• Title/Summary/Keyword: 컴퓨터 방사선

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A Case of Bronchiolitis Obliterans Organizing Pneumonia After Thoracotomy (개흉술후 발생한 Bronchiolitis Obliterans Organizing Pneumonia 체험 1례)

  • 원경준;박종호;백희종;이향림;조재일
    • Journal of Chest Surgery
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    • v.30 no.10
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    • pp.1040-1043
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    • 1997
  • We report a patient who suffered from bronchiolitis obliterans organizing pneumonia(BOOP) after Ivor Lewis operation for esophageal cancer. The patient presented low grade fever, dry cough and mild dyspnea at day after operation. Chest roentgenograms and chest CT revealed bilateral patchy and infiltrative shadows. The respiratory symptoms worsened and respiratory failure developed with mild elevation of WBC count despite of conservative treatment. An open lung biopsy was done and the biopsy specimen showed bronchiolitis obliterans organizing pneumonia(BOOP). After several weeks of steroid therapy, there were marked clinical, physiological and roentgenographic improvements. Our experience suggests that BOOP may be one of the underlying pathology in a number of patients presenting with ARDS after thoracotomy. Since steroid therapy may improve survival in these patients, thoracic surgeons should heighten their index of suspicion for this entity. Early histologic diagnosis should be considered in patients with treatment-resistant ARDS after thoracotomy.

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Primary Acalvaria in a Chihuahua Dog (치와와견에서 발생한 원발성 Acalvaria 증례)

  • Choi, Ho-Jung;Lim, Soo-Ji;An, Ji-Young;O, I-Se;Jung, Gi-Young;Cho, Sung-Whan;Lee, Young-Won
    • Journal of Veterinary Clinics
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    • v.26 no.1
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    • pp.109-112
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    • 2009
  • A three-week old female Chihuahua dog weighing 80 g was presented with the absence of skull palpation, suckling disability, and growth retardation. Physical examination revealed asymmetry of the lips slanting to the left side when feeding milk. Also there were head tilt to the left side and corneal ulcer of the left eye. The absence of the frontal and parietal bones were shown on radiographs. Lateral ventricular enlargement was identified on the ultrasonographic examination. On computed tomographs, frontal and parietal bone defect, ventricle enlargement, and intracranial arachnoid cyst were observed. The dog was dead after 1 day of presentation. The dog was diagnosed as the primary acalvaria by necropsy.

A Case of Portosystemic Shunt in a Domestic Shorthair Cat (한국 집고양이의 문맥전신션트 한 증례)

  • Cho, Eunkwang;Jeong, Ye Chan;Choi, Ul Soo
    • Journal of Veterinary Clinics
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    • v.31 no.4
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    • pp.316-318
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    • 2014
  • A 3-year-old castrated male domestic shorthair cat was presented with a chief complaint of sudden onset of intermittent seizures occurring five times a day. Physical examination revealed the copper colored iris and loss of menace response at both eyes. Abnormalities of blood works and serum chemistry revealed mild erythrocytosis, severe microcytosis, and threefold increase in ALT activity. Additional liver function tests results were increased bile acid and $NH_3$ concentration. Radiographic study revealed multifocal nodules of the liver and an extrahepatic shunt was noted by ultraonography, which was confirmed by computed tomography as multiple extrahepatic shunts. The cat was scheduled for surgery applying an ameloid ring to occlude the shunt gradually. Diazepam and lactulose were instituted to the patient. However, clinical signs worsened despite medical management with shortened interval of seizures and the patient died due to cardiac arrest.

Thymolipoma one case report - (흉선지방종 -1례 보고-)

  • Kim, Dae-Sig;Moon, Seung-Chul;Koo, Won-Mo;Kown, Kye-Weon;Lee, Yong-Hee;Park, Chung-Hyun;Lee, Gun;Lee, Hyeon-Jae;Lim, Chang-Young
    • Journal of Chest Surgery
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    • v.32 no.2
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    • pp.211-214
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    • 1999
  • We experienced a case of thymolipoma that is a rare benign mediastinal tumor, composed of normal thymic tissue and matured adipose tissue. A 46-years-old woman was admitted to the department of medicine due to lower abdominal pain. Simple chest PA showed a large mass shadow at right cardiac border. Chest CT scanning showed well defined large fatty mass at right cardiac border which was suggested thymolipoma. The mass was resected and confirmed as thymolipoma histopathologically.

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Application and effects of condylectomy in asymmetric patients with condylar hyperplasia (과두과증식을 동반한 안면비대칭 환자에서 과두절제술의 적용과 효과)

  • Lim, Kyoung-Sub;Cha, Jung-Yul;Hwang, Chung-Ju
    • The korean journal of orthodontics
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    • v.38 no.6
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    • pp.437-455
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    • 2008
  • Condylar hyperplasia is a pathologic condition showing 3-dimensional skeletal hyperplasia of the mandible. The reason for condylar hyperplasia is not yet known, but the effects of hormone, trauma, infection, genetics, fetal condition, and hypervascularity are known as possible reasons. When we diagnose a patient as having condylar hyperplasia, it is important to decide if it is in progress or not. Treatment for facial asymmetry due to condylar hyperplasia are decided accordingly, including condylectomy, that is removal of growth site of the affected condyle, and conventional orthognathic surgery only or condylectomy with orthognathic surgery after the completion of growth. Therefore, it is important to determine the growth state of condylar hyperplasia in treatment stability. This is verified through bone scan and regular check-ups with 3D CT or PA cephalogram. This case report introduces an improved case of facial asymmetry with condylectomy together with orthognathic surgery.

A Study on the Oceanic Diffusion of Liquid Radioactive Effluents based on the Statistical Method (통계적 방법을 이용한 방사성 물질의 해양 확산 평가)

  • Kim, Soong-Pyung;Lee, Goung-Jin
    • Journal of Radiation Protection and Research
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    • v.23 no.1
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    • pp.1-6
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    • 1998
  • A diffusion model of radioactive liquid effluents is developed and applied for YGN NPP's site, based on the Gaussian plume type model. Due to the complexity of oceanic diffusion characteristics of YGN site, a simple and reliable statistical model based on Reg. Guide 1.113 is developed. Also, a computer code package to calculate dilution factors as a function of plant operation conditions and pathway of radioactive materials. A liquid effluents diffusion model is developed by dividing the diffusion range into two categories, i. e, a near field mixing region and a far field mixing region. In the near field, the initial mixing is affected by a buoyance force, a high initial turbulence and momentum which is characterized by a plant operation condition and environmental conditions. The far field mixing is similar to gaseous effluents diffusion. So, beyond the near field region, wellknown Gaussian plume model was adopted. A different area averages of Gaussian plume equation was taken for each radioactive exposure pathway. As a result, we can get different dilution factors for different pathways. Results shows that present dilution factors used for YGN ODCM is too much overestimated compared with dilution factors calculated with the developed model.

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Fixed Prosthetic Restoration in an Edentulous Patient with NobelGuideTM System (양악 무치악 환자에서 NobelGuideTM 시스템을 이용한 고정성 임플란트 보철수복)

  • Shin, Hyoung-Joo;Kim, Dae-Gon;Cho, Lee-Ra;Park, Chan-Jin
    • Journal of Dental Rehabilitation and Applied Science
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    • v.25 no.3
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    • pp.243-253
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    • 2009
  • This report described a technique utilizing a computer-aided design (CAD) /computer-aided machining (CAM) - guided surgical implant placement and prefabricated fixed complete denture for an immediately loaded restoration. A patient with an edentulous maxilla and mandible received 6 implants in maxilla and 6 implants in the mandible using CAD/CAM surgical templates. Prefabricated provisional maxillary and mandibular implant supported fixed prostheses were connected immediately after implant installation. Provisional prostheses were evaluated for aesthetics, function during 6 months. Definitive prostheses were fabricated.

Development of Cardiac Digital Subtraction Angiographic System for Diagnosis of Cardiac Diseases (심장병 진단을 위한 실시간 디지탈 감산 조영 영상기법의 개발)

  • Min, Byoung-Goo;Lee, Tae-Soo
    • Journal of the Korean Institute of Telematics and Electronics
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    • v.26 no.2
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    • pp.132-139
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    • 1989
  • We have designed a real-time Cardiac digital substraction angiography system (C-DSA) and tested the system for the diagnosis of Cardiac patients. The system was developed by interfacing a radiographic angiography system to a computerized motional image analysis system. This new cardiac DSA can perform the real time processing of averaging and subtraction of the 32 image frames to measure the volume changes of the left ventricle after elimination of motional artrifacts, caused by the heart contraction of beats per minute in average. Each frame has a resolution of 512 x 512 pixels and 256 gray levels. Two image data with maximal and minimal volume were moved to the interfaced IBM PC computer system by high speed computer link line for computation of the heart's contraction parameters. First, the boundary of the left ventricule was detected using a dynamic programming of the gray levels, and its volume was computered to determine the parameters, such as the maximal volume of end-diastolic volume (EDV), the minimal volume of end systolic volume (ESV), and ejection fraction (EF).

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COMPARISON OF IMAGE REFORMATION USING PERSONAL COMPUTER WITH CT SCAN RECONSTRUCTION (CT 스캔 영상재구성과 개인용 컴퓨터를 이용한 영상 재형성과의 비교에 관한 연구)

  • Jung Gi-Hun;Kim Eun-Kyung;Kim Sang-Joon
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.24 no.2
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    • pp.361-368
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    • 1994
  • Radiographic planning is needed for implant placement in order to determine implant length, jaw bone volume, anatomical stucture and so on. Radiographic examination includes conventional radiography, conventional tomography and CT scan. The most accurate mesurement can be obtained from CT scan. For the cross-sectional view of mandible, CT scan reconstruction is generally needed. But the cross-sectional view of mandible can be reformed by personal computer. This study was performed to examine the clinical usefulness of reformed image using personal computer in comparison with CT scan reconstructed image. CT axial slices of 4 mandibles of 4 volunteers were used. Digital imaging system was composed of Macintosh Ⅱ ci computer, high resolution Sony XC-77 CCD camera, Quick Capture frame grabber board and 'NIH Image' program. Seven reconstructed cross-sectional images within CT machine(CT group) were obtained. And seven reformed cross-sectional images(PC group) after digitization of CT axial slices into the personal computer were obtained. PC group was compared with CT group in the objective and subjective aspects. The results were as follow: 1. Measurement of mandibular height & width in both group showed insignificant difference(P>0.05). 2. Subjective assessment of the mandibular canal in both group showed insignificant difference(P>0.05). 3. Image reformation using personal computer could provide panoramic view, which could not be obtained in CT scan reconstruction.

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Primary Malignant Melanoma of the Lung - 1 case report - (우측폐 중엽에 발생한 원발성 악성 흑색종 - 수술 치험 1예 -)

  • 김동원
    • Journal of Chest Surgery
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    • v.36 no.4
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    • pp.289-292
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    • 2003
  • Primary malignant melanoma occurring in the lung is very rare and only few cases have been reported in the literatures. We have experienced one case of primary malignant melanoma of the right middle lobe. The patient was a 65-year-old male who had cough with blood tinged sputum for one month. Chest computed tomography showed about 4.5$\times$3 cm sized mass at the right middle lobe encasing the bronchus. Percutaneous needle biopsy was performed and confirmed to malignant melanoma. Physical examination and additional clinical history showed that the mass had not metastasized to other possible primary sites. The patient underwent thoracotomy with right middle lobe lobectomy. Histologically, the tumor showed sheets of tumor cells that have nuclear atypia and melanin pigment Postoperative course was uneventful and the patient has been followed up for 24 months with no recurrence.