• Title/Summary/Keyword: Vascular ultrasound

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The Effect of Osteoblast like Cell on Low Intensity Pulsed Ultrasound Used in Current Clinical Practice (임상에서 쓰이는 저 출력 초음파(Low Intensity Pulsed Ultrasound)가 조골세포에 미치는 영향)

  • Park, Sang-Rye;Kim, Ji-Young;Choi, Byul Bo-Ra
    • Journal of dental hygiene science
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    • v.14 no.2
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    • pp.101-106
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    • 2014
  • In this study, we investigated the proliferative and adhesional effect of human osteoblast like MG-63 cell treated with low intensity pulsed ultrasound (LIPUS). We tested the effectiveness of LIPUS in human osteoblast like MG-63 cells. Cell proliferation was measured using a water soluble tetrazolium salts-1 assay. The mRNA expression of alkaline phosphate, vascular endothelial growth factor (VEGF), integrin alpha 2, colla 1A1 were performed by reverse transcription-polymerase chain reaction. LIPUS was no cytotoxicity in human osteoblast like MG-63 cells. In addition, the data show that treatment with 1 MHz and 3 MHz LIPUS on increased proliferation 7 days after. There were significant increased in mRNA expression of alkaline phosphatase, osteocalcin, VEGF, integrin alpha 2 and colla 1A1 (p<0.05). Therefore, the LIPUS significantly increased differential expression of mRNA levels in osteoblast like MG-63 cell and new possibilities in dental clinical practice.

The Effects of Blood Circulation and Skin Temperature by Ultrasound (초음파가 혈류량 및 피부온도에 미치는 영향)

  • Oh Min-Young;Jang Chel;Kim Hyun-jung
    • The Journal of Korean Physical Therapy
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    • v.16 no.4
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    • pp.179-201
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    • 2004
  • The purpose of this study was to determine the effect of application methods in ultrasound on skin temperature and muscle blood flow. Thirty healthy volunteers without known vascular problems participated and randomly divided into three groups such as continuous wave group (CWG) which received a ultrasound treatment of continuous-wave, intermittent wave group (IWG) which received a ultrasound treatment of intermittent-wave at a dosage of $1.5\;W/cm^2$ for a duration of 5 minutes, and placebo group (PG) which received a ultrasound treatment of no-wave and no-dosage ultrasound to the anterior forearm. Blood flow and skin temperature was measured using MP 150 before and after ultrasound administration. The results were as follows : 1. Administration of ultrasound in all groups had increased effect on skeletal muscle blood flow immediately after treatment and for up to 10 minutes posttreatment. 2. CWG and IWG showed increased skin temperature immediately after a ultrasound administration and maintained to 10 minutes posttreatment. PG showed increased skin temperature immediately after a ultrasound administration but returned to initial state to 10 minutes posttreatment. 3. The great change on skeletal muscle blood flow among three groups showed in CWG ($6.27{\pm}1.72$) and then displayed in PG ($5.12{\pm}1.66$) and IWG ($4.61{\pm}2.19$) in order. 4. The vast change on skin temperature among three groups showed in CWG and then IWG and PG in order.

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High Frequency Ultrasound and Its Applications to Animal and Human Imaging Focusing on Vessel and Blood (고주파 초음파의 그 응용: 혈관과 혈액을 중심으로한 동물과 인체 영상)

  • Bok, Tae-Hoon;Paeng, Dong-Guk
    • The Journal of the Acoustical Society of Korea
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    • v.29 no.2E
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    • pp.73-85
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    • 2010
  • In the diagnostic ultrasound (US) transducer technology, the high frequency US(HFUS) transducer over 20 MHz is one of the current issues to be pursued for better resolution with the expense of penetration. HFUS single element transducers and the mechanical scanning systems for imaging are reviewed, and HFUS array transducers are also briefly summarized. HFUS applications such as the human applications in ophthalmology and dermatology and small animal applications for research purposes are reviewed with vascular and blood imaging in this paper.

Clinical Usefulness of Ultrasonography in Oral and Maxillofacial Regions (구강악안면영역에서 초음파영상 진단)

  • Oh, Song Hee;Choi, Yong-Suk
    • The Journal of the Korean dental association
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    • v.57 no.11
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    • pp.690-699
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    • 2019
  • Ultrasound sonography(US) is used to evaluate various diseases of maxillofacial region including salivary glands, soft tissue and jaw lesions because of easy accessibility and no hazard of ionizing radiation. Also, US can offer dynamic study showing real-time images during diagnostic or surgical procedure. US images provide accurate information about the internal features of lesions on the jaw prior to surgical treatment. Doppler images are used to visualize the vascular distribution of the lesions and to provide additional information to enhance diagnostic value. Nevertheless, the clinical application of US imaging is limited in the dental field. This is due to the lack of knowledge about the US image and the image characteristics of the anatomical structures. It is necessary to evaluate the diagnostic value of US and evaluate its usefulness by looking at clinical cases using US images. Therefore, US imaging may be recommended as an assistant image in evaluating jaw lesions. US images provided accurate information about the internal structure of lesions on the jaw prior to surgical treatment, and diagnostic value was enhanced by visualizing the vascular distribution of the lesion using doppler imaging.

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A brief report on a technical description of ultrasound-guided lumbar sympathetic block

  • Moon, Jee Youn;Choi, Jae Kyu;Shin, Ji Yeon;Chon, Sung Won;Dev, Sushmitha
    • The Korean Journal of Pain
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    • v.30 no.1
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    • pp.66-70
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    • 2017
  • The lumbar sympathetic ganglion block (LSGB) is widely used for diagnosing and treating sympathetically maintained pain disorders. The LSGB has been conventionally carried out under fluoroscopy or computed tomography guidance. However, as ultrasound technology improved, ultrasound-guided interventions have been expanding their territory to deeper structures. Ultrasound guidance provides many benefits including protecting vascular injection, shortening procedure time in some cases, and reducing the emission of radiation. In this report, we describe a successful case of a US-guided LSGB without major complications. We expect that US-guided LSGBs can be implemented and furnished in the daily outpatient clinical setting by highly trained pain physicians.

Application and usefulness of Ultrasound sonography in dentistry (영상치의학에서 초음파영상의 진단과유용성)

  • Choi, Yong Suk;Seo, Yoo Kyung;Kang, Ju Hee;Oh, Song Hee;Kim, Gyu Tae;Hwang, Eui Hwan
    • The Journal of the Korean dental association
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    • v.55 no.11
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    • pp.778-788
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    • 2017
  • Ultrasound sonography(US) is used to evaluate various diseases of oral and maxillofacial region including salivary glands, soft tissue and jaw lesions because of easy accessibility and no hazard of ionizing radiation. Also, US can offer dynamic study showing real-time images during diagnostic or surgical procedure. US images provide accurate information about the internal features of lesions on the jaw prior to surgical treatment. Doppler images are used to visualize the vascular distribution of the lesions and to provide additional information to enhance diagnostic value. It is necessary to evaluate the diagnostic value of US and evaluate its usefulness by looking at clinical cases using US images. Therefore, US imaging may be recommended as an assistant image in evaluating jaw lesions. US images provided accurate information about the internal structure of lesions on the jaw prior to surgical treatment, and diagnostic value was enhanced by visualizing the vascular distribution of the lesion using doppler imaging. We report the protocol and suggest the effectiveness of US for various lesions and US-guided sialography.

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Comparison of Combined Therapy Using Conventional Chemoembolization and Radiofrequency Ablation Versus Conventional Chemoembolization for Ultrasound-Invisible Early-Stage Hepatocellular Carcinoma (Barcelona Clinic Liver Cancer Stage 0 or A)

  • Lee, Hyukjoon;Yoon, Chang Jin;Seong, Nak Jong;Jeong, Sook-Hyang;Kim, Jin-Wook
    • Korean Journal of Radiology
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    • v.19 no.6
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    • pp.1130-1139
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    • 2018
  • Objective: To compare the therapeutic efficacy between conventional transarterial chemoembolization (cTACE) and combined therapy using cTACE and radiofrequency ablation (RFA) in ultrasound (US)-invisible early stage hepatocellular carcinoma (HCC). Materials and Methods: From January 2008 to June 2016, 167 patients with US-invisible early stage HCCs were treated with cTACE alone (cTACE group; n = 85) or cTACE followed by immediate fluoroscopy-guided RFA targeting intratumoral iodized oil retention (combined group; n = 82). Procedure-related complications, local tumor progression (LTP), time to progression (TTP), and overall survival (OS) were compared between the two groups. Multivariate analyses were performed to identify prognostic factors. Results: There was no major complication in either group. The cTACE group showed higher 1-, 3-, and 5-year LTP rates than the combined group; i.e., 12.5%, 31.7%, and 37.0%, respectively, in the cTACE group; compared to 7.3%, 16.5%, and 16.5%, respectively, in the combined group; p = 0.013. The median TTP was 18 months in the cTACE group and 24 months in the combined group (p = 0.037). Cumulative 1-, 3-, and 5-year OS rates were 100%, 93.2%, and 87.7%, respectively, in the cTACE group and 100%, 96.6%, and 87.4%, respectively, in the combined group (p = 0.686). Tumor diameter > 20 mm and cTACE monotherapy were independent risk factors for LTP and TTP. Conclusion: Combined therapy using cTACE followed by fluoroscopy-guided RFA is a safe and effective treatment in US-invisible early stage HCCs. It provides less LTP and longer TTP than cTACE alone.

Efficacy of Thermal Therapies in Masseter Area - Thermographic Study - (악안면부에 대한 수종 온냉요법시의 체열변화에 관한 비교연구)

  • Sun-Ho Kim;Jung-Pyo Hong;Eui-Hwan Hwang
    • Journal of Oral Medicine and Pain
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    • v.20 no.2
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    • pp.307-315
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    • 1995
  • The purpose of this study was to assess the efficacy of several thermal therapies using ice pack, moist-hot pack and ultrasound, separately and concomitantly and to obtain the background information on the vascular changes after thermophysical therapies. The author had used 15 healthy subjects were examined and the subjects were divide into 5 groups : ice pack, moist-hot pack, ultrasound, ice pack and moist-hot pack, ice pack and ultrasound. Observation were made immediate before and 0,5,10,20,30,45,60,90 minutes after treatment. Thermography was performed in an Agema 870 thermovisio with 0.1$^{\circ}C$ difference of gradual temperature shift. The results were as follows : 1. Using ice pack only, the surface temperature of the masseter region was increased lapse of time, and most remarkably 90 minutes after the treatment. 2. Using moist-hot pack only, the surface temperature of the region was remarkably increased immediately after the treatment, but decreased lapse of time. 3. Using moist-hot pack with ice pack, the surface temperature of the face was remarkably increased immediately after the treatment, and decreased lapse of time, Hyperthermia was maintained for a longer time as compared with the group of moist-hot pack only. 4. Using ultrasound only, the surface temperature of the region was increased gradually, and most remarkably 30 minutes after the treatment, but decreased in the course of time. 5. Using ultrasound combined with ice pack, the surface temperature of the region was gradually decreased until 30 minutes after the treatment, and decrease to some extend at 45 minute. And then a gradual increase observed over the remaining period of the experiment. 6. Hyperthermia were maintained for a long time in the groups using ice pack combined with moist-hot pack and ultrasound as compared with the other groups. Our data suggest that ice pack can promote the efficacy of other thermal therapies.

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An Immunohistochemical Study of Effects of Therapeutic Ultrasound on the Expression of VEGF and Substance-P in Muscle Contusion Injury (근타박상시 치료용 초음파가 혈관내피성장인자와 Substance-P 발현에 미치는 효과에 대한 면역조직화학적 연구)

  • Kim Yong-Su;Oh Jae-Young;Kim Souk-Boum
    • The Journal of Korean Physical Therapy
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    • v.15 no.4
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    • pp.46-64
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    • 2003
  • Therapeutic angiogenesis is the controlled induction or stimulation of new blood vessel formation to reduce unfavourable tissue effects caused by local hypoxia and to enhance tissue repair. Therapeutic ultrasound can be considered as a physical agent to deliver therapeutic angiogenesis. The purpose of this study was to evaluate the effect of therapeutic ultrasound after muscle contusion injury by observed immunoreactivity of vascular endothelial growth factor(VEGF) that plays an important role in angiogenesis and substance-P in pain transmission. Ultrasound irradiation(1MHz, $1W/cm^2$, continuous mode, treatment time 5 min) was applied through water submersion technique to 1 limb daily by kept off 5cm from muscle belly of gastrocnemius. The result of this study were as follows. 1. In morphological observation, there were no significant changes excepts of 7 days. At 7 days, granular tissue viewed abundantly in control group. In other groups, general feature were increased interspace of muscle fiber; centronucleated muscle fiber; collapsed of muscle and nerve tissue; appeared inflammatory cell. 2. The VEGF was expressed in interspace of muscle fiber. Especially, at 7 days in experimental group, VEGF was showed in connective tissue surrounding gastrocnemius muscle. 3. The VEGF was higher expressed in experimental group at 2 and 3 days, but in control group at 7 days. These data suggest therapeutic ultrasound enhanced production of VEGF in the early day relatively, therefore stimulated angiogenesis in the skeletal muscle induced contusion injury. Also therapeutic ultrasound may stimulate pain relief by diminish of substance-P in dorsal horn of spinal cord.

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Measurement and Clinical Analysis of Carotid Intima, Media and Intima-Media Thickness

  • Kim, Wuon-Shik;Jeong, Hwan-Taek;Bae, Jang-Ho
    • International Journal of Vascular Biomedical Engineering
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    • v.3 no.1
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    • pp.6-13
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    • 2005
  • Individual clinical significance of each layer of CCA (common carotid artery) has not been well studied. We intended to measure the intima thickness (IT), media thickness (MT), and intima-media thickness (IMT) of CCA separately and tried to analyze the clinical significance. One hundred fifty one consecutive patients (mean age: $57{\pm}15$ years; 77 males, 74 females) underwent CCA scanning using high-resolution ultrasound. The images were off-line analyzed using B-mode ultrasound image processing, devised for individual measurement of IT and MT as well as IMT. The mean coefficients of variation of new method measuring IT, MT, and IMT separately were 0.16% for IMT and 0.21% for both IT and MT. The IT (p < 0.01), MT (p < 0.01) as well as IMT (p < 0.001) of patients with atherosclerotic disease were significantly thicker than that of the patients without atherosclerotic disease. Patients with hypertension showed significantly thicker IT (p < 0.01), MT (p < 0.001), and IMT (p < 0.001) than that of the patients without hypertension. However, only IT was thicker in patients with smoking (p<0.01) than that of the patients without smoking.

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