• 제목/요약/키워드: Aerosol scan

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Prestenotic Bronchial Radioaerosol Deposition: A New Lung Scan Sign of Bronchial Obstruction (기관지 협착 근위부의 연무 침착: 폐스캔에서 기관지 폐색의 특이한 지표)

  • Chung, Soo-Kyo;Kim, Hak-Hee;Choi, Byung-Gil;Lee, Sang-Hoon;Kang, Si-Won;Bahk, Yong-Whee
    • The Korean Journal of Nuclear Medicine
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    • v.29 no.3
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    • pp.307-312
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    • 1995
  • The present study has been carried out to assess the diagnostic usefulness of radioaerosol lung scan in complete bronchial obstruction (n=7) and bronchial narrowing (n=1) of varying causes. $^{99m}Tc$-phytate lung scan was performed using the aerosol generated by a BARC nebulizer. Scan alterations were correlated with those of chest radiography, bronchography, lung CT and/or brochoscopy. In every case scan showed characteristic intense deposition of radioaerosol in a short slightly dilated, bronchial segment immediately proximal to obstruction or stenosis. Characteristically it was accompanied by an airspace aerosol deposition defect distally. The finding of a short, clubbed, bronchial radioaerosol deposition with distal airspace defect is a sensitive, specific indicator of bronchial obstruction or stenosis. It was especially useful in the detection of the obstruction of a small bronchus at the lobar and sublobar levels. We propose to name it the prestenotic aerosol deposition sign.

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Hot Spots on Tc-99m MAA Perfusion Lung Scan (Tc-99m 거대응집알부민을 이용한 폐관류 스캔에서 관찰되는 다발성 열소)

  • Lim, Seok-Tae;Sohn, Myung-Hee
    • The Korean Journal of Nuclear Medicine
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    • v.35 no.4
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    • pp.288-290
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    • 2001
  • A 61 year-old woman underwent perfusion and inhalation lung scan for the evaluation of pulmonary thromboembolism. Tc-99m MAA perfusion lung scan showed multiple round hot spots in both lung fields. Tc-99m DTPA aerosol inhalation lung scan and chest radiography taken at the same time showed normal findings (Fig. 1, 2). A repeated perfusion lung scan taken 24 hours later demonstrated no abnormalities (Fig. 3). Hot spots on perfusion lung scan can be caused by microsphere clumping due to faulty injection technique or by radioactive embolization from upper extremity thrombophlebitis after injection. Focal hot spots can signify zones of atelectasis, where the hot spots probably represent a failure of hypoxic vasoconstriction. Artifactual hot spots due to microsphere clumping usually appear to be round and in peripheral location, and the lesions due to a loss of hypoxic vasoconstriction usually appear to be hot uptakes having linear $borders^{1-3)}$. Although these artifactual hot spots have been well-known, we rarely encounter them. This report presents a case with artifactual hot spots due to microsphere clumping on Tc-99m MAA perfusion lung scan.

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Radioaerosol Scan Manifestations of Diffuse Panbronchiolitis (미만성 세기관지염의 연무흡입 폐환기스캔 소견)

  • Kim, Hak-Hee;Choi, Byung-Gil;Bahk, Yong-Whee;Chung, Soo-Kyo;Park, Seog-Hee;Shin, Kyung-Sub;Park, Sung-Hak
    • The Korean Journal of Nuclear Medicine
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    • v.28 no.2
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    • pp.192-199
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    • 1994
  • Diffuse pahbronchiolitis(DPB) is a relatively new, chronic, nonspecific, inflammatory disease of the lung that typically involves the airways in the "transitional" zone of the lung. Clinically, DPB strongly resembles chronic obstructive pulmonary disease (COPD) and the distinction between the two is crucial because the former is often fatal, requiring different therapeutic strategies. This study was prospectively carried out to assess diagnostic usefulness of radioaerosol scan(RAS) in DPB. RAS findings were analyzed with respect to the location and extent of abnormal aerosol deposition in the lung divided into the central, intermediary, and transitional airways and the peripheral airspaces. RAS showed mottled aerosol deposits characteristically in the transitional and intermediary airways with peripheral airspace defects. Such a deposition pattern contrasted sharply with central aerosol deposition of COPD. In conclusion, RAS appears to be a convenient, noninvasive, and useful diagnostic method of DPB.

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Comparison of Lung Ventilation Scan Using Technegas and $^{99m}Tc-DTPA$ Aerosol (Technegas 환기스캔과 $^{99m}Tc-DTPA$ Aerosol 스캔의 비교)

  • Choi, Yoon-Ho;Kim, Sang-Eun;Lee, Dong-Soo;Chung, June-Key;Lee, Myung-Chul;Kim, Keun-Youl;Koh, Chang-Soon;Koong, Sung-Soo
    • The Korean Journal of Nuclear Medicine
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    • v.24 no.2
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    • pp.237-243
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    • 1990
  • Pulmonary embolism demands rapid and accurate diagnosis. And ventilation imaging has greatly improved the diagnostic accuracy of pulmonary embolism in addition to perfusion imaging. Agents currently used include xenon-133, krypton-81m and technetium-99m radioaerosols. However radioactive gases are compromised by availability and cost for krypton-81m, radiation dose, gamma energy and non?physiologic behaviour for xenon-133. Radioaerosols of technetium-99m componds are rapidly cleared from the lung after inhalation, and their relative low effeciency (specific radioactivity) and wide distribution of particle sizes make them also suboptimum. A new ventilation agent, Technegas is a suspension of structured graphite ellipsoids with diameter below 20nm, labelled with $^{99m}Tc$ in a carrier gas of Argon. This report describes the authors' clinical experience with Technegas. This is the first reported clinical study of this agent in Korea. A comparison of Technegas and $^{99m}Tc-DTPA$ aerosol was performed in 12 patients with various pulmonary diseases such as COPD, pulmonary tuberculosis and pleural effusion. All patients were studied with $^{99m}Tc-DTPA$ aerosol inhalation and Technegas ventilation. In both studies image quality was assessed (1) semiquantitatively by scoring bronchial and gastric activity, (2) subjectively by direct visual comparison of peripheral lung images and (3) quantitatively by computing the peripheral penetration index(PI) for each lungs. The bronchial activites were seen in 7 out of 12 cases with $^{99m}Tc-DTPA$ aerosol and in 5/12 with Technegas. The gastric activities were seen in 5/12 and 1/12 cases respectively. The average values of PI were 61.26% with $^{99m}Tc-DTPA$ aerosol and 69.20% with Technegas (p>0.05). Using $^{99m}Tc-DTPA$ aerosol, COPD patients showed deposition in the central airways with poor visualization of the peripheral areas of the lungs. In Technegas studies these phenomena were less prominent, and the examination is well tolerated by pateients and requires only a minimum of patient cooperation. With superiority of easy availability and handling, better physical characteristics and favorable Image quality, Technegas is a Promising agent for lung ventilation scanning.

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The retrieval of Surface Solar Insolation using SMAC code with GMS-5 satellite data

  • Yeom, Jong-Min;Han, Kyung-Soo;Kim, Young-Seup
    • Proceedings of the KSRS Conference
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    • 2005.10a
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    • pp.458-461
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    • 2005
  • Surface Solar Insolation is important for vegetation productivity, hydrology, crop growth, etc. However, ground base measurement stations installed pyranometer are often sparsely distributed, especially over oceans. In this study, Surface Solar Insolation is estimated using the visible and infrared spin scan radiometer(VISSR) data on board Geostationary Meteorological Satellite (GMS)-S covering from March 2001 to December 2001 in clear and cloudy conditions. To retrieve atmospheric factor, such as, optical depth, the amount of ozone, H20, and aerosol, SMAC (Simplified Method for Atmospheric Correction) code, is adopted. The hourly Surface Solar Insolation is estimated with a spatial resolution of $5km\;\times\;5km$ grid. The daily Surface Solar Insolation is derived from the available hourly Surface solar irradiance, independently for every pixel. The pyranometer by the Korea Meteorological Agency (KMA) is used to validate the estimated Surface Solar Insolation with a spatial resolution of $3\;\times\;3Pixels.$

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Radioaerosol Inhalation Lung Scan in Pulmonary Emphysema (폐기종의 연무흡입 폐환기스캔 소견)

  • Jeon, Jeong-Su;Park, Young-Ha;Chung, Soo-Kyo;Bahk, Yong-Whee
    • The Korean Journal of Nuclear Medicine
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    • v.24 no.2
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    • pp.229-236
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    • 1990
  • Perfusion and ventilaion imagings of the lung are well established procedure for diagnosing pulmonary embolism, differentiation it from chronic obstructive lung disease, and making an early detection of chronic obstructive lung disease. To evaluate the usefulness of radioaerosol inhalation imaging (RII) in chronic obstructive lung disease, especially pulmonary emphysema, we analyzed RIIs of five normal adult non-smokers, five asymptomatic smokers (age 25-42 years with the mean 36), and 21 patients with pulmonry emphysema (age 59-78 years with the mean 67). Scintigrams were obtained with radioaerosol produced by a BARC nebulizer with 15 mCi of Tc-99m-phytate. Scanning was performed in the anterior, posterior, and lateral projections after five to 10-minute inhalation of the radioaerosol on sitting position. The scans were analyzed and correlated with the results of pulmonary function studies and chest radiographs. Also lung perfusion scan with $^{99m}Tc-MAA$ was performed in 12 patients. In five patients, we performed follow-up scans for the evaluation of the effects of a bronchodilator. Based on the X-ray findings and clinical symptoms, pulmonary emphysema was classified into four types: centrilobular (3 patients), panlobular (4 patients), intermediate (10 patients), and combined (4 patients). RII findings were patternized according to the type, extent, and intensity of the aerosol deposition in the central bronchial and bronchopulmonary system and lung parenchyma. 10 controls, normal five non-smokers and three asymptomatic smokers revealed homogeneous parenchymal deposition in the entire lung fields without central bronchial deposition. The remaining two of asymptomatic smokers revealed mild central airway deposition. The great majority of the patients showed either central (9/21) or combined type (10/21) of bronchopulmonary deposition and the remaining two patients peripheral bronchopulmonary deposition. Parenchymal aerosol deposition in pulmonary emphysema was diffuse (6/21), discrete(6/21), intermediate (3/21), or combined (6/21). In 12 patients studied also with perfusion scans, perfusion defects matched closely with ventilation defects in location and configuration. But the size of the ventilation defects was generally larger than the perfusion defects. In all four patients treated with bronchodilators, the follow-up study demonstrated decrease in abnormal of radioaerosol deposition in the central airway with improvement of ventilation defects. RII was useful technique for the evaluation of regional ventilatory abnormality and the effects of treatment with bronchodilators in pulmonary emphysema.

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Computational Analysis of Airflow in Upper Airway for Drug Delivery of Asthma Inhaler (천식 흡입기의 약물전달을 위한 상기도내의 유동해석)

  • Lee, Gyun-Bum;Kim, Sung-Kyun
    • Transactions of the KSME C: Technology and Education
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    • v.2 no.2
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    • pp.73-80
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    • 2014
  • Drug delivery in human upper airway was studied by the numerical simulation of oral airflow. We created an anatomically accurate upper airway model from CT scan data by using a medical image processing software (Mimics). The upper airway was composed of oral cavity, pharynx, larynx, trachea, and second generations of branches. Thin sliced CT data and meticulous refinement of model surface under the ENT doctor's advice provided more sophisticated nasal cavity models. With this 3D upper airway models, numerical simulation was conducted by ANSYS/FLUENT. The steady inspiratory airflows in that model was solved numerically for the case of flow rate of 250 mL/s with drug-laden spray(Q= 20, 40, 60 mL/s). Optimal parameters for mechanical drug aerosol targeting of predetermined areas was to be computed, for a given representative upper airways. From numerical flow visualization results, as flow-rate of drug-laden spray increases, the drag spray residue in oral cavity was increased and the distribution of drug spray in trachea and branches became more homogeneous.

JAXA'S EARTH OBSERVING PROGRAM

  • Shimoda, Haruhisa
    • Proceedings of the KSRS Conference
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    • v.1
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    • pp.7-10
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    • 2006
  • Four programs, i.e. TRMM, ADEOS2, ASTER, and ALOS are going on in Japanese Earth Observation programs. TRMM and ASTER are operating well, and TRMM operation will be continued to 2009. ADEOS2 was failed, but AMSR-E on Aqua is operating. ALOS (Advanced Land Observing Satellite) was successfully launched on $24^{th}$ Jan. 2006. ALOS carries three instruments, i.e., PRISM (Panchromatic Remote Sensing Instrument for Stereo Mapping), AVNIR-2 (Advanced Visible and Near Infrared Radiometer), and PALSAR (Phased Array L band Synthetic Aperture Radar). PRISM is a 3 line panchromatic push broom scanner with 2.5m IFOV. AVNIR-2 is a 4 channel multi spectral scanner with 10m IFOV. PALSAR is a full polarimetric active phased array SAR. PALSAR has many observation modes including full polarimetric mode and scan SAR mode. After the unfortunate accident of ADEOS2, JAXA still have plans of Earth observation programs. Next generation satellites will be launched in 2008-2012 timeframe. They are GOSAT (Greenhouse Gas Observation Satellite), GCOM-W and GCOM-C (ADEOS-2 follow on), and GPM (Global Precipitation Mission) core satellite. GOSAT will carry 2 instruments, i.e. a green house gas sensor and a cloud/aerosol imager. The main sensor is a Fourier transform spectrometer (FTS) and covers 0.76 to 15 ${\mu}m$ region with 0.2 to 0.5 $cm^{-1}$ resolution. GPM is a joint project with NASA and will carry two instruments. JAXA will develop DPR (Dual frequency Precipitation Radar) which is a follow on of PR on TRMM. Another project is EarthCare. It is a joint project with ESA and JAXA is going to provide CPR (Cloud Profiling Radar). Discussions on future Earth Observation programs have been started including discussions on ALOS F/O.

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