• 제목/요약/키워드: Plasma Diagnosis

검색결과 351건 처리시간 0.026초

세포병리학적 기초에 의한 암진단의 발전: 진단방법과 보조기법 (Recent Advances in Cancer Diagnosis: On an Overview of Diagnostic Cytopathologic Modalities and Ancillary Techniques)

  • 김기태;함의근
    • 대한세포병리학회지
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    • 제7권1호
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    • pp.1-11
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    • 1996
  • 19세기말과 20세기초에 각각 비르효와 파파니콜로에 의해 명료하게 된 세포 병리학과 탈락세포학의 개념에서 오늘날의 암진단의 일차적인 방법이 발전해 왔다. 파파니콜로의 탈락세포학의 개념에서 1960년대 초반에 세침흡인 세포검사가 개발되었다. 이 세침흡인 세포검사는 주된 진단방법이 되어져, 절개생검을 감소하게 하고 의료비용의 효과적인 이용에 공헌하였다. 1980년대에는 면역생화학적 기술들이 암 진단에 보충역활을 하게 되었다. 단 클론 항체를 이용하는 면역과산화효소법이 먼저 암의 본성을 밝히는 보조적인 방법으로 쓰여졌다. 특정 단클론 항체들이 이용가능하게 되어 세포산물이나 표면 표지자들을 인지하는 것을 훨씬 용이하게 하였다. 예를 들면 중간세사에 대한 항체들이 분화가 나쁜 종양의 조직기원을 결정하는데 가치가 있는 것이 증명되었다. 종양표지자들은 종양존재의 생화학적 표시자로 이용될 수도 있는데 이러한 종양표지자들은 혈장이나 다른 체액들에서 검출할 수 있다. 이 종양표지자들을 농출한 것을 진단적 검사에 이용하여 이미 진단된 암의 임상 경과를 추적하고 암 발생의 위험이 있는 집단에서 특정 종양을 발견해 내기 위한 선별검사로써 이용할 수 있다. 유세포 검사는 백혈병이나 림프종 세포들의 면역표현형을 알아내고, 종양세포들의 DNA함유량을 알아내며, 세포증식율을 알아내는 등의 몇가지의 세포의 특성을 분류해내는데 유용한 도구이다. 분자생물학적 방법들은, 암 환자를 진료하는데 있어 진단, 예후평가 및 치료 등의 분야에서 일보 전진하게 하였다. 핵산교잡법이 Southern blots, Nothern blot, Dot blot 및 in situ hybridization으로 이용된다. 분자생물학 및 그 기술이 암종 생물학을 이해하고 유전자 조작을 기초로한 치료법을 계획하는데 밝은 새로운 지평선을 열어줄 수 있을 것이다.

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GC-MS를 이용한 혈장 중 호모겐티식산의 분석;알캅톤뇨증의 진단 (Determination of homogentisic acid in human plasma by GC-MS for diagnosis of alkaptonuria)

  • 마헤셜타파;유준동;이원재;이스람포크롤;윤혜란
    • 분석과학
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    • 제28권5호
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    • pp.323-330
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    • 2015
  • 알캅톤뇨증은 극히 드문 희귀 유전성 대사이상질환으로, 호모겐티세이트 디옥시게나제의 부족이나 결손으로 인한 질환이며 호모겐티식산 (HGA)의 축적을 특징으로 한다. 임상적으로는 호모겐티식산 혈증, 관절염 및 퇴자병 (ochronosis) 등을 보인다. 본 연구는 고가이고 시간이 많이 걸리는 고체상 추출단계 없이 신속하게 우수한 감도로 혈장 중 HGA의 정량분석을 위해 개발되었다. 통합 혈장 중 100 µL를 취하여 에틸아세테이트로 액체-액체 추출(LLE)한 후, 트리메틸 실릴 유도체 (TMS) 화한 후 GC-MS로 정량하였다. 카르복실기 및 히드록실 관능기의 TMS 유도체화의 형성은 80 ℃에서 5 분 동안 BSTFA (10% TMCS 포함)로 반응시켜 수행 하였다. GC-MS 의 선택 이온 모니터링을 위한 HGA의 선택 이온은 m/z=384, m/z= 341, m/z=25로 설정 하였다. 통합 혈장에 여러 농도로 표준품을 첨가하여 검토한 검량선은 1-100 ng/µL 범위에서 직선성은 R2=0.9991로 양호하게 나타났다. 통합 혈장에 HGA를 2, 20과 80 ng/µL 농도를 첨가하여 회수율, 정확도와 정밀도를 측정하였을 때, 일간내 회수율은 99-125% 였고, 일간외 회수율은 95-115% 였고, 정확도는 1-15% 이내로 양호하였다. LOD와 LOQ는 각각 0.4 ng/µL, 4 ng/µL로 관찰되었다. 한국인 정상 혈장으로부터 HGA를 분석하였을 때, 적용된 모든 시료에서 HGA는 검출되지 않았다. 결론적으로 본 연구에서 개발된 분석 방법을 이용하면 알캅톤뇨증 환자를 신속하게 진단할 수 있으며 그 치료과정에서의 HGA 모니터링에 유용하게 응용할 수 있음을 시사한다.

System Integration for the Operation of Unmanned Audio Center based on AoIP

  • Lee, Jaeho;Hamacher, Alaric;Kwon, Soonchul;Lee, Seunghyun
    • International journal of advanced smart convergence
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    • 제6권2호
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    • pp.1-8
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    • 2017
  • Recently, the development of the information communication industry has made many changes in the industrial acoustic industry. Especially, it has a great influence on the change of system and equipment of acoustic system. Analog equipment is changing to digital equipment, and integrated control equipment makes it easier to operate and manage the sound system. However, the integrated control system currently on the market is only controllable for some devices. In this paper, we propose a new AoIP - based system configuration method, which enables the operation status monitoring, unmanned operation and self - diagnosis of equipment. As a result of the study, it is confirmed that the proposed system can be operated, monitored, and self - diagnosed at remote sites. It is expected that an AoIP- based sound system will be the industry standard in the future.

위에 발생한 염증성 근섬유모세포성 종양의 세침흡인 세포학적 소견 -1 예 보고- (Fine Needle Aspiration Cytologic Findings of Gastric Inflammatory Myofibroblastic Tumor- A case report -)

  • 이지혜;신봉경;김정렬;조성진;김한겸;김인선
    • 대한세포병리학회지
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    • 제12권2호
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    • pp.117-120
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    • 2001
  • Inflammatory myofibroblastic tumor, histologically characterized by the presence of bland-locking spindle cells and infiltration of chronic inflammatory cells, is extremely rare in the gastric wall. We report a case of gastric inflammatory myofibroblastic tumor In a 27-month-old boy. The fine needle aspiration biopsy from the mass showed loose clusters or scattered spindle cells and inflammatory cells, predominantly of lymphocytes and plasma cells. The spindle cells resembled fibroblasts or myofibroblasts. Differential diagnosis from benign and malignant diseases involving abdominal cavity was discussed.

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Extramedullary Plasmacytoma of the Sinonasal Cavity 1예 (A Case of Extramedullary Plasmacytoma of the Sinonasal Cavity)

  • 임상철;신명석
    • 대한두경부종양학회지
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    • 제22권2호
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    • pp.167-170
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    • 2006
  • Extramedullary plasmacytoma is rare tumor of plasma cell tumor, which involve soft tissue without any signs of systemic spread and occurs predominantly in the head and neck, especially the nasal cavity and the paranasal sinuses. Ten to twenty percent of extramedullary plasmacytoma have regional lymph metastasis at the time of diagnosis and approximately one third of patients with extramedullary plasmacytoma will subsequently develop multiple myeloma during long-term follow-up. Primary treatment modality is moderate-dose radiation and surgery is rarely used. Extramedullary plasmacytoma has good prognosis, but requires long-term systemic evaluation and follow-up. We report a case of extramedullary plasmacytoma of the sinonasal cavity with a review of literature.

선천성 갑상선종에 의한 무모 돼지 발생 (Occurrence of Hairless Piglets with Congenital Goiter)

  • 김재훈;손현주;김형욱;진영화
    • 대한수의학회지
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    • 제43권3호
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    • pp.457-461
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    • 2003
  • A diagnosis of iodine-deficient goiter was confirmed in newborn piglets that were born hairless edematous, and with markedly enlarged thyroid gland. Clinically, most of the piglets were born dead, extreme weakness or dying within a few hours of birth. Gestation periods were prolonged for 3-7 days. Histopathologically, hair follicles were scarce and reduced in size, contained slender hairs, and revealed a shallow penetration into the hypodermis that showed severe diffuse edema. Thyroid glands had severely hyperplastic follicles and poorly staining colloid. The follicles were irregular in size and shape depending on varying amounts of lightly eosinophilic and granular colloid in the lumen. The iodine content of the diet fed to the sows and plasma total thyroxine and triiodothyronine concentration of sows were very low. This is a first report for iodine-deficient goiter in newborn piglets in Korea.

감초 유발성 저칼륨혈성 근병증 (Licorice-induced Hypokalemic Myopathy)

  • 박경석;정재면;주미;임경호;이광우
    • Annals of Clinical Neurophysiology
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    • 제3권1호
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    • pp.50-52
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    • 2001
  • Licorice is widely used as a Chinese(herbal) medicine. The glycyrrhizin, a main ingredient of the natural licorice, has a potent mineralocorticoid effect which may cause severe hypokalemia and muscle paralysis. We present a 60-year-old woman, who had been ingesting one or two spoonful of licorice powder daily for about one year, developed acute flaccid quadriparesis with high levels of serum muscle enzymes and the typical features of mineralocorticoid excess such as severe hypokalemia and metabolic alkalosis. Both plasma renin activity and serum aldosterone level were below the normal values. This case indicates that licorice-induced hypokalemic myopathy should be considered in the differential diagnosis of a patient with acute quadriparesis and hypokalemia.

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Clinical and Echocardiographic Findings for Dilated Cardiomyopathy Induced by Taurine Deficiency in a Cat

  • An, Su-Jin;Jang, Hyo-Mi;Lee, Hee-Chun;Jung, Dong-In
    • 한국임상수의학회지
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    • 제33권4호
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    • pp.205-209
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    • 2016
  • A 6-year-old male domestic shorthair cat was referred to Gyeongsang National University Animal Medical Center for labored breathing. According to the patient's history, the client had fed him commercial dog foods. The patient's hematological, radiographic, and echocardiographic examinations were evaluated for diagnosis. Echocardiography results showed marked dilations of ventricles and atriums and mitral regurgitation. A systolic dysfunction was detected. Plasma taurine concentration was lower than the reference range. Based on these results, the patient was diagnosed with feline dilated cardiomyopathy associated with taurine deficiency. Treatment included feline commercial foods, taurine, digoxin, furosemide, and clopidogrel. Digoxin was changed to pimobendan when normal blood pressure was achieved. Clinical signs improved gradually and no abnormalities were detected on echocardiograms at 10 weeks following onset of treatment.

Isolated Tricuspid Regurgitation: Initial Manifestation of Cardiac Amyloidosis

  • Yoon, Dong Woog;Park, Byung-Jo;Kim, In Sook;Jeong, Dong Seop
    • Journal of Chest Surgery
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    • 제48권6호
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    • pp.422-425
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    • 2015
  • Amyloid deposits in the heart are not exceptional in systemic amyloidosis. The clinical manifestations of cardiac amyloidosis may include restrictive cardiomyopathy, characterized by progressive diastolic and eventually systolic biventricular dysfunction; arrhythmia; and conduction defects. To the best of our knowledge, no previous cases of isolated tricuspid regurgitation as the initial manifestation of cardiac amyloidosis have been reported. We describe a rare case of cardiac amyloidosis that initially presented with severe tricuspid regurgitation in a 42-year-old woman who was successfully treated with tricuspid valve replacement. Unusual surgical findings prompted additional evaluation that established a diagnosis of plasma cell myeloma.

Simultaneous Determination of Plasma Lactate, Pyruvate, and Ketone Bodies following tert-Butyldimethylsilyl Derivatization using GC-MS-SIM

  • Yoon, Hye-Ran
    • 대한의생명과학회지
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    • 제21권4호
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    • pp.241-247
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    • 2015
  • Lactate and ketone bodies are considered biological markers for ketosis and several inherited metabolic disorders. In the current study, the specific ratios of lactate and ketone bodies as analytical tools for differential diagnosis of various lactic acidosis were devised. The study included a protein precipitation step following tert-butyldimethylsilyl derivatisation. Total run time was approximately 30 min including sample preparation and GS/MS analysis. The limits of detection were below 0.1 pg/mL over the targeted 4 analytes. The calibration curve was linear over the concentration range of $0.001{\sim}250{\mu}g/mL$ for pyruvate, beta-hydroxybutyrate, and acetoacetate ($R^2$ > 0.99). Inter-day accuracy and precision were 87.7~94.8% with RSD of 2.5~5.7% at 2 levels. Absolute recoveries (%) of target analytes were 87.0~98.4%. The method was validated for the quantification of lactate and ketone bodies for differentiation of lactic acidosis.