• 제목/요약/키워드: bone marrow

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Periapical multilocular osteoporotic bone marrow defect

  • Jung Yun-Hoa;Cho Bong-Hae;Nah Kyung-Soo
    • Imaging Science in Dentistry
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    • 제35권4호
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    • pp.221-223
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    • 2005
  • A case of osteoporotic bone marrow defect, which appeared as a well-defined multilocular radiolucency overlapping the roots of mandibular right second molar, was reported. On periapical radiograph, a daughter cyst-like radiolucency was seen at the anterior margin of the lesion making it difficult to rule out odontogenic keratocyst.

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Biology and Potential Use of Chicken Bone Marrow-derived Cells

  • Ko, Dongwoo;Lim, Jeong Mook
    • 한국수정란이식학회지
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    • 제33권1호
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    • pp.31-40
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    • 2018
  • Developmental aspects of chicken embryos showed dramatic difference compared with those of mammals and consequently, such difference in various developmental events leads to different feasibility in both clinical and industrial application. We have concentrated on the studies for using of chicken bone marrow cells and currently we found number of unique cellular properties. Through this article, we reviewed characteristics and cell signaling of osteogenic cells during endochondral ossification in chicken long bone.

동종골수이식 공여자 간호를 위한 표준임상지침서 개발 (Development of the Clinical Pathway for the Allogeneic Bone Marrow Transplantation Donor Nursing)

  • 설미이
    • 종양간호연구
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    • 제4권2호
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    • pp.110-123
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    • 2004
  • The purpose of this study was to develop a clinical pathway for the allogeneic bone marrow transplantation donor. For this study, a conceptual framework was developed through a review of the literature including six steps which are using in Jones Hopkins Hospital. USA. The researcher reviewed 129 medical re-cords of donor who had bone marrow donation between January 2002 to January 2004, to identify the overall service contents required by these patients and to make a preliminary clinical pathway. A content validity test was done for the preliminary clinical pathway, a professional group screened 51 medical re-cords and adopted with 3 hospitalization days as the clinical pathway framework. In the fifth step, clinical pathway test was also done to 7 donors from April 28th to July, 2004. After these processes the final clinical pathway was developed. The results of this study are as follows: 1. The vertical axis of the clinical pathway Includes the following 9 items: vital signs, nursing assessment, activity, diet, intervention, medication, test, consultation and patient teaching. The duration of the horizontal axis was 3days from admission to discharge 2. Analysis of the 129 medical records indicated that the average length of stay was 3 4 days. The medical performance according to the vertical axis in the preliminary clinical pathway consisted of 51 items After clinical validity test, it steel consisted of 51 items in the final form. 3. Clinical Validity test was done to 7 bone marrow donors. During these process, The first patient was deleted because he was out of the criteria the investigate set and 6 patients were used, finally The result of this study indicated all of 7 donors were discharged on expected day. 4. Clinical pathway enables to improve the quality of care, multidisciplinary team work It also helps nursing bone marrow donor, effective education to donor or medical member. The results of this study suggest that clinical pathway may be able to improve the quality of nursing care for bone marrow transplantation donors.

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Detection of bone marrow involvement with FDG PET/CT in patients with newly diagnosed lymphoma

  • Ozpolat, H. Tahsin;Yilmaz, Ebru;Goksoy, Hasan Sami;Ozpolat, Sahre;Dogan, Oner;Unal, Seher Nilgun;Nalcaci, Meliha
    • BLOOD RESEARCH
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    • 제53권4호
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    • pp.281-287
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    • 2018
  • Background Bone marrow involvement (BMI) affects the lymphoma stage, survival, and treatment. Bone marrow biopsy (BMB) and fluorodeoxyglucose (FDG) positron emission tomography-computed tomography (PET/CT) are useful techniques to detect BMI. Both have advantages and disadvantages. We aimed to identify factors that could be used to predict BMI with positive and negative results on PET/CT compare them with BMB in newly diagnosed patients with lymphoma. Methods We included 22 non-Hodgkin and 16 Hodgkin lymphoma patients in this single center study. All patients had PET/CT examination and BMB before treatment. BMI in BMB was reported as negative or positive. Bone marrow was classified into 3 types by FDG uptake on PT/CT; diffuse involvement, focal involvement, and normal bone marrow. Results PET/CT and BMB results were concordant (7 positive, 15 negative) in 22 patients (57%). We evaluated concordant and discordant patient characteristics and risk-stratified patients for BMI. Our findings suggest that patients with diffuse FDG uptake on PET/CT, especially patients with advanced age and low platelet and white blood cell counts, are likely to have BMI and could potentially forego BMB. Patients with negative PET/CT findings and no significant laboratory abnormalities are very unlikely to have BMI. Conclusion Our results suggest that BMI should not be decided solely based PET/CT or BMB findings. It is reasonable to use both diagnostic assays along with clinical and laboratory findings. PET/CT result, clinical and laboratory findings could be useful for predicting BMI in patient for whom BMB is contraindicated.

말초혈액 조혈모세포 채혈 및 이식 후 생착에 관한 연구 (A Study of Peripheral Blood Stem Cell Collection and Bone Marrow Engraftment after Peripheral Blood Stem Cell Transplantation)

  • 손계성;권흥만;권계철
    • 대한임상검사과학회지
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    • 제38권1호
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    • pp.9-15
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    • 2006
  • Peripheral bood stem cell collection (PBSCC), including peripheral blood stem cell transplantation (PBSCT), has been utilized worldwide as a very beneficial treatment method instead of allogenic Bone Marrow Transplantation (BMT) because it has many advantages such as rapid bone marrow engraftment and hematopoietic recovery, easy and safe accessibility and lower risk of rejection compared with allogenic BMT. In order to identify most the observable parameter in PBSCC, we analyzed various hematological parameters before and after PBSCC, and evaluated the correlation between the time of bone marrow engraftment and the number of CD34+ cells. Thirteen patients, who underwent 54 PBSCCs from January, 2003 to August, 2004 at Chungnam National University Hospital due to various systemic neoplasms, were analyzed in aspects of various hematological parameters including CD34+ cells using by Flow Cytometry (FCM). PBSCC harvests are described below: Mononuclear cells (MNC) $2.3{\pm}1.4{\times}10^8/kg$ and CD34+ cells $0.63{\pm}0.35{\times}10^6/kg$ on average, respectively. There was a statistical significance in Hb and Hct before and after PBSCC, but not in WBC and platelet counts. The period to reach the hematological bone marrow engraftment was 13.4(10~21) days and 19.5(11~38) days according to the criteria of absolute neutrophile counts (ANC) ${\geq}500/uL$ and platelet counts ${\geq}50,000/{\mu}L$ in peripheral blood, respectively. There was a significant correlation between the numbers of CD34+ cell and ANC (p<0.05), and a borderline significance between MNC and ANC (p=0.051). We found that a group of patients, who were infused with CD34+ cells more than $3.5{\times}10^6/kg$, reached more rapidly the period of bone marrow engraftment in platelet counts (p=0.040). This present study suggested that Hb and Hct were the most useful parameters and should be closely monitored before and after PBSCC, that a PBSCT with the dosage of more than $3.5{\times}10^6/kg$ of CD34+ cells was needed to perform successful bone marrow engraftment, and additionally that platelet counts could be more useful in indicating bone marrow engraftment than ANC.

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GDNF secreted by pre-osteoclasts induces migration of bone marrow mesenchymal stem cells and stimulates osteogenesis

  • Yi, Sol;Kim, Jihee;Lee, Soo Young
    • BMB Reports
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    • 제53권12호
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    • pp.646-651
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    • 2020
  • Bone resorption is linked to bone formation via temporal and spatial coupling within the remodeling cycle. Several lines of evidence point to the critical role of coupling factors derived from pre-osteoclasts (POCs) during the regulation of bone marrow-derived mesenchymal stem cells (BMMSCs). However, the role of glial cell-derived neurotrophic factor (GDNF) in BMMSCs is not completely understood. Herein, we demonstrate the role of POC-derived GDNF in regulating the migration and osteogenic differentiation of BMMSCs. RNA sequencing revealed GDNF upregulation in POCs compared with monocytes/macrophages. Specifically, BMMSC migration was inhibited by a neutralizing antibody against GDNF in pre-osteoclast-conditioned medium (POC-CM), whereas treatment with a recombinant GDNF enhanced migration and osteogenic differentiation. In addition, POC-CM derived from GDNF knock-downed bone marrow macrophages suppressed BMMSC migration and osteogenic differentiation. SPP86, a small molecule inhibitor, inhibits BMMSC migration and osteogenic differentiation by targeting the receptor tyrosine kinase RET, which is recruited by GDNF into the GFRα1 complex. Overall, this study highlights the role of POC-derived GDNF in BMMSC migration and osteogenic differentiation, suggesting that GDNF regulates bone metabolism.

재발한 급성 혼합형 백혈병에 동반된 골수괴사 1례의 MRI 소견 (MRI Finding of a Case of Relapsed Acute Mixed Type Leukemia with Bone Marrow Necrosis)

  • 박주영;박억;박샛별;전동석;이희정;김흥식;강진무
    • Clinical and Experimental Pediatrics
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    • 제45권2호
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    • pp.256-260
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    • 2002
  • 골수괴사는 골수를 침범하는 매우 드문 조직 소견으로 저자들은 급성 혼합형 백혈병 환아가 요통, 발열을 주소로 방문하여 세번째 재발하였을 때 골수 천자 도말 검사에서 골수괴사가 동반되고 혈청 LDH와 ferritin이 증가되었으며 자기공명영상에서 골수괴사의 특징적인 소견을 보인 1례를 경험하였기에 보고하는 바이다.

Hematopoietic effect of deer antler extract fermented by Bacillus subtilis on murine marrow cells

  • Park, Yooheon;Choi, Hyeon-Son;Lee, Hyun-Sun;Suh, Hyung Joo
    • Nutrition Research and Practice
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    • 제9권5호
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    • pp.451-458
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    • 2015
  • BACKGROUND/OBJECTIVES: We examined the chemical composition and the effect of fermented deer antler on hematopoietic factors in bone marrow cells. MATERIALS/METHODS: For the preparation of fermented deer antler extract (FAB), fermentation was carried out using Bacillus subtilis at $30^{\circ}C$ for 7 days. The hematopoietic effect of FAB was investigated hematopoietic factors in marrow cells. RESULTS: The contents of total sugar, sulfated glycosaminoglycans, and uronic acid and the dry weight gradually increased with fermentation time. The sialic acid content (from 0.14 mg/mL to 0.54 mg/mL) was the highest on the 4th day of fermentation after which it decreased. The proliferating activity of bone marrow cells increased with fermentation times. The levels of various hematopoietic growth factors were determined to verify the beneficial effect of deer antler extract fermented by B. subtilis on hematopoiesis. FAB increased the number of stem cell factors and granulocyte colony-stimulating factor in bone marrow cells. In addition, FAB augmented the burst-forming unit erythroid and total colonies in splenocyte-conditioned medium compared with non-fermented antler extract (NFA). However, FAB did not affect the mRNA levels of erythropoietin, an important factor for erythropoiesis. CONCLUSIONS: FAB, like NFA, did not directly affect hematopoiesis, but contributed to hematopoiesis by stimulating the production of hematopoietic factors.

척추 전이암에서 확산강조 자기공명 영상을 이용한 치료반응의 평가 (Evaluation of Treatment Response Using Diffusion-Weighted MAI in Metastatic Spines)

  • 이장진;신세원
    • Journal of Yeungnam Medical Science
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    • 제18권1호
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    • pp.30-38
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    • 2001
  • 본 연구는 골 전이암에 대한 치료에 통상적으로 이용되는 방사선치료 후 치료반응을 객관적으로 평가하는 데 필요한 새로운 영상진단 방법의 적용 가능성을 확인하기 위하여 시행되었다. 척추에 혈행성 전이를 일으킨 21명의 환자를 대상으로 방사선치료 전 후에 확산 강조 자기공명 영상을 시행한 10명의 환자에서 방사선치료 전 후에 골수 조직의 신호 강도의 변화가 현저하였으므로 기존의 진단방법인 단순 X-선 촬영, 방사성 동위원소 골 주사, 전산화 단층 촬영 및 스핀 에코 자기공명 영상진단을 보완할 수 있다는 가능성을 확인하였다. 그렇지만 대상 환자의 숫자가 적고 추적기간이 짧기 때문에 이 촬영기법이 척추에 혈행성 골 정기가 의심되는 환자에서 기본적인 검사방법으로 자리잡기 위해서는 더 많은 화자를 대상으로 가능한 병리조직학적 검사를 병행하여 장기간에 걸쳐 전향적인 검토가 필요하다고 생각되었다.

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