• Title/Summary/Keyword: Sonography

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Diagnostic Value of $^{99m}Tc-DISIDA$ Hepatobiliary Scintigraphy in Patients with Acute or Intermittent Common Bile Duct Obstruction (급성 및 간헐성 총담관폐쇄에서의 $^{99m}Tc-DISIDA$간담도 스캔의 진단적 가치)

  • Moon, Dae-Hyuk;Lee, Myung-Hae;Kim, Myung-Hwan;Lee, Young-Sang;Min, Young-Il
    • The Korean Journal of Nuclear Medicine
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    • v.24 no.2
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    • pp.254-259
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    • 1990
  • We examined patients with suspected acute or intermittent biliary obstruction using hepatobiliary scintigraphy, ultrasonography and contrast cholangiography. Of 16 patients with confirmed common bile duct obstruction, sonography and scintigraphy disagreed in 8(50%). Scintigraphy revealed partial or complete common bile duct obstruction in 13 patients (81.3%) and 6 of them had no evidence of dilated biliary trees. It is concluded that disagreement between sonography and scintigraphy is not rare in patients with acute or intermittent biliary obstruction and hepatobiliary scintigraphy is useful in diagnosing obstruction prior to ductal dilatation.

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Overview of the Sonography of the Knee Joint (슬관절 초음파 개론)

  • Kim, Jung-Man
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.1 no.2
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    • pp.94-111
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    • 2008
  • Traditionally the diagnosis and treatment of the diseases of the knee is based on the findings of the x-rays and the MRI. The x-rays provide good information of the changes of the internal structure of the bone. However, there is a limitation in providing information of the soft tissue and the cartilage. The MRI is one of the most expensive diagnostic modalities and it can not give us a dynamic and real time information. The sonography has a role in diagnosis and treatment of the soft tissue disease and surface of the bone. It gives us a real time dynamic information and it is really cheap. In this article the sonographic findings of the normal and pathologic conditions of the knee joint are introduced in relation to the findings of the x-rays and the MRI.

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Clinical study of the vasocreactivity and blood flow velocity of t he cerebral infarctions using Transcranial Doppler Sonography (Transcranial Doppler를 利用한 腦硬塞 患者의 血流速度와 血管 反應性에 대한 臨床的 考察)

  • Ann, Taek-won;Kim, Byeong-tak
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.11 no.1
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    • pp.300-318
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    • 1998
  • Background : The vasoreactivity of cerebral artery is currently the subject of increasing interest. Transcranial Doppler Sonography(TCD) is an accurate method of monitoring the blood flow velocities of the cerebral artery. We wished to assess the vasoreactivity between age-matched normal and cerebral infarction group. Method : We performed TCD findings in 40 normals and 20 cb-inf. subjects who arrived at hospital during 48 hours after attack. The former were devided into twenties normal group and fifties normal group. Result : 1. Fibrinogen levels showed significant changes between age-matched normal and cb-inf. group. 2. $V^{MEAN}$ of the both side Carotid Siphon during rest state increased significantly in cb-inf. group as compared with the age-matched normal group. 3. $V^{MEAN}and\;V^{MAX}$ of the both side carotid siphon during breath-hold state increased significantly in cb-inf. group as compared with the age-matched normal group. 4. Vasoreactivity of cerebral artery increased significantly in cb-inf. group as compared with the age-matched normal group. 5. $V^{MEAN}and\;V^{MAX}$ of the both side Radial artery during heat-stimuration state increased significantly in cb-inf. group as compared with the age-matched normal group. 6. Vasoreactivity of Radial artery increased significantly in cb-inf. group as compared with the age-matched normal group.

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A case of breast sparganosis

  • Sim, Seo-Bo;You, Jai-Kyung;Lee, In-Young;Im, Kyung-Il;Young, Tai-Soon
    • Parasites, Hosts and Diseases
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    • v.40 no.4
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    • pp.187-189
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    • 2002
  • A 29-year-old Korean woman visited the Department of Surgery in MizMedi Hospital with a palpable itching mass on the right breast that had existed for the past 7 months. She had no history to eat either frogs or snakes, but had the history of drinking impure water. Sonography revealed a serpiginous hypoechoic tubular structure associated with partial fat necrosis in breast parenchymal layer and subcutaneous fat layer. It also revealed oval cystic lesions. At operation, an ivory white opaque ribbon-like worm that measured 16.5 cm in length and 0.5 cm in width was extracted. Anti-sparganum specific serum IgG level in the patient's serum (absorbance = 0.71), measured by ELISA, was found to be significantly higher than those of normal controls (cut off point = 0.21) . Sonography and ELISA appear to be helpful to diagnose sparganosis. Breast sparganosis is rarely found throughout the world.

Korean Medicine Treatment Including Chuna Manual Therapy on De Quervain's tenosynovitis Two Cases Reports: Comparision by Ultrasound (추나요법을 포함한 한의학적 치료로 호전된 드퀘르벵 건초염 2예: 초음파 전후 관찰 비교)

  • Bae, Jun-hyeong;Lee, Sung Joon;Byun, Sang Hyun;Ahn, Hae In;Kim, Namkwenm
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.4
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    • pp.211-219
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    • 2021
  • This study reports the effectiveness of Korean medicine and Chuna manual therapy on patients with De Quervain's tenosynovitis. Two patients were treated with Chuna manual therapy, electro-acupuncture, moxibustion therapy. We used numeric rating scale (NRS), Finkelstein's test, sonography to measure changes during treatment. After each treatment, NRS, Finkelstein's test, sonography outcome were improved. Korean medicine including Chuna manual therapy can be effectively used to improve De Quervain's tenosynovitis. This study may suggest that korean medicine including Chuna manual therapy can be effective for De Quervain's tenosynovitis.

A Novel Homozygous CLCNKB Mutation of Classic Bartter Syndrome Presenting with Renal Cysts in 6-year-Old Identical Twin Boys : A Case Report

  • Son, Min Hwa;Yim, Hyung Eun;Yoo, Kee Hwan
    • Childhood Kidney Diseases
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    • v.25 no.1
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    • pp.35-39
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    • 2021
  • Bartter syndrome is an autosomal recessive hypokalemic salt-losing tubulopathy, and classic Bartter syndrome is associated with mutations in the CLCNKB gene. While chronic hypokalemia is known to induce renal cyst formation in different renal diseases, renal cyst formation in Bartter syndrome is rarely reported. Russian six-year-old identical male twins were referred to our hospital for the evaluation of renal cysts, which were incidentally detected on abdominal sonography due to diarrhea. Both twins had shown symptoms of polydipsia, polyuria, and nocturia since they were one year olds. Vital signs including blood pressure were normal in both twins. Renal sonography revealed nephromegaly, increased echogenicity of renal cortex, and various sized multiple cysts in both kidneys for both twins. Laboratory findings included hyponatremia, hypokalemia, hypochloremia, and metabolic alkalosis. Bartter syndrome with renal cysts were suspected. Genetic analysis for both twins confirmed a homozygous c.1614delC deletion on exon 15 of the CLCNKB gene, which was confirmed as a previously unreported variant to the best of our knowledge. They were managed with potassium chloride, nonsteroidal anti-inflammatory drugs, and angiotensin-converting-enzyme inhibitors. Metabolic alkalosis, hypokalemia, hypochloremia, and polyuria partially improved during the short course of treatment. This is the first report of a homozygous mutation in the CLCNKB gene in an identical twin, presenting with renal cysts.

Usefulness of intraoperative transcranial sonography in patients with traumatic brain injuries: a comparison with postoperative computed tomography

  • Mahn Jeong Ha;Seung Han Yu;Jung Hwan Lee;Hyuk Jin Choi;Byung Chul Kim
    • Journal of Trauma and Injury
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    • v.36 no.1
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    • pp.8-14
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    • 2023
  • Purpose: The aim of this study was to assess the agreement between intraoperative transcranial sonography (TCS) and postoperative computed tomography (CT) in patients with traumatic brain injuries. Methods: We performed a retrospective cross-sectional study of 35 patients who underwent TCS during surgery, among those who presented to a regional trauma center and underwent decompressive craniectomy between January 1, 2017 and April 30, 2020. Results: The mean difference between TCS and CT in measuring the midline shift was -1.33 mm (95% confidence interval, -2.00 to -0.65; intraclass correlation coefficient [ICC], 0.96; P<0.001). An excellent correlation was found between TCS and CT in assessing contralateral subdural hematomas (ICC, 0.96; P<0.001) and focal hematoma lesions (ICC, 0.99; P<0.001). A very good correlation between TCS and CT was found for measurements of ventricle width (ICC, 0.92; P<0.001). Conclusions: TCS during surgery is considered an effective diagnostic tool for the detection of intraoperative parenchymal changes in patients with traumatic brain injuries.

Various Intratesticular Hypoechoic Lesions on Scrotal Sonography (초음파에서 보이는 다양한 고환 내 저음영 병변)

  • Jung In Jo;Dal Mo Yang;Hyun Cheol Kim;Sang Won Kim
    • Journal of the Korean Society of Radiology
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    • v.83 no.4
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    • pp.861-875
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    • 2022
  • Sonography with a high-frequency transducer is the modality of choice for imaging the scrotum. Most intratesticular lesions are hypoechoic. Differentiation of intratesticular hypoechoic lesions as either malignant or benign is important because the treatment of these lesions vary. In this paper, we review the sonographic features of different types of intratesticular hypoechoic lesions, such as testicular cysts, testicular tumors, testicular inflammatory lesions, segmental testicular infarction, and testicular trauma.

A Survey Study on the Frequency of Occurrence of the Female Disease in the Pelvis using Sonography (초음파검사에서 여성 골반내 질환별 발생빈도 조사연구)

  • Han, Nam-Sook;Lee, Man-Koo;Im, Cheong-Hwan;Jung, Hong-Ryang;Cho, Jung-Keun
    • Journal of radiological science and technology
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    • v.30 no.3
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    • pp.219-225
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    • 2007
  • This study was performed for the purpose of providing basic data of the pelvic disorders through survey of the frequency of management of occurrence by major risk factor. Female pelvic mass was detected using sonography, and necessary data were collected from 604 female visitors to a obstetrics and gynecology hospital located at S-si. Female pelvic mass was uterus mass, ovarian mass, cervical cyst, endometrial disease. For the analysis, such variables as age, weight and frequency of pregnancy were chosen as risk factors. Results of the analysis and conclusions are as follows ; 1) The frequency of occurrence of the female pelvic mass is highest, as 38.9% of the component ratio, in the age of 35 to 54. It maintains high level of 35.8% even in the age of 55 and above. 2) The frequency of occurrence of the female pelvic mass increases in proportion as the weight and frequency of pregnancy increase. 3) The size of the uterus tumor has no statistical relationship with the risk factors, age, weight and frequency of pregnancy.

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Sonographic Fingdings of Hypoechoic Hemangioma in Fatty Liver (지방간에서의 저에코 혈관종의 초음파소견)

  • Yoon Mi;Jung Rusia;Sim Hyun Sun
    • Journal of The Korean Radiological Technologist Association
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    • v.30 no.1
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    • pp.90-94
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    • 2004
  • PURPOSE : Hepatic hemangioma is the most common benign tumor in the liver. Hepatic hemangioma must be differentiated from malignant tumor or other localized hepatic diseases at sonography when typical of hypoechoic hepatic hemangioma present in fatty live

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