• 제목/요약/키워드: Contrast Medium

검색결과 559건 처리시간 0.03초

적외선 기반의 혈관외유출 검출시스템을 이용한 조영제의 혈관외유출 검출 (Detection of Extravasated Contrast Media Using an Infrared Ray Based Extravasation Detection Accessory System)

  • 권대철;장근조
    • 대한의용생체공학회:의공학회지
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    • 제30권5호
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    • pp.412-417
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    • 2009
  • The purpose of this study was to assess the ability of this device during clinically important episodes of extravasation. The extravasation detection accessory (EDA) system was based of infrared ray with detection sensor, an amplifier, alarm device, receiver, cable and a computer based system. This study was a prospective, observational study in which the EDA system was used to monitor the automated mechanical injection of contrast media. Three hundred patients referred for contrast media enhanced body computed tomography studied in a prospective, observation study in which the EDA system was used to identify and interrupt any injection associated with clinically important extravasation. There were 8 true-positive cases, 276 true-negative cases, 15 false-positive cases and 1 false-negative cases. The EDA system had a sensitivity of 88.8% and a specificity of 94.8% for the detection of clinically important extravasation. The EDA system had good sensitivity for the detection of clinically important extravasation and the EDA system has the clinical potential for the early detection of extravasation of the contrast medium that is administered with power injectors.

Physical Parameter Measurement and Theoretical Target Strength Estimation of Juvenile Cod (Gadus macrocephalus)

  • Husni, Iqbal Ali;Hwang, Bo-Kyu;Shin, Hyeon-Ok;Kim, Min-Son
    • Ocean and Polar Research
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    • 제37권4호
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    • pp.333-340
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    • 2015
  • The contrast (fish body to medium ratio) of density and sound speed were measured to estimate acoustic scattering from small juvenile cod (Gadus macrocephalus) with the Kirchhoff-Ray Mode backscatter model. The density contrast was measured by the density-bottle method and the sound speed contrast was estimated by the time of flight method. The results revealed that the measured density contrasts of juvenile cod varied between 1.003 and 1.029 (mean = 1.014, S.D. = 0.01). On the other hand, sound speed contrasts varied between 1.039 and 1.041 (mean = 1.041, S.D. = 0.001). The relationship between averaged target strength (TS) and total length (TL) established by the model were <$TS_{38kHz}$> = 20log(TL) - 68.8 and <$TS_{38kHz}$> = 20log(TL) - 69.4, respectively.

개에서의 선천성 복막-심낭 횡경막허니아 1예 (Congenital Peritoneopericardial Diaphragmatic Hernia in a Dog)

  • 정성목
    • 대한수의학회지
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    • 제42권3호
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    • pp.393-396
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    • 2002
  • A 5 kg, seven-month-old, female Pekingese dog was presented to Seoul National University Veterinary Medical Teaching Hospital with the history of anorexia and exercise intolerance. Muffled cardiac sound and mild abdominal pain were detected in the physical examination. In positive contrast peritoneography, contrast medium was observed in enlarged pericardial sac through the diaphragm. According to the history taking, physical examination and contrast radiographic study, the dog was diagnaosed congenital peritoneopericardial diaphragmatic hernia. Following midline celiotomy, herniated falciform ligament and greater omentum were repositioned to abdrminal cavity. The diaphragmatic defect was closed with absorbable suture. Clinical signs related to peritoneopericardial hernia disappeared immediately after surgical treatment. There had been no evidence of recurrence of the peritoneopericardial hernia for 1 year.

일반촬영 자동노출제어장치 사용 시 잔존 CT 조영제와 MRI 조영제에 따른 면적선량의 상관성 연구 (A Study of The Correlation of The Area Dose with Residual CT Contrast Media and MRI Contrast Media during The Use of General Imaging Automatic Exposure Control System)

  • 홍찬우;박진훈;이정민;서영득
    • 한국방사선학회논문지
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    • 제10권8호
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    • pp.619-627
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    • 2016
  • 본 연구에서는 일반촬영에서 자동노출제어장치를 이용하여 검사할 때 체내에 잔존하는 CT 조영제와 MRI 조영제가 면적선량에 미치는 영향에 대해 알아보고자 한다. 복부 두께의 파라핀 팬텀 중앙에 사각형의 홀을 만든 후 CT 조영제, MRI 조영제를 각각 식염수 대 조영제 희석 비율, 10:0, 9:1, 8:2, 7:3, 6:4, 5:5, 4:6, 3:7, 2:8, 1:9, 0:10 %의 비율로 희석하였다. 각 실험은 KUB 촬영의 적정 조건인 78kVp, 320mA로 설정 후 자동노출제어장치를 이용하여 희석 비율 당 총 30회씩의 검사를 하였고, 각 조영제의 희석 비율에 따른 면적선량, 노출지수에 대해 평균 비교와 상관분석을 하였다. 그 결과, CT 조영제와 MRI 조영제는 희석 비율에 따라 면적선량이 다르게 나타났고(p<0.05), 희석 비율이 증가함에 따라 CT 조영제와 MRI 조영제는 면적선량이 증가하는 것으로 나타났다(p<0.05). 각 검사에서 노출지수는 제조사 권고 사항인 200-800 EI값을 나타냈으며, 노출지수와 면적선량은 면적선량이 증가할수록 노출지수도 증가하였다(p<0.05). 결론적으로 CT 조영제와 MRI 조영제는 모두 자동노출제어장치를 사용하는 일반촬영 검사에서 면적선량을 증가시키는 것을 확인하였다. 따라서 CT와 MRI 검사에서 조영제를 사용한 후 일반촬영 검사를 할 때에는 조영제가 충분히 배설된 후 시행하여야 할 것으로 사료된다.

The Risk Factors for Developing Contrast-induced Nephropathy after the Evaluation of Trauma Patients at a Regional Trauma Center in Korea

  • An, Yoo Mi;Park, Soon Chang;Kim, Hyung Bin;Cho, Young Mo;Lee, Dae Seop;Kim, Yong In;Han, Sang Kyun
    • Journal of Trauma and Injury
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    • 제29권4호
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    • pp.124-128
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    • 2016
  • Purpose: Computed tomography (CT) with intravenous (IV) contrast is an important step in the evaluation of trauma patients; however, the risk factors for contrast-induced nephropathy (CIN) in these patients remain unclear. This study determined the rate of CIN in trauma patients at a regional trauma center in Korea and identified the risk factors for developing CIN. Methods: We retrospectively reviewed the medical records of 138 patients for the patient demographics, creatinine levels, and vital signs. CIN was defined as an increase in creatinine by 0.5 mg/dL from admission after undergoing CT with IV contrast. Results: Of the patients, 7.2% developed CIN during their admission after receiving IV contrast for CT. In the multivariate analysis, only the creatinine level at presentation (Adjusted odds ratio [aOR], 5.944; 95% confidence interval [CI], 1.486-23.733; p=0.012) and an injury severity score (ISS) greater than 22 (aOR, 1.096; 95% CI, 1.021-1.176; p=0.011) were independently associated with the risk of CIN. Conclusion: CIN is uncommon in trauma patients following CT with IV contrast. The creatinine level at presentation and ISS were independent risk factors for developing CIN in trauma patients.

조영제 자동주입기를 활용한 자기공명영상 동적검사 시 실린지 재사용의 문제 (Syringe Reuse Issues in Automated Contrast Injection System in Dynamic Magnetic Resonance Imaging)

  • 손순룡
    • 한국콘텐츠학회논문지
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    • 제19권11호
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    • pp.445-450
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    • 2019
  • 본 연구는 자기공명영상 동적검사 시 자동주입기의 사용에 따라 조영제 역류로 인한 생리식염수의 오염 현상을 실험적으로 증명함으로써, 오염된 실린지 재사용 문제의 심각성을 인식시키고자 하였다. 연구방법은 조영제 주입 전 생리식염수와 주입 후 생리식염수를 각각 채취한 다음, T1 강조영상을 획득하여 신호강도를 측정하여 비교하였다. 생리식염수의 주입 후 신호강도가 주입 전에 비해 523.43% 통계적으로 높게 나타났다(p<0.05). 이는 조영제 주입에 따른 압력에 의해 조영제가 관을 통해 역류하여 압력이 낮은 반대쪽 생리식염수를 오염시킨 것으로 분석되었다. 결론적으로 조영제 주입 시 사용하는 실린지는 조영제 역류로 인해 교차오염이 발생하므로 정량적 분석을 위한 검사 시 동일한 환자의 검사라도 검사순서를 변경하거나 실린지를 교체하여 오류를 방지해야 한다.

Influence of basal medium formulations and silver nanoparticles on in vitro plant growth in gerbera

  • Hyun Hee Kang;Aung Htay Naing;Junping Xu;Mi Young Chung;Su Young Lee;Jeung-Sul Han;Chang Kil Kim
    • Journal of Plant Biotechnology
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    • 제50권
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    • pp.183-189
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    • 2023
  • This study investigated the impact of two distinct MS basal media: one containing FeNaEDTA and the other FeEDDHA, on the growth of five unique gerbera cultivars (Shy Pink, Pink Holic, Breeze, Harmony, Snow Dream). Notably, the response to these media types varied significantly among the cultivars, particularly concerning leaf yellowing and plant growth. 'Shiny Pink' and 'Pink Holic' exhibited leaf yellowing on the FeNaEDTA-containing medium but displayed leaf greening on the FeEDDHA-containing medium. In contrast, 'Snow Dream,' 'Harmony,' and 'Breeze' remained unaffected on both medium types. However, the FeNaEDTA-containing medium promoted higher plant height and petiole length in 'Breeze,' 'Harmony,' and 'Snow Dream' than the FeNaEDTA-containing medium did. A promotive effect of silver nanoparticles (AgNPs) on plant growth and leaf greening was observed in 'Pink Holic,' particularly on the FeNaEDTA-containing medium, while the addition of AgNPs to the FeEDDHA-containing medium negatively affected plant growth. These results highlight the substantial influence of medium type, specifically the presence of FeNaEDTA or FeEDDHA, on gerbera growth responses, emphasizing the critical role of medium selection in gerbera propagation. Additionally, when contemplating the addition of AgNPs for in vitro gerbera propagation, it is crucial to consider the medium type.

가토 악하선이 조영제 주입후 방사선 및 조직학적 연구 (Radiographic and Histologic Study After Infusion of Contrast Media into Rabbit Submandibular Gland)

  • 나경수
    • 치과방사선
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    • 제20권1호
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    • pp.29-36
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    • 1990
  • 50 submandibular glands of rabbits were examined historadiologically after infusion with normal and over volumes of physiologic saline and 5 radiographic contrast media. The results were as follows: 1. All water soluble contrast media showed similar radiographic contrasts and absorbed about 5 minutes after infusion except Telebrix 30 which took 30 minutes in both normal and overfilled glands. 2. Lipid soluble medium, Lipiodol UF had excellent radiographic contrast and could be seen on the radiograms even after 24 hours after infusion. 3. Salivary glands infused with physiologic saline didn't show any histologic changes except slight duct dilation right after infusion. 4. Telebrix 30 caused mild to moderate duct dilation and inflammation at immediate & 24 hours after infusion which was more severe in overfilled glands. At 7 days after infusion, there were mild to moderate fibrosis of the gland and areas of necrosis was seen in overfilled glands. 5. Hypaque 60% showed similar histologic reactions to Telebrix 30 except more severe tissue destruction at 7 days after infusion. 6. Urografin 60% showed mildest histologic changes among the media used in the study. 7. Biliscopin had mild duct dilation which returned to normal after 7 days but there were moderate inflammation and tissue necrosis at that time. 8. Lipiodol UF showed severe duct dilation with numerous vacuoles and there were tissue fibrosis at 7 days after infusion but no tissue necrosis was seen.

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Effects of Remote Ischemic Pre-Conditioning to Prevent Contrast-Induced Nephropathy after Intravenous Contrast Medium Injection: A Randomized Controlled Trial

  • Dihia Belabbas;Caroline Koch;Segolene Chaudru;Mathieu Lederlin;Bruno Laviolle;Estelle Le Pabic;Dominique Boulmier;Jean-Francois Heautot;Guillaume Mahe
    • Korean Journal of Radiology
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    • 제21권11호
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    • pp.1230-1238
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    • 2020
  • Objective: We aimed to assess the effects of remote ischemic pre-conditioning (RIPC) on the incidence of contrast-induced nephropathy (CIN) after an intravenous (IV) or intra-arterial injection of contrast medium (CM) in patient and control groups. Materials and Methods: This prospective, randomized, single-blinded, controlled trial included 26 patients who were hospitalized for the evaluation of the feasibility of transcatheter aortic valve implantation and underwent investigations including contrast-enhanced computed tomography (CT), with Mehran risk scores greater than or equal to six. All the patients underwent four cycles of five minute-blood pressure cuff inflation followed by five minutes of total deflation. In the RIPC group (n = 13), the cuff was inflated to 50 mm Hg above the patient's systolic blood pressure (SBP); in the control group (n = 13), it was inflated to 10 mm Hg below the patient's SBP. The primary endpoint was the occurrence of CIN. Additionally, variation in the serum levels of cystatin C was assessed. Results: One case of CIN was observed in the control group, whereas no cases were detected in the RIPC group (p = 0.48, analysis of 25 patients). Mean creatinine values at the baseline, 24 hours after injection of CM, and 48 hours after injection of CM were 88 ± 32 μmol/L, 91 ± 28 μmol/L and 82 ± 29 μmol/L, respectively (p = 0.73) in the RIPC group, whereas in the control group, they were 100 ± 36 μmol/L, 110 ± 36 μmol/L, and 105 ± 34 μmol/L, respectively (p = 0.78). Cystatin C values (median [Q1, Q3]) at the baseline, 24 hours after injection of CM, and 48 hours after injection of CM were 1.10 [1.08, 1.18] mg/L, 1.17 [0.97, 1.35] mg/L, and 1.12 [0.99, 1.24] mg/L, respectively (p = 0.88) in the RIPC group, whereas they were 1.11 [0.97, 1.28] mg/L, 1.13 [1.08, 1.25] mg/L, and 1.16 [1.03, 1.31] mg/L, respectively (p = 0.93), in the control group. Conclusion: The risk of CIN after an IV injection of CM is very low in patients with Mehran risk score greater than or equal to six and even in the patients who are unable to receive preventive hyperhydration. Hence, the Mehran risk score may not be an appropriate method for the estimation of the risk of CIN after IV CM injection.

Syringe Connector를 이용하여 조영제를 자동 주입장치에 연결 시 분쇄물 혼입에 관한 연구 (A Study on the Mixing of Pulverization Matters when the Contrast Medium is connected to the Automatic Injection Device using the Syringe Connector)

  • 김현주;김지은;한유빈;최승현;강윤기;정유진;정민영;이후민
    • 한국방사선학회논문지
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    • 제12권6호
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    • pp.777-783
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    • 2018
  • 고무화합물 형태로 구성된 조영제의 병에 Syringe Connector의 Spike를 연결 시 고무의 찢김 정도를 알아 보고 찢김 및 분쇄로 인한 합성고무의 혼입 유무와 분쇄된 합성고무가 검출 시 분쇄물의 크기를 실험을 통해 알아보고자 하였다. 그 결과 찢김 정도의 경우 Syringe Connector의 끝과 최초 접촉하는 앞면이 약 $3.14{\pm}0.04mm$로 뒷면 보다 많이 찢겼으며, 실험 대상인 10 병의 조영제에서 평균 7 개에서 15 개로 모두 분쇄물이 검출되었다. 검출된 분쇄물을 이용하여 크기를 측정한 결과 평균크기는 약 $7.89{\pm}0.31{\mu}m$이었다. 향 후 다양한 실험 및 분석방법을 통한 추가실험과 더불어 흡인된 분쇄물 차단을 위한 미세 필터타입 자동주입장치의 개발이 필요하며, 분쇄물 유입 시 치명적 사고를 대비하여 관련기관의 관심 또한 필요할 것으로 사료된다.