• Title/Summary/Keyword: Fatty infiltration

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Fatty Liver Diagnostics from Medical Examination to Analyze the Accuracy Between the Abdominal Ultrasonography and Liver Hounsfield Units (건강검진에서 지방간 진단의 상복부초음파검사와 간 Hounsfield Units 측정값과의 정확성 분석)

  • Oh, Wang-Kyun;Kim, Sang-Hyun
    • Journal of radiological science and technology
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    • v.40 no.2
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    • pp.229-235
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    • 2017
  • In abdominal Ultrasonography, the fatty liver is diagnosed through hepatic parenchymal echo increased parenchymal density and unclear blood vessel boundary, and according to many studies, abdominal Ultrasonography has 60~90% of sensitivity and 84~95% of specificity in diagnosis of fatty liver, but the result of Ultrasonography is dependent on operators, so there can be difference among operators, and quantitative measurement of fatty infiltration is impossible. Among examinees who same day received abdominal Ultrasonography and chest computed tomography (CT), patients who were diagnosed with a fatty liver in the Ultrasonography were measured with liver Hounsfield Units (HU) of chest CT imaging to analyze the accuracy of the fatty liver diagnosis. Among 720 subject examinees, those who were diagnosed with a fatty liver through abdominal Ultrasonography by family physicians were 448, which is 62.2%. The result of Liver HU measurement in the chest CT imaging of those who were diagnosed with a fatty liver showed that 175 out of 720 had the measured value of less than 40 HU, which is 24.3%, and 173 were included to the 175 among 448 who were diagnosed through Ultrasonography, so 98.9% corresponded. This indicates that the operators' subjective ability has a great impact on diagnosis of lesion in Ultrasonography diagnosis of a fatty liver, and that in check up chest CT, under 40 HU in the measurement of Liver HU can be used for reference materials in diagnosis of a fatty liver.

The Histo-Pathological Change of Rockfish, Sebastes Schlegeli fed the Extruded Pellet and a Raw Fish-based Moist Pellet in Marine Net Cage (해상가두리 양식장에서 배합사료 및 생사료 공급에 따른 조피볼락, Sebastes schlegeli의 병리조직학적 변화)

  • Choi, Hye-Sung;Lee, Mu-Kun;Huh, Min-Do;Son, Maeng-Hyun;An, Cheul-Min;Kim, Kang-Woong;Kim, Shin-Kwon;Kim, Kyoung-Duck
    • Journal of Fisheries and Marine Sciences Education
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    • v.24 no.5
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    • pp.609-615
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    • 2012
  • A histo-pathogical examination was carried out to evaluate the effect of commercial extruded pellet (EP) and a raw fish moist pellet (MP) diet on the health of juvenile rockfish cultured in marine net-cage for 7 months. Fish were distributed randomly to each net cage as a group of 76,000 fish (initial mean body weight 5.9 g). After 2 months, the hypertrophy or swelling of liver parenchymal cells was identified in most individuals and lasted until 7 months. Livers in EP fed group frequently showed hypertrophic parenchyma and fatty change with occasional atrophic cells. However, after 4 months, lymphocytic infiltration in splenic parenchyma was seen in a number of individuals. In addition, the gastric glandular epithelium was atrophied and in the lumen of renal tubules protozoan parasites were frequently identified but there was no correlation with the type of feed. Moreover, juvenile rockfish on EP diet showed gross and microscopic hypertrophy of the liver which would be due to oversupply of feed. Severe hepatic cellular hypertrophy or swelling could lead to the damage of microcirculation. Especially fatty change and atrophic change of liver could be the result from the damage, which could be responsible for immunological problem. Lymphocytic infiltration of spleen on the MP diet suggests that juvenile rockfish could be frequently exposed to infectious antigens.

Analysis of Greater Tuberosity from the Center of the Humeral Head: Progression to Femoralization

  • Lee, Jun-Seok;Song, Hyun Seok;Kim, Hyungsuk;Yoon, Hyung Moon;Han, Sung Bin
    • Clinics in Shoulder and Elbow
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    • v.22 no.4
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    • pp.216-219
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    • 2019
  • Background: Progression of the tear size and erosion of the greater tuberosity (femoralization) in the supraspinatus tear makes it difficult to repair or increases the risk of a re-tear. This study examined the proximal articular surface and greater tuberosity of the humeral head in plain radiography. Methods: Two-hundred forty-seven cases, whose anteroposterior (AP) radiographs were taken correctly, were included from 288 cases, in whom the status of the supraspinatus had been confirmed by surgery. After downloading the plain AP radiograph as DICOM, the radius of the circle apposed at the superior half of the articular surface of the head, and the distance between the circle and the farthest point of the greater tuberosity ('height' of the greater tuberosity) were calculated using the software (TechHime, Korea). MRI checked the number of torn tendons and degree of muscular atrophy. Results: The following were encountered: 93 intact supraspinatus, 50 partial-thickness tears, and 104 full-thickness tears. In the analysis using the 93 intact cases, the average radius of the rotation center was 25.3 mm in male and 22.3 mm in female. The average height of the greater tuberosity from the circle with the same rotation center was 4.3 mm in male and 4.2 mm in female with no statistical significance. The correlation between the reparability of supraspinatus and height of the greater tuberosity, fatty infiltration, and muscular atrophy was confirmed. Conclusions: The height of the greater tuberosity from the circle with the same rotation center was 4.3 mm in male and 4.2 mm in female. This height was strongly correlated with muscular atrophy and fatty infiltration of the supraspinatus tendon.

Rotator cuff retear after repair surgery: comparison between experienced and inexperienced surgeons

  • Park, Jin-Young;Lee, Jae-Hyung;Oh, Kyung-Soo;Chung, Seok Won;Choi, Yunseong;Yoon, Won-Yong;Kim, Dong-Wook
    • Clinics in Shoulder and Elbow
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    • v.24 no.3
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    • pp.135-140
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    • 2021
  • Background: We hypothesized in this study that the characteristics of retear cases vary according to surgeon volume and that surgical outcomes differ between primary and revision arthroscopic rotator cuff repair (revisional ARCR). Methods: Surgeons performing more than 12 rotator cuff repairs (RCRs) per year were defined as high-volume surgeons, and those performing fewer than 12 RCRs were considered low-volume surgeons. Of the 47 patients who underwent revisional ARCR at our clinic enrolled in this study, 21 cases were treated by high-volume surgeons and 26 cases by low-volume surgeons. In all cases, the interval between primary surgery and revisional ARCR, degree of "acromial scuffing," number of anchors, RCR technique, retear pattern, fatty infiltration, retear size, operating time, and clinical outcome were recorded. Results: During primary surgery, significantly more lateral anchors (p=0.004) were used, and the rate of use of the double-row repair technique was significantly higher (p<0.001) in the high- versus low-volume surgeon group. Moreover, the "cut-through pattern" was observed significantly more frequently among the cases treated by high- versus low-volume surgeons (p=0.008). The clinical outcomes after revisional ARCR were not different between the two groups. Conclusions: Double-row repair during primary surgery and the cut-through pattern during revisional ARCR were more frequent in the high- versus low-volume surgeon groups. However, no differences in retear site or size, fatty infiltration grade, or outcomes were observed between the groups.

DA-6034 ameliorates hepatic steatosis and inflammation in high fat diet-induced obese mice

  • Hong Min Kim;Mi-Hye Kwon;Eun Soo Lee;Kyung Bong Ha;Choon Hee Chung
    • Journal of Yeungnam Medical Science
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    • v.41 no.2
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    • pp.103-112
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    • 2024
  • Background: Nonalcoholic fatty liver disease (NAFLD) is characterized by an increase in hepatic triglyceride content and increased inflammatory macrophage infiltration through the C-C motif chemokine receptor (CCR) 5 pathway in the liver. DA-6034 (7-carboxymethyloxy-3',4',5-trimethoxy flavone), is a synthetic derivative of eupatilin that exhibits anti-inflammatory activity in inflammatory bowel disease. However, the effect of DA-6034 on the inflammatory response in NAFLD is not well elucidated. Therefore, we aimed to determine the effect of DA-6034 on hepatic steatosis and inflammation. Methods: Forty male C57BL/6J mice were divided into the following four groups: (1) regular diet (RD), (2) RD with DA-6034, (3) high fat diet (HFD), and (4) HFD with DA-6034. All mice were sacrificed 12 weeks after the start of the experiment. The effects of DA-6034 on macrophages were assessed using RAW 264.7 cells. Results: DA-6034 not only reduced hepatic triglyceride levels and lipid accumulation but also macrophage infiltration and proinflammatory cytokines in HFD-fed mice. According to fluorescence-activated cell sorter analysis, DA-6034 reduced the CD8+ T cell fraction in the liver of HFD-fed mice. DA-6034 also reduced CCR5 expression and the migration of liver macrophages in HFD-fed mice and inhibited CCR2 ligand and CCR4 ligand, which stimulated the migration of macrophages. Conclusion: Overall, DA-6034 attenuates hepatic steatosis and inflammation in obesity by regulating CCR5 expression in macrophages.

Computed tomography diagnosis of secondary hepatic lipidosis in an awake cat with alimentary lymphoma

  • Oh, Narang;Lee, Kija;Chung, Jinyoung;Ahn, Jinok;Choi, Sooyoung;Park, Inchul
    • Korean Journal of Veterinary Service
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    • v.42 no.4
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    • pp.279-283
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    • 2019
  • An 8-year-old castrated male Korean short hair cat was referred with chronic vomiting, diarrhea, and anorexia. The cat was diagnosed with alimentary lymphoma via fine needle aspiration. Three weeks later, he was presented again with anorexia. Hepatomegaly and hyperechoic change in the liver parenchyma were observed. Computed tomography while awake was performed and revealed hypoattenuation of the hepatic parenchyma. The cat was tentatively diagnosed with feline hepatic lipidosis secondary to alimentary lymphoma. In the feline patient with lymphoma, hepatomegaly is important to differentiate hepatic lipidosis from hepatic infiltration of lymphoma on liver. In the present case, fatty infiltration of the liver was identified via non-invasive, rapid, and convenient computed tomography examination in an awake cat with a lymphoma.

S100A4 Gene is Crucial for Methionine-Choline-Deficient Diet-Induced Non-Alcoholic Fatty Liver Disease in Mice

  • Zhang, Yin-Hua;Ma, De-Qiang;Ding, De-Ping;Li, Juan;Chen, Lin-Li;Ao, Kang-Jian;Tian, You-You
    • Yonsei Medical Journal
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    • v.59 no.9
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    • pp.1064-1071
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    • 2018
  • Purpose: To explore the influence of S100 calcium binding protein A4 (S100A4) knockout (KO) on methionine-choline-deficient (MCD) diet-induced non-alcoholic fatty liver disease (NAFLD) in mice. Materials and Methods: S100A4 KO mice (n=20) and their wild-type (WT) counterparts (n=20) were randomly divided into KO/MCD, Ko/methionine-choline-sufficient (MCS), WT/MCD, and WT/MCS groups. After 8 weeks of feeding, blood lipid and liver function-related indexes were measured. HE, Oil Red O, and Masson stainings were used to observe the changes of liver histopathology. Additionally, expressions of S100A4 and proinflammatory and profibrogenic cytokines were detected by qRT-PCR and Western blot, while hepatocyte apoptosis was revealed by TUNEL staining. Results: Serum levels of aminotransferase, aspartate aminotransferase, triglyceride, and total cholesterol in mice were increased after 8-week MCD feeding, and hepatocytes performed varying balloon-like changes with increased inflammatory cell infiltration and collagen fibers; however, these effects were improved in mice of KO/MCD group. Meanwhile, total NAFLD activity scores and fibrosis were lower compared to WT+MCD group. Compared to WT/MCS group, S100A4 expression in liver tissue of WT/MCD group was enhanced. The expression of proinflammatory ($TGF-{\alpha}$, $IL-1{\beta}$, IL-6) and profibrogenic cytokines ($TGF-{\beta}1$, COL1A1, ${\alpha}-SMA$) in MCD-induced NAFLD mice were increased, as well as apoptotic index (AI). For MCD group, the expressions of proinflammatory and profibrogenic cytokines and AI in KO mice were lower than those of WT mice. Conclusion: S100A4 was detected to be upregulated in NAFLD, while S100A4 KO alleviated liver fibrosis and inflammation, in addition to inhibiting hepatocyte apoptosis.

An Application of Texture Analysis on Sonographic Diagnosis of the Fatty Infiltration of the Liver (초음파 영상 텍스쳐 변수 분석을 통한 지방간 진단)

  • 정지욱;이수열;김승환
    • Proceedings of the Korean Information Science Society Conference
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    • 2004.10b
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    • pp.757-759
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    • 2004
  • 본 연구에서는 초음파 영상에서 간실질의 에코 명도를 비롯한 픽셀 정보분포를 분석하여 정량화 지방간 진단 파라미터를 구하기 위해 규준화 에코 명도 값 및 다수의 텍스쳐 파라미터 값을 추출하여 선형결합을 통해 지방간의 진행 정도와의 상관성을 연구하였다. 임상 지방간 지수와 본 연구의 추정 지방간 지표 값과의 선형 상관계수를 구하였다 신장대조 방법으로 추출한 규준화 에코 명도 및 회색도 픽셀분포의 텍스쳐 특성 파라미터를 계산하여 임상결과와 비교한 결과 임상 지방간 지수와 높은 상관성을 보임을 알 수 있었고, 지방간 진단의 보조사료로 유용함을 확인하였다. 계산된 지방간 지수와 임상결과 간의 선형상관계수는 0.84-0.93이다.

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The Effect of Deer Horn on the Liver and other Organs of Cholesterol Administered Rabbits (녹용(鹿茸)이 Cholesterol 투여가토(投與家兎)의 간조직(肝組織) 및 각장기(各臟器)에 미치는 영향(影響)(제 5 편)(第 5 編))

  • Yong, Jae-Ick
    • Journal of Pharmaceutical Investigation
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    • v.6 no.3
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    • pp.26-42
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    • 1976
  • The oral admistration of deer horn extract was proved to cause a considerable amelioration to the impairment of hepatic oxidative phosphorylation and to the decrease of ATP content in liver tissue induced by cholesterol ingestion. Deer horn extract was shown to accelerate considerably incorporation of $acetate-1-C^{14}$ into cholesterol in liver tissue and it tends to restore a decrease of GOT activity of liver tissue, caused by cholesterol administration. Histological examination showed that deer horn extract had a remakable preventive effect aginst fatty infiltration of organgs such as liver, heart, spleen, and adrenal gland of cholesterol given rabbits.

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Usefulness of Multiphase Scaffolds for Improving Tendon to Bone Healing for Rotator Cuff Tears in Shoulder (회전근개파열에서 힘줄뼈부착부 개선을 위한 다상 스캐폴드의 유용성)

  • Lee, Sang Chul
    • Clinical Pain
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    • v.19 no.2
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    • pp.59-63
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    • 2020
  • Rotator cuff tear is often cited as a reason for shoulder pain and dysfunction in patients > 40 years of age. Surgical repair of rotator cuff tear is one of the most commonly performed orthopedic surgical procedures. Until now, the success rate of surgical repair for rotator cuff tear has not been satisfactory. Many factors influence the process of rotator cuff repair such as the presence of tendinosis and fatty infiltration, but the main factor is the difficulty in achieving healing at the tendon to bone interface. There is a clinical need for bioengineering approaches to promote regeneration of the native enthesis and reduce the poor outcomes after surgical repair. Toward this end, the design and fabrication of multiphasic or hierarchically structured scaffolds have received great attention. This manuscript deals with information on the tendon to bone interface and tries to find out why a multiphasic scaffold is necessary to reproduce it and considerations that need to be taken into to make an ideal scaffold.