• Title/Summary/Keyword: Renal parenchyma

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Automatic Segmentation of Renal Parenchyma using Graph-cuts with Shape Constraint based on Multi-probabilistic Atlas in Abdominal CT Images (복부 컴퓨터 단층촬영영상에서 다중 확률 아틀라스 기반 형상제한 그래프-컷을 사용한 신실질 자동 분할)

  • Lee, Jaeseon;Hong, Helen;Rha, Koon Ho
    • Journal of the Korea Computer Graphics Society
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    • v.22 no.4
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    • pp.11-19
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    • 2016
  • In this paper, we propose an automatic segmentation method of renal parenchyma on abdominal CT image using graph-cuts with shape constraint based on multi-probabilistic atlas. The proposed method consists of following three steps. First, to use the various shape information of renal parenchyma, multi-probabilistic atlas is generated by cortex-based similarity registration. Second, initial seeds for graph-cuts are extracted by maximum a posteriori (MAP) estimation and renal parenchyma is segmented by graph-cuts with shape constraint. Third, to reduce alignment error of probabilistic atlas and increase segmentation accuracy, registration and segmentation are iteratively performed. To evaluate the performance of proposed method, qualitative and quantitative evaluation are performed. Experimental results show that the proposed method avoids a leakage into neighbor regions with similar intensity of renal parenchyma and shows improved segmentation accuracy.

Radiologic Findings of Renal Oncocytomas (신장 호산성과립세포종의 영상의학적 소견)

  • Cho, Jae-Ho
    • Journal of Yeungnam Medical Science
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    • v.26 no.1
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    • pp.30-37
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    • 2009
  • Purpose : To radiologically differentiate renal oncocytoma from other renal solid tumors, we analyzed and characterized, retrogradely, radiologic findings of renal oncocytomas. Materials and Methods : Radiologic findings of pathologically proven renal oncocytoma were analyzed in 9 patients. CT was performed in all patients, ultrasonography in 4 patients and MRI in 3 patients.(51) Results : On ultrasonography, the echogenicity of the mass was slightly more hyperechoic than normal renal parenchyma in all 4 cases. Two cases were homogeneous and the remaining two cases were relatively homogeneous. On CT, all 8 cases showed iso-density to slightly low density compared to normal renal parenchyma and 5 cases were homogeneous but the central portion of the mass was of a slightly lower density than the peripheral portion in 3 cases. All six cases had an arterial phase scan and were heterogeneously enhanced. An irregular, lower-enhancing portion was found in the central portion of the mass. Segmental inversion of contrast enhancement was found in 5 of 6 cases that had a dynamic enhancement study. On MR T1-weighted imaging, the mass was of iso-signal intensity to normal renal parenchyma and the central portion of the mass had a slightly hypo-signal intensity than the peripheral portion. On T2-weighted imaging, 2 cases were heterogeneous; the peripheral portion was of low signal intensity and central portion was of higher signal intensity than normal renal parenchyma. One case was relatively homogeneous and showed a slightly lower signal intensity than that of normal parenchyma, except for a central small portion showing high signal intensity. For 2 cases that had a dynamic study, a segmental inversion of contrast enhancement was noted. Conclusion : Renal oncocytoma is seen as a well-marginated solid mass lesion. On enhanced scans it is heterogeneously enhanced and segmental inversion of contrast enhancement may be seen. The possibility of oncocytoma can be suggested in cases showing these radiologic findings.

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Comparison of Ultrasound Histogram in Liver, Kidney and Spleen in Beagle Dogs (비글견에 있어서 간, 신장 및 비장의 초음파 히스토그램 비교)

  • Lee Kichang;Jung Joohyun;Oh Sunkyoung;Jeong Yucheol;Lim Changyun;Yoon Junghee;Choi Mincheol
    • Journal of Veterinary Clinics
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    • v.22 no.3
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    • pp.186-189
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    • 2005
  • For the assessment of the clinical application of histogram on internal parenchymal organs, ultrasonography with a multi-frequency transducer was taken. We scanned in the region of right cranial abdomen for both liver and right kidney, and left cranial abdomen for liver, spleen and left kidney in 9 normal Beagle dogs. The data from histogram examined in a region of interest centered on each picture element of B-mode images at the same depth were compared among liver, renal cortex, spleen, cortex and medulla of each kidney. The right renal cortex showed significantly lower echogenicity than parenchyma of liver by $15{\%}$. Spleen was more echogenic than the cortex of the left kidney by $23{\%}$, and liver was more echogenic than the left renal cortex by $30{\%}$. Renal cortex was more echogenic than medulla by $47{\%}$ and $65{\%}$ on the right and left side, respectively (p<0.05). The mean (${\pm}SD$) values calculated echogenicity were $46.2{\pm}12.3\;(95\%$ confidential interval (CI), 41.0 to 55.0) and $53.4{\pm}12.1\;(95\%$ CI, 47.0 to 55.1) in in the right renal cortex and liver parenchyma, $65.0{\pm}11.8\;(95\%$ CI, 57.9 to 71.0) and $51.0{\pm}16.9\;(95\%$ CI, 42.8 to 54.1) in splenic parenchyma and renal cortex. And the mean values calculated echogenicity were $65.0{\pm}10.15\;(95\%$ CI, 60.1 to 71.5) and $52.0{\pm}9.4\;(95\$ CI, 43.8 to 60.3) in liver parenchyma and the left renal cortex, $54.5{\pm}18.3\;(95\%$ CI, 40.1 to 62.8) and $35.0{\pm}16.2\;(95\%$ CI, 24.2 to 43.6) in the left renal cortex and medulla. And the mean values calculated echogenicity were $55.0{\pm}14.4\;(95\%$ CI, 47.3 to 61.7) and $40.0{\pm}13.2\;(95\%$ CI, 34.3 to 46.7) in the right renal cortex and medulla, respectively. In addition, the echogenicity ratios were $0.86{\pm}0.11$ between the right renal cortex and liver parenchyma, $1.37{\pm}0.47$ between spleenic parenchyma and the left renal cortex, $1.30{\pm}0.19$ between liver parenchyma and the left renal cortex. All the values measured showed significant different (p<0.05). Ultrasound histogram is simple, useful and feasible to evaluate the sonographic architecture of the internal organs such as liver, spleen and kidney, quantitatively.

Split-bolus CT urography with synchronous nephrographic and excretory phase in dogs: comparison of image quality with three-phase CT urography and optimal allocation ratio of contrast medium

  • Je, Hyejin;Lee, Sang-Kwon;Jung, Jin-Woo;Jang, Youjung;Chhoey, Saran;Choi, Jihye
    • Journal of Veterinary Science
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    • v.21 no.4
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    • pp.55.1-55.11
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    • 2020
  • Background: Computed tomography urography (CTU), based on the excretion of contrast medium after its injection, allows visualization of the renal parenchyma and the renal collecting system. Objectives: To determine the optimal contrast medium dose allocation ratio to apply in split-bolus CTU in dogs. Methods: This prospective, experimental, exploratory study used 8 beagles. In 3-phase CTU, unenhanced-, nephrographic-, and excretory-phase images were obtained with a single injection of 600 mg iodine/kg iohexol. In split-bolus CTU, two different contrast medium allocation ratios (30% and 70% for split CTU 1; 50% and 50% for split CTU 2) were used. Unenhanced phase image and a synchronous nephrographic-excretory phase image were acquired. Results: Although the attenuation of the renal parenchyma was significantly lower when using both split CTUs than the 3-phase CTU, based on qualitative evaluation, the visualization score of the renal parenchyma of split CTU 1 was as high as that of the 3-phase CTU, whereas the split CTU 2 score was significantly lower than those of the two others. Artifacts were not apparent, regardless of CTU protocol. The diameter and opacification of the ureter in both split CTUs were not significantly different from those using 3-phase CTU. Conclusions: Split-bolus CTU with a contrast medium allocation ratio of 30% and 70% is feasible for evaluating the urinary system and allows sufficient enhancement of the renal parenchyma and appropriate distention and opacification of the ureter, with similar image quality to 3-phase CTU in healthy dogs. Split-bolus CTU has the advantages of reducing radiation exposure and the number of CT images needed for interpretation.

Angiographic Assessment of Transarterial Embolization of Renal Artery Using Gelfoam in Rabbit (토끼에서 젤폼을 이용한 신동맥 색전술의 혈관조영술 평가)

  • 장동우;엄기동
    • Journal of Veterinary Clinics
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    • v.18 no.3
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    • pp.211-214
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    • 2001
  • The embolic effect of Gelfoam was investigated for transarterial embolization of renal artery (TAE-RA) in four normal rabbits. The catheter was selectively introduced into the unilateral renal artery under fluoroscopy and the Gelfoam-iohexol mixture was infused through a catheter into the renal arteries of 4 rabbits. The immediate and delayed (8 weeks) embolic effects on the renal arteries was investigated with selective angiography. The Gelfoam-iohexol was visualized under fluorosxopy in four rabbits. Renal arteries were ablated immediately after TAE-RA in four rabbits, however, opacification of renal parenchyma was visualized by injected contrast agent in 3 rabbits at 8 weeks. The Gelfoam-iohexol can be used as a short-term embolic materials for TAE-RA, however it is not adequate for permanent embolization of renal artery.

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Distribution of Renal Artery in the Kidney of Korean Native Cattle (한우신동맥(韓牛腎動脈) 분포(分布)에 관하여)

  • Kim, Chong-Sup
    • Korean Journal of Veterinary Research
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    • v.23 no.2
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    • pp.129-135
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    • 1983
  • The distribution of renal artery of fifty Korean native cattles (100 kidneys) was observed. Vinylite solution was injected into renal artery of ninety specimens for cast preparation. The angiography was prepared in 10 specimens by injecting thirty percent of barium sulfate solution into renal arteries, and then radiographed on a soft X-ray apparatus (Shimadzu Waltes 60). 1. A. renalis arose from the each side of abdominal aorta in the Korean native cattles. 2. The renal arteries were bifurcated into Ramus cranialis and caudalis (91%), and Ramus cranialis, medius and caudalis(9%) which were ramified 1-4 segmental arteries, respectively. 3. The segmental arteries were originated from R. cranialis and R. caudalis (87%), R. medius (9%) and A. renalis (4%). 4. The kidney were divided separately into 5-7 arterial segments by running of the segmental artery into the parenchyma. Among them six segments were mostly frequent(53%). 5. The Arcus arteriosus renalis was observed at 44% of the left kidney and 14% of the right kidney.

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Ultrasonographic Resistive Index of the Interlobar Renal Artery in Renal Failure Induced by Ochratoxin A and Citrinin Toxicosis in Dogs (Ochratoxin-A 및 Citrinin 중독 신부전 개에서 신장엽간동맥 혈관저항지수에 대한 도플러초음파 평가)

  • Bae, Jun-Woo;Seong, Yun-Sang;Oh, Tae-Ho;Jang, Kwang-Ho;Lee, Keun-Woo;Eom, Ki-Dong
    • Journal of Veterinary Clinics
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    • v.23 no.4
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    • pp.427-431
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    • 2006
  • Pulse Doppler ultrasonographic evaluation was performed to investigate the resistive index (RI) of the Interlobar renal artery in 17 dogs (32 kidneys) which were diagnosed with an acute renal failure caused by ochratoxin-A and citrinin contaminated commercial diet. RI was investigated in 7 normal beagle dogs and recovered patients. The mean of RI was resulted as $0.69{\pm}0.04$ in normal dog, however, significantly (p<0.001) increased as $0.76{\pm}0.05$ in renal failure dog. But RI had no relationship with the results of blood chemistry, urine analysis, and excretory urographic image quality. From these results, even though the results of the renal function test were within a normal reference range, it was considered that RI index is more reliable to represent a damaged renal parenchyma, and may have the potential to be a useful clinical tool in monitoring of the renal function.

Imaging Diagnosis of Emphysematous Pyelonephritis in a Non-Diabetic Dog

  • Kim, Heesu;Lee, Kija;Chung, Jinyoung;Ahn, Jinok;Park, Inchul;Choi, Sooyoung
    • Journal of Veterinary Clinics
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    • v.37 no.4
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    • pp.231-234
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    • 2020
  • An 11-year-old, 4.3 kg, mixed breed, intact female dog exhibiting vomiting and a reduced appetite was presented. On physical examination, palpation of the right kidney elicited discomfort. Blood analysis revealed leukocytosis with neutrophilia, and elevation of alkaline phosphatase and blood urea nitrogen. Escherichia coli was detected in urine culture, whereas urine analysis showed absence of glucose. Radiography and ultrasonography suggested that there was gas in the right renal parenchyma, and computed tomography was performed while the dog was awake to investigate the suspected gas in the right kidney. After unilateral ureteronephrectomy, a histological diagnosis of right emphysematous pyelonephritis (EPN) was made. EPN refers to a severe necrotizing infection of the renal parenchyma with gas accumulation in the tissue. It is rare in both human and veterinary medicine, and almost all EPN patients have uncontrolled diabetes mellitus. This case report describes the imaging-based diagnosis of a rare occurrence of unilateral EPN in a non-diabetic dog.

Distribution of Renal Artery within Kidney of Korean Native Goat (한국재래산양(韓國在來山羊)의 신동맥(腎動脈)의 분포상태(分布狀態))

  • Kim, Yong Keun;Kim, Chong Sup;Kim, Moo Kwang
    • Korean Journal of Veterinary Research
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    • v.15 no.1
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    • pp.127-131
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    • 1975
  • By employing the vinylite-and neoprene latex-corrosion technique, ramification and arrangement of A. renalis were observed in fifty Korean native goats (100 kidneys). The obtained results were as follows: 1. A single renal artery, arising on each side from abdominal aorta, bifurcated into Ramus dorsalis and Ramus ventralis from which 3~6 segmental arteries originated. 2. The dorsal and ventral surfaces of the kidney were divided separately into 3~6 arterial segments by the running of the segmental artery into the parenchyma. Of them four segments were mostly frequent (in 77% of right kidney and 83% of left). 3. In 25 of all the kidneys, either dorsal or ventral surface of a kidney was supplied from interlobar or segmental arteries belong to the opposite Ramus. 4. In 3 goats, A. polaris superior was observed. 5. Generally, distribution of the renal artery of Korean native goat resembled that of the dog.

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Renal Carcinoma in a Dog (개에서 신암종 발생례)

  • 장인호;장광호;장환수;송창현;강원모;박기대;이재현
    • Journal of Veterinary Clinics
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    • v.17 no.1
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    • pp.270-274
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    • 2000
  • A seven-year-old female Jindo-dog was presented with a history of progressive abdominal distension. Except for severe bilateral abdominal swelling, other abnormal signs were not detected. The patient showed normal appetite and defecation. In the radiographic examination, the abdomen was filled with large masses. Suspected a certain neoplastic disease, laparotomy was taken through the cranial abdominal midline. Large pale-yellow masses were proliferated to fill the abdomen. In the masses, grey-brown or black portion presumed hemorrhagic or necrotic spots were found. Even though neoplastic tissues were not detected in the right kidney, they were infiltrated in the left kidney except for a part of the cortex. Obtaining the owner's consent, the patient was euthanized and samples were collecte for further study. In microscopic examination, the parenchyma of the medulla was substituted with tumor cells and the cortex was impressed by the expansive proliferation of the neoplastic tissues. This neoplasm was estimated as renal carcinoma originated from tubular epithelium, being based upon that tumor cells were largely cuboidal cells and they had obscure tubular forms.

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