• Title/Summary/Keyword: Radiology science department

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Recurrent benign cementoblastoma: A case report and literature review

  • Yoon, Yeong-Ah;Kwon, Young-Eun;Choi, So-Young;Choi, Karp-Shik;An, Seo-Young;An, Chang-Hyeon
    • Imaging Science in Dentistry
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    • v.51 no.4
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    • pp.447-454
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    • 2021
  • A 16-year-old male presented with pain in the right posterior mandible on chewing that had lasted for several months. The radiographic features of the lesion included a radiolucent-radiopaque mixed-density mass with a radiolucent rim attached to the root of the mandibular right first molar. The preliminary radiographic diagnosis was benign cementoblastoma, which was confirmed by histopathological examination following surgical excision. The lesion recurred 3 years after treatment; radiographically, it consisted of 3 round foci with mixed radiopacity, each with a radiolucent rim near the root of the mandibular right second premolar and the edentulous postoperative region. The lesion was diagnosed as recurrent benign cementoblastoma and a second surgery was scheduled. This report presented an unusual case of recurrent benign cementoblastoma following surgical excision and extraction of the involved tooth, along with a literature review on reported cases of recurrent benign cementoblastoma with a focus on its clinical features and the best treatment options.

Giant lipoma of the tongue: A case report and review of the literature

  • Yoon, Yeong-Ah;Kwon, Young-Eun;Choi, So-Young;Choi, Karp-Shik;An, Chang-Hyeon;An, Seo-Young
    • Imaging Science in Dentistry
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    • v.52 no.1
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    • pp.117-121
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    • 2022
  • This report presents the case of a 49-year-old man who presented with giant masses that had recently grown on the bilateral sides of the tongue. A clinical examination revealed rubbery yellowish lesions protruding from the tongue. A panoramic radiograph showed an enlarged soft tissue shadow of the tongue. Computed tomography showed well-defined circumscribed mass exhibiting a homogeneous low density on the bilateral sides of the tongue. On magnetic resonance images, the masses showed a high signal intensity on T1-weighted images and iso-signal intensity with partially hyperintense margin on fat-suppressed T2-weighted images. Surgical excision was performed, and a histopathologic examination confirmed the diagnosis of lipoma. The patient recovered well with no sign of recurrence. A giant lipoma is defined as a lipoma larger than 5 cm in diameter. A literature review of giant lipomas of the tongue is also presented herein.

Multislice computed tomography demonstrating mental nerve paresthesia caused by periapical infection: A case report

  • Yong-Min Kim;Ho-Keun Choi;Jo-Eun Kim;Jeong-Joon Han;Kyung-Hoe Huh
    • Imaging Science in Dentistry
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    • v.54 no.1
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    • pp.115-120
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    • 2024
  • Components derived from an infected lesion within the bone can spread through various passages in the mandible, particularly via the mental foramen. Radiologically, the spread of infection is typically nonspecific and challenging to characterize; however, multislice computed tomography (MSCT) can effectively detect pathological changes in soft tissues and the bone marrow space. This report describes the case of a 55-year-old woman who experienced mental nerve paresthesia due to a periapical infection of the right mandibular second premolar. MSCT imaging revealed increased attenuation around the periapical lesion extending into the mandibular canal and loss of the juxta-mental foraminal fat pad. Following endodontic treatment of the tooth suspected to be the source of the infection, the patient's symptoms resolved, and the previous MSCT imaging findings were no longer present. Increased bone marrow attenuation and obliteration of the fat plane in the buccal aspect of the mental foramen may serve as radiologic indicators of inflammation spreading from the bone marrow space.

Protocol Optimization of Coronary CT Angiography (심혈관 CT 조영술의 프로토콜 최적화)

  • Lee, Hae-Kag;Yoo, Heung-Joon;Lee, Sun-Yeob;Goo, Eun-Hoe;Seok, Jong-Min;Han, Man-Seok;Lee, Kwang-Sung;Cho, Jae-Hwan;Kim, Bo-Hui;Park, Cheol-Soo
    • Journal of the Korean Society of Radiology
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    • v.5 no.2
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    • pp.51-58
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    • 2011
  • This research compared and analyzed the heart rate of the patient in which the LVEF value is 40% less than and normal patient. When as for LVEF 40% or less becomes to each heart rate and LVEF in a relation, we can know that the time to reach 100HU hangs long. Therefore, in patients, that is 40% less than, when setting up the Premonitoring delay, we could know to could give 5 primary solid phrases. It is seen that subsequently an addition injected 40cc as to Saline, to all patients by 4cc/sec speeds after injecting the capacity of Scan time ${\times}$ 4cc + 30cc with 4cc/sec speeds. And HR excludes 80 or greater in 40% less than, the contrast agent shows the large-scale difference. In addition, in 40% less than, it could predict that the time difference was big and the contrast agent was already out in the Left ventricle Wash- when the contrast agent reached 100HU and Scan was started There is a wide difference between under 40% LVEF and normal. when starting scan from low LVEF patients. So, Injection contrast media protocol Should be determined to CCTA. And then In case of low LVEF is recommended to more low Pitch than routine Pitch because we should reduce scan failed in accordance with low LVEF.

Melanotic neuroectodermal tumor of infancy (유아성 흑백 신경외배엽성 종양)

  • Song Haeng-Un;Koh Kwang-Joon
    • Imaging Science in Dentistry
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    • v.32 no.3
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    • pp.181-185
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    • 2002
  • The melanotic neuroectodermal tumor of infancy is a rare neoplasm arising in the first year of life. A 33-day-old female infant had an enlarged alveolar ridge on the right anterior maxilla. Intraoral examination revealed a nonulcerative swelling at the site. An intraoral radiograph showed an ill-defined radiolucency on the right anterior maxilla and displacement of primary incisors from their alveolar sockets. CT scans revealed an expansion of the surrounding bone and partial destruction of the anterior wall of the premaxilla. Histopathologic examination showed the cytoplasm of neuroblastic cells and eosinophilic, epithelioid cells frequently contained a dark brown granular pigment that stained positively to vimentin and HMB45, focally positive to NSE and cytokeratin. Four weeks after the operation, CT scans showed a rapidly growing soft tissue mass occupying right maxillary sinus encroaching to the orbit and nasal cavity. The final diagnosis was made as a malignant melanotic neuroectodermal tumor of infancy.

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Adenocarcinoma of the parotid gland with calcification (석회화를 수반한 이하선내 선양암종)

  • Song Haeng-Eun;Koh Kwang-Joon
    • Imaging Science in Dentistry
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    • v.32 no.1
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    • pp.55-59
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    • 2002
  • A 78-year-old woman was referred to Chonbuk National University Dental Hospital complaining of facial palsy and palpable mass on the right parotid gland area. Clinical examination showed non-specific findings of the intraoral region, but showed asymmetrical facial appearance. Panoramic view showed a large amorphous calcified mass on the posterior to the mandibular ramus and thin cortical plate of the posterior ramus. Sialogram showed constriction of the main duct and no further filling of striated, intercalated ducts and parenchymal areas. CT scans demonstrated an irregular, infiltrating mass with slight enhancement in the right parotid gland. The mass showed necrotic areas and calcifications. Bone scan showed marked accumulation of /sup 99m/Tc-MDP on the right posterior maxilla. Microscopic findings demonstrated the minimal morphologic alterations and rare mitotic figures within tumor cells, and diagnosed as adenocarcinoma (NOS, Grade II). This report could be aid in the diagnosis of calcified lesions of the salivary gland.

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CBCT findings of periapical cemento-osseous dysplasia: A case report

  • Eskandarloo, Amir;Yousefi, Faezeh
    • Imaging Science in Dentistry
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    • v.43 no.3
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    • pp.215-218
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    • 2013
  • Periapical cemento-osseous dysplasia (PCOD) is a subtype of cemento-osseous dysplasia that usually occurs in middle-aged black women. This report described a case of a 45-year-old Iranian woman who was diagnosed with PCOD on the basis of cone beam computed tomographic (CBCT) findings. CBCT enabled detailed visualization of the bone changes. This report described the special radiographic characteristics of PCOD, including discontinuity of the lingual cortex on the CBCT sectional and three-dimensional images.

A study on the geometric correction for the digital subtraction radiograph (디지털 공제방사선영상의 기하학적 보정에 관한 연구)

  • Lim Suk-Young;Koh Kwang-Joon
    • Imaging Science in Dentistry
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    • v.31 no.1
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    • pp.23-34
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    • 2001
  • Purpose : To develop a new subtraction program for registering digital periapical images based on the correspondence of anatomic structures. Materials and Methods: The digital periapical images were obtained by Digora system with Rinn XCP equipment after translation of 1-16 mm, and rotation of 2-20° at the premolar and molar areas of the human dried mandible. The new subtraction program, NIH Image program and Emago/Advanced program were compared by the peak-signal-to noise ratio (PSNR). Results : The new subtraction program was superior to NIH Images program and Emagol Advanced program up to 16 mm translation and horizontal angulation up to 4°. Conclusion: The new subtraction program can be used for subtracting digital periapical images.

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Osteoradionecrosis of the jaws (악골에 발생된 방사선골괴사)

  • Ahn Hyoun-Suk;Koh Kwang-Joon
    • Imaging Science in Dentistry
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    • v.31 no.1
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    • pp.57-65
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    • 2001
  • Osteoradionecrosis is one of the most serious complication after heavy irradiation of bone and most particularly following treatment of cancers within the head and neck. The irradiated bone has the decreased vascularity and is easily infected. As a result, the spread of infection may cause a nonhealing wound that is very difficult to be treated. A comprehensive prophylactic dental care as well as proper blocking of the radiation field before radiotherapy must be considered to reduce the risk of osteoradionecrosis. We present three cases of osteoradionecrosis which developed after extraction of teeth in irradiated patients.

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Developmental salivary gland defect with extra-osseous course of the inferior alveolar nerve (하치조신경을 포함하는 발육성 타액선골결손)

  • Han Jin-Woo;Choi Hang-Moon
    • Imaging Science in Dentistry
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    • v.34 no.3
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    • pp.171-174
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    • 2004
  • The present study reports a case of developmental salivary gland defect. On panoramic examination, large radiolucent lesion surrounded by a sclerotic wall was noted in the right posterior mandible. On CT examination, large lingual bone concavity with extra-osseous course of the inferior alveolar nerve bundle was detected. In atypical cases, it is suggested that confirmatory imaging using CT or MRI should be taken.

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