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Evaluation of a Conjugate View Method for Determination of Kidney Uptake (신장 방사선 섭취량 결정을 위한 Conjugate View 방법에 대한 평가)

  • Bong, Jung-Kyun;Yun, Mi-Jin;Lee, Jong-Doo;Kim, Hee-Joung;Son, Hye-Kyung;Kwon, Yun-Youug;Park, Hae-Jeong;Kim, Yu-Seun
    • The Korean Journal of Nuclear Medicine
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    • v.39 no.3
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    • pp.191-199
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    • 2005
  • Purpose: In order to obtain better quantitation of kidney uptake, this study is to evaluate a conjugate view method (CVM) using a geometric mean attenuation correction for kidney uptake and to compare it to Gate's method. Materials & Methods: We used a Monte Carlo code, SIMIND and a Zubal phantom, to simulate kidney uptake. SIMIND was both simulated with or without scatter for the Zubal phantom. Also, a real phantom test was carried out using a dual-head gamma camera. The activity of 0.5 mCi was infused into two small cylinder phantoms of 5 cm diameter, and then, they were inserted into a cylinder phantom of 20 cm diameter. The results by the CVM method were compared with ideal data without both of attenuation and scatter and with Gate's method. The CVM was performed with or without scatter correction. The Gate's method was performed without scatter correction and it was evaluated with regards to $0.12cm^{-1}\;and\;0.15cm^{-1}$ attenuation coefficients. Data were analyzed with comparisons of mean counts in the legions of interest (ROI), profiles drawn over kidney images and linear regression. Correlation coefficients were calculated with ideal data, as well. Results: In the case of the computer simulation, mean counts measured from ideal data, the CVM and the Gate's method were (right $998{\pm}209$, left: $896{\pm}249$), (right: $911{\pm}207$, left: $815{\pm}265$), and (right: $1065{\pm}267$, left: $1546{\pm}267$), respectively. The ideal data showed good correlation with the CVM and the correlation coefficients of the CVM, Gate's method were (right: 0.91, left: 0.93) and (right: 0.85, left: 0.90), respectively. Conclusion: The conjugate view method using geometric mean attenuation correction resulted in better accuracy than the Gate's method. In conclusion, the conjugate view method independent of renal depths may provide more accurate kidney uptake.

Effects of Perfusion Defect on the Measurement of Left Ventricular Mass, Ventricular Volume and Post-stress Left Ventricular Ejection Fraction in Gated Myocardial Perfusion SPECT (정량적 게이트 심근관류 스펙트 검사에서 관류결손이 좌심근질량 측정과 부하 후 좌심실 용적 및 구혈률에 미치는 영향)

  • Ahn, Byeong-Cheol;Bae, Sun-Keun;Lee, Sang-Woo;Jeong, Sin-Young;Lee, Jae-Tae;Lee, Kyu-Bo
    • The Korean Journal of Nuclear Medicine
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    • v.36 no.6
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    • pp.381-391
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    • 2002
  • Purpose: The presence of perfusion defect may influence the left ventricular mass (LVM) measurement by quantitative gated myocardial perfusion SPECT (QGS), and ischemic myocardium, usually showing perfusion defect may produce post-stress LV dysfunction. This study was aimed to evaluate the effects of extent and reversibility of perfusion defect on the automatic measurement of LVM by QGS and to investigate the effect of reversibility of perfusion defect on post-stress LV dysfunction. Subjects and Methods: Forty-six patients (male/female=34:12, mean age=64years) with perfusion defect on myocardial perfusion SPECT underwent rest and post-stress QGS. Forty patients (87%) showed reversible defect. End-diastolic volume (EDV), end-systolic volume (ESV), LV ejection fraction (EF), and LV myocardial volume were obtained from QGS by AutoQUANT program, and LVM was calculated by multiplying the LV myocardial volume by the specific gravity of myocardium. Results: LVMs measured at rest and post-stress QGS showed good correlation, and higher correlation was founded in the subjects with fixed perfusion defect and with small defect (smaller than 20%). There were no significant differences in EDVs, ESVs and EFs between obtained by rest and post-stress QGS un patients with fixed myocardial defect. Whereas, EF obtained by post-stress QGS was lower than that by rest QGS in patients with reversible defect and 10 (25%) of them showed decreases in EF more than 5% in post-stress QGS, as compared to that of rest QGS. Excellent correlations of EDVs, ESVs, EFs between rest and post-stress QGS were noted. Patients with fixed defect had higher correlation between EDVs, ESVs, EFs than patients with reversible defect. Conclusion: These results suggest that perfusion defect can affect LVM measurement by QGS and patients with reversible defect shows post-stress LV dysfunction more frequently than patients with fixed perfusion defect.

Surgical Outcome of Patients with Ischemic Cardiomyopathy Selected by the Results of Myocardial Viability by Preoperative F-18 FDG PET (F-18 FDG 양전자단층촬영을 이용한 생존심근 평가 후 수술한 허혈성 심근병증 환자의 수술 결과)

  • Kim, Jae-Sung;Lee, Dong-Soo;Hong, Suk-Keun;Lee, Young-Tak;Kim, Yu-Kyeong;Kim, Youn-Jung;Moon, Keon-Sik;Won, Tae-Kyoung;Hwang, Hweung-Kon
    • The Korean Journal of Nuclear Medicine
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    • v.34 no.4
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    • pp.276-284
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    • 2000
  • Purpose: We investigated the operative outcome after bypass surgery in patients selected using viability criteria on F-18 FDG PET. Materials and Methods: Rest-24hr delay redistribution imaging of Tl-201 SPECT and F-18 FDG PET were performed in 11 patients. Seven of these 11 patients (6 men, 1 woman) were evaluated to have viable myocardium by F-18 FDG PET. Changes in symptoms and left ventricular ejection fraction (LVEF) after operation were evaluated. Results: In seven of 11 patients, a significant amount of viable myocardium was found on F-18 FDG PET and Tl-201 SPECT. Severity of both chest pain and dyspnea improved markedly in all patients. Mean LVEF improved from 22% to 32%. Conclusion: F-18 FDG PET could be used to select the patients who will benefit from coronary artery bypass surgery.

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Study on Image Quality Assessment in Whole Body Bone Scan (전신 뼈검사에서의 영상 평가 연구)

  • Kwon, Oh Jun;Hur, Jae;Lee, Han Wool;Kim, Joo Yeon;Park, Min Soo;Roo, Dong Ook;Kang, Chun Goo;Kim, Jae Sam
    • The Korean Journal of Nuclear Medicine Technology
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    • v.19 no.1
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    • pp.30-36
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    • 2015
  • Purpose Whole body bone scan, which makes up a largest percentage of nuclear medicine tests, has high sensitivity and resolution about bone lesion like osteomyelitis, fracture and the early detection of primary cancer. However, any standard for valuation has not yet been created except minimum factor. Therefore, in this study, we will analysis the method which show a quantitative evaluation index in whole body bone scan. Materials and Methods This study is conducted among 30 call patients, who visited the hospital from April to September 2014 with no special point of view about bone lesion, using GE INFINIA equipment. Enumerated data is measured mainly with patient's whole body count and lumbar vertabrae, and the things which include CNR (Contrast to Noise ratio), SNR (Signal to Noise ratio) are calculated according to the mean value signal and standard deviation of each lumbar vertabrae. In addition, the numerical value with the abdominal thickness is compared to each value by the change of scan speed and tissue equivalent material throughout the phantom examination, and compared with 1hours deleyed value. Completely, on the scale of ten, 2 reading doctors and 5 skilled radiologists with 5-years experience analysis the correlation between visual analysis with blind test and quantitative calculation. Results The whole body count and interest region count of patients have no significant correlation with visual analysis value throughout the blind test(P<0.05). There is definite correlation among CNR and SNR. In phantom examination, Value of the change was caused by the thickness of the abdomen and the scan speed. And The poor value of the image in the subject as a delay test patient could be confirmed that the increase tendency. Conclusion Now, a standard for valuation has not been created in whole body bone scan except minimum factor. In this study, we can verify the significant correlation with blind test using CNR and SNR and also assure that the scan speed is a important factor to influence the imagine quality from the value. It is possible to be some limit depending on the physiology function and fluid intake of patient even if we progress the evaluation in same condition include same injection amount, same scan speed and so on. However, that we prove the significant evaluation index by presenting quantitative calculation objectively could be considered academic value.

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Efficient Application of Westgard Multi-Rules and Quality Control Implementation Improvement (Westgard Multi-Rules의 효율적 적용과 조치사항의 개선)

  • Jung, Heung Soo;Oh, Youn Jung;Bae, Jin Soo;Baek, Jin Young;Hwang, Bo ra;Shin, Yong Hwan
    • The Korean Journal of Nuclear Medicine Technology
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    • v.21 no.1
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    • pp.60-64
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    • 2017
  • Purpose Westgard multi-rules application based on test quality improvement and commercialized international standard has been widely used in quality control. However, it is difficult to applicate the Westgard multi-rules in nuclear medicine in vitro tests due to the larger sample sizes and the simultaneous measurement of quality control material and patient sample. This study investigated the usefulness of Westgard multi-rules application in nuclear medicine in vitro tests. Materials and Methods A total of 282 systematic error multi-rules (22s, 101s) recorded in the samsung medical center computer system from January 2013 to June 2016 along with 117 cases of corrective measure record was analyzed. The Quality control implementation is recorded in Hospital information system were divided into 4 high-level areas including quality control material error, experimental procedural error, Kit lot number management error, and others. To prevent quality control material error, the existing method that each staff used their own method was changed. The staff who in charge of managing the quality control material was designated and daily consumption amount of every test was strictly controlled by one person. To prevent other errors, every test step was standardized so that the entire test procedures are identically implemented. Results The total quality control implementation was 117 cases; As a result, 62 quality control material errors were 62 cases, experimental process errors were 24 cases, Kit lot number control errors were 18 cases, and other errors were 13 cases. The quality control material error was corrected and could be used fresh materials within 2 days after thawing. The cases of systemic error were decreased to causes as quality control material error. The quality control materials were reduced above 10 vials to a monthly average. In addition, these errors of experimental processing and Kit lot number were improved by test standardization. Consequently, the cases of 101s and 22s in systematic error rules decreased at least 2 cases to a monthly average. Conclusion To confirm of systematic error through multi-rules application quickly, it is necessary to base on management of the QC material, target values and standard deviation. Moreover, in the event of a systematic error, it was found important to record measures based on test cause analysis. The experiment results are expected to contribute to internal quality control improvement and prompt and accurate result reporting through error recording and causal analysis based on Westgard multi-rules analysis.

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Primary Productivity and Assimilation Number in the Kyonggi Bay and the mid0eastern coast of Yellow Sea (서해 중동부 연안수역과 경기만에서 일차 생사력과 동화계수에 관한 연구)

  • 강연식;최중기
    • 한국해양학회지
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    • v.27 no.3
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    • pp.237-246
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    • 1992
  • In order to examine controlling factors on primary productivity and assimilation Number of phytoplankton, chlorophyll-a concentrations, light intensity, temperature, salinity and transparency were measured in the Kyonggi Bay and in the mid0eastern coast of Yellow Sea from March 1989 to October 1990. Chlorophyll-a concentration of phytoplankton ranged from 0.91 to 4.30 ug/; in the Kyonggi Bay, and from 0.78 to 4.97 ug/l in the mideastern coast of Yellow Sea. Daily averaged primary productivities and annual primary productivities of phytoplankton ranged from 37.23 to 1104.44 (averaged 361.54) mgC/m$^2$/day, 131.96hC/m$^2$/yr in the mid0eastern coast of Yellow Sea, respectively. Assimilation Number of phytoplankton ranged from 1.47 to 28.28 mgC/mg chl-a/hr in the Kyonggi Bay, and of phytoplankton in the Kyonggi Bay was higher than that of the mid0eastern coast of Yellow Sea. Light utilization efficiencies (a) in the P-I curve ranged from 0.03 to 0.93 [mgC/mg chl-a/hr]/[ue/m$^2$/sec]in the Kyonggi Bay, and from 0.01 to 0.62 [mgC/mg chl-a/hr]/[ue/m$^2$/sec] in the mid-eastern coast of Yellow Sea. Their results indicated that phytoplankton in the Kyonggi Bay utilized light more efficiently than those of the mid0eastern coast of Yellow Sea. The average values of I/SUB k/ were 48.15 ue/m$^2$/sec in the Kyonggi Bay, and 120.37 uE/m$^2$/sec in the mid-eastern coast of yellow Sea. It means the phytoplankton populations in the Kyonggi Bay seem to be adapted to lower light intensity than those of the mid-eastern coast of Yellow sea.

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Geophysical characteristics of seamounts around Dok Island (동해 독도주변 해산의 지구물리학적 특성)

  • 강무희;한현철;윤혜수;이치원
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.7 no.4
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    • pp.267-285
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    • 2002
  • Dok Island, a Pliocene volcano, lies in the southwestern part of the East Sea. Most the work to date have focused primarily on the petrolography of the island, and as a result, the morphological characteristics and internal structure of the volcanic edifices of the Dok Island remain poorly understood. To provide better constraints on these features, bathymetric data with multibeam echo sounder, 32-channel seismic and 3D gravity modeling were used in this study. Three positive topographic highs are present in the study area, and these highs satisfy the seamount criteria. They are named as Dokdo, Tamhae, and Donghae seamounts. 32-channel seismic survey was conducted to investigate the sediment thickness of the area, which shows that there are no sediments near the summit of seamounts. Away from the seamounts, however, sediment becomes thick(>2000 m) toward the western part of the study area, and sediments in the northern and southern parts are about 1000 m thick. Free-Air gravity anomalies in this study generally follow the bathymetric feature with less than -20 mGal at the western part, but increase towards the seamounts. In the summit of the Dokdo Seamount, anomalies reach over 120 mGal, and in Tamhae and Donghae seamounts, the peak anomaly shows 90 and 70 mGals, respectively. All seamounts have an isolated volcanic conduit in their centre and show regional compensation root with 0.5~1.5 km thickness. The flat-topped summit of the seamounts is probably caused by wave truncation, indicating the sea level at the time of formation of the flat-topped geometry. Comparison between the present-day sea level and subsidence level during the opening of the East Sea suggests that the seamounts in the study area have subsided by 200~300 m after the formation. Furthermore, it implies that the seamounts formed over 12~10 Ma.

Studies on Marine Sediments of the Korean Seas. I. Concentrations and Distributions of Some Ceochemical Elements in Sediments from the Sea off Eastern Korea (한국근해의 해저토에 관한 연구 I. 동해 해저토의 지화학적 성분의 함량과 분포)

  • Choe, Sang
    • 한국해양학회지
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    • v.1
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    • pp.1-15
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    • 1971
  • Some major and minor geochemical contents, such as Zr, Br, Ni, Sr, Zn, Mn, Ti and Fe, of ninety-seven sediment samples from the sea off eastern Korea have been analyzed by the fluorescence spectrometric techniques. Concentrations of elements showed 22-962ppm Zr(averaging 194.4ppm), tr-220 ppm Br(averaging 138.2ppm), 31-141ppm Ni(averaging 89.1ppm), 118-3,494ppm Sr(averaging 448.6ppm) 27-134ppm Zn(averaging 92.5ppm), 38-1,043ppm Mn(averaging 664.2ppm), 0.04-0.42% Ti(averaging 0.29%) and 0.57-4.02% Fe(averaging 2.76%). The ratios of Zn/Ti 10$\^$3/, An/Fe 10$\^$3/ and Ti/Fe were 0.27-6.43(averaging 3.27), 2.25-7.76 (averaging 3.46) and 0.04-0.18(averaging 0.11), respectively. From the results of geochemical analyses of sediments from the sea off eastern Korea represented the different types of sediment pattern are considered between the southern part and the northern part of the sea. The bottom sediments of the southern part were characterized with higher Sr and lower Zn, Br contents; higher Zr and lower Br contents; lower Br and lower Zn, Ti and Fe contents; and lower Zn and lower Ti and Fe contents.

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Community Structure and Health Assessment of Macrobenthic Assemblages at Spring and Summer in Cheonsu Bay, West Coast of Korea (천수만에 서식하는 대형저서동물의 춘계와 하계의 군집구조 및 건강도 평가)

  • Jung, Rae-Hong;Seo, In-Soo;Lee, Won-Chan;Kim, Hyung-Chul;Park, Sang-Rul;Kim, Jeong-Bae;Oh, Chul-Woong;Choi, Byoung-Mi
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.19 no.4
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    • pp.272-286
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    • 2014
  • This study was performed to investigate the community structure and health assessment of macrobenthic assemblages in Cheonsu Bay, West Coast of Korea. Total species number was 224 and mean density was $1,940ind./m^2$, both of which were dominated by polychaete worms (111 species and $1,213ind./m^2$). In terms of density, the major dominant species were the bivalve Theora fragilis ($280{\pm}213ind./m^2$), the polychaetes Heteromastus filiformis ($254{\pm}218ind./m^2$), Lumbrineris longifolia ($216{\pm}41ind./m^2$), Mediomastus californiensis ($158{\pm}97ind./m^2$) and the amphipod Eriopisella sechellensis ($167{\pm}100ind./m^2$). As a result of community statistics (cluster analysis and nMDS ordination), the macrobenthic community structure was classified two major groups (inner and mouth of bay) and two stations (station 2 near Ganwol dyke in spring and summer). The Benthic Pollution Index (BPI) and AZTI's Marine Biotic Index (AMBI) were applied to assess the benthic ecological status. During the sampling periods, the BPI Index values varied between 11 (bad status) and 92 (high status). On the other hand, the AMBI Index values was ranged between 1.34 (good status) and 4.39 (poor status). In conclusion, in terms of the mean BPI and AMBI Index values, the ecological status of Cheonsu Bay were moderate status (ecotone stage) and good status, respectively.

Effect of an Offshore Fish Culture System on the Benthic Polychaete Community (외해가두리 양식이 저서다모류군집에 미치는 영향)

  • Jung, Rae-Hong;Yoon, Sang-Pil;Kim, Youn-Jung;Lee, Won-Chan;Hong, Sok Jin;Park, Sung-Eun;Oh, Hyung Taik
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.18 no.4
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    • pp.195-205
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    • 2013
  • Excessive input of organic matters from fish cage farming has been considered as one of the major factors disturbing benthic ecosystem, especially in semi-enclosed coastal waters. Recently offshore aquaculture in the vicinity of Jeju-do has been introduced to minimize that kind of negative impact. This study was conducted to investigate the ecological impacts of offshore aquaculture on the macrobenthic polychaete communities. A total of ten sampling works were carried out for 28 months, spanning from 10 days after starting giving feed to 3 months after stopping giving feed. During the study period, mean current velocity was quite strong with the range of 50 cm/s to 70 cm/s. TOC of surface sediment was constantly low. Significant changes in polychaete community were detected just three months after starting giving feed, which were the increase of the number of species and density at all stations. Up to 18 months after the start of farming, the amount of feed provided played an important role in the fluctuation of the number of species and density, especially at 0 m and 10 m stations. After reducing the amount of feed provided, dominance of some opportunistic species within 10 m distance from fish cages still lasted to the end of aquaculture. However, opportunistic species disappeared 3 months after the end of farming, which indicated the sign of recovery from the disturbance. From these results, the amount of food input and the period of cultivation were critical factors disturbing polychaete community and ensuing changes in this offshore and oligotrophic waters as well. In addition, study on the changes of polychaete community structure before and after fish farming showed more detailed changes in benthic ecological state than geochemical approach did.