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A Prospective Study on the Value of Ultrasound Microflow Assessment to Distinguish Malignant from Benign Solid Breast Masses: Association between Ultrasound Parameters and Histologic Microvessel Densities

  • Ah Young Park;Myoungae Kwon;Ok Hee Woo;Kyu Ran Cho;Eun Kyung Park;Sang Hoon Cha;Sung Eun Song;Ju-Han Lee;JaeHyung Cha;Gil Soo Son;Bo Kyoung Seo
    • Korean Journal of Radiology
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    • v.20 no.5
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    • pp.759-772
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    • 2019
  • Objective: To investigate the value of ultrasound (US) microflow assessment in distinguishing malignant from benign solid breast masses as well as the association between US parameters and histologic microvessel density (MVD). Materials and Methods: Ninety-eight breast masses (57 benign and 41 malignant) were examined using Superb Microvascular Imaging (SMI) and contrast-enhanced US (CEUS) before biopsy. Two radiologists evaluated the quantitative and qualitative vascular parameters on SMI (vascular index, morphology, distribution, and penetration) and CEUS (time-intensity curve analysis and enhancement characteristics). US parameters were compared between benign and malignant masses and the diagnostic performance was compared between SMI and CEUS. Subgroup analysis was performed according to lesion size. The effect of vascular parameters on downgrading Breast Imaging Reporting and Data System (BI-RADS) category 4A masses was evaluated. The association between histologic MVD and US parameters was analyzed. Results: Malignant masses were associated with a higher vascular index (15.1 ± 7.3 vs. 5.9 ± 5.6), complex vessel morphology (82.9% vs. 42.1%), central vascularity (95.1% vs. 59.6%), penetrating vessels (80.5% vs. 31.6%) on SMI (all, p < 0.001), as well as higher peak intensity (37.1 ± 25.7 vs. 17.0 ± 15.8, p < 0.001), slope (10.6 ± 11.2 vs. 3.9 ± 4.2, p = 0.001), area (1035.7 ± 726.9 vs. 458.2 ± 410.2, p < 0.001), hyperenhancement (95.1% vs. 70.2%, p = 0.005), centripetal enhancement (70.7% vs. 45.6%, p = 0.023), penetrating vessels (65.9% vs. 22.8%, p < 0.001), and perfusion defects (31.7% vs. 3.5%, p < 0.001) on CEUS (p ≤ 0.023). The areas under the receiver operating characteristic curve (AUCs) of SMI and CEUS were 0.853 and 0.841, respectively (p = 0.803). In 19 masses measuring < 10 mm, central vascularity on SMI was associated with malignancy (100% vs. 38.5%, p = 0.018). Considering all benign SMI parameters on the BI-RADS assessment, unnecessary biopsies could be avoided in 12 category 4A masses with improved AUCs (0.500 vs. 0.605, p < 0.001). US vascular parameters associated with malignancy showed higher MVD (p ≤ 0.016). MVD was higher in malignant masses than in benign masses, and malignant masses negative for estrogen receptor or positive for Ki67 had higher MVD (p < 0.05). Conclusion: US microflow assessment using SMI and CEUS is valuable in distinguishing malignant from benign solid breast masses, and US vascular parameters are associated with histologic MVD.

Some Physical Parameters of Globular Clusters II. Dynamical Masses of Six Globular Clusters

  • Suh, Young-Ran;Chun, Mun-Suk
    • Publications of The Korean Astronomical Society
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    • v.1 no.1
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    • pp.9-12
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    • 1984
  • Using King's model, we derived the dynamical masses of six globular clusters. The masses of clusters were calculated from the dynamical length parameters combined with the central velocity dispersion. The dynamical masses are all in the range from $2.5{\times}10^{5}M_{\odot}$ to $1.4{\times}10^{5}M_{\odot}$. The $(M/L_v)_{\odot}$, values lie between 1.0 and 1.2, which are typical for galactic clusters.

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A Study on Structural Behavior of Underground Openings in Discontinuous Rock Masses (불연속면의 영향을 고려한 암반동굴의 구조거동연구)

  • 김선훈;최규섭;이경진;김진웅
    • Proceedings of the Computational Structural Engineering Institute Conference
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    • 1991.04a
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    • pp.20-25
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    • 1991
  • In order to predict properly the effects of ground motion associated wi th earthquakes on underground radioactive waste disposal facilities, understanding of the structural behavior of an underground opening in discontinuous rook masses subjected to dynamic loadings is essential. Therefore, this paper includes literature review on computational models for discontinuous rook masses and on mathematical models for the structural analysis of underground openings. Then, structural analyses of underground openings using the distinct element computer program written for the static and dynamic analysis of discontinuous rook masses have been performed.

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CLINICAL STUDY ON SUBMANDIBULAR MASSES (악하부종괴에 대한 임상적 연구)

  • Jang, Hyun-Seok;You, Jun-Young
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.18 no.4
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    • pp.701-705
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    • 1996
  • There are many kind of diagnostic entities in submandibular or neck masses, and we can set up treatment plan and estimate treatment result, prognosis by accurate diagnosis. By reasoning medical and dental history, physical examination, anatomical consideration of masses in submandibular or neck area, location of masses, laboratory and radiographic studies, we can formulate a clinical diagnosis or differential diagnosis. Although a clinical diagnosis might suffice in some instances, a definitive(microscopic) diagnosis is frequently required for proper treatment. In order to get some information about making accurate diagnosis and setting up appropriate treatment plan, we did clinical study and histopathologic classification of 82 patients who visited and were operated for submandibular masses at Department of Oral and Maxillofacial Surgery in Seoul National University Hospital from 1988 to 1992. The result were as follows : 1. Submandibular masses occured most frequently in forties and fifties, and there was no sex predilection. 2. Chief complaints were in order of mass, swelling, pain and consistency were soft mass, mobile hard mass, firm mass, diffuse swelling in descending order. 3. Most frequent pathologic finding was lymphadenitis. 4. Site of submandibular masses were submandible, neck, submental, retromandible in descending order, and there was no predilection between left and right side. 5. Accuracy rate between clinical impression and result was 51.2%.

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Differential transform method and numerical assembly technique for free vibration analysis of the axial-loaded Timoshenko multiple-step beam carrying a number of intermediate lumped masses and rotary inertias

  • Yesilce, Yusuf
    • Structural Engineering and Mechanics
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    • v.53 no.3
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    • pp.537-573
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    • 2015
  • Multiple-step beams carrying intermediate lumped masses with/without rotary inertias are widely used in engineering applications, but in the literature for free vibration analysis of such structural systems; Bernoulli-Euler Beam Theory (BEBT) without axial force effect is used. The literature regarding the free vibration analysis of Bernoulli-Euler single-span beams carrying a number of spring-mass systems, Bernoulli-Euler multiple-step and multi-span beams carrying multiple spring-mass systems and multiple point masses are plenty, but that of Timoshenko multiple-step beams carrying intermediate lumped masses and/or rotary inertias with axial force effect is fewer. The purpose of this paper is to utilize Numerical Assembly Technique (NAT) and Differential Transform Method (DTM) to determine the exact natural frequencies and mode shapes of the axial-loaded Timoshenko multiple-step beam carrying a number of intermediate lumped masses and/or rotary inertias. The model allows analyzing the influence of the shear and axial force effects, intermediate lumped masses and rotary inertias on the free vibration analysis of the multiple-step beams by using Timoshenko Beam Theory (TBT). At first, the coefficient matrices for the intermediate lumped mass with rotary inertia, the step change in cross-section, left-end support and right-end support of the multiple-step Timoshenko beam are derived from the analytical solution. After the derivation of the coefficient matrices, NAT is used to establish the overall coefficient matrix for the whole vibrating system. Finally, equating the overall coefficient matrix to zero one determines the natural frequencies of the vibrating system and substituting the corresponding values of integration constants into the related eigenfunctions one determines the associated mode shapes. After the analytical solution, an efficient and easy mathematical technique called DTM is used to solve the differential equations of the motion. The calculated natural frequencies of Timoshenko multiple-step beam carrying intermediate lumped masses and/or rotary inertias for the different values of axial force are given in tables. The first five mode shapes are presented in graphs. The effects of axial force, intermediate lumped masses and rotary inertias on the free vibration analysis of Timoshenko multiple-step beam are investigated.

Diagnostic Performance of Diffusion Weighted Imaging of Malignant and Benign Pulmonary Nodules and Masses: Comparison with Positron Emission Tomography

  • Usuda, Katsuo;Sagawa, Motoyasu;Motono, Nozomu;Ueno, Masakatsu;Tanaka, Makoto;Machida, Yuichiro;Maeda, Sumiko;Matoba, Munetaka;Kuginuki, Yasuaki;Taniguchi, Mitsuru;Tonami, Hisao;Ueda, Yoshimichi;Sakuma, Tsutomu
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.11
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    • pp.4629-4635
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    • 2014
  • Background: Diffusion-weighted imaging (DWI) makes it possible to detect malignant tumors based on the diffusion of water molecules. However, it is uncertain whether DWI has advantages over FDG-PET for distinguishing malignant from benign pulmonary nodules and masses. Materials and Methods: One hundred-forty-three lung cancers, 17 metastatic lung tumors, and 29 benign pulmonary nodules and masses were assessed in this study. DWI and FDG-PET were performed. Results: The apparent diffusion coefficient (ADC) value ($1.27{\pm}0.35{\times}10^{-3}mm^2/sec$) of malignant pulmonary nodules and masses was significantly lower than that ($1.66{\pm}0.58{\times}10^{-3}mm^2/sec$) of benign pulmonary nodules and masses. The maximum standardized uptake value (SUVmax: $7.47{\pm}6.10$) of malignant pulmonary nodules and masses were also significantly higher than that ($3.89{\pm}4.04$) of benign nodules and masses. By using optimal cutoff values for ADC ($1.44{\times}10^{-3}mm^2/sec$) and for SUVmax (3.43), which were determined with receiver operating characteristics curves (ROC curves), the sensitivity (80.0%) of DWI was significantly higher than that (70.0%) of FDG-PET. The specificity (65.5%) of DWI was equal to that (65.5%) of FDG-PET. The accuracy (77.8%) of DWI was not significantly higher than that (69.3%) of FDG-PET for pulmonary nodules and masses. As the percentage of bronchioloalveolar carcinoma (BAC) component in adenocarcinoma increased, the sensitivity of FDG-PET decreased. DWI could not help in the diagnosis of mucinous adenocarcinomas as malignant, and FDG-PET could help in the correct diagnosis of 5 out of 6 mucinous adenocarcinomas as malignant. Conclusions: DWI has higher potential than PET in assessing pulmonary nodules and masses. Both diagnostic approaches have their specific strengths and weaknesses which are determined by the underlying pathology of pulmonary nodules and masses.

Constraining the uncertainties in single-epoch virial black hole masses

  • Park, Dae-Seong;Woo, Jong-Hak
    • The Bulletin of The Korean Astronomical Society
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    • v.36 no.1
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    • pp.49.1-49.1
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    • 2011
  • Utilizing single-epoch spectra and the empirical relation between the size of the broad-line region and AGN continuum luminosity, the so-called single-epoch method has been widely used for estimating AGN black hole masses. However, the systematic uncertainties and the potential biases of this method are not well examined. Taking the full advantage of the high-quality homogeneous spectra from the Lick AGN Monitoring Project (LAMP), we investigate in detail the uncertainties of single-epoch mass estimates by comparing with the reverberation-mapping results. We find that the uncertainty due to AGN variability is less than 0.1 dex, while there is a systematic offset between single-epoch masses and reverberation masses. Particularly, narrow-line Seyfert 1 galaxies show that the Hbeta line widths measured from single-epoch (or mean) spectra are systematically larger than those from rms spectra, indicating a potential bias of single-epoch masses. We will present the detailed measurement method, the test of virial assumption, and the systematic uncertainties.

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Influence of Two Moving Masses on Dynamic Behavior of a Simple Beam (두 이동질량이 단순보의 동특성에 미치는 영향)

  • Yoon, H.I.;Choi, C.S.;Im, S.H.
    • Journal of Power System Engineering
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    • v.4 no.4
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    • pp.70-77
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    • 2000
  • On the dynamic behavior of a simple beam the influences of the velocities and distance of two moving masses have been studied by numerical method. The instant amplitude of a simple beam is calculated and analyzed for each position of the moving masses represented by the time functions. As increasing the velocties of two moving masses on the simple beam, the amplitude of the transverse vibration of the simple beam is decreased and the frequency of the transverse vibration of the simple beam is increased. As the distance between two moving masses increase, the transverse displacement of the simple beam is decrease. The simple beam is very stable in second mode at $\bar{a}=0.5$ and in third mode at $\bar{a}=0.3$.

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Influence of Two Attached Lumped Masses on Dynamic Stability of a Vertical Cantilevered Pipe (외팔 수직 송수관의 동적안정성에 미치는 복수 부가질량의 영향)

  • Ryu, Bong-Jo;Jung, Seong-Ho;Yim, Kyung-Bin;Ryu, Doo-Hyun
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2000.06a
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    • pp.647-651
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    • 2000
  • This paper deals with the dynamic stability of a vertical cantilevered pipe conveying fluid and having two attached masses. Some valves or other mechanical components in pipe systems can be regarded as attached lumped masses. Governing equations are derived by energy expressions, and numerical technique using Galerkin's method is applied to discretize the equations of small motion of the pipe. Effects of attached masses on the dynamic stability of a vertical cantilevered pipe conveying fluid are investigated for various locations and magnitudes of the attached lumped masses.

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Analysis of false alarm possibility using simulation of back-scattering signals from water masses (수괴 산란신호 모의를 통한 오탐 가능성 분석)

  • Ha, Yonghoon
    • The Journal of the Acoustical Society of Korea
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    • v.40 no.2
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    • pp.99-108
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    • 2021
  • In this paper numerical wave propagation experiments have been performed to visually confirm whether the signals scattered by water masses can be a false alarm in active sonar. The numerical environments consist of exaggerated water masses as targets in free space. Using a pseudospectral time-domain model for irregular boundary, the back-scattered signals have been calculated and compared with analytic solutions. Also, the sound propagation was simulated. Consequently, it was verified that water masses themselves could not be detected as a false target.