• Title/Summary/Keyword: Radiologic examination

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Two Cases of Metastatic Cancer Presenting as A Cervical Cyst (경부 낭종의 형태로 발현한 전이암 2례)

  • Son Young-Ik;Baek Chung-Hwan;Ha Byung-Suk;Chang Byung-Chan
    • Korean Journal of Head & Neck Oncology
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    • v.13 no.2
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    • pp.260-264
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    • 1997
  • Metastatic cancer presenting as a cervical cyst is uncommon, and often misdiagnosed as branchial cleft cyst. Authors experienced two cases which presented clinically with features of branchial cleft cyst, but were subsequently found to be metastatic cancer. Radiologic examination and fine needle aspiration biopsy proved to be non-diagnostic, and pathologic findings after surgical excision showed metastatic cancer. Further evaluation and examination were made to find out the primary focus, which revealed tonsillar squamous cell cancer and thyroid papillary cancer in each case. When cervical cysts are noted in aged patients, it is mandatory to rule out metastatic cancer until it is proven otherwise. Surgical excision and pathologic diagnosis should be always accompanied to make correct diagnosis and further treatment.

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A Case of Mucinous Gland Adenomatoid Hamartoma Originated from Submental Space (이하공간에 발생한 점액선 선종양 과오종 1예)

  • Kim, Sang Wook;Lee, Sung Min;Lee, Kang Hyun;Park, Ki Joon;Park, Hae Sang
    • Korean Journal of Head & Neck Oncology
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    • v.35 no.2
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    • pp.61-65
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    • 2019
  • Hamartomas are non-neoplastic malformations or congenital errors of tissue development. Hamartoma is composed by an excessive growth of mature tissue present in wrong proportions and abnormal arrangements. The lesion usually presents as a submucosal mass with ill-defined margins. Hamartoma occurs in all areas of the body, especially in the liver, spleen, kidney and lung. However, hamartoma is very rare in the head and neck. Presenting symptoms of hamartoma are typically vague and nonspecific. Treatment of hamartomas consists of adequate surgical excision. We present a 59 year-old male patient who presented with submental swelling. Malignancy could not be ruled out with preoperative radiologic examination, so surgical excision was planned. The mass was excised with transcervical approach. Histopathologic examination has confirmed the mass as a mucinous gland adenomatoid hamartoma.

Statistical analysis of national examination for radiological technologists in convergence perspective (통계분석을 통한 융합적 관점에서 분석한 방사선사 국가시험)

  • Choi, Kyoungho;Cho, Jung Keun
    • Journal of the Korea Convergence Society
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    • v.8 no.7
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    • pp.93-99
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    • 2017
  • Necessity of adjustment in level of difficulty of national examination for radiological technologists is being brought up. However, objective reasons are required to make those arguments more valid. Therefore in this research, result of national examination for radiological technologists under present system was analyzed in more convergence perspective via statistical analysis. This will provide basic data which is applicable when system of national examination for radiological technologists undergo improvements. For this, statistical analysis such as descriptive statistics and correlation analysis was conducted using SPSS program. Results are as follow. First, ratio of successful applicants for radiological technologists was highly fluctuant relative to other national examinations like doctor, nurse, physical therapist, etc. Second, level of difficulty and discernment of national examination for radiological technologists were differentiated from other examinations like doctor, nurse, physical therapist. Third, the 43th examination for radiological technologists conducted in 2015 had the highest discernment as 0.41, despite of lowest level of difficulty as 89.2, for radiologic applications. The results of this research is expected to be used as basic data when system of national examination for radiological technologists undergo improvements, in accordance with increased supplying plan of work-forces in medical radiological technologists.

Radioopacity of Absorbable Plate containing Hydroxyapatite and Gold(Au); A Preliminary Report (Hydroxyapatite와 금(Au)이 혼합된 흡수성 고정판의 방사선비투과성; 예비 실험)

  • Kim, Yong Ha;Nam, Hyun Jae;Lee, Joon Ho;Kim, Kap Joong;Kim, Yeon Jung;Choi, Sik Young
    • Archives of Plastic Surgery
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    • v.35 no.4
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    • pp.419-422
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    • 2008
  • Purpose: Absorbable bone fixation materials for operation of facial bone fracture are composed of poly- lactic acid(PLA) & poly-glycolic acid(PGA). These materials are absorbed after facial bone healing period. Therefore, these materials are harmless in human body. But because of it's radioopacity, the number and the location of the materials are not checked in follow-up X-ray examination. We studied absorbable bone fixation materials checked radiological examination. So, we made the absorbable plate composed of PLA, Hydroxyapatite (HA) and Gold(Au). Methods: Plate 1 was consisted of pure PLA. Plate 2 was consisted of PLA(50%) and HA(50%). Plate 3 - 7 were consisted of PLA(50%), and variable composition of HA & Au. The ratio of Au was as following. From the plate 3 to plate 7, the Au ratio was 1%, 5%, 10%, 17%, and 25%, respectively. Total 3 examinations were used-naked eye examination, simple X-ray examination, and Haunsfield unit of plate in CT examination. Results: Naked eye examination found out that the color of plate 1 was most white. As the Au ratio increases, the color of plate was getting close to khaki color. the radioopacity of plate 2 was similar cortical bone of face in simple X-ray. The Haunsfield unit of cortical bone of face was 1000 HU. Haunsfield unit of titanium plate was 2900 HU. Haunsfield unit of plate 1 through plate 7 were -242, 1489, 1776, 3052, 3092, 3095, and 3095, respectively. Conclusion: Radioopacity of plate 2 was similar to cortical bone of face. In CT examination, Hanusfield unit of plate 2 was similar to Hanusfield unit of cortical bone of face. Hanusfield unit of plate 4 - 7 were similar to Hanusfield unit of titanium plate. So to trace bone fixation materials after facial bone surgery, the best ratio of Au is about 1 - 5%. If this study is applied to facial bone surgery, radiologic follow up would be easy after facial bone surgery.

Necessity of Mandatory Records on Radiological Examination (방사선검사에 관한 기록 의무화의 필요성)

  • Hong, Dong-Hee;Lim, Cheong-Hwan;Kim, Yon-Min;Kim, Eun-Hye;Yoo, Se-Jong;Yoon, Yong-Su;Lim, Woo-Taek;Jung, Young-Jin;Jung, Hong-Ryang;Joo, Young-Cheol;Choi, Ji-Won;Kang, Byung-Sam;Park, Myeong-Hwan;Back, Geum-Mun;Yang, Oh-Nam;Rhim, Jae-Dong;Jeong, Bong-Jae
    • Journal of radiological science and technology
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    • v.44 no.4
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    • pp.399-407
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    • 2021
  • This study discussed the validity and necessity of compulsory recording of radiographic examination performed by radiological technologist on patients in medical institutions related to radiation exposure. Also, this study provided reasonable evidence of radiographic examination related medical records can contribute to the improvement of public health. Based on overseas cases of implementing a radiographic examination record system, the essential items to be included in medical record are the exposure date, exposure time, exposure method, exposure conditions that is tube voltage, tube current. Name and license number of the radiological technologist who performed the examination should be include in medical record. It is expected that the medical record of the total amount of radiation exposure per year would be in giving the maximum benefit with the minimum exposure to the medical radiation examination of the patient. In addition, interventional radiography medical record should also include exposure time, type and dose of the contrast medium.

Effusion Cytology of Multiple Myeloma - A Case Report - (다발성 골수종 1예의 체액 세포학적 소견)

  • Koh, Jae-Soo;Ha, Chang-Won;Cho, Kyung-Ja;Jang, Ja-June
    • The Korean Journal of Cytopathology
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    • v.3 no.2
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    • pp.90-93
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    • 1992
  • A case of multiple myeloma with massive pleural effusion is reported. A 53 year-old previous known multiple myeloma patient vistited our hospital complaining of cough with sputum. Radiologic study revealed multiple osteolytic bony lesions and left side pleural effusion. The effusion were bloody exudates containing numerous atypical plasma cells. The tumor cells showed pleomorphism, eccentric nuclei, prominent nucleoli, perinuclear halo, multincleation, and chromatin patterns of occasional cart-wheel appearance. The cytological examination of pleural fluid established the malignant nature of the effusion with multiple myeloma.

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A Case Report of Chengsim Yeunja-Tang for Ankylosing Spondylitis associated with Severe Ulcerative Colitis (청심연자탕(淸心蓮子湯)으로 치료하여 호전된 강직성 척추염을 동반한 중증 궤양성 대장염 1례)

  • Jang, Hae-Jin;Sun, Joong-Ki;Sun, Teh-Cheng
    • The Journal of Internal Korean Medicine
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    • v.26 no.3
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    • pp.685-691
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    • 2005
  • A 33 year-old male who had been diagnosed with severe ulcerative and ankylosing spondylitis was treated and observed. Even though he had been treated with western medicine, he still complained of severe diarrhia, hemafecia, abdominal pain, general weakness, mild fever($37.8^{\circ}C$) and lower back pain. On radiologic examination, the lumbar view revealed the sacroliac joint space are irregular with adjacent bony sclerosis on both sides. He was treated with Chengsim Yeunja-Tang. Having been treated for 99 days, severity of ulcerative colitis changed from severe to mild ade, lower back pain reduced from nine to three, and all other symptoms improved.

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Intraosseous Ganglion of the Calcaneus - A Case Report - (종골 골내 결절종 - 증례 보고 -)

  • Min, Kyung-Dae;Koh, Eun-Suk;Kim, Byung-Heum;Choi, Joong-Keun;Shin, Byung-Joon;Lee, Byung-Ill
    • Journal of Korean Foot and Ankle Society
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    • v.5 no.2
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    • pp.160-164
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    • 2001
  • Intraosseus ganglion cysts are uncommon, benign, juxta-articular and usually found within long bones. A 35-year-old male presented with acute right ankle pain. He denied any traumatic event. Tenderness was localized on the subtalar joint. Radiologic studies demonstrated a cystic lesion in the juxta-articular portion of the posterior facet of the calcaneus. The patient underwent excision and curettage. Postoperative recovery was uneventful. A histological examination confirmed a typical intraosseus ganglion cyst. A case of an intraosseus ganglion cyst of the calcaneus causing acute subtalar joint pain is described.

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Sterile Abscess at the Heel Pad (A Case Report) (뒤꿈치 족저부에 발생한 무균 농양(1예 보고))

  • Kim, Gab-Lae;Shin, Sung-Il;Kim, Tae-Hwa;Park, Hyun-Jin
    • Journal of Korean Foot and Ankle Society
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    • v.13 no.2
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    • pp.236-239
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    • 2009
  • Heel abscesses present as heel pain that progressively worsens, with associated tenderness and fullness a the heel pad. To our knowledge, there are fews reports in the literature describing a spontaneous heel pad abscess. A 48-years old woman presented spontaneously with pain, erythema, edema and increased warmth to this right foot. She has no underlying disease and steroid injection history. A radiologic examination was suggestive of an abscess. Follow incision and drainage, cultures that were taken during the surgical procedure did not produce any organism. The patient was discharged home and recovered from the abscess without recurrence or further surgical intervention.

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Subperiosteal Osteoid Osteoma of the Knee: Case Report

  • Suh, Hie Bum;Lee, In Sook;Rhee, Seung Joon;Song, You Seon;Song, Jong Woon
    • Investigative Magnetic Resonance Imaging
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    • v.20 no.1
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    • pp.61-65
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    • 2016
  • Osteoid osteoma, a frequent lesions of bone, is usually intraosseous but occasionally subperiosteal. We describe the case of a 19-year-old male with knee pain caused by subperiosteal osteoid osteoma. Radiologic evaluation was performed with radiographic, computed tomography (CT), ultrasonographic (US) and magnetic resonance imaging (MRI). But the preoperative diagnosis of osteoid osteoma was delayed because of unusual imaging findings and atypical symptom. After excisional biopsy, histological examination confirmed the diagnosis of osteoid osteoma. The lesion was treated successfully with CT-guided radiofrequency ablation.