• Childhood Kidney Diseases
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• v.13 no.1
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• pp.21-25
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• 2009

Last year, an epidemic of infantile urinary stone disease developed in China. Investigation revealed that melamine-tainted diary product caused urinary stone in these infants. Young infants were susceptible to the melamine toxicity and dehydration or other stone-prone factors aggravated the toxicity. Melamine-related urinary stones were small, multiple, and mainly composed of uric acid, thus conservative treatment of hydration and urine alkalinization worked well in majority of the patients.

• The Korean Journal of Food And Nutrition
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• v.7 no.4
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• pp.307-317
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• 1994

The study analyzes relationship between Increasing tendency of urinary stone patients and changes of food intake through statistical data during recent 10 years(1982∼1991) in Korea. In four university hospitals, the number of urinary stone patients increased 2.5 times during the period. Study statistics showed sex ratio of male and female patient as 2.1 : 1.The types of the urinary stone of each patient were broad and mostly Ca and others(85.8%), and Ca oxalate stones were 65.2%. The incidence of patients with hypercalciuria and hyperuricosuria was observed in the Ca stone patients than in normal person. The same period showed increase of total monthly household expenditure as 3.2 times, food as 2.5 times and medical expenses as 2.4 times : The food expenditure decreased relatively In the expenditure composition. Daily hood consumption (g/person) increased as 3 times in meat, 4 times in milk, 2.4 times in seaweeds. Daily total Ca nutrition consumption was undulant and became 1.1 times during the same period. Daily food supply (g/person) was increased 1.9 times in meat, 1.4 times in spinach. However, anchovy, laver, brown seaweed, herring and makerel showed undulant tendency. Relationship (correlation coefficient) between the increase of urinary stone patients and of food intake were studied as follows. In the case of food intake, the relative index was 0.923 in seaweeds, 0.865 in meat and 0.대27 In milk And In food supply, the relative index was 0.855 in purine group which constitute meat, anchovy, herring and makerel. The relative index of Ca components which constitute anchovy, laver, brown seaweed and shrimp was 0.270. In the case of nutrition intake, the relative index was medium in protein(r: 0.443) and In animal protein (r: 0.488) but was negative in Ca(r: -0.028).

• Journal of radiological science and technology
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• v.24 no.1
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• pp.11-15
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• 2001

Symptoms of caliceal diverticular stones are commonly associated with pain, recurrent urinary tract infection and hematuria. The aim of this study is to select the proper patient for the application of more successful extracorporeal shock wave lithotripsy(ESWL) as a treatment of caliceal diverticular stone. 16 patients with caliceal diverticular stones were treated with ESWL, and all patients had single caliceal diverticulum. The diagnosis of caliceal diverticulum with stones was made by intraveneous pyelography to all patients. On these intravenous pyelogram, we also classified diverticular type, whether the diverticular neck is connected with urinary tract patently, diverticular site and stone number and size. All patients were followed after ESWL by plain film of the kidneys, ureters and bladder and interviewed. Of all patients 44% was shown stone-free completely, also 83% was rendered symptom-free. All patients whose diverticular neck connected with urinary tract patently on the intraveneous pyelogram became stone- free. Of solitary stone 60% and multiple stones(more than 2) 17% became stone free. All patients rendered stone-free became symptom-free, and of patients with residual stones 44% became symptom-free. The patients with infection before ESWL 75% had residual stones, of these patients 33% had slightly flank pain, and 25% of patients with stones recurred become stone-free. We propose that more successful ESWL for patients with caliceal diverticular stones select satisfactory patients including that the diverticular neck is connected with urinary tract patently, solitary stone and no infection simultaneously.

• Journal of the Korean Society of Radiology
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• v.17 no.6
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• pp.835-841
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• 2023

The aim of this study is to evaluate the diagnostic ability of dual-energy computed tomography (DECT) for Composition determination of urinary stones in phantom model. Seventeen cases with urinary stones who underwent DECT were enrolled in the study. The composition of the urinary stones was extracted from the seventeen patients were analyzed with DECT in phantom model with fresh pork. The volume scan method using Dual-energy software was used and the scanned image sets were assessed. All 17 urinary stones of the phantom model were analyzed according to the stone composition using DE stone Analysis were divided into uric acid stones (n=6, 35.29%) and non-uric acid stones (n=11, 64.71%). These urinary stones were pathologically confirmed. The mean attenuation values of uric acid stones at 135 kV, 100 kV and 80 kV was 348.87 ± 166.37 HU, 345.33 ± 151.18 HU and 337.94 ± 172.77 HU, respectively. The mean attenuation values of non-uric acid stones at 135 kV, 100 kV and 80 kV was 551.93 ± 297.09 HU, 747.04 ± 351.31 HU and 958.19 ± 424.72 HU, respectively. At 80 kV, uric acid stones and non-uric acid stones showed significant difference in the attenuation values(P<0.05). The attenuation values of DECT could differentiate the compositions of urinary stones between uric acid and non-uric acid stones at 80 kV in phantom model.

• The Korean Journal of Food And Nutrition
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• v.10 no.1
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• pp.44-52
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• 1997

Nephrolithiasis is the most common disorder of the urinary tract in hospitalized patients, more frequently increased in 30~50 years of age, more common in males than in females, prior right stone to left side, and than upper ureteral stone is found in cultural country, while lower ureteral stone is increased in uncultural country. Stone components are classified as calcium oxalate, calcium phosphate, magnesium ammonium phosphate, uric acid, cystine, and their mixed stone, respectively. According to the pathophysiology of urinary stones, supersaturation/crystalization of inorganic salt concentration in urine, organic matrix, inhibitor deficiency, and epitaxy theory could be based on the stone formation. Not only hypercalciuria, hyperparathyroidism, hyperoxaluria, hyperuricosuria, and cystinuria, but also renal tubular acidosis, hypervitaminosis D, and peptic ulcer, are significantly associated with nephrolithiasis. In this study upper ureteral stone component were analyzed with chemical analysis, infrared spectrum, and image analyzer from K43 patient wit erosive gastritis. As the results, mixed stone of calcium oxalate dihydrate and calcium phosphate apatite was identified, the values of clinical test in blood and urine maintained normal revels. The relapsing urinary stone from K43 have no correlation between factors for stone formation reported early, also have no evidence for risk from erosive gastritis.

• Journal of the Korean Society of Radiology
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• v.17 no.7
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• pp.1049-1055
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• 2023

The purpose of this study was to investigate the association of twinkling artifacts according to the types of urinary stones in color Doppler ultrasound. For two types of urinary stones with different colors, the degree of occurrence of color Doppler twinkling artifact in water tank was analyzed, and the surface condition and composition of the stones were analyzed. The composition of Calcium and phosphorus were the most frequent components in white and brown stones excluding carbon and oxygen. Twinkling artifacts of color Doppler appear stronger in brown stone. The higher the phosphorus content of the stones, the shorter the twinkling artifact appears, so it is possible to predict the main composition of stones.

• Childhood Kidney Diseases
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• v.1 no.1
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• pp.60-66
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• 1997

Even though the urinary stones are rare in children, careful observation and monitoring are necessary because the incidence has been increasing. This study is aimed to document the characteristics of urinary stones in children including the symptoms, diagnosis, with or without urinary tract infection, other urinary tract anomaly and treatment. 45 patients under the age of 15 years with urinary stones hospitalized during Jan. 1986 to Jun. 1996 at Severance Hospital were reviewed retrospectively. Patients' mean age was 6.5 years and sex ratio (male : female) was 5.4:1. The most common symptom was gross hematuria. Stones accompanied with urinary tract infection was 46.7%, and stones associated with urinary tract anomaly was 35.6%. Extracorporeal shock wave lithotripsy, percutaneous nephrolithotorny, hydration and diuretics were the treatment modality used. Urinary stone were found to be a significant cause of urinary tract obstruction in children, requiring prompt diagnosis and treatment. Although KUB, IVP, and ultrasonography were commonly used to make the diagnosis, many cases were detected only by ultrasonographic study.

• Proceedings of the Korea Information Processing Society Conference
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• 2021.05a
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• pp.454-456
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• 2021

본 논문은 웹의 발달로 인하여 의료 서비스들이 기존의 Client-Server 방식의 제품에서 Web 방식의 제품으로 변경되고 있는 현대 흐름에서 인공지능 어플리케이션 또한 Web 으로 서비스 하기 위한 방법과 구현된 요로결석 AI 어플리케이션에 대해 기술한다. 이를 구현하기 위해 Python 기반의 Flask 라는 마이크로 웹 프레임워크를 사용하여 DICOM 핸들링, Pre-Processing, Mask 를 생성하고 Predict 결과를 Model Serving 을 통하여 Urinary Stone Segmentation Model 이 서비스되는 인공지능 웹 어플리케이션 동작 방식과 수행 결과를 보인다.

• Childhood Kidney Diseases
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• v.21 no.1
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• pp.31-34
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• 2017

Tumor lysis syndrome is a serious complication of malignancy, resulting from the massive and rapid release of cellular components into the blood. Generally, it occurs after initiation of chemotherapy. The onset of spontaneous tumor lysis syndrome (STLS) before anti-cancer treatment is rare and occurs mostly in Burkitt lymphoma and non-Hodgkin's lymphoma. There are only a few case reports in children. Here, we report a case of STLS secondary to T-cell acute lymphoblastic leukemia (ALL), which presented with urinary stone and subsequent acute kidney injury with severe hyperuricemia. Occult malignancy should be considered in case of unexplained acute kidney injury with extreme hyperuricemia.

• Journal of Veterinary Clinics
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• v.20 no.4
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• pp.501-503
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• 2003

Urolithiasis (UL) is a common disease of canine. Analysis of urinary stone is an essential step in the examination and initial treatment of the patient with UL. The dead maned wolf (Chrysocyon brachyurus), male, was introduced to the Veterinary Teaching Hospital, Chungbuk National University. The maned wolf was imported from USA to Cheong-ju zoo. Postmortem sign of maned wolf was hemorrhage of bladder with a many stones. No bacteria was shown with bacterial culture of urine. But in feces, Clostridium perfringens were overgrown. Bladder stone from maned wolf was composed of calcium oxalate. Calcium oxalate was formed with excess calcium from diet mainly meat base.