• Title/Summary/Keyword: interventional

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Overcoming the Hurdles of Transition: Middle School Students' Engagement in Distance Instruction During the COVID-19 Pandemic in South Korea

  • Jinsol KIM;Jeongmin LEE
    • Educational Technology International
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    • v.24 no.1
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    • pp.81-114
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    • 2023
  • The study aimed to qualitatively examine middle school students' engagement in distance instruction during the COVID-19 pandemic. The participants comprised 119 students from a girls' middle school in Seoul, South Korea. To gain an in-depth understanding of the students' experiences, we collected their reflective journals, which included structured items about their learning engagement at three timepoints in 2020: April, July, and December. The following are the results: 10 themes and 18 concepts were derived, and they were integrated into causal conditions (sudden transition due to COVID-19), contextual condition (technology readiness, school education context), central phenomena (high level of behavioral engagement, low emotional engagement), interventional conditions (recognizing the potential of online learning, situational awareness about COVID-19 and online learning), action/interaction phenomena (development and use of self-regulated learning strategies), and consequences (changes in practices and perception towards online learning). Based on the findings, engagement patterns of the participants were classified into five types: proactive, conservative, receptive, reactive, passive learners. The present study demonstrated important findings that are essential for the improvement and development of engaging online learning strategies in the future.

The medical management of mitral stenosis in a Bull Terrier

  • Kun Ho Song;Aleksandra Domanjko Petric
    • Korean Journal of Veterinary Service
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    • v.46 no.1
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    • pp.75-79
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    • 2023
  • An eight-year-old, 28-kg male bull terrier who showed signs of lethargy and cough was referred for further evaluation of congestive heart failure. On presentation, physical examination revealed a systolic murmur at the left apex of the heart. Moreover, chest radiograph evaluation confirmed the mild alveolar and interstitial patterns in the caudal lung lobes and a grossly enlarged left atrium and left ventricle. Electrocardiography showed atrial fibrillation with a wide QRS complex, and transthoracic echocardiography revealed marked enlargement of the left atrium with abnormal morphology of the mitral valve. The thickened, hammer-like appearance and abnormal diastolic motion of the mitral valve leaflets were characterized by decreased leaflet separation and doming of the valve. The diagnosis was mitral stenosis with congestive heart failure and atrial fibrillation. The owner declined interventional valvuloplasty. Medical treatment included furosemide, pimobendan and diltiazem. Regular health check-ups have shown that vitality and clinical signs have improved considerably, and the dog have remained stable for 6 months after the presentation.

Delayed Colon Perforation after Palliative Treatment for Rectal Carcinoma with Bare Rectal Stent: A Case Report

  • Young Min Han;Jeong-Min Lee;Tae-Hoon Lee
    • Korean Journal of Radiology
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    • v.1 no.3
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    • pp.169-171
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    • 2000
  • In order to relieve mechanical obstruction caused by rectal carcinoma, a bare rectal stent was inserted in the sigmoid colon of a 70-year-old female. The procedure was successful, and for one month the patient made good progress. She then complained of abdominal pain, however, and plain radiographs of the chest and abdomen revealed the presence of free gas in the subdiaphragmatic area. Surgical findings showed that a spur at the proximal end of the bare rectal stent had penetrated the rectal mucosal wall. After placing a bare rectal stent for the palliative treatment of colorectal carcinoma, close follow-up to detect possible perforation of the bowel wall is necessary.

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CT Imaging for Mitral Valve Surgery and Intervention (승모판막수술 및 중재술을 위한 전산화단층영상)

  • Dong Hyun Yang
    • Journal of the Korean Society of Radiology
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    • v.81 no.2
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    • pp.290-301
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    • 2020
  • The surgical technique of mitral valvuloplasty or transcatheter mitral valve (MV) replacement has been developed recently. Surgeons and interventionists require detailed anatomical information on the MV for the purpose of treatment planning. In this review, we discussed the anatomic features of the MV on CT and the method of evaluating the MV for treatment planning, as well as its preservation, for interventional procedures.

Lymphatic Intervention, the Frontline of Modern Lymphatic Medicine: Part I. History, Anatomy, Physiology, and Diagnostic Imaging of the Lymphatic System

  • Saebeom Hur;Jinoo Kim;Lakshmi Ratnam;Maxim Itkin
    • Korean Journal of Radiology
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    • v.24 no.2
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    • pp.95-108
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    • 2023
  • Recent advances in lymphatic imaging have provided novel insights into the lymphatic system. Interventional radiology has played a significant role in the development of lymphatic imaging techniques and modalities. Radiologists should be familiar with the basic physiology and anatomy of the lymphatic system to understand the imaging features of lymphatic disorders, which reflect their pathophysiology. This study comprehensively reviews the physiological and anatomical aspects of the human lymphatic system as well as the latest lymphatic imaging techniques.

Recanalization of Portal Vein Graft Occlusion via a Percutaneous Transmesenteric Approach: A Case Report (간문맥 이식편 폐색증에서 경피적 장간막 경유 접근 방법을 통한 혈관 내 재개통 시술: 증례 보고)

  • Min-Hyuk Yu;Dong-Ho Hyun;Shin-Seok Yang
    • Journal of the Korean Society of Radiology
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    • v.85 no.1
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    • pp.230-234
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    • 2024
  • Interventional recanalization is an effective treatment option for postoperative portal vein occlusion. A transhepatic or transsplenic approach is preferred, whereas a percutaneous transmesenteric route enables antegrade cannulation. Here, we present a case of successful percutaneous transmesenteric recanalization in a patient with a postoperative portal vein graft occlusion.

Endovascular Management of Iatrogenic Vertebral Artery Pseudoaneurysm: A Case Report (의인성 척추동맥 가성동맥류에 대한 중재적 치료: 증례 보고)

  • Jae Yang Park;Sanghyeon Kim;Myongjin Kang
    • Journal of the Korean Society of Radiology
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    • v.84 no.2
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    • pp.483-488
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    • 2023
  • Iatrogenic injury of the vertebral artery during cervical spine surgery though uncommon is critical. With advances in interventional endovascular techniques, the therapeutic approach for vertebral artery injuries has changed. Nonetheless, an established strategy for their management is lacking. We report a case of pseudoaneurysm due to vertebral artery injury, during cervical spine surgery for a tumor, that was treated successfully with endovascular coiling in a plug-and-patch fashion after triple stenting failed.

Ultrasound-Guided Intervention for Breast Lesions (유방 병변에 대한 초음파 유도하 중재 시술)

  • Eun Young Ko
    • Journal of the Korean Society of Radiology
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    • v.84 no.2
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    • pp.332-344
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    • 2023
  • The role of ultrasound-guided interventions in the diagnosis and treatment of breast lesions is gaining importance and prevalence, particularly as the instances of non-palpable breast lesion detection, breast-conserving surgery, and neoadjuvant chemotherapy are increasing. This review attempts to summarize the types and techniques of breast ultrasound-guided interventional procedures, such as biopsy, tissue marker insertion, and preoperative localization, and their indications. Furthermore, we highlight the pro and cons of the most commonly used procedures with the intention of promoting their use in clinical practice.

Imaging Findings of Coronary Artery Fistula in Children: A Pictorial Review

  • Hyun Woo Goo
    • Korean Journal of Radiology
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    • v.22 no.12
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    • pp.2062-2072
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    • 2021
  • Coronary artery fistula, defined as an abnormal communication between the coronary arteries and a cardiac chamber (most commonly) or a thoracic great vessel, may result in hemodynamically significant problems due to vascular shunting in children. Echocardiography, cardiac catheterization, cardiac MRI, and cardiac CT may be used to evaluate coronary artery fistula in children. Recently, CT has played a pivotal role for the accurate diagnosis of coronary artery fistula in children. Surgical or interventional treatment is performed for hemodynamically significant coronary artery fistulas. In this pictorial review, the detailed imaging findings of coronary artery fistula in children are described.

MR Imaging of the Perihepatic Space

  • Angele Bonnin;Carole Durot;Manel Djelouah;Anthony Dohan;Lionel Arrive;Pascal Rousset;Christine Hoeffel
    • Korean Journal of Radiology
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    • v.22 no.4
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    • pp.547-558
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    • 2021
  • The perihepatic space is frequently involved in a spectrum of diseases, including intrahepatic lesions extending to the liver capsule and disease conditions involving adjacent organs extending to the perihepatic space or spreading thanks to the communication from intraperitoneal or extraperitoneal sites through the hepatic ligaments. Lesions resulting from the dissemination of peritoneal processes may also affect the perihepatic space. Here we discuss how to assess the perihepatic origin of a lesion and describe the magnetic resonance imaging (MRI) features of normal structures and fluids that may be abnormally located in the perihepatic space. We then review and illustrate the MRI findings present in cases of perihepatic infectious, tumor-related, and miscellaneous conditions. Finally, we highlight the value of MRI over computed tomography.