• Title/Summary/Keyword: 의료초음파

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A Case Report of Echocardiography of Non-rheumaic Giant Left Atrium (비-류마티스성 거대 좌심방의 심장 초음파 검사 증례 보고)

  • Ji, Myeong-Hoon;Seoung, Youl-Hun
    • Journal of the Korean Society of Radiology
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    • v.16 no.4
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    • pp.443-451
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    • 2022
  • In this case, non-rheumatic GLA was observed and it was intended to report a case of ultrasound examination. The case patient, a 60-year-old male, visited the emergency room for dyspnea and palpitations. For radiology examination, chest X-ray examination and CT examination were performed, and a giant left atrium was confirmed. Echocardiography was performed to find the cause of the giant left atrium. Echocardiography The size and volume of the left atrium were evaluated by Simpson's method, and the giant left atrium with LVEDVI 6 times larger than that of the general giant left atrium could be evaluated. Also, a giant left atrium in a patient without rheumatic heart disease is evaluated as a very rare case. Since non-rheumatic giant left atrium could be caused by functional mitral regurgitation, diastolic dysfunction. It was confirmed that ultrasonography, which allowed both morphological and hemodynamic examinations, could be a useful case.

The Use of Diagnostic Ultrasound Devise by Oriental Medical Doctors (한의사의 초음파 진단기기 사용은 무면허의료행위인가? -대법원 2022. 12. 22. 선고 2016도21314 전원합의체 판결-)

  • Lee, Dongjin
    • The Korean Society of Law and Medicine
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    • v.24 no.1
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    • pp.3-42
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    • 2023
  • The Supreme Court en banc decision on December 12, 2022 (docket number 2016Do21314) ruled that the diagnosis of endometrial hyperplasia by an oriental medical doctor using a diagnostic ultrasound device was not an unlicensed medical practice for an oriental medical doctor, which shall be scrutinized by the article 27 (1) of the Korean Medical Service Act. This ruling did not determine that a specific medical practice, especially diagnosis, based on the radiology, which is a part of western medicine, was not an unlicensed medical practice for an oriental medical doctor. Rather, it intended to clarify that the prosecutor should specify and prove the way of diagnosis and he should not prosecute mere the use of a diagnostic ultrasound device itself. To that extent, the ruling is agreeable because, as the oriental medicine community has argued, there is no regulation prohibiting the use of certain devices. It is probable, however, that the way of diagnosis established in radiology, which is a part of western medicine, was actually used in the case. In that case, there is undeniably an unlicensed medical practice for an oriental medical doctor. While many of the cases where the demarcation between (western) medicine and oriental medicine have been problematized thus far have been experimental treatment in nature, the above practice of using ultrasound appears to be frequently done in many oriental clinics, and so it is necessary to cope with the possibility of a disguised unlicensed medical practice. Another problem is the prevention of unfair practice or the protection of medical consumers. In fact, many oriental medical clinics' practice appear to have a tendency of inducing medical consumers' misunderstanding that a diagnosis based on radiology, which is a part of western medicine, were provided. It is hard to respond to this problem with demarcation between (western) medicine and oriental medicine. A new regulation against unfair practice might be necessary to implement.

Ultrasound Transducers in Several Tens MHz Band and Their Applications (수십 MHz 대역 초음파 트랜스듀서와 그 응용)

  • 하강렬;김무준
    • The Journal of the Acoustical Society of Korea
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    • v.22 no.8
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    • pp.622-628
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    • 2003
  • Recently, ultrasound transducers in several tens MHz band, which can give the spatial resolution higher than several tens micrometers, have been intensively studying for applying to medical diagnostic fields of ophthalmology and dermatology. In this paper, the background of the studies, structures and characteristics of the transducers, and images obtained by the transducers are briefly reviewed.

Analysis of The Delayed Time in Patients with Acute Appendicitis (급성 충수 돌기염 환자의 대기시간 분석)

  • Park, Seung-Ik;Kim, Kwang-Beak
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2013.10a
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    • pp.889-892
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    • 2013
  • 본 논문에서는 급성 복증을 주소로 야간 응급실 내원 시 영상의학과 전문의 부재 등과 관련된, 급성 충수 돌기염 진단을 위한 복부 초음파 검사의 환자 대기 시간과 충수 돌기 절제술 시행까지 환자 대기 시간을 분석한다. 응급실 내원 환자 41.5%에서 초음파 검사 대기 시간은 10시간 이상으로 나타났고, 외래 내원 환자의 45.2%는 수술 대기 시간이 18시간 이상으로 나왔다. 이는 초음파 검사의 대기 시간이 수술 대기 시간에 영향을 미치는 것으로 카이제곱검증에서 유의하게 나왔다(p<0.05). 따라서 본 논문에서는 환자들의 대기 시간을 감소시키기 위한 방법으로 응급실 의료진의 초음파 검사 시행에 따른 유익성과 급성 충수 돌기염의 특징을 이용한 의료 영상 분석, 연구의 필요성을 제안한다.

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