• Journal of Korean Neurosurgical Society
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• 제30권2호
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• pp.173-179
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• 2001

Purpose : To assess therapeutic effects of percutaneous polymethylmethacrylate(PMMA) vertebroplasty on the pain caused by osteoporotic thoracic and lumbar vertebral body compression fractures in a large scale of a prospective clinical design, and to determine clinical factors influencing its therapeutic effects. Methods : A prospective clinical study was carried out in 349 vertebral levels of 159 patients between April 1998 and July 1999. The compression fractures were confirmed with bone scan and spine CT, and bone marrow density was measured. Visual analogue scale(VAS) score was used for pre- and post-operative assessments of the pain. All 159 patients were assessed immediately after surgery, and 140 patients of them were followed-up for about 6 months in average. Results : Partial and complete pain relief was sustained immediately after operation in 73%, through follow-up period in 88% of the patients. Pain relief was not proportional to the amount of PMMA or the rate of increase in the height of the compressed vertebral body. It appears that 3 to 6cc of PMMA was proper enough to sustain pain relief. Better clinical improvement was achieved in the patients treated within 6 months after occurrence of vertebral body fracture. The most frequent surgical complication was epidural leakage of PMMA, and the most serious complication was extravertebral leakage into the paravertebral muscles, which appeared to exert the worst influence on the outcome. However, surgery was not required in these patients. Conclusion : Therapeutic effects of PMMA percutaneous vertebroplasty on osteoporotic vertebral body compression fractures were confirmed in a relatively large scale of prospective clinical study. It appears that good outcome can be achieved in patients treated within 6 months after fracture, treated each level with 3 to 6cc of PMMA in amount. without serious complications.

• Korean Journal of Radiology
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• 제20권6호
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• pp.916-930
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• 2019

Objective: To investigate the relationships of T₂^*-corrected 6-echo Dixon volumetric interpolated breath-hold examination (VIBE) imaging-based fat fraction (FF) and R₂^* values with bone mineral density (BMD); determine their associations with sex, age, and menopause; and evaluate the diagnostic performance of the FF and R₂^* for predicting osteopenia and osteoporosis. Materials and Methods: This study included 153 subjects who had undergone magnetic resonance (MR) imaging, including MR spectroscopy (MRS) and T₂^*-corrected 6-echo Dixon VIBE imaging. The FF and R₂^* were measured at the L4 vertebra. The male and female groups were divided into two subgroups according to age or menopause. Lin's concordance and Pearson's correlation coefficients, Bland-Altman 95% limits of agreement, and the area under the curve (AUC) were calculated. Results: The correlation between the spectroscopic and 6-echo Dixon VIBE imaging-based FF values was statistically significant for both readers (p_c = 0.940 [reader 1], 0.908 [reader 2]; both p < 0.001). A small measurement bias was observed for the MRS-based FF for both readers (mean difference = -0.3% [reader 1], 0.1% [reader 2]). We found a moderate negative correlation between BMD and the FF (r = -0.411 [reader 1], -0.436 [reader 2]; both p <0.001) with younger men and premenopausal women showing higher correlations. R₂^* and BMD were more significantly correlated in women than in men, and the highest correlation was observed in postmenopausal women (r = 0.626 [reader 1], 0.644 [reader 2]; both p < 0.001). For predicting osteopenia and osteoporosis, the FF had a higher AUC in men and R₂^* had a higher AUC in women. The AUC for predicting osteoporosis was highest with a combination of the FF and R₂^* in postmenopausal women (AUC = 0.872 [reader 1], 0.867 [reader 2]; both p < 0.001). Conclusion: The FF and R₂^* measured using T₂^*-corrected 6-echo Dixon VIBE imaging can serve as predictors of osteopenia and osteoporosis. R₂^* might be useful for predicting osteoporosis, especially in postmenopausal women.

• Applied Microscopy
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• 제23권1호
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• pp.35-55
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• 1993

cis-Dichlorodiammineplatinum (II) (cis-Platin), a metallic compound, has widely been used as an effective anticancer chemotherapeutic agent. The precise mechanism of action of this agent is still unknown, but it is postulated that cis-Platin may act on the cancer cell like bifunctional alkylating agents. Although this agent is very beneficial to the patients with cervical cancer, germinoma of testis, neuroblastoma and others, it may also damage to the normal cell so that many side effects; severe hemorrhagic enterocolitis, bone marrow depression, renal damage and liver damage will develope. This experiment has been undertaken to pursue the cytotoxic effects of the cis-Platin on the ultrastructures of the interalveolar septum in the mouse lung. A total of 55 healthy male mice of ICR strain were used as experimental animals and divided into 5 mice of normal control group and 50 mice of cis-Platin treated group. The mice of cis-Platin treated group were sacrificed by carotid exsanguination at 6, 12, 24 hours, 3 days and 7 days after intraperitoneal injection of 6.0 mg of cis-Platin ($Abiplatin^R$ Abic Co. Ltd.) per kg of mouse body weight. The specimen obtained from the lower lobe of left lung were sliced into $1mm^3$ and prefixed with 2% glutaraldehyde -2.5% paraformaldehyde solution prepared with Millonig's phosphatae buffer solution (pH 7.4) at $4^{\circ}C$ for 3-4 hours. After postfixation with 1% osmium tetroxide solution all specimens were embedded in Epon 812. Ultrathin sections about $600-800{\AA}$ in thickness were stained with uranyl acetate and lead citrate and observed with Hitachi-600 electron microscope. The results obtained were as follows: 1. Local swellings with increase of electron density and number of pinocytic vesicles in the cytoplasms of the type I pneumocyte and endothelial cell of the blood air barrier in interalveolar septum of cis-platin treated mice were observed. 2. Cisternae of rough endoplasmic reticulum were dilated and sacculated in association with detachment of membrane bound ribosomes of the type II pneumocyte in interalveolar septum of cis-Platin treated mice. 3. Swollon mitochondria with uneven electron density of their matrix were observed in the type II pneumocyte of interalveolar septum in the cis-Platin treated mice. 4. The lamellae of lammelar bodies in type II pneumocyte of interalveolar septum in cis-Platin treated mice were devoided or transformed into homogeneous electron dense material. It is consequently suggested that cis-Platin would induce the cellular edema of type I pneumocyte and endothelial cell, and degenerative changes of cytoplasmic organelles of the type II pneumocyte in the interalveolar septum of the mouse lung.

• 대한정형외과학회지
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• 제56권1호
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• pp.26-33
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• 2021

목적: 슬관절 전치환술 후 발생한 대퇴 삽입물 주위 골절에 이중 금속판을 이용한 고정술 후 결과를 평가하고자 한다. 대상 및 방법: 2007년 10월부터 2013년 2월까지 슬관절 전치환술 후 발생한 대퇴골 삽입물 주위 골절 23예 중 Lewis와 Rorabeck의 분류상 II형으로 삽입물 이완은 없으나 과상부 분쇄골절이거나 골절선이 외상과까지 연장됐거나 주대(stem)가 있어 편측 고정만으로 골절부의 안정성을 얻을 수 없다고 판단한 경우에 내, 외측 이중 금속판을 이용하여 내고정술을 시행하고 최소 1년 이상 추시가 가능했던 13예를 대상으로 하였다. 환자의 평균 연령은 72세(65-82세)였고 여자가 11예, 남자가 2예였다. 수상 기전은 낙상이 9예, 교통사고가 4예였다. 류마티스관절염 1예를 제외하고 12예에서 골관절염으로 슬관절 전치환술을 받았고 3예에서 재치환술 등의 이유로 주대가 있었다. 슬관절 전치환술 후 골절 발생까지의 평균 기간은 28개월(1-108개월)이었고, 술 전 환자의 평균 골밀도는 T score -3.2 (-1.7에서 -4.4)였으며, 평균 추시기간은 23개월(12-65개월)이었다. 수술법은 골절부의 내측에 먼저 광근 하방으로 접근하여 해부학적 정복을 시행하고 금속판으로 내고정을 시행한 후 추가로 외측에 최소 절개법을 통해 잠김 압박 금속판을 사용하여 내고정하였다. 골유합 기간 및 합병증, 최종 추시 시 Hospital for Special Surgery Knee Score (HSS)를 평가하였다. 결과: 평균 골유합 기간은 17.4주(7-40주)였으며 2예에서 지연 유합이 발생하였으나 추가적 수술 없이 36주와 40주에 골유합을 얻었다. 1예에서 불유합이 발생하여 재고정술 및 자가골 이식술을 시행 후 3개월에 완전한 골유합을 얻었다. 최종 추시 시 전후방각형성은 평균 2.86도(0-4.9도), 내외반 각형성은 평균 1.67도(-1.2-4.9도)로 전체 예에서 부정 유합은 없었다. 최종 추시 시 슬관절 운동 범위는 평균 90도였고, HSS 점수는 평균 85점(70-95점)이었다. 결론: 슬관절 전치환술 후 발생한 대퇴골 삽입물 주위 골절 시 편측 고정만으로 골절부의 안정성을 얻을 수 없는 경우 이중 금속판을 이용한 내고정술은 안정적인 고정으로 빠른 재활이 가능하고 임상적으로 양호한 결과를 얻을 수 있는 방법으로 생각된다.

• 대한한의학방제학회지
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• 제21권1호
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• pp.99-110
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• 2013

Objectives : This study was designed to investigate the effect of a herbal preparation HJ01 consisting of Salicornia herbacea, Citri Reticulatae Pericarpium, Crataegi Fructus and Glycyrrhizae Radix on adipocyte differentiation in OP9 cells and on poloxamer 407(P-407)-induced hyperlipidemia in mice. Methods : 1. MTT assay was used to evaluate the potential cytotoxicity of Salicornia herbacea, Citri Reticulatae Pericarpium, Crataegi Fructus, Glycyrrhizae Radix and HJ01, respectively. 2. Bone-marrow derived OP9 cells were treated with HJ01, and the alterations in fat storage in the cells were determined by the Oil red O assay. 3. The protein level of CAAAT/enhancer binding protein alpha($C/EBP{\alpha}$), as a adipocyte differentiation marker, was examined using western blot analysis in differentiated OP6 cells. 4. Adult male C57BL6 mice received intraperitoneal injections of P407 to induce hyperlipidemia, simultaneously, were treated with HJ01 for 4 weeks. Then the cholesterol (TC), triglyceride (TG) and high-density lipoprotein-cholesterol (HDL-c) levels in sera and liver tissues were measured. Results : 1. The MTT assay exhibited that Salicornia herbacea, Citri Reticulatae Pericarpium, Crataegi Fructus, Glycyrrhizae Radix and HJ01 showed no significant cytotoxicity in tested dosages. 2. Ten days' treatment with HJ01 markedly inhibited the increases in fat storage in differentiated OP6 cells. 3. Four weeks' treatment with HJ01 down-regulated the protein level of CAAAT/enhancer binding protein alpha($C/EBP{\alpha}$) but up-regulated the levels of adiponectin in differentiated OP9 cells. 5. HJ01 inhibited the accumulation of TC and TG in liver tissues and increased serum levels of TC in hyperlipidemic mice. Conclusions : These results suggest that HJ01 can in vitro inhibit adipocyte differentiation and fat storage in OP6 cells, in vivo improve the hyperlipidemia induced by P-407 in mice, which may be mediated by promoting glucose uptake and improving a lipid metabolite profile.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제32권4호
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• pp.299-305
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• 2010

Purpose: Adipose tissue is located beneath the skin, around internal organs, and in the bone marrow in humans. Its main role is to store energy in the form of fat, although it also cushions and insulates the body. Adipose tissue also has the ability to dynamically expand and shrink throughout the life of an adult. Recently, it has been shown that adipose tissue contains a population of adult multipotent mesenchymal stem cells and endothelial progenitor cells that, in cell culture conditions, have extensive proliferative capacity and are able to differentiate into several lineages, including, osteogenic, chondrogenic, endothelial cells, and myogenic lineages. Materials and Methods: This study focused on endothelial cell culture from the adipose tissue. Adipose tissues were harvested from buccal fat pad during bilateral sagittal split ramus osteotomy for surgical correction of mandibular prognathism. The tissues were treated with 0.075% type I collagenase. The samples were neutralized with DMEM/and centrifuged for 10 min at 2,400 rpm. The pellet was treated with 3 volume of RBC lysis buffer and filtered through a 100 ${\mu}m$ nylon cell strainer. The filtered cells were centrifuged for 10 min at 2,400 rpm. The cells were further cultured in the endothelial cell culture medium (EGM-2, Cambrex, Walkersville, Md., USA) supplemented with 10% fetal bovine serum, human EGF, human VEGF, human insulin-like growth factor-1, human FGF-$\beta$, heparin, ascorbic acid and hydrocortisone at a density of $1{\times}10^5$ cells/well in a 24-well plate. Low positivity of endothelial cell markers, such as CD31 and CD146, was observed during early passage of cells. Results: Increase of CD146 positivity was observed in passage 5 to 7 adipose tissue-derived cells. However, CD44, representative mesenchymal stem cell marker, was also strongly expressed. CD146 sorted adipose tissue-derived cells was cultured using immuno-magnetic beads. Magnetic labeling with 100 ${\mu}l$ microbeads per 108 cells was performed for 30 minutes at $4^{\circ}C$ a using CD146 direct cell isolation kit. Magnetic separation was carried out and a separator under a biological hood. Aliquous of CD146+ sorted cells were evaluated for purity by flow cytometry. Sorted cells were 96.04% positivity for CD146. And then tube formation was examined. These CD146 sorted adipose tissue-derived cells formed tube-like structures on Matrigel. Conclusion: These results suggest that adipose tissue-derived cells are endothelial cells. With the fabrication of the vascularized scaffold construct, novel approaches could be developed to enhance the engineered scaffold by the addition of adipose tissue-derived endothelial cells and periosteal-derived osteoblastic cells to promote bone growth.

• 대한방사선기술학회지:방사선기술과학
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• 제21권1호
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• pp.79-87
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• 1998

이 실험의 목적은 4.5 및 7.5 Gy의 단일 선량으로 감마선의 전신조사에 따른 혈장 및 좌골신경 혈소판-유래성 성장인자(platelet-derived growth factor, PDGF)의 농도와 좌골신경 PDGF ${\alpha}$ -및 ${\beta}$ -수용체 밀도에 대한 시간의존성 변화를 조사 추구하는데 있다. 웅성 흰쥐(Sprague-Dawley계, 체중 $270{\pm}15.4g$)를 사용하여 $^{60}Co$ 감마선을 전신 조사(선량률 1.065 Gy/min)하고, 조사 후 1, 2, 3, 5 및 10일구에서 피폭에 따른 급성반응을 조사 추구하였다. 실험의 결과는 다음과 같다. 1) 4.5 및 7.5 Gy 선량군에서는 혈장 PDGF의 농도가 전 일구에 걸쳐 대조군($2.26{\pm}0.31\;ng/ml$)에 비해서 감소경향이 나타났으며, 한편 4.5 및 7.5 Gy 선량군 사이에서는 전 일구에 걸쳐 혈장 PDGF의 농도차에 유의적인 차이가 없었다(P>0.05). 피폭된 흰쥐의 혈장 PDGF의 농도는 4.5 및 7.5Gy 선량군에서 모두 대조군의 흰쥐에 비하여 5일구($4.5Gy:1.35{\pm}0.23\;ng/ml$; 대조군의 백분율로서 59.7%, 그리고 $7.5\;Gy:1.24{\pm}0.13\;ng/ml;54.9%$) 및 10일구($4.5Gy:1.27{\pm}0.28ng/ml;56.2%$ 그리고 $7.5Gy:1.07{\pm}0.19\;ng/ml:47.3%$)에서 각각 유의성으로 낮았다(P<0.05). 2) 4.5 및 7.5Gy 선량군에서는 좌골신경 PDGF의 농도가 전 일구간에 걸쳐 대조군($3.68{\pm}0.12\;ng/ml$)에 대하여 대체로 약간의 증가가 나타났으나, 한편 4.5 및 7.5Gy 선량군 사이에서 전 일구에 걸쳐 좌골신경 PDGF의 농도차는 무의성이었다(P>0.05). 피폭된 흰쥐의 좌골신경 PDGF의 농도는 4.5 및 7.5Gy 선량군에서 모두 대조군에 비하여 1일구($4.5Gy:4.33{\pm}0.03\;ng/m1$;대조군의 백분율로서 118% 그리고 $7.5Gy:4.81{\pm}0.36\;ng/ml$; 130%)에서 각각 증가하였으나 무의성이었다(P>0.05). 3) 방사선의 조사는 혈장 및 좌골신경 PDGF의 농도의 변화를 초래할 뿐만아니라 좌골신경 PDGF ${\alpha}$ - 및 ${\beta}$ -수용체 밀도의 변화도 초래하였다. 수용체의 밀도단위를 단백질의 상대적 함량(relative level of protein)으로 표시하고 일구-필적의 대조군을 백분율로 표시하였다. 4.5 및 7.5Gy 선량군에서의 좌골신경 PDGF ${\alpha}$ -수용체의 밀도는 대조군에 비하여 초기에 감소현상으로 나타나, 1일구에서는 40%(4.5Gy)와 50%(7.5Gy)를, 그리고 2일구에서는 33%(4.5Gy)와 50%(7.5Gy)로 가장 낮은 값을 나타낸 후 점차 대조군에 근접하는 값으로 증가하는 경향이었으며, 한편 4.5 및 7.5Gy 선량군에서 좌골신경 PDGF ${\beta}$ -수용체의 밀도는 역시 대조군에 비하여 각각 26%(4.5 Gy)와 27%(7.5Gy)의 최소 값을 나타낸 후점차 대조군에 근접하는 값으로 증가하는 경향으로 나타났다. 이러한 실험의 결과를 미루어 보아서, 혈장 및 좌골신경의 PDGF의 농도와 좌골신경 PDGF ${\alpha}$ - 및 ${\beta}$ -수용체의 밀도에 대한 방사선-유발성 변경이 골수 간세포 및 말초뉴런의 장해의 병인론에 관련되어 있는 것으로 생각된다.