• Title/Summary/Keyword: 복부촬영

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A Study on Variation Types in Celiac Axis and Superior Mesenteric Artery using 3D Volume Rendering of MDCT (MDCT의 3차원 볼륨렌더링을 이용한 복강축과 위창자간막동맥의 변위 형태에 관한연구)

  • Lee, Jeong-Keun;Jang, Young-Ill;Jang, Seong-Joo
    • Journal of radiological science and technology
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    • v.36 no.2
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    • pp.131-139
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    • 2013
  • The aim of this study was to evaluate the variation which based on Celiac axis and SMA using by CT volume rendering images. 613 patients underwent abdominal CTA, there were 552 patients (99.05%, TypeI, II) with normal anatomical form and 61 (9.95%, Type III~XII) with variation. TypeI was 339(55.31%), Type II was 213 (34.74%), Type III was 18 (2.93%), Type IV was 12 patients (1.95%), Type V was 11 patient (1.79%), Type VI was 9 patients (1.46%), Type VII was 6 patients (0.97%), Type VIII was 1 patient (0.16%), Type IX was 1 patient (0.16%), Type X was 1 patient (0.16%), Type XI was 1 patient (0.16%), and Type XII was 1 patient (0.16%) into totally new types of variation. In conclusion, we could found 9 new types of variation by classifying based on celiac axis and superior mesenteric artery. These results were considered to be an important opportunity for a new vessel map.

Assessment of Systemic Arterial Thromboembolism with Multi-Slice Spiral CT in a Dog (개에서 다중나선형 CT촬영에 의한 동맥혈전색전증의 평가)

  • Shin, Seung-Ho;Lee, Ki-Chang
    • Journal of Veterinary Clinics
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    • v.24 no.2
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    • pp.208-213
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    • 2007
  • A 15 kg 6-year-old intact male Jindo dog with a history of a respiratory distress, hindlimb paralysis with necrosed skin of dorsal digit for three weeks was referred to Animal Medical Center, Chonbuk National University. Heartworm infection was identified by kit examination. In plain thoracic radiographs, dilated pulmonary arteries reverse D sign and focal interstitial pattern was compatible with heartworm infection and possible pulmonary thromboembolism. Abdominal radiographs showed poor serosal detail indicating fluid accumulation within peritoneal cavity. No evidence of musculoskeletal abnormalities was found. Ultrasonography presented focal wedge-shaped hyperechogenecity on the both poles of left kidney, weak or absent pulse on the distal to the external iliac artery as well as ascites and irregular liver margin. Multi-organ failure was strongly supposed by blood profile including leukocytosis, anemia, hemoglobinuria bililubinemia, hypoalbuminemia, imbalance of electrolytes, and increased hepatic and renal function values. Interestingly, the glucose level is remarkably lower in pelvic limb compared to thoracic limb. Suspected pulmonary thromboembolism, renal infarction and femoral arterial embolization causing hindlimb paralysis and dermatic necrosis were confirmed by 3D reconstructed CT imaging. Prior to taking a consideration of euthanasia, interventional radiology was experimentally attempted but failed due to not recovered from general anesthesia. Early and accurate diagnosis of thromboembolism is valuable and 3D reconstructed CT images might be very useful to show the correct way to treat effectively.

Intra-abdominal Retained Surgical Gauze in Two Dogs (개의 복강내 잔존 수술용 거즈 2예)

  • Choi, Ho-Jung;Lee, Ki-Ja;O, I-Se;Lee, Jae-Yeon;Jee, Hyun-Chul;Park, Seong-Jun;Jeong, Seong-Mok;Lee, Young-Won
    • Journal of Veterinary Clinics
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    • v.24 no.2
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    • pp.238-243
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    • 2007
  • This report describes the retained surgical gauze in two dogs that had ovariohysterectomy previously. The elapsed time between surgery and diagnosis of retained surgical gauze in two dogs was 30 and 16 months, respectively. Radiographic signs included localized abdominal mass (case 1, 2) and soft tissue swelling (case 2). Retained surgical gauze was imaged by survey radiography, ultrasonography and computed tomography (CT). Ultrasonography revealed a hypoechoic mass with irregular hyperechoic center in case 1, and hypoechoic mass with oval hyperechoic center and acoustic shadowing in case 2. In CT examination of case 2, hyperdense mass with a thick peripheral rim enhancing in contrast study was shown. Cytologic examination of both cases revealed abscess and granuloma respectively. The lesions were surgically removed. The possibility of retained surgical gauze should be considered in animals with a history of previous surgery with abnormal mass.

Neuroblastoma : Computed Tomographic Finding (신경아세포종의 전산화단층촬영 소견)

  • Kim, Jae-Woon;Choi, Jong-Oh;Cho, Jae-Ho;Hwang, Mi-Soo;Park, Bok-Hwan
    • Journal of Yeungnam Medical Science
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    • v.13 no.1
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    • pp.134-140
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    • 1996
  • Recently many studies have shown the usefulness of computed tomogram in diagnosing abdominal mass when clinical and conventional radiologic examinations fail to reveal the nature of abdominal mass or the cause of abdominal distension. To evaluate the usefulness of CT in diagnosing neuroblastoma, we retrospectively analyzed computed tomographic findings of 16 neuroblastoma patients, who pathologically proved in Yeungnam University Hospital from 1986 to 1995. The age range of the patients studied were from 8months to 18years. The most frequent sith of origin was adrenal gland and the next was retroperitioneum. The presenting symptoms were palpable mass, abdominal distension, and abdominal pain. The viewpoints of this analysis were turnoral calcifications, midline cross, shape, margin, internal structure, contrast enhancement patterns, major vessel involvement, and lymph node involvement. Characteristic CT findings were as follows: Fine dense curvillinear calcification within the tumor(56%), midline cross(50%), lobulation(75%), well-circumscribed margin(56%), cystic degeneration(56%), heterogeneous contrast enhancement(69%). encasement of major vessels such as aorta, IVC and celiac trunk(50%), and paraaortic lymphadenopathy(87%). We conclude that these CT findings were very common and could be helpful in diagnosting and differentiation neuroblastoma in infant and children.

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Development of a Micro-CT System for Small Animal Imaging (소 동물 촬영을 위한 Micro-CT의 개발)

  • Sang Chul Lee;Ho Kyung Kim;In Kon Chun;Myung Hye Cho;Min Hyoung Cho;Soo Yeol Lee
    • Journal of Biomedical Engineering Research
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    • v.25 no.2
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    • pp.97-102
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    • 2004
  • We developed an x-ray cone-beam micro computed tomography (micro-CT) system for small-animal imaging. The micro-CT system consists of a 2-D flat-panel x-ray detector with a field-of-view (FOV) of 120${\times}$120 mm2, a micro-focus x-ray source, a scan controller and a parallel image reconstruction system. Imaging performances of the micro-CT system have been evaluated in terms of contrast and spatial resolution. The minimum resolvable contrast has been found to be less than 36 CT numbers at the dose of 95 mGy and the spatial resolution about 14 lp/mm. As small animal imaging results, we present high resolution 3-D images of rat organs including a femur, a heart and vessels. We expected that the developed micro-CT system can be greatly used in biomedical studies using small animals.

Computed Tomographic Findings of Segmental Caudal Vena Cava Aplasia in Two Dogs (개에서 컴퓨터단층촬영에 의해 진단된 후대정맥 분절 무형성증 2 례)

  • Lee, In;Choi, Soo-Young;Lee, Ki-Ja;Choi, Ho-Jung;Lee, Young-Won
    • Journal of Veterinary Clinics
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    • v.32 no.2
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    • pp.196-199
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    • 2015
  • A 7-year-old intact female dachshund (Dog 1) and a 17-year-old intact male Yorkshire terrier (Dog 2) were presented for evaluation of mammary gland tumor and a regular checkup, respectively. Incidentally, segmental caudal vena cava aplasia was detected on CT images in both dogs. Absent postrenal segment (Dog 1) or discontinuation of caudal vena cava (Dog 2) were detected, but prerenal segment of caudal vena cava was continued to the dilated azygos vein. Segmental CVC aplasia should be considered when an abdominal vascular anomaly was evaluated with CT angiography in dogs.

The Effect of Body Mass Index on Entrance Surface Air Kerma in Abdominal X-ray Radiography Using Automatic Exposure Control (자동노출제어를 이용한 복부 일반 X선 검사에서 체질량지수가 입사표면공기커마에 미치는 영향)

  • Koo, No-Hyun;Yoon, Hee-Soo;Choi, Kwan-Woo;Lee, Jong-Eun;Kim, Jeong-Jin
    • Journal of the Korean Society of Radiology
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    • v.12 no.5
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    • pp.659-667
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    • 2018
  • The purpose of this study was to determine the effect of body mass index (BMI) on entrance surface air kerma (ESAK) in abdominal X-ray radiography using automatic exposure control (AEC). This study included 321 patients who underwent abdominal X-ray using AEC, and we correlated ESAK with height, weight, BMI and compared mean ESAK according to BMI grades (Underweight, Normal, Overweight, Obese 1, Obese 2). As a result, Weight ($R^2=0.777$, p<.001) and BMI ($R^2=0.835$, p<.001) were positively associated with ESAK, but no significant association was found between height ($R^2=0.075$, p<.001) and ESAK. The mean ESAK with respect to BMI grades showed statistically significant difference and in the post-hoc analysis, the existence of 5 subgroups at the significance level of 0.05 indicated that there were differences in the ESAK in all BMI grades. Also, as the increment of ESAK between two neighboring BMI grades increases from Underweight to Obese 2, the exposure dose dramatically increased as the BMI increased. Thus, an excessive exposure dose due to increasing BMI when using AEC should be acknowledged and Efforts to reduce dose should be taken, such as: by fixing the exposure conditions.

Transient Intestinal Ileus in Neonate: A Study of Comparison with Hirschsprung's Disease (신생아기의 일시적 장폐쇄증: 허쉬스프룽병과의 비교 연구)

  • Choi, Kwang-Hae
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.12 no.2
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    • pp.194-198
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    • 2009
  • Purpose: Severe abdominal distension is not uncommon symptom in the neonate. Two major causes of this symptom are benign transient intestinal ileus (BTII) and Hirschsprung`s disease (HD). But it is difficult to differentiate BTII from HD based on the symptoms and simple abdominal x-ray findings. The aim of this retrospective study was to assess the clinical aspects and diagnostic tests differencing two diseases. Methods: From August 2004 to March 2009, nineteen patients with severe abdominal distension, who underwent barium enema, anorectal manometry, and rectal suction biopsy (triple tests) due to a suspicion of HD, were enrolled. A comparison of clinical data associated with BTII and HD based on the clinical features and results of triple tests. Results: The age of onset of symptom was between 2 and 6 weeks in BTII and within 3 weeks in HD. On the barium enema, transitional zone revealed in 6 (50%) patients in BTII and 4 (57.1%) in HD. On anorectal manometry, the anorectal inhibitory reflex was present in 11 (91.7%) patients in BTII and 1 (14.3%) in HD. On rectal suction biopsy, ganglion cell was present in 9 (75%) patients in BTII and 0 (0%) in HD. Abdominal distension was improved within 3 months of life in all cases of BTII. Conclusion: We think that anorectal manometry may be more simple and useful diagnostic method than barium enema and rectal suction biopsy for differential diagnosis of transient intestinal ileus and Hirschsprung's disease.

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Comparison of Direct Digital Radiography and Conventional Film Screen Radiography for Detection of Peritoneal Fluid in Dogs (개에서 복수의 평가에 있어서 필름-증감지 방사선 사진과 디지털 방사선 사진의 비교)

  • Choi, Ho-Jung;O, I-Se;Lee, Ki-Ja;Lee, Young-Won
    • Journal of Veterinary Clinics
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    • v.29 no.1
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    • pp.18-22
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    • 2012
  • This study was performed to evaluate the sensitivity of conventional film-screen radiography (CFSR) and direct digital radiography (DDR) for detection of various amounts of free peritoneal fluid. Ten adult male healthy beagles were used in this study. Radiographic examinations were performed in the right lateral and ventrodorsal positions. Fluid was injected in increments of 2.0 ml/kg of body weight up to 20.0 ml/kg of body weight. The images of CFSR and DDR were evaluated by two veterinary radiologists for evidence of abdominal fluid without knowledge of injected fluid volume. Data were evaluated by using the receiver operation curve (ROC) analysis and the area under the curve (AUC). There was no significant difference in detection of peritoneal fluid between DDR and CFSR in the ROC analysis. The accuracy of CFSR (0.805) was relatively higher than that of DDR (0.733), based on the ROC analysis and AUC. AUC of CFSR was higher in most injection doses. These results suggest that CFSR is more accurate than DDR for the detecting peritoneal fluid. Therefore, for situation in which digital radiographs are equivocal or small amount of fluid is suspected, other imaging modalities, such as ultrasonography would be helpful for determining the presence of fluids.

Heart-base Tumors in Three Yorkshire Terriers (세 마리 개에서 발생한 심저부 종양 증례)

  • Kwon, Jeong-Kuk;Chung, Woo-Jo;Jang, Ju-Won;Kim, Young-Il;Chung, Dae-Won;Jeoung, Seok-Young;Chung, Jin-Young
    • Journal of Veterinary Clinics
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    • v.31 no.4
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    • pp.303-306
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    • 2014
  • Three Yorkshire Terriers (12-year-old, 13-year-old, and 15-year-old castrated males) with respiratory distress, coughing and anorexia were the subjects of this report. In laboratory examinations, there were no remarkable findings. However, the thoracic radiographic findings included a large mass of soft tissue density in the cardiac base region, tracheal elevation, and aortic bulging in all three Yorkshire Terriers. There were no remarkable findings in the abdominal radiographs. In echocardiography, a homogeneous hyperechoic mass around the aorta and bicuspid valve regurgitation were found in all three dogs. There were no remarkable findings in abdominal ultrasonography. Computed tomographic findings showed a large well -defined heterogeneous mass in the cranial vena cava, which was dominant in the left side in all three Yorkshire Terriers. The mass sizes were about $3{\times}4cm$. In post-contrast scanning, contrast enhancement was evident. These cases were diagnosed as heart-base tumor. Treatments provided to the three dogs were based on symptomatic medical management of cardiac failure and tracheal collapse. Case 1 (12-year-old) survived for 3 months, case 2 (13-year-old) for 5 months, and case 3 (15-year-old) for 32 months after the diagnosis. Our results show that the clinical findings, thoracic radiography, echocardiography, computed tomography (CT) and symptomatic medical management in dogs suspected to have heart base tumor.