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Sonographic Findings of Thyroid Papillary Carcinoma (갑상선 유두암의 초음파 소견)

  • Lee, Jae-Kyo
    • Journal of Yeungnam Medical Science
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    • v.21 no.2
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    • pp.224-230
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    • 2004
  • Background: To determine the various sonographic findings in a papillary carcinoma of the thyroid. Materials and Methods: 48 patients with a proven papillary carcinoma of the thyroid were involved. The sonographic features analyzed were the size, shape, content, margin, internal echo, and calcification pattern. Results: Common sonographic features of a papillary carcinoma include the hypoechoic texture (94%), an ill defined margin (81%), a solid nodule (100%), irregular shape (48%), and microcalcifications (35%), or no calcifications (42%). The uncommon features included a hyperechoic or mixed echo texture, cystic elements, a well defined margin, and a coarse or peripheral calcifications. Conclusion: Ill-defined hypoechoic solid nodule with microcalcification is a characteristic ultrasonographic finding of a thyroid papillary carcinoma.

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Automatic Extraction of Pulmonary Vessels to Detect the Pulmonary Nodule and Embolism in CT Image (CT 영상내의 폐 결절과 색전 검출을 위한 폐혈관 자동 추출)

  • Park, Chan;Yu, Hong-Yeon;Hong, Sung-Hoon;Kim, Soo-Hyung;Lee, Guee Sang
    • Annual Conference of KIPS
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    • 2004.05a
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    • pp.699-702
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    • 2004
  • 단층촬영에 의해 획득된 흉부영상의 폐 영역은 기관지, 폐동맥, 폐정맥으로 구성된 복잡한 형태를 가지고 있다. 또한 이들 조직과 폐 영역 내에 존재하는 악성 종양과 같은 질병들 사이의 공간정보의 유사성으로 인해 방사선 전문의조차도 질병을 간단히 구분 해내는데 많은 어려움이 따른다. 따라서 본 논문에서는 이러한 유사한 공간정보를 갖는 폐 영역을 수리형태학 필터인 모폴로지(morphology)와 국부적인 워터쉐드(watershed) 알고리즘을 이용하여 분할하고, 분할된 폐 영역으로부터 색전 또는 종양 등의 결절(nodule)의 정보를 가지고 있는 혈관들을 추출하는 효과적인 알고리즘을 제안한다.

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고씨동굴 주변지역의 인문환경

  • 홍현철;홍충렬
    • Journal of the Speleological Society of Korea
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    • v.37 no.38
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    • pp.39-45
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    • 1994
  • 영월군은 강원도의 서남쪽에 위치하며 태백산맥의 서사면인 영서지방에 속한다. 철도교통은 태백선과 영동선으로 연결되며 서울에서 3시간 30분거리에 있다. 영동고속도로로는 새말에서 장평 평창을 지나 영월에 이르게 되며 수도권에서 3시간 정도로 도달할 수 있다. 즉 영월은 중원권인 충청도지방과 수도권인 경기지방 그리고 동해안지역인 영동지방등의 결절지역에 해당되는 교통요지라 할 수 있다. 특히 이곳은 태백산맥 서사면의 산간오지로 산세가 수려하고 한적한 비경인 관계로 조선시대 단종의 유배지로 정해졌던 고장이다.(중략)

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고씨동굴 주변지역의 인문환경

  • 홍현철;홍충렬
    • Proceedings of the Speleological Society Conference
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    • 1994.11a
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    • pp.90-90
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    • 1994
  • 영월군은 강원도의 서남쪽에 위치하며 태백산맥의 서사면인 영서지방에 속한다. 철도교통은 태백선과 영동선으로 연결되며 서울에서 3시간 30분거리에 있다. 영동고속도로로는 새말에서 장평 평창을 지나 영월에 이르게 되며 수도권에서 3시간 정도로 도달할 수 있다. 즉 영월은 중원권인 충청도지방과 수도권인 경기지방 그리고 동해안지역인 영동지방등의 결절지역에 해당되는 교통요지라 할 수 있다. 특히 이곳은 태백산맥 서사면의 산간오지로 산세가 수려하고 한적한 비경인 관계로 조선시대 단종의 유배지로 정해졌던 고장이다.(중략)

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3D mechanical model based pulmonary nodule segmentation in CT images (CT영상용 3차원 역학 모델 기반 폐 결절 분할 방법)

  • Yoon, Ji-Seok;Choi, Tae-Sun
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.8 no.4
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    • pp.319-326
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    • 2015
  • In this paper, a 3D mechanical model based on pulmonary nodule segmentation method is proposed. The proposed method has three main parts. First, an initial 3D mechanical model is generated. The model is made up of many triangle elements resulting in forming whole shape of the model as sphere. Second, points of the model are deformed, and finally internal and external energies according to each deformation are calculated. The internal energy is determined by the model shape, and the external energy is determined by intensity. After the model is deformed, the process of searching the minimum energy generated by the deformation is executed repetitively. If the model energy converges, the nodule is segmented by using the proposed model. The proposed method greatly improves the result compared with conventional methods.

Pulmonary Cryptococcosis in Immunocompetent Patients: CT Findings

  • Lee, Jae-Kyo
    • Journal of Yeungnam Medical Science
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    • v.21 no.1
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    • pp.74-81
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    • 2004
  • Purpose: To evaluate the computed tomography (CT) findings of pulmonary cryptococcosis in immunocompetent patients. Materials and Methods: CT scans of 25 patients with biopsy-proven cryptococcosis [surgery (n=3), percutaneous needle biopsy (n=21), and bronchoscopic biopsy (n=1)] were analyzed. Thirteen patients were men and 12 patients were women, with a mean age of 53.7 years. Presenting symptoms were cough, sputum, and dyspnea and 12 patients presented with incidentally found chest radiographic abnormalities. Results: Nodule or multiple conglomerate nodules (n=10, 40%) and segmental or lobular consolidation (n=9, 36%) were most common, followed by mixed patterns (n=5, 20%). Predilection sites were lower lobe (n=21/37, 57%) and subpleural areas (n=23, 92%). Air bronchograms within consolidations (n=11/14, 79%) with mild volume loss (n=10/14, 71%) were common. While interlobular septal thickening (n=11, 44%) and cavitation or central low-attenuations (n=11, 44%) were relatively common, lymphadenopathy (n=2, 8%) or free pleural effusions (n=1, 4%) were uncommon. Conclusion: Nodules or airspace consolidation with a predilection of lower lobe and subpleural area are the most common appearances of pulmonary cryptococcosis in immunocompetent patients.

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Various Renal Manifestations in Children with Tuberous Sclerosis Complex (소아 결절성 경화증에서 나타나는 다양한 신증상들)

  • Lim, Ja Hyun;Park, Moon Sung;Pai, Ki Soo;Kim, Sung Hwan;Shin, Jae Il;Park, Se Jin
    • Childhood Kidney Diseases
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    • v.18 no.2
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    • pp.132-136
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    • 2014
  • Tuberous sclerosis complex (TSC) is a genetic disorder that affects multiple organ systems and causes tumors. It is important that physicians are aware of the manifestations of TSC, and that they follow the recommendations for screening and evaluation. Several types of renal abnormalities may develop in individuals with TSC. Individuals with TSC may require ongoing treatment that can be adapted for each arising manifestation of renal disease. Herein, we report 4 patients with TSC who presented with a range of different renal manifestations, including angiomyolipoma, renal cell carcinoma, renal infarction, renal cyst, and nephrolithiasis.

Cytologic Aspect of Keratoacanthoma with Granulomatous Inflammation in a Dog (개의 육아종성 염증이 동반된 keratoacanthoma의 세포학적 고찰 증례)

  • Ji, Hyang;Kim, Dae-Yong;Ji, Dong-Bum;Choi, Ul-Soo
    • Journal of Veterinary Clinics
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    • v.26 no.6
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    • pp.616-618
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    • 2009
  • A 5-year-old Pekinese dog was presented for evaluation of a back mass of 1 year duration. Fine needle aspiration cytology of the mass revealed numerous keratinocytes, and a lesser number of multinucleated giant cells along with a low number of spindle cells, which were suggestive of epidermal cyst or hair follicle tumor with secondary granulomatous inflammation. The mass was surgically removed and examined histologically. Microscopically there was partially encapsulated well-demarcated nodule in deep dermis and subcutis. The nodule consisted of central cyst and secondary cysts that were lined by a single or multiple layers of basaloid cells and squamous epitheliums with central laminated keratin. Multifocal aggregation of numerous macrophages and multinucleated giant cells were present. The final diagnosis was keratoacanthoma with granulomatous inflammation. The mass did not recur 5 months after surgery.

Rate-Responsive Permanent Pacemaker Implantation in a Pekingese Dog with a Sick Sinus Syndrome (동방결절 기능 부전군을 가진 페키니즈 종의 개에 대한 심장 박동수 반응형 영구 심장 박동기의 장착)

  • Han, Dong-Hyun;Choi, Ran;Hyun, Chang-Baig
    • Journal of Veterinary Clinics
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    • v.27 no.5
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    • pp.569-572
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    • 2010
  • A 4-year-old neutered female Pekingese dog (weighing 3.6 kg) was referred with the primary complaint of exercise intolerance with occasional syncope. Physical examination revealed irregularly irregular heart rhythm with persistent pulse deficits. The 12-lead surface ECG showed a marked sinus arrest with occasional junctional escape beats, indicating a sick sinus syndrome. Permanent transvenous cardiac pacing with a rate-responsive bipolar implantable pacemaker (VVIR type) was performed in the right ventricle. After pacemaker implantation, the clinical signs were remarkably improved. No further syncopal episodes have yet been occurred after implantation.

The Therapeutic Effect of Postganglionic Nerve Block for Symptomatic Schmorl Nodule: A Retrospective Case Series (증후성 쉬모를 결절에 대한 신경절 이후 신경차단술의 치료 효과: 후향적 증례 분석)

  • Son, In Seok;Hwang, Suk Hyun;Lee, Suk Ha;Kang, Min Seok
    • Journal of Korean Society of Spine Surgery
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    • v.25 no.4
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    • pp.147-153
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    • 2018
  • Study Design: Retrospective case series. Objectives: We retrospectively evaluated the clinical efficacy of postganglionic nerve block in symptomatic Schmorl nodules (SNs). Summary of Literature Review: SNs are common lesions that are often asymptomatic. In certain cases, SNs have been reported to cause severe axial back pain, thereby considerably impacting patients' quality of life. No consensus currently exists on the treatment of symptomatic SNs. Materials and Methods: From October 2015 to October 2017, a total of 21 patients with symptomatic SNs diagnosed by magnetic resonance imaging (MRI) that did not respond to conservative treatment after 4 weeks were included in the study. All patients received postganglionic nerve block. We evaluated effective pain relief (improvement of back pain of more than 50% compared with before the intervention) and functional improvements, assessed by visual analogue scale (VAS) and Oswestry Disability Index scores obtained at 4 hours, 4 weeks, 8 weeks, 3 months, and 6 months after the procedure. Results: Symptomatic SNs were more common at the L2-3 level, and the lower end plate was more commonly involved than the upper end plate. Eighteen of the 21 patients (85.7%) showed effective pain relief, and no deterioration was observed within the followup period. Throughout the follow-up period, the VAS remained significantly improved compared to before the procedure (p<0.05). Complications were not reported in any cases. Conclusions: Postganglionic nerve block for symptomatic SNs that do not respond to conservative treatment is a non-invasive modality for pain relief.