• Title/Summary/Keyword: Enhanced CT

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Treatment of a Traumatic Leptomeningeal Cyst in an Adult with Fibrinogen-Based Collagen

  • Kim, Hoon;Jo, Kwang Wook
    • Journal of Korean Neurosurgical Society
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    • v.53 no.5
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    • pp.300-302
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    • 2013
  • Reports of traumatic leptomeningeal cysts (TLMC) are rare in adults. The standard treatment approach is craniectomy with careful exposure of the intact dural edges, followed by duroplasty. However, occasionally, the location of the TLMC makes achieving watertight duroplasty impossible. Herein, we report the case of a 28-year-old male who presented with a soft growing mass on the vertex of his head 16 months after the head trauma. Upon enhanced CT examination, a bony defect involving both the inner and outer table of the cranium was observed close to the sagittal sinus, and a well-defined cystic mass, 5 cm in diameter, was nested within the defect. The risks associated with extension craniotomy were high because the lesion was located superficial to the sagittal sinus, we opted to use fibrinogen-based collagen fleece (TachoCombR$^{(R)}$) to repair the dural defect. Two months after surgery, the patient remained asymptomatic with a good cosmetic result. In cases like ours, when the defect is near the major sinuses and the risk of rupturing the sinus during watertight dural closure is high, fibrinogen-based collagen fleece (TachoCombR$^{(R)}$) is an effective alternative approach to standard dural suture techniques.

Magnetic resonance images of ameloblastoma

  • Kim Jae-Duk;Kim Jin-Soo
    • Imaging Science in Dentistry
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    • v.35 no.4
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    • pp.207-213
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    • 2005
  • Purpose: To classify and describe the characteristic features of MRI of some ameloblastoma variants. Materials and Methods: The MR images, CT images, and panoramic radiographs in 5 cases were retrospectively examined as follows. First, the contents of ameloblastomas were devided into two portions of either solid or cystic components on the basis of MR signal intensities. The signal intensity within the solid or cystic portions was classified as homogeneous or heterogeneous. Next, the characteristic internal feature of the lesion on T1W1 or T2WI was described. The signal intensities were classified into low, intermediate, slightly high, high, and strong high signal intensity. Results: Unicystic lesion showed homogeneous high signal intensity (SI) on T2W2 and the rim enhancement of the surrounding area including the mural nodule and the thick wall except the central portion on Gd- T1W1. Solid type revealed heterogeneous and high SI area with strong high SI area on T2W2. On Gd- T1W1, the area corresponding to the low signal spot on T1W1 and the strong high signal spot on T2W1 showed low SI. Hybrid type showed slightly enhanced capsular structures and low SI for the round bony septa and the areas connecting the mixed and cystic lesions on T2Wl and Gd-T1W1. Conclusion: MRI could easily assess the relationship between the mixed and cystic findings in ameloblastoma.

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Fabrication of a Brain Model using the Adaptive Slicing Technique (적응단면기법을 이용한 뇌모형제작)

  • Yeom, Sang-Won;Um, Tai-Joon;Joo, Yung-Chul;Kim, Seung-Woo;Kong, Yong-Hae;Chun, In-Gook;Bang, Jae-Chul
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.27 no.4
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    • pp.485-490
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    • 2003
  • RP(Rapid Prototyping) has been used in the various industrial applications. This paper presents the optimization techniques fur fabricated 3D model design using RP machine for the medical field. Once the original brain model data are obtained from 2D slices of MRI/CT machine, the data can be modeled as an optimal ellipse. The objective of this study includes optimization of fabrication time and surface roughness using the adaptive slicing method. It can reduce fabrication time without losing surface roughness quality by accumulating the slices with variable thickness. According to the parameter tuning and synthesis of its effect, more suitable parameter values can be obtained by enhanced 3D brain model fabrication. Therefore, accurate 3D brain model fabricated by RP machine can enable a surgeon to perform pre-operation. to make a decision for the operation sequence and to perceive the 3D positions in prototype, before delicate operation of actual surgery.

Improvement of Electrochemical Properties and Thermal Stability of a Ni-rich Cathode Material by Polypropylene Coating

  • Yoo, Gi-Won;Son, Jong-Tae
    • Journal of Electrochemical Science and Technology
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    • v.7 no.2
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    • pp.179-184
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    • 2016
  • The interface between the surface of a cathode material and the electrolyte gives rise to surface reactions such as solid electrolyte interface (SEI) and chemical side reactions. These reactions lead to increased surface resistance and charge transfer resistance. It is consequently necessary to improve the electrochemical characteristics by suppressing these reactions. In order to suppress unnecessary surface reactions, we coated cathode material using polypropylene (PP). The PP coating layer effectively reduced the SEI film that is generated after a 4.3 V initial charging process. By mitigating the formation of the SEI film, the PP-coated Li[(Ni0.6Co0.1Mn0.3)0.36(Ni0.80Co0.15Al0.05)0.64)]O2(NCS) electrode provided enhanced transport of Li+ ions due to reduced SEI resistance (RSEI) and charge transfer resistance (Rct). The initial charge and discharge efficiency of the PP-coated NCS electrode was 96.2 % at a current density of 17 mA/g in a voltage range of 3.0 ~ 4.3 V, whereas the efficiency of the NCS electrode was only 94.7 %. The presence of the protective PP layer on the cathode improved the thermal stability by reducing the generated heat, and this was confirmed via DSC analysis by an increased exothermic peak.

Ga-67 SPECT Finding in Tuberculous Pericarditis with Mediastinal Mass: A case report (종격동 종괴를 수반한 결핵성 심낭염 1예의 Ga-67 SPECT 소견)

  • Kim, Sung-Eun;Hyun, In-Young;Lee, Hong-Lyeol;Kim, Hyung-Jin;Choe, Won-Sick
    • The Korean Journal of Nuclear Medicine
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    • v.35 no.4
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    • pp.280-285
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    • 2001
  • We present a case of a 31 year-old male patient with tuberculous pericarditis with mediastinal mass that showed increased uptake on Gallium-67 image. Gallium-67 scan was performed to evaluate the activity of the superior mediastinal mass, which was detected on chest CT. A rim of intense activity around the heart was observed, but increased uptake was not seen in the mediastinum. However, on maximal contrast-enhanced SPECT images, a small focus of faint uptake was observed in the superior mediastinum. This finding implied that there was an active tuberculosis in the pericardium and inflammation in the superior mediastinal mass. This case demonstrated that Gallium-67 scinitigraphy was helpful for the diagnosis of tuberculous pericarditis.

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Canalicular Adenoma of the Parotid Gland (이하선에 발생한 소관 선종)

  • Shin Dong-Woo;Chung Woung-Youn;Shim Jeong-Yun;Park Cheong-Soo
    • Korean Journal of Head & Neck Oncology
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    • v.13 no.2
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    • pp.269-274
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    • 1997
  • Parotid canalicular adenoma is a benign neoplasm that is predominantly composed of branching and interconnecting cords of single or double rows of columnar epithelium in a very loose stroma. There has been considerable confusion in the literature concerning the terminology of canalicular adenoma. However, thesedays it has been newly-recognized as a discrete entity of the monomorphic adenoma group. Canalicular adenoma has a remarkable predilection for occurrence in the minor salivary glands such as the upper lip, in contrast with basal cell adenoma that occurs predominantly in major salivary glands such as the parotid gland. We have experienced a case of canalicular adenoma of the parotid gland in a 65-year-old woman. The patient had a palpable mass on the preauricular area for the last 15 years and recently noticed a mild pain and discomfort on the mass. Neck ultrasonography showed a low echogenic mass of 1.0cm in diameter in the right parotid gland and a neck CT scan showed a well-enhanced rectangular-shaped mass. A superficial parotidectomy was performed for the lesion and the final pathologic diagnosis turned out to be 'multifocal canalicular adenoma'.

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Application of radiographic images in diagnosis and treatment of deep neck infections with necrotizing fasciitis: a case report

  • Kim, Young-Joo;Kim, Ju-Dong;Ryu, Hye-In;Cho, Yeon-Hee;Kong, Jun-Ha;Ohe, Joo-Young;Kwon, Yong-Dae;Choi, Byung-Joon;Kim, Gyu-Tae
    • Imaging Science in Dentistry
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    • v.41 no.4
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    • pp.189-193
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    • 2011
  • The advent and wide use of antibiotics have decreased the incidence of deep neck infection. When a deep neck infection does occur, however, it can be the cause of significant morbidity and death, resulting in airway obstruction, mediastinitis, pericarditis, epidural abscesses, and major vessel erosion. In our clinic, a patient with diffuse chronic osteomyelitis of mandible and fascial space abscess and necrotic fasciitis due to odontogenic infection at the time of first visit came. We successfully treated the patient by early diagnosis using contrast-enhanced CT and follow up dressing through the appropriate use of radiographic images.

A case report of an inverted papilloma infiltrating into maxillary sinus (상악동을 침범하는 역위성 유두종의 증례보고)

  • Ji, Yong-Hwa;Choi, Bo-Ram;Huh, Kyung-Hoe;An, Chang-Hyeon;Lee, Sam-Sun
    • Imaging Science in Dentistry
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    • v.39 no.2
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    • pp.103-107
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    • 2009
  • The present study reports a case of inverted papilloma of the nasal cavity and infiltrating into the maxillary sinus. Inverted papilloma is an uncommon and locally aggressive benign tumor of the sinonasal region. The patient, 51year-old male, presented with unilateral nasal obstruction and periodic swelling on the palate without pain. Enhanced CT scan revealed a heterogeneously enhancing solid mass in the nasal cavity and infiltrating into the right maxillary sinus, as well as an incidental, secondarily infected residual cyst in the periapical area of the right maxillary canine. The sinonasal mass was revealed as an inverted papilloma on histopathologic examination. (Korean J Oral Maxillofac Radiol2009; 39: 103-7)

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Giant plunging ranula: a case report

  • Kim, Seong-Ha;Huh, Kyung-Hoe;An, Chang-Hyeon;Park, Jin-Woo;Yi, Won-Jin
    • Imaging Science in Dentistry
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    • v.43 no.1
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    • pp.55-58
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    • 2013
  • A ranula is a bluish, transparent, and thin-walled swelling in the floor of the mouth. They originate from the extravasation and subsequent accumulation of saliva from the sublingual gland. Ranulas are usually limited to the sublingual space but they sometimes extend to the submandibular space and parapharyngeal space, which is defined as a plunging ranula. A 21-year-old woman presented with a complaint of a large swelling in the left submandibular region. On contrast-enhanced CT images, it dissected across the midline, and extended to the parapharyngeal space posteriorly and to the submandibular space inferiorly. Several septa and a fluid-fluid level within the lesion were also demonstrated. We diagnosed this lesion as a ranula rather than cystic hygroma due to the location of its center and its sublingual tail sign. As plunging ranula and cystic hygroma are managed with different surgical approaches, it is important to differentiate them radiologically.

Non-Functioning, Malignant Pancreatic Neuroendocrine Tumor in a 16-Year-old Boy: A Case Report (16세 남아에서 발생한 췌장의 비기능성 악성 신경내분비 종양: 증례 보고)

  • Lim, Se-Woong;Lee, Young-Hwan;Choi, See-Sung;Cho, Hyun-Sun
    • Investigative Magnetic Resonance Imaging
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    • v.14 no.2
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    • pp.145-150
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    • 2010
  • We report the case of a 16-year-old boy with a solid pancreatic mass which proved to be a nonfunctioning, malignant pancreatic neuroendocrine tumor (PNET). In pediatric patients, malignant pancreatic tumors are rare, especially malignant PNET. When dynamic contrast enhanced MRI showed a well enhancing solid pancreatic tumor on arterial and delayed phases and combined with malignant features, such as vascular invasion, invasion of adjascent organs, and lymphadenopathy, we should include malignant pancreatic neuroendocrine tumor in the differential diagnosis of childhood pancreatic tumors.