure is performed after 9 weeks gestation, the risk of limb reduction is not greater than the risk in the general population. At present, chorionic villus sampling is the gold standard method for early fetal karyotyping; however, we anticipate that improvements in noninvasive prenatal testing methods, such as cell free fetal DNA testing, will reduce the need for invasive procedures in the near future.

Review of Photoacoustic Imaging for Imaging-Guided Spinal Surgery

  • Han, Seung Hee
    • Neurospine
    • /
    • v.15 no.4
    • /
    • pp.306-322
    • /
    • 2018
  • This review introduces the current technique of photoacoustic imaging as it is applied in imaging-guided surgery (IGS), which provides the surgeon with image visualization and analysis capabilities during surgery. Numerous imaging techniques have been developed to help surgeons perform complex operations more safely and quickly. Although surgeons typically use these kinds of images to visualize targets hidden by bone and other tissues, it is nonetheless more difficult to perform surgery with static reference images (e.g., computed tomography scans and magnetic resonance images) of internal structures. Photoacoustic imaging could enable real-time visualization of regions of interest during surgery. Several researchers have shown that photoacoustic imaging has potential for the noninvasive diagnosis of various types of tissues, including bone. Previous studies of the surgical application of photoacoustic imaging have focused on cancer surgery, but photoacoustic imaging has also recently attracted interest for spinal surgery, because it could be useful for avoiding pedicle breaches and for choosing an appropriate starting point before drilling or pedicle probe insertion. This review describes the current instruments and clinical applications of photoacoustic imaging. Its primary objective is to provide a comprehensive overview of photoacoustic IGS in spinal surgery.

Postoperative Ultrasound Findings of the Rotator Cuff Tendon after Arthroscopic Repair of a Rotator Cuff Tear (회전근개 파열의 수술적 치료 후 회전근개 초음파 소견)

  • Kwon, Dong Rak
    • Clinical Pain
    • /
    • v.19 no.2
    • /
    • pp.64-69
    • /
    • 2020
  • Ultrasound (US) imaging is an efficient, easy to use, rapid, dynamic, noninvasive, with rare side-effects and inexpensive tool allowing for facilitated diagnosis and management of the painful shoulder. It also has advantages over other imaging modalities in the evaluation of the postoperative shoulder for rotator cuff integrity and correct anchor and suture placement, as well as rotator cuff analysis following repair surgery. Early postoperative tendons frequently had a hypo- echoic echo texture and the absence of a fibrillar pattern, which might be misinterpreted as recurrent tears. however, these features often normalized into tendons with an increased echo texture and the reappearance of a fibrillar pattern at 6 months. Based on these sequential findings, the US findings within 3 months after surgery should be interpreted with caution to accurately understand and monitor the repaired tendon status.