• Title/Summary/Keyword: T-Scan II

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Preoperative Staging in Non-Small Cell Lung Cancer without Lymphadenopathy on Computed Tomogram (흉부 전산화 단층촬영상 임파절종대가 없는 비소세포암 환자에 있어서 술전 병기판정)

  • Cha, Seung-Ick;Kim, Chang-Ho;Park, Jae-Yong;Jung, Tae-Hoon;Chang, Bong-Hyun;Kang, Duk-Sik
    • Tuberculosis and Respiratory Diseases
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    • v.41 no.6
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    • pp.616-623
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    • 1994
  • Objectives: Careful evaluation about mediastinal involvement is important in the management of patients with non-small cell lung cancer. Invasive staging procedure such as mediastinoscopy is advocated because of the unreliability of noninvasive staging methods such as CT, MRI. We compared differences between pre- and postoperative staging in non-small cell lung cancer without lymphadenopathy on CT scan and investigated the methods for more accurate preoperative staging. Methods & Results: 1) Records of a total of 41 patients with preoperative $T_{1-3}N_0M_0$ non-small cell lung cancer were reviewed and the histologic types of tumors were squamous cell carcinoma in 32 cases, adenocarcinoma in 6 cases and large cell carcinoma in 3 cases. Twenty-four cases were central lesions and seventeen cases were peripheral lesions. 2) Among the 32 cases with preoperative $T_2$, 2 cases were identified postoperatively as $T_3$ with invasion of chest wall and among 6 cases with preoperative $T_3$, 1 case was identified postoperatively as $T_4$ with invasion of aorta and pulmonary arteries. 3) After the operation of 35 cases with $T_{1-2}$, 5 cases were $N_1$ and 3 cases were $N_2$ postoperatively. After the operation of 6 cases with $T_3$, 2 cases were $N_1$ and 3 cases were $N_2$ postoperatively. Preoperative $T_3$ showed more intrathoracic lymph node metastases and higher $N_2/N_1$ involvement ratio than preoperative $T_{1-2}$. 4) Complete surgical resections were done in 34 out of 41 cases. Incomplete resection were done in all postoperative $N_2$ tumors. Conclusion: Invasive staging procedures such as mediastinoscopy should be considered in the case of preoperative $T_3$ non-small cell lung cancer even though mediastinal lymphadenopathy is not recognized on the CT scan of the chest.

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Evaluation of the effect of cubic artificial reefs in Kyonggi Bay, west coast of Korea by using fish trap (통발 어구를 이용한 서해 경기만 사각형어초 시설의 효과 평가)

  • Yoo, Jae-Won;Lee, Man-Woo;Lee, Chang-Gun;Kim, Chang-Soo;Kim, Jung-Soo;Hong, Jae-Sang
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.43 no.2
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    • pp.126-139
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    • 2007
  • In the autumn of 2000 and spring of 2001, field surveys were conducted to estimate the effectiveness of artificial reefs (type cube, $2{\times}2{\times}2m^3$) that were established in the four islands of Bangnyeong, Socheong, Daeyeonpyeong and Ganghwa in Kyonggi Bay, the west coast of Korea during 1995 and 1996. The condition of reefs was examined through SCUBA diving and a side-scan sonar. Much of the reefs in Daeyeonpyeong and Ganghwa area were buried in bottom sediment. Despite an intensive search in Bangnyeong area, even a cluster of reefs was not found and most of them seemed to be buried by sand waves. Thus an appropriate investigation on the sediment transport should be included in pre-assessment for the expected performance and protection of artificial reefs. Distribution of average CPUE in natural fishing ground (control) was estimated by bootstrapping simulation and possible comparison of CPUE between control and reef areas (treatment) were made in Bangnyeong and Socheong (Experiment I). Positive reef effect was detected in Socheong but CPUE of treatment in Bangnyeong was varied between or lower than the 99% CPUE confidence intervals of the control. Control/treatment abundance and biomass of fishes and invertebrates were tested by paired t-test and sign test (Experiment II). Only four cases among 22 showed significant positive effect. Based on the results, the cube artificial reef in Socheong was inferred as an affirmative one. Floor type was hypothesized to be one of the probable agents in determining the effectiveness of artificial reefs.

Analysis of Cross Sectional Ease Values for Fit Analysis from 3D Body Scan Data Taken in Working Positions

  • Nam, Jin-Hee;Branson, Donna H.;Ashdown, Susan P.;Cao, Huantian;Carnrite, Erica
    • International Journal of Human Ecology
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    • v.12 no.1
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    • pp.87-99
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    • 2011
  • Purpose- The purpose of this study was to compare the fit of two prototype liquid cooled vests using a 3D body scanner and accompanying software. The objectives of this study were to obtain quantitative measurements of ease values, and to use these data to evaluate the fit of two cooling vests in active positions and to develop methodological protocol to resolve alignment issues between the scans using software designed for the alignment of 3D objects. Design/methodology/approach- Garment treatments and body positions were two independent variables with three levels each. Quantitative dataset were dependent variables, and were manipulated in 3x3 factorial designs with repeated measures. Scan images from eight subjects were used and ease values were obtained to compare the fit. Two different types of analyses were conducted in order to compare the fit using t-test; those were radial mean distance value analysis and radial distance distribution rate analysis. Findings- Overall prototype II achieved a closer fit than prototype I with both analyses. These were consistent results with findings from a previous study that used a different approach for evaluation. Research limitations/implications- The main findings can be used as practical feedback for prototype modification/selection in the design process, making use of 3D body scanner as an evaluation tool. Originality/value- Methodological protocols that were devised to eliminate potential sources of errors can contribute to application of data from 3D body scanners.

A Study on High-Resolution Technique in MRI Scan for Cerebral Aneurysm Disease -Comparison between High-Resolution Technique and Standard Technique- (뇌 동맥류 질환 자기공명검사에서 고분해능(High-Resolution) 기법의 관한 연구 - 고분해능기법과 표준기법 비교 -)

  • Choi, Sung-Hyun;Goo, Eun-Hoe;Hwang, Sun-Kwang;Lee, Gang-Won;Lee, Jong-Woong
    • Korean Journal of Digital Imaging in Medicine
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    • v.14 no.1
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    • pp.7-12
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    • 2012
  • The purpose of this study was to examine usefulness of 3T equipment-based time-of-flight magnetic resonance angiography (3T-TOF MRA) by comparing standard technique (ST) with high resolution technique (HRT) in evaluation of cerebral blood vessel. The 3T-TOF MRA was performed for 31 patients who were suspected of having cerebrovascular disease from March to July 2010. For evaluation of cerebral blood vessel, classification was conducted randomly: group I that included vertebral artery and basilar artery, group II that ranged from 2.5cm before basin part of common carotid artery to basin part of internal and external carotid arteries and to genu part of internal carotid artery, group III that ranged from vertebral part of internal carotid artery to the first basin art of anterior and middle cerebral through education recognizes the importance of dose reduction and examine if their efforts and further reduce patient dose could achieve optimization of the medical exposure is considered.

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Impact and Prevalence of Renin-angiotensin System Gene Polymorphism of Renal Anomalies in Turner Syndrome (터너 증후군에서 신기형의 발생에 미치는 레닌-안지오텐신계 유전자 다형성의 영향)

  • Park Ji-Kyoung;Chung Young-Hee;Lee Jeong-Nyeo;Chung Woo-Yeong
    • Childhood Kidney Diseases
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    • v.7 no.1
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    • pp.52-59
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    • 2003
  • Purpose : The renin-angiotensin system(RAS) plays an important role in renal growth and development. We have studied the prevalence of renal anomalies and documented the association between karyotype and renal anomalies using IVP and ultrasonography. Furthermore, to investigate the impact of RAS gene polymorphism on renal anomaly in Turner syndrome, we examined the ACE I/D genotype, angiotensinogen(AGT) gene M235T, angiotensin receptor type 1(ATR) gene A1166C. Methods : Cytogenetic analysis was performed in 33 Turner syndrome patients on peripheral blood lymphocytes. Ultrasonography(US) of the kidneys and collecting system and intravenous pyelography(IVP) were perfomed in all patients. Nuclear scintigraphy{Tc 99m dimercaptosuccinic acid(DMSA) scan} was also performed for the definite renal diagnosis if indicated. And, ACE I/D genotype, angiotensinogen(AGT) gene M235T, angiotensin receptor type 1(ATR) gene A1166C were examined by PCR amplification of genomic DNA samples. Results : The prevalence of renal anolmalies in Turner syndrome was 36.4%(12/33). The Karyotype 45, X was observed in 18 of the 33 girls(54.5%), of whom 8(44.4%) had renal anomalies. Mosaic karyotypes were observed in 11(33.3%) and four(12.2%) had a non-mosaic structural aberration of the X chromosome. In this group 4(25.7%) had renal anomalies. More renal anomalies were associated with the 45, X karyotype than those with mosaic/structural abnormalities of X chromosome, but the difference was not statistically significant(P>0.05). And, there was no significant differences in the RAS gene polymorphism and allele frequencies between renal anomaly group and normal group in Turner syndrome. Conclusion : The prevalence of renal anolmalies in Turner syndrome was 36.4%. There is no significant differences in the RAS gene polymorphism and allele frequencies between the renal anomaly group and the normal group in Turner syndrome.

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The survey on foot health of a primary school child (초등학교 5학년 어린이의 족부 건강에 대한 조사 연구)

  • Lim, Ho-Yong;Lim, Jin-Taek
    • Journal of Korean Physical Therapy Science
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    • v.12 no.3
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    • pp.35-45
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    • 2005
  • The purpose of this study was to measure the static foot pressure distribution of children between forefoot and rearfoot, and the percentage of static pressure were measured from 1256 normal children in a primary school by the TPScan(Triple Pod Scan) systemCommercial system). The measurement were performed while standing with their comfortable state using the TPScan system. The static pressure distribution between forefoot and rearfoot was analyzed by paired t-test. The results were as follows: 1. The Pes cavus and Pes planus of students was 4.936%. 2. The Pes cavus were 42 children(3.343%) and Pes planus was 20 children(1.592%). 3. The Pes planus were seen in 42 of 1256 children with Grade I in 11 feet (26.2%), Grade II in 24(57.1%), Grade III in 6(57.1%), Grade IV in zero. 4. Pes planus and Pes cavus were significantly difference in foot pressure between forefoot and rearfoot(P<0.05). The future study needs detailed research and comparison with various variance between theses before and after correction.

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Advanced Gastric Cancer That Was Curatively Resected 78 Months after Being Diagnosed: Report of a Case (진단 후 78개월 뒤에 근치적으로 절제된 진행위암 1예)

  • Son, Hae-Jung;Yoo, Moon-Won;Kong, Seong-Ho;Ahn, Hye-Seong;Lee, In-Kyu;Kim, Woo-Ho;Lee, Hyuk-Joon;Yang, Han-Kwang
    • Journal of Gastric Cancer
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    • v.10 no.1
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    • pp.40-44
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    • 2010
  • The natural history of gastric cancer is unclear. We report here on a rare case of advanced gastric cancer for which we performed curative gastrectomy 78 months after the diagnosis. A 74-year-old woman with epigastric pain underwent esophagogastroscopy in January, 2000 and she was diagnosed with advanced gastric cancer. Suspicious omental cake was noted on CT. After refusing all kinds of treatment, she underwent a follow up CT scan on September, 2002, which no longer suggested omental cake. She once again refused treatment, but she visited the hospital in June, 2006 due to severe epigastric pain and a decreased oral intake. Abdominal CT showed no distant metastasis, and so radical subtotal gastrectomy with regional lymph node dissection was performed in July, 2006 and the TNM stage was T2bN1M0 (stage II).

Determination of Therapeutic Dose of I-131 for First High Dose Radioiodine Therapy in Patients with Differentiated Thyroid Cancer: Comparison of Usefulness between Pathological Staging, Serum Thyroglobulin Level and Finding of I-123 Whole Body Scan (분화 갑상선암 수술 후 최초 고용량 방사성옥소 치료시 투여용량 결정: 병리적 병기, 혈청 갑상선글로불린치와 I-123 전신 스캔의 유용성 비교)

  • Jeong, Hwan-Jeong;Lim, Seok-Tae;Youn, Hyun-Jo;Sohn, Myung-Hee
    • Nuclear Medicine and Molecular Imaging
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    • v.42 no.4
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    • pp.301-306
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    • 2008
  • Purpose: Recently, a number of patients needed total thyroidectomy and high dose radioiodine therapy (HD-RAI) get increased more. The aim of this study is to evaluate whether pathological staging (PS) and serum thyroglobulin (sTG) level could replace the diagnostic I-123 scan for the determination of therapeutic dose of HD-RAI in patients with differentiated thyroid cancer. Materials and Methods: Fifty eight patients (M:F=13;45, age $44.5{\pm}11.5\;yrs$) who underwent total thyroidectomy and central or regional lymph node dissection due to differentiated thyroid cancer were enrolled. Diagnostic scan of I-123 and sTG assay were also performed on off state of thyroid hormone. The therapeutic doses of I-131 (TD) were determined by the extent of uptakes on diagnostic I-123 scan as a gold standard. PS was graded by the criteria recommended in 6th edition of AJCC cancer staging manual except consideration of age. For comparison of the determination of therapeutic doses, PS and sTG were compared with the results of I-123 scan. Results: All patients were underwent HD-RAI. Among them, five patients (8.6%) were treated with 100 mCi of I-131, fourty three (74.1%) with 150 mCi, six (10.3%) with 180 mCi, three (5.2%) with 200 mCi, and one (1.7%) with 250 mCi, respectively. On the assessment of PS, average TDs were $154{\pm}25\;mCi$ in stage I (n=9), $175{\pm}50\;mCi$ in stage II (n=4), $149{\pm}21\;mCi$ in stage III (n=38), and $161{\pm}20\;mCi$ in stage IV (n=7). The statistical significance was not shown between PS and TD (p=0.169). Among fifty two patients who had available sTG, 25 patients (48.1%) having below 2 ng/mL of sTG were treated with $149{\pm}26\;mCi$ of I-131, 9 patients (17.3%) having $2{\leq}\;sTG\;<5\;ng/mL$ with $156{\pm}17\;mCi$, 5 patients (9.6%) having $5{\leq}\;sTG\;<10\;ng/mL$ with $156{\pm}13\;mCi$, 7 patients (13.5%) having $10{\leq}sTG\;<50\;ng/mL$ with $147{\pm}24\;mCi$, and 6 patients (11.5%) having above 50 ng/mL with $175{\pm}42\;mCi$. The statistical significance between sTG level and TD (p=0.252) was not shown. Conclusion: In conclusion, PS and sTG could not replace the determination of TD using I-123 scan for first HD-RAI in patients with differentiated thyroid cancer.

$^{99m}Tc-MAG_3$ Elimination Index on Normal Functioning Transplanted Kidney ($^{99m}Tc-MAG_3$ 제거지수를 이용한 이식신장의 기능평가)

  • Jeon, Woo-Jin;Kim, Ju-Heon;Park, Mi-Ok;Lee, Hee-Jung;Hyun, Jung-Ae;Zeon, Seok-Kil
    • The Korean Journal of Nuclear Medicine
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    • v.29 no.1
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    • pp.79-83
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    • 1995
  • Purpose : We analysed $^{99m}Tc-MAG_3$ renal scans to evaluate renal function of transplanted kidney and to detect various renal transplant complications, measuring the ratio of renal radioactivity at three minutes to that at 20 minutes(elimination index). Material and Methods : The fifty seven renal transplantation recipients were studied. There were 50 normal functioning transplanted kidneys as group I and 7 abnormal function-ing transplanted kidney, including 5 cases of acute renal rejection, 2 cases of acute tubular necrosis as group IIl. The protocol consisted of: (1) $^{99m}Tc-MAG_3$ 740MBq injection intravenously : (2) sequential imaging for 2min(60two-second images) followed by 30min(30 sixty-second images) : (3) drawing of region of interest(ROI) on renal imaging; (4) time-activity corves were generated from renal ROI after background subtraction, and time of maximum activity($T_{max}$) and half time of maximal peak radioactivity($T_{1/2}$) were produced in the renogram curve. (5) EI through Bischof-Delaloye method as determined on the renogram curve. Results : Normal group( I ) shows mean EI of 2.21(95.0% Confidence limit of 2.01-2.87), $T_{max}$ of 154 sec, $T_{1/2}$ of 1,139 sec. Abnormal group(II) shows mean EI of 0.74, $T_{max}$ of 1,466 sec, $T_{1/2}$ of 19,224 sec. The EI, $T_{max}$, $T_{1/2}$, BUN and serum creatinine values are significantly different between normal group(I) and abnormal group(II) (p<0.0001). Conclusion : By measuring EI with $^{99m}Tc-MAG_3$, renal function of transplanted kidney could be easily evaluated and various complications could be detected early.

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Keyhole Imaging Combined Phase Contrast MR Angiography Technique (Keyhole Imaging기법을 적용한 위상대조도 자기공명 혈관조영기법)

  • Lee, D.H.;Hong, C.P.;Han, B.S.;Lee, M.W.
    • Journal of Biomedical Engineering Research
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    • v.33 no.2
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    • pp.72-77
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    • 2012
  • Phase Contrast MR Angiography(PC MRA) is excellent MRA technique for measuring the velocity of vessels in the human body. PC MRA need to at least four images for angiogram reconstruction and it caused longer scan time. Therefore, we used keyhole imaging combined PC MRA to reduce the scan time. However, keyhole imaging can lead the erroneous effects as loss of phase information or frequency discontinuous. In this study, we applied the keyhole imaging combined 2D PC MRA for improving the temporal resolution and also measured the velocity to evaluate the accuracy of phase information. We used 0.32T MRI scanner(Magfinder II, Scimedix, Korea). Using the 2D PC MRA pulse sequence, the vascular images for a human brain targeted on the Superior Sagittal Sinus(SSS) were obtained. We applied tukey window function for keyhole images to minimize the ringing artifact and erroneous factors that are induced frequency discontinuous and phase information loss. We also applied zero-padded algorithm to peripheral missing k-space lines to compare keyhole imaging results and the artifact power(AP) value was measured on the complex difference images to validate the image quality. Consider as based on our results, heavy image distortions and artifacts were shown until using at least 50% keyhole factor. Using above the 50% keyhole factors are shown well reconstructed and matched for magnitude images and velocity information measurements. In conclusion, we confirmed the image quality and velocity information of keyhole technique combined 2D PC MRA. Especially, measured velocity information through the keyhole imaging combination was similar to the velocity information of full sampled k-space image despite of frequency discontinuous and phase information loss in the keyhole imaging reconstruction process. Consequently, the keyhole imaging combined 2D PC MRA will give some clinical usefulness and advantages as improving the temporal resolution and measuring the velocity information via selecting the appropriate keyhole factor at low tesla MRI system.