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Computed Tomographic Findings in a Foal with Acute Hindlimb Lameness

  • Seyoung Lee;Eun-bee Lee;Kyung-won Park;Taeyoung Kang;Hyohoon Jeong;Jong-pil Seo
    • Journal of Veterinary Clinics
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    • v.40 no.2
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    • pp.135-138
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    • 2023
  • A one-month-old Thoroughbred colt presented with left hindlimb lameness grade 5/5, according to the American Association of Equine Practitioners' lameness scale. The colt started showing signs of lameness two weeks earlier without being involved in an accident. A local veterinarian examined the foal; radiography revealed no significant findings under the hip joint. No improvement was noted after 15 days of non-steroidal anti-inflammatory drugs (NSAIDs) medication. On presentation at our hospital, ultrasonography was performed, which revealed no significant findings in the iliac wings. The foal underwent a computed tomography (CT) scan under general anesthesia. CT revealed bone cysts in the following that could have caused the lameness: the left transverse process of the 5th, 6th lumbar, and the 1st sacrum vertebrae; osteophytes in the auricular surface of the ilium, suggestive of sacroiliac arthritis. The foal recovered smoothly from anesthesia with assistance. The foal was treated with NSAIDs and rested for more than six months. The owner reported that the foal showed no lameness one year later. CT revealed bony changes in the lumbosacral region that were not detected by radiography and ultrasonography, suggesting that CT could be useful for detecting abnormalities in the pelvic region of horses.

Assessment of the impact of suspended solids on the survival of marine invertebrates (부유물질이 해산무척추동물 생존에 미치는 영향평가)

  • Jin-Hyeok Park;Sung Jin Yoon
    • Korean Journal of Environmental Biology
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    • v.40 no.3
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    • pp.275-280
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    • 2022
  • Suspended solids play an important role in the growth and survival of aquatic organisms. The marine zooplankton species tested in this study were Tigriopus west (Copepoda) and Haustorioides koreanus (Amphipoda) sampled from the intertidal zone, including Artemia nauplii(Branchiopoda) hatched from cysts. The study design included six concentrations (0, 50, 100, 250, 500, and 1,000mg L-1) of the suspended test particles assayed in triplicate. Experimental cultures in 500 mL-round polycarbonate bottles were subsampled after 96 h to count dead zooplankton. The culture bottles were agitated at 4 RPM on a rotating wheel at 23℃ and 30 PSU. The survival rates of Artemia nauplii and T. west were not affected by suspended solid concentrations higher than 50.0 mg L-1, whereas the survival rate of H. koreanus decreased with increasing concentrations (p<0.05). In conclusion, H. koreanus and T. west, which were continuously exposed to suspended solid concentrations higher than 50.0 mg L-1, were affected by low-intensity ecological stress. However, in the case of H. koreanus, a concentration of 50.0 mg L-1 may be considered to be the limit of tolerance to suspended solids, suggesting that the number of individuals who eventually die will increase if continuously exposed.

Suppression of side lobe using distance weight in spectrum of channel signal in medical ultrasound imaging system (의료용 초음파 영상 시스템에서 채널신호의 스펙트럼에서 거리 가중치를 이용한 부엽의 억제)

  • Yu Rim Lee;Mok Kun Jeong
    • The Journal of the Acoustical Society of Korea
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    • v.42 no.3
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    • pp.203-213
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    • 2023
  • In medical ultrasound imaging systems, Side lobes may appear if signals outside the imaging point are not completely removed during receive focusing. If the time signal of the side lobe overlaps with the time signal (main lobe) from the image point, it is difficult to completely remove it using filter processing in the time domain. However, In the receive focusing process, when time-channel signals are Fourier-transformed, the main lobe and side lobe signals are spatially separated in the spectral domain. Therefore, the side lobes can be suppressed by multiplying the image with magnitude weights, which are determined by the magnitudes of the main and side lobes calculated in the spectral domain. In addition, when the main lobe and the side lobe spectrum are adjacent, the distance weight was applied based on the distance between them. In a 5 MHz ultrasound imaging system using a 64-channel linear transducer, point reflector and speckle images with cysts of various brightness were synthesized and weights were applied to the ultrasound image. Using computer simulations, we confirmed that the side lobes were greatly reduced without affecting the spatial resolution in the point reflector image, and the contrast was significantly improved in the cyst image with computer simulations.

Full mouth rehabilitation on the patient with maxillary anterior diastema and posterior bite collapse with orthodontic treatment (상악 전치부 치간 이개와 구치부 교합지지 상실을 가진 환자에서 교정치료를 동반한 완전 구강회복 증례)

  • Lee, Seon-Ki
    • Journal of Dental Rehabilitation and Applied Science
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    • v.38 no.1
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    • pp.60-68
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    • 2022
  • A patient with severe periodontitis has causative factors that cause pathological tooth movement, the occlusion is disintegrated, and the vicious cycle of worsening periodontitis is repeated. In particular, when pathological tooth movement occurs in the maxillary anterior region, the patient has an aesthetic sense of atrophy, and the quality of life was reduced. Therefore, when orthodontic treatment was added to patients with severe periodontitis, it promotes the formation of new bone, reduces periodontal cysts, and obtains clinical attachment, which leads to favorable results in prosthetic restoration, thereby enabling ideal occlusion, function and aesthetics. Periodontal treatment, orthodontic treatment, natural tooth restoration, and implant prosthesis were planned for patients with pathological tooth movement in the anterior region due to loss of occlusal support in the posterior region. As a result, an ideal restoration space was secured, a stable restoration of occlusal contact was formed, and the maxillary anterior teeth were aesthetically improved.

Cone-beam computed tomographic reconstructions in the evaluation of maxillary impacted canines

  • David MacDonald;Sharifa Alebrahim;Edwin Yen;Jolanta Aleksejuniene
    • Imaging Science in Dentistry
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    • v.53 no.2
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    • pp.145-151
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    • 2023
  • Purpose: Prior to cone-beam computed tomography (CBCT), orthodontic competence included radiological interpretation. Nevertheless, maxillary impacted canines (MICs), because of their position and adjacent complex anatomy, have been challenging to interpret, particularly with regard to root resorption. Although CBCT cross-sectional reconstructions of MICs yielded clearer insights into its diagnosis and treatment planning, the value of simultaneously using 2 different cross-sectional or multiplanar reconstructions of the CBCT datasets - orthogonal and curved/panoramic multiplanar reconstructions - has hitherto not been considered. Materials and Methods: Both orthogonal and curved/panoramic multiplanar reconstruction series of 5 screenshots were each reconstructed from the 5 cm×5 cm CBCT datasets of 15 separate MICs. Fifteen credentialled and experienced orthodontist volunteers reviewed 2 separate PowerPoints of 15 randomized series each, 1 week apart. Their review considered 6 factors that could affect treatment: the position and level of the MIC, the presence or absence of root resorption, ankylosis, cysts, and dilaceration. Results: All 15 orthodontists were statistically similar regarding overall years of experience and of CBCT use. Although either reconstruction alone allowed the orthodontists to determine whether ankylosis and, to a lesser extent, most of the other features were present or absent in the MIC, reviewing both reconstructions together was necessary to determine whether root resorption was present or absent in the adjacent tooth. Conclusion: Reviewing both orthogonal and curved/panoramic multiplanar reconstructions was necessary to evaluate the presence or absence of root resorption in the teeth adjacent to MICs and that of many other features.

Frontonasal Bone Flap for Treating a Paranasal Sinus Cyst Diagnosed by CT in a Thoroughbred Racehorse

  • HeeEun Song;Eun-bee Lee;Kyung-won Park;Seyoung Lee;Yong-woo Chun;Chull-gyu Park;Hyohoon Jeong;Jong-pil Seo
    • Journal of Veterinary Clinics
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    • v.40 no.3
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    • pp.209-214
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    • 2023
  • A 3-year-old Thoroughbred gelding was referred to the Jeju National University Equine Hospital with prolonged unilateral nasal discharge for several months. A sinus cyst was suspected based on the history, symptoms, endoscopic findings, and radiographic results. Computed tomography (CT) scan revealed that the cyst (7.5 × 8.0 × 10.0 cm) was located between the rostral maxillary sinus and the frontal sinus, causing distortion and remodeling of the overlying bones, swelling of the overlying cutaneous tissues, and a slight deviation of the nasal septum. Standing surgery under sedation was decided to remove the cyst. A frontonasal bone flap was performed using an oscillating bone saw, and the cyst filled with pus was removed. To support the approach to the maxillary sinus, trephination was performed. The horse was treated with sinus lavage via catheterization, nebulization, antibiotics, and nonsteroidal anti-inflammatory drugs. The horse was discharged 18 days after the surgery without signs of any complication. This case showed that a CT scan could be a valuable tool for the diagnosis and subsequent surgical management of paranasal sinus cysts in horses. Also, the frontonasal bone flap was useful for exposing and removing the large-sized of cyst in the paranasal sinus.

Pathologic conditions associated with impacted third molars: A retrospective study of panoramic radiographs in a Southern Brazilian population

  • Gabriela Brum Cardoso;Gleica Dal' Ongaro Savegnago;Waneza Dias Borges Hirsch;Mariana Boessio Vizzotto;Gabriela Salatino Liedke
    • Imaging Science in Dentistry
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    • v.53 no.4
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    • pp.303-312
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    • 2023
  • Purpose: This study investigated the prevalence of developmental and acquired pathologic conditions associated with impacted third molars (3Ms) in a Southern Brazilian population and evaluated whether demographic and tooth characteristics were correlated with the presence of bone or tooth lesions. Materials and Methods: Panoramic radiographs were assessed for developmental (bone-related) or acquired (tooth-related) pathoses associated with impacted upper or lower 3Ms. Data on tooth positioning, tooth development, and patient demographics were collected. A trained, calibrated postgraduate student evaluated all images. Binary and multivariate logistic regression models were used to assess associations between outcomes and the demographic and radiographic variables. The threshold for statistical significance was set at 5% (P<0.05). Results: The sample comprised panoramic radiographs from 2054 patients, predominantly female (59.2%), with a mean age of 27.2±11.5 years. Overall, 4066 impacted 3Ms were evaluated, revealing 471 (11.6%) developmental and 710 (17.5%) acquired pathoses. Among the developmental pathoses, 460 (95.2%) were indicative of dentigerous cysts. Male sex, lower 3M location, vertical or distoangular positioning, and incomplete root formation were associated with an elevated likelihood of developmental pathology. Lower tooth position, complete root formation, and partial eruption were linked to an increased probability of an acquired pathology in the third or second molar. Conclusion: The prevalence of pathologic conditions associated with impacted 3Ms was low. Male sex, lower 3M placement, horizontal or distoangular positioning, and incomplete root formation were associated with developmental pathoses, while lower tooth position, complete root formation, and partial eruption were related to acquired pathoses.

Intermediate-Term Clinical Outcomes after Autologous Osteochondral Transplantation for Lateral Osteochondral Lesions of the Talus (외측 거골 골연골 병변에 대한 자가 골연골 이식술 후의 중기 추시 임상결과)

  • Sung-Hoo Kim;Byung-Ki Cho
    • Journal of Korean Foot and Ankle Society
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    • v.27 no.4
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    • pp.137-143
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    • 2023
  • Purpose: Autologous osteochondral transplantation (AOT) is indicated for patients with a large osteochondral lesion of the talus (OLT), accompanying subchondral cyst, and the failure of bone marrow stimulation (BMS) procedures. Despite the many reports on the clinical results of surgical treatment for medial osteochondral lesions, those of lateral lesions are rare. This paper reports the intermediate-term clinical outcomes after AOT for lateral OLTs. Materials and Methods: Twenty-one patients with lateral OLTs were followed up for at least three years after AOT. The clinical evaluations comprised the Foot and Ankle Outcome Score (FAOS) and Foot and Ankle Ability Measure (FAAM). The radiographic assessment included the irregularity of the articular surface (subchondral plate), the progression of degenerative arthritis, and the changes in talar tilt angle and anterior talar translation. Results: The mean FAOS and FAAM scores improved significantly from 42.1 to 89.5 and 39.5 to 90.6 points, respectively, at the final follow-up (p<0.001). The radiological evaluation revealed two cases (9.5%) of articular step-off ≥2 mm and 1 case (4.8%) of progressive arthritis. The mean talar tilt angle and anterior talar translation improved significantly. As postoperative complications, there was one case of a local wound problem, one case of superficial peroneal nerve injury, and one case of donor site morbidity. At a mean follow-up of 62.3 months, no patient showed a recurrence of instability or required reoperation for OLT. Conclusion: AOT for the lateral OLTs demonstrated satisfactory intermediate-term clinical outcomes, including daily and sports activity abilities. Most OLT could be accessed through lateral ligament division and capsulotomy, and the incidence of iatrogenic complications, such as recurrent sprains or chronic instability, was minimal. AOT appears to be an effective and relatively safe treatment for patients with large lateral osteochondral lesions unresponsive to conservative therapy, with subchondral cysts, or with failed primary BMS.

Imaging Features and Pathological Correlation in Mixed Microcystic and Angiomatous Meningioma: A Case Report (미세낭종성 혈관종성 혼합 수막종의 영상 및 병리 소견: 증례 보고)

  • Keonwoo Choi;Dae Yoon Kim;Hyun Jin Kim;Gyojun Hwang;Mi Kyung Kim;Hyun Gon Kim;Soya Paik
    • Journal of the Korean Society of Radiology
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    • v.83 no.4
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    • pp.951-957
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    • 2022
  • Meningiomas are the most common intracranial tumors. However, microcystic and angiomatous meningiomas are very rare subtypes that present unusual imaging findings. Hence, radiological diagnosis of these tumors can be challenging. We herein describe a case of mixed angiomatous and microcystic meningioma in an 81-year-old male. MRI revealed an extra-axial mass with high T2 signal intensity, measuring 1.5 cm in diameter, with multiple tiny intralesional cysts and entrapped peritumoral cyst formation. After tumor resection, a histopathological diagnosis of mixed angiomatous and microcystic meningioma was made.

A New Health Care Policy in Korea Part 2: Expansion of Coverage by National Health Insurance on the Abdominal Ultrasound and MRI (새로운 건강보험 보장성 강화 대책 2부: 복부 초음파 및 MRI 급여 확대)

  • Min Jae Jang;Seong Jin Park
    • Journal of the Korean Society of Radiology
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    • v.81 no.5
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    • pp.1069-1082
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    • 2020
  • Coverage by National Health Insurance (NHI) was expanded in the abdominal imaging area as follows: upper abdominal ultrasound on April 1, 2018, lower abdominal ultrasound on February 1, 2019, and abdominal MRI on November 1, 2019. Many patients can benefit from the expansion of NHI coverage. Newly included diseases for NHI coverage includes liver cirrhosis, gallbladder polyps, hepatic adenoma/dysplastic nodules, pancreatic cysts, autoimmune pancreatitis and bile duct stone disease. However, the expansion of coverage made each examination more complex, including indications, follow-up strategy, the number of examination per patients, the standard images to be acquired, and the standard forms of the radiological report. Therefore, more careful consideration is mandatory when an abdominal imaging examination is prescribed and conducted.