• 제목/요약/키워드: Noninvasive technique

검색결과 89건 처리시간 0.03초

MCG 영상진단 검사에 관한 연구 (A Study on MCG Imaging)

  • 김종규
    • 대한임상검사과학회지
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    • 제38권2호
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    • pp.135-140
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    • 2006
  • Magnetocardiography (MCG) is the measurement and analysis of the magnetic component of the electro-magnetic field of the human heart, usually conducted externally, using extremely sensitive devices such as a Superconducting Quantum Interference Device (SQUID). MCG is a totally noninvasive method, it uses neither radiation nor ultrasonics. The magnetic activity of the heart is registered from outside the thorax. MCG has a very high sensitivity and a high spatial resolution for very a small, local myocardial current. In comparison to the electrical signals measured by an ECG, the magnetic signal does not disturb the boundaries of tissues with different electrical properties. MCG measures the myocardial function rather than describing the morphology. MCG is a relatively new technique that promises good spatial resolution and extremely high temporal resolution, thus complementing other heart activity measurement techniques such as Electrocardiography (ECG). The clinical uses of MCG are in detecting various cardiac disorders including myocardial infarction, ventricular hypertrophy, ventricular conduction defects, Wolff-Parkinson-White (WPW) syndrome, sudden cardiac death and fetal magnetocardiography. Magnetocardiography may be used alone or together with electrcardiography for the measurement of spontaneous or overloaded activity and for research or clinical purposes.

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Magnetic Resonance-Guided Focused Ultrasound in Neurosurgery: Taking Lessons from the Past to Inform the Future

  • Jung, Na Young;Chang, Jin Woo
    • Journal of Korean Medical Science
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    • 제33권44호
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    • pp.279.1-279.16
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    • 2018
  • Magnetic resonance-guided focused ultrasound (MRgFUS) is a new emerging neurosurgical procedure applied in a wide range of clinical fields. It can generate high-intensity energy at the focal zone in deep body areas without requiring incision of soft tissues. Although the effectiveness of the focused ultrasound technique had not been recognized because of the skull being a main barrier in the transmission of acoustic energy, the development of hemispheric distribution of ultrasound transducer phased arrays has solved this issue and enabled the performance of true transcranial procedures. Advanced imaging technologies such as magnetic resonance thermometry could enhance the safety of MRgFUS. The current clinical applications of MRgFUS in neurosurgery involve stereotactic ablative treatments for patients with essential tremor, Parkinson's disease, obsessive-compulsive disorder, major depressive disorder, or neuropathic pain. Other potential treatment candidates being examined in ongoing clinical trials include brain tumors, Alzheimer's disease, and epilepsy, based on MRgFUS abilities of thermal ablation and opening the blood-brain barrier. With the development of ultrasound technology to overcome the limitations, MRgFUS is gradually expanding the therapeutic field for intractable neurological disorders and serving as a trail for a promising future in noninvasive and safe neurosurgical care.

위 수술 전후의 내시경 시술: 재건법에 따른 접근, 수술의 관점 (Endoscopy after Gastric Surgery: For Each Reconstruction Method, Operator's Point of View)

  • 주일석;조현진;최수인
    • Journal of Digestive Cancer Research
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    • 제11권2호
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    • pp.66-76
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    • 2023
  • Endoscopy is an important noninvasive procedure for patients with gastrointestinal problems. However, surgical techniques are shifting to laparoscopic surgery, and changes in endoscopic findings after laparoscopic surgery differ from those after previous surgical methods. Postoperative endoscopic findings differ from normal anatomical structures, and findings reportedly vary depending on the type of surgical technique. Therefore, we aimed to summarize the surgical and endoscopic findings for each surgical method from the surgeon's point of view. The causes of gastric emptying delay, bleeding, afferent loop syndrome, or anastomosis leakage occurring after gastric cancer surgery can be identified via upper gastrointestinal endoscopy that is relatively less invasive than the surgical method. Regarding postoperative anastomosis leakage, endoscopy can directly evaluate the degree of leakage at the anastomosis site more accurately than computed tomography and enable immediate intervention. As endoscopy is less invasive than the surgical method, patients can be evaluated and treated more safely. However, coordination between the surgeon and the endoscopist is necessary to perform the procedures effectively. Therefore, reviewing the changes in surgical and endoscopic findings is important.

뇌의 양성자 핵자기공명 분광학을 위한 정량화 방법 개발 (The Development of Quantification Technique for Brain In vivo Proton NMR Spectroscopy)

  • 강해진
    • 한국의학물리학회지:의학물리
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    • 제12권1호
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    • pp.31-39
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    • 2001
  • 핵자기공명분광학(NMR Spectroscopy)을 이용해서 우리는 생물체의 조직안에 있는 각종 대사물질들을 측정할 수 있게 되었으며, 이것은 또 지금까지 알려진 여러 방법 중에서 생물체내의 신진대사 물질이나 생화학적인 변화를 비침습적(noninvasive)으로 알아낼 수 있는 유일한 방법에 속한다. 양성자 핵자기공명분광학은 최근들어 사람이나 흑은 동물뇌의 생화학적인 특성을 연구하는데 많이 사용되어오고 있다. 핵자기공명영상은 주로 물분자에 있는 양성자의 밀도와 그들의 이완현상(relaxation phenomena)을 측정하여 영상화하지만 핵자기공명분광학은 생체조직내의 신진대사에 관한 생화학적인 정보를 제공한다. 많은 경우에 있어서 핵자기공명분광학은 CT나 MRI 영상에서는 발견할 수 없는 정보를 제공함으로써 특정질병의 진단에 사용될 수 있으며, 따라서 환자들의 질병상태를 효과적으로 진단하는데 쓰여질 수 있다. 따라서 본 연구에서는 사람의 뇌에서 수소 핵자기공명분광학을 이용하여 대사물질들의 농도를 정량화하는 방법을 시도하였다. 이를 위해 펀텀을 이용하여 대사물질들 각각의 스팩트럼을 구했고, 성인 남녀 16명을 대상으로 insula gray matter 부위의 대사물질들의 농도를 측정하였다. 그리고 이 값들은 다른 연구자들에 의해 밝혀진 값들과 매우 근사한 값을 제공하였다.

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형태 계측학적 분석과 $ThinPrep^{(R)}$ 액상 소변세포검사를 이용한 악성 요로상피 세포 검출 (Detecting Malignant Urothelial Cells by Morphometric Analysis of $ThinPrep^{(R)}$ Liquid-based Urine Cytology Specimens)

  • 신봉경;이영석;정회선;이상호;김현철;김애리;김인선;김한겸
    • 대한세포병리학회지
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    • 제19권2호
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    • pp.136-143
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    • 2008
  • Urothelial carcinoma accounts for 90% of all the cases of bladder cancer. Although many cases can be easily managed by local excision, urothelial carcinoma rather frequently recurs, tends to progress to muscle invasion, and requires regular follow-ups. Urine cytology is a main approach for the follow-up of bladder tumors. It is noninvasive, but it has low sensitivity of around 50% with using the conventional cytospin preparation. Liquid-based cytology (LBC) has been developed as a replacement for the conventional technique. We compared the cytomorphometric parameters of $ThinPrep^{(R)}$ and cytospin preparation urine cytology to see whether there are definite differences between the two methods and which technique allows malignant cells to be more effectively discriminated from benign cells. The nuclear-to-cytoplasmic ratio value, as measured by digital image analysis, was efficient for differentiating malignant and benign urothelial cells, and this was irrespective of the preparation method and the tumor grade. Neither the $ThinPrep^{(R)}$ nor the conventional preparation cytology was definitely superior for distinguishing malignant cells from benign cells by cytomorphometric analysis of the adequately preserved cells. However, the $ThinPrep^{(R)}$ preparation showed significant advantages when considering the better preservation and cellularity with a clear background.

Prediction of tenderness in bovine longissimus thoracis et lumborum muscles using Raman spectroscopy

  • Maria Sumampa Coria;Maria Sofia Castano Ledesma;Jorge Raul Gomez Rojas;Gabriela Grigioni;Gustavo Adolfo Palma;Claudio Dario Borsarelli
    • Animal Bioscience
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    • 제36권9호
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    • pp.1435-1444
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    • 2023
  • Objective: This study was conducted to evaluate Raman spectroscopy technique as a noninvasive tool to predict meat quality traits on Braford longissimus thoracis et lumborum muscle. Methods: Thirty samples of muscle from Braford steers were analyzed by classical meat quality techniques and by Raman spectroscopy with 785 nm laser excitation. Water holding capacity (WHC), intramuscular fat content (IMF), cooking loss (CL), and texture profile analysis recording hardness, cohesiveness, and chewiness were determined, along with fiber diameter and sarcomere length by scanning electron microscopy. Warner-Bratzler shear force (WBSF) analysis was used to differentiate tender and tough meat groups. Results: Higher values of cohesiveness and CL, together with lower values of WHC, IMF, and shorter sarcomere were obtained for tender meat samples than for the tougher ones. Raman spectra analysis allows tender and tough sample differentiation. The correlation between the quality attributes predicted by Raman and the physical measurements resulted in values of R2 = 0.69 for hardness and 0,58 for WBSF. Pearson's correlation coefficient of hardness (r = 0.84) and WBSF (r = 0.79) parameters with the phenylalanine Raman signal at 1,003 cm-1, suggests that the content of this amino acid could explain the differences between samples. Conclusion: Raman spectroscopy with 785 nm laser excitation is a suitable and accurate technique to identify beef with different quality attributes.

비후성 비염환자에서 음성검사 및 음향비강통기도검사를 이용한 수술전후 비교 (Postoperative Change in Hypertrophic Rhinitis(Study Using Nasometer, CSL and Acoustic Rhinometer))

  • 유영삼;우훈영;윤자복;최정환;조경래
    • 대한후두음성언어의학회지
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    • 제12권1호
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    • pp.34-38
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    • 2001
  • Background and Objectives : With the development of computerized systems, an objective evaluation methods of nasal speech and nasal geometry have become readily available by means of a simple, noninvasive technique. In this study, we assessed the nasality, nasal formant, nasal volume and nasal area in patients with hypertrophic rhinitis before and after turbinate surgery. Material and Method : With the nasometer, we measured nasalance, which reflects the ratio of acoustic energy output of nasal sounds from the nasal and oral cavities. With CSL 4300B, we measured nasal formants. We used acoustic rhinometer to measure nasal area and nasal volume. Postoperative changes of above factors were compared with preoperative values. Paired t-test and Pearson's correlation were used for statistical analysis. Results : The first nasal formant frequency, nasalance scores of three passages(baby, mamma and rabbit passages), minimal cross sectional area(MCA) of narrow side, nasal volume of narrow side and nasal volume of wide side had increased significantly after turbinate surgery (p <0.05). The MCA and nasal volume of narrow side and MCA of wide side showed significant correlation with nasalance score of rabbit passage and baby passage showed significant correlation with nasal volume of narrow side(p<0.05). Conclusion : There were significant increases in nasalance scores, first nasal formant frequency, MCA and nasal volume after turbinate surgery. Thus, we must consider the possibility of voice changes postoperatively in professional voice users.

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중심성 폐암 발견에 있어 협대역 내시경의 임상적 유용성 (Clinical Benefits of Narrow Band Imaging Bronchoscopy in Central Lung Cancer)

  • 박진경;조영선;장세진;박영수;최창민
    • Tuberculosis and Respiratory Diseases
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    • 제68권1호
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    • pp.16-21
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    • 2010
  • Background: Lung cancer is usually diagnosed at an advanced stage, resulting in a poor prognosis. The detection of these lesions at an earlier stage would be a clear benefit to patients. However, it is extremely difficult to detect carcinomatous lesions in the bronchial mucosal sites during a routine bronchoscopy. Methods: This study employed a novel optical technique, known as narrowband imaging (NBI), which allows noninvasive visualization of the microvascular structure of an organ's surface using reflected light. Results: Narrow band imaging was performed on 10 patients who were radiologically suspicious or had a high risk of lung cancer. The median age of the patients was 57.5 years (range, 44~81 years), and 80% of the patients were male. All lesions showed a microvascular proliferation pattern (dotted, tortuous and abruptly ending vessel) on the magnified NBI. Two lesions were confirmed histologically to be adenocarcinoma and the remaining lesions were squamous cell carcinomas. Two lesions were confirmed histologically to be a carcinoma in situ. Conclusion: NBI is a promising and potentially powerful tool for identifying carcinomas at an earlier stage or a central lesion during a routine bronchoscopy examination.

개에서 경골 조면 내측에 피질골 나사못을 장착하는 방법에 의한 내측 슬개골 탈구 치료 증례 (Treatment of Medial Patellar Luxation by Placement of a Cortical Screw on the Medial Side of the Tibial Crest in a Dog)

  • 강병재;윤대영;류다은;김용선;이승훈;김완희;권오경
    • 한국임상수의학회지
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    • 제31권2호
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    • pp.133-136
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    • 2014
  • 8 kg, 9개월령 중성화 수컷 시바 이누견이 양측 후지의 간헐적인 파행 증상으로 내원하였다. 검사를 통해 3단계의 양측 슬개골 탈구가 진단되었다. 대퇴 사두근의 정상 배열을 회복하기 위해서 상대적으로 비침습적인 조면의 위치를 재배열하는 독특한 수술 방법을 적용하였다. 이 과정은 경골 능선을 따라 경골 조면의 내측 피질골을 절개하고, 경골 조면을 외측으로 변위시키기 위해 경골 능선의 내측에 피질골 나사못을 장착하는 방식으로 이루어졌다. 수술 후 3개월 검사에서 양측 후지의 파행과 슬개골 탈구가 개선된 것이 확인되었다. 이 수술 기법은 골격이 미성숙한 환자에서 내측 슬개골 탈구를 치료하기 위한 효과적인 방법으로 고려될 수 있다.

성인의 Current Perception Threshold 예비조사 (The Preliminary Study for Normative Current Perception Threshold values in the Korean Adults)

  • 박대규;천성홍;전재수;김용익;황경호;박욱
    • The Korean Journal of Pain
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    • 제10권1호
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    • pp.5-10
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    • 1997
  • Background : The Current Perception Threshold (CPT) provides an objective, quantitative gauge of sensory nerve integrity which is obtainable from any cutaneous site. CPT measurement can confirm and quantify or rule out dysfunction of nerve through comparison with established normative values ($Neuval^{TM}$ CPT database). The aim of this study is to compare collected data from Korean adults with $Neuval^{TM}$ CPT database. Method : Normative data from 5 standard test site in face, hand, toe were obtained from 50 healthy adults. Three frequencies(5, 250, 2000 Hz) were stimulated with $Neuromoter^{(R)}$ CPT device. Results : The results of our data were statistically significantly different than Neuval data except in face, but within normal range. Sensory Threshold increased as the frequency of the stimulus changed from 5 Hz to 250 Hz to 2000 Hz., and from face to hand to toe. Conclusion : CPT testing is a valuable neurologic testing modality that is noninvasive and highly reliable for diagnosis and evaluation of sensory nerves where neuropathy is suspected.

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