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A Case of Bronchus-Associated Lymphoid Tissue(BALT) Lymphoma in the Lung of the Patient with Primary Sj$\ddot{o}$gren's Syndrome (원발성 쇼그렌 증후군(Primary Sj$\ddot{o}$gren's Syndrome) 환자에서 발생한 Bronchus-Associated Lymphoid Tissue(BALT) 림프종 1례)

  • Kang, Min-Jong;Lee, Jae-Myung;Lee, Seung-Joon;Son, Jee-Woong;Kim, Dong-Gyu;Lee, Myung-Goo;Hyun, In-Gyu;Jung, Ki-Suck
    • Tuberculosis and Respiratory Diseases
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    • v.52 no.2
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    • pp.179-185
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    • 2002
  • A bronchus-associated lymphoid tissue(BALT) lymphoma of the lung is a rare disorder of patients with Sj$\ddot{o}$gren's syndrome. A 49-year-old woman was admitted for an evaluation of exertional dyspnea and general weakness which had persisted for two years. The patient had suffered from dry mouth and dry eyes for five years. The physical examinations showed a coarse breath sound with inspiratory crackles on the whole lung field, particularly on the both basal lungs. The laboratory data disclosed high titers of anti-nuclear antibodies, and anti-SSA (Ro), and anti-SSB (La) antibodies. Chest radiographs demonstrated the presence of bilateral, diffuse, reticulonodular densities in both lungs. Thin-section CT scans showed diffusely distributed mosaic pattern of an inhomogeneous attenuation extending over the entire lung zone. The histological findings from an open-lung biopsy specimen revealed an accumulation of lymphoid cells around the bronchioles and an extension of malignant lymphoma cells from the bronchiolar epithelium toward the alveolar space. Immunohistochemically, the neoplastic cells reacted positively to the CD 20 antigen and were focally positive for the UCHL 1 antigen. The histological diagnosis was consistent with a low grade marginal zone B-cell lymphoma originating in the BALT. Here, we present a case of a histologically proven BALT lymphoma of the lung in a patient with primary Sj$\ddot{o}$gren's Syndrome.

Development and Application of Web-based Instruction Program for the Enriched Course of School Biology (중등 생물교과 심화과정 학습용 웹 기반 학습 프로그램 개발 및 적용)

  • Ye, Jin-Hee;Park, Chang-Bo;Seo, Hae-Ae;Song, Bang-Ho
    • Journal of The Korean Association For Science Education
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    • v.22 no.2
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    • pp.299-313
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    • 2002
  • A web-based instruction program for the enriched course under the 7th Revised National Curriculum of Biology in Korea was developed and the application effects to learners were analyzed. For the development of the web-based instruction program, five topics of biology from the enriched courses through 7th to 10th grades in the middle and high school science textbooks were selected and modulated with interrogative sentences. Each topic of programs was divided into four activity sections according to the learners' activity procedures supplemented with explanations and evaluations. Each activity was hyper-linked to multi-layers and animations. Further, a virtual experiment was also developed and an evaluation section designed by Java Script was attached. Among five topics, one topic of 'Reproduction and development' at 9th grade level was selected to examine the effects on students' learning. Among 247 9th grade students in the research subject school, only 67 students were able to accessible to ultra-thin Internet cables with their computers at home and they became an experimental group. A control group was assigned to those who are similar level of school science achievement to the experiment group and did not use the web-based program. It was found that most of 9th grade students are able to use Internet at home, however, they do not prefer to use Internet for homework or task project. Rather, most of students used Internet for e-mail or information navigation. Students used internet to solve problems of science and perceived the benefits of Internet for science learning. However, there are not many students to utilize Internet for science homework or task project. Students expressed that they do not prefer to use a web-based learning program for science learning due to lack of interests in science. The effects on students who studied with this program appeared to be significantly high compared to those who did not study with this program. Students who studied with this program positively evaluated this program, in particular, they enjoyed animation effect and virtual experiments. It was concluded that a web-based program for science learning should be developed and distributed through Internet in an attractive and interesting format for students. It was also concluded that various web-based programs for science learning with animation effect and virtual experiments should be developed to increase students' interests in science as well as to improve students' science achievements.

Evaluation for Rock Cleavage Using Distribution of Microcrack Spacings (IV) (미세균열의 간격 분포를 이용한 결의 평가(IV))

  • Park, Deok-Won
    • The Journal of the Petrological Society of Korea
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    • v.26 no.2
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    • pp.127-141
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    • 2017
  • Jurassic granite from Geochang was analysed with respect to the characteristics of the rock cleavage. The multicriteria evaluation for the six directions of rock cleavages was performed using the microcrack spacing-related parameters derived from the enlarged photomicrographs (${\times}6.7$) of the thin section and the spacing-cumulative frequency diagrams. The results of analysis for the representative values of these spacing parameters with respect to the rock cleavage are summarized as follows. First, the analysis for deriving the main parameter indicating the order of arrangement among six diagrams was performed. The values of five parameters with respect to six directions of the rock cleavages were arranged in increasing or decreasing order for the above analysis. The decreasing order of the values of main parameter(mean spacing-median spacing, $S_{mean}-S_{median}$) and mean spacing are consistent with the order of H1, H2, G1, G2, R1 and R2 directions. These sequential arrangements of six directions of the rock cleavages can provide a basis for those of the six diagrams related to spacing. Second, the nine correlation charts between the above main parameter and various parameters were arranged in decreasing order of correlation coefficient ($R^2$). These related charts shows a high correlation of power-law function in common. The values of mean spacing, density (${\rho}$) and length of line oa are directly proportional to the value of main parameter, while the values of constant (a), exponent (${\lambda}$), spacing frequency (N), length of line oa', slope of exponential straight line (${\theta}$) and total length ($1mm{\geq}$) are inverse proportional. Third, the results of correlation analysis between the values of parameters for three planes and those for three rock cleavages are as follows. The values of frequency, total spacing, constant, exponent, slope and length of line oa' for three planes and three rock cleavages show an order of R' < G' < H' and H < G < R, respectively. On the other hand, the values of mean spacing, (mean spacing-median spacing), density and length of line oa show an order of H' < G' < R' and R < G < H, respectively. The correlation of the mutually reverse order of the values of parameters between three planes and three rock cleavages can be drawn. This type of correlation analysis is useful for discriminating three quarrying planes.

Classification of Weathering for the Granite and Granite Gneiss in Okcheon Belt-Jecheon${\cdot}$Geumsan${\cdot}$Gimcheon in Korea (옥천대지역 -제천${\cdot}$금산${\cdot}$김천 - 에 분포하는 화강암 및 화강 편마암의 풍화분류에 관한 고찰)

  • Woo, Ik;Park, Hyuk-Jin
    • Economic and Environmental Geology
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    • v.37 no.3
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    • pp.355-364
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    • 2004
  • A study on the weathering grade classification has been performed for granite and granite gneiss in Korea. The qualitative classification criteria of weathering were reviewed and then modified with field studies for the weathered rock masses. The thin section observations and XRD analyses for the different weathering grades rock samples showed the petrographical and petrophysical difference with respect to the weathering : the proportion of weathering-resistant minerals suck at quartz and orthoclase has a tendency to increase with the development of weathering, but that of weathering-sensible minerals such as anorthite and biotite is decreased. The ranges of physical and mechanical rock properties for different weathering grades were obtained from the laboratory rock tests and field tests for the studied rocks. And then, along with $RDI_{sq}$(Fookes et al., 1988), the weathering index $I_{a}$, (Woo, 2003) has been developed in this study to demarcate the weathering grade. Those two indices rely mainly on the water absorption ratio of rock and on the different rock strength. The range of these weathering indices have been determined with the physical and mechanical rock properties that can be obtained from simple field or laboratory tests in 4 grades $I_{a}$> 7 for F, 3.5 < $I_{a}$ < 10 for SW, 1.0 $I_{a}$< 6.0 for MW and $I_{a}$< 2.5 for HW. Consequently, the weathering index could be utilized to classify quantitatively the rock weathering grade, especially for the studied granites and the granite gneiss in Korea.

Semi-Quantitative Analysis for Determining the Optimal Threshold Value on CT to Measure the Solid Portion of Pulmonary Subsolid Nodules (폐의 아고형결절에서 침습적 병소를 검출하기 위한 반-정량 분석을 통한 최적의 CT 임계 값 결정)

  • Sunyong Lee;Da Hyun Lee;Jae Ho Lee;Sungsoo Lee;Kyunghwa Han;Chul Hwan Park;Tae Hoon Kim
    • Journal of the Korean Society of Radiology
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    • v.82 no.3
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    • pp.670-681
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    • 2021
  • Purpose This study aimed to investigate the optimal threshold value in Hounsfield units (HU) on CT to detect the solid components of pulmonary subsolid nodules using pathologic invasive foci as reference. Materials and Methods Thin-section non-enhanced chest CT scans of 25 patients with pathologically confirmed minimally invasive adenocarcinoma were retrospectively reviewed. On CT images, the solid portion was defined as the area with higher attenuation than various HU thresholds ranging from -600 to -100 HU in 50-HU intervals. The solid portion was measured as the largest diameter on axial images and as the maximum diameter on multiplanar reconstruction images. A linear mixed model was used to evaluate bias in each threshold by using the pathological size of invasive foci as reference. Results At a threshold of -400 HU, the biases were lowest between the largest/maximum diameter of the solid portion of subsolid nodule and the size of invasive foci of the pathological specimen, with 0.388 and -0.0176, respectively. They showed insignificant difference (p = 0.2682, p = 0.963, respectively) at a threshold of -400 HU. Conclusion For quantitative analysis, -400 HU may be the optimal threshold to define the solid portion of subsolid nodules as a surrogate marker of invasive foci.

Generative Adversarial Network-Based Image Conversion Among Different Computed Tomography Protocols and Vendors: Effects on Accuracy and Variability in Quantifying Regional Disease Patterns of Interstitial Lung Disease

  • Hye Jeon Hwang;Hyunjong Kim;Joon Beom Seo;Jong Chul Ye;Gyutaek Oh;Sang Min Lee;Ryoungwoo Jang;Jihye Yun;Namkug Kim;Hee Jun Park;Ho Yun Lee;Soon Ho Yoon;Kyung Eun Shin;Jae Wook Lee;Woocheol Kwon;Joo Sung Sun;Seulgi You;Myung Hee Chung;Bo Mi Gil;Jae-Kwang Lim;Youkyung Lee;Su Jin Hong;Yo Won Choi
    • Korean Journal of Radiology
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    • v.24 no.8
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    • pp.807-820
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    • 2023
  • Objective: To assess whether computed tomography (CT) conversion across different scan parameters and manufacturers using a routable generative adversarial network (RouteGAN) can improve the accuracy and variability in quantifying interstitial lung disease (ILD) using a deep learning-based automated software. Materials and Methods: This study included patients with ILD who underwent thin-section CT. Unmatched CT images obtained using scanners from four manufacturers (vendors A-D), standard- or low-radiation doses, and sharp or medium kernels were classified into groups 1-7 according to acquisition conditions. CT images in groups 2-7 were converted into the target CT style (Group 1: vendor A, standard dose, and sharp kernel) using a RouteGAN. ILD was quantified on original and converted CT images using a deep learning-based software (Aview, Coreline Soft). The accuracy of quantification was analyzed using the dice similarity coefficient (DSC) and pixel-wise overlap accuracy metrics against manual quantification by a radiologist. Five radiologists evaluated quantification accuracy using a 10-point visual scoring system. Results: Three hundred and fifty CT slices from 150 patients (mean age: 67.6 ± 10.7 years; 56 females) were included. The overlap accuracies for quantifying total abnormalities in groups 2-7 improved after CT conversion (original vs. converted: 0.63 vs. 0.68 for DSC, 0.66 vs. 0.70 for pixel-wise recall, and 0.68 vs. 0.73 for pixel-wise precision; P < 0.002 for all). The DSCs of fibrosis score, honeycombing, and reticulation significantly increased after CT conversion (0.32 vs. 0.64, 0.19 vs. 0.47, and 0.23 vs. 0.54, P < 0.002 for all), whereas those of ground-glass opacity, consolidation, and emphysema did not change significantly or decreased slightly. The radiologists' scores were significantly higher (P < 0.001) and less variable on converted CT. Conclusion: CT conversion using a RouteGAN can improve the accuracy and variability of CT images obtained using different scan parameters and manufacturers in deep learning-based quantification of ILD.