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Clinical Characteristics of Pulmonary Aspergillosis (폐 국균증의 임상적 특성)

  • Park, Ik-Soo;Yoon, Ho-Joo;Shin, Dong-Ho;Park, Sung-Soo;Lee, Jung-Hee
    • Tuberculosis and Respiratory Diseases
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    • v.41 no.6
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    • pp.624-631
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    • 1994
  • Background: Genus of Aspergilli are ubiquitous saprophytic molds in nature, but its change from a saprophytic fungus to a pathogenic organism has occurred since the use of various antibiotics. The fungus affects the chronically ill and debilitated population. Recently frequency of the fungal infection is increasing in Korea with abuse of antibiotics and glucocorticoids. Method: We analyzed medical records of 52 patients with pulmonary aspergillosis seen at Hanyang University Hospital from 1980 to 1994. The results were as follows; Results: 1) Ages ranged between second to eighth decades with majority(50%) in the fourth to fifth decades. The male to female ratio was 1.1:1. 2) Hemoptysis and productive cough, the leading symptoms, occurred in 42.3% and 25% respectively. 3) On chest X-ray fingings, the characteristic "fungus ball" pattern were observed in 53.8% of the 52cases. 4) Sputum culture for aspergilli were positive in 21.6% of the cases. We performed fine needle aspiration in 22 patients and the diagnostic yield was 100%. 5) Thirty-six patients had history of treatment with antituberculous drugs under diagnosis of pulmonary tuberculosis for an average of 27.3 months. But sputum analysis for acid-fast bacilli were positive in 5.6%(2cases of 36cases), and postoperative pathologic findings showed that 38.9%(12 cases of 28cases) were combined with tuberculosis. 6) Right upper and left upper lobes were predominantly involved(34.6% and 19.2% respectively) and lobectomies were performed in 21 cases. 7) Underlying diseases were present in 47 cases and 48.9% of them were pulmonary tuberculosis. Conclusion: These results showed that pulmonary aspergillosis usually develops in patients with open cavitary pulmonary tuberculosis. And we must consider the possibility of pulmonary aspergillosis in a patient with hemoptysis and cavitary lung lesion.

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The effect of 8 French catheter and chest tube on the treatment of spontaneous pneumothorax (자연기흉에 있어서 8 French 도관과 흉관의 삽입 치료 효과)

  • Kang, Yoon-Jeong;Koh, Hyoung-Gee;Shin, Jong-Wook;Lim, Seong-Yong;Choi, Jae-Sun;Yu, Ji-Hoon;Park, In-Won;Choi, Byoung-Whui;Hue, Sung-Ho;Seo, Seung-Cheon
    • Tuberculosis and Respiratory Diseases
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    • v.43 no.3
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    • pp.410-419
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    • 1996
  • Background : Spontaneous pneumothorax have been managed with a variety of methods. The technique most frequently used is chest tube drainage. Small caliber catheters were first used in the management of pneumothorax complicating the percutaneous needle aspiration lung biopsy, and the try to treat spontaneous pneumothorax also has been reported. However, the value of small caliber catheters in spontaneous pneumothorax has not been fully evaluated. So, we tried to elucidate the efficacy of 8 French catheter in the management of spontaneous pneumothorax. Method : From January, 1990, to April, 1994, 44 patients with spontaneous pneumothorax treated at Chung-Ang university hospital were reviewed. The patients were sub-divide into 8 French catheter insertion group (n=21) and chest tube insertion group (n=23). We compared the presence of underlying lung disease, the extent of the collapse, the duration of indwelling catheter and complication between two groups. Results : 1) The duration of indwelling showed no significant difference between 8 French catheter group and chest tube. But, complication after insertion as subcutaneous emphysema was developed in only chest tube group. (p<0.05) 2) In the primary spontaneous pneumothorax, all case of the pneumothorax of which size was less than 50% showed complete healing with 8 French catheter insertion. Whereas the success rate in patients with large pneumothorax (more than 50%) was tended to be dependent on the age. 3) In the patients with secondary spontaneous pneumothorax who were managed with 8 French catheter, the success rate was trended to be high if the underlying disease of pneumothorax was not COPD and if the patient was young. Conclusion : These results show that 8 French catheter insertion probably was effective in the pneumothorax less than 50%, the primary spontaneous pneumothorax, young age or secondary pneumothorax not associated with COPD.

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Density Effects on the Size of 2-1 Korean Pine and 1-1 Jack Pine Nursery Stock (잣나무 2-1 묘(苗)와 방크스소나무 1-1 묘(苗)의 생장(生長)에 미치는 밀도효과(密度効果))

  • Ma, Sang Kyu
    • Journal of Korean Society of Forest Science
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    • v.32 no.1
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    • pp.1-8
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    • 1976
  • One of the most common needle leaf species used in planting in Korea is korean pine (Pinus koraiensis S. et Z.), and jack pine (Pinus banksiana Lamb.) is one of the test species for suitability. The relation of nursery bed density of 2-1 korean pine and 1-1 jack pine was studied at the Kwang Nung Nursery, Central Branch Station of Forest Research Institute, and about 40km north of Seoul. Nursery bed density of 2-1 korean pine, which ranged from 36 to 324 trees per square meters and of 1-1 jack pine, which ranged from 25 to 169 trees per square meters, had a marked effect on caliper, height, dry weight and percent and amount of plantable stock. The soil physical and chemical properties is silt plus clay, 50.55 percent; organic matter, 2.09 percent; total nitrogen, 0.13 percent; available phosphorus, 253.25 ppm; exchangeable potash, 0.46 m.e/100g; and pH, 5.58. As the density of the nursery seedling stand of 2-1 korean pine increases, the average tree height increases (Fig. 1A), but in 1-1 jack pine density do not affect to increase or decrease the average tree height. As the density of nursery bed increases, the average stem caliper (at 2cm above ground line) and dry weight decrease (Fig. 1B), but the decreasing rate is more seriously in 1-1 jack pine than 2-1 korean pine (Fig.5). As increasing the density of nursery bed, the T/R ratio of trees of the test species increase. Also the dry weight of leaf, stem and root parts are decreasing in proportion to the increase of stand density, but the drop rate of jack pine is more rapid than korean pine (table. 1) The patent facts of difference of growth characteristics between 2-1 korean pine and 1-1 jack pine were studied. These facts should be used to select the scale of stand density at the nursery bed or the plantable site. Korean pine is demanded high density, on the other hand in jack pine low density are more suitable to manage the stand density. Stands of comparatively low density had the greatest percentage of high-quality stock, and the stands of high density had less than the high quality trees of low density. An important criterion of the best density is percent and number of high-quality trees produced per square meter of bed area. Stem caliper and stem height of seedling is used in most public nurseries to sort seedling into plantable grades. The stock grade standard has set at 4.5mm caliper and 16cm height of 2-1 korean pine as the minimum desired stem caliper and height. By the result studies, the plantable stock grade standards of 2-1 korean pine used at stem height 16cm and stem caliper 4.5mm from public nurseries should be reformed to stem height 18cm and stem caliper 4.0mm by the growth characteristics and the tree distribution of stem height and caliper of relation to density. For the 2-1 korean pine, best density should be about 160 to 200 trees per square meter according to soil fertility. For the 1-1 jack pine, the suitable standard of plantable stock should be at stem height 25cm and caliper 6mm (at 2cm above ground line) and best density was about 100 to 120 trees.

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Teachers' Recognition on the Optimization of the Educational Contents of Clothing and Textiles in Practical Arts or Technology.Home Economics (실과 및 기술.가정 교과에서 의생활 교육내용의 적정성에 대한 교사의 인식)

  • Baek Seung-Hee;Han Young-Sook;Lee Hye-Ja
    • Journal of Korean Home Economics Education Association
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    • v.18 no.3 s.41
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    • pp.97-117
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    • 2006
  • The purpose of this study was to investigate the teachers' recognition on the optimization of the educational contents of Clothing & Textiles in subjects of :he Practical Arts or the Technology & Home Economics in the course of elementary, middle and high schools. The statistical data for this research were collected from 203 questionnaires of teachers who work on elementary, middle and high schools. Mean. standard deviation, percentage were calculated using SPSS/WIN 12.0 program. Also. these materials were verified by t-test, One-way ANOVA and post verification Duncan. The results were as follows; First, The equipment ratio of practice laboratory were about 24% and very poor in elementary schools but those of middle and high school were 97% and 78% each and higher than elementary schools. Second, More than 50% of teachers recognized the amount of learning 'proper'. The elementary school teachers recognized the mount of learning in 'operating sewing machines' too heavy especially, the same as middle school teachers in 'making shorts': the same as high school teachers in 'making tablecloth and curtain' and 'making pillow cover or bag'. Third, All of the elementary, middle and high school teachers recognized the levels of total contents of clothing and textiles 'common'. The 80% of elementary school teachers recognized 'operating sewing machines' and 'making cushions' difficult especially. The same as middle school teachers in 'hand knitting handbag by crochet hoop needle', 'the various kinds of cloth' and 'making short pants'. The same as high school teachers in 'making tablecloth or curtain'. Fourth, Elementary school teachers recognized 'practicing basic hand needlework' and 'making pouch using hand needlework' important in the degree of educational contents importance. Middle school teachers recognized 'making short pants unimportant. High school teachers considered the contents focusing on practice such as 'making tablecloth and curtain' and 'making pillow cover or bags' unimportant. My suggestions were as follows; Both laboratories and facilities for practice should be established for making clothing and textiles lessons effective in Practical Arts in elementary schools. The 'operating sewing machines' which were considered difficult should be dealt in upper grade, re-conditioning to easier or omitted. The practical contents should be changed to student-activity-oriented and should be recomposed in order to familiar with students' living. It was needed to various and sufficient supports for increasing the teachers' practical abilities.

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Landscape Plants and Planting Characteristics of Three-Treasure Temples (삼보사찰의 조경식물 및 식재특성)

  • You, Ju-Han;Hong, Kwang-Pyo;Lee, Dong-Hun
    • Journal of the Korean Institute of Landscape Architecture
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    • v.38 no.1
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    • pp.119-128
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    • 2010
  • The purpose of this study was to find a basic theory about Korean traditional planting pattern by analyzing a characteristic of planting and planted species in Haein, Tongdo and Songkwang Temples. The results are as follows. The planted species in three-treasure temples were 129 taxa; 57 families, 96 genera, 110 species, 12 varieties and 7 forma. The species related in Buddhism were Viburnum sargentii for. sterile, Hydrangea macrophylla for. otaksa and Musa basjoo. They are related in plant form and Buddhist ceremony. The results of forms were 34.1% in trees, 33.3% in shrubs, 3.9% in vine and 28.7% in herbage. The results of leaf fall were 56 taxa in broad-leaved deciduous trees, 27 taxa in broad-leaved evergreen trees and 14 taxa in needle-leaved evergreen trees. The native species were 32 taxa in Haein Temple, 27 taxa in Tongdo Temple and 44 taxa in Songkwang Temple. And the exotic species were 20 taxa, 28 taxa and 44 taxain the Haein, Tongdo and Songkwang Temples, respectively. In the results of analyzing the characteristics of planting, in the case of Haein Temple, Abies holophylla was linearly planted in Yiljumun, and Magnolia denudata was single planted in plant stairs of Haetalmun. In the case of plant stairs of Jeokmukdang, Cephalotaxus koreana was planted at regular intervals. In the case of Tongdo Temple, Celtis sinensis, Zelkova serrata and so forth were planted in Yiljumun, and Phyllostachys nigra was planted in form of screen planting in Youngsanjeon. The form of Hwanghwagak was a planting of symmetry in the center of a building, and the one of Daekwangmyyeongjeon was a mixed planting. The regular planting pattern was not shown in Yiljumun of Songkwang Temple. In the case of Dosungdang, Corunus officinalis was linearly planted in the west. In the case of Gwaneumjeon, Juniperus chinensis var. globosa and Camellia japonica were planted in symmetry. The old aged trees were planted in front of specimens planted in front of Daewoongbojeon.

Langerhans Cell Histiocytosis in the Skull: Comparison of MR Image and Other Images (두개골의 랑게르한스 세포 조직구증: 자기공명영상과 다른 영상과의 비교)

  • Lim, Soo-Jin;Lim, Myung-Kwan;Park, Sun-Won;Kim, Jung-Eun;Kim, Ji-Hye;Kim, Deok-Hwan;Lee, Seok-Lyong;Suh, Chang-Hae
    • Investigative Magnetic Resonance Imaging
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    • v.13 no.1
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    • pp.74-80
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    • 2009
  • Purpose : To evaluate the characteristic MR imaging findings of Langerhans cell histiocytosis (LCH) in the skull and to compare them with those of plain radiography and computed tomography. Materials and Methods : A total of 10 lesions in 9 patients (Age range; 5-42 years, Mean age; 18, all women) with Langerhans cell histiocytosis in the skull were included in our study. Nine lesions in nine patients were histologically confirmed by surgery or fine needle aspiration biopsy. All patients performed with MRI, and plain radiography and CT scan were done in 7 patients (8 lesions). Two experienced neuroradiologists reviewed the radiological examinations independently with attention to location, size, shape and nature of the lesions in the skull and compared the extent and extension of the lesions to adjacent structures. Results : The lesions were distributed in all of the skulls without predilection site. On MRI, the masses were shown as well-enhancing soft tissue masses (10/10) mainly in diploic spaces (8/10) with extension to scalp (9/10) and dura mater (7/10). Dural enhancement (7/10) and thickening (4/10) were seen. The largest diameter of the soft tissue masses ranged 1.1 cm to 6.8 cm, shaped as round (5/10) or oval (5/10). On CT scans, the lesions were presented as soft tissue masses involving diploic space (6/8) and scalp extension (7/8) were also well visualized. Although bony erosion or destruction was more clearly seen on CT rather than those of MRI, enhancement of soft tissue masses and dura were not well visualized on CT. In contrast, all of the lesions in LCH were seen as punched out (4/8), beveled-edge appearance (4/8) osteolytic masses in plain radiography, but scalp and dural extension could not be seen. Conclusion : Characteristic MR findings in patients with LCH are soft tissue mass in diploic space with extension to dura and scalp, and MRI would be better imaging modality than plain radiography or CT.

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Vegetational Structure and the Density of Thinning for the Inducement of the Ecological Succession in Artificial Forest, National Parks - In Case of Chiaksan, Songnisan, Deogyusan, and Naejangsan - (국립공원 인공림 식생구조 및 생태적 천이 유도를 위한 간벌 밀도 연구 - 치악산, 속리산, 덕유산, 내장산을 사례로 -)

  • Kim, Jong-Yup;Lee, Kyong-Jae
    • Korean Journal of Environment and Ecology
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    • v.26 no.4
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    • pp.604-619
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    • 2012
  • According to the concept of woodland aesthetic in Germany and forest design in United Kingdom, artificial forest should be restore ecologically step by step in National Park, Korea. This study was carried out to provide the density criterion of thinning for the inducement of the ecological succession by analysing of vegetational structure in Artificial Forest, National Parks. Eleven plots(size is $20m{\times}20m$) were set up in the artificial forest such as Pinus koraiensis forest, Abies holophylla forest, Chamaecyparis obtusa forest, Populus tomentiglandulosa forest, and Larix kaempferi forest and in the natural forest such as Pinus densiflora community, Pinus densiflora-Quercus serrata community, and Quercus serrata community in Chiaksan, Songnisan, Deogyusan, and Naejangsan National Parks, Korea. We classified the artificial forest into undeveloped type of succession, type of alien young trees developing, and early phase type of succession based on the vegetational structure. According to the index of Shnnon's diversity(unit: $400m^2$), undeveloped type of succession was ranged from 0.9681 to 1.1323, type of alien young trees developing was ranged from 1.0192 to 1.1870, early phase type of succession was ranged from 1.3071 to 1.3892, and natural vegetation was ranged from 1.2202 to 1.3428, therefore early phase type of succession forest and natural vegetation are more higher than simple-layered artificial forest with one needle leaf tree species. The limit for the step-by-step thinning was in the range of 30~60%. In case of undeveloped type of succession, we should thin out from large trees throughout three phases, because alien species dominated high value 88~90% in canopy layer. In case of type of alien young trees developing, we should thin out from alien young trees such as Populus tomentiglandulosa throughout one or two phases, because alien species dominated high value 60~97% and young trees with saplings growing up in understory and shrub layer. In case of early phase type of succession, we should thin out from alien trees that compete with native species throughout one or two phases, because alien species dominated less than value 30%.

Community Analysis of Oribatid Mites (Acari : Oribatida) in the Process of Needle Leaf Decomposition in Korean Pine (Pinus koraiensis) Forest of Namsan and Kwangreung (남산과 광릉지역의 잣나무림에서 낙엽분해과정에 관련된 날개응애 군집분석)

  • 배윤환
    • The Korean Journal of Soil Zoology
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    • v.6 no.1_2
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    • pp.25-31
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    • 2001
  • Oribatid mite communities in the process of litter decomposition were analyzed In Korean pine (Pinus koraiensis) forests of Namsan and Kwangreung, which were supposed to be under different environmental selective pressures. Oribatid mites were collected bimonthly from the litter bags (mesh size 0.4 mm, 1.7 mm) which was set up in the forest floor of study sites. This study had been carried out from Jan., 1997 to Sept., 1998. Species abundance of Kwangreung (mesh size 1.7 mm) was significantly higher than that of Namsan (mesh size 1.7 mm), but total no. of species did not exceed 30 species in all study sites. Concerning body length, medium sized oribatid mites (0.3-0.7mm) were more abundant than small ( < 0.3 mm) and large ( > 0.7 mm) sized mites. In Kwangreung, species whose body lengths were 0.2 mm to 0.5 mm were major group. However, a little larger species than Kwangreung's major group were dominant in Namsan. Sorenson similarity index and cluster analysis suggested that there were qualitative and quantitative differences in species composition in Namsan and Kwangreung. More species were collected in May through September than the other sampling times, but the pattern was rather different between first year and second year. Newly immigrant species were high in May in the first year and many of them regained on next year. Diversity indices suggested that species diversity of Kwangreung was higher than that of Namsan. Nearly 70% of total individual abundance was occupied by several dominant species in Namsan and Kwangreung . In the litter bags of mesh size 1.7 mm, the most dominant species was Trichogalumna nipponica in Namsan and Kwangreung, but in the litter bags of mesh size 0.4 mm in Kwangreung it was Ramusella sengbuschi which is smaller than T. nipponica. And important species related to litter decomposition were selected as follows; T. nipponica, Epidamaeus coreanus, Scheloribates latipes, Ceratozetes japonicus, Ramusella sengbuschi, Eohypochthonius crassisetiger, and Cultroribula lata.

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Diagnostic Efficacy of FDG-PET in Solitary Pulmonary Nodule (고립성폐결절에서 FDG-PET의 진단적 유용성)

  • Kim, Woo-Jin;Yim, Jae-Joon;Yoo, Chul-Gyu;Kim, Young-Whan;Shim, Young-Soo;Han, Sung-Koo
    • Tuberculosis and Respiratory Diseases
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    • v.44 no.6
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    • pp.1263-1270
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    • 1997
  • Background : Differentiation of malignity and benignity is crucial for management of solitary pulmonary nodule(SPN). Clinical parameters such as patient's age, nodule size, smoking history, doubling time, typical calcification in X-ray and CT findings have been reported as helpful in this purpose. However, in most cases, these parameters are not conclusive. Glucose metabolism is increased in cancer tissues including lung cancer tissues. After uptake of 2-[F-18]-fluoro-2-deoxy-D-glucose(FDG), the glucose analogue, by cancer cell, FDG is trapped in the cell without further metabolism after phosphorylation. Thus, hypermetabolic focus in FDG-positron emission tomography (PET) imaging suggest malignancy. We evaluated the diagnostic efficacy of FDG-PET imaging in distinguishing malignant and benign SPN. Methods : We evaluated 28 patients with SPN from Jan. 1995 to Jan. 1997. CT scan of chest and whole-body FDG-PET imaging were performed in all patients. Histologic diagnosis was confirmed by transthoracic fine needle aspiration and biopsy, bronchoscopic biopsy and open thoracotomy. Results : Of the 28 SPN's, 22 nodules were malignant and 6 nodules were benign. FDG-PET imaging diagnosed all malignant nodules correctly as positive, and diagnosed 4 of 6 benign nodules correctly as negative. One tuberculous granuloma and one aspergilloma showed hypennetabolic focus and were diagnosed falsely positve with FDG-PET imaging. In the diagnosis of SPN with FDG-PET, sensitivity and specificity were 100% and 66.7%, positive predictive value and negative predictive value were 92% and 100%. Conclusion : FDG-PET imaging is highly useful noninvasive diagnostic tool in distinguishing between malignant SPN and benign SPN.

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Evaluation of Cat Brain infarction Model Using MicroPET (마이크로 PET을 이용한 고양이 뇌 경색 모델의 평가)

  • Lee, Jong-Jin;Lee, Dong-Soo;Kim, Yun-Hui;Hwang, Do-Won;Kim, Jin-Su;Lim, Sang-Moo;Chung, June-Key;Lee, Myung-Chul
    • The Korean Journal of Nuclear Medicine
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    • v.38 no.6
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    • pp.528-531
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    • 2004
  • Purpose: PET has some disadvantage in the imaging of small animal due to poor resolution. With the advent of microPET scanner, it is possible to image small animals. However, the image quality was not good enough as human image. Due to larger brain, cat brain imaging was superior to mouse or rat. In this study, we established the cat brain infarction model and evaluate it and its temporal charge using microPET scanner. Materials and Methods: Two adult male cats were used. Anesthesia was done with xylazine and ketamine HCl. A burr hole was made at 1cm right lateral to the bregma. Collagenase type IV 10 ${\mu}l$ was injected using 30 G needle for 5 minutes to establish the infarction model. $^{18}F$-FDG microPET (Concorde Microsystems Inc., Knoxville, TN) scans were performed 1, 11 and 32 days after the infarction. In addition, $^{18}F$-FDG PET scans were performed using human PET scanner (Gemini, Philips medical systems, CA, USA) 13 and 47 days after the infarction. Results: Two cat brain infarction models were established. The glucose metabolism of an infarction lesion improved with time. An infarction lesion was also distinguishable in the human PET scan. Conclusion: We successfully established the cat brain infarction model and evaluated the infarcted lesion and its temporal change using $^{18}F$-FDG microPET scanner.