• Title/Summary/Keyword: 혈류 지수

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Implementation of Non-Invasive Cerebral blood Increasing Platform using PI (혈류지수를 이용한 비침습적 대뇌혈류증가 장치의 구현)

  • Kwon, Seong-tae;Lee, Jean;Kim, Young-kil
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.21 no.9
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    • pp.1761-1770
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    • 2017
  • Treatment for cerebral blood flows is one of the most important treatments for cerebral infarction. There is a concern that the increasing number of cerebral blood flow treatments can cause multiple complications as it is invasive. To compensate for these problems, recently non-invasive cerebral blood flow increases have emerged. However, the current implementation of the non-invasive cerebral blood flow sensor raises the question of speed and accuracy. In this theses, the system aims to minimize the final cortical damage to the cerebrum by implementing a system in a completely different manner to complement the disadvantages of the existing non-invasive cerebral blood flow device. The system measure the PI of the limbs while simultaneously pressing limbs. Blood flow rate is carried out indirectly by increasing blood flow to peer pressure through the limbs in which the PI eips below a certain level. This can be used selectively in patients to increase blood flow.

Maximum exercise in 20 men Common carotid artery blood flow velocity impact (20대 남성에서 최대운동이 뇌로가는 혈관인 총경동맥 혈류 속도에 미치는 영향)

  • Kim, Ji-Won
    • Journal of the Korean Society of Radiology
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    • v.3 no.4
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    • pp.5-12
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    • 2009
  • Arterial blood from the heart chonggyeong passed directly to the cerebral arteries and the blood circulation is important, especially in arteries that prevent blood flow there are several variables. Among the variables the average flow velocity, pulse index, and blood flow resistance and which variables, double maekbakjisuna systolic and diastolic blood flow resistance index at the maximum rate and blood pressure associated with this because they are important variables, The change of variables such as speed noehyeolryu There are observations about the non-invasive ultrasound measurements using Doppler noehyeolryu uses. Up to 20 men in the exercise of noeroganeun hyeolryuin chonggyeong arteries to increase blood flow rates can be found.

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Factors Affecting Basilar Artery Pulsatility Index on Transcranial Doppler (뇌혈류 초음파 검사에서 기저동맥 박동지수에 영향을 미치는 인자)

  • Jeong, Ho Tae;Kim, Dae Sik;Kang, Kun Woo;Nam, Yun Teak;Oh, Ji Eun;Cho, Eun Kyung
    • Korean Journal of Clinical Laboratory Science
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    • v.50 no.4
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    • pp.477-483
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    • 2018
  • Transcranial doppler is a non-invasive method that measures the blood flow velocity and the direction of cerebral blood vessels through the doppler principle. The pulsatility index is an index for measuring the transcranial doppler that reflects the distal vascular resistance and is used as an index for the presence and diffusion of cerebral small vessel diseases. The purpose of this study was to evaluate the risk factors affecting the basilar artery pulsatility index in ischemic stroke patients. From January 2014 to May 2015, 422 patients were selected by measuring the transcranial doppler pulsatility index, considering their basilar artery pulsatility index. Univariate analysis was performed using the basilar artery pulsatility index as a dependent variable. Multiple regression analysis was performed considering the factors affecting the pulsatility index as variables. Univariate analysis revealed age, presence of hypertension, presence of diabetes mellitus, presence of hyperlipidemia, and hematocrit (P<0.1) as factors. Multiple regression analysis showed statistically significant results with age (P<0.001), presence of diabetes (P=0.004), and presence of hyperlipidemia (P=0.041). The risk factors affecting the basilar artery pulsatility index of transcranial doppler were age, diabetes, and hyperlipidemia. Further research will be needed to increase the cerebral pulsatility index as a surrogate marker of the elderly, diabetes, and hyperlipidemia.

Analysis of Regional Cerebral Blood Flow Using $^{99m}Tc-HMPAO$ Brain SPECT in Senile Dementia of Alzheimer Type (알쯔하이머형의 노인성 치매에서 $^{99m}Tc-HMPAO$ 뇌 SPECT를 이용한 뇌혈류분포의 분석)

  • Lee, Myung-Hae;Lee, Myung-Chul;Koh, Chang-Soon;Roh, Jae-Kyu;Woo, Chong-In
    • The Korean Journal of Nuclear Medicine
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    • v.22 no.2
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    • pp.147-156
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    • 1988
  • 알쯔하이머병 환자 11명, 우울증 환자 7명 그러고 정상 대조군 12명을 대상으로 $^{99m}Tc-HMPAO$ 뇌 SPECT를 이용하여 국소 뇌혈류 분포를 분석하여 다음과 같은 결과를 얻었다. 1) SPECT소견은 정상 대조군과 우울증군에서는 모두 정상이 있으나 알쯔하이머병군에서는 7명은 양측 측두엽 및 두정엽에, 3명은 편측 측두엽 및 두정엽에 그리고 1명은 전두엽에 뇌혈류 감소의 소견을 보였다. 2) 대뇌반구간 혈류분포의 변화를 비교하는 지수인 Cerebral asymmetry index는 정상 대조군에서 $0.08{\pm}0.03$, 알쯔하이머병군에서는 $0.11{\pm}0.04$ 그리고 우울증군에서는 $0.09{\pm}0.03$으로서 세 군간에 유의한 차이가 없었다. 3) 소뇌반구간 혈류분포의 변화를 비교하는 지수인 Percent index of cerebellar asymmetry는 정상 대조군에서 $0.4{\pm}0.7%$, 알쯔하이머병군에서 $-0.7{\pm}0.08%$ 그리고 우울증군에서 $-0.7{\pm}0.7%$로서 세군 간에 유의한 차이는 없었다. 4) 소뇌 계수치를 대조값으로 각 영역별 혈류분포의 변화정도를 비교하는 지수인 Region to cerebellum ratio는 우울증군에서는 정상 대조군과 유의한 차이를 보이지 않았으나 알쯔하이머병군에서는 양측 두정엽과 측두엽에서 유의한 감소를 보였다(p<0.05). 이상의 결과로 $^{99m}Tc-HMPAO$ 뇌 SPECT는 알쯔하이머병의 진단에 있어서 유용한 방법임을 알 수 있었다.

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The Influence of Combined Exercise Training with and without Blood Flow Restriction on Physical Performance and Balance in Elderly Females (복합운동에 혈류제한 적용과 비적용이 여성노인들의 운동수행능력과 평형성에 미치는 영향)

  • Kim, Daeyeol;Kang, Hyo-Young;Park, Hyeok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.1
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    • pp.363-371
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    • 2021
  • The goal of this study was to investigate the influence of exercise training with or without blood flow restriction (BFR) on physical performance and balance in elderly females. Participants (N = 43) were randomly divided into combined exercise with BFR group (n = 14, EX-BFR), only combine exercise group (n =14, EX) or a non-exercise control group (n = 15, CON). Both EX-BFR and EX groups had completed exercise training for 12 weeks. During the training period, the CON group maintained their normal lives. After baseline tests, two-way repeated measures ANOVA with contrast testing was conducted using SPSS 22.0. Study results found that physical performance and balance in both EX-BFR and EX groups were significantly improved, and fall index in both EX-BFR and EX groups were significantly decreased. There were no changes in the CON group. In addition, the % change and effect size of all variables in the EX-BFR group were larger than the EX group. So, the results showed that the EX-BFR group had performed more intense exercise caused by restricted blood flow during the training period compared to the EX group. Thus, exercise with BFR training may additionally influence physical performance and balance in elderly females.

Comparison of Pulsatile and Non-Pulsatile Extracorporeal Circulation on the Pattern of Coronary Artery Blood Flow (체외순환에서 박동 혈류와 비박동 혈류가 관상동맥 혈류양상에 미치는 영향에 대한 비교)

  • Son Ho Sung;Fang Yong Hu;Hwang Znuke;Min Byoung Ju;Cho Jong Ho;Park Sung Min;Lee Sung Ho;Kim Kwang Taik;Sun Kyung
    • Journal of Chest Surgery
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    • v.38 no.2 s.247
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    • pp.101-109
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    • 2005
  • Background: In sudden cardiac arrest, the effective maintenance of coronary artery blood flow is of paramount importance for myocardial preservation as well as cardiac recovery and patient survival. The purpose of this study was to directly compare the effects of pulsatile and non-pulsatile circulation to coronary artery flow and myocardial preservation in cardiac arrest condition. Material and Method: A cardiopulmonary bypass circuit was constructed in a ventricular fibrillation model using fourteen Yorkshire swine weighing $25\~35$ kg each. The animals were randomly assigned to group I (n=7, non-pulsatile centrifugal pump) or group II (n=7, pulsatile T-PLS pump). Extra-corporeal circulation was maintained for two hours at a pump flow of 2 L/min. The left anterior descending coronary artery flow was measured with an ultrasonic coronary artery flow measurement system at baseline (before bypass) and at every 20 minutes after bypass. Serologic parameters were collected simultaneously at baseline, 1 hour, and 2 hours after bypass in the coronary sinus venous blood. The Mann-Whitney U test of STATISTICA 6.0 was used to determine intergroup significances using a p value of < 0.05. Result: The resistance index of the coronary artery was lower in group II and the difference was significant at 40 min, 80 min, 100 min and 120 min (p < 0.05). The mean velocity of the coronary artery was higher in group II throughout the study, and the difference was significant from 20 min after starting the pump (p < 0.05). The coronary artery blood flow was higher in group II throughout the study, and the difference was significant from 40 min to 120 min (p < 0.05) except at 80 min. Serologic parameters showed no differences between the groups at 1 hour and 2 hours after bypass in the coronary sinus blood. Conclusion: In cardiac arrest condition, pulsatile extracorporeal circulation provides more blood flow, higher flow velocity and less resistance to coronary artery than non-pulsatile circulation.

Cerebral blood flow enhancement device using Blood Oxygen Level Sensor (Blood Oxygen Level Sensor를 이용한 대뇌혈류증가 장치)

  • Lim, Jung-hyun;Joh, In-Hee;Kim, Young-kil
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.22 no.8
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    • pp.1083-1089
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    • 2018
  • Surgery to increase cerebral blood flow is one of the treatment methods of cerebral infarction. In order to supplement this invasive method, non-invasive devices have been introduced that use human blood pressure to pressurize the extremities to increase cerebral blood flow. However, the problem of poor speed and accuracy was raised. In this paper, the perfusion index of each arm is measured by applying pressure to both arms using Blood Oxygen Level Sensor to improve the accuracy of measurement and measurement time. The pressure applied to the arm is calculated by using the pressure value obtained from the arm. Like the existing blood pressure measuring cerebral blood flow increasing device, the blood flow can be increased by more than 20% and the measurement time can be shortened, so that it can be selectively used for the patient with cerebral infarction.

Atherogenic Risk Stratification According to Changes in the Geometrical Shape of the Coronary Artery (관상동맥의 기하학적 형상변화에 따른 동맥경화 위험도)

  • Suh, Sang-Ho;Park, Jun-Gil;Roh, Hyung-Woon;Lee, Byung-Kwon;Kwon, Hyuck-Moon
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.34 no.10
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    • pp.893-899
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    • 2010
  • A previous study showed that hemodynamics is correlated with stenosis in the coronary artery. The flow characteristics and the distributions of the hemodynamic wall parameters in the coronary artery are investigated under physiological flow condition. The present study also aims to establish the mechanism of the generation of atherosclerosis by analyzing the hemodynamic variables in the coronary artery where atherosclerosis frequently occurs. The stenosis phenomena due to atherosclerosis are related to not only the biochemical reaction between blood and blood vessels but also the hemodynamic factors sush as flow separation and oscillatory wall shear stress. As the bifurcated angle increases, the size of the recirculation area that appears in the cross section increases and disturbed flow is observed in this area. We speculate that this area is the starting point of atherosclerosis in the coronary artery.

Effect of Clinical Improvement of Schizophrenic Symptoms on $^{99m}Tc$-HMPAO Brain SPECT (정신분열병 환자의 임상적 증세 호전에 따른 $^{99m}Tc$-HMPAO 뇌 SPECT 소견의 변화)

  • Shin, Chul-Jin;Koong, Sung-Soo;Chung, In-Won
    • The Korean Journal of Nuclear Medicine
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    • v.31 no.3
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    • pp.310-319
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    • 1997
  • This study investigated regional blood flow changes of frontal, temporal, and basal ganglia in eleven schizophrenic patients on DSM-IV criteria to examine the relationship between rCBF and clinical improvement of symptoms. Single-photon emission computed tomography imaging with $^{99m}Tc$-HMPAO was peformed in baseline and sixth weeks after the treatment, and concurrently psychopathology was assessed by PANSS. Antipsychotics wash-out period was more than 2 weeks, and three patient were drug naive. All patients were finally divided into two groups, the improved or not improved. We examined the difference of the amount of rCBF changes between two groups. Finally, frontal activity shows no significant difference between two groups but both groups show decreased frontal blood flow after antipsychotic treatment. However, the change of right temporal rCBF had positive correlation with the change of the total PANSS score, and the change of left temporal lobe activity was greater in the improved group than in the not improved group. Our results suggest that the temporal lobe activity has relation to the underlying schizophrenic symptoms.

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Factors Influencing on Early Patency Rate of Autogenous Arteriovenous Fistula for Hemodialysis (혈액투석을 위한 자가 동정맥루 수술에 있어서 조기개존율에 영향을 미치는 요인)

  • 민선경;한재진;원태희;안재호
    • Journal of Chest Surgery
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    • v.37 no.4
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    • pp.342-348
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    • 2004
  • It is very important for hemodialysis in patients with end stage renal disease to obtain vascular access that resists repeated punctures and maintains adequate blood flow. This study was designed to indentify factors that may influence early patency rate of autogenous arteriovenous fistula. Material and Method: 49 cases in 47 patients who underwent radiocephalic fistula formation in our hospital from June 2002 through May 2003 were reviewed and analyzed. Result: The early patency rate was 79.6%. Age, sex, hypertension, and diabetes mellitus were not significant factors for patency. Body mass index and duration of hypertension and diabetes did not influence the early results either. Cephalic vein diameter measured preoperatively and blood flow at radio-cephalic fistula were significantly positive correlative factors. Groups with the vein diameter less than 2.7mm, or with the blood flow less than 100 mL/min had significantly lower early patency rate than the other groups. Conclusion: To improve early patency rate of radiocephalic fistula, large sized cephalic vein should be selected and if the intraoperative flow at radiocephalic fistula is less than 100 mL/min, another arteriovenous fistula formation should be considered.