• Title/Summary/Keyword: Imaging studies

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The Natural History and Growth Rate of Meningiomas

  • Han, Jung-Ho;Seol, Ho-Jun;Kim, Dong-Gyu;Jung, Hee-Won
    • Journal of Korean Neurosurgical Society
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    • v.39 no.3
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    • pp.198-203
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    • 2006
  • Objective : To evaluate the natural histories and growth rates of meningiomas, the authors perform this retrospective observational study and attempt to identify those factors predicting tumor growth. Methods : Between 1993 and 2004, a total of 83 patients were diagnosed by computed tomography[CT] scans or magnetic resonance[MR] imaging as having an intracranial meningioma, and were treated by observation only using regular clinical and radiological examinations. Twenty-six of these 83 patients, with available data were included in this study. Follow up periods ranged from 9 to 137 months [mean, 55.6 mo.; median, 60 mo.]. The tumor volumes, absolute growth rates, and tumor doubling times were calculated. Results : Patient age and sex distributions were comparable to those of other studies, but exceptionally 16 meningiomas [62%] were located at the skull base in the present study. During follow-up monitoring, the majority of meningiomas grew, though 77% showed low absolute annual growth rates [$<1cm^3/yr$]. The tumor doubling times ranged from 2.87 to 201.72 years [mean, 42.91 yr]. Based on Imaging analysis, peritumoral edema and the absence of calcification were probable factors predicting tumor growth. Tumor-related symptoms seemed to be slightly related to tumor growth. Other factors, e.g., gender, age, tumor location, and T2-weighted signal Intensities on MR imaging, were not significantly related to tumor growth. Conclusion : This study shows that the majority of meningiomas are slow growing. However, variations in tumor growth are unexplained, thus individualized optimal treatment strategies should be provided in each meningioma.

Visualization of Epidermis and Dermal Cells in ex vivo Human Skin Using the Confocal and Two-photon Microscopy

  • Choi, Sang-Hoon;Kim, Wi-Han;Lee, Yong-Joong;Lee, Ho;Lee, Weon-Ju;Yang, Jung-Dug;Shim, Jong-Won;Kim, Jin-Woong
    • Journal of the Optical Society of Korea
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    • v.15 no.1
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    • pp.61-67
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    • 2011
  • The confocal laser scanning microscopy and two-photon microscopy was implemented based on a single laser source and an objective lens. We imaged and compared the morphology of identical sites of ex vivo human skin using both microscopes. The back-scattering emission from the sample provided the contrast for the confocal microscopy. The intrinsic autofluorescence and the second harmonic generation were used as the luminescence source for the two-photon microscopy. The wavelength of the Ti:Sapphire laser was tuned at 710 nm, which corresponds to the excitation peak of NADH and FAD in skin tissue. The various cell layers in the epidermis and the papillary dermis were clearly distinguished by both imaging modalities. The two-photon microscopy more clearly visualized the intercellular region and the nucleus of the cell compared to the confocal microscopy. The fibrous structures in the dermis were more clearly resolved by the confocal microscopy. Numerous cells in papillary dermal layer, as deep as $100\;{\mu}m$, were observed in both CLSM and two-photon microscopy. While most previous studies focused on fibrous structure imaging (collagen and elastin fiber) in the dermis, we demonstrated that the combined imaging with the CLSM and two-photon microscopy can be applied for the non-invasive study of the population, distribution and metabolism of papillary dermal cells in skin.

Spiral Drawing-based Real-time Crystallization Mosaic Tchnique (나선 드로잉 기반 실시간 결정화 모자이크 기법)

  • Kim, Jae Kyoung;Kim, Young Ho;Park, Jin Wan
    • Journal of the Korean Society for Computer Game
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    • v.31 no.4
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    • pp.137-144
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    • 2018
  • In the past, mosaics were made by laying cloth on the floor and manually tiling the tiles. However, due to recent developments in technology, the data storage method has evolved from analog to digital, so that image representation and conversion can be realized through computer. Also, various expression techniques of mosaic are developed, and it is also used as a method of art representation in digital. There are various studies on the production process of mosaic. The proposed method is a crystallization mosaic that spreads spirally in real time and uses 3D quartz as a tile element. Although existing researches are mostly focused on the purpose of rendering images in more detail, this technique combines untried spiral drawing and crystallization, and attempts to explore new expression techniques in 3D space by attempting a new mosaic method in 3D space. 'Spiral Crystallization Photo', based on this technique, was selected as Top27 in MWU Award 18 and exhibited at Unite Seoul 2018.

Vital Signs Investigation in Subjects Undergoing Magnetic Resonance Imaging (자기공명검사 시 활력 징후의 변화)

  • Jeong, Mi-Ae;Choi, Kwan-Woo
    • The Journal of the Korea Contents Association
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    • v.19 no.6
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    • pp.412-417
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    • 2019
  • This study was proposed to investigate vital signs in subjects undergoing high magnetic field (3T) MR imaging for provide basic data on causes of claustrophobia as few previous studies were conducted on this special issue. Vital signs of 104 patients were monitored before and during the clinically indicated MR examinations to identify any relationship between MR scanning and the vital signs. An increase of systolic, diastolic blood pressure and pulse pressure were observed. However, they were not statistically significant(p>0.05), which meant the vital signs measured before and during the MRI scanning showed no significant change. This study is considered to be meaningful basic data for analyzing the links between vital sign fluctuations on claustrophobia during routine clinical MR examinations.

A Case Series of Symptomatic Distal Biceps Tendinopathy

  • Lee, Jung Hyun;Kim, Kyung Chul;Lee, Ji-Ho;Ahn, Kee Baek;Rhyou, In Hyeok
    • Clinics in Shoulder and Elbow
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    • v.21 no.4
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    • pp.213-219
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    • 2018
  • Background: The study of conservative and surgical treatment of distal biceps tendinopathy and associated biceps tendon partial rupture. Methods: Twenty-one cases with distal biceps tendonitis and partial ruptures were studied who visited Pohang Semyeong Christianity Hospital from June 2010 to August 2017. The mean age was 57.1 years (39-69 years), 14 males and 7 females. The mean duration of symptom at the time of first visit was 4.9 months (0.2-14 months). Ultrasonography and magnetic resonance imaging were performed for patients with severe symptoms. According to the severity of the symptoms, splint immobilization, oral nonsteroidal anti-inflammatory drugs, and ultrasound-guided steroid injection were performed. Surgical treatment was performed if the patient did not respond to conservative treatment for 3 to 6 months or longer. Results: There were 9 cases of partial rupture of the distal biceps tendon associated with distal biceps tendinopathy on imaging studies. Conservative treatment showed symptomatic improvement in 16 of 21 cases. In 4 cases with a relatively mild symptom, anti-inflammatory analgesics and intermittent splinting showed good result. In 12 cases, symptoms improved after ultrasonography-guided steroid injection. Surgical treatment was performed on 5 cases that did not respond to conservative treatment. Conclusions: Conservative treatment of distal biceps tendinopathy may promise good results. However, in case of partial tear of the distal biceps tendon and refractory to conservative treatment, surgical treatment may be needed.

Assessment of solid components of borderline ovarian tumor and stage I carcinoma: added value of combined diffusion- and perfusion-weighted magnetic resonance imaging

  • Kim, See Hyung
    • Journal of Yeungnam Medical Science
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    • v.36 no.3
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    • pp.231-240
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    • 2019
  • Background: We sought to determine the value of combining diffusion-weighted (DW) and perfusion-weighted (PW) sequences with a conventional magnetic resonance (MR) sequence to assess solid components of borderline ovarian tumors (BOTs) and stage I carcinomas. Methods: Conventional, DW, and PW sequences in the tumor imaging studies of 70 patients (BOTs, n=38; stage I carcinomas, n=32) who underwent surgery with pathologic correlation were assessed. Two independent radiologists calculated the parameters apparent diffusion coefficient (ADC), $K^{trans}$ (vessel permeability), and $V_e$ (cell density) for the solid components. The distribution on conventional MR sequence and mean, standard deviation, and 95% confidence interval of each DW and PW parameter were calculated. The inter-observer agreement among the two radiologists was assessed. Area under the receiver operating characteristic curve (AUC) and multivariate logistic regression were performed to compare the effectiveness of DW and PW sequences for average values and to characterize the diagnostic performance of combined DW and PW sequences. Results: There were excellent agreements for DW and PW parameters between radiologists. The distributions of ADC, $K^{trans}$, and $V_e$ values were significantly different between BOTs and stage I carcinomas, yielding AUCs of 0.58 and 0.68, 0.78 and 0.82, and 0.70 and 0.72, respectively, with ADC yielding the lowest diagnostic performance. The AUCs of the DW, PW, and combined PW and DW sequences were $0.71{\pm}0.05$, $0.80{\pm}0.05$, and $0.85{\pm}0.05$, respectively. Conclusion: Combining PW and DW sequences to a conventional sequence potentially improves the diagnostic accuracy in the differentiation of BOTs and stage I carcinomas.

Heavily T2-Weighted Magnetic Resonance Myelography as a Safe Cerebrospinal Fluid Leakage Detection Modality for Nontraumatic Subdural Hematoma

  • An, Sungjae;Jeong, Han-Gil;Seo, Dongwook;Jo, Hyunjun;Lee, Si Un;Bang, Jae Seung;Oh, Chang Wan;Kim, Tackeun
    • Journal of Korean Neurosurgical Society
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    • v.65 no.1
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    • pp.13-21
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    • 2022
  • Objective : Nontraumatic subdural hematoma (SDH) is a common disease, and spinal cerebrospinal fluid (CSF) leakage is a possible etiology of unknown significance, which is commonly investigated by several invasive studies. This study demonstrates that heavily T2-weighted magnetic resonance myelography (HT2W-MRM) is a safe and clinically effective imaging modality for detecting CSF leakage in patients with nontraumatic SDH. Methods : All patients who underwent HT2W-MRM for nontraumatic SDH workup at our institution were searched and enrolled in this study. Several parameters were measured and analyzed, including patient demographic data, initial modified Rankin Scale (mRS) score upon presentation, SDH bilaterality, hematoma thickness upon presentation, CSF leakage sites, treatment modalities, follow-up hematoma thickness, and follow-up mRS score. Results : Forty patients were identified, of which 22 (55.0%) had CSF leakage at various spinal locations. Five patients (12.5%) showed no change in mRS score, whereas the remaining (87.5%) showed decreases in follow-up mRS scores. In terms of the overall hematoma thickness, four patients (10.0%) showed increased thickness, two (5.0%) showed no change, 32 (80.0%) showed decreased thickness, and two (5.0%) did not undergo follow-up imaging for hematoma thickness measurement. Conclusion : HT2W-MRM is not only safe but also clinically effective as a primary diagnostic imaging modality to investigate CSF leakage in patients with nontraumatic SDH. Moreover, this study suggests that CSF leakage is a common etiology for nontraumatic SDH, which warrants changes in the diagnosis and treatment strategies.

Comparison of X-ray computed tomography and magnetic resonance imaging to detect pest-infested fruits: A pilot study

  • Kim, Taeyun;Lee, Jaegi;Sun, Gwang-Min;Park, Byung-Gun;Park, Hae-Jun;Choi, Deuk-Soo;Ye, Sung-Joon
    • Nuclear Engineering and Technology
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    • v.54 no.2
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    • pp.514-522
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    • 2022
  • Non-destructive testing (NDT) technology is a widely used inspection method for agricultural products. Compared with the conventional inspection method, there is no extensive sample preparation for NDT technology, and the sample is not damaged. In particular, NDT technology is used to inspect the internal structure of agricultural products infested by pests. The introduction and spread of pests during the import and export process can cause significant damage to the agricultural environment. Until now, pest detection in agricultural products and quarantine processes have been challenging because they used external inspection methods. However, NDT technology is advantageous in these inspection situations. In this pilot study, we investigated the feasibility of X-ray computed tomography (X-ray CT) and magnetic resonance imaging (MRI) to identify pest infestation in agricultural products. Three kinds of artificially pest-infested fruits (mango, tangerine, and chestnut) were non-destructively inspected using X-ray CT and MRI. X-ray CT was able to identify all pest infestations in fruits, while MRI could not detect the pest-infested chestnut. In addition, X-ray CT was superior to the quarantine process than MRI based on the contrast-to-noise ratio (CNR), image acquisition time, and cost. Therefore, X-ray CT is more appropriate for the pest quarantine process of fruits than MRI.

Spectrum of nitrous oxide intoxication related neurological disorders in Korea: a case series and literature review

  • Lee, Jungsoo;Park, Yangmi;Kim, Hyunkee;Kim, Nakhoon;Sung, Wonjae;Lee, Sanggon;Park, Jinseok
    • Annals of Clinical Neurophysiology
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    • v.23 no.2
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    • pp.108-116
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    • 2021
  • Background: Nitrous oxide (N2O) is used in surgery and dentistry for its anesthetic and analgesic effects. However, neurological and psychiatric manifestations of N2O abuse have been increasingly reported among Korean adults. The aim of this study was to demonstrate laboratory findings of N2O abuse in Korean patients. Methods: Patients diagnosed with N2O-induced neuropathy or myelopathy from August 2018 to December 2019 were enrolled. Their clinical presentations and laboratory and imaging findings were analyzed. Results: Sensory changes and limb weakness were present in nine of the enrolled patients. The laboratory findings revealed that seven patients had high homocysteine levels and five had high methylmalonic acid levels in their blood. Nerve conductions studies indicated that axonal neuropathy was present in four cases and longer F-wave and Hoffman's-reflex latencies were present in two cases. Signal changes in cervical spine imaging occurred in five patients, while two had normal results. Conclusions: Chronic N2O abuse can cause neurological damage or psychiatric problems. Because N2O is illegal for recreational use in Korea, patients tend to hide their history of use. Even though the spinal imaging results were normal, clinicians should consider the possibility of N2O use, and further electrophysiological tests should be applied for precise evaluations.

Ultrasonic Reflection Imaging for Discontinuity Detection of Rock Mass - Laboratory Study (암반 불연속면 탐측을 위한 초음파 반사 이미지 - 실내실험)

  • Lee, Jong-Sub;Kim, Seung-Sun;Kim, Dong-Hyun;Kim, Uk-Young;Lee, In-Mo
    • Journal of the Korean Geotechnical Society
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    • v.23 no.1
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    • pp.51-65
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    • 2007
  • The purpose of this study is the development and application of a high resolution ultrasonic wave imaging system to detect discontinuity plane in lab-scale rock models. This technique is based on received time series which capture the multiple reflections at interface. This study includes the fundamental aspects of ultrasonic wave propagation in rock mass, the selection of the optimal ultrasonic wave transducer, data gathering, a signal processing, imaging methods, and experiments. Experiments are carried out by the horizontal movement and rotation devices. Experimental studies show the discontinuity is well detected by the horizontal movement and rotation devices under water. Furthermore, the discontinuity and the cavity on the plaster block are identified by the rotation device. This study suggests that the new method may be an economical and effective tool for the detection of the discontinuity on rock mass.