• 대한핵의학회지
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• 제27권2호
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• pp.233-238
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• 1993

Esophageal motility was evaluated from the analysis of 10 consecutive swallows using liquid bolus containing 0.5 mCi of $^{99m}Tc$ tin colloid. We have reviewed our experience of esophageal transit study in the 20 normal volunteers and 55 patients with dysphagia that was not related to mechanical obstruction. The purpose of this study is to measure the esophageal transit in normal subjects and in patients with various esophageal motility disorders. The overall sensitivity and specificity of radionuclide esophageal transit study in detecting esophageal motor abnormality were compared with manometric results as a gold standard, which were 80% and 100% respectively. Radionuclide transit study is a safe, rapid, noninvasive test and suitable as a screening test for esophageal motor disorders.

• 대한핵의학회지
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• 제15권2호
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• pp.19-25
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• 1981

Radionuclide venographies were performed in 138 limbs of 58 patients and X-ray contrast venographies were performed in 23 paitents of them. Positive radionuclide venography findings were area of decreased sponding to the region of thrombosis, abnormal collateral flows below the lesion. The success rate of radionulide venography was 89% and the overall concordance between radionuclide venography and X-ray contrast venography was 91%. Radionuclide venography is simple and easy to perform and less invasive than X-ray contrast venography. These results indicate that radionuclide venography is the most ideal screening test for the detection of venous thrombosis in patient with signs & symptoms of deep vein thrombosis.

• 방사선산업학회지
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• 제17권1호
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• pp.45-59
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• 2023

The transport calculation for a wide variety of radionuclides contained in high-level radioactive waste, especially spent nuclear fuel, is computationally difficult, and input data collection for this also take a considerable amount of time. Accordingly, considering limited resources, it is possible to reduce the calculation time while minimizing impact on accuracy by including only radionuclides important to calculation result through applying some criteria among potential radiation source terms that may release into environment. In this paper, therefore, we reviewed and analyzed the screening process performed to select radionuclides to be considered in the safety assessment for the KBS-3 type repository in Sweden and Finland. In both countries, it was confirmed that a list of radionuclides was selected by comprehensively considering screening criteria such as radioactivity inventory, half-life, radiotoxicity, risk quotient, and transport properties, and etc. A comparison of radionuclides included in the radiological safety assessment in both countries suggests that most of nuclides are considered in common, and a few nuclides considered only in one country are due to differences in decay chain treatment or spent fuel types. As of now, since most of information on the disposal facility in Korea has not been determined, it is necessary to comprehensively model release and transport of all radionuclides considered in Sweden and Finland when performing the radiological safety assessment. Based on these results, we derived the screening concept of selecting a list of radionuclides to be considered in the radiological safety assessment for the domestic KBS-3 type geological disposal facility, and this result is expected to be used as technical basis for confirming conformity with the safety objective. In a more detailed evaluation reflecting domestic characteristics in the future, it would be desirable to consider only radionuclides selected in accordance with the screening procedure. However, further research should be conducted to determine the quantitative limit for each criteria.

• Nuclear Engineering and Technology
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• 제33권5호
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• pp.539-546
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• 2001

Systematic procedure of developing radionuclide release scenarios was established based on FEP list and Interaction Matrix for near-surface LILW repository. FEPs were screened by experts＇review in terms of domestic situation and combined into scenarios on the basis of Interaction Matrix analysis. Under the assumption of design scenario, The system domain was divided into three sections: Near-field, Far-field and Biosphere. Sub-scenarios for each section were developed, and then scenarios for entire system were built up with sub-scenarios of each section. Finally, sixteen design scenarios for near-surface repository were evaluated A reference scenario and other noteworthy scenarios were selected through experts＇scenario screening.

• Korean Journal of Radiology
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• 제1권1호
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• pp.51-55
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• 2000

Objective: To determine the accuracy of CT and positron emission tomography (PET) in the diagnosis of recurrent uterine cervical cancer. Materials and Methods: Imaging findings of CT and PET in 36 patients (mean age, 53 years) in whom recurrent uterine cervical cancer was suspected were analyzed retrospectively. Between October 1997 and May 1998, they had undergone surgery and/or radiation therapy. Tumor recurrence was confirmed by pathologic examination or follow-up studies. Results: In detecting recurrent uterine cervical cancer, the sensitivity, specificity, and accuracy of CT were 77.8%, 83.3%, and 80.5%, respectively, while for PET, the corresponding figures were 100%, 94.4%, and 97.2%. The Chi-square test revealed no significant difference in specificity (p = .2888), but significant differences in sensitivity (p = .0339) and accuracy (p = .0244). Conclusion: PET proved to be a reliable screening method for detecting recurrent uterine cervical cancer, but to determine the anatomical localization of recurrent tumors, and thus decide an adequate treatment plan, CT was eventually needed.

• Journal of Oral Medicine and Pain
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• 제44권4호
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• pp.179-182
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• 2019

Sjögren syndrome (SS) is a chronic autoimmune disease characterized by dryness of the mouth and eyes due to lymphocytic infiltration of the exocrine glands. In American European Consensus Group (AECG) criteria, abnormal salivary gland scintigraphy (SGS) result is one of the objective signs of SS and it has been proposed as a valid and non-invasive alternative approach to functional evaluation of salivary gland, especially in the case when unstimulated whole salivary flow is more than 1.5 mL in 15 minutes or other AECG criteria is unmet. Patients with SS are more likely to have the thyroid disease (TD), but this association remains controversial. We present a case of the use of SGS for diagnosis of primary SS and TD in patients with dry mouth and burning sensation of tongue. Through this case, we suggest the usefulness of salivary scintigraphy for screening TD in addition to diagnosis of SS.

• Nuclear Engineering and Technology
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• 제53권1호
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• pp.234-243
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• 2021

In the research or project planning for the decommissioning of a nuclear power plant, one of several preparations will be the establishment of a list of potential radionuclides to be considered at the time of characterization or final status surveys. Reliable data for selection of potential radionuclides during the transition period to prepare for decommissioning will depend heavily on historical data at the site or, where possible, sampling analysis. However, during the transition period, direct sampling can be challenging, depending on the circumstances of the site or national regulation. A methodology of selecting potential radionuclides for nuclear facility sites which largely consists of three major processes: production of initial list of radionuclides, selection of the insignificant radionuclide that will be eliminated, and consideration of site characterization or sampling. For developing a preliminary list of potential radionuclides for Kori Unit 1 decommissioning, the list of initial radionuclides was made referring to the technical documents applied at decommissioned NPPs in the U.S and additional reference materials applied until the operation of NPPs in Korea. For the screening of insignificant radionuclides, we applied criterion of less than 0.1% of the amount of radioactivity inventory and confirmed the dose fraction using the RESRAD code. The final suit of radionuclides was established, which should be supplemented by reflecting site characterization and sampling process in the future. Thus, the methodology and results for the selection of potential radionuclides suggested in this paper can give an insight as a future reference to deriving DCGLs in relation to site remediation of decommissioning nuclear plants.

• 대한두경부종양학회지
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• 제26권1호
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• pp.9-13
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• 2010

Background and Objectives : Parathyroid adenoma is a rare disease in Korea, but the incidence of parathyroid adenoma has gradually increased due to generalized measurement of serum calcium and imaging study according to wide spread public health screening program. In previous researches, the analysis of clinical aspects were insufficient due to a few cases. The purpose of this study was to assess the clinical analysis of surgically treated parathyroid adenoma with hyperparathyroidism. Methods : We reviewed the medical records of nineteen cases of parathyroid adenoma with hyperparathyroidism. Initial symptom to visit hospital, hypercalcemia associated medical symptom, surgical outcome and complication were investigated. Serum total calcium, parathyroid hormone, phosphate, alkaline phosphatase were checked before and after surgery. Imaging study was performed with combination of radionuclide parathyroid scan, ultrasonography and neck CT scan. Results : The initial symptoms were no symptom(6/19), pelvic pain(5/19), muscular weakness (3/19), bone pain(3/19) and palpable neck mass(2/19) in order of frequency. Serum total calcium, parathyroid hormone decreased and phosphate increased after surgery than before surgery statistically significantly. Sensitivities of parathyroid scan, neck ultrasonography and neck CT as preoperative localization test were 88.2%, 72.7%, 73.3% each. The most common postoperative complication was transient hypocalcemia(9/19). Conclusion : Similar to previous study, parathyroid adenomas have numerous clinical features and surgical treatment via unilateral approach with preoperatively localized single parathyroid adenoma was successful. In our study, parathyroid adenoma was predominantly detected by elevated serum calcium level with no clinical symptom so we need to evaluate parathyroid adenoma, if serum calcium elevated.

• Asian Pacific Journal of Cancer Prevention
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• 제16권1호
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• pp.387-391
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• 2015

Background: Fluorine-18 deoxyglucose positron emission tomography computed tomography (18F-FDG-PET/CT) and bone scintigraphy (BS) are widely used for the detection of bone involvement. The optimal imaging modality for the detection of bone metastases in hormone receptor positive (+) and negative (-) groups of breast cancer remains ambiguous. Materials and Methods: Sixty-two patients with breast cancer, who had undergone both 18F-FDG-PET/CT and BS, being eventually diagnosed as having bone metastases, were enrolled in this study. Results: 18F-FDG-PET/CT had higher sensitivity and specificity than BS. Our data showed that 18F-FDGPET/CT had a sensitivity of 93.4% and a specificity of 99.4%, whiel for BS they were 84.5%, and 89.6% in the diagnosis of bone metastases. ${\kappa}$ statistics were calculated for 18F-FDGPET/CT and BS. The ${\kappa}$-value was 0.65 between 18F-FDG-PET/CT and BS in all patients. On the other hand, the ${\kappa}$-values were 0.70 in the hormone receptor (+) group, and 0.51 in hormone receptor (-) group. The ${\kappa}$-values suggested excellent agreement between all patient and hormone receptor (+) groups, while the ${\kappa}$-values suggested good agreement in the hormone receptor (-) group. Conclusions: The sensitivity and specificity for 18F-FDG-PET/CT were higher than BS in the screening of metastatic bone lesions in all patients. Similarly 18F-FDG-PET/CT had higher sensitivity and specificity in hormone receptor (+) and (-) groups.

• 대한핵의학회지
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• 제28권3호
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• pp.384-390
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• 1994

악성 종양의 척추 전이를 진단하는 데 bone scan과 MRI의 소견을 비교하여 보았다. 20명의 악성 종양환자를 대상으로 하였으며 환자의 평균 연령은 60.1 세였고 두 검사의 시행 간격은 평균 16.6일 이었다. 원발암은 폐암이 8명으로 가장 많았고 대장암, 위암, 유방암이 각각 2명, 전립선암, 갑상선암, 악성 임파종이 각각 1명이었으며 3명은 원발 장소를 모르는 전이성 선암 환자였다. 방법으로 척추를 7개의 구역 즉 경추(Cl-C7), 상부 흉추(D1-D4), 중부 흉추(D5-D8), 하부 흉추(D9-D12), 상부 요추(L1, 2), 하부 요추(L3-5) 및 천골로 나누어 총 105개 구역을 서로 비교하였다. 총 105개 구역 중 46개 구역에서 bone scan이나 MRI에서 양성으로 나왔는데 bone scan에서는 30개 구역(65.2%), MRI에서는 44개 구역(95.7%)에서 양성으로 나와 MRI 민감도가 bone scan 보다 높았다. 비교한 105개 구역 중 87개 구역(82.9%)에서 서로 일치하는 결과를 보인 반면 18개 구역(17.1%)에서 두 검사 결과가 서로 일치하지 않았는데 2개 구역에서는 bone scan에서 양성이나 MRI 검사에는 정상인 경우이고 16개 구역에서는 MRI 검사 결과 양성치나 bone scan에서 음성인 경우였다. 일치하지 않는 구역은 경추 구역이 가장 많았으며 진단별로 보면 위암의 경우에 가장 많았다. 한편 bone scan에서 12명의 환자에서 척추 이외의 다른 골격계에 전이 소견을 보였으며 2명의 환자 3개 구역이 양성으로 나왔으나 이 부위가 MRI 검사에 포함되지 않아 비교에서 제외되었다. 악성 종양의 척추전이를 진단하는데 MRI가 bone scan보다 민감하였지만 bone scan은 전골격계에 대하여 손쉽게 전이 여부를 평가할 수 있으므로 일차적 선별 검사로 매우 유용하다. 그리고 bone scan의 결과와 임상 소견이 일치하지 않을 때 MRI를 선택적으로 시행하면 진단의 정확성을 더욱 높일 수 있다.