• Title/Summary/Keyword: Radiological findings

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Distinction between Intradural and Extradural Aneurysms Involving the Paraclinoid Internal Carotid Artery with T2-Weighted Three-Dimensional Fast Spin-Echo Magnetic Resonance Imaging

  • Lee, Nam;Jung, Jin-Young;Huh, Seung-Kon;Kim, Dong-Joon;Kim, Dong-Ik;Kim, Jin-Na
    • Journal of Korean Neurosurgical Society
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    • v.47 no.6
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    • pp.437-441
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    • 2010
  • Objective : The precise intra- vs. extradural localization of aneurysms involving the paraclinoid internal carotid artery is critical for the evaluation of patients being considered for aneurysm surgery. The purpose of this study was to investigate the clinical usefulness of T2-weighted threedimensional (3-D) fast spin-echo (FSE) magnetic resonance (MR) imaging in the evaluation of unruptured paraclinoid aneurysms. Methods : Twenty-eight patients with unruptured cerebral aneurysms in their paraclinoid regions were prospectively evaluated using a T2- weighted 3-D FSE MR imaging technique with oblique coronal sections. The MR images were assessed for the location of the cerebral aneurysm in relation to the dural ring and other surrounding anatomic compartments, and were also compared with the surgical or angiographic findings. Results : All 28 aneurysms were identified by T2-weighted 3D FSE MR imaging, which showed the precise anatomic relationships in regards to the subarachnoid space and the surrounding anatomic structures. Consequently, 13 aneurysms were determined to be intradural and the other 15 were deemed extradural as they were confined to the cavernous sinus. Of the 13 aneurysms with intradural locations, three superior hypophyseal artery aneurysms were found to be situated intradurally upon operation. Conclusion : High-resolution T2-weighted 3-D FSE MR imaging is capable of confirming whether a cerebral aneurysm at the paraclinoid region is intradural or extradural, because of the MR imaging's high spatial resolution. The images may help in identifying patients with intradural aneurysms who require treatment, and they also can provide valuable information in the treatment plan for paraclinoid aneurysms.

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 $CCl_4$.

Study for Effective Factors of Emotional Labor in Radiation Therapist of Radiation Oncology Department (방사선종양학과에 종사하는 치료방사선사의 감정노동에 미치는 요인에 관한 연구)

  • Shim, Jae-Goo;Seo, Jeong-Min;Park, Byoung-Suk;Joo, Sung-Hoon;Song, Ki-Won;Kim, Chan-Hyeong;Rhim, Jae-Dong;Kim, Yong Kyoon;Yang, Oh Nam
    • Journal of the Korea Safety Management & Science
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    • v.15 no.2
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    • pp.121-128
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    • 2013
  • The objectives of this study were to investigate the degrees of emotional labor, the effects to organizational effectiveness and the significant factors influencing organizational effectiveness in radiation therapy professional. The subjects of this study were the radiation therapists working at the hospital in Seoul and Gyungi. The self-reported questionnaires were administered to 205 radiation therapists and the data were analyzed with SPSS 19.0 package. The level of emotional labor of single or female subjects were revealed higher than married or male. The professionalism of job has significant correlation with emotional labor. Significant explanatory variables of the degrees of emotional labor included organization culture, distress and self-leadership. These three variables demonstrated the explanatory power of 13.9% of the emotional labor. Based on the findings, emotional labor of radiation therapist was correlated with occupational professionalism. These results suggest that the intervention program intervening emotional labor should be continued to develop in order to improve the effective self-leadership, organization culture and distress factor.

New Bone Formation in Experimental Model of Vascularized Periosteal Flap for the Bone Defect in the Shaft of the Radius of Rabbit - Radiological, Histological and Immunohistochemical Study - (가토 요골 간부 골 결손시에 혈관 부착 골막 보존 유무에 따른 신생골 형성에 대한 실험적 연구)

  • Chung, Duke-Whan;Yum, Jae-Kwang;Tae, Suk-Kee;Ko, Kwang-Won
    • Archives of Reconstructive Microsurgery
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    • v.8 no.2
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    • pp.97-107
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    • 1999
  • The osteogenic capacity of the vascularized periosteum autograft has been extensively demonstrated by experimental works. The objective of this study was to characterize the behavior of experimental model of vascularized periosteal flap(VPF) by observing sequential stages of osteogenesis after simulated VPF in rabbits. In experimental group, segmental resection of bone including the periosteum was performed in 22 radii of 22 New Zealand white rabbits preserving the periosteal circulation of median artery to the periosteum. In order to simulate the transplantation of VPF, the vascular pedicle consisting of median artery and veins was dissected from adjacent soft tissue and the periosteum was longitudinally incised to remove the bone followed by repair of the periosteum. From the first to sixteenth week after the simulated VPF, the changes in VPFs were observed by radiological, light microscopical, scanning electron microscopical methods and the activity of osteocalcin was measured by immunohistochemical method. In control group, the bone tissue and periosteum were completely removed from the mid-shaft of radius and the findings were observed by radiological and light microscopical methods. From the results of this study, it is demonstrated that the experimental model of VPF is vigorously and uniformly osteogenic. Therefore it is thought that VPF can be used as a measure to treat bone defect of shaft of long bone.

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Analysis of Healthcare Employment into United Arab Emirates : Focused on Korean and Overseas Sonographers (국내·외 초음파사의 아랍에미리트 취업 과정에 대한 고찰)

  • Youm, Jin-Young;Kim, Jung-Soo
    • Journal of radiological science and technology
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    • v.43 no.4
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    • pp.281-288
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    • 2020
  • This study was intented as an investigation of the employment process into UAE for Korean and overseas sonographers to understand requirements for working abroad in regards to primary education curriculum and employment expansion abroad. A total of 10 candidates are selected who were working together with a job title of a cardiac sonographer in the same department under one hospital in Abu Dhabi, UAE. The candidates had clinical experience over 2 years in other countries after graduation and for 1 year at least in UAE. Data was collected through in-depth interviews, a web search and literature reviews. We analyzed the process regarding their curriculums studying in colleges, educational courses and certificates related medical fields. The findings were created with four essential themes: first, there are specific colleges or diploma courses corresponding academic major in United states, Portugal, Turkey, India and Pakistan. Secondly, healthcare professions were systemized by certifying as a specialist relevant medical fields. Thirdly, it is mandatory to be employed in UAE that are clinical experience for 2 years at least after graduation of specific courses. Lastly, It is required to work in UAE that is a license of healthcare authority under each state by taking a national examination or transferring own certificates to a current license in UAE. In conclusion, the results indicate that employing process for healthcare professionals depends on the educational requirements or clinical experience accumulated due to the various systems to be certified in each country. We believe that this study suggests experimental information for Korean job seekers considering working abroad in the medical ultrasound fields.

MRI findings on lacunar infarction with no clinical symptoms (임상적 증상이 없는 열공성 뇌경색의 MRI 소견)

  • Kim, Ham-Gyum
    • Journal of radiological science and technology
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    • v.26 no.4
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    • pp.33-38
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    • 2003
  • The purpose of this study was to examine how lacunar infarction developed and what its characteristics were. As this disease had little noticeable clinical symptoms and is likely to draw less attention than other types of cerebrovascular diseases like panhemispheric infarction, it‘s difficult to make an early diagnosis of it or treat it successfully. The subjects in this study were 196 people who showed no clinical symptoms and took a MRI test. When the MRI test data were analyzed, signal intensity and the part where that disease was detected were primarily taken into account. As a result, it's found that 116 people had no lacunar infarction and 80 people suffered from that disease, including 13 with very mild lacunar infarction, 41 with mild lacunar infarction and 26 with lacunar infarction. However, very mild and mild lacunar infarction could not be viewed as clinically significant cases, and only 26 people, which accounted for 13 percent of the subjects, should be considered to be diagnosed with lacuanr infarction. The most common part where that disease was found was white matter and basal ganglia, regardless of gender. Accordingly, those who are exposed to health hazards such as hypertension or diabetes should take a MRI test to prevent cerebrovascular diseases that might be caused by those illnesses.

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Idiopathic bone cavity: clinical and radiological features of 90 retrospective cases and surgical treatment

  • Ryu, Jihye;Nam, Inhye;Shin, Sang-Hun;Kim, Yong-Deok;Lee, Jae-Yeol
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.47 no.5
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    • pp.360-364
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    • 2021
  • Objectives: The purpose of this study was to evaluate the clinical and radiographic characteristics of idiopathic bone cavity (IBC) to determine the effect of surgical intervention on the process of healing. Materials and Methods: All cases diagnosed with IBC during the period of 2011 to 2020 at our Department of Oral and Maxillofacial Surgery were searched. Ninety cases were retrieved. The features evaluated were sex, age, contour of the lesion, number of teeth involved, site, history of trauma, and postoperative healing pattern. The significance of differences was assessed by Mann-Whitney U test and chi-square test. Results: The female:male ratio showed no predilection toward either sex (0.9:0.8). The mean age of the collected sample was 22.05±14.38 years, and the age ranged from 10 to 58 years. All cases presented in the mandible and showed well-circumscribed radiolucency. Margins were either scalloped or round in shape, and the size varied from one tooth to six teeth involvement. Seventy cases involved three or fewer roots. Three cases showed bilateral lesion. Four cases had a history of trauma at the area of the lesion. Fifty-one cases were followed for six months after surgery, and all showed increased bone density at the lesion. Conclusion: There is no definitive radiological or clinical feature of IBC. Considering the diversity of clinical and radiological features, such a diagnosis relies primarily on surgical findings of an empty bone cavity with no epithelial lining. Our data suggest that surgical intervention be the first choice of treatment as opposed to observation.

Clinical and radiological characteristics of odontomas: A retrospective study of 90 cases

  • Dung Kim Nguyen;Duong Van Huynh
    • Imaging Science in Dentistry
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    • v.53 no.2
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    • pp.117-126
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    • 2023
  • Purpose: Odontomas represent a common clinical entity among odontogenic tumors, but are not well-addressed in the Vietnamese population. The present study aimed to determine the clinical and preclinical characteristics of odontomas and associated factors in the Vietnamese population. Materials and Methods: This retrospective study retrieved data from histopathological diagnoses from 2 central hospitals of Odonto-Stomatology in Ho Chi Minh City, Vietnam during 2004-2017. The odontomas were classified as complex (CxOD) or compound (CpOD) subtypes. The epidemiological, clinical, and radiological characteristics of the odontomas, stratified by subtype and sex, were obtained and analyzed. Results: Ninety cases, consisting of 46 CxODs and 44 CpODs, were included. The average age of patients was 32.4 (±20.2) years. The patients with CxOD were older than those with CpOD (P<0.05). Clinically, 67% of patients showed an intraoral bone expansion. Approximately 60% of patients with CxOD exhibited a painful symptom, about 3-fold more than those with CpOD (P<0.05), whereas almost all patients with CpOD exhibited perturbations of dentition, unlike those with CxOD (P<0.05). Radiologically, CxOD was characterized by a larger dimension than CpOD in both sexes (P<0.05), and CpOD induced complications in adjacent teeth more often than CxOD (P<0.05). The development of odontoma with advancing age differed significantly in odontoma subtypes related to their pathological origins, and between the sexes, resulting from different physiological states. Conclusion: The findings of this study highlight the value of clinical and radiological features of odontomas and their associated factors for the early diagnosis and adequate treatment of younger patients.

Imaging of Acute Pulmonary and Airway Diseases in Children (소아의 급성 폐 및 기도질환의 영상)

  • Mi-Jung Lee;Hyun Joo Shin;Haesung Yoon
    • Journal of the Korean Society of Radiology
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    • v.81 no.4
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    • pp.756-769
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    • 2020
  • Among the various emergency diseases in children, acute pulmonary and airway disease are common clinical conditions encountered by radiologists, and the first imaging modality is chest radiography. Therefore, it is important to be familiar with these diseases and their imaging findings. In this article, we review pneumonia and mimickers of acute pulmonary disease. For acute airway disease, we reviewed croup, acute epiglottitis, tracheomalacia, asthma, postinfectious bronchiolitis obliterans, and foreign body aspiration. We hope this review of special diseases can help the diagnosis and treatment in children.

Total Hip Arthroplasty with Cemented Dual Mobility Cup into a Fully Porous Multihole Cup with Variable Angle Locking Screws for Acetabular Fractures in the Frail Elderly

  • Mathias van den Broek;Kris Govaers
    • Hip & pelvis
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    • v.35 no.1
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    • pp.54-61
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    • 2023
  • Purpose: The purpose was to examine the clinical and radiological outcomes after surgical treatment of acetabular fractures with total hip arthroplasty with a dual mobility cup cemented into a porous multihole cup in the population of frail elderly patients. Materials and Methods: A retrospective review of 16 patients who underwent surgery (mean age, 76.7 years) with a mean follow-up period of 36.9 months was conducted. Following surgery, patients underwent postoperative follow-up at six weeks, three, six, and 12 months and clinical and radiological examinations were performed. Results: Classification of fractures was based on the Letournel classification. Following surgery, all patients were allowed weight-bearing as tolerated immediately postoperative. Fourteen patients showed maintenance of preoperative mobility status at one year. The mean Harris hip score was 64.8 (range, 34.7-82.8) and 80.0 (range, 60.8-93.8) at three months and one year, respectively. The mortality rate was 12.5% at one year (2/16). Complications included heterotopic ossification (2/16), deep venous thrombosis (1/16), heamatoma (1/16), and femoral revision due to a Vancouver B2 fracture (1/16). No case of deep infection, dislocation, or implant loosening was reported. Conclusion: Total hip arthroplasty using a dual mobility cup cemented into a porous multihole cup with locking screws resulted in a stable construct with a capacity for immediate weight-bearing as tolerated with rapid relief of pain. The findings of this study suggest that this procedure can be regarded as a safe method that has shown promising clinical and radiological outcomes for treatment of patients with medical frailty.