• 제목/요약/키워드: Diagnostic yield

검색결과 138건 처리시간 0.031초

Recent progress in aromatic radiofluorination

  • Kwon, Young-Do;Chun, Joong-Hyun
    • 대한방사성의약품학회지
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    • 제5권2호
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    • pp.145-151
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    • 2019
  • Fluorine-18 is considered to be the radionuclide of choice for positron emission tomography (PET). Thus, the development of small molecule-based radiopharmaceuticals for use in diagnostic imaging relies heavily on efficient radiofluorination techniques. Until the early 2000s, diaryliodonium salts and aryliodonium ylides were widely employed as labeling precursors to yield aromatic PET radiotracers with cyclotron-produced [18F]fluoride ion. Rapid recent progress in the development of efficient borylation methods has led to a paradigm shift in 18F-labeling methods. In addition, deoxyfluorination has attracted a great deal of interest as an alternative approach to aryl ring activation with 18F-. In this review, methods for radiolabel development are discussed with a specific focus on the progress made in the last 5 years. Other interesting 18F-based protocols are also briefly introduced. New methods for exploiting 18F- are expected to increase the number of 18F-labeling methods, to allow applications in a range of chemical environments.

자궁경부 악성 림프종의 경부-질 도말소견 - 1 증례 보고 - (Cytologic Features of Malignant Lymphoma of the Uterine Cervix - A case report -)

  • 김남훈;박찬금;고영혜;박문향;이중달
    • 대한세포병리학회지
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    • 제6권1호
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    • pp.76-79
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    • 1995
  • The uterine cervix is an uncommon site of primary non-Hodgkin's lymphoma (NHL). Although the cytologic findings of NHLs are well known, most cervicovaginal smear of uterine NHLs give lower diagnostic yield than common epithelial malignancy because abnormal cells do not appear in the sample in the absence of surface ulceration. Herein, we describe cytologic findings of a case of uterine cervical NHL which was initially diagnosed by cervicovaginal smear. The tumor cells were relatively uniform, isolated, large-sized with scanty cytoplasm and round or indented nuclei. The nuclei had stippled chromatin and small nucleoli. Histologically and immunohistochemically the tumor was proven to be large cell lymphoma of T-cell lineage.

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Improved Detection of Mycobacterium leprae by One-tube Nested Polymerase Chain Reaction

  • Wang, Hye-Young;Whang, Joo-Hwan;Kim, Jong-Pill;Cho, Jang-Eun;Bang, Hye-Eun;Lee, Hye-Young;Cho, Sang-Nae
    • 대한의생명과학회지
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    • 제13권4호
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    • pp.319-324
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    • 2007
  • One-tube nested polymerase chain reaction (PCR) was evaluated for its efficacy in detecting Mycobacterium leprae in biopsy samples from leprosy patients. Primers were derived from the M leprae-specific element (RLEP) sequences which yield a 230 bp fragment. The specificity and the sensitivity of the one-tube nested PCR were compared with those of single PCR for detecting M leprae. The results showed that the one-tube nested PCR was about 100 times more sensitive than that of the single indicating the one-tube nested primer sets developed in this study can be an effective screening tool for the detection of M leprae in clinical diagnostic laboratories.

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간의 전이성암의 세침흡인 세포학적 소견 - 110예에 대한 연구 - (Fine Needle Aspiration Cytology of Tumors Metastatic to the Liver - A study on 110 cases -)

  • 박영년;홍순원;이광길
    • 대한세포병리학회지
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    • 제2권2호
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    • pp.79-89
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    • 1991
  • Metastatic tumors occur more frequently in the liver than in any other organ. Guided percutaneous fine-needle aspiration (FNA) of the liver is often recommended for confirmative diagnosis of the metastatic lesion, because of its simplicity, high yield, and reasonable safety. The authors studied retrospectively cytologic findings of 110 cases of metastatic tumors to the liver. The frequent primary sites were the stomach (23 cases), pancreas(19 cases), gallbladder(12 cases), and periampullary lesions(6 cases). Most of the metastases were carcinoma (106 cases). There were only 4 cases of sarcoma. The characteristic cytologic findings of FNA of meatastatic tumors were dirty background, abrupt change between hepatocytes and malignant cells, and desmoplasia. Some tumors displayed rather distinctive cytologic appearance that suggests primary sites. For example, the colonic adenocarcinoma showed tall columnar cells with a palisading arrangement, adenocarcinoma of gallbaldder showed focal squamous differentiation in some cases, and metastatic renal cell carcinoma and neuroblastoma showed also distinctive cytologic findings. Because the cytologic features of metastatic tumor are very similar to those of primary tumor, correct cytologic typing may be helpful in pursuit of an occult primary site of metastatic liver lesions, reducing extensive diagnostic investigation in poor prognostic patients.

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Clinical utility of chromosomal microarray analysis to detect copy number variants: Experience in a single tertiary hospital

  • Park, Hee Sue;Kim, Aryun;Shin, Kyeong Seob;Son, Bo Ra
    • Journal of Genetic Medicine
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    • 제18권1호
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    • pp.31-37
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    • 2021
  • Purpose: To summarize the results of chromosomal microarray analysis (CMA) for copy number variants (CNVs) detection and clinical utility in a single tertiary hospital. Materials and Methods: We performed CMA in 46 patients over the course of two years. Detected CNVs were classified into five categories according to the American College of Medical Genetics and Genomics guidelines and correlated with clinical manifestations. Results: A total of 31 CNVs were detected in 19 patients, with a median CNV number per patient of two CNVs. Among these, 16 CNVs were classified as pathogenic (n=3) or likely pathogenic (LP) (n=11) or variant of uncertain significance (n=4). The 16p11.2 deletion and 16p13.11 deletion classified as LP were most often detected in 6.5% (3/46), retrospectively. CMA diagnostic yield was 24.3% (9/37 patients) for symptomatic patients. The CNVs results of the commercial newborn screening test using next generation sequencing platforms showed high concordance with CMA results. Conclusion: CMA seems useful as a first-tier test for developmental delay with or without congenital anomalies. However, the classification and interpretation of CMA still remained a challenge. Further research is needed for evidence-based interpretation.

Development of PCR-RFLP Technique for Identify Several Members of Fusarium incarnatum-equiseti Species Complex and Fusarium fujikuroi Species Complex

  • Pramunadipta, Syafiqa;Widiastuti, Ani;Wibowo, Arif;Suga, Haruhisa;Priyatmojo, Achmadi
    • The Plant Pathology Journal
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    • 제38권3호
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    • pp.254-260
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    • 2022
  • Fusarium incarnatum-equiseti species complex (FIESC) contain over 40 members. The primer pair Smibo1FM/Semi1RM on the RPB2 partial gene has been reported to be able to identify Fusarium semitectum. The F. fujikuroi species complex (FFSC) contains more than 50 members. The F. verticillioides as a member of this complex can be identified by using VER1/VER2 primer pair on the CaM partial gene. In this research, the Smibo1FM/Semi1RM can amplify F. sulawesiense, F. hainanense, F. bubalinum, and F. tanahbumbuense, members of FIESC at 424 bp. The VER1/VER2 can amplify F. verticillioides, F. andiyazi, and F. pseudocircinatum, members of FFSC at 578 bp. Polymerase chain reaction-restriction fragment length polymorphism by using the combination of three restriction enzymes EcoRV, MspI, and HpyAV can differentiate each species of FIESC used. The two restriction enzymes HpaII and NspI can distinguish each species of FFSC used. The proper identification process is required for pathogen control in the field in order to reduce crop yield loss.

Role of endoscopy in gastroesophageal reflux disease

  • Daniel Martin Simadibrata;Elvira Lesmana;Ronnie Fass
    • Clinical Endoscopy
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    • 제56권6호
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    • pp.681-692
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    • 2023
  • In general, gastroesophageal reflux disease (GERD) is diagnosed clinically based on typical symptoms and/or response to proton pump inhibitor treatment. Upper gastrointestinal endoscopy is reserved for patients presenting with alarm symptoms, such as dysphagia, odynophagia, significant weight loss, gastrointestinal bleeding, or anorexia; those who meet the criteria for Barrett's esophagus screening; those who report a lack or partial response to proton pump inhibitor treatment; and those with prior endoscopic or surgical anti-reflux interventions. Newer endoscopic techniques are primarily used to increase diagnostic yield and provide an alternative to medical or surgical treatment for GERD. The available endoscopic modalities for the diagnosis of GERD include conventional endoscopy with white-light imaging, high-resolution and high-magnification endoscopy, chromoendoscopy, image-enhanced endoscopy (narrow-band imaging, I- SCAN, flexible spectral imaging color enhancement, blue laser imaging, and linked color imaging), and confocal laser endomicroscopy. Endoscopic techniques for treating GERD include esophageal radiofrequency energy delivery/Stretta procedure, transoral incisionless fundoplication, and endoscopic full-thickness plication. Other novel techniques include anti-reflux mucosectomy, peroral endoscopic cardiac constriction, endoscopic submucosal dissection, and endoscopic band ligation. Currently, many of the new endoscopic techniques are not widely available, and their use is limited to centers of excellence.

Reduction of slaughter age of Hanwoo steers by early genotyping based on meat yield index

  • Jeong, Chang Dae;Islam, Mahfuzul;Kim, Jong-Joo;Cho, Yong-Il;Lee, Sang-Suk
    • Asian-Australasian Journal of Animal Sciences
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    • 제33권5호
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    • pp.770-777
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    • 2020
  • Objective: This study was conducted to determine early hereditary endowment to establish a short-term feeding program. Methods: Hanwoo steers (n = 140) were equally distributed into four groups (35/group) based on genetic meat yield index (MYI) viz. the greatest, great, low, and the lowest at Jukam Hanwoo farm, Goheung. All animals were fed in group pens (5 animals/pen) with similar feed depending on the growth stage. Rice straw was provided ad libitum, whereas concentrate was fed at 5.71 kg during the growing period (6 to 13 mo) and 9.4 kg during the fattening period (13 to 28 mo). Body weight (BW) was measured at two-month intervals, whereas carcass weight was determined at slaughtering at about 31 months of age. The Affymetrix Bovine Axiom Array 640K single nucleotide polymorphism (SNP) chip was used to determine the meat quantity-related gene in the blood. Results: After 6 months, the highest (p<0.05) BW was observed in the greatest MYI group (190.77 kg) and the lowest (p<0.05) in the lowest MYI group (173.51 kg). The great MYI group also showed significantly (p<0.05) higher BW than the lowest MYI group. After 16 and 24 months, the greatest MYI group had the highest BW gain (p<0.05) and were therefore slaughtered the earliest. Carcass weight was significantly (p<0.05) higher in the greatest and the great MYI groups followed by the low and the lowest MYI groups. Back-fat thickness in the greatest MYI group was highly correlated to carcass weight and marbling score. The SNP array analysis identified the carcass-weight related gene BTB-01280026 with an additive effect. The steers with the allele increasing carcass weight had heavier slaughter weight of about 12 kg. Conclusion: Genetic MYI is a potential tool for calf selection, which will reduce the slaughter age while simultaneously increasing carcass weight, back-fat thickness, and marbling score.

내과적 흉강경 검사의 진단적 유용성과 안전성 (Diagnostic Accuracy and Safety of Medical Thoracoscopy)

  • 양정경;이정호;권미혜;정지현;이고은;조현민;김영진;정성미;최유진;손지웅;나문준
    • Tuberculosis and Respiratory Diseases
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    • 제63권3호
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    • pp.261-267
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    • 2007
  • 배경: 삼출성 흉수 환자의 적지 않은 빈도에서 원인이 불명확하다. 삼출성 흉수를 진단하기 위한 다양한 방법 중에서 내과적 흉강경은 국소마취 하에서 시행할 수 있으며 악성 종양이나 결핵에서 진단율이 높으며, 진정제와 국소마취상태에서 시행할 수 있다. 본 연구의 목적은 내과적 흉강경의 진단적 정확성과 안전성에 대해 알아보고자 하였다. 대상 및 방법: 2005년 10월부터 2006년 9월까지 25명의 원인을 알 수 없는 삼출성 흉수 환자를 대상으로 내과적 흉강경을 시행하였다. 성별, 연령 시술 전 폐기능, 흉부 측와위 사진에서 흉수의 두께(LDR) 등의 정보를 얻었다. 내과적 흉강경 시행도중 활력징후를 기록하였고 동맥혈 가스 분석을 5차례 시행하여 혈역학적 상태와 산-염기 균형 상태를 파악할 수 있도록 하였다. 결과: 환자의 평균 연령은 56.8(22-79)세였고, 흉부 측와위 사진에서 흉수의 두께는 27.49 mm이었다. 내과적 흉강경을 이용한 흉막 조직 생검으로 24명(96%)이 진단되었으며, 결핵성 흉막염이 9명(36%), 악성 흉수가 8명(32%), 부폐렴성 흉수가 7명(28%)이었다. 내과적 흉강경으로 흉수의 원인을 알아낼 수 없었던 1명(4%)은 추후에 심장막 조직 생검으로 결핵으로 진단되었다. 내과적 흉강경 중 혈압, 심박동수, 산-염기 상태의 변화는 보이지 않았다(p>0.05). 결론: 내과적 흉강경은 진단율이 높으면서도 안전한 시술이다.

흉막삼출액에서 Polymerase Chain Reaction (PCR)을 이용한 결핵균의 검출에 관한 연구 (Identification of Mycobacterium Tuberculosis in Pleural Effusion by Polymerase Chain Reaction (PCR))

  • 김호중;김영환;한성구;심영수;김건열;한용철
    • Tuberculosis and Respiratory Diseases
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    • 제40권5호
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    • pp.509-518
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    • 1993
  • 연구배경 : 결핵성 흉막 삼출은 아직까지도 우리나라에서 가장 흔한 흉막 삼출의 원인으로 생각되고 있으나, 조직학적 진단 방법을 포함한 기존의 진단 방법으로도 약 70%에서만 확진이 가능하다. 특히 고연령층이나 면역이 억제된 환자등에서 기존의 진단 방법으로 진단되지 않고, 여러가지 시험 치료에 반응하지 않는 흉막 삼출의 경우에는 임상적으로 어려움을 겪게 되며, 보다 예민한 진단 방법의 개발을 위해 여러 분야의 노력이 있어 왔다. PCR은 어느 특정한 DNA를 연속적으로 복제할 수 있어 검체내에 극미량으로 존재하고 있는 병원체의 진단에 이용되고 있으며, 결핵성 흉막염의 진단에도 도움을 줄것으로 기대되었다. 이에 저자들은 PCR을 이용한 결핵성 흉막염 진단의 유용성을 평가해 보고자 본 연구를 시행하였다. 방법 : 양성 및 음성 대조군으로 배양된 결핵균주및 비결핵성 Mycobacterium 균주를 사용하였고 연구 대상은 흉막 삼출 환자 53명이었다. 이중 결핵성 흉막염이 확진된 환자가 20명, 결핵성 흉막 삼출이 배제된 환자가 20명, 결핵이 확진되지 않았으나 임상적으로 결핵으로 의심하여 항결핵제제를 투여한 후 호전된 환자가 10명이었고, 항결핵제제 투여후에도 호전되지 않았으며 반복적인 진단 과정에서 결핵이 배제된 환자가 3명이었다. 대상 환자는 흉막 생검및 흉수의 ADA 활성도를 포함한 기존의 진단 방법과 PCR을 시행하였다. PCR의 target은 Mycobacterium tuberculosis의 특이성을 갖으며 한 개체내에 여러번 반복하여 존재한다고 알려져 있는 DNA인, IS6110 gene의 일부인 123 base pair DNA로 하였고, 그 결과를 기존의 진단 결과와 비교하였다. 결과: 1) 배양한 결핵균 및 비결핵성 Mycobacterium을 이용한 PCR의 강수성은 DNA 1 fg까지였고, Mycobacterium tuberculosis와 Mycobacterium bovis에만 특이적이었다. 2) 확진된 흉막액을 이용한 PCR의 감수성은 80.0%(16/20)였고, 특이성은 95.0%(19/20)였다. 3) 결핵이 확진되지 않았으나 임상적으로 결핵으로 의심하여 항결핵제제를 투여한 후 호전된 환자중 60.0%에서 PCR 양성을 나타내었다. 4) 결핵이 확진되지 않았으나 임상적으로 결핵으로 의심하여 항결핵제제를 투여한 환자중 호전되지 않고 추후 결핵이 배제된 환자 3명 모두에서 PCR 음성을 나타내었다. 5) 흉막액의 ADA 활성도는 확진된 결핵성 흉막염 환자군과 임상적으로 결핵이 의심되어 항결핵제 투여후 호전된 군이 여타군보다 유의하게 높았고, PCR 결과와 좋은 상관관계를 보였다. 결론 : PCR은 결핵성 흉막염의 진단에 매우 예민하고 특이적이었으며, ADA와의 좋은 상관 관계를 보였다. 따라서 PCR을 이용한 진단 방법을 추가함으로써 결핵성 흉막염의 진단에 도움을 줄 수 있을 것으로 사료되었다.

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