• Title/Summary/Keyword: 뇌 혈관 조영술

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Contested Technologies, Resetting the Boundary, and the "signifiant-politics": Semiotical Governance of New Technology in the Case of fMRA (경합하는 기술, 경계의 재설정, 그리고 기표-정치(signifiant-politics): 기능성자기공명혈관조영술(fMRA)의 사례로 살펴본 신기술의 명명 작업)

  • Lee, June-Seok
    • Journal of Science and Technology Studies
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    • v.14 no.2
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    • pp.199-222
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    • 2014
  • Functional Magnetic Resonance Angiography (fMRA) was a technoscientific innovation that allows scientists to directly view the changes made in the blood vessels of a brain. fMRA was first developed at Neuroscience Research Institute (NRI) in Korea. fMRA mainly utilizes 7 Tesla MRI technology, and NRI is equipped with the instrument. First article on fMRA was published in 2008, and two more papers in 2010 and 2012 consecutively had been published on the newly developed technique. However, fMRA is a competitive technology with existing fMRI. Both techniques capture microvascular changes in a brain, and by doing it, both techniques visualize the cognitive and affective changes. fMRI technology was introduced by Seiji Ogawa in the early 1990's and has been widely used since then. In contrast, fMRA was a newer technology and rather unknown. Developers of fMRA in NRI used series of signifiant-politics in order to make it better known to scientific community as well as public. By resetting the boundaries of existing concept of fMRI, they tried to lower the threshold of a new concept/technique. This case study shows how technoscientists use semiotic strategies governing new technology.

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Combined Repair of Coronary Artery Disease and Left Subclavian Artery Occlusion (관상동맥질환에 병발한 좌측쇄골하동맥폐색의 치험)

  • Kim, Sang-Ik;Kim, Byung-Hun;Noh, Jeong-Sup
    • Journal of Chest Surgery
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    • v.40 no.11
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    • pp.773-776
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    • 2007
  • A 47-year-old male with hypertension, diabetes mellitus and heavy smoking, but no anginal symptoms, presented with claudication of the lower extremities. Extremity angiography with coronary angiography revealed peripheral arterial lesions including a left subclavian artery occlusion with coronary artery disease. The patient underwent an initial off-pump coronary artery bypass with an ascending aorto-axillary bypass. The right internal mammary artery was anastomosed to the left anterior descending coronary artery. The greater saphenous vein graft was connected from the ascending aorto-axillary bypass graft to the diagonal branch. At postoperative day 18, femorofemoral and bilateral femoropopliteal bypasses were performed. We report a case of the combined repair of coronary artery disease and a left subclavian artery occlusion.

Nonocclusive Mesenteric Ischemia That Developed during Redo-double Valve Replacement Surgery, and This Was Caused by Acute Aortic Dissection (이중판막 재치환술 시 발생한 급성 대동맥 박리증으로 인한 비폐쇄성 장간막 허혈)

  • Lee, Sak;Song, Suk-Won;Cho, Sang-Ho;Song, Seung-Jun;Kim, Kwan-Wook;Chang, Byung-Chul
    • Journal of Chest Surgery
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    • v.42 no.2
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    • pp.248-251
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    • 2009
  • Nonocclusive mesenteric ischemia (NOMI) is a rare complication that occurs in about 0.05% of patients after openheart surgery, and NOMI refers to the mesenteric ischemia that's caused by splanchnic vasospasm without occlusion of the great intestinal vessels. In the presently reported case, NOMI developed to maintain the blood flow to the heart and brain after several minutes of a hypotensive status and the latter was caused by acute aortic dissection that complicated an aortic cannulation procedure. Unfortunately, the patient died even though the problems were diagnosed early and proper treatment was administered. Early diagnosis of NOMI by angiography and the selective infusion of vasodilators are thought to be the only way to improve survival for patients with clinically suspected NOMI.

Pulmonary Arteriovenous Fistula with Hemothorax - A case report- (혈흉을 동반한 폐동정맥루에 대한 치험 - 1예 보고 -)

  • 김인섭;정성철;김우식;신용철;유환국;김병열;안재범
    • Journal of Chest Surgery
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    • v.37 no.8
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    • pp.702-706
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    • 2004
  • Pulmonary arteriovenous fistula is usually considered as a subset of congenital anomalies or acquired causes which can produce a variety of conditions such as dyspnea, cyanosis, and pulmonary vascular bruit. The diagnostic methods can be diverse such as arterial blood gas analysis (ABGA), chest X-ray, chest CT and pulmonary angiogram but the most accurate diagnostic modality is thought to be the pulmonary angiogram. The complications of this disease are a rupture that can cause hemothorax, brain abscess, and cardiovascular accident, and the treatment options are either segmental resection or therapeutic embolization. A twenty-six year old female developed sudden dyspnea and visited our emergency room. The patient was diagnosed as having pulmonary arteriovenous fistula (size; 4${\times}$4${\times}$3 cm) in the superior segment of the right lower lobe, evidenced by chest CT and pulmonary angiogram. Consequently, she underwent an emergency right lower lobectomy. We report this rare case of combined hemothorax that we have experienced, from diagnosis to treatment.

Venous Congestion in Cerebral Hyperperfusion Syndrome: A Case Report (뇌과관류증후군에서 보일 수 있는 정맥울혈 1례)

  • Bong, Jeong Bin;Kang, Hyun Goo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.8
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    • pp.84-87
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    • 2017
  • Cerebral hyperperfusion syndrome (CHS) is a rare complication that can occur when conducting stent insertion or endarterectomy in patients with carotid artery stenosis and is known to be caused by various mechanisms when the blood volume abruptly increases. The main clinical symptoms are unilateral headache, hypertension, seizure, and focal neurologic deficit. Subarachnoid hemorrhage and parenchymal hemorrhage may lead to permanent impairment or death in severe cases. CHS can be predicted by using transcranial Doppler, perfusion magnetic resonance imaging, and single photon emission computed tomography. In our case report, a patient developed CHS subsequent to significant venous congestion caused by carotid artery stent insertion. The patient had preexisting, symptomatic bilateral carotid artery stenosis. Venous congestion occurs when the direction of blood flow changes because of increased blood volume in patients with well-developed collateral vessels. We believe that CHS can be predicted from this finding. This study reports the possibility that CHS could be confirmed by cerebral angiography after insertion of the internal carotid stent.

Bow Hunter's Syndrome Caused by Bilateral Dynamic Occlusion of the Subaxial Vertebral Arteries during Neck Extension (경추 신전 시 축하 척추동맥의 양측성 동적 폐쇄로 인해 발생한 보우 헌터 증후군)

  • Yi, Jemin;Han, Ho Sung
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.1
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    • pp.85-89
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    • 2020
  • Bow hunter's syndrome is a rare disease that shows the symptoms of vertebrobasilar insufficiency resulting from a dynamic obstruction or stenosis of the vertebral arteries during neck movement. This paper reports a case of a 59-year-old male who visited the emergency room with diplopia, tinnitus, and gait disturbance. Magnetic resonance imaging and angiography revealed a multiple cerebellar infarct, total obstruction of the right vertebral artery, and dynamic obstruction of the left vertebral artery during neck extension. As the infarction worsened, a thrombectomy was done. Posterior decompression and fusion at C5-6 were performed for the left vertebral artery. The left vertebral arterial patency was confirmed by intraoperative and postoperative angiography. No recurrence of the symptoms was observed for six months after surgery. Physicians need to pay attention to the diagnosis of vertebrobasilar insufficiency caused by an obstruction of the vertebral arteries during neck extension in cervical instability patients.

Susceptibility-Contrast-Enhanced MR Venography of Cat Brain Using Tailored RF Pulse at High Magnetic Field of 4.7 Tesla Superconducting Magnet (4.7T 고자장 초전도 자석에서 Tailored RF를 이용한 고양이 뇌의 자화율 강조영상법에 의한 자기공명혈관 조영술)

  • Moon, Chi-Woong;Kim, Sang-Tae;Lee, Dae-Geun;Im, Tae-Hwan;No, Yong-Man;Cho, Jang-Hee;Lee, Yoon
    • Progress in Medical Physics
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    • v.5 no.1
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    • pp.55-66
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    • 1994
  • After proving home-made imaging pulse sequences including tailored RF pulse by phantom, susceptibility-contrast-enhanced MR venograms of cat brain were obtained using tailored RF gradient-echo(TRGE) method. Sagittal MR imaging of the cat brain obtained by TRGE technique shows several veins, for example, dorsal sagittal sinus, straight sinus, vein of corpus callosum and internal cerebral vein, etc., compared with cats anatomical figure. Tailored RF waveform was generated by PASCAL language in ASPECT 3000 computer(Switzland, Bruker). Rectangular-shaped slice profile with bi-linear ramp function as phase distribution in the slice, at which maximum value was 2$\pi$, was fourier transformed to make tailored RF pulse. Experimental MR imaging parameters were TR/TE=205/10 msec, slice thickness TH=7mm, maxtrix size=256$\times$256, in-plane resolution=0.62$\times$0.31mm$^2$, and field of view(FOV)=8cm for both conventional gradient-echo(GE) imaging and TRGE imaging techniques.

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Four Dimension(4D) Time Resolved Imaging of Contrast Kinetics(TRICKS) MR Angiography (4차원 영상기법 Time Resolved Imaging of Contrast Kinetics MRA의 유용성)

  • Lim, cheong-hwan;Bae, sung-jin
    • Proceedings of the Korea Contents Association Conference
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    • 2009.05a
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    • pp.1105-1110
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    • 2009
  • To assess the clinical value of time resolved imaging of contrast kinetics(TRICKS) MRA by comparison with conventional time of flight(TOF) MR angiography. Both TOF-MRA and TRICKS-MRA were performed in 17 patients with cerebrovascular disease and in 6 patients with brain tumor. Among 17 cerebraovascular patients, digital subtraction angiography(DSA) data were also obtained in 11 patients. TOF-MRA showed good spatial resolution but short in temporal resolution. Although TRICKS-MRA showed somewhat low spatial resolution, it showed superior temporal resolution by distinguishing vessel and tumor in all patients. Also, from the analysis of vessel-tumor relationship, TRICKS-MRA showed better performance than TOF-MRA. TRICKS-MRA makes it possible to image arterial, capillary and venous phase sequentially with very speedy manner and therefore, the clinical use of this method is highly suggestive for future use.

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