• Korean Journal of Radiology
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• v.24 no.4
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• pp.271-273
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• 2023

• Korean Journal of Radiology
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• v.22 no.1
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• pp.23-40
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• 2021

In pancreatic cancer, imaging plays an essential role in surveillance, diagnosis, resectability evaluation, and treatment response evaluation. Pancreatic cancer surveillance in high-risk individuals has been attempted using endoscopic ultrasound (EUS) or magnetic resonance imaging (MRI). Imaging diagnosis and resectability evaluation are the most important factors influencing treatment decisions, where computed tomography (CT) is the preferred modality. EUS, MRI, and positron emission tomography play a complementary role to CT. Treatment response evaluation is of increasing clinical importance, especially in patients undergoing neoadjuvant therapy. This review aimed to comprehensively review the role of imaging in relation to the current treatment strategy for pancreatic cancer, including surveillance, diagnosis, evaluation of resectability and treatment response, and prediction of prognosis.

• Korean Journal of Radiology
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• v.22 no.7
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• pp.1087-1099
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• 2021

MRI has become important for the detection of prostate cancer. MRI-guided biopsy is superior to conventional systematic biopsy in patients suspected with prostate cancer. MRI is also increasingly used for monitoring patients with low-risk prostate cancer during active surveillance. It improves patient selection for active surveillance at diagnosis, although its role during follow-up is unclear. We aim to review existing evidence and propose a practical approach for incorporating MRI into active surveillance protocols.

• Korean Journal of Remote Sensing
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• v.16 no.2
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• pp.157-175
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• 2000

A synthetic aperture radar (SAR) system is able to provide all-weather, day-and- night superior imaging capability of the earth surface, and thus is extremely useful in surveillance for both civil and military applications. In this paper, the X-band high resolution spaceborne SAR system design is demonstrated with the key design performance for a given mission and system requirements characterized by the small satellite system. The SAR multi-mode imaging technique is presented with a critical parameter assessment, and the standard mode results are analyzed in terms of the image quality performances. In line with the system requirement X-band SAR payload and ground reception/processing subsystems are designed and the major design results are presented with the key performance characteristics. This small satellite SAR system shows the wide range of imaging capability with high resolution, and proves to be an effective surveillance systems in the light weight, high performance and cost-effective points of view.

• Korean Journal of Radiology
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• v.20 no.4
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• pp.542-557
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• 2019

The occurrence of incidentally detected pancreatic cystic lesions (PCLs) is continuously increasing. Radiologic examinations including computed tomography and magnetic resonance imaging with magnetic resonance cholangiopancreatography have been widely used as the main diagnostic and surveillance methods for patients with incidental PCLs. Although most incidentally detected PCLs are considered benign, they have the potential to become malignant. Currently, we have several guidelines for the management of incidental PCLs. However, there is still debate over proper management, in terms of accurate diagnosis, optimal follow-up interval, and imaging tools. Because imaging studies play a crucial role in the management of incidental PCLs, the 2017 consensus recommendations of the Korean Society of Abdominal Radiology for the diagnosis and surveillance of incidental PCLs approved 11 out of 16 recommendations. Although several challenges remain in terms of optimization and standardization, these consensus recommendations might serve as useful tools to provide a more standardized approach and to optimize care of patients with incidental PCLs.

• Journal of the Korea Institute of Military Science and Technology
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• v.3 no.2
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• pp.101-120
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• 2000

A synthetic aperture radar (SAR) system can provide all-weather, day and night, superior imaging capability, and thus is very useful in surveillance for military applications. In this paper, a X-band spaceborne SAR system design concept is introduced with the key design parameters for mission and system requirements characterized by small satellite system. The SAR imaging mode design procedure is presented, and the standard imaging mode design results are analyzed as an example. In line with the given mission and system requirements, the X-band SAR payload and ground reception/processing subsystems are designed and presented with the key design results. The designed small satellite SAR system shows the wide range of imaging capability, and proves to be an effective surveillance system in light-weight, high-performance and cost-effective points of view.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.12
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• pp.7193-7196
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• 2013

Ovarian cancer patients need a surveillance program for the detection of tumor progression after completion of treatment. The methods generally consist of history taking, physical examination, tumor marker monitoring and imaging. However, the details of recurrence detection with each method are not well defined. To clarify this issue, ovarian cancer patients who achieved complete or partial responses and developed tumor progression at the follow up time between January 2004 and December 2010 in University Hospital Chiang Mai, Thailand, were reviewed. Clinical data, CA 125 level and imaging results at the tumor progression time were recorded and analyzed. There were 144 ovarian cancer patients meeting the inclusion criteria with the mean age of 51 years and 62.5% of them were in an advanced stage. Complete response was achieved in 89 patients (61.8%) after primary treatment. The median progression free survival and overall survival were 15.5 months and 37.5 months, respectively. Abnormal symptoms presented in 49.3% of the studied patients and 59.7% developed physical examination abnormalities. In addition, CA 125 was elevated in 89.6% while in 74.3% of tumor progression was identified by CT-scan. Short treatment time period and a high level of CA 125 were significant independent prognostic factors in these patients. In conclusion, careful history taking, physical examination and monitoring of CA 125 levels are important methods for tumor progression detection in a surveillance program for epithelial ovarian cancer patients.

• Journal of the Korean Society of Radiology
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• v.82 no.2
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• pp.280-297
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• 2021

International guidelines recommended screening with ultrasonography (US) every 6 months for patients at risk for hepatocellular carcinoma (HCC). However, US demonstrates low sensitivity for the early detection of HCC. Magnetic resonance imaging (MRI) plays an important role in the noninvasive diagnosis of HCC, but it is not suitable for surveillance due to its lengthy examination and high cost. Therefore, several studies have been using various abbreviated MRI strategies, including noncontrast abbreviated MRI, dynamic contrast-enhanced abbreviated MRI, and abbreviated MRI using hepatobiliary phase image for HCC surveillance. In this article, we aim to review these various strategies and explore the future direction of HCC surveillance considering the cost-effectiveness aspect.

• Korean Journal of Radiology
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• v.23 no.6
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• pp.598-614
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• 2022

While ultrasound (US) is considered an important tool for hepatocellular carcinoma (HCC) surveillance, it has limited sensitivity for detecting early-stage HCC. Abbreviated MRI (AMRI) has recently gained popularity owing to better sensitivity in its detection of early-stage HCC than US, while also minimizing the time and cost in comparison to complete contrast-enhanced MRI, as AMRI includes only a few essential sequences tailored for detecting HCC. Currently, three AMRI protocols exist, namely gadoxetic acid-enhanced hepatobiliary-phase AMRI, dynamic contrast-enhanced AMRI, and non-enhanced AMRI. In this study, we discussed the rationale and technical details of AMRI techniques for achieving optimal surveillance performance. The strengths, weaknesses, and current issues of each AMRI protocol were also elucidated. Moreover, we scrutinized previously performed AMRI studies regarding clinical and technical factors. Reporting and recall strategies were discussed while considering the differences in AMRI protocols. A risk-stratified approach for the target population should be taken to maximize the benefits of AMRI and the cost-effectiveness should be considered. In the era of multiple HCC surveillance tools, patients need to be fully informed about their choices for better adherence to a surveillance program.

• Journal of Satellite, Information and Communications
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• v.1 no.1
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• pp.26-39
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• 2006

A synthetic aperture radar (SAR) system can provide all-weather, day and night imaging capability, and thus, is very useful in surveillance for both civil and military applications. In this paper, the X-band spaceborne SAR system design procedure is introduced with the key design parameters for mission and system requirements characterized by the small satellite platform. The SAR imaging mode design technique is presented, and the design results are analyzed for standard mode performance evaluation. In line with the system requirements, the X-band SAR payload and ground reception/processing sub-systems are presented with the key design results and image applications examples. The designed small satellite SAR system shows the wide range of imaging capability, and proves to be an effective surveillance system in light-weight, high-performance and cost-effective points of view.