• 대한정형외과 초음파학회지
• /
• 제3권2호
• /
• pp.91-96
• /
• 2010

초음파의 인공물은 진단에 해롭기만 한 것이 아니다. 때로는 음향그림자, 증가된 통과상등의 인공물을 이용하면 관찰 대상 조직의 수분 함량을 알 수 있어 조직의 염증 정도나 치유 조직의 성격 등을 간접적으로 파악할 수 있다. 또 석회화 덩어리의 수분 함량을 알 수 있으므로 흡인 가능 여부를 미리 짐작할 수 있어 체외충격파 등의 사용 필요성도 예측할 수 있다. 이를 이용하면 자기공명영상과 달리 저렴한 비용으로 실시간 정보를 얻음으로써 연조직의 진단 및 치료에 사용할 수 있어 편리하다.

• 대한정형외과 초음파학회지
• /
• 제6권2호
• /
• pp.70-75
• /
• 2013

저자들은 관절경하 회전근개 파열을 봉합한 후 만성적인 견관절 통증을 호소하는 3명의 환자에서 매듭으로 인한 충돌 증후군을 초음파로 진단하고 관절경수술로 치료하였다. 최근 초음파는 회전근개 봉합술 후에 추적관찰의 방법으로 가장 많이 쓰이고 있으며, 유용한 검사방법이다. 저자들은 초음파를 이용하여 매듭 충돌 증후군을 진단 및 치료하였으며, 그 유용성을 문헌고찰과 함께 보고하는 바이다.

• Journal of Gastric Cancer
• /
• 제4권2호
• /
• pp.95-108
• /
• 2004

This nationwide survey was conducted to evaluate the current status of clinical practice for gastric cancer patients in Korea. The Information Committee of the Korean Gastric Cancer Association (KGCA) sent questionnaires containing 45 items about the preoperative diagnosis, medical and surgical treatment, and postoperative follow-up for gastric cancer patients to all 298 KGCA members in 108 institutes. Response rates were $32.6\%$ (97/298) for individuals and $59.3\%$ (64/108) for institutes. Most university hospitals responded (response rate of university hospitals: $71.6\%$, 48/67). The preoperative staging work up was performed primarily by abdominal CT, followed by bone scans, abdominal ultrasound, endoscopic ultrasound, and so on. Gastric cancer patients with stages II, III, and IV usually received adjuvant chemotherapy after a curative operation. About half of the surgeons regarded 2 cm as a safe resection margin in early gastric cancer and 5 cm in advanced gastric cancer. More than half of surgeons usually performed a D2 lymph node dissection in early gastric cancer and D2+$\alpha$ lymph node dissection in advanced gastric cancer. About $20\%$ of surgeons performed less invasive surgery and/or function-preserving surgery, such as a pylorus-preserving gastrectomy, a laparoscopic wedge resection, or a laparoscopy-assisted distal gastrectomy.

• Journal of Korean Dental Science
• /
• 제13권2호
• /
• pp.59-66
• /
• 2020

Purpose: The purpose of this study was to investigate the masseter muscle thickness before and after treatment using ultrasound sonography in patients with parafunctional habits. Materials and Methods: From September 2019 to March 2020, a total of 27 patients who visited the Department of Oral and Maxillofacial Surgery at Ewha Womans University Seoul Hospital were collected. The thickness of both masseter muscles was measured using a tablet ultrasound scanner. Statistical analysis was performed by using the IBM SPSS version 26.0 statistical package (IBM Corp) with significance level at 0.05. Result: According to the statistical results, the thickness of the masseter muscle was thicker on the right side than on the left, with no correlation with sex or age. The severity and duration of pain did not have a significant correlation with the thickness of the masseter muscle. Botulinum A toxin injection in the masseter muscle was the most effective way to reduce pain and reduce the thickness of the masseter muscle. Splint treatment also showed some effects in reducing the thickness of the masseter muscle. Conclusion: Based on the findings, it can be claimed that ultrasonography is simple, inexpensive and easily repeatable method to get real-time diagnosis and treatment results for masseter muscles.

• 한국임상수의학회지
• /
• 제39권5호
• /
• pp.253-257
• /
• 2022

A 5-year-old castrated male Golden Retriever dog weighing 15 kg presented with evidence of intestinal intussusception. The patient had cachexia and severe dehydration before being referred to our department. Ultrasound imaging revealed a target sign indicative of intestinal intussusception. Emergency surgery was performed shortly after diagnosis. After a successful surgery, the patient was hospitalised for postoperative care. Initial treatment was aimed at the reversion of dehydration and the provision of adequate nutrition. Fluid therapy and central parenteral nutrition were administered via the peripheral and central venous catheters, respectively. Ten days postoperatively, swelling and edema were observed in the head and neck. Ultrasound and computed tomography confirmed complete blockage of the cranial vena cava due to thrombosis, which consequently obstructed both the left and right jugular veins. For treatment, dalteparin and tissue plasminogen activator were administered. However, the patient lost all of its vital function on the daybreak of postoperative day 11. Venous thrombus formation secondary to central parenteral nutrition application via the central line is a rare but possible complication. Veterinarians who are concerned about taking care of patients receiving CPN through the central line should keep the possibility of venous thrombus formation in mind.

• 한국정보처리학회:학술대회논문집
• /
• 한국정보처리학회 2010년도 추계학술발표대회
• /
• pp.672-675
• /
• 2010

초음파 영상은 다른 의료 진단 방법에 비해 상대적으로 비용이 적게 들고 데이터 획득이 용이하기 때문에 널리 이용되고 있다. 초음파 영상은 획득 방법에 따라 화질이 차이가 난다. 고식적 초음파 영상에 비해 두 배의 주파수를 사용하는 하모닉 영상은 대조도나 해상도가 향상되고, 영상 내 잡음이 감소한다. 그래서 초음파 영상을 이용한 진단 과정에서 병변의 특징을 육안으로 정확하게 관찰할 수 있고, 이를 통해서 진단 결과의 정확성이 향상된다. 본 논문에서는 초음파 영상의 획득 방법의 차이에 따른 진단 성능의 차이를 컴퓨터를 이용한 병변 분류 성능을 통해서 비교했다. 이를 위해서 초음파를 통해서 획득한 영상에서 병변의 형태 및 질감 특징을 추출하고, 이를 바탕으로 병변을 분류하는 시스템 구성하였다. 실험을 통해서 하모닉 초음파 영상을 이용한 컴퓨터 기반 분류 방법이 고식적 초음파를 이용한 방법에 비해서 6% 정확성 향상이 있는 것을 확인하였다.

• 대한정형외과학회지
• /
• 제54권5호
• /
• pp.402-410
• /
• 2019

족관절과 족부의 스포츠 손상은 임상에서 흔히 만날 수 있다. 초음파는 이러한 손상의 진단에 매우 유용한데 이는 자기공명영상 검사에 비해 가격이 저렴하고 접근성이 뛰어나며 동적인 검사가 가능하다는 것 때문이다. 본 종설에서는 족부와 족관절에서 발생할 수 있는 스포츠 손상 중 대표적인 질환의 초음파 소견에 집중하였다.

• Journal of Trauma and Injury
• /
• 제36권3호
• /
• pp.269-275
• /
• 2023

A Morel-Lavallée lesion results from a degloving injury between the muscle fascia and the subcutaneous layer. It is most commonly found in the trochanteric area but can occur at other sites. The treatment of the condition varies according to the medical circumstances, as well as the size and chronicity of the condition. A case of large (18×6 and 10×5 cm) bilateral posttraumatic Morel-Lavallée lesions with no underlying bone fracture is presented; the case occurred in a 49-year-old male patient 4 weeks posttrauma. Ultrasound scans showed bilateral large collections of anechoic fluid, which were aspirated under ultrasound guidance and further managed by compression bandages. There were no further complications. The objective of this case report is to present this unique and educational case, as well as to provide an overview of the pathophysiology, diagnosis, and management of Morel-Lavallée lesions. We conclude by discussing the importance of having a high index of suspicion to ensure early detection and prompt treatment of such lesions to avoid complications.

• The Korean Journal of Pain
• /
• 제26권3호
• /
• pp.249-254
• /
• 2013

Background: The pes anserine bursa lies beneath the pes anserine tendon, which is the insertional tendon of the sartorius, gracilis, and semitendinosus muscles on the medial side of the tibia, but it can lie in different sites in the medial knee. Accurate diagnosis of the position of the bursa is critical for diagnostic and therapeutic goals. The aim of this study was to evaluate sonoanatomic variations of the pes anserine bursa in the medial knee. Methods: One hundred seventy asymptomatic volunteers were enrolled in this study. Using ultrasound imaging (transverse approach, 7-13 MHz linear array probe) the sonoanatomic position of the pes anserine bursa and its relation to the pes anserine tendon were evaluated. Additionally, we evaluated the sonoanatomic variation of the saphenous nerve. Results: The position of the pes anserine bursa was between the medial collateral ligament and the pes anserine tendons in 21.2%/18.8% (males/females) of subjects; between the pes anserine tendons and the tibia in 67.1%/64.7% (m/f); and among the pes anserine tendons in 8.2%/12.9% (m/f). No significant differences in the position of the bursa existed between males and females. The saphenous nerve was found within the pes anserine tendons in 77.6%/74.1% (m/f) of subjects, but outside the pes anserine tendons in 18.8%/15.3% (m/f). Visibility of sonoanatomic structures was not related to either gender or BMI. Conclusions: Ultrasound provides very accurate information about variations in the pes anserine bursa and the saphenous nerve. This suggests that our proposed ultrasound method can be a reliable guide to facilitate approaches to the medial knee for diagnostic and therapeutic objectives.

• Advances in pediatric surgery
• /
• 제10권2호
• /
• pp.107-111
• /
• 2004

Recently, the incidence of perinatally detected asymptomatic adrenal gland masses has increased because of widespread use of radiological diagnostic tools. However, optimal treatment of these masses has not been determined. The aim of this study is to elucidate the treatment guideline of perinatally diagnosed adrenal gland masses. The authors retrospectively reviewed the medical records of the 11 patients with asymptomatic adrenal gland mass, detected perinatally, between 1999 and 2004. Six cases were detected by prenatal ultrasound and 5 cases were incidentally detected by postnatal ultrasound. Six patients (surgery group) underwent mass excision. The pathologic diagnoses were neuroblastoma (n=4), adrenocortical adenoma (n=1) and adrenal pseudocyst (n=1). The indications for operation were suspicion of neuroblastoma (n=5) or absence of size decrease during observation (n=1). Three of the 5 suspicious cases of neuroblastoma and one case under observation were proven to be neuroblastoma. There was no surgical complication in the urgery group. All neuroblastoma patients have been well during the follow up period ($24.4{\pm}14.4$ month) without evidence of recurrence. Five cases (observation group) were closely observed because of the benign possibility or size decrease in follow up ultrasound. During the observation period ($39{\pm}21$ week), 4 cases showed complete spontaneous resolution and 1 case showed markedly decreased size of the mass but could not be followed up completely. Surgical resection of the perinatally diagnosed asymptomatic adrenal gland mass is a safe treatment method especially in case of suspicion of neuroblastoma, but closed observation can be applied.