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Comprehensive understanding of atrial septal defects by imaging studies for successful transcatheter closure

  • Song, Jinyoung
    • Clinical and Experimental Pediatrics
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    • v.57 no.7
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    • pp.297-303
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    • 2014
  • Transcatheter closure of atrial septal defects has become a popular procedure. The availability of a preprocedural imaging study is crucial for a safe and successful closure. Both the anatomy and morphology of the defect should be precisely evaluated before the procedure. Three-dimensional (3D) echocardiography and cardiac computed tomography are helpful for understanding the morphology of a defect, which is important because different defect morphologies could variously impact the results. During the procedure, real-time 3D echocardiography can be used to guide an accurate closure. The safety and efficiency of transcatheter closures of atrial septal defects could be improved through the use of detailed imaging studies.

Accuracy of Preoperative Computed Tomography in Comparison with Histopathologic Findings in Staging of Lung Cancer (폐암의 병기결정시 임파절의 조직학적 소견과 전산화단층활영의 정확도에 관한 고찰)

  • 박기진;김대영
    • Journal of Chest Surgery
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    • v.29 no.1
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    • pp.52-58
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    • 1996
  • Sixty six patients who were operated as lung cancer during the period from Mar. 1991 to Sep. 1993 at the department of Thoracic and cardiovascular surgery, were reviewed retrospectively and the accuracy of regional lymph node in preoperative CT were compared with histopathologlc report obtained from operation. The age ranged from 30 to 72 years old (mean age : 56.5), and 51 patients were male and 15 patients were female. The author analysed the true positive, true negative, false positive and false negative and sensitivity, specificity, positive predictive index, negative predictive index and accuracy of each nodes. The result is that there were differences between seven nodal groups in specificity, sensitivity, positive predictive Index, negative predictive index and accuracy. The range of each nodal group is from 81.7 to 98.3% The nodes of the most poor accuracy are aortopulmonary area and hilar area.

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Time-Phased Implementation of a Large-Scale PACS at Samsung Medical Center

  • Ro, Duk-Woo;Choi, Hyung-Sik;Lim, Jae-Hoon;Kim, Won-Ki
    • Proceedings of the KOSOMBE Conference
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    • v.1994 no.12
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    • pp.26-27
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    • 1994
  • The first step implementation of a hospital-wide Picture Archiving Communications System (PACS) at a newly built hospital Samsung Medical Center (SMC), is described. Current clinical operation encompasses the fiber optics delivery of direct-interfaced magnetic resonance imager (LRI), X-ray computed tomography (CT). digital subtraction angiography (DSA) and computed radiography (CR) digital images via high performance file server to the departments of radiology, neurosurgery, orthopedics surgery, neurology, emergency room and the surgical intensive care unit.

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Spontaneous Disappearance of a Pericardial Cyst: Case Report and Literature Review

  • Moffa, Angelo Pio;Stoppino, Luca Pio;Loizzi, Domenico;Milillo, Paola
    • Journal of Chest Surgery
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    • v.51 no.1
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    • pp.72-75
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    • 2018
  • Pericardial cysts are rare benign anomalies generally discovered as incidental findings on radiographic images. Rarely, pericardial cysts cause symptoms and may lead to complications. A 56-year-old woman presented to the emergency department for mild chest pain. A cardiovascular and respiratory examination revealed no abnormalities, while a chest X-ray and subsequent thoracic computed tomography (CT) showed a pericardial cyst. The patient refused both percutaneous treatment and thoracic surgery. Three years later, a thoracic CT scan showed that the pericardial cyst had disappeared. Although the spontaneous resolution of these lesions is rare, this article highlights the possibility of conservative management in select cases.

Keratocystic odontogenic tumor: case report with CT and ultrasonography findings

  • Sumer, A. Pinar;Sumer, Mahmut;Celenk, Peruze;Danaci, Murat;Gunhan, Omer
    • Imaging Science in Dentistry
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    • v.42 no.1
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    • pp.61-64
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    • 2012
  • Keratocystic odontogenic tumor (KCOT) is a benign odontogenic tumor with a potentially aggressive and infiltrative behavior. KCOT is most commonly occurred in mandible and demonstrate a unilocular, round, oval, scalloped radiolucent area, while large lesions may appear multilocular. An important characteristic of KCOT is its propensity to grow in an antero-posterior direction within medullary cavity of bone causing minimal expansion. Definitive diagnosis relies on histological examination. In this report, a KCOT that had an expansion both buccal and lingual cortical bone is described including its features in computed tomography and ultrasonographic exams. The lesion was removed surgically via an intraoral approach under local anesthesia and histologically reported as a KCOT.

A Case of Pulmonary Capillary Hemangiomatosis-Like Lesion Followed for Seven Years

  • Rhee, Chin-Kook;Yim, Nam-Yeol;Shim, So-Yeon;Kim, Hui-Jung
    • Tuberculosis and Respiratory Diseases
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    • v.70 no.3
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    • pp.242-246
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    • 2011
  • Pulmonary capillary hemangiomatosis (PCH) is a rare disease of unknown etiology that is characterized by nodules composed of infiltrating capillary blood vessels. Herein, we describe a case of a PCH-like lesion that was detected by chest computed tomography. Transthoracic needle aspiration resulted in life-threatening hemorrhage. The patient was followed for seven years. He remained in good health and a follow up image showed little interval change.

Central mucoepidermoid carcinoma of the maxilla with unusual ground glass appearance and calcifications: A case report

  • Suresh, Dirasantchu;Raviraj, Jayam;Vijaykumar, Bokkasam;Suman, Sreeram Venkata;Suneel, Kumar Venkata;Amrutha, Kodadala
    • Imaging Science in Dentistry
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    • v.44 no.2
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    • pp.161-164
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    • 2014
  • Mucoepidermoid carcinomas (MECs) arising within the jaws as primary central bony lesions are termed central MECs. Central MECs are extremely rare, comprising 2-3% of all mucoepidermoid carcinomas. We herein report a rare case of central MEC of the maxilla in a 52-year-old male whose plain radiographs showed a "ground glass" pattern and computed tomographic images, a hypodense mass with numerous calcifications. To the best of our knowledge, this is the first report of central MEC showing a "ground glass" appearance.

Odontogenic myxoma: a case report with recent image modalities

  • Kim Jae-Duk;Kim Kwang-Won;Lim Sung-Hoon
    • Imaging Science in Dentistry
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    • v.34 no.4
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    • pp.199-202
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    • 2004
  • The odontogenic myxoma is an benign, slow growing neoplasm which is of ectomesenchymal origin. This neoplasm occurs almost exclusively in the jaw bones and comprises 0.2% to 17.7% of odontogenic tumors. The odontogenic myxoma may show a wide spectrum of radiographic appearances, unilocular, multilocular radiolucency and a distinct or diffuse border, making the differential diagnosis difficult. We present a case of the odontogenic myxoma in the maxilla with conventional and recent image modalities. Occlusal film revealed a medially extended multilocular lesion with intralesional fine and straight trabeculations from the scalloped margin and buccal expansion and thinning of cortical bone. Computed tomogram revealed lesion showed equivalent density to the muscles in the left maxillary sinus with partial cortical discontinuity of medial wall and the tennis-racket pattern with internal straight trabeculations. MRI revealed intermediate signal intensity on Tl weighted image and high signal intensity on T2 weighted image. In Gd enhanced MR image, the peripheral portions of the lesion were enhanced.

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Cleidocranial dysplasia: a case report

  • Han Jin-Woo
    • Imaging Science in Dentistry
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    • v.35 no.4
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    • pp.225-229
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    • 2005
  • Cleidocranial dysplasia is a rare, autosomal dominant congenital disorder. A 12-year old female visited with chief complaint of unerupted permanent teeth. Also her father showed severe class III malocclusion. The extraoral radiography and computed tomography showed delayed closure of the cranial sutures and underdevelopment of maxilla, maxillary sinuses, and frontal sinus. Both clavicles were underdeveloped and thoracic rib cage was bell­shaped. Both zygomatic process appeared as hypoplastic feature. There were many unerupted permanent and supernumerary teeth in the maxilla and mandible. We examined location and number of the unerupted teeth using 3D CT. Finally we could conclude this case was cleidocranial dysplasia based on the clinico-radiologic findings.

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Basic principles and applications of $^{18}F$-FDG-PET/CT in oral and maxillofacial imaging: A pictorial essay

  • Omami, Galal;Tamimi, Dania;Branstetter, Barton F.
    • Imaging Science in Dentistry
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    • v.44 no.4
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    • pp.325-332
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    • 2014
  • A combination of positron emission tomography (PET) with $^{18}F$-labeled fluoro-2-deoxyglucose ($^{18}F$-FDG) and computed tomography ($^{18}F$-FDG-PET/CT) has increasingly become a widely used imaging modality for the diagnosis and management of head and neck cancer. On the basis of both recent literature and our professional experience, we present a set of principles with pictorial illustrations and clinical applications of FDG-PET/CT in the evaluation and management planning of squamous cell carcinoma of the oral cavity and oropharynx. We feel that this paper will be of interest and will aid the learning of oral and maxillofacial radiology trainees and practitioners.