• Title/Summary/Keyword: tomogram

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Subarachnoid Hemorrhage and Intracerebral Hematoma due to Sildenafil Ingestion in a Young Adult

  • Byoun, Hyoung-Soo;Lee, Young-Joon;Yi, Hyeong-Joong
    • Journal of Korean Neurosurgical Society
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    • v.47 no.3
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    • pp.210-212
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    • 2010
  • Sildenafil citrate ($Viagra^{(R)}$ Pfeizer US Pharmaceutical Group, New York, NY, USA) is a potent vasodilating agent to treat male erectile dysfunction. Among its adverse effects, hemorrhagic stroke has not been widely reported yet. We present a case of a 33-year-old healthy man who ingested 50 mg sildenafil a half hour before onset of headache, nervousness and speech disturbance. Head computed tomogram of this stuporous man showed huge intracerebral hemorrhage and thick subarachnoid hemorrhage, but angiography failed to disclose any vascular anomalies. Subsequent surgical procedure was followed, and rehabilitation was provided thereafter. Sildenafil seems to act by redistributing arterial blood flow, and concurrent sympathetic hyperactivity, which lead to such hemorrhagic presentation. Extreme caution should be paid on even in a young adult male patient wven without known risk factors.

Development of Medical Ultrasound Imaging Techniques for Tissue Characterization (Attenuation Effect on Measurement and Tomography of Nonlinear Parameter) (조직 정량화를 위한 의용 초음파 영상 기술 개발(비선형 파라미터의 측정 및 단층영상에 미치는 감쇠의 영향))

  • 이현주;이강호;최종호;최종수
    • Journal of the Korean Institute of Telematics and Electronics
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    • v.27 no.12
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    • pp.1916-1924
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    • 1990
  • In this paper attenuation effect on the measurement and the tomography of nonlinear parameter is discussed. We perform computer simulation with the method using harmonic components and the method using secondary wave components, and then estimate attenuation effect through the results and compare two measurement techniques. According to simulation result the attenuation effect is more intensive as large n and \ulcorner, and the degree of the attenuation effect is represented as error functions. In the aspect of measuremnet techniques, the method using secondary wave components is more insensitive to attenuation effect than the method using harmonic compnents. We obtain the same result in the nonlinear tomography, and show that the attenuation compensive filter is required because the whole tomogram is affected by frequency dependent attenuation(or nonlinear attenuation)

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Tomogram Enhancement using Iterative Error Correction Algorithm

  • Ko, Dae-Sik;Park, Jun-Sok
    • The Journal of the Acoustical Society of Korea
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    • v.15 no.4E
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    • pp.9-13
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    • 1996
  • We developed an iterative algorithm which could improve the resolution of reconstructed tomograms having random attenuation patterns and analyzed the limitation of this algorithm. The simple back-and forth propagation algorithm has depth resolution about four wavelengths. An iterative algorithm, based on back-and-forth propagation, can be used to improve the resolution of reconstructed tomograms. We analyzed the wavefield for multi-layered specimen and programmed iterative algorithm using Clanguage. Simulation results show that the images get clearer as the number of iterations increases. Also, unambiguous images can be reconstructed using this algorithm even when the layer separation is only two wavelengths. However, this iteration algorithm comes up with an incorrect solution for the number of projections less than five.

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The Development of a Intrahepatic Biliary Cyst after Kasai Operation for Biliary Atresia (카사이 수술 후 발생한 간내 담관 낭종)

  • Park, Woo-Hyun;Choi, Soon-Ok
    • Advances in pediatric surgery
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    • v.5 no.2
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    • pp.126-129
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    • 1999
  • A 6 and a half year-old girl developed recurrent cholangitis following hepatic portoenterostomy for biliary atresia. Computed tomogram showed an ovoid cyst ($4.5{\times}4.0$ cm in size) in the left hepatic lobe and another tubular dilatation ($2.0{\times}0.8$ cm in size) in the right hepatic lobe. Percutaneous transhepatic cholangiodrainage(PTCD) and cystogram showed an ovoid cyst in the left hepatic lobe (Tsuchida type A), measuring $6.6{\times}5.0$ cm in size. Following drainage and administration of parenteral antibiotics she became afebrile and anicteric. However she continued to drain 45-150 cc of bile per day via the tube over the next 2 weeks. The patient successfully underwent intrahepatic cystojejunostomy with intraoperative ultrasonographic guidance. This case illustrates relapsing cholangitis caused by Tsuchida type A intrahepatic cyst, successfully managed with PTCD followed by an internal drainage procedure.

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The relationship between the transverse discrepancy of the jaws and asymmetric growth of the condyles in children (임상가를 위한 특집 1 - 성장기 아동에서 상하악 폭경 부조화와 하악과두의 비대칭 성장과의 관계)

  • Lee, Jina Linton
    • The Journal of the Korean dental association
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    • v.51 no.6
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    • pp.302-312
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    • 2013
  • It has been established that disk displacement of the temporomandibular joint(TMJ) can cause mandibular asymmetry in growing subjects. One of the causes of internal derangement of TMJ seems to be the result of poor positioning of the joint structure in unilateral cross bite, and the subsequent occlusal trauma transferred to the functioning unit of the mandible, the joint and disc. Transverse discrepancy of the maxillary and the mandibular posterior dentoalveolar units was often found in mandibular asymmetric subjects. Most of the asymmetry in growing subjects becomes worse with further growth if left untreated. However once sufficient posterior overjet is gained through orthodontic treatment, many cases have shown improvement in facial asymmetry. Furthermore, the position of condyles in computed tomogram(con-beam CT) changed from anatomically unfavorable position to more concentric position.

PIV Measurement on Airflows in the Abnormal Nasal Cavity with the Adenoid Vegetation (아데노이드 비대증에 의한 비정상 비강 내 유동의 PIV해석)

  • Kim, Sung-Kyun;Son, Young-Rak
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.27 no.4
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    • pp.518-523
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    • 2003
  • Airflow in the nasal cavity of Korean adults is investigated experimentally by PIV measurement. Quantitative data for normal and abnormal nasal cavities with adenoid vegetation are obtained. The CBC PIV algorithm with window offset is used for PIV flow analysis. Average and RMS distributions are obtained for inspirational and expirational nasal airflows. Comparisons between western and Korean nasal airflows are appreciated. Due to the difference in geometry of the frontal part of nasal cavity, the flow near nares shows the difference. For the joint research on nasal deceases, PIV measurements of nasal airflow for nasal cavities with 50% and 70% adenoid vegetation are conducted for the first time. Comparisons in nasal airflows for both normal and abnormal cases are also appreciated.

Numerical and experimental flow visualization on nasal air flow (비강 내 공기유동에 대한 실험 및 전산유동가시화)

  • Kim, Sung-Kyun;Park, Jun-Hyeong;Huynh, Gwang-Rim
    • 한국전산유체공학회:학술대회논문집
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    • 2008.03b
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    • pp.498-501
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    • 2008
  • Knowledge of airflow characteristics in nasal cavities is essential to understand the physiological and pathological aspects of nasal breathing. Several studies have utilized physical models of the healthy nasal cavity to investigate the relationship between nasal anatomy and airflow. In our laboratory, there have been a series of experimental investigations on the nasal airflow in normal, abnormal, and deformed nasal cavity models cavity models by PIV under both constant and periodic flow conditions. In this time normal and several deformed nasal cavity models, which simulate surgical operation, Turbinectomy, are investigated numerically by the FVM general purpose code and PIV analysis. The comparisons of these results are appreciated. Dense CT data and careful treatment of model surface under the ENT doctor's advice provide more sophisticated cavity models. The Davis (LaVision Co.) code is used for PIV flow analysis. Average and RMS distributions have been obtained for inspirational and expirational nasal airflows in the normal and deformed nasal cavities.

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Investigation on Airflows in Abnormal Nasal Cavity with Adenoid Vegetation by Particle Image Velocimetry

  • Kim, Sung Kyun;Son, Young Rak
    • Journal of Mechanical Science and Technology
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    • v.18 no.10
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    • pp.1799-1808
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    • 2004
  • Knowledge of airflow characteristics in nasal cavity is essential to understand the physiological and pathological aspects of nasal breathing. Several studies have utilized physical models of the healthy nasal cavity to investigate the relationship between nasal anatomy and airflow. Since the final goal of these works is their contribution to the diagnosisand treatment of nasal diseases, the next step on this topic is naturally studies for disordered nasal cavities. In this paper, as the first application, airflows in the normal and abnormal nasal cavities with adenoid vegetation are investigated experimentally by PIV, and comparisons of both cases are appreciated. Dense CT data and careful treatment of model surface under the ENT doctor's advice provide more sophisticatedcavity model. The CBC PIV algorithm with window offset is used for PIV flow analysis. Average and RMS distributions are obtained for inspirational and expirational nasal airflows. Airflow characteristics that are related with the abnormalities in nasal cavity are presented.

Odontogenic myxoma: a case report with recent image modalities

  • Kim Jae-Duk;Kim Kwang-Won;Lim Sung-Hoon
    • Imaging Science in Dentistry
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    • v.34 no.4
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    • pp.199-202
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    • 2004
  • The odontogenic myxoma is an benign, slow growing neoplasm which is of ectomesenchymal origin. This neoplasm occurs almost exclusively in the jaw bones and comprises 0.2% to 17.7% of odontogenic tumors. The odontogenic myxoma may show a wide spectrum of radiographic appearances, unilocular, multilocular radiolucency and a distinct or diffuse border, making the differential diagnosis difficult. We present a case of the odontogenic myxoma in the maxilla with conventional and recent image modalities. Occlusal film revealed a medially extended multilocular lesion with intralesional fine and straight trabeculations from the scalloped margin and buccal expansion and thinning of cortical bone. Computed tomogram revealed lesion showed equivalent density to the muscles in the left maxillary sinus with partial cortical discontinuity of medial wall and the tennis-racket pattern with internal straight trabeculations. MRI revealed intermediate signal intensity on Tl weighted image and high signal intensity on T2 weighted image. In Gd enhanced MR image, the peripheral portions of the lesion were enhanced.

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A Case Report of Adenoid Cystic Carcinoma in Trachea (기관에 생긴 선양낭포암 치험 1례)

  • 전희재
    • Journal of Chest Surgery
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    • v.26 no.6
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    • pp.501-504
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    • 1993
  • Adenoid cystic carcinoma of the tracea is rare, but is a very serious critical life-threatening disease.Nearly all the lesions of the trachea are presented as obstructive lesions. Bronchoscopic examination including chest CT, tomogram and air tracheogram are essential for the further definition of these lesions. This is a case report of adenoid cystic carcinoma in a 47 years old male patient. The tumor was located in cervical trachea with wide base and obstructing the lumen almost completely. The patient`s symptom was productive cough and hoarseness for 4 months. The tumor was resected and End-to-End anastomosed. The tumor was confirmed to be adenoid cystic carcinoma histopathologically. The need for removal of tracheal tumor whether complete or incomplete, is clear enough regardless of the histology of the tumor. This patient was treated post-operatively with radiation.

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