• Korean Journal of Head & Neck Oncology
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• v.18 no.2
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• pp.216-218
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• 2002

A 38-year-old man, who was diagnosed nasopharyngeal carcinoma (stage T4N2Mx) had rapidly growing lower neck mass (at level IV area) with local inflammation sign during concurrent chemoradiotherapy. After we performed Color Doppler sonography and fine needle aspiration biopsy of the neck mass, we differentiated neck soft tissue infection from tumor extension. Size of the mass decreased after antibiotics therapy. It was difficult to differentiate neck infection from tumor progression during treatment in naspharyngeal carcinoma.

• Journal of the Korean Society of Visualization
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• v.1 no.1
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• pp.98-106
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• 2003

A PLLIF (Planar Liquid Laser Induced Fluorescence) technique has been known to be a useful tool for the measurement of the spray patterns for various spray injectors because it can obtain two-dimensional images with high spatial resolutions without any intrusion on the spray field. In case of dense spray, however, the secondary emission as well as the extinction of an incident laser beam or a fluorescence signal can cause errors in quantifying a mass distribution. Unfortunately, a like-doublet injector which has a dense spray zone at the center may not be a good example or the application of the PLLIF technique. Therefore, we took PLLIF data for the like-doublet injector with a 12 bit color CCD camera by varying laser power, and then assessed their accuracy by comparing with the data obtained with a mechanical patternator and a PDPA (Phase Doppler Particle Analyzer). The experimental results showed that the gray level of fluorescence signal increases nonlinearly due to a secondary emission at the dense spray zone but this nonlinearity can be avoided by reducing the incident laser beam power. In addition, the mass flux distribution of the spray could be obtained by using the mass concentration data from PLLIF technique and the velocity profiles of liquid drops, and this distribution showed good agreement with that of mechanical pattemator. Therefore, it is possible that the PLLIF technique can be successfully applied to finding the mass distributions of like-doublet injectors.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.1 no.1
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• pp.133-137
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• 1998

Although midgut volvulus is clinically characterized by bilous vomiting and abdominal distention, plain abdominal X-ray is usually non-specific and therefore it can be misdiagnosed to other diseases. Upper gastrointestinal contrast study and computed tomography have been used as a routine diagnostic tool but it takes cost and time. Abdominal ultrasonography is a relatively good alternatives in diagnosing midgut volvulus and it relatively saves cost and time. But case presentation of midgut volvulus diagnosed with abdominal ultrasonography are rarely found in literature. We experienced a 6 month old girl who had come to our hospital with bilous vomiting and was diagnosed as midgut volvulus with ultrasonography. Thus we report this case with the presentation of typical ultrasonographic findings of midgut volvulus.

• Archives of Plastic Surgery
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• v.32 no.4
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• pp.479-484
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• 2005

Raynaud's syndrome causes discolorization, ischemic claudication(pain) and necrosis of the digits through insufficiency in the circulation which is induced by intermittent spasms of the digital arteries. From January, 2002 to December, 2004, 10 patients were surgically treated for Raynaud's syndrome. 9 patients were female and 1 patient was male. 2 patients showed unilateral involvement, 8 patients were operated on both hands. 6 patients had necrotic changes on the finger tips due to the disease. Ages ranged from 21 to 60 with an average of 39.1. Ischemic pain, discolorization, and cold intolerance of the digits were the common symptoms. All patients were evaluated with color doppler before the surgery. Two different procedures were applied according to the severity of the disease: Patients with decreased circulation received, what we call a limited digital sympathectomy, i.e. stripping of the adventitia of the ulnar, radial and common digital arteries. An extended procedure, radical digital sympathectomy, was performed on patients with a complete block of circulation. Stripping of the adventitia in these patients also involved the proper digital arteries. Symptoms like discolorization, ischemic pain, and cold intolerance improved immediately after the surgery. The patients did not suffer from pain even with exposure to cold weather. We conclude that digital sympathectomy could improve the symptoms in Raynaud's patients who do not respond to conservative treatment such as calcium channel blocker and other vasodilators.

• Journal of Biomedical Engineering Research
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• v.36 no.5
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• pp.150-154
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• 2015

Long time ultrasound scan can cause a temperature rise in human tissue and affect the physical body. This is closely connected with patients' safety. So many researchers have been studied on this matter with animals such as mammals and experimental rat, because diagnostic ultrasound has been used many types of human organ to find disease. Therefore, this study is tested on bean sprouts to search how far the tissue temperature changes because of the excessive scanning consequence from ultrasound diagnosis and frequent number of ultrasonic scanning and how much affect their growth. The United States and several European countries have restrictions for number of scanning, while South Korea does not have any limitation for using ultrasound diagnosis. Comparison was that how different condition affect its' growing. The testing group is like many pregnancy moms to have 50 minutes in B-mode and color doppler mode by linear, convex and sector probe every day for a week and the other is to scan only once during the testing period. As a result, it was confirmed that there was a significant growing difference on frequent ultrasonic scanning group compared to normal one. So the final conclusion is that there needs to have a significant limitation of ultrasound scan time and a number of inspection when having for diagnostic ultrasound and recommendation like USA and a few European countries.

• Journal of the Institute of Electronics Engineers of Korea SC
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• v.38 no.1
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• pp.45-52
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• 2001

The proximal isovelocity surface area (PISA) method is an effective way of measuring the regurgitant blood flow rate in the mitral valve. This method defines the modelling required to describe the geometry of the isotach of the PISA. In the normal PISA flow model, the flow rate is calculated assuming that the surface of the isotach is either hemispherical or non-hemispherical numerically. However, this paper evaluated the estimate flow rate using a direct surface subdivision flow model based on the height field after isotach extraction using a region-based scheme. To validate the proposed method, the various PISA flow models were compared using pusatile color Doppler images with flow rates ranging from $30\;cm^3/sec\;to\;60\;cm^3/sec$ flow rate. Whereas the hemispherical flow model had a mean value of $29\;cm^3/sec$ and underestimated the measured flow rate by 35%, the proposed model and non-hemispherical model produced a c;ame mean value of $45\;cm^3/sec$, moreover, both flow models produced a similar pulsatile flow rate.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.8
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• pp.3555-3559
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• 2014

Background: The triple-negative breast cancer (TNBC) is an aggressive cancer characterized by the absence of estrogen receptor (ER), progesterone receptor (PR) and human epidermal growth factor receptor 2 (HER2). Preoperative mammography and ultrasound features of TNBC may potentially suggest characteristics of the disease and assist in treatment decisions. Materials and Methods: The study covered 153 patients with TNBC from May 2011 to May 2012 who were confirmed by postoperative pathology results in our hospital. We compared the radiological findings among the patients and sought to determine the significant iconographic features. The biomarkers p53 and Ki-67 are regarded as significant factors in TNBC. They were therefore used to divide the TNBC into four groups for assessment of relationships with TNBC imaging features. Results: On mammography, most TNBCs exhibit obscure (44.3%) masses. On ultrasound, the majority of masses (95.4%) were predominantly indistinct (50.7%), irregular (76.0%) or featuring posterior echo enhancement/shadowing. Color Doppler flow imaging (CDFI) emphasized hypervascular (32.9%) masses. Differences in CDFI by ultrasound among the four groups were statistically significant (p=0.009). There were obvious differences in the percentages of spiculated margin (p=0.049) and intensive posterior echo (p=0.006) with spotty flow imaging by ultrasound between the Ki-67 (+) p53 (+) and other groups. Conclusions: A combination of mammography and ultrasound revealed the imaging characteristics of TNBC included an obscure mass with less attenuated posterior echoes and some vascularity. A worse prognosis was associated with spiculated margin and intensive posterior echoes with spotty flow imaging.

• Archives of Plastic Surgery
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• v.36 no.1
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• pp.89-92
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• 2009

Purpose: The clinical syndrome of unilateral finger ischemia, caused by digital artery occlusions from embolization from the palmar ulnar artery associated with repetitive striking of the palm, has been called the hypothenar hammer syndrome (HHS). We report the case of a man with this unique disease probably caused by manual work. Methods: A 52 - year - old male left - hand dominant manual worker complained of pain and coldness in the left 4,5th finger. On physical examination, there was a tip necrosis and the result of Allen's test was mildly positive(sluggish filling of hand from the ulnar artery). Arteriograms confirmed occlusion of the distal ulnar artery without direct perfusion of the superficial palmar arch and distal digital artery. Surgical bypass with reverse autologous vein grafting was performed between ulnar artery and superficial palmar arch, common digital artery. Results: He had an uneventful postoperative course and has remained asymptomatic for 18 months since discharge. Patency has been confirmed by color doppler with resolution of cold intolerance and successful digital preservation. Conclusion: We introduce very unique pattern of vascular ischemic disease and recommend the arterial bypass with vein interpositional grafting.

• Journal of Veterinary Clinics
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• v.37 no.2
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• pp.100-105
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• 2020

A 9-month-old, 11.3 kg, intact, male, mixed-breed dog was referred for treatment of cor triatriatum dexter (CTD); a 5-month-old, 1.9 kg, intact, male Maltese for pulmonic stenosis (PS); and a 3-year-old, 6.62 kg, intact, female West Highland white terrier for esophageal stricture with regurgitation. A balloon catheter intervention was performed in the dog with CTD, and subsequent color Doppler ultrasound and abdominal ultrasound showed normal blood flow across the perforated membrane dividing the right atrium and the disappearance of the severe ascites present before treatment. Balloon catheter intervention in the dog with PS reduced the blood flow through the stenosis from 5.82 m/s to 3.97 m/s. In the dog with esophageal stricture, balloon catheter intervention widened the esophagus and no subsequent regurgitation was observed. Balloon catheter intervention is an interventional radiology procedure that represents a definitive treatment option for various stenotic lesions in dogs, including CTD, PS, and esophageal stricture. Although interventional radiology procedures for these diseases have already been reported, details of procedures and successful outcome have not been reported in Korea.

• Journal of Veterinary Clinics
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• v.31 no.5
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• pp.412-416
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• 2014

A 7-year-old intact male Pitbull terrier dog was presented with complaints of marked abdominal distension and severe exercise intolerance. Diagnostic studies found a right-sided cardiomegaly with marked dilation of pulmonary arteries, diffuse interstitial pulmonary infiltration and heavy worm burden in the right atrium and ventricle. Color and spectral Doppler echocardiography also revealed tricuspid and pulmonic regurgitation indicating severe pulmonary hypertension. The 104 heartworms were removed by interventional extraction using a loop snare (Snare, Boston Scientific, USA) through external jugular vein. After heartworm removals, the clinical condition of this dog was remarkably improved. To author's best knowledge, this is the first case of interventional heartworm extraction using a loop snare in Korea.