• Investigative Magnetic Resonance Imaging
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• 제19권4호
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• pp.205-211
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• 2015

The human heart is a complex organ in which many complicated congenital defects may happen and some of them require surgical intervention. Due to the vast complexity of varied anatomical presentations, establishing an accurate and consistent nomenclature system is utmost important to facilitate effective communication among pediatric cardiologists, cardiothoracic surgeons and radiologists. The Van Praagh segmental approach to the complex congenital heart disease (CHD) was developed in the 1960s and has been used widely as the language for describing complex anatomy of CHD over the decades. It utilizes a systematic and sequential method to describe the cardiac segments and connections which in turn allows accurate, comprehensive and unambiguous description of CHD. It can also be applied to multiple imaging modalities such as echocardiogram, cardiac CT and MRI. The Van Praagh notation demonstrates a group of three letters, with each letter representative for a key embryologic region of cardiac anatomy: the atria, ventricles and great vessels. By using a 3-steps approach, we can evaluate complex CHD precisely and have no difficulties in communicating with other medial colleague. This pictorial essay revisits the logical steps of segmental approach, followed by a pictorial illustration of its application.

• Journal of Cardiovascular Imaging
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• 제26권4호
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• pp.189-200
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• 2018

Pulmonary hypertension (PH) is defined as resting mean pulmonary artery pressure ${\geq}25mmHg$ and is caused by multiple etiologies including heart, lung or other systemic diseases. Evaluation of right ventricular (RV) function in PH is very important to plan treatment and determine prognosis. However, quantification of volume and function of the RV remains difficult due to complicated RV geometry. A number of imaging tools has been utilized to diagnose PH and assess RV function. Each imaging technique including conventional echocardiography, three-dimensional echocardiography, strain echocardiography, computed tomography and cardiac magnetic resonance imaging has-advantages and limitations and can provide unique information. In this article, we provide a comprehensive review of the utility, advantages and shortcomings of the multimodality imaging used to evaluate patients with PH.

• 대한신경집중치료학회지
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• 제11권2호
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• pp.143-147
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• 2018

Background: Hypoglycemia is uncommon in people without diabetes. There have been only a few reports of cardiac arrest in conjunction with hypoglycemia in non-diabetic patients. Case Report: A 66-year-old man visited the emergency room with dizziness. He was a chronic alcoholic. Laboratory test showed no evidence of diabetes mellitus. Brain magnetic resonance imaging revealed a left cerebellar infarction. Abdomen computed tomography demonstrated liver cirrhosis with minimal ascites. During his hospital stay, he consumed only a small amount of food because of nausea and headache. On hospital day 4, he had a cardiac arrest after two seizure episodes. His blood glucose was 10 mg/dL. The combination of liver cirrhosis, renal failure and poor oral intake was presumed to be the causes of the severe hypoglycemia. Conclusion: We report a rare case of cardiac arrest occurring in conjunction with severe hypoglycemia in a non-diabetic patient with cerebral infarction.

• International journal of advanced smart convergence
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• 제13권2호
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• pp.187-194
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• 2024

For precise cardiac diagnostics and treatment, we introduce a novel method for patient-specific mapping between myocardial and coronary anatomy, leveraging local variations in myocardial thickness. This complex system integrates and automates multiple sophisticated components, including left ventricle segmentation, myocardium segmentation, long-axis estimation, coronary artery tracking, and advanced geodesic Voronoi distance mapping. It meticulously accounts for variations in myocardial thickness and precisely delineates the boundaries between coronary territories according to the conventional 17-segment myocardial model. Each phase of the system provides a step-by-step approach to automate coronary artery mapping onto the myocardium. This innovative method promises to transform cardiac imaging by offering highly precise, automated, and patient-specific analyses, potentially enhancing the accuracy of diagnoses and the effectiveness of therapeutic interventions for various cardiac conditions.

• Korean Journal of Radiology
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• 제22권11호
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• pp.1894-1908
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• 2021

Double outlet right ventricle (DORV) is a relatively common congenital heart disease in which both great arteries are connected completely or predominantly to the morphologic RV. Unlike other congenital heart diseases, DORV demonstrates various anatomic and hemodynamic subtypes, mimicking ventricular septal defect, tetralogy of Fallot, transposition of the great arteries, and functional single ventricle. Because different surgical strategies are applied to different subtypes of DORV with ventricular septal defects, a detailed assessment of intracardiac anatomy should be performed preoperatively. Due to high spatial and contrast resolutions, cardiac CT can provide an accurate characterization of various intracardiac morphologic features of DORV. In this pictorial essay, major anatomic factors affecting surgical decision-making in DORV with ventricular septal defects were comprehensively reviewed using three-dimensional cardiac CT data. In addition, the surgical procedures available for these patients and major postoperative complications are described.

• Investigative Magnetic Resonance Imaging
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• 제17권2호
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• pp.83-90
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• 2013

목적: 본 연구의 목적은 환자에서 임상적으로 사용되는 영상 프로토콜을 이용하여 시행된 3.0 T 심장자기공명영상을 1.5 T 와 비교하여 그 유용성을 알아보고자 하는데 있다. 대상과 방법: 10개월간 30명의 환자에서 얻은 1.5 T 자기공명영상과 20명의 3.0 T 영상을 후향적으로 비교하였다. 각각의 영상에 대하여 신호 대 잡음비 (signal-to-noise ratio: SNR), 대조도 대 잡음비 (contrast-to-noise ratio: CNR), 영상 화질 (artifact의 정도에 따라서 5단계로 분류)을 평가하고 비교하였다. 결과: T1심장 형태 영상 및 심근 생존능 평가 영상에서는 3.0 T 자기공명영상에서 영상화질 (T1: $3.8{\pm}0.9$ vs. $3.9{\pm}0.7$, p=0.438; T2-SPAIR: $3.8{\pm}0.9$ vs. $3.9{\pm}0.5$, p=0.744; 지연기 조영 증강 영상: $4.5{\pm}0.8$ vs. $4.7{\pm}0.6$, p=0.254)의 유의한 저하 없이 SNR과 CNR의 향상을 보였다 (T1: SNR 29%, p < 0.001, CNR 37%, p < 0.001; T2-SPAIR: SNR 13%, p=0.068, CNR 18%, p=0.059; 지연기 조영 증강 영상: SNR 45%, p=0.017, CNR 37%, p=0.135). 심장Cine 영상에서 3.0 T 심장영상이 1.5 T 영상과 비교하여 영상화질($3.6{\pm}0.7$ vs. $4.2{\pm}0.6$, p < 0.001)이 다소 떨어졌으나 SNR과 CNR의 유의한 상승을 보였다 (SNR 143% 상승, CNR 108% 상승, p < 0.001). 심근관류영상에서는 SNR (11% 감소, p=0.172)과 CNR (7% 감소, p=0.638) 이 통계적으로 유의하지 않은 정도로 감소되었으나 영상화질($4.6{\pm}0.5$ vs. $4.0{\pm}0.8$, p=0.006)은 유의한 향상을 보였다. 결론: 실제 임상영역에서 사용되는 영상 프로토콜로 시행된 3.0 T 심장자기공명영상은 1.5T 영상과 비교하여 충분한 영상의 질을 제공하였다.

• 한국방사선학회논문지
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• 제5권5호
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• pp.289-294
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• 2011

본 연구의 목적은 cardiac MRI를 이용하여 확장기와 수축기의 정량적 측정을 통해 각 단면의 심박출률의 차이를 알아보고자 하였다. 총 12명(정상 7명, 심근교 1명, 부정맥 4명)을 대상으로 심첨에서부터 대동맥궁 쪽으로 단면을 얻었다. 수축기와 확장기 영상을 확대하여 경계를 정하였고, 이 면적을 바탕으로 1, 3, 5, 6-7단면의 심박출률을 구하였다. 정상인의 평균 박출률은 각각 1, 3, 5, 6-7단면에서 67.14%, 66.24%, 65.63%, 그리고 65.29% 로 나타났다. 반면, 환자들의 평균 박출률은 각각 1, 3, 5, 6-7단면에서 61.74%, 60.92%, 60.89%, 그리고 61.89%로 나타났다. 본 연구를 통해 cardiac MRI를 이용한 특정단면의 심박출률은 각 단면마다 큰 차이가 없음을 알 수 있었고 따라서 cardic MRI를 이용한 심박출계수의 평가는 대표 단면만으로 가능함을 알 수 있었다.

• 대한디지털의료영상학회논문지
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• 제12권1호
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• pp.9-14
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• 2010

Based on the cardiac PACS application collected from three university hospitals across the country, this research showed us a composition method of a server and storage devices with conditions in the field. Also, we founded the practical use of software making the best of cardiovascular PACS features. In addition, it also examined the components and requirements of the key functions that are available in the cardiovascular sector. We will be investigated the design experience and applications on stable storage and transmission of large video clip data, cardiovascular analysis, and gear interlocks through the study.

• 대한자기공명의과학회:학술대회논문집
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• 대한자기공명의과학회 2002년도 제7차 학술대회 초록집
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• pp.134-134
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• 2002

목적： 심근경색의 가역성 여부 판단시 cardiac MR imaging(CMRI)와 myocardial SPECT의 정확성을 비교하기 위하여 대상 및 방법： 흉통을 주소로 내원한 환자 중 CMRI와 SPECT를 시행한 17를 대상으로 역행적으로 조사하였다. CMRI는 double and triple inversion recovery image(IR)에서 심벽의 고신호강도, 2D-FIESTA에서 심기능 분석을 조사하였다. 이어 gadopentetate를 주입하여 확산스캔에서 확산결손을 조사하였다. 연속하여 gadopentetate를 더 주입 후 5분 후 지연심근강조영상을 얻어 지연조영증강 유무와 미세혈류 폐쇄를 조사하였다. SPECT는 아데노신으로 stress 스캔을 얻은 후 T1-201을 재주사 후 rest 스캔하여 확산결손과 재분배를 조사하여 가역성을 판단하였다.

• 한국정보통신학회:학술대회논문집
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• 한국해양정보통신학회 2006년도 춘계종합학술대회
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• pp.365-367
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• 2006

광용적맥파를 이용하여 일상생활에서 심장 박동을 관찰하고 심장 박동의 이상을 경고할 수 있는 저렴하면서도 간단한 심박 측정 장치를 구성하고 심장박동을 검출하였다. 심장박동의 검출을 위해 Ring형 광용적맥파 센서를 635nm의 적색 LD와 Si Photodiode로 제작하였다. 제작된 Ring형 광용적맥파 센서는 잡음 및 오차로 작용하는 외부 광원을 차단하였으며, 동(動)잡음의 영향을 최소화하기 위해 측정부위에 밀착하도록 하였다, 측정결과 제작된 센서는 심장박동 신호를 외부 영향 없이 안정적인 검출이 가능함을 알 수 있었다.