• 제목/요약/키워드: liver volume

검색결과 286건 처리시간 0.026초

간암에서 호흡주기를 고려한 2-차원 방사선 치료 방법과 3-차원 입체조형 치료방법에서 방사선 간염 예측의 비교연구 (Comparative Study Between Respiratory Gated Conventional 2-D Plan and 3-D Conformal Plan for Predicting Radiation Hepatitis)

  • 이상욱;김귀언;정갑수;이창걸;성진실;서창옥
    • Radiation Oncology Journal
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    • 제16권4호
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    • pp.455-467
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    • 1998
  • 목적 : 방사선치료계획시 호흡에 의한 장기의 움직임이 고려하는 경우 호흡이 방사선치료에 따른 합병증 발생에 미치는 영향을 분석하고자 하였다. 대상 및 방법 : 3차원 입체조형치료를 받은 간암 환자 4례를 대상으로 하여 방사선치료 계획용컴퓨터상에서 재분석을 하였다. 호흡주기에 따라 방사선치료를 시행 받는다고 가정하여 계획용표적체적의 상하 범위를 줄여 기존의 2-차원 치료계획을 시행한 경우와 자유롭게 호흡하면서 계획된 3-차원 입체조형치료에서 정상간과 주변정상장기의 선량체적히스토그람과 normal tissue complication probability(NTCP)를 비교하였다. 결과 : 간의 호흡에 의한 상하 운동범위는 2-3cm 이었고 호흡주기에 따른 기존의 2차원 방사선치료 방법과 자유롭게 호흡하면서 시행된 3-차원적 입체조형치료 간의 계획용표적체적과 잔여정상간, 주변정상장기의 선량체적히스토그람의 뚜렷한 차이는 관찰할 수 없었다. 또한 정상잔여간의 NTCP의 차이도 관찰할 수 없었다. 결론 : 간에 대한 방사선치료시 호흡에 의해 장기의 움직임을 고려한 방사선치료계획은 방사선치료에 따른 합병증 발생에 매우 중요한 역할을 할 것으로 생각되었고 향후 이 문제점을 극복할 수 있는 많은 연구가 필요 할것으로 생각된다.

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Benefit of volumetric-modulated arc therapy over three-dimensional conformal radiotherapy for stage I-II extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue in the stomach: a dosimetric comparison

  • Chung, Joo-Hyun;Na, Kyoungsu;Kim, Il Han
    • Radiation Oncology Journal
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    • 제36권4호
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    • pp.332-340
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    • 2018
  • Purpose: To retrospectively analyze dosimetric parameters of volumetric-modulated arc therapy (VMAT) and three-dimensional conformal radiotherapy (3D-CRT) delivered to extranodal marginal zone B-cell lymphomas of mucosa-associated lymphoid tissue in the stomach (gastric MALT lymphoma) to find out advantages of VMAT and conditions for definite benefits of VMAT. Materials and Methods: Fifty patients with stage I-II gastric MALT lymphoma received VMAT (n = 14) or 3D-CRT (n = 36) between December 2005 and April 2018. Twenty-seven patients were categorized according to whether the planning target volume (PTV) overlaps kidney(s). Dosimetric parameters were analyzed by dose-volume histogram. Results: Radiation dose to the liver was definitely lower with VMAT in terms of mean dose (p = 0.026) and V15 (p = 0.008). The V15 of the left kidney was lower with VMAT (p = 0.065). For those with PTV overlapping kidney(s), the left kidney V15 was significantly lower with VMAT. Furthermore, the closer the distance between the PTV and kidneys, the less the left kidney V15 with VMAT (p = 0.037). Delineation of kidney(s) by integrating all respiratory phases had no additional benefit. Conclusions: VMAT significantly increased monitor units, reduced treatment time and radiation dose to the liver and kidneys. The benefit of VMAT was definite in reducing the left kidney V15, especially in geometrically challenging conditions of overlap or close separation between PTV and kidney(s).

복부 자기공명영상 고급 기법과 문제 해결 전략 (Advanced Abdominal MRI Techniques and Problem-Solving Strategies)

  • 이윤희;윤성진;박소현
    • 대한영상의학회지
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    • 제85권2호
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    • pp.345-362
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    • 2024
  • 자기공명영상(이하 MRI)은 복부 영상에서 국소 병변의 감지와 특성을 찾을 수 있는 것 때문에 중요한 역할을 한다. 그러나 MRI 검사에 상대적으로 긴 검사 시간과 호흡 유지 기법에서 움직임 관리와 같은 몇 가지 힘든 요인이 있다. 최근에는 검사 시간을 줄이면서 적절한 이미지 품질을 유지하는 기법인 평행 이미징, 압축 감지(compressed sensing) 및 최첨단 딥 러닝(deep learning) 기술이 등장하여 문제 해결 전략을 가능하게 하고 있다. 또한, 역동적 조영증강 영상에서 자유 호흡 기법은, 추가 차원(extra-dimensional)-부피 보간 호흡 유지 검사(volumetric interpolated breath-hold examination) 및 황금 각도 방사형 희소 병렬(golden-angle radial sparse parallel), 간 가속 볼륨 획득(liver acceleration volume acquisition) 스타와 같은, 심한 호흡곤란이나 마취 중인 환자에게서 복부 MRI를 시행하는 것을 돕는다. 이 임상화보에서는 시간을 줄이면서도 이미지 품질을 유지하기 위한 다양한 고급 복부 MRI 기술과 역동적 영상을 위한 자유 호흡 기술을 제시하고 또한 이를 통한 예시들을 보여주고자 한다. 이러한 첨단 기법들의 고찰은 적용된 시퀀스의 적절한 해석에 도움을 줄 것이다.

성체 수컷 생쥐에서 간장과 신장의 혈관 확장 및 세포 형태에 미치는 Propyl Pyrazole Triol의 영향 (Effects of Propyl Pyrazole Triol on the Blood Vessel-Dilation and Cellular Morphology of Liver and Kidney in Adult Male Mouse)

  • 이은정;이유미;최은상;성치남;조현욱
    • Toxicological Research
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    • 제22권4호
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    • pp.365-373
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    • 2006
  • The present study was designed to characterize the effects of estrogen receptor agonist (4,4',4'-(4-Propyl-[1H]-pyrazole-1,3,5-triyl) trisphenol, PPT) on liver and kidney in male mouse using a light microscopic analysis. PPT was subcutaneously given to adult male mice at a weekly dosage of 178.6mg/kg in a volume 0.08 ml of vehicle for 3, 5 and 8 weeks. There were differences in body and organ weights between control and the treated groups. Body and kidney weights were decreased in treated group whereas, liver weight was increased. In microscopic observations, sinusoidal diameter in liver of treated group was increased 156%, 216% and 255% on week 3, 5 and 8 respectively. Compared to the control, diameter of proximal convoluted tubules in kidney was increased 37% and 43% or week 5 and 8 in treated group. Whereas, height of epithelial cells in the proximal tubules was reduced at all time points. These results suggest that microstructure of liver and kidney was changed by treatment of estrogen receptor agonist PPT in the male mice.

간정격 및 간승격 자침이 정상 성인의 맥파에 미치는 영향 비교 연구 (The Effects of Sa-am Acupuncture on Radial Pulse in Healthy Human Subjects: A Comparative Study of Liver Tonifying and Sedating)

  • 육동일;전주현;김영일;김정호
    • Journal of Acupuncture Research
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    • 제32권2호
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    • pp.169-185
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    • 2015
  • Objectives : The purpose of this study is to find the effects of Sa-am liver tonifying and sedating acupuncture on radial pulse. Methods : Sixty healthy people were divided into a liver tonifying acupuncture(LTA) group, liver sedating acupuncture(LSA) group, and control group. The LTA group and LSA group received acupuncture for 20 minutes with a supine position. The Control group took a rest without receiving acupuncture. Radial pulse was measured by three dimensional pulse imaging system(DMP-3000) at four different time points (before, right after, 30 minutes after, and 60 minutes after acupuncture). We compared the three groups and figure out determined the parameters which significantly changed after acupuncture treatment. Results : 1. Pulse period, T1/T, T4/T, (T-T4)/T, T4/(T-T4), T5/T significantly changed after acupuncture. 2. H4, pulse area, systolic pulse area, diastolic pulse area, radial augmentation index(RAI), and pulse power volume / min significantly changed after acupuncture. 3. Frequency of Fourier components, ratio of frequencies of Fourier components, magnitude of Fourier components, and ratio of magnitudes of Fourier components significantly changed after acupuncture. Conclusions : LTA and LSA have an effect on the radial pulse parameters. Further studies on radial pulse change using Sa-Am acupuncture are needed.

한.양약 복용이 간기능에 미치는 영향-피부과치료 한약복용 환자를 중심으로- (Effects of Liver Function in Blood of Drug Users(Herbal and Western) in Koreans)

  • 이정석;이선동
    • 대한예방한의학회지
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    • 제8권1호
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    • pp.59-74
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    • 2004
  • We have conducted questionnaire and measured serum liver function tests on 153 patients whom have received a treatment at a local Oriental medicine clinic in Seoul from Sept. 1, 2002 to Dec. 31, 2002. Patients were categorized into the groups of control(10), decoction group(41), herbal group(5), western medicine group(45), and the group taking both herbal and western medicines(55) concurrently or separately. This study was conducted to investigate how these treatment methods can affect the liver functions. Following results were obtained : 1) Most of the research subjects were male(l03 individuals) living in large urban area, with drinking habit, highly educated, and with normal marriage. For the treatment history, 45 individuals received western medicine treatment(28.85%), 46 with Oriental medicine (29.49%), and 55 patients(35.26%) experienced both forms of treatment. 2) Measuring SD of serum liver functions for all the research subjects, T-protein was 6.95(0.73)g/dl, 4.07(0.51)g/dl for albumin, 0.44(0.19)mg/dl for T-bilirubin, 23.18(18.68)U/L for ALT, 27.42(27.43)U/L for AST, and 22l.27(64.58)mg/dl for LDH. 3) Among the research subjects with the liver functions outside of normal range were 0.64% for T-protein, 3.21% for T-bilirubin and ALT, 36.62% for AST, 0.64% for LDH, and none for Albumin. 4) Confusion variables which may affect the liver functions such as age, smoking, drinking, occupation, and residence were eliminated in calculation and no significant differences were witnessed between the control and experiment groups. 5) In measuring affects of treatment duration on the liver functions, no statistical significances were shown in multiple regression's ,${\beta}$(SE) values. 6) The values of odd ratio in the experiment groups compared to the control were in the range of $0.26(0.22){\sim}0.62(1.23)$. but T-bilirubin of the group receiving both Oriental and western medicine was 1.47(1.90) which showed statistical increase(p<0.001). 7) Factors affecting the liver functions are drinking volume per round duration of alcohol intake, western medicine treatment, gender, and age difference caused significant influences. 8) 57 individuals with serum liver functions out of normal range were mostly male, living in large urban area, median age of 38.89, with normal marriage, highly educated drinking less than once a week with less than 2 bottles per round, and with prior treatment in either western or Oriental medicine. Summarizing above results, we can carefully deduce that taking herbal medicine (both decoction and pills) or western medicine doesn't cause much affect in the liver functions. But taking two forms of medication simultaneously or altering dosage affect significant increase in the T-bilirubin level, thus one needs to take precaution when taking both. Further research is needed in this field to verify this evidence.

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관절염 백서의 염증과 간기능에 대한 목과.백굴채.위영선(木瓜.白屈菜.威靈仙)의 효능연구 (Study on the Effect of Chaenomelis Fructus.Herba Chelidonii.Clematis Florida Thunb on Inflammation and Liver Function of Rats with Arthritis)

  • 박재석;김연섭
    • 동의생리병리학회지
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    • 제19권6호
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    • pp.1610-1614
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    • 2005
  • The purpose of this study is to observe the effects of Chaenomelis Fructus Herba Chelidonii Clematis Florida Thunb mixed water extract on the inflammatory edema induced by Found's complete adjuvant and on different blood volume, and then to demonstrate its efficiencies as well as its safety. We injected Chaenomelis Fructus Herba Chelidonii Clematis Florida Thunb mixed water extract on the inflammatory edema induced by Found's complete adjuvant once daily at the same time for a week, then observed the paw-edema, the counts of the blood WBC, Serum total protein, Serum total bilirrubin, SGOT and SGPT The result obtained is as follows : Inflammatory edema on the right plantar in both sample groups showed a significant reduce compared with that in the control group. The counts of WBC in both sample groups showed a significant decrease compared with that in the control group. The volume of serum total protein in the Sample A group showed a significant decrease compared with that in the control group. The volume of serum total bilirrubin, GOT and GPT in both sample groups was not changed compared with that in the control group. As a result of this experiment, it is concluded that Chaenomelis Fructus Herba Chelidonii Clematis Florida Thunb mixed water extract showed that therapeutic effect on the anti-inflammation on arthritis; otherwise it showed non-toxic effect on the liver function.

배양산삼 추출액의 Doxorubicin 독성 완화 효과 (Protective Effect of the Water Extract of Tissue Cultured Root of Wild Ginseng Against Doxorubicin Toxicity)

  • 최경운;이평재;김호현
    • 대한본초학회지
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    • 제24권3호
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    • pp.13-19
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    • 2009
  • Objectives : This study was aimed to define the protective effect of Tissue Cultured Root of Wild Ginseng (CWG) against doxorubicin (Doxo) toxicity, and investigate the anti-tumor synergic effect of CWG in combination with Doxo in tumor-bearing C57BL/6 mice. Methods : Tumor-bearing mice were established by single inoculation with B16/F10 melanoma cells (2$\times$10$^6$/ml) subcutaneously. Tumor-bearing mice (tumor volume between 50-100 mm$^3$) were selected and divided them into control, Doxo, and Doxo+CWG group. Mice of Doxo group were received with Doxo (4 mg/kg of B.W.) intraperitoneally at 0, 4, 8 days after starting the experiment. Mice of Doxo+CWG group were received CWG water extract during 12 days in combination with Doxo treatment. The body weight, tumor volume, tumor weight, and organ weight (heart, liver, kidney, and testis) were measured. And serum SPK, GOT and creatinine values were analysed. Results : The volume and weights of tumor masses in Doxo group were decreased significantly compared with the those of control group. And the those of Doxo+CWG group were not significantly different from the those of Doxo group. Whereas the weight of body, liver, kidney and testis in Doxo+CWG group were increased significantly compared with the those of Doxo group. The level of serum CPK and GOT in Doxo group were increased compared with the those of control group. But the value of Doxo+CWG group were decreased significantly compared with the values of Doxo group. Conclusions : These results suggest that CWG has protective effect against doxorubicin toxicity. And these effect is guessed that is caused in augmentation of vital energy.

복부 MDCT 영상으로부터 간혈관 자동 추출 알고리즘 (Auto-Segmentation Algorithm For Liver-Vessel From Abdominal MDCT Image)

  • 박성미;이유진;박종원
    • 한국멀티미디어학회논문지
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    • 제13권3호
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    • pp.430-437
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    • 2010
  • 간이식 수술을 함에 있어서 간 내부의 혈관의 형태를 알고 시작하는 것이 수술의 성공률을 매우 높일 수 있다. 본 논문은 조영제를 투여한 정상 환자의 복부 MDCT를 이용하여 얻어진 영상을 다른 여러 장기부분은 제거하고 간 영상만을 추출한 후 간 내의 혈관들의 기본형태를 파악하여 몇몇 구조단위들을 만들고 Morphological filtering을 이용하여 주요 혈관인 좌, 우, 중간정맥을 찾아낸다. 중간정맥을 기준으로 간 실질을 절단하여 절단된 부분의 크기를 예측하고 수술전에 전체 상황을 파악하기 위한 연구이다. 간의 추출 방법은 명암값의 범위와 분포 샘플링 과정에 의한 명암값 분포비율을 가지고 배경과 근육층을 제거하였다. 간의 대략적인 위치 정보와 몸통의 위치정보를 이용하여 단위 매쉬영상과 일치되는 영상을 찾은 후 결과 영상을 조합하고 8방향 연결성을 이용하여 확장하고 화소간의 채우기 과정을 거쳐 최종적인 간영상을 추출하였다. 추출된 간 영상에서 간 영역의 특징적인 명암값과 다양한 구조단위를 가지고 Morpological Filtering을 수행 한 후 나타난 결과들을 조합하여 만들어진 영상에서 각 슬라이스 별로 크기순으로 큰 부분들을 남겨두어 굵은 혈관만을 추출하였다. 추출된 영상들을 3D로 구성 시 자연스럽게 보여지도록 인터폴레이션을 수행한 후 3D Reconstruction 을 수행하여 3D 형태의 간 혈관을 보고 중간 정맥을 파악하여 간 실질의 절단 위치를 예측하게 된다. 절단되어진 간 실질의 크기를 확인하고 계산에 의하여 수술 성공 가능성을 파악할 수 있다.

Cloning of Xanthine Oxidase Gene from Mouse Liver cDNA Library

  • 이추희;이상일;남두현;허근
    • 한국응용약물학회:학술대회논문집
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    • 한국응용약물학회 1994년도 춘계학술대회 and 제3회 신약개발 연구발표회
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    • pp.261-261
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    • 1994
  • Bovine milk xanthine oxidase (E.C.1.1.3.22, XO) purchased from Sigma Chemical Co. had the three protein fragments below 150 kDa on 7.5% SDS-PAGE, which did not show enzyme activity. To remove these fragments, the enzyme preparation was further purified through Sephadex G-200 column chromatography. Two peaks exhibiting enzymatic activity were separated very closely to the void volume, which were revealed as two different enzyme forms, dimeric and monomeric, confirmed by activity staining on native PAGE. Anti sera-against each of the two enzyme forms were raised by subcutaneous injection at multiple sites on the back of rabbits during 4 weeks. On the immunodiffusion test, it was found that both of the antisera of the two forms could react with each other, which implied that their epitopes were identical In the Western blot analysis of mouse liver cytosol fraction, it was found that rabbit anti-XO antibody bound well with the protein band of monomeric mouse liver XO of about 150kDa. Based on this result, mouse liver cDNA 1 ibrary was screened by in situ hybridizat ion wi th rabbi t anti -XO antibody as probe. Through the immunological screening, recombinant phages giving positive signal by the production of XO were selected and further purified. To validate these clones, purified phages were lysogenized in E. coli Y1089 and their lysates were analysed for enzyme activity and immunoreactivity, It was verified that lysates of the purified recombinant phage lysogens exhibited the enzymatic activity as well as bound wi th XO antibody, when induced by IPTG. The above results assert that selected recombinant phage carries mouse liver XO gene.

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