• Title/Summary/Keyword: Lung Nodules

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Lung and Airway Segmentation using Morphology Information and Spline Interpolation in Lung CT Image (흉부 CT 영상의 형태학적 정보 및 Spline 보간법을 이용한 폐 및 기관지 분할 알고리즘)

  • Cho, Joon-Ho;Kim, Jung-Chul
    • Journal of Broadcast Engineering
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    • v.18 no.5
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    • pp.702-712
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    • 2013
  • In this paper, we proposed an algorithm that extracts the airway and lung without loss of information in spite of the pulmonary vessel and nodules of the chest wall in the chest CT images. We use a mask image in order to improve the performance and to save processing time of airway and lung segmentation. In the second step, by converting left and right lungs to binary image using the morphological information, we have removed the solitary pulmonary nodule to identify the value of the threshold lung and the chest wall. The last step is to connect the outer shell of the lung with cubic Spline interpolation by adding the perfect pixel and computing the distance of the removed part. Experimental results using Matlab verified that the proposed method could overcome the drawbacks of the conventional methods.

A Case of Isolated Pulmonary Mucormycosis in an Immunocompetent Host

  • Lee, Jung Su;Kim, Ho Cheol;Park, Sang Woo;So, Hoon Sub;Woo, Chang Yun;Choi, Jong Han;Kim, Sang Hyung;Kim, Se Jin;Oh, Yeon-Mok
    • Tuberculosis and Respiratory Diseases
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    • v.74 no.6
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    • pp.269-273
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    • 2013
  • Mucormycosis is a rare fungal disease that holds a fatal opportunistic fungal infection in diabetes mellitus, hematological malignancy, and immunocompromised host. Isolated pulmonary mucormycosis is extremely rare. Optimal therapy is a combined medical-surgical approach and a management of the patient's underlying disease. Herein, we report a case-study of isolated pulmonary mucormycosis which was being presented as multiple lung nodules in a patient with no underlying risk factors. Considering that the patient had poor pulmonary functions, we treated him with only antifungal agent rather than a combined medical-surgical approach. After treatment with antifungal agent for six months, the nodules of pulmonary mucormycosis were improved with the prominent reductions of size on the computed tomography.

A Case of Atypical Adenomatous Hyperplasia of Larger Than 2 cm

  • Park, Bo Mi;Cho, Min Ji;Lee, Hyun Seok;Park, Dong Il;Park, Myoung Rin;Kim, Ju Ock;Lee, Jeong Eun;Lee, Choong Sik;Jung, Sung Soo
    • Tuberculosis and Respiratory Diseases
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    • v.74 no.6
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    • pp.280-285
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    • 2013
  • Atypical adenomatous hyperplasia (AAH) has been considered to be a precursor lesion of bronchioloalveolar carcinoma (BAC) and pulmonary adenocarcinoma. It usually coexists with BAC and/or an adenocarcinoma. Chest computed tomography reveals multiple well-defined nodules with ground-glass opacity. Usually, AAH does not exceed 10 mm in size. AAH with extensive involvement on one side of the lung field or one that is larger than 2 cm has not been previously reported. We herein report a case of a 71-year-old nonsmoking female with lung AAH of larger than 2 cm.

Hemangiosarcoma in a Female Pointer (개에서 발생한 혈관육종 일례)

  • 정재훈;장광호;권영삼;강원모;장환수;배재성;이정우;정원일;정규식
    • Journal of Veterinary Clinics
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    • v.18 no.1
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    • pp.78-81
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    • 2001
  • A 12-year old female Pointer was referred to the Veterinary Teaching Hospital, College of Veterinary Medicine, Kyungpook National University for evaluation of emaciation. The owner had noted a dysuria and dyschesia 2 months before admitting to the hospital. The patient showed anorexia, depression and mild anemia. Radiographic findings indicated the mass below the urinary bladder, which pushed the intestine up to the spine. The patient was necropsied and grossly, two large masses were found on the heart and cranial thorax. Congestive nodules of 0.5-1.5 cm in diameter were scattered on both sides of the lungs. The left ventricular wall was hypertrophied and adult heartworms were found in right atrium. A large mass, filled with blood, 9-10 cm in diameter, originated from the rectum, compressed urethra. The gall bladder was filled with bile juice and the spleen was mild atrophied. The cortex of the kidney and the intestine were congested. On microscopic observation, there were neoplastic cells forming irregular vascular channels in the lung, kidney and heart. The vascular channels contain variable amount of blood. In the lung, the cells were almost elongated and the nuclei of neoplastic cells were round or ovoid and hyperchromatized. Based on the observation, the case was diagnosed as a hemangiosarcoma.

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Three-Dimensional Visualization of Medical Image using Image Segmentation Algorithm based on Deep Learning (딥 러닝 기반의 영상분할 알고리즘을 이용한 의료영상 3차원 시각화에 관한 연구)

  • Lim, SangHeon;Kim, YoungJae;Kim, Kwang Gi
    • Journal of Korea Multimedia Society
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    • v.23 no.3
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    • pp.468-475
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    • 2020
  • In this paper, we proposed a three-dimensional visualization system for medical images in augmented reality based on deep learning. In the proposed system, the artificial neural network model performed fully automatic segmentation of the region of lung and pulmonary nodule from chest CT images. After applying the three-dimensional volume rendering method to the segmented images, it was visualized in augmented reality devices. As a result of the experiment, when nodules were present in the region of lung, it could be easily distinguished with the naked eye. Also, the location and shape of the lesions were intuitively confirmed. The evaluation was accomplished by comparing automated segmentation results of the test dataset to the manual segmented image. Through the evaluation of the segmentation model, we obtained the region of lung DSC (Dice Similarity Coefficient) of 98.77%, precision of 98.45%, recall of 99.10%. And the region of pulmonary nodule DSC of 91.88%, precision of 93.05%, recall of 90.94%. If this proposed system will be applied in medical fields such as medical practice and medical education, it is expected that it can contribute to custom organ modeling, lesion analysis, and surgical education and training of patients.

Pulmonary Cryptococcosis That Was Suspected to be Metastatic Lung Cancer (전이성 폐암으로 추정된 폐효모균증)

  • Kim, Jong In;Cho, Sung Rae;Kye, Yeo Kon
    • Journal of Chest Surgery
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    • v.42 no.1
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    • pp.123-126
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    • 2009
  • Cryptococcosis is a subacute or chronic inflammation that's caused by infection from cryptococcus neoformans in the soil or dust that's contaminated by pigeon droppings. Pulmonary cryptococcosis occurs in immunocompromised patients, and particularly in HIV positive patients, but it rarely occurs in immunocompetent individuals. It is most often detected as asymptomatic single or multiple nodules that are found by chest X-ray examination. In these situations, the diagnosis for most cases is made by the histology of the resected lesion. We report here on a case of solitary nodular pulmonary cryptococcosis that occurred in a 32 years old female patient who underwent thyroidectomy for treating her thyroid cancer.

A Case of Statin-Induced Interstitial Pneumonitis due to Rosuvastatin

  • Kim, Se Yong;Kim, Se Jin;Yoon, Doran;Hong, Seung Wook;Park, Sehhoon;Ock, Chan-Young
    • Tuberculosis and Respiratory Diseases
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    • v.78 no.3
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    • pp.281-285
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    • 2015
  • Statins lower the hyperlipidemia and reduce the incidence of cardiovascular events and related mortality. A 60-year-old man who was diagnosed with a transient ischemic attack was started on acetyl-L-carnitine, cilostazol, and rosuvastatin. After rosuvastatin treatment for 4 weeks, the patient presented with sudden onset fever, cough, and dyspnea. His symptoms were aggravated despite empirical antibiotic treatment. All infectious pathogens were excluded based on results of culture and polymerase chain reaction of the bronchoscopic wash specimens. Chest radiography showed diffuse ground-glass opacities in both lungs, along with several subpleural ground-glass opacity nodules; and a foamy alveolar macrophage appearance was confirmed on bronchoalveolar lavage. We suspected rosuvastatin-induced lung injury, discontinued rosuvastatin and initiated prednisolone 1 mg/kg tapered over 2weeks. After initiating steroid therapy, his symptoms and radiologic findings significantly improved. We suggest that clinicians should be aware of the potential for rosuvastatin-induced lung injury.

Ostrich chick fading syndrome(OCFS) caused by bacterial infection of farmed ostrich chicks (세균감염에 의한 초생타조(Struthio camelus camelus)의 쇠약 증후군의 발생 증례)

  • 육현수;김영진;도홍기;노수일;김범석;임채웅
    • Korean Journal of Veterinary Service
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    • v.22 no.2
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    • pp.113-119
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    • 1999
  • The most common cause of death is ostrich chick fading syndrome(OCFS), which is due to bacterial infection during artificial incubation and hatching. Six farmed ostrich chicks aged 3 and 10 days in Chonbuk province, were submitted to Chonbuk Livestock Development and Research Institute for necropsy, Clinically, birds showed hair loss, ocular exudate, lethargy, diarrhea, and subsequently died 3-5 days after onset of clinical signs. Grossly, umbilicus was enlarged. White-yellowish purulent nodules were scattered on the lung and the membrane of air-sac was thickened and had inflamed exudate on the surface in two chicks that died 3 days after hatching. In 10 days-old chick, intestine was shown rodding segmentally. Yolk sac was still retarded and its surface was partially hemorrahgic. The synovial fluid of the leg was yellowish. Microscopically, multifocal purulent exudates were scattered on the lung. Capillary microthrombi in the glomerulus were prominent and tubular epithelia were necrotic. Necrotic hepatocytes were scattered and intestine were congested. Microbiologically, Pseudomonas sp and/or E coli were isolated from air-sac, lung and/or liver. This case suggests that poor hygiene during artificial incubation, hatching or in the first week after hatching may cause high mortality of the ostrich chicks.

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Pulmonary and retroperitoneal benign metastasizing leiomyoma

  • Lim, Su-Yeon;Park, Joon-Cheol;Bae, Jin-Gon;Kim, Jong-In;Rhee, Jeong-Ho
    • Clinical and Experimental Reproductive Medicine
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    • v.38 no.3
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    • pp.174-177
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    • 2011
  • Benign metastasizing leiomyoma (BML) is a rare disease, which usually occurs in women with a history of a prior hysterectomy or myomectomy for benign uterine leiomyoma, and has the potential to metastasize to distant sites, such as the lung, lymph nodes, muscular tissue, heart, or retroperitoneum. These lesions are slow-growing, asymptomatic, and usually found incidentally. The prognosis of BML is also excellent. However, there has been debate on the origin and the correct classification of BML, and there are no guidelines for the treatment of BML. We report here on a rare case of BML in both the retroperitoneal cavity and lung in a 48-year-old woman with a history of hysterectomy due to histologically benign uterine leiomyoma. The patient underwent retroperitoneal mass excision and bilateral salpingo-oophorectomy, and then wedge biopsy of two pulmonary nodules was performed additionally 9 days later. Until now, there has been no sign of recurrence and the patient remains asymptomatic. To our knowledge, pulmonary BML is rare and the co-existence of the retroperitoneal metastases after previous hysterectomy is even rarer.

A Case of Sarcoidosis with Cavitary Nolule of the Lung (공동을 동반한 망상결절형 폐침윤)

  • Ju, Mi-Soon;Lee, Hyun-Kyung;Chang, Jung-Hyun;Cheon, Seon-Hee;Kim, Yoo-Kyung;Yoon, Hee-Soo;Goo, Hae-Soo
    • Tuberculosis and Respiratory Diseases
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    • v.45 no.5
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    • pp.1098-1102
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    • 1998
  • Sarcoidosis is a chronic multisystemic disorder of unknown cause characterized by presence of noncaseating epithelioid granuloma in affected organ. It is relatively common in western countries, but it is uncommon in East Asia including Korea. The lung is most frequently affected organ. Usual radiologic manifestation of thoracic sarcoidosis are readily recognized, but there are extremely diverse manifestation. Sarcoidosis rarely causes large pulmonary nodules, and cavitation in such lesion is very rare. We experienced one case of Sarcoidosis with Cavitary nodule of the lung and report it with brief review of the literature.

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