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검색결과 429건 처리시간 0.028초

$^{18}F-FDG$ PET/CT에서 저용량 경구용 조영제의 유용성 (Usefulness of Low Dose Oral Contrast Media in $^{18}F-FDG$ PET/CT)

  • 안영실;윤준기;홍선표;조철우;윤석남
    • Nuclear Medicine and Molecular Imaging
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    • 제40권5호
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    • pp.257-262
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    • 2006
  • 목적: 기존의 CT 영상 촬영에서 이용되고 있는 고용량의 경구용 조영제는 복용과정에서 위장계통의 불편함이 나타나고 또한 PET/CT에 이용할 경우에는 이로 인해 인공물(artifact)이 생길 우려가 있다. 본 연구의 목적은 $^{18}F-FDG$ PET/CT에서 저용량의 경구용 조영제 사용의 유용성에 대해 알아보고자 한다. 대상 및 방법: 총 435명의 전신 PET/CT 영상을 후향적으로 분석하였다. 모든 환자들은 $^{18}F-FDG$. 주사 직전에 200 ml의 경구용 조영제(bariumsulfate)를 복용하였다. 장에서의 FDG 섭취 양상을 가로단면, 관상면, 시상면에서 시각적으로 판독하였고, 섭취양상을 반정량화하였다. 결과: 435명의 영상 중 70명(16%, 113부위) 에서 높은 FDG 섭취(peak SUV > 4)를 보였으며, 이 중 미만성 섭취를 보인 경우가 50명(74%, 84부위), 국소적 섭취를 보인 것은 20명(26%, 29부위)이였다. 경구용 조영제가 가장 흔하게 분포된 부위는 소장(n=27, 39%)이었다. PET/CT 영상에서 FDG섭취부위와 조영제 분포 부위가 일치하는 경우 중에서 미만성 섭취를 보인 것은 26명(54%, 38부위), 국소적 섭취를 보인 것은 9명(45%, 9부위)이였다. 이들을 부위별로 보면 미만성 섭취를 보인 것은 38개(45%), 국소적 섭취를 보인 것이 9개(31%)였다. FDG 섭취와 조영제의 분포가 일치하는 부위는 소장에서 61% (29/47부위)로 가장 많이 관찰되었다. 감쇠 보정을 하지 않은 PET 영상을 본 결과, 검토가 가능했던 27개의 섭취 일치 부위에서 조영제로 인한 인공물(artifact) 영향은 관찰되지 않았다. 결론 저용량 경구용 조영제는 FDG PET/CT 영상에서 인공물 영향 없이 복부의 FDG 섭취를 판별하는데 도움을 줄 수 있다.T은 민감도 85.7%(6/7), 특이도 92.3%(12/13), MR은 민감도 100%(7/7), 특이도 76.9%(10/13)를 보였다. 그 외에도 간전이 병변의 평균 maxSUV는 $6.7{\pm}3.8$로 간전이와 양성병변을 최적으로 감별할 수 있는 maxSUV의 cutoff value는 3.1 이었다. (AUC=0.897, p<0.001, 민감도 83.3%, 특이도 94.1%) 결론: FDG PET은 간전이를 진단하는데 MR과 대등한 민감도와 특이도를 보였다. 통계적으로 유의한 차이를 보이지는 않았지만 간전이에 대한 FDG PET의 음성예측도는 MR보다 높았으며, 직경 10 mm 미만의 작은 병변에 대해서도 FDG PET은 우수한 성적을 보였다. 향후 대장암의 간전이 진단에 FDG PET이 유용하게 이용될 것이다.CA-tk 에서 확연한 집적의 차이를 보여주었다. 결론: 간암세포주에서 HSV1-tk 유전자의 발현 정도와 지속성 그리고 위치를 확인하기 위한 비침습적 PET 영상을 위한 기질로서 $[^{18}F]FHBG$는 매우 유용할 것으로 기대된다.EX>의 수용체 결합능의 감소율과 혈중 니코틴의 축적 농도와의 상관관계를 스피어만 상관분석법(Spearman's correlation)에 의하여 알아보았다. 결과: 흡연에 의한 선조체에서의 평균 $[^{11}C]raclopride$의 수용체 결합능의 변화는 미상핵에서 4.7%, 전피각에서 4.0%, 복측 선조체에서 7.8% 의 감소를 보여 흡연에 의한 선조체내 도파민 유리를 정량화 하였다. 특히 선조체에서의 도파민 유리에 의한 수용체 결합능의 감소는 흡연에 의한 혈중 니코틴의 축적 농도와 양의 상관관계를 보였다(rho=0.9, p=0.04). 결론: $[^{11}C]raclopride$ PET을 이용하여 비흡연 정상인에서 흡연에 의한

갑상선암에서 PET의 역할 (The Role of PET in Thyroid Cancer)

  • 여정석
    • 대한핵의학회지
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    • 제36권3호
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    • pp.147-154
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    • 2002
  • The role of PET in the diagnosis and management of thyroid cancer is discussed. The major role of F-18 FDG PET is on patients with discordant negative I-131 scan and a positive serum thyroglobulin values. F-18 FDG PET scan localized metastatic sites in I-131 scan-negative thyroid carcinoma patients with high accuracy. F-18 PET is also valuable in medullary thyroid cancer with high calcitonin level. Focal thyroid uptake in patients with non-thyroidal diseas has high likelihood of thyroid cancer.

갑상선암의 방사성옥소 치료 후 전신 스캔에서 비타민C 용액을 이용한 식도의 위양성 병소 제거에 대한 고찰 (An Elimination of False-Positive I-131 Sites in Esophagus for Thyroid Carcinoma; Using Water with Vitamin C Dissolved)

  • 이승재;박훈희;안샤론;조석원;최영숙;조응혁;김재삼;이창호
    • 핵의학기술
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    • 제12권1호
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    • pp.49-56
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    • 2008
  • Purpose: Whole body imaging with radioiodine can detect functioning metastases. Non-physiologic I-131 uptake detected on images usually is interpreted as suggesting functioning thyroid metastases. However, extra-thyroidal I-131 accumulation does not always imply thyroid cancer metastases and has been reported in many circumstances. In order to avoid unnecessary therapeutic interventions it is important to distinguish false-positive sites of I-131 localization. We study here to remove false-positive sites around esophagus region on I-131 whole body imaging in patients who were administrated thyroidectomy. Materials and Methods: From April to August in 2007, we had the patients who had visited our department after they received thyroidectomy due to thyroid cancer. They were given I-131, and performed radioiodine body scan after 41 to 50 hours. Patients were whole-body-scanned for the speed of 8 cm per minute. After that, we took anterior and posterior static images around the patients' neck measured by 300 thousand counts per image. We selected 44 patients who had hot spots around neck region, we divided the patients into two groups. One group was given 0.5 L of water and the other group was given 0.5 L of water with 1 g of Vitamin C dissolved. The patients were asked to drink the fluid for one minute in sitting position and after that, we measured 300 kilo counts per image again. We compared prior anterior, posterior static images with anterior, posterior images after the patients had water or water that Vitamin C resolved. Results: In using water, both observer 1 and 2 interpreted 6 patients were washed out. In the water with Vitamin C resolved, observer 1 and 2 interpreted 9 and 8 patients were washed out. Observer 1 and 2 interpreted 6 and 5 patients had 'indeterminate' when they used water. Both observer 1 and 2 interpreted 6 patients had 'indeterminate' when they used water with Vitamin C resolved. When they used water, observer 1 interpreted 10 patients had 'unchanged' and observer 2 interpreted 11 patients had 'unchanged'. Differently, when they used water with vitamin C resolved, observer1 had 8 patients having 'unchanged'and observer 2 had 9. Conclusion: As a result, by making patients drink 0.5 liter of water which has vitamin C resolved helped getting rid of false-positive sites in esophagus. Therefore, based on this study, we believe that drinking water with vitamin C dissolved is very in terms of reducing false-positive hot spot around the esophagus for the iodine-131 whole body scan.

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The Study on the Way of Radioactive Waste Disposal in China

  • Keyan Teng;Hao Peng;Caixia Lv;Han Wu
    • 방사성폐기물학회지
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    • 제20권4호
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    • pp.533-540
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    • 2022
  • Because of the massive development of nuclear power plants in China in recent years, China is facing the challenge of radioactive waste disposal. China has established complete regulatory requirements for radioactive waste disposal, but it also has encountered problems and challenges in low-level radioactive waste disposal in terms of management, selection of disposal facility sites, and implementation of a site selection plan. Three low-level radioactive waste disposal facilities that have been operated in China are described, and their activity limits, locations, and capacities are also outlined. The connotations of "regional" and "centralized" disposal policies are discussed in light of the characteristics of the radioactive waste. The characteristics and advantages of the regional and centralized disposal policies are compared. It is concluded that the regional disposal policy adopted in 1992 can no longer meet the current disposal needs, and China should adopt a combination of the two disposal policies to solve the problem of radioactive waste disposal.

CHD4 Conceals Aberrant CTCF-Binding Sites at TAD Interiors by Regulating Chromatin Accessibility in Mouse Embryonic Stem Cells

  • Han, Sungwook;Lee, Hosuk;Lee, Andrew J.;Kim, Seung-Kyoon;Jung, Inkyung;Koh, Gou Young;Kim, Tae-Kyung;Lee, Daeyoup
    • Molecules and Cells
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    • 제44권11호
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    • pp.805-829
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    • 2021
  • CCCTC-binding factor (CTCF) critically contributes to 3D chromatin organization by determining topologically associated domain (TAD) borders. Although CTCF primarily binds at TAD borders, there also exist putative CTCF-binding sites within TADs, which are spread throughout the genome by retrotransposition. However, the detailed mechanism responsible for masking the putative CTCF-binding sites remains largely elusive. Here, we show that the ATP-dependent chromatin remodeler, chromodomain helicase DNA-binding 4 (CHD4), regulates chromatin accessibility to conceal aberrant CTCF-binding sites embedded in H3K9me3-enriched heterochromatic B2 short interspersed nuclear elements (SINEs) in mouse embryonic stem cells (mESCs). Upon CHD4 depletion, these aberrant CTCF-binding sites become accessible and aberrant CTCF recruitment occurs within TADs, resulting in disorganization of local TADs. RNA-binding intrinsically disordered domains (IDRs) of CHD4 are required to prevent this aberrant CTCF binding, and CHD4 is critical for the repression of B2 SINE transcripts. These results collectively reveal that a CHD4-mediated mechanism ensures appropriate CTCF binding and associated TAD organization in mESCs.

신고리원자력발전소 주변 해역 조간대의 해조상 및 군집구조 (Marine Algal Flora and Community Structure of the Intertidal Zone around Shingori Nuclear Power Plant, Korea)

  • 한수진;장재길;황용훈;손민호;최한길
    • 한국수산과학회지
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    • 제50권3호
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    • pp.319-325
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    • 2017
  • Marine algal flora and community structures were examined seasonally at three sites around the Shingori Nuclear Power Plant, Korea from February to November 2016. A total of 76 species were identified, including 9 green, 14 brown and 53 red algae. The greatest number of species occurred at Daesongri (51 species) followed by Sinamri (43 species) and at the discharge area (38 species) during the study period. Of the 76 seaweeds, 59 annuals and 17 warm tolerant species were recorded. Annual average biomass in dry weight varied from $168.02g/m^2$ at the discharge area to $222.53g/m^2$ at Sinamri. The coarsely branched form was the dominant functional form of seaweeds at the three sites. Seaweed community structures at the discharge site were distinguishable by decreasing species richness, biomass, species diversity index, richness index, and evenness index. The ratio of warm tolerance species and the dominance index values were remarkably higher at the discharge than those at the other sites.

Preparation and Consideration of Sample Collection in Undeclared Areas for Denuclearization Verification

  • Kim, Dong Yeong;Kim, Giyoon;Lee, Jun;Lim, Kyung Taek;Chung, Heejun;Seo, Jihye;Kim, Myungsoo
    • 방사성폐기물학회지
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    • 제19권4호
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    • pp.479-489
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    • 2021
  • The Republic of Korea is expected to participate in the denuclearization verification activities by the International Atomic Energy Agency (IAEA) in case any neighboring countries declared denuclearization. In this study, samples for the verification of nuclear activities in undeclared areas were selected for the denuclearization of neighboring countries, and the appropriateness of the procedures was considered. If a country with nuclear weapons declares denuclearization, it must be accompanied by the IAEA's verification regarding nuclear materials and weapons in the declared and undeclared areas. The analysis of the process samples or on-site environmental samples and the verification of undeclared nuclear facilities and materials aid in uncovering any evidence of concealment of nuclear activity in undeclared areas. Therefore, a methodology was established for effective sampling and analysis in accordance with proper procedures. Preparations for sampling in undeclared areas were undertaken for various potential scenarios, such as, the establishment of zones according to radiation dose, methods of supplying electricity, wireless communication networks, targets of sampling according to characteristics of nuclides, manned sampling method, and unmanned sampling method. Through this, procedures were established for pre- and post-site settings in preparation for hazards and limiting factors at nuclear inspection sites.

A central facility concept for nuclear microreactor maintenance and fuel cycle management

  • Faris Fakhry;Jacopo Buongiorno;Steve Rhyne;Benjamin Cross;Paul Roege;Bruce Landrey
    • Nuclear Engineering and Technology
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    • 제56권3호
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    • pp.855-865
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    • 2024
  • Commercial deployment of nuclear microreactors presents an opportunity for the industry to rethink its approach to manufacturing, siting, operation and maintenance, and fuel cycle management as certain principles used in grid-scale nuclear projects are not applicable to a decentralized microreactor economy. The success of this nascent industry is dependent on its ability to reduce infrastructure, logistical, regulatory and lifecycle costs. A utility-like 'Central Facility' that consolidates the services required and responsibilities borne by vendors into one or a few centralized locations will be necessary to support the deployment of a fleet of microreactors. This paper discusses the requirements for a Central Facility, its implications on the cost structures of owners and suppliers of microreactors, and the impact of the facility for the broader microreactor industry. In addition, this paper discusses the pre-requisites for eligibility as well as the opportunities for a Central Facility host site. While there are many suitable locations for such a capability across the U.S., this paper considers a facility co-located with the Vogtle Nuclear Power Plant and Savannah River Sites to illustrate how a Central Facility can leverage the existing infrastructure and stimulate a local ecosystem.

MOVING FORWARD WITH RADIOACTIVE WASTE MANAGEMENT IN THE UK

  • Atherton, Elizabeth;Mathieson, John
    • Nuclear Engineering and Technology
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    • 제39권6호
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    • pp.697-702
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    • 2007
  • Radioactive waste has been produced in the UK for many decades. Since the 1950' s much of this has been associated with civil nuclear power production and the nuclear weapons programme. There have been a number of unsuccessful attempts in the UK since the 1980s to deal with the waste and find suitable sites for its disposal. However, the UK Government has addressed this and in 2001 introduced the "Managing Radioactive Waste Safely" programme. The aim of this was to make decisions on the long-term radioactive waste management policy through stakeholder engagement. In 2006, it adopted a policy of geological disposal for higher activity wastes and following further consultations, is now at the stage of choosing how that policy should be implemented.