• Nuclear Medicine and Molecular Imaging
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• 제43권3호
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• pp.207-214
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• 2009

Positron emission tomogrpahy (PET) represents the most advanced scintigraphic imaging technology. With the increase in availability of PET, the clinical use of PET has grown in medical fields. This can be employed for cardiovascular research as well as for clinical applications in patients with various cardiovascular disease. PET allows non-invasive functional assessment of myocardial perfusion, substrate metabolism and cardiac innervation and receptors as well as gene expression in vivo. PET is regarded as the gold standard for the detection of myocardial viability, and it is the only method available for the quantitative assessment of myocardial blood flow. This review focuses on the clinical applications of myocardial perfusion PET in coronary artery disease.

• 대한자기공명의과학회:학술대회논문집
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• 대한자기공명의과학회 2006년도 제11차 학술대회
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• pp.66-66
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• 2006

• Journal of Chest Surgery
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• 제54권5호
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• pp.331-332
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• 2021

• Nuclear Medicine and Molecular Imaging
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• 제42권1호
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• pp.77-78
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• 2008

A 71-year-old woman was assigned to our department for Tc-99m myocardial perfusion SPECT(MPS) and coronary CT angiography. She admitted for substernal pain, via the ER, 2 days ago. The heart was scanned after intravenous injection of 925 MBq of $^{99m}Tc$-sestamibi adenosine-induced stress SPECT using dual head gamma camera (Hawkeye, GE healthcare. USA). The MPS shows decreased tracer uptake in the apical & mid area of anterior & lateral wall and mid & basal inferior wall. Coronary CT angiograph was obtained using Discovery VCT (GE healthcare). 3D angiography portrayed significant stenosis of ramus intermedius(RI) and posterolateral branch of right coronary artery(PLB) with fibrocalcified plaque. Two images were fused using Cardiac IQ fusion softwear package (Advantage workstation 4.4, GE healthcare) The fusion images explain the perfusion defect of anterior, lateral and inferior wall is due to stenosis of the RI and PLB. And 3 days later, coronary angiography was done and revealed the marked stenosis of RI and PLB. Then balloon angioplasty and stent was instituted in RI. Cardiac SPECT/CT fusion imaging provides additional information about hemodynamic relevance and facilitates lesion interpretation by allowing exact allocation of perfusion defects to its subtending coronary artery.

• KSBB Journal
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• 제4권1호
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• pp.34-39
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• 1989

본 논문은 동물 세포의 대량 배양을 위해 연속 공법 방식인 Perfusion Continuous System을 도입해 의약적으로 중요한 EPO의 생산을 위한 생물 공학적인 자료들을 제고하고 있다. 이 System은 세포 증식 속도를 배지의 Perfusion 속도로 변화시킴으로써 조절시킬 수 있는 산소 소비속도와 밀접한 상관관계가 있음을 입증하며 이는 세포수의 직접 측정에 따른 오차 및 방법상의 문제를 정학히 측정할 수 있는 간접 변수, 즉 산소소비속도를 이용함으로써 제거할 수 있다. 특히 이 산소소비속도와 세포 성장 관계로 model로써 세포 증식을 예측함과 동시에 동물 세포 대량 배양을 위한 scale-up의 중요한 기초자료가 될 것이다. 지금까지 발표되지 않았던 동물 세포의 glucose에 대한 True growth yield와 maintenance coefficient값들의 측정은 동물 세포 성자관 유용 물질 생산을 위한 중요한 수율적 자료가 된다.한편 이 결과는 지금까지 미생물이나 광합성에서만 적용되었던 yield model이 Eukaryotes에서도 응용될 수 있음을 증명하고 있다. 이와 같이 perfusion system이 많은 장점을 갖고 있지만, 세포 성장에 따른 동력학적인 연구의 수행이 좀 더 요구되는 실정이며, 특히 Perfusion system을 설명할 수 있는 이론 및 cytostatic moel의 정립이 선행되어야 할 것이다.

• Journal of Chest Surgery
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• 제10권2호
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• pp.299-314
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• 1977

Clinical experience on 16 cases of open heart surgery under the extracorporeal circulation with mild or moderate hypothermia and partial hemodilution technique at the National Medical Center during the period from June 1976 to October 1977. Nine of sixteen were congenital heart disease and seven were acquired heart disease. The age of the patient ranged between 6 and 48 years. The body weight varied from 18.5kg to 60kg and body surface area 0. 79-1.70m2. The average priming volume of pump oxygenator was 2080 ml, which was consisted fresh ACD blood, buffered Hartmann`s solution, Mannitol, 50% dextrose in water and Vit. C. The average hemodilution rate was 27%. The average flow 2.3 L/min/m2 or 80 ml/min and the duration of perfusion varied from 31 min to 270 min with average of 107 min. The perfusion was carried out under the mild or moderate hypothermia using core cooling alone in 10 cases, core cooling and local myocardial cooling with $0-4^{\circ}C$ physiologic saline in 2 cases. From a hemodynamic point of view, the blood pressure dropped down around 80 mmHg after the initiation of perfusion follwed by increase to safety level and stable during the perfusion. The central venous pressure remained within normal limits. In most cases, hemoglobin and hematocrit decreased during and after the perfusion. Hemogiobin level was decreased, average of 20.6 %, hematocrit 18.6%, pletelets 55% postoperatively. Plasma hemoglobin increased moderately, from preperfusion average valve of 7.79 mg % to post-perfusion value of 54.7 mg %. Electrolytes changes during cardiopulmonary bypass showed definite hypokalemia but changes of Na, Ca were not definite. Arterial blood gas analysis during cardiopulmonary bypass suggested that the metabolic acidosis which was accompanied by respiratory alkalosis which was corrected postoperatively. As the opera tive complication, transient hemoglobinuria in 4 cases and neurological signs in 2 cases were all cured. There were 2 death cases and operative mortality rate was 12.5%.

• 한국응용약물학회:학술대회논문집
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• 한국응용약물학회 1996년도 춘계학술대회
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• pp.273-273
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• 1996

Recently a novel in vivo approach in dogs, using a regional segmental intestinal perfusion technique, has been developed. The perfusion tube consists of a highly sophisticated multichannel tube with two inflatable occluding balloons, which are placed in 10cm apart. The tube was introduced orally from the stomach through the upper jejunum under the guidance of solid-state pH meter. In the present study, four healthy dogs were infused in the proximal jejunum on two periods. The two perfusion experiments used the same flow rate, 2 $m\ell$/min, and the same perfusion solution to determine the intrasubject variability. The mean (${\pm}$ S. E.) fractions of ranitidine absorbed calculated from the perfusion data were 21.32${\pm}$2.01% (n=3) (1st period), 27.88 ${\pm}$ 17.54% (n=4) (2nd period), respectively. The effective permeabilities (Peffs${\times}$10$\^$4/) of ranitidine were 1.51${\pm}$0.47cm/sec (n=3) (1st period), 1.50 ${\pm}$ 0.31 cm/sec (n=4) (2nd period), respectively. The pH and osmolarity of perfusion solution were 7.50 ${\pm}$ 0.03 and 300 ${\pm}$ 0.06 mOsm/L, There was no significant intrasubject variation. Mixing equilibrium (steady-state) was reached at about 50 min. l-Phenylalanine was absorbed almost completely. Intrinsic intestinal wall permeability of ranitidine showed low permeable characteristics, suggesting permeability-limited absorption. The absorption of 1-phenylalanine, an actively transported nutrient, was not inhibited by ranitidine. The low intestinal membrane permeability is one of the important factors responsible for the variable oral absorption of ranitidine. Supported by FDA Grant FD01462-04 and KOSEF Grant.

• Investigative Magnetic Resonance Imaging
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• 제15권2호
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• pp.91-101
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• 2011

관류 자기공명영상은 크게 외인성과 내인성 조영제를 사용하는 방법으로 나눌 수 있고, 외인성 조영제를 사용하는 방법으로는 DSC 와 DCE 방법이 있으며, 내인성 조영제를 사용하는 방법으로는 ASL 이 있다. 이들 관류 자기공명영상 방법들은 환자의 상태와 나타내고자 하는 영상인자에 따라 선별적으로 최적화되어 사용되어야 한다. 그 예로 급성 뇌졸중 환자의 경우 매우 빠른 영상획득이 최우선적인 인자이므로 DSC 가 주로 이용되고 있고, 뇌종양 환자의 경우 여러 물리적 인자를 고려한 DSC 혹은 DCE 스캔이 필요하다. 또한 소아나 가임여성 및 신장병질환이 있는 경우는 ASL 을 이용되고 있다. 관류 자기공명영상 기술은 방사성 물질을 전혀 사용하지 않아 약물효과의 평가와 기타 치료 효과를 이해하는데 많은 응용이 있을 것으로 생각된다.

• Journal of Chest Surgery
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• 제35권10호
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• pp.740-744
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• 2002

초저체온 하에 체외순환정지와 역행성 뇌관류는 대동맥궁 병변의 수술에서 뇌손상을 피하기 위해서 흔히 이용되는 수술과정이다. 좌측 개흉으로 원위 대동맥궁과 하행대동맥 병변을 수술할 때 역행성 뇌관류를 상대정맥으로 시행하기 어려울 경우 대퇴정맥에서 우심방으로 넣은 정맥 캐뉼라를 통해 전신정맥 관류를 시행하여 역행성 뇌관류(우심방-역행성 뇌관류)를 시행하는 것이 더 쉬운 방법일 수 있다 이러한 역행성 뇌관류 방법의 안전한 시간은 명확하지 않다. 저자들은 94분의 우심방-역행성 뇌관류 하에 대동맥궁 하행대동맥 병변을 수술하여 신경학적 이상 없이 환자를 회복시킬 수 있었다. 이 결과에서 초저체온의 순환정지 상태에서 90분 이상의 우심방-역행성 뇌관류로 뇌의 허혈을 극복할 수 있다고 생각된다.

• Biomolecules & Therapeutics
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• 제6권4호
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• pp.351-357
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• 1998

In order to understand the mechanism of the regulation of CYPIAI gene expression and ethoxy-resorufin deethylase (EROD) activity in ex vivo system, we have studied the action of TCDD and 3MC in theisolated perfused male rat liver. CYPIAI myNA level and EROD activity were measured in rat liver that wasisolated and perfused with va.ious chemicals such as 2,3,7,8-tet.achlorodibenzo-p-dioxin (TCDD), 3-methyl-cholanthrene (3MC), $17{\beta}$-est.adios ($E_2$), morin. TCDD or 3MC alone perfusion into male rat liver resulted in increase of CYPIAI mRNA level and the magnitude of stimulation was one and half times higher with TCDD treatment than 3MC treatment. However $E_2$ perfusion into male rat liver showed slight stimulation of CYPIAI mRNA level. When $10_{-8}$ M $E_2$ was perfused concomitantly with either $10_{-9}$ M TCDD or $10_{-9}$ M 3MC, stimulated CYPIAI mRNA by either TCDD or 3MC was inhibited. Morin was examined for its effects on CYPIAI mRNA level and result was similar to that was observed with estrogen except that morin alone did not change the level of CYPIAI mRNA. EROD activity was also stimulated with either TCDD or 3MC perfusion, and the magnitude of EROD stiumlation was similar to that of CYPIAI mRNA stimulation in response to TCDD or 3MC perfusion. This data is different from the data that we have obtained with female rat liver. Concomitant perfusion either $E_2$ or morin with TCDD or 3MC inhibited 3MC perFusion or TCDD perfusion stimulated EROD activity. These data confirm the hypothesis that TCDD and 3MC might act through the same mechanism of action on the regulation of CYPIAI gene expression in male rat liver.