• Title/Summary/Keyword: diagnostic yield

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Radiological assessment and follow-up of a nonsurgically treated odontoid process fracture after a motor vehicle accident in Egypt: a case report

  • Ahmad Mokhtar Abodahab
    • Journal of Trauma and Injury
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    • 제36권4호
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    • pp.411-415
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    • 2023
  • An odontoid process fracture is a serious type of cervical spine injury. This injury is categorized into three types based on the location of the fracture. Severe or even fatal neurological deficits can occur due to associated cord injury, which can result in complete quadriplegia. Computed tomography is the primary diagnostic tool, while magnetic resonance imaging is used to evaluate any associated cord injuries. These injuries can occur either directly from the injury or during transportation to the hospital if mishandled. There are two main treatment approaches: surgical fixation or external nonsurgical fixation, with various types and models of fixation devices available. In this case study, computed tomography follow-up confirmed that external fixation can yield successful results in terms of complete healing, even in cases complicated by other factors that may impede healing, such as pregnancy.

A New Cancer Cell Detection Method Using an Infectivity-enhanced Adenoviral Vector

  • Uchino, Junji;Takayama, Koichi;Nakagaki, Noriaki;Shuo, Wang;Hisasue, Junko;Nakatom, Keita;Ohta, Keiichi;Hirano, Ryosuke;Tashiro, Naoki;Miiru, Izumi;Fujita, Masaki;Watanabe, Kentaro;Nakanishi, Yoichi
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권11호
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    • pp.5551-5556
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    • 2012
  • Cytological examination is widely used as a diagnostic tool because of the ease of collecting cells from the involved area. However, the diagnostic yield of cytological examination is unsatisfactory; the reasons include sampling error, poorly prepared samples, small numbers of malignant cells, and low grades of cellular atypia. In this study, we focused on the high infectivity of adenovirus towards epithelial cells and applied the luciferase-expressing adenoviral vector to a new cancer cell detection tool. In addition, adenoviral infectivity was enhanced by modifying viral fiber proteins. The sensitivity of the diagnostic tool was tested using the NCI-H1299 lung cancer cell line, and validated in body fluid samples from cancer patients with a variety of etiology. Results showed that the adenovirus efficiently transfected NCI-H1299 with high sensitivity. Only 10 cancer cells were sufficient for detection of luciferase signals. In body fluid samples, the adenovirus confirmed the diagnosis for malignant and benign cancer, but not in non-epithelial cell derived samples. This study provides proof-of-concept for a more reliable and sensitive diagnostic tool for epithelium-derived cancer.

진단 기준에 따른 취학전 어린이의 중증 유아기 우식증 유병률 비교 (COMPARISON OF SEVERE EARLY CHILDHOOD CARIES PREVALENCES BY TWO DIAGNOSTIC CRITERIA)

  • 임경욱;이광희;라지영;이동진;안소연;김지영;송지현;김윤희
    • 대한소아치과학회지
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    • 제35권4호
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    • pp.677-683
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    • 2008
  • 연구목적은 중증 유아기 우식증에 대한 두 개의 정의를 진단 기준으로 하였을 때 각 기준에 따른 유병률이 일치하는 정도를 알기 위함이었다. 연구대상은 익산시 어린이집 중에서 무작위로 추출한 7개 어린이집의 36개월 이상 71개월 이하 어린이 401명이었다. 치경과 탐침을 사용한 구강검사를 통하여 치아별 우식경험유치면(dmfs)의 수를 조사하였으며, 중증 유아기 우식증의 진단 기준은 (1) 상악 전치에 1개 이상의, 와동이 형성된 우식, 상실(우식증에 의한), 충전 평활면이 있거나 (2) 우식 상실, 충전 치면의 수가 3세는 4개 이상, 4세는 5개 이상, 5세는 6개 이상인 경우로 하였다. 상악 전치부 우식증에 의한 우식 유병률과 우식경험유치면수(dmfs)에 의한 우식유병률은 3세에서 각각 26.7%, 28.9%, 4세에서 각각 32.4%, 30.4%, 5세에서 각각 39.4%, 41.3%, 전체에서 각각 35.4%, 35.9%으로서, 연령별로는 약간의 차이가 있었으나 전체에서는 차이가 0.5%로서 거의 일치하였다. 따라서 중증 유아기 우식증의 진단은 두 가지 기준 중에서 어느 하나를 사용하더라도 비슷한 결과가 나올 것이라는 것을 확인할 수 있었다.

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테크네슘-99엠 트리카보닐 시스테인의 제조 및 생물학적 특성 평가 (Preparation and biological evaluation of 99mTc tricarbonyl cysteine)

  • 장범수;박경배;윤효인
    • 대한수의학회지
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    • 제44권1호
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    • pp.15-21
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    • 2004
  • This paper describes the development of $^{99m}Tc$ tricarbonyl cysteine as potential renal function diagnostic radiopharmaceutical and evaluation of its biological characteristics using experimental animals. l-Cysteine was labeled efficiently with $^{99m}Tc$ tricarbonyl precursor $([^{99m}Tc(CO)_3(H_2O)_3)]^{+})$ under 30 min heating at ${75^{\circ}C}$. Labeling yield and stability were analyzed by high performance liquid chromatography (HPLC). The biodistribution property of $^{99m}Tc$ tricarbonyl cysteine in mice and its dynamic imaging profiles in rabbits were carried out. To investigate the excretion mechanism of $^{99m}Tc$ tricarbonyl cysteine, tubular transport inhibition test with probenecid was adopted. $^{99m}Tc$ tricarbonyl cysteine was obtained with a high labeling yield under the moderate condition. The results of biodistribution experiments of $^{99m}Tc$ tricarbonyl cysteine in ICR mice at 3 and 90 min provided that $^{99m}Tc$ tricarbonyl cysteine was very highly accumulated in the kidney and bladder, thereby almost 99% of $^{99m}Tc$ tricarbonyl cysteine was excreted within 90 min post injection. The same results were confirmed by the whole body dynamic images for 30 minutes and static images in rabbits at given time intervals after injection. Renogram of $^{99m}Tc$ tricarbonyl cysteine in rabbits showed that its $T_{max}$ and $T_{1/2}$ of $^{99m}Tc$ tricarbonyl cysteine were $2.33{\pm}0.56$ and $4.30{\pm}0.79$ min, respectively. The $T_{max}$ of $^{99m}Tc$ tricarbonyl cysteine with probenecid pretreatment was $2.30{\pm}0.17$ min, whereas $T_{1/2}$ of that with probenecid pretreatment was $17.0{\pm}32.47$ min. $T_{1/2}$ of $^{99m}Tc$ tricarbonyl cysteine with probenecid pretreatment was significantly different, as compared to the result without probenecid (p<0.0001). The results showed that the excretion of $^{99m}Tc$ tricarbonyl cysteine was extremely affected by probenecid. Therefore, $^{99m}Tc$ tricarbonyl cysteine was rapidly excreted from the kidney principally by the tubular secretion.

Bioluminescence 반응에 의한 ATP 측정을 이용한 젖소 유방염 진단에 관한 연구 (Diagnostic test for bovine mastitis by the determination of ATP based on firefly bioluminescence)

  • 김태종;김종배;이승배;전용수
    • 대한수의학회지
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    • 제29권3호
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    • pp.383-391
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    • 1989
  • This study was carried out to diagnostic test for bovine mastitis by the determination of adenosine triphosphate (ATP) based on firefly bioluminescence. The results obtained are follow; 1. The infection rate of bovine mastitis investigated with 521 cows in 47 dairy farms were found to be 3.6% of clinical form and 44.1% of subclinical form according to the degree of infection. 2. The light yield produced in firefly bioluminescence system was proportional to the concentration of ATP giving stright line within the range of 100PM~1uM. 3. When the number of somatic cell in milk was determined by the ATP assay and compared with three conventional methods such Fossomatic, California mastatic test (CMT), and rolling ball viscometer (RBV), it was shown that r=0.92 for Fossomatic, 0.63 for CMT and 0.7 for RBV. 4. The microorganisms causing mastitis were isolated Staphylococcus sp. (53.3%), Streptococcus sp. (17.9%), Micrococcus sp. (13.5%), Gram negative bacilli (6.3%), Gram positive bacilli (5.5%) and Yeast-like fungi (5.4%). 5. The endogeneous ATP levels of bacteria in a raw milk determined by the firefly bioluminescence system and compared with the results of the conventional methods. The correlation was 0.88 for raw milk.

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에어백용 압저항형 외팔보 미소 가속도계의 설계, 제작 및 시험 (Design, Fabricaiton and Testing of a Piezoresistive Cantilever-Beam Microaccelerometer for Automotive Airbag Applications)

  • 고종수;조영호;곽병만;박관흠
    • 대한기계학회논문집A
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    • 제20권2호
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    • pp.408-413
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    • 1996
  • A self-diagnostic, air-damped, piezoresitive, cantilever-beam microaccelerometer has been designed, fabricated and tested for applications to automotive electronic airbag systems. A skew-symmetric proof-mass has been designed for self-diagnostic capability and zero transverse sensitivity. Two kinds of multi-step anisotropic etching processes are developed for beam thickness control and fillet-rounding formation, UV-curing paste has been used for sillicon-to-glass bounding. The resonant frequency of 2.07kHz has been measured from the fabricated devices. The sensitivity of 195 $\mu{V}$/g is obtained with a nonlinearity of 4% over $\pm$50g ranges. Flat amplitude response and frequency-proportional phase response have been obserbed, It is shown that the design and fabricaiton methods developed in the present study yield a simple, practical and effective mean for improving the performance, reliability as well as the reproducibility of the accelerometers.

Importance of the Cell Block Technique in Diagnosing Patients with Non-Small Cell Carcinoma Accompanied by Pleural Effusion

  • Ugurluoglu, Ceyhan;Kurtipek, Ercan;Unlu, Yasar;Esme, Hidir;Duzgun, Nuri
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권7호
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    • pp.3057-3060
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    • 2015
  • Background: Cytological examination of pleural effusions is very important in the diagnosis of malignant lesions. Thoracentesis is the first investigation to be performed in a patient with pleural effusion. In this study, we aimed to compare traditional with cell block methods for diagnosis of lung disease accompanied by pleural effusion. Materials and Methods: A total of 194 patients with exudative pleural effusions were included. Ten mililiters of fresh pleural fluid were obtained by thoracentesis from all patients in the initial evaluation. The samples gathered were divided to two equal parts, one for conventional cytological analysis and the other for analysis with the cell block technique. In cytology, using conventional diagnostic criteria cases were divided into 3 categories, benign, malignant and undetermined. The cell block sections were evaluated for the presence of single tumor cells, papillary or acinar patterns and staining with mucicarmine. In the cell block examination, in cases with sufficient cell counts histopathological diagnosis was performed. Results: Of the total undergoing conventional cytological analyses, 154 (79.4%)were reported as benign, 33 (17%) as malignant and 7 (3.6%) as suspicious of malignancy. With the cell block method the results were 147 (75.8%) benign, 12 (6.2%) metastatic, 4 (2.1%) squamous cell carcinoma, 18 (9.3%) adenocarcinoma, 5 (2.6%) large cell carcinoma, 2 (1%) mesothelioma, 3 (1.5%) small cell carcinoma, and 3 (1.5%) lymphoma. Conclusions: Our study confirmed that the cell block method increases the diagnostic yield with exudative pleural effusions accompanying lung cancer.

IEEE 1500 표준 기반의 효율적인 프로그램 가능한 메모리 BIST (IEEE std. 1500 based an Efficient Programmable Memory BIST)

  • 박영규;최인혁;강성호
    • 전자공학회논문지
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    • 제50권2호
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    • pp.114-121
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    • 2013
  • Systems-On-Chips(SoC)에서 내장 메모리가 차지하는 비중은 비약적으로 증가하여 전체 트랜지스터 수의 80%~90%를 차지하고 있어, SoC에서 내장된 메모리에 대한 테스트 중요성이 증가하고 있다. 본 논문은 다양한 테스트 알고리즘을 지원하는 IEEE 1500 래퍼 기반의 프로그램 가능한 메모리 내장 자체 테스트(PMBIST) 구조를 제안한다. 제안하는 PMBIST는 March 알고리즘 및 Walking, Galloping과 같은 non-March 알고리즘을 지원하여 높은 flexibility, programmability 및 고장 검출률을 보장한다. PMBIST는 최적화된 프로그램 명령어와 작은 프로그램 메모리에 의해 최적의 하드웨어 오버헤드를 가진다. 또한 제안된 고장 정보 처리 기술은 수리와 고장 진단을 위해 2개의 진단 방법을 효과적으로 지원하여 메모리의 수율 향상을 보장한다.

임상가를 위한 특집 4 - CBCT 검사법의 정도관리 및 선량 (Radiation Doses and Quality Assurance in Cone Beam CT(CBCT))

  • 최용석;김규태;황의환
    • 대한치과의사협회지
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    • 제52권3호
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    • pp.153-163
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    • 2014
  • 3-dimensional information for anatomic stucture plays a role as integral part in clinical aspect of dental practice. CBCT(cone beam computed tomography) has been accepted as useful diagnostic tool offering Volume data and images for evaluating teeth and jaws in lower radiation dose than conventional CT. CBCT equipment is essential for the quality assurance of it to ensure continued satisfactory performance and result of adequate images. Dental practitioner and oral and maxillofacial radiologist should have a responsibility and critical thinking to deliver this technology to patients in a responsible way, so that diaganostic value is maximised and radiation doses kept as low as resonably achievable. CBCT imaging modality should be used only after a review of the patient's health and imaging history and the completion of a thorough clinical examination. Clinical guidelines are systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances Dental practitioners should prescribe CBCT imaging only when they expect that the diagnostic yield will benefit patient care, enhance patient safety or improve clinical outcomes significantly. Knowledge of patient dose is essential for clinicians who are making the decision regarding the justification of the exposure. There are some limitation in the measurement of patient dose in CBCT for the approval and adaptation of conventinal methodolgy in CT. It is also important to ensure that doses are optimised and in line with any national and international guidelines. The higher radiation doses of CBCT compared with conventional radiography, mean that high standards must be maintained. The Quality Assurance(QA) programme should entail surveys and checks that are performed according to a regular timetable. QA programme should be maintained by staff to ensure adherence to the programme and to raise its importance among staff.

광학현미경 In Situ Hybridization에 의한 Viral RNA 증명 (Identification of Viral RNA by Light Microscopic in situ Hybridization)

  • 최원기;주경웅;김석홍
    • 대한의생명과학회지
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    • 제2권2호
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    • pp.249-255
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    • 1996
  • 토끼 출혈증 바이러스에 감염된 조직을 10% 포르말린 고정, 파라핀 블록으로 보관했던 것으로 표본을 만들고 biotin 표지된 올리고뉴클레오티드 probe를 사용하는 in situ hybridization 기법으로 viral RNA를 조사하였다. in situ hybridization 기법은 핵산을 규명하는 다른 방법들에 비하여 신속하고 특이성인 높은 기법으로 모든 과정이 MicroProbe$^{TM}$ capillary action system에서 1-2시간 이내에 완료된다. Viral RNA는 간세포의 세포질과 신장의 피질에서 주로 관찰되었으나, 폐조직과 신장의 수질에서는 부분적으로 적색신호가 보였다. 비록 기술적인 한계를 가지고 있지만 다른 핵산 진단방법 보다 많은 장점을 가지고 있어 조직 병리학적으로 바이러스 진단하는데 하나의 독특한 기법으로 채용되리라 기대된다.

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