• Title/Summary/Keyword: 공명초음파법

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MRI-Guided Breast Intervention: Biopsy and Needle Localization (자기공명영상 유도하 유방의 중재적시술: 조직생검술 및 침위치결정술)

  • Ga Eun Park;Jeongmin Lee;Bong Joo Kang;Sung Hun Kim
    • Journal of the Korean Society of Radiology
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    • v.84 no.2
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    • pp.345-360
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    • 2023
  • In Korea, the number of institutions providing breast MRI, as well as the number of breast MRIs, has recently increased. However, MRI-guided procedures, including biopsy and needle localization, are rarely performed compared to ultrasound-guided or stereotactic biopsy. As breast MRI has high sensitivity but limited specificity, lesions detected only on MRI require pathologic confirmation through MRI-guided biopsy or surgical excision with MRI-guided needle localization. Thus, we aimed to review MRI-guided procedures, including their indications, techniques, procedural considerations, and limitations.

THE ASSESSMENT OF ULTRASONOGRAPHIC ECHOGENICITY IN NORMAL HUMAN PAROTID AND SUBMANDIBULAR GLANDS (정상 이하선과 악하선에 대한 초음파영상의 반향성 평가)

  • Lee Jean;Park Tae-Won
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.27 no.1
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    • pp.167-177
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    • 1997
  • 타액선 병변의 일반적인 영상진단법으로는 타액선조영술, 전산화단층촬영술, 자기공명 영상, 타액선 스캔, 초음파 촬영술이 있다. 이중 초음파촬영술은 타액선내 종양의 유무를 평가하는데 있어서 매우 우수하여, 전산화단층촬영이나 자기공명영상과 더불어 이용되고 있으나, 염증을 진단하는데 있어서는 타액선조영술보다 민감도가 떨어지는 단점이 있다. 일반적으로 타액선의 염증반응시 초음파상은 반향이 정상보다 낮아지며, 내부의 균질성이 떨어지는 양상을 보여 이를 진단의 기준으로 이용해왔으나 정상타액선에서도 반향이 편차가 심할 뿐만 아니라 연령에 따른 정상 타액선의 반향성에 대한 연구가 부족하여 진단에 어려움이 있었다. 이에 저자는 우선적으로 타액선에 병적인 증상이 없는 남녀 90명을 연령별(20-35세 : 청년군, 36~55세 : 중년군, 55-70세 노년군),성별에 따라 분류하여 정상 타액선의 초음파상을 얻었다. 이의 반향을 측정하고, 비만한 정도를 나타내는 체격지수를 구하여 다음과 같은 결과를 얻었다. 1. 이하선과 악하선 모두에서 연령군극_ 따라 반향성이 증가하는 양상을 보였으며, 청년군과 노년군 사이에는 유의한 차이가 있었다(p<0.05). 2. 이하선과 악하선 모두에서 성에 따른 반향성의 유의한 차이는 없었다. 3. 성에 관계없이 악하선의 반향성이 이하선의 반향성보다 높았으며, 남자에 있어서는 유의한 차이가 있었다(p<0.05). 4. 동일한 타액선에서 좌우측 타액선의 반향성의 평균 차이값은 유의한 차이가 없었다. 5. 이하선과 악하선의 반향성은 중등도의 양의 상관관계를 보였다(남자 : r=0.56, 여자 : r=0.54). 6. 체격지수와 타액선의 반향성은 약한 양의 상관관계를 보였다.

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Breast Cancer Screening with MRI (유방암 스크리닝 자기공명영상)

  • Cho, Nariya;Moon, Woo-Kyung
    • Investigative Magnetic Resonance Imaging
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    • v.16 no.1
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    • pp.1-5
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    • 2012
  • Breast MRI is the most accurate adjunctive to the mammography for the screening of breast cancer. Despite lack of randomized controlled trials on the effectiveness of MRI screening, it is now recommended for the women at high risk for breast cancer by the American Cancer Society and the National Comprehensive Cancer Network based on several prospective observational studies. In Korea, a retrospective study reported that preoperative MRI screening of the contralateral breast in women with unilateral breast cancer was associated with reduced metachronous cancer incidence. To introduce breast MRI as a supplemental modality to screening mammography in Korea, standardization and education of interpretation, establishment of MR-guided biopsy and adequate indication, and evaluation of cost-effectiveness and should be preceded.

Common Hip Diseases and Their Imaging Studies (흔히 접할 수 있는 고관절 질환들과 영상 검사)

  • Rhyu, Kee Hyung
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.1 no.1
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    • pp.40-49
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    • 2008
  • Hip joint is one of the most deeply located joint in human body. Moreover, most clinical symptoms of various hip diseases are vague and confusing. In these reasons, the imaging modalities of hip have been extensively studied and developed. From a plain radiograph to more complex MR arthrography, various techniques are now available. In this brief review, the long and short of imaging modalities and clinical examples of common hip diseases will be introduced. The most important significance of diagnostic imaging is its clinical relevance. It is because when we know the characteristics of the imaging modalities and the disease itself, the optimal approach to a patient can be achieved, but when we do not know, the expensive images can only be a meaningless picture.

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Ultrasonic Velocity and Absorption Measurements for poly (sodium 4-styrenesulfonate) and Water Solutions (Poly (sodium 4-styrenesulfonate)/ 물 이성분용액의 초음파 음속 및 흡수계수측정)

  • 배종림
    • The Journal of the Acoustical Society of Korea
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    • v.23 no.7
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    • pp.497-502
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    • 2004
  • Both ultrasonic velocity at 3 MHz and absorption coefficient in the frequency range of 0.2-2 MHz were measured for poly (sodium 4-styrenesulfonate) aqueous solution over the concentration range of 5 to 25 % by weight. Pulse echo overlap method was employed to measure the ultrasonic velocity over the temperature range of 10-90 ℃ and the high-a ultrasonic resonator method was used for the absorption coefficient measurement at 20 ℃. The velocity exhibited a maximum value at approximately 55. 59, 63. 67, and 71 ℃ in 25, 20. 15, 10. and 5 wt% solutions, respectively. The velocity increased with poly (sodium 4-styrenesulfonate) concentration at a given temperature. The concentrations dependences of the relaxation frequency and amplitude showed that the relaxation around 200 kHz is related to the structural fluctuations of polymer molecules, such as the segmental motions of the polymer chains and that around 1 MHz resulted from the proton transfer reaction of the oxygen sites of SO₃. Both the absorption and the shear viscosity increase with the Polymer concentration. but decrease with temperature.

Analysis of Elastic Constants in SiC Particulate Reinforced Al Matrix Composites by Resonant Ultrasound Spectroscopy (초음파 공명 분광법(RUS)을 이용한 SiC 입자강화 Al 기지복합재료의 탄성계수 해석)

  • Jung, Hyun-Kyu;Cheong, Yong-Moo;Joo, Young-Sang;Hong, Soon-Hyung
    • Journal of the Korean Society for Nondestructive Testing
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    • v.19 no.3
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    • pp.180-188
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    • 1999
  • The dynamic elastic properties of metal matrix composites were investigated by resonant ultrasound spectroscopy(RUS). The composites used in this study consisted of 2124 aluminum alloy reinforced with different concentrations of SiC particles. RUS can determine the nine independent elastic stiffness($C_{ij}$) for the orthorhombic symmetry on a small specimen simultaneously. The elastic constants were determined as a function of the volume fraction. A concept of effective aspect ratio. which combine the aspect ratio and the orientation of reinforcement. was used to calculate the initial moduli from Mori-Tanaka theory for the input of RUS minimization code. Young's moduli can be obtained from the measured stiffnesses. The results show that the elastic stiffness increases with increment of the particle content. The behavior of elastic stiffness indicates that the particle redistribution induced by the extrusion process enlarges the transversely isotropic symmetry as the fraction of reinforced particles increase. This relationship could be used for determination of the volume fractions of reinforcement as a potential tool of nondestructive material characterization.

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Evaluation of Mass Variation of Aspheric Glass tens Using Resonant Ultrasound Spectroscopy (비구면 렌즈의 질량변화 평가를 위한 RUS의 적용)

  • Heo, Uk;Im, Kwang-Hee;Yang, In-Young;Kim, Ji-Hoon
    • Journal of the Korean Society for Nondestructive Testing
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    • v.27 no.2
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    • pp.183-189
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    • 2007
  • Ultra precise processed parts are required together with the development of optoelectronics industry. As important parts of optoelectronics industry, there are ferrule of optical connector and lens for optical devices. In particular, the lens requires high reliability with high precision without including flaws. These optical modules need ultra precise processing in order to reduce the loss of light sources and various nondestructive inspections are carried out in the finishing stage to separate good and bad quality products. Therefore, it was analyzed through the characteristics of response of amplitude and resonant frequency according to the mass variations of aspheric lens that is used currently in laser printers.

Diagnostic Significance of Neonatal Electroencephalography (신생아 뇌파의 진단적 유용성에 대한 연구)

  • Kim, Byeong Eui;Kim, Heung Dong
    • Clinical and Experimental Pediatrics
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    • v.46 no.2
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    • pp.137-142
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    • 2003
  • Purpose : This study was performed to determine the sensitivity of neonatal electroencephalography (EEG) in detecting underlying brain disease, to compare the sensitivity and specificity of EEG with those of brain ultrasonography and to determine the prognostic value of EEG for neonatal neurologic diseases. Methods : Eighty-seven newborn babies were subjected to a electroencephalographic examination for the evaluation of underlying neurological diseases and EEGs were recorded at least before three days of life. The findings of early ultrasonography performed within three days after birth were compared with those of magnetic resonance imaging(MRI) or ultrasonography after seven days of life. Results : The EEG results were more sensitive and specific than ultrasonography for the detection of neonatal brain damage. The EEG results showed 91.7% sensitivity for mild grade neurological sequelae and 100.0% sensitivity for moderate and severe-grade neurological sequelae in predicting the neurological outcome. However, early ultrasonography results showed 20.8% and 18.8% of sensitivity and specificity, respectively. Conclusion : EEG is a highly sensitive diagnostic tool for detecting neonatal brain disease and is valuable for predicting the long-term outcome of neurologic sequelae.

Efficacy of Preliminary Magnetic Resonance Imaging Measurement in Ultrasonography-Guided L4 Selective Nerve Root Block (초음파 유도하 요추 4번 선택적 신경근 차단술 시 자기공명영상 계측의 유용성)

  • Shim, Dae Moo;Kweon, Seok Hyun;Cho, Hyung Gyu;Yu, Hyun Kyu;Lim, Kyeong Hoon
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.3
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    • pp.229-236
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    • 2020
  • Purpose: This study examined the utility of preliminary magnetic resonance imaging (MRI) measurements in the ultrasound-guided L4 selective nerve root block. Materials and Methods: As a retrospective study, 71 patients, who met the criteria for outpatient visits from March 2016 to December 2017, were included. From March 2016 to February 2017, 31 patients who underwent an L4 nerve root block without MRI were classified as group A, and 40 patients who underwent an L4 nerve root block through MRI measurements from March 2017 to December 2017 were classified as group B. Group A was injected under ultrasound-guidance through the pararadicular approach without a pre-interventional MRI evaluation, and group B was injected under ultrasound-guidance according to the preliminary MRI measurements. The results were assessed using the numeric rating scale scores before, three hours, and two, six, and 12 weeks after the procedure. Results: At three hours after the procedure, the proportion of patients better than good results were 51.6% in group A and 67.5% in group B. At two weeks after the procedure, the proportion of patients with better than good results were 48.4% and 70.0% in groups A and B, respectively; 58.1% and 62.5% of patient of groups A and B, respectively, showed better than good results after six weeks. In 12 weeks after the procedure, the results of group A and B were 67.7% and 62.5%, respectively. At three hours and two weeks after the procedure, group B showed significant symptom improvement than group A (p<0.05). The procedures were repeated 2.8 and 1.7 times in groups A and B, respectively, between two and six weeks for satisfactory pain relief (p<0.05). Conclusion: A pre-interventional MRI evaluation might improve pain relief within the initial two weeks after ultrasound-guided L4 selective nerve root block by improving the success rate of the procedure.

Recent Research Trend in Lateral Flow Immunoassay Strip (LFIA) with Colorimetric Method for Detection of Cancer Biomarkers (암 바이오마커 검출용 비색법 기반 측면 흐름 면역 크로마토그래피 분석법(LFIA) 스트립의 최신 연구 동향)

  • Lee, Sooyoung;Lee, Hye Jin
    • Applied Chemistry for Engineering
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    • v.31 no.6
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    • pp.585-590
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    • 2020
  • Successful early diagnosis of cancer diseases such as lung, prostate, liver and adrenocortical carcinoma is a key step in determining the cost of treatment, survival rate, and cure rate. Most of current cancer diagnosis systems including biopsy, computed tomography (CT), positron emission tomography (PET)-CT, magnetic resonance imaging (MRI), ultrasonography, etc., require expensive and complicated equipment with highly trained human resources. Global medical and scientific communities have thus made numerous efforts on developing effective but rapid disease management system via introducing a wide spectrum of point-of-care medical diagnosis devices. Among them, a lateral flow immunoassay strip technique has gained a great attention due to many advantages such as cost-effectiveness, short inspection time, and user friendly accessibility. In this mini-review, we will highlight recent research trend on the development of colorimetry based LFIA strips for cancer diagnosis and discuss the future research direction and potential applications.