• Title/Summary/Keyword: Ultrasound examination

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A Study on the Incidence of Thyroid Cancer in Gender Ultrasound (초음파검사에서 성별에 따른 갑상샘 암의 빈도에 관한 연구)

  • Kwak, Eun-Suk;Lim, Cheong-Hwan;Yang, Oh-Nam
    • Journal of radiological science and technology
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    • v.38 no.2
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    • pp.145-153
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    • 2015
  • Thyroid nodules are an endocrine disease often found in clinical practice, and patients with thyroid nodules found by chance have rapidly increased alongside development of thyroid ultrasound techniques for health examination purposes. This study analyzes the subjects' general characteristics, thyroid ultrasounds, and fine needle aspiration cytology in order to find out the relationship between male and female thyroid nodules and thyroid cancer frequency. An ultrasound examination of the thyroid was performed for 32,973 individuals who visited the K Hospital of Health Examination. Subjects have no history of thyroid disease and are 20 years old or over. Data of general characteristics, diabetes) was collected by a written survey completed by the subject, and the ultrasound of the thyroid(thyroid nodules existence, size, number) and FNAC was used to find out the malignancy rate. Frequency of patients with thyroid nodule was 4,611(26.1%) in men and 5,341(34.9%) in women between 32,973 individuals. Women's prevalence rate is significantly higher than men, and the prevalence rate significantly increased with age in men and women(p < 0.05). The prevalence of multiple nodules was significantly higher in women(43.5%) than in men(35.6%), and significantly increased with age in men and women(p < 0.05). The fine needle aspiration cytology was performed in 692(men 342, women 350) subjects who showed signs of malignancy through ultrasound. Prevalence of malignancy of the nodules was higher in men(33.3%) than in women(29.4%) although it is not statistically significant. It is known that thyroid nodule prevalence in women is much higher than in men. But this study shows the men's prevalence rate was not too low compared with women, and the men showed a rather higher malignancy rate in nodules than women. It is considered that the role of thyroid ultrasound is both important in men and women.

Classification Algorithm for Liver Lesions of Ultrasound Images using Ensemble Deep Learning (앙상블 딥러닝을 이용한 초음파 영상의 간병변증 분류 알고리즘)

  • Cho, Young-Bok
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.20 no.4
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    • pp.101-106
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    • 2020
  • In the current medical field, ultrasound diagnosis can be said to be the same as a stethoscope in the past. However, due to the nature of ultrasound, it has the disadvantage that the prediction of results is uncertain depending on the skill level of the examiner. Therefore, this paper aims to improve the accuracy of liver lesion detection during ultrasound examination based on deep learning technology to solve this problem. In the proposed paper, we compared the accuracy of lesion classification using a CNN model and an ensemble model. As a result of the experiment, it was confirmed that the classification accuracy in the CNN model averaged 82.33% and the ensemble model averaged 89.9%, about 7% higher. Also, it was confirmed that the ensemble model was 0.97 in the average ROC curve, which is about 0.4 higher than the CNN model.

The Effect of Therapeutic Ultrasound and Static Stretching of the Hamstring Muscle on Flexibility and Static Balance Ability (초음파 치료와 정적 스트레칭이 뒤넙다리근의 유연성과 정적균형에 미치는 영향)

  • Cho, Seung-bong;Park, Mi-young;Won, Ji-sun;Kim, Ye-lin;Hong, Joon-taek;Kim, Seong-ho
    • Journal of Korean Physical Therapy Science
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    • v.26 no.1
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    • pp.45-53
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    • 2019
  • Background: The purpose of present study was to examine the effect of ultrasound therapy and static stretching on hamstring length and balance. Design: Randomized Controlled Trial. Methods: A total of 30 adults in S college, Seongnam city, Gyeonggi-do, between the ages of 20-30 were randomly assigned to two groups. Group 1 (n=15) had ultrasound therapy, called US group. Group 2 (n=15) had static stretching, called SS group. Measurements were taken prior to starting the program and after completing the experiment using Finger to floor test and Active knee extension test to get the results of hamstring flexibility and the ability of static balance. Paired t-test was used to compare each group pre-test values to post-test values and to compare US post-test values to SS post-test values on PASW 18.0. Results: 1) Both hamstring SS group and US group had significant increase (p<.05) in Finger to floor test and Active knee extension test. 2) Dominant leg standing had significant change (p<.05) only in US group. 3) There was no significant difference between US group and SS group. Conclusion: Results showed that US group and SS group had an effect on changes in hamstring length (p<.05). However, they did not show a significant increase in static balance. Further effective studies on hamstring SS group and US group were needed based on this examination.

A Case of Myasthenia Gravis Combined with Mediastinal Leiomyosarcoma and Stevens-Johnson Syndrome (종격 평활근육종 및 Stevens-Johnson증후군과 동반된 중증 근무력증 1예)

  • Lee, Dong-Kuck;Kweon, Young-Mi
    • Annals of Clinical Neurophysiology
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    • v.6 no.1
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    • pp.43-47
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    • 2004
  • We report a case of 36-year-old woman with myasthenia gravis (MG) combined with mediastinal leiomyosarcoma (LMS) and Stevens-Johnson syndrome (SJS). She was admitted to ICU with the symptoms of acute onset headache, diplopia, ptosis, dysphagia, general weakness, and respiratory difficulty for several days. Physical examination revealed tachypnea, decreased breath sounds and dullness to percussion in right lower chest. Neurologic examination showed ptosis, diplopia, decreased gag reflexes, and generalized proximal weakness. Laboratory studies revealed increased serum acetylcholine receptor antibodies and positive Tensilon test. Chest CT showed a huge mass in the right middle mediastium but no evidence of thymic enlargement. Mediastinal LMS was diagnosed by ultrasound-guided needle biopsy. The myasthenic symptoms were fluctuated in spite og intravenous immunoglobulin, plasmapheresis, and corticosteroid. During therapy, SJS developed. She died 4 months after the onset of the myasthenic symptoms despite the chemotherapy for LMS.

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GUI Environmental Controller Design with USB IF (USB IF를 이용한 GUI환경의 제어기 개발)

  • Sun-Hag Hong
    • Journal of the Korea Computer Industry Society
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    • v.4 no.4
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    • pp.449-454
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    • 2003
  • In this paper, GU environmental controller is implemented with USB(Universal serial bus) IF(interface). Especially, the performance examination of ultrasound diagnostic device which connects external USB port with front panel is automatically inspected by VC++ examination program. The test program minimizes the operation of inspector with making the examined result audible or visible, and maximizes the productivity of custom device. The GUI environmental controller controls a standard keyboard, a track ball with dedicated buttons to emulate a standard two-button mouse, switches, rotary encoders, an analog potentiometer group, two alpha-numeric displays. and a touch screen; all of which generate events for the host.

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Bloody nipple discharge in an infant

  • Seo, Ji-Yeon;Kim, Sang-Jeong;Lee, Soon-Joo;Song, Eun-Song;Woo, Young-Jong;Choi, Young-Youn
    • Clinical and Experimental Pediatrics
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    • v.53 no.10
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    • pp.917-920
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    • 2010
  • Although milky nipple discharge appears frequently in infants, bloody nipple discharge is a very rare finding. We experienced a 4-month-old, breast-fed infant who showed bilateral bloody nipple discharge with no signs of infection, engorgement, or hypertrophy. The infant's hormonal examination and coagulation tests were normal, and an ultrasound examination revealed mammary duct ectasia. The symptoms resolved spontaneously within 6 weeks without any specific treatment, except that we advised the mother to refrain from taking herbal medicine. Since no such case has been previously reported in Korea, we present this case with a brief review of the literature.

The Study on the Appropriate Workforce Estimation of Clinical Technologists for Job Creation in the Field of Ultrasonic Inspection

  • Bae, Hyung-Joon;Kim, Dae-Sik;Lee, Og kyoung;Kim, Chul-Seung;Choi, Sun Young;An, Young-Hoi;Kim, Eun-Young;Kang, Kun-Woo;Jang, Jin-Yong
    • Biomedical Science Letters
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    • v.25 no.4
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    • pp.381-389
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    • 2019
  • The physiological function test is the only patient contact area in the field of clinical laboratory. We need to recruit and encourage the experts due to requiring the expertise and long time for examination. However, there is currently no rule for estimating optimal workforce in the field of physiological function tests. The purpose of this study is to establish the basis of the studies for mid- to long-long term job creation in the field of ultrasound by evaluating the number of appropriate tests and appropriate workforce. We calculated the quantitative and qualitative workload for the number of appropriate tests and appropriate workforce using online questionnaire. All statistical analyses were performed using SPSS version 18.0 (SPSS Inc., Chicago, IL, USA). A total of 216 respondents were 48 (22.2%) male and 168 (77.8%) female. A total of 157 laboratories were 62 (39.5%) for echocardiography, 91 (58.0%) for the transcranial Doppler (TCD) and 4 (5.7%) for the carotid ultrasound. The mean number of appropriate tests was 10 ± 2 in the echocardiography, 9 ± 2 in TCD and 11 ± 2 in the carotid ultrasound. In addition, the number of laboratories required to recruit employees for appropriate workforce was 19 in echocardiography, 18 in TCD, and 0 in carotid ultrasound. The number of hospital required to recruit workforce were 7 primary hospitals, 22 secondary hospitals, 7 third hospitals. This study can be used as an important data as the first study at present time when the data on the workforce status and work environment of the ultrasonic laboratories is insufficient. Based on the quantitative and qualitative workloads, the number of appropriate tests and appropriate workforce can support mid- to long-long term job creation in the field of ultrasound.

Analysis of Liver Elasticity according to Ultrasound Findings (초음파 소견에 따른 간 탄성도 분석)

  • Chun, Hye-Ri;Jang, Hyon-Chol;Cho, Pyong-Kon
    • Journal of the Korean Society of Radiology
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    • v.15 no.6
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    • pp.883-889
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    • 2021
  • This study was conducted on 101 patients who visited hospital for abdominal ultrasonography from May 2020 to December 2020. The purpose of this study was to find out the elasticity according to the ultrasound images (echo pattern, splenomegaly, hepatitis) during the ultrasound examination using the shear wave elastography. The shear wave elastography value of the normal group of the echo pattern was 5.75±1.58 kPa, and the group with the abnormal echo pattern was 8.84±4.94 kPa, and the shear wave elastography value of the abnormal group was high (p<0.05). In normal spleen size, hepatic elasticity value was 6.33±2.54 kPa, and hepatic elasticity value of splenomegaly was 13.73±5.48 kPa. In the case of splenomegaly, the liver elasticity value was high, and there was a statistically significant difference (p<0.05). As the spleen size increased, the liver elasticity value increased by 1.485 times, and as hepatitis progressed, the liver elasticity value increased by 1.573 times (p<0.05). As a result of analysis of concordance between ultrasound imaging findings and shear wave elastography, the Kappa value was found to be as high as 0.922 (p<0.05), which showed high concordance between the two test methods. Additional comparisons of liver elasticity values in shearwave elastography tests along with liver ultrasound findings are thought to be of great help in diagnosing liver fibrosis.

Study of Spectral Doppler Waveform Interpretation and Nomenclature in Peripheral Artery (말초 동맥 분광 도플러 파형 해석 및 명명법에 대한 고찰)

  • Ji, Myeong-Hoon;Seoung, Youl-Hun
    • Journal of the Korean Society of Radiology
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    • v.16 no.5
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    • pp.649-660
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    • 2022
  • In 1959, Satomura used spectral Doppler ultrasound to express the velocity of red blood cells according to time change, and Kato defined a zero-base line that could tell the direction of blood flow, making it possible to know the direction of blood flow. This became the basis for the widely used classifications of Triphasic, Biphasic, and Monophasic. However, the above classification has limitations that confuse users with the meaning and timing of use in a clinical environment. As a result, the American Society for Vascular Medicine (SVM) and the Society for Vascular Ultrasound (SVU) A consensus document on Doppler waveform analysis was declared by the joint committee. This study tried to review this consensus and to suggest nomenclature and modifiers that can be used in the domestic vascular ultrasound clinical field. The joint committee formed by SVM and SVU recommended that the use of the triphasic waveform and the biphasic waveform be used as a multiphasic waveform rather than being used due to the ambiguity of interpretation. In addition, it was agreed to name the hybrid-type waveform, which is a monophasic and high-resistance waveform, which has always been a problem of interpretation in a clinical environment, as an intermediate resistive waveform. In addition, in order to increase the communication efficiency between the interpreter and the sonographer, waveform analysis was classified into a main descriptor and a modifier, and it was recommended to use a single nomenclature by unifying various synonyms. It is expected that this literature review will provide accurate arterial spectral Doppler waveform interpretation and an agreed-upon nomenclature to radiologists performing vascular ultrasound examination in clinical practice, and will be utilized as basic data that can contribute to the improvement of public health.

Ultrasonographic Examination of Compression Neuropathy in the Upper Extremity (상지의 압박성 신경병증의 초음파 검사)

  • Chung, Yang-Guk;Kim, Bae-Gyun
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.1 no.1
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    • pp.64-72
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    • 2008
  • Compression neuropathy around elbow and wrist are one of the common disturbing problems in the upper extremity. The understanding of normal nerve architectures and pathophysiologic changes in compression neuropathy is important to interpret the ultrasonographic images correctly. Compression neuropathies have characteristic ultrasonographic imaging features of flattened nerve at compression and hypoechoic swollen nerve with loss of fascicular patterns at proximal segments. Dynamic ultrasonographic imagings on motion can show dymanic subluxation of ulnar nerve and medial head of triceps muscle over the medial epicondyle in snapping triceps syndrome. Dynamic compression of median nerve also can be visualized in pronator teres syndrome by dynamic imaging studies. A quantitative measures of cross sectional area or compression ratio can be helpful to diagnose compression neuropathies, such as carpal tunnel syndrome or cubital tunnel syndrome. With the clinical features and electeophysiologic studies, the untrasonographic imagings are useful tool for evaluation of the compression neuropathies in the upper extremities.

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