• Title/Summary/Keyword: VP16

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A Therapeutic Experience of Congenital Bilateral Neuroblastoma (선천성 양측성 신경모세포종의 치료경험 1례)

  • Seo, Yeon Kyong;Kim, Heung Sik;Kwon, Kun Young;Lee, Hee Jung;Koo, Hong Hoe
    • Clinical and Experimental Pediatrics
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    • v.46 no.12
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    • pp.1279-1282
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    • 2003
  • Neuroblastoma is the most common intraabdominal malignant tumor of childhood, with 40% arising from the adrenal gland. Bilateral adrenal involvement from synchronous development or metastatic spread of tumor is rarely seen in children with neuroblastoma. The patient was born with a spontaneous vaginal delivery. Birth weight was 3,200 g. Fetal ultrasonography showed a left adrenal cystic mass. At two weeks of age, she was admitted due to a massive abdominal distension and tachypnea. Percutaneous ultrasonography guided biopsy of the left adrenal mass was performed. The result of the biopsy was neuroblastoma. Vincristine and cyclophosphamide were administerd intravenously and 450 cGy of irradiation was added. Left adrenalectomy was accomplished and postoperative course was uneventful. The patient received cancer chemotherapy with a combination of carboplatin, ifosfamide and VP-16 and is now being followed up for three months. We have experienced a case of congenital bilateral neuroblastoma and report the case with brief review of related literatures.

EMD based Cardiac Arrhythmia Classification using Multi-class SVM (다중 클래스 SVM을 이용한 EMD 기반의 부정맥 신호 분류)

  • Lee, Geum-Boon;Cho, Beom-Joon
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.14 no.1
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    • pp.16-22
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    • 2010
  • Electrocardiogram(ECG) analysis and arrhythmia recognition are critical for diagnosis and treatment of ill patients. Cardiac arrhythmia is a condition in which heart beat may be irregular and presents a serious threat to the patient recovering from ventricular tachycardia (VT) and ventricular fibrillation (VF). Other arrhythmias like atrial premature contraction (APC), Premature ventricular contraction (PVC) and superventricular tachycardia (SVT) are important in diagnosing the heart diseases. This paper presented new method to classify various arrhythmias contrary to other techniques which are limited to only two or three arrhythmias. ECG is decomposed into Intrinsic Mode Functions (IMFs) by Empirical Mode Decomposition (EMD). Burg algorithm was performed on IMFs to obtain AR coefficients which can reduce the dimension of feature vector and utilized as Multi-class SVM inputs which is basically extended from binary SVM. We chose optimal parameters for SVM classifier, applied to arrhythmias classification and achieved the accuracies of detecting NSR, APC, PVC, SVT, VT and VP were 96.8% to 99.5%. The results showed that EMD was useful for the preprocessing and feature extraction and multi-class SVM for classification of cardiac arrhythmias, with high usefulness.

Speech Stimuli on the Diagnostic Evaluation of Speech with Cleft Lip and Palate : Clinical Use and Literature Review (구개열 환자 말 평가 시 검사어에 대한 고찰 : 임상현장의 말 평가 어음자료와 문헌적 고찰을 중심으로)

  • Choi, Seong-Hee;Choi, Jae-Nam;Nam, Do-Hyun;Choi, Hong-Shik
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.16 no.1
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    • pp.33-48
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    • 2005
  • Differential diagnosis of articulation and resonance problems in the cleft lip and palate speech is required for evaluating various factors contribute to speech problems such as VPI, dental occlusion, palatal fistulae, learning. However, validity of speech stimuli is current issue to evaluate accurately each problem in cleft speech. This study was conducted to investigate speech stimuli using in the clinical setting and review the literatures and articles published 1990 to 2005 for helping develop standardized speech samples. The results were recommendation to evaluate properly velopharyngeal function when conducting a diagnostic evaluation as follows : 1) In identification hypernasality, the speech stimuli should be included low pressure consonants to eliminate effects of nasal emission, compensatory articulation. 2) Speech stimuli should be consist of visual, front sounds to eliminate compensatory articulation and to stimulate easily. 3) Regarding early diagnosis and treatment, speech stimuli need to develop for infants and preschooler. 4) Stimulus length on nasalance scores should be at least 6 syllables. 5) In phonetic context on nasalance scores, /i/ vowel should be take into consideration excluding paragraph. 6) Connected speech stimuli should be developed for evaluating intelligibility and VP function.

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ORGAN DOSE, EFFECTIVE DOSE AND RISK ASSESSMENT FROM COMPUTED TOMOGRAPHY TO HEAD AND NECK REGION (두경부 전산화 단층촬영시의 주요 장기선량, 유효선량 및 위험도)

  • Kim Ae-Jj;Cho Bong-Hae;Nah Kyung-Soo
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.25 no.1
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    • pp.27-38
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    • 1995
  • The organ or tissue doses were determined with head and neck phantom measurement for multiple axial scans (36 slices), multiple coronal scans (13 slices), 3 types of single axial scans(orbit, maxillary sinus and mandibular canal) and single coronal scan (maxillary sinus). For each scan sequence 30 TLDs were placed in selected sites(16 internal sites and 14 external sites) in a tissue-equivalent phantom. The exposure was made at 120kVp, 500mAs with 5 mm slice width. The results were as follows : 1. In multiple axial scans, the greatest effective dose recorded was that delivered to the thyroid glands(2.77 mSv) and the least was that received by the skin(0.05 mSv). From these data, stochastic effects were 202.2x10/sup -6/ and 3.7×10/sup -6/, respectively. 2. In multiple coronal scans, the greatest effective dose recorded was that delivered to the salivary glands(0.58 mSv) and the least was that received by the skin(0.01 mSv). From these data, stochastic effects were 42.2×10/sup -6/ and 0.7×10/sup -6/, repectively. 3. Among single axial scans, the greatest effective dose recorded was that delivered to the salivary gland(0.38 mSv) in maxillary sinus scan. From this data, stochastic effect was 27.7×10/sup -6/. 4. In single coronal scan, the greatest effective dose recorded was that delivered to the salivary gland(0.01 mSv). From this data, stochastic effect was 1.0×10/sup -6/. 5. The equivalent dose measured that delivered to the lens of the eyes was 69.64 mSv in multiple axial scan, 39.32 mSv in multiple coronal scan and 36.77 mSv in single axial scan(orbit).

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The Lowest Dose for CT Attenuation Correction in PET/CT

  • Kang, Byung-Sam;Son, Jin-Hyun;Park, Hoon-Hee;Dong, Kyung-Rae
    • Korean Journal of Digital Imaging in Medicine
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    • v.13 no.3
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    • pp.111-115
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    • 2011
  • PET/CT(Positron Emission Tomography/Computed Tomography) is an examination combining morphological and functional information in one examination. The purpose of this study is to see the lowest CT dose for attenuation correction in the PET/CT maintaining good image quality when considering CT scan dose to the patients. We injected $^{18}F$-FDG and water into the cylinder shaped phantom, and obtained emission images for 3 mins and transmission images(140 kVp, 8 sec, 10~200 mA for transmission images), and reconstructed the images to PET/CT images with Iterative method. Data(Maximum, Minimum, Average, Standard Deviation) were obtained by drawing a circular ROI(Region Of Interest) on each sphere in each image set with Image J program. And then described SD according to the CT and PEC/CT images as graphes. Through the graphes, we got the relationships of mA and quality of images. SDs according to CT graph were 16.25 at 10 mA, 7.26 at 50 mA, 5.5 at 100 mA, 4.29 at 150 mA, and 3.83 at 200 mA, i.e. the higer mA, the better image quality was presented. SDs according to PET/CT graph were 1823.2 at 10 mA, 1825.1 at 50 mA, 1828.4 at 100 mA, 1813.8 at 150 mA, and 1811.3 at 200 mA. Calculated SDs at PET/CT images were maintained. This means images quality is maintained having nothing to do with mA of high and low.

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Isolation of marine birnavirus from ascidian Halocynthia roretzi, and its relation with tunic softness syndrome (멍게, Halocynthia roretzi에서 분리된 해양버나바이러스의 특성과 물렁증과의 관련성)

  • Song, Jin-Kyung;Yun, Hyun-Mi;Choi, Byeong-Dae;Oh, Myung-Joo;Jung, Sung-Ju
    • Journal of fish pathology
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    • v.22 no.3
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    • pp.229-237
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    • 2009
  • The causative agent for the tunic softness syndrome of the cultured ascidian Halocynthia roretzi from Jan 1999 to Feb 2009 was identified using virus isolation and polymerase chain reaction (PCR). The pathogenicity of the isolated virus MABV UR-1 strain was determined by experimental infection trials. The cytopathic effects was observed in CHSE-214 cell line at a level 5.1% (4/78) in normal ascidian and 1.8% in abnormal ascidian showing tunic softness syndrome signs. MABV gene was detected in 16.8% (18/107) of normal and 13.1% (5/38) of abnormal organisms by PCR. The ratio of MABV isolation and gene detection was similar level in normal and soft tunic diseased ascidian. Based on the VP2/NS junction region sequences, eight strains of virus isolated from ascidian, were included in the same genogroup with MABV which is originally isolated in wide ranges of marine fish and shellfish species. The UR-1 strain caused 60% mortality (36.5% mortality in control group) by immersion infection and 37% mortality (same mortality in control group) in injection infection indicating no significant differences in infected and control groups. These results suggest that ascidian can act as reservoir of the MABV, and this virus is not directly related with the ascidian mortality.

Assessment of radiopacity of restorative composite resins with various target distances and exposure times and a modified aluminum step wedge

  • Mir, Arash Poorsattar Bejeh;Mir, Morvarid Poorsattar Bejeh
    • Imaging Science in Dentistry
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    • v.42 no.3
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    • pp.163-167
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    • 2012
  • Purpose: ANSI/ADA has established standards for adequate radiopacity. This study was aimed to assess the changes in radiopacity of composite resins according to various tube-target distances and exposure times. Materials and Methods: Five 1-mm thick samples of Filtek P60 and Clearfil composite resins were prepared and exposed with six tube-target distance/exposure time setups (i.e., 40 cm, 0.2 seconds; 30 cm, 0.2 seconds; 30 cm, 0.16 seconds, 30 cm, 0.12 seconds; 15 cm, 0.2 seconds; 15 cm, 0.12 seconds) performing at 70 kVp and 7 mA along with a 12-step aluminum stepwedge (1 mm incremental steps) using a PSP digital sensor. Thereafter, the radiopacities measured with Digora for Windows software 2.5 were converted to absorbencies (i.e., A=-log (1-G/255)), where A is the absorbency and G is the measured gray scale). Furthermore, the linear regression model of aluminum thickness and absorbency was developed and used to convert the radiopacity of dental materials to the equivalent aluminum thickness. In addition, all calculations were compared with those obtained from a modified 3-step stepwedge (i.e., using data for the 2nd, 5th, and 8th steps). Results: The radiopacities of the composite resins differed significantly with various setups (p<0.001) and between the materials (p<0.001). The best predicted model was obtained for the 30 cm 0.2 seconds setup ($R^2$=0.999). Data from the reduced modified stepwedge was remarkable and comparable with the 12-step stepwedge. Conclusion: Within the limits of the present study, our findings support that various setups might influence the radiopacity of dental materials on digital radiographs.

Dosimetric characterization and commissioning of a superficial electronic brachytherapy device for skin cancer treatment

  • Park, Han Beom;Kim, Hyun Nam;Lee, Ju Hyuk;Lee, Ik Jae;Choi, Jinhyun;Cho, Sung Oh
    • Nuclear Engineering and Technology
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    • v.50 no.6
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    • pp.937-943
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    • 2018
  • Background: This work presents the performance of a novel electronic brachytherapy (EBT) device and radiotherapy (RT) experiments on both skin cancer cells and animals using the device. Methods and materials: The performance of the EBT device was evaluated by measuring and analyzing the dosimetric characteristics of X-rays generated from the device. The apoptosis of skin cancer cells was analyzed using B16F10 melanoma cancer cells. Animal experiments were performed using C57BL/6 mice. Results: The X-ray characteristics of the EBT device satisfied the accepted tolerance level for RT. The results of the RT experiments on the skin cancer cells show that a significant apoptosis induction occurred after irradiation with 50 kVp X-rays generated from the EBT device. Furthermore, the results of the animal RT experiments demonstrate that the superficial X-rays significantly delay the tumor growth and that the tumor growth delay induced by irradiation with low-energy X-rays was almost the same as that induced by irradiation with a high-energy electron beam. Conclusions: The developed new EBT device has almost the same therapeutic effect on the skin cancer with a conventional linear accelerator. Consequently, the EBT device can be practically used for human skin cancer treatment in the near future.

Case Report of Brain Metastsis of Primary Cardiac Chondrosarcoma without Primary Recurrence (원발성 심장 연골육종 증례보고)

  • 왕영필;연성모;조건현;곽문섭;김세화;문석환
    • Journal of Chest Surgery
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    • v.29 no.11
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    • pp.1276-1280
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    • 1996
  • Because of paucity of primary cardiac tumors, primary cardiac tumors are of much interest to the pathologist, cardiologist and cardiac surgeon. A cardiac chondrosarcoma, which very rare, is presented as follows: This 37 year-old female patient was admitted under the diagnosis of a left atrial tumor(myxoma) on July 3, 1993. Using the CPB, she underwent complete removal of tumor including the atrial septum. And final pathology report was chondrosarcoma. The adjuvant irradiation with total dose of 5040 cGy(28 fractiations for 2 months) and chemotherapy(VP-16 and ifosfamide) was completed. She had no evidence of recurrence until May 2, 1995. when she was admitted due to brain metastasis, which was detected by MRI scan with a tumor free interval for 2 years. A tumor, located around the frontoparital cortex was removed neurosurgern on Sep. 13, 1995 and the final pathology report was also a chondrosarcoma on pathologic exam. The postoperative course was uneventful.

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The Broad-beam CT Image Reconstruction from Simulator Images (모의치료(Simulation) 영상을 이용한 Broad-beam CT 영상 구현)

  • Yi, Byong-Yong
    • Radiation Oncology Journal
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    • v.16 no.1
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    • pp.81-86
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    • 1998
  • Purpose : To generate the axial, coronal and sagittal images from conventional simulation images, as a preliminary study of broad-beam simulator CT. Methods and Materials : Volumetric filtered back-projection was performed using 90 sheets of films from conventional simulator for every $4^{\circ}$ gantry angle. Two mAs exposure condition for 120kvp beam qualify at SFD 140cm was given to each film. Outside the silhouette portion was removed and scatter component was deconvolved before back-projection. Results : The axial, the sagittal and the coronal images with same spatial resolutions over all direction could be obtained. But image quality was very poor. Conclusion : CT images could be obtained using broad-beam. Scatter deconvolution technique was effective for this reconstruction. The fact that same spatial resolutions over all direction tells us the possibility of application of this technique to DRR or Simulator-CT. But the quality of image should be improved for clinical application practically.

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