• 제목/요약/키워드: REMNANT

검색결과 710건 처리시간 0.036초

갑상선 분화암 수술 후 저용량 방사성 옥소(I-131)요법 (Low-dose Radioactive I-131 Therapy after Total Thyroidectomy for Differentiated Thyroid Cancer)

  • 최정진;정성후
    • 대한두경부종양학회지
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    • 제14권2호
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    • pp.214-219
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    • 1998
  • Objectives: To assess the effectiveness of the low-dose(30mCi) I-131 ablation therapy for remnant thyroid tissue following total thyroidectomy for differentiated thyroid cancer. Methods: Between March 1995 and December 1997, forty-eight patients were given ablative doses(30mCi) of I-131 after total thyroidectomy for differentiated thyroid cancer in the presence of I-131 uptake in remnant thyroid tissue. Effective ablation of remnant thyroid tissue was determined by following I-131 whole body scan. if remnant thyroid tissue remained, we repeated the same management at 6 months interval. Results: Thirty-eight(79.1%) patients had papillary, 8(16.7%) follicular, 1(2.1%) medullary and 1(2.1%) Hurthle cell type cancer. Forty-eight patients underwent total thyroidectomy, among those central neck dissection was performed in 35 cases, and modified radical neck dissection in 14 cases. Postoperative complication developed in 8 cases, which included 4 cases of transient hypoparathyroidism, 1 case of permanent hypoparathyroidism, 2 cases of transient recurrent laryngeal nerve palsy, and 1 case of wound hematoma. There were significant remnant thyroid tissue in 46 cases(95.8%) of patients after total thyroidectomy, which could be ablated by low dose(30mCi) I-131. There were no statistical difference between operative procedures and number of treatment of I-131. Conclusions: These results suggested that repeated low-dose(30mCi) I-131 therapy would be needed, therefore, high -dose I-131 therapy could be considered as ablation therapy for the remnant thyroid tissue after total thyroidectomy for differentiated thyroid cancer.

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Anatomical and Functional Recovery of Neurotized Remnant Rectus Abdominis Muscle in Muscle-Sparing Pedicled Transverse Rectus Abdominis Musculocutaneous Flap

  • Jeong, Woonhyeok;Son, Daegu;Yeo, Hyeonjung;Jeong, Hoijoon;Kim, Junhyung;Han, Kihwan;Lee, Soyoung
    • Archives of Plastic Surgery
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    • 제40권4호
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    • pp.359-366
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    • 2013
  • Background Pedicled transverse rectus abdominis musculocutaneous flaps typically sacrifice the entire muscle. In our experience, the lateral strip of the rectus abdominis muscle can be spared in an attempt to maintain function and reduce morbidity. When the intercostal nerves are injured, muscle atrophy appears with time. The severed intercostal nerve was reinserted into the remnant lateral strip of the rectus abdominis muscle to reduce muscle atrophy. Methods The authors retrospectively reviewed 9 neurotized cases and 10 non-neurotized cases. Abdominal computed tomography was performed to determine the area of the rectus muscles. Electromyography (EMG) was performed to check contractile function of the remnant muscle. A single investigator measured the mean areas of randomly selected locations (second lumbar spine) using ImageJ software in a series of 10 cross-sectional slices. We compared the Hounsfield unit (HU) pre- and postoperatively to evaluate regeneration quality. Results In the neurotization group, 7 of 9 cases maintained the mass of remnant muscle. However, in the non-neurotization group, 8 of 10 lost their mass. The number of totally atrophied muscles in each of the two groups was significantly different (P=0.027). All of the remnant muscles showed contractile function on EMG. The 9 remaining remnant rectus abdominis muscles showed declined the HU value after surgery but also within a normal range of muscle. Conclusions Neurotization was found to be effective in maintaining the mass of remnant muscle. Neurotized remnant muscle had contractile function on EMG and no fatty degeneration by HU value.

잔류조직 보존 술기를 이용한 전방 십자 인대 재건술 - 수술 술기 - (ACL Reconstruction with Remnant Preserving Technique - Technical Note -)

  • 조성도;염윤석;정지영;전형민
    • 대한관절경학회지
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    • 제13권1호
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    • pp.82-85
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    • 2009
  • 목적: 전방 십자 인대 재건술시 잔류조직 보존은 이식건 치유를 향상시키고 고유수용 감각 기능을 보존할 수 있어 저자들은 10시 혹은 2시 방향 경경골 대퇴 터널을 천공하고 잔류조직을 보존하는 술기를 소개하고자 한다. 수술 술기: 잔류조직은 가능한 많이 보존하고자 하였으며 그 중에서 경골 부착부위 전방부와 후방 십자 인대와 연결된 활액막 및 잔류조직은 반드시 보존하여 잔류조직의 장력을 어느정도 유지하고 흘러내림을 방지하여 과간 절흔의 충돌을 방지 하였다. 경골 drill guide의 각도를 40~45도로 하고 관절 내 guide tip을 고식적인 위치보다 1 mm씩 전방 및 내측으로 이동하였다. 경골에서 유도 강선의 시작점은 거위발 건의 근위부, 내측 측부 인대의 전방부로 하였다. 경골 터널은 먼저 이식건의 두께보다 1 mm 작은 확공기를 이용하여 만들되, 경골 관절면의 피질골에 닿으면 조심스럽게 진행하여 피질골을 뚫자마자 멈춤으로써 가능한 잔류조직에 손상이 가지 않도록 하였으며, 다시 이식물과 같은 크기의 확공기를 이용하여 경골 터널과 10시 혹은 2시 방향의 대퇴 터널을 완성하였다. 결론: 전방 십자 인대 재건술시 10시 혹은 2시 방향 경경골 대퇴 터널을 천공하고 잔류조직을 보존하는 술기를 소개하였다.

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CO J=2-1 LINE OBSERVATIONS TOWARD THE SUPERNOVA REMNANT G54.1+0.3

  • Lee, Jung-Won;Koo, Bon-Chul;Lee, Jeong-Eun
    • 천문학회지
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    • 제45권5호
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    • pp.117-125
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    • 2012
  • We present $^{12}CO$ J = 2-1 line observations of G54.1+0.3, a composite supernova remnant with a mid-infrared (MIR) loop surrounding the central pulsar wind nebula (PWN). We map an area of $12^{\prime}{\times}9^{\prime}$ around the PWN and its associated MIR loop. We confirm two velocity components that have been proposed to be possibly interacting with the PWN/MIR-loop; the +53 km $s^{-1}$ cloud, which appears in contact with the eastern boundary of the PWN and the +23 km $s^{-1}$ cloud, which has CO emission coincident with the MIR loop. However, we have not found a direct evidence for the interaction in either of these clouds. Instead, we detected an 5'-long arc-like cloud at +15-+23 km $s^{-1}$ with a systematic velocity gradient of ~3 km $s^{-1}$ $arcmin^{-1}$ and broad-line emitting CO gas with widths (FWHM) of ${\leq}7km\;s^{-1}$ in the western interior of the supernova remnant. We discuss their association with the supernova remnant.

5년령 패키니즈 암컷의 난소잔존증후군 1예 (Ovarian Remnant Syndrome in a 5-Year-old Pekingese Bitch)

  • 엄경환;강현구;김일화;이종환;이기창;이청산;이동엽
    • 한국임상수의학회지
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    • 제22권4호
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    • pp.424-427
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    • 2005
  • A 5-year-old Pekingese bitch was presented with a history of vaginal bleeding and copulation before 4-week. Ovarian remnant syndrome was diagnosed on the clinical changes, vaginal cytology and exploratory laparotomy. An abdominal mass was diagnosed on radiography, ultrasonography and Computed Tomography. The remnant of ovarian tissue and an abdominal mass were removed surgically under general anesthesia. Ultrasonographic examination of the removed ovarian tissue (water bath scanning) revealed three corpora lutea. The condition resolved following surgical excision of the remaining ovarian tissue and an abdominal purulent mass.

한약재에 포함된 금속의 전탕 전과 후의 농도변화연구 -첩약 / 다린 찌꺼기 / 탕약을 중심으로- (Concentration of metal in herbal drugs -in crude, remnant after boiling and decoction of herbal drugs-)

  • 이선동;박해모;이장천;국윤범
    • 대한한의학회지
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    • 제24권2호
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    • pp.59-65
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    • 2003
  • This study was conducted to analyze metal concentration changes following processing steps for crude, remnant after boiling, and decoction of Korea herbal drugs. We measured meta.! concentration from 20 random patients who visited Oriental medical clinics for treatment of several diseases through normal action. The results obtained were as below: First, in the study to acknowledge quality control between Korean Lab and Harvard Lab in the US, 20 equal herbal samples resulted in the same values, so we confirmed the precision of measurement results from both labs. Second, hazardous metal mean concentration in crude, remnant after boiling, and decoction of herbal drugs were $32.5{\mu\textrm{g}}/22.1{\mu\textrm{g}}/8.8{\mu\textrm{g}}$ for As, $0.0{\mu\textrm{g}}/0.0{\mu\textrm{g}}/0.0{\mu\textrm{g}}$ for Cd, $1.0{\mu\textrm{g}}/0.0{\mu\textrm{g}}/0.0{\mu\textrm{g}}$ for Hg and $5416.3{\mu\textrm{g}}/3639.6{\mu\textrm{g}}/1002.6{\mu\textrm{g}}$ for Pb, respectively. These metal concentrations decreased 72.9-100.0% compared to crude status. The same trend was also visible in the other essential elements. From reviewing these results, we could carefully conclude that decoction had the least amount of metal concentration and is the optimal way to intake herbal drugs.

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Gamma Knife Radiosurgery for Remnant or Recurred Craniopharyngiomas

  • Kwon, Young-Sub;Park, Yong-Sook;Chang, Jong-Hee;Chang, Jin-Woo;Park, Yong-Gou
    • Journal of Korean Neurosurgical Society
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    • 제39권2호
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    • pp.96-101
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    • 2006
  • Objective : The authors assess the long term effectiveness of gamma knife radiosurgery[GKS] for remnant or recurred craniopharyngiomas on tumor control and possibly set proper radiation dose for tumor control with utmost preservation of the adjacent structures. Methods : Sixteen GKS were done in 14 patients with recurred or remnant craniopharyngiomas after surgery. Mean follow up duration was 44.2 months [range $11.3{\sim}123.6\;months$]. Follow up MR imagings were analyzed. Results : Mean tumor volume was $3.6cm^3$ [range $0.6{\sim}18cm^3$] and mean margin dose was 12.2Gy [range $8{\sim}22.4Gy$]. Tumor control was achieved in 87.5% [14 of 16 tumors] which were either solid or cystic in nature. Dose to optic apparatus was mean 7.9Gy and no radiation related complications were observed. Conclusion : GKS seems to be effective treatment modality for craniopharyngiomas regardless of nature of tumor whether it is cystic or solid. Dose of 8 to 8.5Gy may be sufficient to achieve long term tumor control for remnant or recurred craniopharyngiomas.

전방십자인대 재건술 - 잔류조직 보존술식 - (ACL Reconstruction - Remnant Preserving Technique -)

  • 이병일;천동일
    • 대한관절경학회지
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    • 제13권2호
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    • pp.97-104
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    • 2009
  • Optimal treatment of the torn anterior cruciate ligament (ACL) remains controversial. The complexity of surgically reproducing the natural biomechanical and anatomical function of the ACL has led to a diversity of reconstructive procedures. Controversy continues to exist regarding the best reconstructive procedure for the ACL deficient knee, but currently, there is no ideal method. Because of the increased frequency of ACL injury and the functional impairment resulting from that, the role of mechanoreceptors in the ACL recently has attracted considerable attention. Proper reconstruction of the ruptured ACL does not always have good results. Success after operation may depend not only on the mechanical stability but also on the quality of recovery of proprioception. It is well known that most ACL are ruptured in proximal half and most mechanoreceptors have been reported to be located in the subsynovial layer and near the tibial insertion of the ACL. Expected roles of tibial remnant is to enhance the revascularization and cellular proliferation of the graft, to preserve proprioceptive function, and to be able to acquire anatomical placement of the graft without roof impingement. The remnant of the ruptured ACL has been removed to clearly visualize the ACL footprint or decrease the risk of impingement and Cyclops lesion in most current techniques for ACL reconstruction. Therefore it seems reasonable to assume that preserving the tibial remnant as much as possible as a source of reinnervation, if technically possible without causing impingement, would be of potential benefit to the patient. In addition, it will facilitate the vascular ingrowth and ligamentization of the grafted ACL.

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Unbiased spectroscopic study of the Cygnus Loop with LAMOST

  • Seok, Ji Yeon;Koo, Bon-Chul;Zhao, Gang
    • 천문학회보
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    • 제43권1호
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    • pp.44.1-44.1
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    • 2018
  • We present a spectroscopic study of the Galactic supernova remnant (SNR) Cygnus Loop using the fifth Data Release (DR5) of LAMOST. The LAMOST (Large Sky Area Multi-Object Fiber Spectroscopic Telescope) features both a large field-of-view (about 20 deg2) and a large aperture (~4 m in diameter), which allow us to obtain 4000 spectra simultaneously. Its wavelength coverage ranges from ${\sim}3700{\AA}$ to $9000{\AA}$ with a spectral resolution of $R{\approx}1800$. The Cygnus Loop is a prototype of middle-aged SNRs, which has advantages of being bright, large in angular size (${\sim}3.8^{\circ}{\times}3^{\circ}$), and relatively unobscured by dust. Along the line of sight of the Cygnus Loop, 2747 LAMOST DR5 spectra are found in total, which are spatially distributed over the entire remnant. Among them, 778 spectra are selected based on the presence of emission lines (i.e., [O III]${\lambda}5007$, Ha, and [S II]${\lambda}{\lambda}$ 6717, 6731) for further visual inspection. About half of them (336 spectra) show clear spectral features to confirm their association with the remnant, 370 spectra show stellar features only, and 72 spectra are ambiguous and need further investigation. For those associated with the remnant, we identify emission lines and measure their intensities. Spectral properties considerably vary within the remnant, and we compare them with theoretical models to derive physical properties of the SNR such as electron density and temperature, and shock velocity. While some line ratios are in good agreement with model prediction, others cannot be explained by simple shock models with a range of shock velocities. We discuss these discrepancies between model predictions and the observations and finally highlight the powerfulness of the LAMOST data to investigate spatial variations of physical properties of the Cygnus Loop.

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