• Title/Summary/Keyword: Radiological Damage

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C-arm Guided Closed Reduction of Zygomatic Arch Fracture (C-arm 투시하에서 관골궁 골절의 비관혈적 정복술에 관한 고찰)

  • Eo, Yoon-Ki;Lee, Dong-Kun;Kim, Jeong-Sam;Jang, Young-Il
    • Journal of radiological science and technology
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    • v.22 no.2
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    • pp.23-26
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    • 1999
  • The Zygomatic arch is structurally protruded and is easily fractured. The classic management of zygomatic arch fracture has been mentioned the Keen, Lothrop, Dingman and Ailing and threaded K-wire. All of the above methods have advantages and disadvantages. To minimize the disadvantages, we performed threaded K-wire for the first time using C-arm image intensifier. The subjects were 16 patients with Knight North group II (Zygomatic arch fracture). Among them the C-arm was used in 12 patients and the operator used sensitivity general method in 4 patients and confirmed the operation by mobile X-ray equipment. In conclusion, both groups were satisfied surgically and cosmetically. Using the C-arm, actual image at the time operation was clear and satisfied, the surrounding tissue damage was minimized and at was more accurately completed. The operation time was shortened by 30 to 60 minutes proving it to be an efficient method. We suggest though that further studies be needed to evaluate the radiation effect on these patients.

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Exploiting tumor cell senescence in anticancer therapy

  • Lee, Minyoung;Lee, Jae-Seon
    • BMB Reports
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    • v.47 no.2
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    • pp.51-59
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    • 2014
  • Cellular senescence is a physiological process of irreversible cell-cycle arrest that contributes to various physiological and pathological processes of aging. Whereas replicative senescence is associated with telomere attrition after repeated cell division, stress-induced premature senescence occurs in response to aberrant oncogenic signaling, oxidative stress, and DNA damage which is independent of telomere dysfunction. Recent evidence indicates that cellular senescence provides a barrier to tumorigenesis and is a determinant of the outcome of cancer treatment. However, the senescence-associated secretory phenotype, which contributes to multiple facets of senescent cancer cells, may influence both cancer-inhibitory and cancer-promoting mechanisms of neighboring cells. Conventional treatments, such as chemo- and radiotherapies, preferentially induce premature senescence instead of apoptosis in the appropriate cellular context. In addition, treatment-induced premature senescence could compensate for resistance to apoptosis via alternative signaling pathways. Therefore, we believe that an intensive effort to understand cancer cell senescence could facilitate the development of novel therapeutic strategies for improving the efficacy of anticancer therapies. This review summarizes the current understanding of molecular mechanisms, functions, and clinical applications of cellular senescence for anticancer therapy.

Radiological Evaluation of CT Contrast Medium Extravasation (CT 조영제 혈관외유출의 방사선학적 고찰)

  • Kweon, Dae-Cheol;Park, Chang-Hee;Jeong, Jae-Ho;Kang, Hui-Doo;Song, Woon-Heung
    • Korean Journal of Digital Imaging in Medicine
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    • v.10 no.2
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    • pp.39-49
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    • 2008
  • Extravasation of contrast material is a not infrequent complication of enhanced imaging studies and large volume extravasation may result in severe damage. Subcutaneous extravasation of the radiographic contrast medium is one of the complications of the contrast medium-enhanced procedures. Automated power injectors enable the contrast material to be delivered at a uniform high-flow-rate and as a nonfragmented bolus, and this is essential for many contrast material enhanced CT(computed tomography) applications. The major risk associated with the use of automated power injectors is the well known complication of contrast material extravasation at the injection site. Automated injection of CT contrast material can produce the compartment syndrome. Selection of the nonionic contrast material after careful evaluation of the intravenous administration site and monitoring of the patient during the use of a mechanical power injector may help minimize or prevent extravasation injuries. Early identification is important and conservative management is effective in most cases. Prevention of these injuries with the education of radiological technologist remains the ultimate aim.

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Understanding the Pathophysiology and Magnetic Resonance Imaging of Multiple Sclerosis and Neuromyelitis Optica Spectrum Disorders

  • Laura Cacciaguerra;Maria A. Rocca;Massimo Filippi
    • Korean Journal of Radiology
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    • v.24 no.12
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    • pp.1260-1283
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    • 2023
  • Magnetic resonance imaging (MRI) has been extensively applied in the study of multiple sclerosis (MS), substantially contributing to diagnosis, differential diagnosis, and disease monitoring. MRI studies have significantly contributed to the understanding of MS through the characterization of typical radiological features and their clinical or prognostic implications using conventional MRI pulse sequences and further with the application of advanced imaging techniques sensitive to microstructural damage. Interpretation of results has often been validated by MRI-pathology studies. However, the application of MRI techniques in the study of neuromyelitis optica spectrum disorders (NMOSD) remains an emerging field, and MRI studies have focused on radiological correlates of NMOSD and its pathophysiology to aid in diagnosis, improve monitoring, and identify relevant prognostic factors. In this review, we discuss the main contributions of MRI to the understanding of MS and NMOSD, focusing on the most novel discoveries to clarify differences in the pathophysiology of focal inflammation initiation and perpetuation, involvement of normal-appearing tissue, potential entry routes of pathogenic elements into the CNS, and existence of primary or secondary mechanisms of neurodegeneration.

The Evaluation of Space Dose Distribution for Digital Mammography Equipment (디지털 유방촬영장비에 관한 공간선량율 평가)

  • Jung, Hongmoon;Jung, Jaeeun;Hyun, Hyejin;Won, Doyeon
    • Journal of the Korean Society of Radiology
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    • v.9 no.1
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    • pp.61-65
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    • 2015
  • Mammography equipment is an essential detector for making an early diagnosis of female's breast lesion. Recently, in most hospitals, a digital mammography detector is used due to the wide and consistent supply of digital mammography equipment. However, the average effective radiation is increasing due to the indiscreet use of CR or DR mammography. The purpose of this study is to recognize the possible indirect radiation damage, which can be occurred due to an excessive effective exposure of radiation, by evaluating spacial radiation rate of the digital mammography detector used for female patient. Consequently, the high mount of spacial radiation showed digital mammography equipment on the horizontal direction. Considering the result, digital mammography equipment should be installed by avoiding along the horizontal direction.

Effects of White Radish (Raphanus sativus) Enzyme Extract on Hepatotoxicity

  • Lee, Sang-Wha;Yang, Kwang-Mo;Kim, Jung-Ki;Nam, Byung-Hyouk;Lee, Chang-Min;Jeong, Min-Ho;Seo, Su-Yeong;Kim, Gi-Yong;Jo, Wol-Soon
    • Toxicological Research
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    • v.28 no.3
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    • pp.165-172
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    • 2012
  • Raphanus sativus (Cruciferaceae), commonly known as radish is widely available throughout the world. From antiquity it has been used in folk medicine as a natural drug against many toxicants. The present study was designed to evaluate the hepatoprotective activity of radish (Raphanus sativus) enzyme extract (REE) in vitro and in vivo test. The $IC_{50}$ values of REE in human liver derived HepG2 cells was over 5,000 ${\mu}g/ml$ in tested maximum concentration. The effect of REE to protect tacrine-induced cytotoxicity in HepG2 cells was evaluated by MTT assay. REE showed their hepatoprotective activities on tacrine-induced cytotoxicity and the $EC_{50}$ value was 1,250 ${\mu}g/ml$. Silymarin, an antihepatotoxic agent used as a positive control exhibited 59.7% hepatoprotective activity at 100 ${\mu}g/ml$. Moreover, we tested the effect of REE on carbon tetrachloride ($CCl_4$)-induced liver toxicity in rats. REE at dose of 50 and 100 mg/kg and silymarin at dose of 50 mg/kg were orally administered to $CCl_4$-treated rats. The results showed that REE and silymarin significantly reduced the elevated levels of serum enzyme markers induced by $CCl_4$. The biochemical data were supported by evaluation with liver histopathology. These findings suggest that REE, can significantly diminish hepatic damage by toxic agent such as tacrine or $CCl_4$.

Clinical Outcomes of Diffuse Axonal Injury According to Radiological Grade

  • Lee, Hak-Jae;Sun, Hyun-Woo;Lee, Jae-Seok;Choi, Nak-Joon;Jung, Yoon-Joong;Hong, Suk-Kyung
    • Journal of Trauma and Injury
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    • v.31 no.2
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    • pp.51-57
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    • 2018
  • Purpose: Patients with diffuse axonal injury experience various disabilities and have a high cost of treatment. Recent researches have revealed the underlying mechanism and pathogenesis of diffuse axonal injury. This study aimed to investigate the correlation between the radiological grading of diffuse axonal injury and the clinical outcomes of patients. Methods: From January 2011 to December 2016, among 294 patients with traumatic brain injury, 44 patients underwent magnetic resonance imaging (MRI). A total of 18 patients were enrolled in this study except for other cerebral injuries, such as cerebral hemorrhage or hypoxic brain damage. Demographic data, clinical data, and radiological findings were retrospectively reviewed. The grading of diffuse axonal injury was analyzed based on patient's MRI findings. Results: For the most severe diffuse axonal injury patients, prolonged intensive care unit (ICU) stay (p=0.035), hospital stay (p=0.012), and prolonged mechanical ventilation (p=0.030) were observed. However, there was no significant difference in healthcare-associated infection rates between MRI grading (p=0.123). Massive transfusion, initial hemoglobin and lactate levels, and MRI gradings were found to be highly significant in predicting the duration of unconsciousness. Conclusions: This study showed that patients with high grade diffuse axonal injury have prolonged ICU stays and significantly longer hospital stays. Deteriorated mental patients with high energy injuries should be evaluated to identify diffuse axonal injuries by using an appropriate imaging tool, such as MRI. It will be important to predict the duration of consciousness recovery using MRI scans.

Analysis of Scattering Rays and Shielding Efficiency through Lead Shielding for 0.511 MeV Gamma Rays Based on Skin Dose (피부선량을 기준으로 0.511 MeV 감마선에 대한 납 차폐체의 산란선 및 차폐 효율 분석)

  • Jang, Dong-Gun;Park, Eun-Tae
    • Journal of radiological science and technology
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    • v.43 no.4
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    • pp.259-264
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    • 2020
  • Radiation causes radiation hazards in the human body. In Korea, a case of radiation necrosis occurred in 2014. In this study, the scatter and shielding efficiency according to lead shielding were classified into epidermis and dermis for 0.511 MeV used in nuclear medicine. In this study, experiments were conducted using the slab phantom that represents calibration and the dose of human trunk. Experimental results showed that the shielding rate of 0.25 mmPb was 180% in the epidermis and 96% in the dermis. Shielding at 0.5mmPb showed shielding rates of 158%in the epidermis and 82% in the dermis. As a result of measuring the absorbed dose by subdividing the thickness of the dermis into 0.5 mm intervals, when the shielding was carried out at 0.25 mmPb, the dose appeared to be about 120% at 0.5 mm of the dermis surface, and the dose was decreased at the subsequent depth. Shielding at 0.5 mmPb, the dose appeared to be about 101% at the surface 0.5 mm, and the dose was measured to decrease at the subsequent depth. This result suggests that when lead aprons are actually used, the scattering rays would be sufficiently removed due to the spaces generated by the clothes and air, Therefore, the scattered ray generated from lead will not reach the human body. The ICRU defines the epidermis (0.07), in which the radiation-induced damage of the skin occurs, as the dose equivalent. If the radiation dose of the dermis is considered in addition, it will be helpful for the evaluation of the prognosis for radiation hazard of the skin.

Structural and radiological characterization of irradiated RBMK-1500 reactor graphite

  • Lagzdina, Elena;Lingis, Danielius;Plukis, Arturas;Plukiene, Rita;Germanas, Darius;Garbaras, Andrius;Garankin, Jevgenij;Gudelis, Arunas;Ignatjev, Ilja;Niaura, Gediminas;Krutovcov, Sergej;Remeikis, Vidmantas
    • Nuclear Engineering and Technology
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    • v.54 no.1
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    • pp.234-243
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    • 2022
  • This study aims to characterize the irradiated RBMK-1500 nuclear graphite in terms of both structural and radiological properties. The experimental results of morphological and structural analysis of the irradiated graphite samples by using SEM, Raman spectroscopy as well as the theoretical evaluation of primary displacement damage are presented. Moreover, the experimental and theoretical evaluation of the neutron flux is provided and the presence of several γ emitters in the analyzed graphite samples is assessed. Furthermore, the improved version of rapid analysis method for 14C activity determination is applied and the experimentally obtained results are compared with calculated ones. Results indicate that structural changes are uniform enough in all the analyzed samples. However, the distribution of radionuclides is non-homogeneous in the irradiated RBMK-1500 reactor graphite matrix. The comprehensive understanding of both structural and radiological characteristics of nuclear graphite is very important when dealing with decision about irradiated graphite waste management strategy or treatment options prior to its final disposal.

Clinical Review of the Current Status and Utility of Targeted Alpha Therapy (표적 알파 치료의 현황 및 유용성에 대한 임상적 고찰)

  • Sang-Gyu Choi
    • Journal of radiological science and technology
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    • v.46 no.5
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    • pp.379-394
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    • 2023
  • Targeted Alpha Therapy (TAT) is a new method of cancer treatment that protects normal tissues while selectively killing tumor cells using high cytotoxicity and short range of alpha particles, and target alpha therapy is a highly specific and effective cancer treatment strategy, and its potential has been proven through many clinical and experimental studies. This treatment method accurately delivers alpha particles by selecting specific molecules present in cancer tissue, which has an effective destruction and tumor suppression effect on cancer cells, and one of the main advantages of target alpha treatment is the physical properties of alpha particles. Alpha particles have a very high energy and short effective distance, interacting with target molecules in cancer tissues and having a fatal effect on cancer cells, which is known to cause DNA damage and cell death in cancer cells. TAT has shown positive results in preclinical and clinical studies for various types of cancers, especially those that resist or are unresponsive to existing treatments, but there are several challenges and limitations to overcome for successful clinical transition and application. These include the provision and production of suitable alpha radioisotopes, optimization of target vectors and delivery formulations, understanding and regulation of radiological effects, accurate dosage calculation and toxicity assessment. Future research should focus on developing new or improved isotopes, target vectors, transfer formulations, radiobiological models, combination strategies, imaging techniques, etc. for TAT. In addition, TAT has the potential to improve the quality of life and survival of cancer patients due to the possibility of a new treatment for overcoming cancer, and to this end, prospective research on more carcinomas and more diverse patient groups is needed.