• Title/Summary/Keyword: lesion size

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Clinical Observation for Prognosis Utilizing Brain Computerized Tomography Findings and Barthel Index In Acute Cerebral Infarction (급성 뇌경색 환자의 Brain-CT 소견과 Barthel ADL을 이용한 예후에 관한 고찰)

  • Lee, Won-Chul
    • The Journal of Korean Medicine
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    • v.18 no.2
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    • pp.316-325
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    • 1997
  • In a 36-month period, 23 selected Patients with Acute Cerebral Infarction were studied utilizing Computerized Tomography, Barthel Index in an attempt to correlate Brain Computerized Tomography findings with 1week, 4weeks rehabilitation and evaluate the influences of the size and location of the lesion. The study suggested that the size of the lesion had impact on 4 weeks rehabilitation. There was significant different between the patients with Middle Cerebral Artery Pial Territory Infarction(I.P.B.M.C.A.) lesion and the patients with Lacunar Infarction(L.I.), Striatocapsular Infarction(S.C.I.), Internal Watershed Infarction(I.W.I.) lesion, but there was no significant difference between the patients with L.I. lesion and the patients with S.C.I. lesion and the patients with I.W.I. lesion. The size and location of the lesion should be considered together in predicting the functional outcomes of Acute Cerebral Infarction.

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Clinical association between serum cholesterol level and the size of xanthelasma palpebrarum

  • Kim, Young Geun;Oh, Jae Wook;Lee, Keun Cheol;Yoon, Sung Ho
    • Archives of Craniofacial Surgery
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    • v.23 no.2
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    • pp.71-76
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    • 2022
  • Background: Xanthelasma palpebrarum (XP) is a benign periorbital lesion. The relationship between xanthelasma lesion size and serum cholesterol levels has been poorly studied. In this study, we investigated this relationship in the context of the clinical etiology of XP. Methods: We retrospectively reviewed medical records and pathology reports of all patients treated for XP at our hospital between June 2014 and June 2021; the data were used to analyze lesion size, underlying disease, serum cholesterol, and disease recurrence. Results: The mean values for patient age, serum cholesterol, and lesion size were 53.0 years, 235.0 mg/dL, and 69.2 mm2, respectively. XP mainly occurred in women (64.7%); furthermore, the incidence of XP and lesion size was greatest among patients in their 5th decade of life (41.2%). There was no statistically significant relationship between xanthelasma lesion size and serum cholesterol level. Conclusion: This study compared lesion size with various clinical features in XP patients. In patients who underwent surgery for XP, serum cholesterol levels tended to be higher than those in the general population. However, the trend between the size of XP and serum cholesterol level was unclear. Therefore, if a patient with XP visits the hospital for surgery, it is recommended to check the lipid profile to confirm underlying dyslipidemia regardless of the size.

The Effect of Tomographic Angles on the Osteophytic Lesion Detectability of the Mandibular Condyle (단층촬영 각도의 변화가 하악과두의 골 증식성 병소의 인식에 미치는 영향)

  • Han Sang-Sun;Kim Kee-Deog
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.29 no.1
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    • pp.309-325
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    • 1999
  • Purpose: To find out the effects that different tomographic angles have on the osteophytic lesion detectability of condyle head by comparison the individualized lateral tomographic image with the various tomographic angled images using SCANORA/sup (R)/. Materials & Methods: This study is performed to simulate osteophytic lesions by a series of dentin chips placed at six locations on condyle head. The control angle is 15° and from this angle. tomographic angle were varied with -10°, +10°, +20°. All the images with each sized dentin chip were scored by three dental radiologists with the use of confidence levels for presence or absence of the lesion, each examiner viewed one of the images twice. A rating scale from 0 to 2 (0, lesion definitely not present; 1. uncertain if lesion is present; 2, lesion definitely present). Responses were assessed by Tukey' s multiple comparison method and kappa value. Results: 1. The lesion size of 0.3 mm could not be detected in all the tomographic angles. As the size of the lesion increased the average value of lesion detectability also increased. 2. In the lesion sizes of 0.7 mm there was statistically significant difference between the 15° control angle and the altered tomographic angles (p<0.05). In 1.0 mm lesion there was no significant difference in the ±10° altered angles (p >0.05). but there was significant difference in the altered angle (p<0.05). In the lesion sizes of 0.3 mm and 2.0 mm there was no significant difference between the 15° control angle and all the altered angles (p >0.05). 3. In the anteromedial. anterosuperior, anterolateral area there was no significant difference between the 15° control angle and the ±10° altered angle (p >0.05), but in the comparison with the +20° altered angle there was significant difference (p<0.05). Conclusion: When imaging the lateral tomography of the temporomandibular joint used by SCANORA/sup (R)/, it can be considered that in the osteophytic lesion size of 2 mm and above, the tomographic angle difference within +20° to the horizontal angle of the condyle. has little effect on the lesion detectability. And in the lesion size of 1 mm, the altered angle within ±10° also has little effect on the lesion detectability.

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Cemento-osseous dysplasia: clinical presentation and symptoms

  • Nam, Inhye;Ryu, Jihye;Shin, Sang-Hun;Kim, Yong-Deok;Lee, Jae-Yeol
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.48 no.2
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    • pp.79-84
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    • 2022
  • Objectives: The purpose of this study was to evaluate risk factors and symptoms in cemento-osseous dysplasia (COD) patients. Materials and Methods: In this study, 62 patients who were diagnosed histologically with COD were investigated from 2010 to 2020 at the author's institution. We compared clinical and radiological characteristics of symptomatic and asymptomatic patients. The factors were sex, age, lesion size, site, radiologic stage of lesion, apical involvement, sign of infection, and history of tooth extraction. Statistical analysis was performed using Fisher's exact test and the chi-square test. Results: COD was more prevalent in female patients. With the exception of three cases, all were focal COD. The majority of patients presented with symptoms when the lesion was smaller than 1.5 cm in size. Symptoms were observed when the apex of the tooth was included in the lesion or there was a local infection around the lesion. The history of tooth extraction and previous endodontic treatment were evaluated, and history was not a significant predictor for the onset of symptoms. Conclusion: In this study, risk factors associated with symptomatic patients were size of lesion, apical involvement, and local infection.

A QUANTITATIVE STUDY OF BONE DENSITY ON RADIOGRAM BY USING IMAGE ANALYZER (영상 분석장치를 이용한 골 흑화도의 정량적 평가에 관한 연구)

  • Choi Won-Jae;Kim Jae-Duk
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.25 no.2
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    • pp.521-533
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    • 1995
  • This study was performed to develop and evaluate the method to detect Quantitatively the serial changes in the size of artificial lesion in the spongious bone by automatic color image analyzer. 15 intraoral radiograms taken before and after endodontic treatment of 5 cases were used for contour line analysis. 30 intraoral radiograms taken by geometrically standardized apparatus before and after serially the formation of artificial lesions of 0.80, 1.20, 1.75, 2.00mm in diameter at the periapical area and interdental area of spongious bone were used. The analysis of image according to the variance of lesion size by 0.25, 0.35, 0.55, and 0.85mm serially was performed by the histogram and the color enhancement with subtraction. The images inputted by CCDcamera were digitized and analyzed by NEXUS QUBE program with NEC PC-9801 computer. The obtained results were as follows: 1. There was no reliability in the analysis of lesions by contour line 2 .. The mean difference of the grey scale at each pixel was 1 step between reference image and the corrected images. 3. In the analysis by histogram of the artificial lesion in spongeous bone, the change over 0.55mm in the mesiodistal size was detectable by the change of the numbers of pixel showing the change in grey scale. 4. In the analysis by histogram of the artificial lesion in spongeous bone, the change over 0.25mm in the buccolingual size was detectable by the change in grey scale. 5. By color enbancement with- subtraction, each lesion was able to be isolated and the change in it's mesiodistal size was detectable visually , but not in it's buccolingual size.

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Ultrafast Dynamic Contrast-Enhanced Breast MRI: Lesion Conspicuity and Size Assessment according to Background Parenchymal Enhancement

  • Soo-Yeon Kim;Nariya Cho;Yunhee Choi;Sung Ui Shin;Eun Sil Kim;Su Hyun Lee;Jung Min Chang;Woo Kyung Moon
    • Korean Journal of Radiology
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    • v.21 no.5
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    • pp.561-571
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    • 2020
  • Objective: To evaluate the clinical utility of ultrafast dynamic contrast-enhanced (DCE)-MRI compared to conventional DCE-MRI by studying lesion conspicuity and size according to the level of background parenchymal enhancement (BPE). Materials and Methods: This study included 360 women (median age, 54 years; range, 26-82 years) with 361 who had undergone breast MRI, including both ultrafast and conventional DCE-MRI before surgery, between January and December 2017. Conspicuity was evaluated using a five-point score. Size was measured as the single maximal diameter. The Wilcoxon signed-rank test was used to compare median conspicuity score. To identify factors associated with conspicuity, multivariable logistic regression was performed. Absolute agreement between size at MRI and histopathologic examination was assessed using the intraclass correlation coefficient (ICC). Results: The median conspicuity scores were 5 at both scans, but the interquartile ranges were significantly different (5-5 at ultrafast vs. 4-5 at conventional, p < 0.001). Premenopausal status (odds ratio [OR] = 2.2, p = 0.048), non-mass enhancement (OR = 4.1, p = 0.001), moderate to marked BPE (OR = 7.5, p < 0.001), and shorter time to enhancement (OR = 0.9, p = 0.043) were independently associated with better conspicuity at ultrafast scans. Tumor size agreement between MRI and histopathologic examination was similar for both scans (ICC = 0.66 for ultrafast vs. 0.63 for conventional). Conclusion: Ultrafast DCE-MRI could improve lesion conspicuity compared to conventional DCE-MRI, especially in women with premenopausal status, non-mass enhancement, moderate to marked BPE or short time to enhancement.

Ga-G7 SCINTIGRAPHIC AND RADIOGRAPHIC EVALUATION OF THE ACTIVITY OF EXPERIMENTALLY INDUCED MANDIBULAR INFLAMMATORY LESION (Ga-67 골주사와 X선사진을 이용한 실험적 하악골 염증성 병변의 활성도 평가)

  • Kim Yung-Gul;You Dong-Soo
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.21 no.1
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    • pp.19-29
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    • 1991
  • The purpose of this study was to evaluate the usefulness of Ga-67 scintigram in predicting the disappearance of inflammatory activity in mandibular lesions of dogs. Inflammatory bony lesions were produced artificially by the injection of sclerosing solution and bacterial suspension through the distal root canals of the lower 4th premolars in 10 dogs. The serial Ga-67 scintigrams and periapical radiograms were obtained. After 3 to 6 weeks duration of antibiotic therapy, the experimental animals were killed, and the mandibles were dissected. Bacteriologic culture and antibiotic sensitivity test were done. 1. The following results were obtained. The negative Ga-67 scan has 100% predictive value, and is a strong evidence of the resolution of inflammatory activity. In 2 animals of positive Ga-67 scan, I animal had negative culture. In 14 cases of positive Ga-67 scan, radiographically there was increase in the size of lesion in 9 cases, no change in 5 cases. In 8 cases of negative Ga-67 scan, radiographically there was increase in the size of lesion in I case, no change in 6 cases and decrease in 1 case.

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A STUDY ON THE EFFECTS OF BACTERIA ON THE SIZE OF THE LESION AND THE DISCOLORATION IN THE TRAUMATIZED NONVITAL TEETH (외상성 괴사근관에서 세균이 병소크기 및 변색에 미치는 영향에 대한 연구)

  • Youn, Jung-Hye;Lee, Myung-Jong
    • Restorative Dentistry and Endodontics
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    • v.17 no.1
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    • pp.214-221
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    • 1992
  • The five different types of bacteria, Bacteroides, Actinomyces, Capnocytophaga, Streptococcus, Fusobacterium which had frequently been recovered in infected canals, were investigated. The purpose of this study was to investigate the bacteriologic status in the traumatized nonvital teeth, and to investigate the effects of bacteria on the size of the le8ion and on the discoloration of teeth. The canal contents of sxiteen traumatized nonvital teeth were sampled and cultured aerobically and anaerobically for growth in five selective agar plates for five bacterial species. The sizes of the radiolucent areas in periapical films were measured and according to the sizes, the samples were divided into two groups. The discoloration of the teeth was checked and according to the existence of the discoloration, the samples were divided into two groups, also. The difference of bacterial colonial numbers in each group was investigated and the following results were obtained. 1. In traumatized nonvital teeth, all of the samples gave bacterial growth except one case. 2. Streptococcus was isolated in four cases but Bacteroides, Actinomyces, Fusobacterium and Capnocytophaga were not isolated. 3. The number of bacterial colonies was not found to be related the size of the lesion periapical films. 4. The number of bacterial colonies was not found to be related the discoloration of teeth.

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A Study on the Optimal Design for the reconstruction Filter in Single Photon Emission Computed Tomography (SPECT) (단일광자방출 전산화 단층촬영상에서 재구성 필터의 최적설계에 관한 연구)

  • 김정희;김광익
    • Journal of Biomedical Engineering Research
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    • v.18 no.2
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    • pp.113-120
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    • 1997
  • This paper presents an optimal design for the SPECT reconstruction filter, based on a physical limit of SPECT lesion detection capability. To increase the performance of the filter on lesion detectability, the filter design was focused on increasing the local SyW ratio of a threshold lesion, that was determined by minimum detectable lesion size (MDU) from SPECT lesion detectabllity contrast-detail curve. The proposed filter showed flexible window characteristics of resolution recovery and noise smoothing for MDLSs in the resolution-limited and photon-limited regions, respectively, compennting for the relative impact of the main limitation factors on threshold detectability. The simulated results showed good adaptability of the proposed filter to the changes in physical parameters of photon counts, object contrast, and detector system resolution.

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THE RELATIONSHIP OF RADIOGRAPHIC LESION SIZE AND CHARACTERISTICS TO DIAGNOSIS OF PERIAPICAL CYSTS AND GRANULOMAS (방사선학적 치근단병소의 크기와 특징에 대한 치근단낭종 및 육아종의 상관관계연구)

  • Choi, Ho-Sik;Lee, Woo-Cheol;Shon, Won-Jun;Kum, Kee-Yeon;Bae, Kwang-Shik;Baek, Seung-Ho
    • Restorative Dentistry and Endodontics
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    • v.35 no.1
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    • pp.24-29
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    • 2010
  • The purpose of this study was to find out the relationship of radiographic lesion size, gender, age of patients and radiographic character to the diagnosis of periapical cyst and granuloma. The data was collected from 187 periapical lesions of 167 patients who undergone apical surgery at Department of Conservative Dentistry, Seoul National University Dental Hospital from 2003 to 2005. The lesion were surgically removed and send for biopsy to the Oral Pathology Laboratory. From the initial radiograph, lesion size was calculated using $PiViewSTAR^{(R)}$ (INFINITT, Korea) program. The obtained data were statistically evaluated using SPSS (p<0.05). The result were as followings: 1. From 187 biopsy samples, the incidence of periapical cyst was 28.34% and granuloma was 65.24%. 2. There was a significant correlation between periapical cyst and the size of radiographic lesion (p<0.01). 3. There were no significant correlations between age, gender, location of lesion and the final diagnosis (p>0.05). 4. There was a significant correlation between the non-demarcation of the lesion and the incidence of periapical granuloma (p<0.01).