• Tuberculosis and Respiratory Diseases
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• v.66 no.1
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• pp.20-26
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• 2009

Background: $^{18}F$-Fluorodeoxyglucose positron emission tomography (FDG-PET) is widely used for the diagnosis and staging of non-small cell lung cancer (NSCLC). The aim of this study is to determine whether the bone marrow hypermetabolism seen on FDG-PET predicts a response to chemotherapy in patients with NSCLC. Methods: We evaluated the patients with advanced NSCLC and who were treated with combination chemotherapy. For determination of the standardized uptake value (SUV) of the bone marrow (BM SUV) on FDG-PET, regions of interest (ROIs) were manually drawn over the lumbar vertebrae (L1, 2, 3). ROIs were also drawn on a homogenous transaxial slice of the liver to obtain the bone marrow/ liver SUV ratio (BM/L SUV ratio). The response to chemotherapy was evaluated according to the Response Evaluation Criteria in Solid Tumor (RECIST) criteria after three cycles of chemotherapy. Results: Fifty-nine NSCLC patients were included in the study. Multivariate analysis was performed using a logistic regression model. The BM SUV and the BM/L SUV ratio on FDG-PET were not associated with a response to chemotherapy in NSCLC patients (p=0.142 and 0.978, respectively). Conclusion: The bone marrow hypermetabolism seen on FDG-PET can not predict a response to chemotherapy in NSCLC patients.

• Journal of the Korean Society of Radiology
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• v.15 no.1
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• pp.1-7
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• 2021

In order to acquire an image in a positron emission tomography, it is necessary to draw the position coordinates of the scintillation pixels of the detector module measured at the same time. To this end, in a detector module using a plurality of scintillation pixels and a small number of photosensors, it is necessary to obtain a flood image and divide a region of each scintillation pixel to obtain a position of a scintillation pixel interacting with a gamma ray. Alternatively, when the number of scintillation pixels and the number of photosensors to be used are the same, the position coordinates for the position of the scintillation pixels can be directly acquired as digital signal coordinates. A method of using a plurality of scintillation pixels and a small number of photosensors requires a process of obtaining digital signal coordinates requires a plurality of photosensors and a signal processing system. This complicates the signal processing process and raises the cost. To solve this problem, in this study, we developed a method of obtaining digital signal coordinates without performing the process of separating the planar image and region using a plurality of flash pixels and a small number of optical sensors. This is a method of obtaining the position coordinate values of the flash pixels interacting with the gamma ray as a digital signal through a look-up table created through the signals acquired from each flash pixel using the maximum likelihood function. Simulation was performed using DETECT2000, and verification was performed on the proposed method. As a result, accurate digital signal coordinates could be obtained from all the flash pixels, and if this is applied to the existing system, it is considered that faster image acquisition is possible by simplifying the signal processing process.

• Journal of the Korean Society of Radiology
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• v.16 no.6
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• pp.703-708
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• 2022

A detector module measuring the depth of interaction(DOI) was designed to improve the spatial resolution of positron emission tomography(PET). The scintillation pixel array consists of two layers, and a light guide is inserted between the layers to make the light generated through the gamma-ray event different for each layer. There are four light guides, and one light guide is designed to be coupled to a 2 × 2 array of scintillation pixels. The light generated from the top layer is moved to the photosensor with a wider distribution through the light guide, and the light generated from the bottom layer is incident on the photosensor with a narrower distribution than the top layer. When a flood image is reconstructed based on the signals obtained from the photosensor by different distributions, scintillation pixels are imaged at different positions for each layer. To verify this, a DETECT2000 simulation tool that simulates the behavior of light in a scintillator was used. By designing a scintillation pixel array, a detector consisting of a light guide and a photosensor, a gamma ray event was generated in all scintillation pixels to obtain a flood imgae. As a result, it was confirmed that the top and bottom layers were imaged at different positions and completely separated. When this detector is applied to PET, it is considered that image quality can be improved through imporved spatial resolution.

• Proceedings of the Korean Nuclear Society Conference
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• 1999.05a
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• pp.383-383
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• 1999

• Journal of the Korean Society of Radiology
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• v.16 no.3
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• pp.249-255
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• 2022

Positron emission tomography for small animals has very high spatial resolution for imaging very small organs. To achieve good spatial resolution, the system must be constructed using very small scintillation pixels. When a detector is constructed using very small scintillation pixels, the size of the applicable array varies depending on the photosensor pixel. In a previous study, a study was conducted to find the maximum scintillation pixel arrangement according to the size of the photosensor. In this study, a detector with a light guide was designed to configure the detector using a more extended array of scintillation pixels, and try to find the maximum arrangement in which all scintillation pixels are imaged. The detector was designed using DETECT2000, which can simulate a detector made of a scintillator. Simulations were performed by configuring the detectors from an 11 × 11 scintillation pixel array to a 16 × 16 array. After obtaining a flood image by collecting the light generated from the scintillation pixel with a photosensor, the largest arrangement without overlap was found through image analysis. As a result, the largest arrangement in which all scintillation pixels could be distinguished without overlapping was a 15 × 15 arrangement.

• Journal of the Korean Society of Radiology
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• v.84 no.2
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• pp.372-385
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• 2023

Breast cancer is one of the most common cancers and causes several complications in females. Currently, MRI is a necessary method for preoperative studies in patients with breast cancer. A high frequency of breast MRI can lead to an increase in the number of incidental extramammary findings. Moreover, it can provide accurate preoperative workup; therefore, the prognosis of patients can be improved. Herein, we provide several extramammary findings, including the mediastinum, lung, upper abdomen, bone, and soft tissue, correlating with US, chest CT, liver MRI, PET-CT, and bone scan.

• The Korean Journal of Nuclear Medicine
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• v.37 no.1
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• pp.24-33
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• 2003

Finding epileptogenic zone is the most important step for the successful epilepsy surgery. F-18 fluorodeoxyglucose positron emission tomography (FDG-PET) and single photon emission computed tomography (SPECT) can be used in the localization of epileptogenic foci. In medial temporal lobe epilepsy, the diagnostic sensitivity of FDG-PET and ictal SPECT is excellent. However, detection of hippocampal sclerosis by MRI is so certain that use of FDG-PET and ictal SPECT in medial temporal lobe epilepsy is limited for some occasions. In neocortical epilepsy, the sensitivities of FDG-PET or ictal SPECT are fair. However, FDG-PET and ictal SPECT can have a crucial role in the localization of epileptogenic foci for non-lesional neocortical epilepsy. Interpretation of FDG-PET has been recently advanced by voxel-based analysis and automatic volume of interest analysis based on a population template. Both analytical methods can aid the objective diagnosis of epileptogenic foci. Ictal SPECT was analyzed using subtraction methods and voxel-based analysis. Rapidity of injection of tracers, ictal EEG findings during injection of tracer, and repeated ictal SPECT were important technical issues of ictal SPECT. SPECT can also be used in the evaluation of validity of Wada test.

• Proceedings of the Korean Vacuum Society Conference
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• 2011.08a
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• pp.345-345
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• 2011

최근 대기압 플라즈마 젯을 이용한 바이오/메디컬의 활발한 응용연구가 진행 중이다. 박테리아 및 세균의 살균은 물론 암세포 세포예정사에 핵심적인 역할을 하는 활성산소종(Reactive Oxygen Species, ROS) 또는 다양한 라디칼들은 대기압 플라즈마의 다양한 변수를 이용하여 조절할 수 있다고 알려져 있다. 수십 kHz의 고전압에서 발생된 마이크로 헬륨 플라즈마 젯에서 질소종의 제어를 통해 같은 부피의 플라즈마 젯에서의 방출광을 살펴보았다. 또한 광섬유센서를 이용하여 플라즈마의 기체온도를 측정하고 Boltzmann plot method를 통해 전자의 여기온도 변화를 관찰하였다. 실험의 결과, 같은 부피의 플라즈마에서 질소종이 증가할 때 기체온도는 큰 변함이 없지만 여기온도가 증가하는 것을 관찰하였다. 시간분해 이미지 촬영으로 질소종의 양에 따른 플라즈마 불릿의 속도 변화를 분석을 하였고, 최종적으로 대기압 플라즈마 젯의 질소종 변화에 따른 대장균의 비활성화 정도를 관찰하였다.

• Nuclear Medicine and Molecular Imaging
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• v.40 no.5
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• pp.263-270
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• 2006

Purpose: Several radioisotope-labeled thymidine derivatives such as $[^{11}C]$thymidine was developed to demonstrate cell proliferation in tumor. But it is difficult to track metabolism with $[^{11}C]$thymidine due to rapid in vivo degradation and its short physical half-life. 3'-$[^{18}F]$fluoro-3'-deoxythymidine ($[^{18}F]$FLT) was reported to have the longer half life of fluorine-18 and the lack of metabolic degradation in vivo. Here, we described the synthesis of the 3'-$[^{18}F]$fluoro-3'-deoxythymidine ($[^{18}F]$FLT) and compared with $([^{18}F]FET)\;and\;([^{18}F]FDG)$ in cultured 9L cell and obtained the biodistribution and PET image in 9L tumor hearing rats. Material and Methods: For the synthesis of $[^{18}F]$FLT, 3-N-tert-butoxycarbonyl-(5'-O-(4,4'-dimet hoxytriphenylmethyl)-2'-deoxy-3'-O-(4-nitrobenzenesulfonyl)-${\beta}$-D-threopentofuranosyl)thymine was used as a FLT precursor, on which the tert-butyloxycarbonyl group was introduced to protect N3-position and nitrobenzenesulfonyl group. Radiolabeling of nosyl substitued precursor with $^{18}F$ was performed in acetonitrile at $120^{\circ}C$ and deproteced with 0.5 N HCI. The cell uptake was measured in cultured 9L glioma cell. The biodistribution was evaluated in 9L tumor bearing rats after intravenous injection at 10 min, 30 min, 60 min and 120 min and obtained PET image 60 minutes after injection. Results: The radiochemical yield was about 20-30% and radiochemical purity was more than 95% after HPLC purification. Cellular uptake of $[^{18}F]$FLT was increased as time elapsed. At 120 min post-injection, the ratios of tumor/blood, tumor/muscle and tumor/brain were $1.61{\pm}0.34,\;1.70{\pm}0.30\;and\;9.33{\pm}2.22$, respectively. The 9L tumor was well visualized at 60 min post injection in PET image. Conclusion: The uptake of $[^{18}F]$FLT in tumor was higher than in normal brain and PET image of $[^{18}F]$FLT was acceptable. These results suggest the possibility of $[^{18}F]$FLT at an imaging agent for brain tumor.

• Journal of the Korean Society of Radiology
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• v.82 no.4
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• pp.936-942
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• 2021

Langerhans cell histiocytosis (LCH) is a rare condition that usually occurs in children and commonly affects the skeletal system. It is extremely rare in adults, especially in the clavicles. In this report, we describe a pathologically confirmed case of LCH in the clavicle of a 50-year-old male. We report various radiological findings, such as plain radiography, CT, MR, and PET-CT, along with a review of the literature.