• Title/Summary/Keyword: diagnostic radiology

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Mn-DPDP enhanced MR imaging in Detection of Focal Hepatic lesion: Evaluation of the Efficacy & Optimization of Pulse Sequence (국소간의 자기공명영상에서 Mn-DPDP의 유용성과 적합한 MR Sequence에 관한 비교, 고찰)

  • Kim Eun Seong;Kim Dae Hyeon;Lee Hyeon Geun;O Geun Taek;Lee Sun No;Lee U Sik
    • Journal of The Korean Radiological Technologist Association
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    • v.27 no.2
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    • pp.104-114
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    • 2001
  • Ⅰ. Purpose : To evaluate the diagnostic value of Mn-DPDP for the detection of focal hepatic lesions on MR images and to determine the optimal pulse sequence to maximize its effect. Ⅱ. Material and Methods : Twenty-eight patients(6 women and 22 men, aged f

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Diagnostic Yield of Diffusion-Weighted Brain Magnetic Resonance Imaging in Patients with Transient Global Amnesia: A Systematic Review and Meta-Analysis

  • Su Jin Lim;Minjae Kim;Chong Hyun Suh;Sang Yeong Kim;Woo Hyun Shim;Sang Joon Kim
    • Korean Journal of Radiology
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    • v.22 no.10
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    • pp.1680-1689
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    • 2021
  • Objective: To investigate the diagnostic yield of diffusion-weighted imaging (DWI) in patients with transient global amnesia (TGA) and identify significant parameters affecting diagnostic yield. Materials and Methods: A systematic literature search of the MEDLINE and EMBASE databases was conducted to identify studies that assessed the diagnostic yield of DWI in patients with TGA. The pooled diagnostic yield of DWI in patients with TGA was calculated using the DerSimonian-Laird random-effects model. Subgroup analyses were also performed of slice thickness, magnetic field strength, and interval between symptom onset and DWI. Results: Twenty-two original articles (1732 patients) were included. The pooled incidence of right, left, and bilateral hippocampal lesions was 37% (95% confidence interval [CI], 30-44%), 42% (95% CI, 39-46%), and 25% (95% CI, 20-30%) of all lesions, respectively. The pooled diagnostic yield of DWI in patients with TGA was 39% (95% CI, 27-52%). The Higgins I2 statistic showed significant heterogeneity (I2 = 95%). DWI with a slice thickness ≤ 3 mm showed a higher diagnostic yield than DWI with a slice thickness > 3 mm (pooled diagnostic yield: 63% [95% CI, 53-72%] vs. 26% [95% CI, 16-40%], p < 0.01). DWI performed at an interval between 24 and 96 hours after symptom onset showed a higher diagnostic yield (68% [95% CI, 57-78%], p < 0.01) than DWI performed within 24 hours (16% [95% CI, 7-34%]) or later than 96 hours (15% [95% CI, 8-26%]). There was no difference in the diagnostic yield between DWI performed using 3T vs. 1.5T (pooled diagnostic yield, 31% [95% CI, 25-38%] vs. 24% [95% CI, 14-37%], p = 0.31). Conclusion: The pooled diagnostic yield of DWI in TGA patients was 39%. DWI obtained with a slice thickness ≤ 3 mm or an interval between symptom onset and DWI of > 24 to 96 hours could increase the diagnostic yield.

Aortopulmonary Fistula Presenting without an Endoleak after Thoracic Endovascular Aortic Repair

  • Sica, Giacomo;Rea, Gaetano;Bocchini, Giorgio;Lombardi, Romilda;Muto, Massimo;Valente, Tullio
    • Journal of Chest Surgery
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    • v.50 no.4
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    • pp.287-290
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    • 2017
  • Herein, we report the case of a 60-year-old man, a smoker with a history of arterial hypertension and diabetes mellitus. After computed tomography (CT) for an episode of hemoptysis, the patient underwent elective thoracic endovascular aortic repair (TEVAR) because of a degenerative aneurysm of the descending thoracic aorta. The area of perianeurysmal pulmonary atelectasis reported on the CT scan was not considered. Three months later, he developed an aortopulmonary fistula without endoleaks. Although TEVAR is a relatively safe procedure, no detail should be overlooked in the preoperative evaluation in order to avoid life-threatening complications. Further, the effectiveness and modality of prolonged antibiotic prophylaxis and/or preoperative respiratory physiotherapy should be assessed in such cases.

The Effects of Therapeutic Music Application for Patient During Angiogram & Radiological Interventional Procedure (혈관조영실 환자의 치료음악을 통한 긴장감 완화에 대한 연구 및 고찰)

  • Lee Imbeom;Park Junho;Yim Jinhyeok;Lee Jaekyeng;Kim Jae Sul;Lee Kwanghyeon
    • Journal of The Korean Radiological Technologist Association
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    • v.30 no.1
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    • pp.148-158
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    • 2004
  • Purpose : Most Patients experienced severe tension and/or anxiety during invasive procedures at angiography room. To ease patients' emotion and to improve their tolerance to the procedure, we applied music therapy. Material and Methods : Between March 1 a

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The Clinical Comparative Investigation of Endovascular Treatment Using GDC and Neurosurgical Operation's Decision for Intracranial Aneurysm (뇌동맥류에 대한 방사선학적 중재적 시술과 신경외과학적 수술 선택의 임상적 비교 고찰)

  • Kim Sang Jin;Go Jung Seok;You Sang Jae;Kim Gyeong Sul;Choi Kwang Nam;Lee Yong Woo
    • Journal of The Korean Radiological Technologist Association
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    • v.28 no.1
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    • pp.90-96
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    • 2002
  • Purpose : The purpose of this study is to compare and analyze matters related to procedure such as characteristics and conditions etc. of intracranial aneurysm of patients who were treated GDC(Guglielmi Detachable Coil : Endovascular Treatment) and patien

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Syncronous Computer-Capturing Method of Dynamic Images on Fluoroscopic Studies and Applications (투시조영검사에서 동영상의 컴퓨터 동시캡쳐방식과 적응 예)

  • Jang Dong Hyuk;Lee Kyong Lok;Jang Ji Won;Kim Dae Jung;Seo Jung Whan;Park Young Soon
    • Journal of The Korean Radiological Technologist Association
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    • v.29 no.1
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    • pp.25-30
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    • 2003
  • Purpose : The purpose of this study is to present computer-capturing method of dynamic images on fluoroscopic studies, as a substitution for video-recording method, and to help the quantitative analysis of the dynamic studies. Materials and Methods: Compu

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Successful Management with Glue Injection of Arterial Rupture Seen during Embolization of an Arteriovenous Malformation Using a Flow-Directed Catheter: A Case Report

  • Jong Won Hong;Seung Kug Baik;Mi Jung Shin;Han Yong Choi;Bong Gi Kim
    • Korean Journal of Radiology
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    • v.1 no.4
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    • pp.208-211
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    • 2000
  • We present a case in which an arterial rupture occurring during embolization of an arteriovenous malformation of the left occipital lobe with a flow-directed microcatheter, was successfully sealed with a small amount of glue. We navigated a 1.8-Fr Magic catheter through the posterior cerebral artery, and during superselective test injection, extravasation was observed at the parieto-occipital branch. The catheter was not removed and the perforation site was successfully sealed with a small amount of glue injected through the same catheter. Prompt recognition and closure of the perforation site is essential for good prognosis.

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