• 제목/요약/키워드: Spinal Diseases

검색결과 236건 처리시간 0.029초

척추 질환의 수기치료에서 진단용 초음파 활용을 위한 주제범위 문헌고찰 (Scoping Review of Ultrasonography in Assessing Manipulative Treatment for Spinal Diseases)

  • 김효은;정창연;최세진;이연우;황만석
    • 한방재활의학과학회지
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    • 제34권1호
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    • pp.11-22
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    • 2024
  • Objectives This study aims to comprehensively review research utilizing ultrasonography for assessing manipulative treatment on spinal diseases, with the goal of promoting the wider integration of ultrasound imaging into clinical practice. Methods A systematic search was conducted on three international databases (Embase, PubMed, Cochrane) up to July 23, 2023. The search included key terms such as ultrasonography, manipulation, and skeletal muscle. The inclusion criteria narrowed down the selection to studies specifically related to lumbar and cervical vertebrae. Results Eleven studies were included in the review, with 10 focusing on lumbar vertebrae and one on cervical vertebrae, all employing spinal manipulation treatment. Among the 11 selected studies, nine primarily focused on ultrasound imaging to measure muscle thickness, while two utilized shear wave elastography to assess muscle stiffness. Also, rigorous measures were taken to ensure the reliability of the ultrasonography data. Conclusions This scoping review highlights the limited but growing evidence supporting the use of ultrasonography to assess manipulative treatment for spinal diseases. Despite a scarcity of studies in South Korea, it is crucial to recognize the potential of ultrasonography in becoming a widely used and practical tool for evaluating the effectiveness of manipulative treatments in the near future.

요추 특징점 추출을 위한 영역 분할 모델의 성능 비교 분석 (A Comparative Performance Analysis of Segmentation Models for Lumbar Key-points Extraction)

  • 유승희;최민호 ;장준수
    • 대한의용생체공학회:의공학회지
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    • 제44권5호
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    • pp.354-361
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    • 2023
  • Most of spinal diseases are diagnosed based on the subjective judgment of a specialist, so numerous studies have been conducted to find objectivity by automating the diagnosis process using deep learning. In this paper, we propose a method that combines segmentation and feature extraction, which are frequently used techniques for diagnosing spinal diseases. Four models, U-Net, U-Net++, DeepLabv3+, and M-Net were trained and compared using 1000 X-ray images, and key-points were derived using Douglas-Peucker algorithms. For evaluation, Dice Similarity Coefficient(DSC), Intersection over Union(IoU), precision, recall, and area under precision-recall curve evaluation metrics were used and U-Net++ showed the best performance in all metrics with an average DSC of 0.9724. For the average Euclidean distance between estimated key-points and ground truth, U-Net was the best, followed by U-Net++. However the difference in average distance was about 0.1 pixels, which is not significant. The results suggest that it is possible to extract key-points based on segmentation and that it can be used to accurately diagnose various spinal diseases, including spondylolisthesis, with consistent criteria.

Newly Developed Weakness of Lower Extremities Despite Improved Brain Metastasis of Lung Cancer after Radiotherapy

  • Yang, Jae Hyun;Jang, Young Joo;Ahn, Se Jin;Kim, Hye-Ryoun;Kim, Cheol Hyeon;Koh, Jae Soo;Choe, Du Hwan;Lee, Jae Cheol
    • Tuberculosis and Respiratory Diseases
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    • 제67권6호
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    • pp.574-576
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    • 2009
  • An intramedullary spinal cord metastasis (ISCM) rarely develops in systemic cancer but is indicative of a poor prognosis. A 56-year-old man was admitted due to weakness of the lower extremities. He had received radiotherapy 3 months prior for a brain metastasis that had developed 1 year after achieving a complete response from chemotherapy for extended stage small cell lung cancer. Although the brain lesion had improved partially, ISCM from the cervical to lumbar-sacral spinal cords, which was accompanied by a leptomeningeal dissemination, was diagnosed based on magnetic resonance imaging of the spine and cerebrospinal fluid cytology. Finally, he died of sudden cardiac arrest during treatment. This is the first case of ISCM involving the whole spinal segments. Physicians should be aware of the subsequent development of ISCM in lung cancer patients with a previously known brain metastasis who present with new neurological symptoms.

A Rare Case of Syphilitic Myelitis of the Spinal Cord

  • Kim, Jin Hyeok;Jeong, Hee Seok;Park, Chankue;Ryu, Hwaseong;Roh, Ji Eun;Yeom, Jeong A;Kim, Tae un
    • Investigative Magnetic Resonance Imaging
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    • 제23권3호
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    • pp.279-282
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    • 2019
  • Neurosyphilis is an infection of the brain or spinal cord that is caused by the bacterium Treponema pallidum. Syphilitic myelitis, which involves the spinal cord, is a very rare form of neurosyphilis seen in patients with syphilis. It requires differentiation from other diseases of the spinal cord, including idiopathic transverse myelitis and spinal cord infarction. Herein, we describe the presentation and diagnosis of syphilitic myelitis in a 43-year-old woman, based on a flip-flop sign and candle guttering appearance depicted in magnetic resonance imaging and laboratory tests.

척수경색증으로 인한 하반신불수(下半身不隨) 환자에 대한 치험례 (A Case study about Paraplegia diagnosed as Spinal cord infarction)

  • 배효상;한경석;최재영;박성식;최정락
    • 사상체질의학회지
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    • 제14권2호
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    • pp.160-168
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    • 2002
  • Spinal cord infarction in vascular impairment of spinal cord is rare in the world. and besides, because spinal cord has small cross-sectional area and almost all tract of sensory system and motor system pass away, spinal cord disease is one of the terrible diseases, that leaves usually permanent and severe neurological sequela. The case is about a patient who is 57 years old woman. Both of her legs were suddenly paralyzed and her case was diagnosed as spinal cord infarction in medical center. In our hospital, we focussed on her basic physiological condition-defecation, urination, dormitio, diet, etc. In the case of this patient, power and sense of both legs with physiolocal condition improved remarkably through Sasang Constitutional Medicine with rehabilitative therapy.

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척수경막동정맥루로 인한 척수병증 환자의 색전술 이후 한의복합치료: 증례 보고 (Complex Korean Medical Treatment after Embolization for Myelopathy Due to Spinal Dural Arteriovenous Fistula: A Case Report)

  • 우현준;한윤희;이정한
    • 한방재활의학과학회지
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    • 제31권3호
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    • pp.105-114
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    • 2021
  • A 38-year-old Korean man without any other history was diagnosed with myelopathy due to a spinal dural arteriovenous fistula. Following embolization and high-dose steroid therapy, the patient was treated with complex Korean medical therapies including acupuncture, pharmacopuncture, electro-acupuncture, Chuna manual therapy, herbal medicine, and cupping therapy in addition to conventional treatment. To assess the patient's improvement, international standard for neurological classification of spinal cord injury, Korean version of modified Barthel index, functional independence measure, spinal cord independence measure III, walking index for spinal cord injury II, modified Ashworth scale were used. After treatment, the muscle strength and sensory function of the lower extremities were improved, and the spasticity was reduced, resulting in a rapid improvement in performance of daily activities. These results suggest that complex Korean medical therapies may be effective for myelopathy, and further clinical studies are needed to clarify their effects.

고령 척추 질환자의 치료: 중재적 비수술 치료 (Management of Elderly Patients with Spinal Disease: Interventional Nonsurgical Treatment)

  • 박수안
    • 대한정형외과학회지
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    • 제54권1호
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    • pp.9-17
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    • 2019
  • 인구 구조의 고령화로 인하여 일반적인 척추 질환과는 구분되는 고령 환자에서 특징적인 척추 질환이 호발하는 추세이다. 하지만 고령의 척추 환자는 대부분 내과적 질환을 동반하기 때문에 전신 상태가 불량한 경우가 많고 골다공증을 동반하며 보다 넓은 범위에 걸친 심한 퇴행성 변화를 보이기도 하고 치료에 대한 효율성이 떨어지는 측면이 있어서 고령 척추 환자에 특화된 비수술 치료의 정립이 필요하다. 이에 저자는 노인성 척추 질환 중 문제가 될 만한 주제를 선별하고 각각의 경우에 적용 가능한 중재적 비수술 치료 방법에 대하여 살펴보고자 하였다.

혈관성 척수병증 환자에 대한 한의 복합 치료의 효과: 증례보고 (The Effect of Combined Korean Medicine Treatment of Patients with Vascular Disease of Spinal Cord: A Case Report)

  • 박현선;박상현;이지호;박서현;금동호
    • 한방재활의학과학회지
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    • 제33권4호
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    • pp.225-233
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    • 2023
  • This case study reports the clinical effect of Korean medicine treatment on vascular disease of spinal cord. A 58-year-old female patient was diagnosed as vascular disease of spinal cord and treated with combined Korean medicine treatment such as acupuncture, electro-acupuncture, herbal medication, and physical therapy for 16 days. The patient was assessed for International Standard for Neurological Classification of Spinal Cord Injury (ISNCSCI), Berg Balance Scale (BBS), and Numeral Rating Scale (NRS). After treatment, total scores of ISNCSCI, BBS, and NRS were numerically improved. Also symptoms of neurogenic bladder were improved. This study suggests that Korean medicine treatment could be effective treatment for vascular disease of spinal cord.