• 제목/요약/키워드: Vascular System

검색결과 634건 처리시간 0.032초

Aortic arch를 포함한 Carotid angio 검사 시 Time of flight(TOF)의 유용성 평가 (Usefulness estimating of Time of flight(TOF) during Carotid angio inspection including Aortic arch)

  • 유영준
    • 대한디지털의료영상학회논문지
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    • 제15권1호
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    • pp.1-7
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    • 2013
  • Purpose : The Carotid Angio inspection including Aortic arch applied to wide area is conducted as the Contrast Enhance MR Angiography(CEA) which is using a contrast medium. However it is a burden not only for someone such as infants, pregnant women and patients suffering from kidney failure but continuous use of contrast medium also can be a burden for patients who has been taken follow up inspection since diagnose lesion already. The purpose of this study is to estimate a usefulness of the Time of Flight (TOF) by comparing with CEA. Materials and methods : 10 patients with an average age of 58 (from 45 to 75) who had MRA inspection in our hospital were studied using 3.0 Tesla Aachieva (Philips, Netherland) MRI system and Sense Neuro-Vascular 16 Channels Coil. The same patient was inspected both TOF and CEA simultaneously. The TOF inspection included from Aortic arch to Willis Circle by connecting 3 TOF stacks and so did CEA inspection. The quantitative analysis was conducted through signal to noise ratio(SNR) and contrast to noise ratio(CNR) with soft tissue by setting up an area of interest on CCA bifurcatoin, ICA, ECA, MCA and VA concerning obtained image. In case of qualitative analysis, 3 radiological technologists and 1 radiologist evaluated 4 items (1: Visibility of the blood vessel, 2: Image distortion measure, 3: Overlapping measure with vein, 4: Peripheral blood vessel description measure) into five points scale (1: Very bad, 2: Bad, 3: Normal 4: Good, 5: Very good). Results : Results for the quantitative analysis was obtained by calculating the average of 5 ROIs in case of SNR and CNR separately. Results of SNR, TOF were generally measured higher than CEA (In case of TOF were 166.1, 205.2, 154.39, 172.23, 161.95, and CEA were 92.05, 95.43, 84.76, 73.69, 88.3). But according to the result of CNR, both TOF and CEA were measured similarly as 67.62, 106.71, 55.9, 73.74, 63.46 for TOF and 67.82, 71.19, 60.52, 49.45, 64.07 for CEA. Throughout every results of each ROI, SNR showed statistically meaningful consequence (0.050.05). In case of qualitative analysis the average of each evaluated item was 4.2points and 4.28points in the item1, 2.93points and 4.55points in the item2, 4.6points and 3.13points in the item3, 2.88points and 4.6points in the item4. According to the results TOF was measured higher in the item3 while in the item2 and item4 CEA was higher and in case of the item1, both CEA and TOF were similar. To sum up statistically meaningful results (p<0.05) were shown in the item2, item3 and item4 but not in the item1 (p>0.05). Conclusions : Both TOF and CEA are complementary because each inspection has pros and cons, but when inspect wide area including Aortic arch normally CEA is conducted. But TOF inspection also can be considered as alternative in terms of patients who has difficulty in the contrast medium such as infants, pregnant women and patients suffering from kidney failure and patients during follow up.

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자가면역성 뇌척수염 흰쥐의 활성화된 신경아교세포에서 증가된 osteopontin의 발현 (Increased osteopontin expression in activated glial cells in experimental autoimmune encephalomyelitis)

  • 박석재;황인선;김규범;신태균;지영흔
    • 대한수의학회지
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    • 제46권3호
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    • pp.177-184
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    • 2006
  • Experimental autoimmune encephalomyelitis (EAE) is a disease model of multiple sclerosis (MS) that is characterized by remittance and relapse of the disease and autoimmune and demyelinating lesions in the central nervous system (CNS). Autoimmune inflammation is maintained by secretion of a large number of protein. Previous studies have suggested that transcripts encoding osteopontin (OPN) are frequently detected in the mRNA population of MS plaques. To elucidate the functional role of OPN in initiation and development of EAE, we examined the expression and localization of OPN in the spinal cord during acute EAE. We demonstrated that OPN significantly increased at the early stage of EAE and slightly declined thereafter by western blot analysis. An immunohistochemical study revealed that OPN was constitutively expressed in some glial cells (microglia, astrocytes) of white matter and neurons in the CNS of control rats. OPN expression was shown to be increased in the same cells at the early and peak stage of EAE. To identity cells expressing OPN by double-immunofluorescence labeling, we labeled rat spinal cord sections for OPN with a monoclonal OPN antibody and with mAbs for astrocyte (GFAP), microglia/macrophage (OX42)-specific markers. The major cell types of OPN-expressing cells were activated astrocytes and microglia in the adjacent inflammatory lesions. Interestingly, OPN was mainly expressed in the end feet of astrocytes around vascular cell adhesion molecule-1 (VCAM-1) expressing endothelial cells of CNS blood vessel. These findings suggest that increased levels of OPN in activated glial cell may play an important role in the recruitment of inflammatory cells into the CNS parenchyma during EAE.

Bradykinin으로 자극한 혈관내피세포에서 Ref-1의 세포내 과발현에 의한 NO 생성 증진 효과에 대한 연구 (Adenoviral-Mediated Ref-1 Overexpression Potentiates NO Production in Bradykinin-Stimulated Endothelial Cells)

  • 송주동;김강미;이상권;김종민;박영철
    • 생명과학회지
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    • 제17권7호통권87호
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    • pp.905-909
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    • 2007
  • Redox Factor-1 (Ref-1)은 손상된 DNA의 복구 및 많은 세포내 산화환원에 민감한 transcription factors의 활성화에 기여하는 양면의 역할을 수행하는 단백질이다. 본 연구에서는 혈관내피세포에서의 nitric oxide (NO) 생성과정에서 Ref-1의 역할을 살펴보았다. Ref-1의 세포내 과발현을 위하여 adenoviral vector를 사용하였고 bradykinin으로 자극한 혈관내피세포에서 생성되는 NO 측정을 위하여 fluorophore DAF-2를 사용하였다. Ref-1 과 발현은 bradykinin으로 자극한 혈관내피세포의 NO 생성을 증가시켰다. 또한 자극되지 않은 Ref-1 과발현 세포는 viral vector로 감염되지 않은 그리고 control로 사용한 AdD1312로 감염된 세포보다 높은 fluorescence intensity를 나타내었다. 이와 비슷하게, Ref-1 과발현은 bradykinin으로 자극한 세포뿐만 아니라 자극하지 않은 세포에서도 감염되지 않은 그리고 AdD1312로 감염된 세포와 비교할 때 endothelial NO synthase (eNOS)의 활성을 크게 증가시켰다. 이는Ref-1 자신이 eNOS의 효소활성을 직접 조절할 수 있다는 것을 의미한다. 결론적으로 Ref-1이 혈관계에서 NO생성에 의해 기인되는 endothelium-dependent vasorelaxation에서 중요한 역할을 한다는 것을 시사한다.

The bifunctional effect of propofol on thromboxane agonist (U46619)-induced vasoconstriction in isolated human pulmonary artery

  • Hao, Ning;Wang, Zhaojun;Kuang, Sujuan;Zhang, Guangyan;Deng, Chunyu;Ma, Jue;Cui, Jianxiu
    • The Korean Journal of Physiology and Pharmacology
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    • 제21권6호
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    • pp.591-598
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    • 2017
  • Propofol is known to cause vasorelaxation of several systemic vascular beds. However, its effect on the pulmonary vasculature remains controversial. In the present study, we investigated the effects of propofol on human pulmonary arteries obtained from patients who had undergone surgery. Arterial rings were mounted in a Multi-Myograph system for measurement of isometric forces. U46619 was used to induce sustained contraction of the intrapulmonary arteries, and propofol was then applied (in increments from $10-300{\mu}m$). Arteries denuded of endothelium, preincubated or not with indomethacin, were used to investigate the effects of propofol on isolated arteries. Propofol exhibited a bifunctional effect on isolated human pulmonary arteries contracted by U46619, evoking constriction at low concentrations ($10-100{\mu}m$) followed by secondary relaxation (at $100-300{\mu}m$). The extent of constriction induced by propofol was higher in an endothelium-denuded group than in an endothelium-intact group. Preincubation with indomethacin abolished constriction and potentiated relaxation. The maximal relaxation was greater in the endothelium-intact than the endothelium-denuded group. Propofol also suppressed $CaCl_2$-induced constriction in the 60 mM $K^+$-containing $Ca^{2+}$-free solution in a dose-dependent manner. Fluorescent imaging of $Ca^{2+}$ using fluo-4 showed that a 10 min incubation with propofol ($10-300{\mu}m$) inhibited the $Ca^{2+}$ influx into human pulmonary arterial smooth muscle cells induced by a 60 mM $K^+$-containing $Ca^{2+}$-free solution. In conclusion, propofol-induced arterial constriction appears to involve prostaglandin production by cyclooxygenase in pulmonary artery smooth muscle cells and the relaxation depends in part on endothelial function, principally on the inhibition of calcium influx through L-type voltage-operated calcium channels.

EPG 파형과 감로 분비, 미세절편 관찰로 해석된 애멸구의 벼 섭식행동 (Feeding Behavior of the Small Brown Planthopper, Laodelphax striatellus (Hemiptera: Delphacidae) on Rice Plants Based on EPG Waveform, Honeydew Excretion, and Microsection Analysis)

  • 서보윤;권윤희;정진교;김길하
    • 한국응용곤충학회지
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    • 제55권4호
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    • pp.351-358
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    • 2016
  • DC-EPG 시스템을 활용하여 애멸구(Laodelphax striatellus) 암컷 성충이 벼를 섭식하는 동안 발생되는 전기적 신호를 기록하고 분석하여, 벼멸구에서 보고된 것(Seo et al., 2009)과 같은 방식으로, np, L1, L2, L3, L4-a, L4-b, L5의 7 개 EPG 파형으로 구별하였다. 파형들의 모양과 발생 패턴은 벼멸구(Nilaparvata lugens)와 매우 유사하였고, L4-b의 직전에는 반드시 L3와 L4-a가 연속된 순서로 나타났다. 감로는 L4-b에서 주기적으로 분비되었다. 레이저 stylectomy 후 섭식부분의 미세절편을 관찰한 결과, 애멸구 구침의 끝이 L3와 L4-a, L4-b에서는 벼의 체관부 근처 또는 체관부에서 관찰된 반면, L5에서는 물관부에서 관찰되었다. 레이저 stylectomy로 L4-b에서 잘려진 애멸구 구침의 절단부로부터 유일하게 벼수액이 용출되었고, HPLC로 분석된 수액 안의 당 성분으로 식물의 체관부 탄수화물 이동태인 설탕(sucrose)만이 검출되었다. 이상의 관찰 결과와 애멸구의 EPG 파형 전개 과정 분석을 통해, L1과 L2는 관다발 도달 전에 발생하는 구침을 찌르고 타액 분비가 동반된 구침의 이동 행동으로, L3와 L4-a는 체관부에서 섭식을 위해 사전에 준비하는 과정으로, L4-b는 체관부 수액을 흡즙하는 행동으로, 마지막으로 L5는 물관부에서 형성되는 섭식행동으로 벼멸구와 유사하게 결론지었다.

폐를 침범한 혈관내 림프종증 1예 (A Case of Pulmonary Intravascular Lymphomatosis)

  • 박상종;배상수;천은미;권오정;이종헌;한용철;김진국;이경수;고영혜
    • Tuberculosis and Respiratory Diseases
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    • 제44권6호
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    • pp.1390-1395
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    • 1997
  • 혈관내 림프종증(intravascular lymphomatosis, IVL)은 1959년 처음 보고되었으며, 주로 B 림프구의 혈관 내부에 국한된 악성 증식으로 발생하는 드문 악성 질환이다. IVL의 주된 침범 부위는 중추신경계이며 그 외 피부, 심장, 폐, 간 등 전신장기를 침범할 수 있다. IVL의 폐침범은 드문 경우로 주된 증상은 호흡곤란, 발열, 기침 등이며 방사선학적으로 간질성 침윤으로 나타난다. 최근 저자 등은 고열과 흉부 통증을 동반하여 발생한 폐를 침범한 혈관내 림프종증 1예를 경험하였기에 단순 흉부촬영에서 간질성 침윤을 동반하는 원인 미상의 발열과 호흡곤란의 드문 감별 진단의 하나로 이를 보고한다.

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백서두개골 결손부에서 BMP전달체의 골재생효과분석 (The Analysis of Bone regenerative effect with carriers of bone morphogenetic protein in rat calvarial defects)

  • 정성원;정지희;채경준;정의원;김창성;조규성;채중규;김종관;최성호
    • Journal of Periodontal and Implant Science
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    • 제37권4호
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    • pp.733-742
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    • 2007
  • Bone morphogenetic proteins have been shown to possess significant osteoinSductive potential, but in order to take advantage of this effect for tissue engineering, carrier systems are essential. Successful carrier systems must enable vascular and cellular invasion, allowing BMP to act as a differentiation factor. The carrier should be reproducible, non-immunogenic, moldable, and space-providing, to define the contours of the resulting bone. The purpose of this study was to review available literature, in comparing various carriers of BMP on rat calvarial defect model. The following conclusions were deduced. 1. Bone regeneration of ACS/BMP, ${\beta}-TCP/BMP$, FFSS/BMP, $FFSS/{\beta}-TCP/BMP$, MBCP/BMP group were significantly greater than the control groups. 2. Bone density in the ACS/BMP group was greater than that in ${\beta}-TCP$, FFSS, $FFSS/{\beta}-TCP$ carrier group. 3. Bone regeneration in FFSS/BMP group was less than in ACS/BMP, ${\beta}-TCP/BMP$, MBCP/BMP group. However, New bone area of $FFSS/{\beta}-TCP/BMP$ carrier group were more greater than that of FFSS/BMP group. ACS, ${\beta}-TCP$, FFSS, $FFSS/{\beta}-TCP$, MBCP were used for carrier of BMP. However, an ideal carrier which was reproducible, non-immunogenic, moldable, and space-providing did not exist. Therefore, further investigation are required in developing a new carrier system.

Plasminogen kringle 5 재조합 단백질에 의한 ERK1/2 활성화 및 세포골격 재배열 억제 (Inhibition of ERK1/2 Activation and Cytoskeleton Rearrangement by the Recombinant Protein of Plasminogen Kringle 5)

  • 하정민;김현경;김명래;조영애
    • 생명과학회지
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    • 제16권7호
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    • pp.1199-1206
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    • 2006
  • Plasminogen kringle 5는 plasminogen kringles 1-4로 구성된 내생의 혈관 신생 억제제인 angiostatin과 같이 내피세포의 분열을 강력하게 억제한다고 알려져 있다. 본 연구에서는 plasminogen kringle 5의 재조합 단백질을 효모 발현 체계에서 생산하여 내피세포의 이동에 대한 저해 효과와 이에 대한 작용기전을 조사하였다 재조합 단백질 PK5는 plasminogen의 Thr456에서 Phe546까지 이르는 cDNA 부분을 ${\alpha}-factor$ prepro-peptide의 분비 신호 서열 뒤에 도입하여 Pichia pastoris GS115에서 발현시켰다. 메탄올 유도 후 얻은 배양액을 S-spin column을 이용하여 정제하였다. 정제된 단백질을 SDS-PACE하였을 때 약 10kDa의 단일 밴드를 나타냄을 확인할 수 있었다. 정제된 PK5는 bFGF나 VEGF에 의해 유도된 인간의 제대 유래 내피 세포의 이동을 약 500nM의 $IC_{50}$ 값으로 농도 의존적으로 감소시켰다. 내피 세포에 PK5 500M을 처리한 결과 bFGF에 의해 유도된 ERK1/2의 인산화를 감소시켰다 또한, PK5는 bFGF에 의해 유도된 내피세포의 골격 재형성을 강력하게 억제하는 것으로 관찰되었다. 따라서, 이러한 결과들은 효모 생산 PK5가 내피세포의 이동을 효과적으로 억제하며, 이는 ERK1/2의 활성과 세포골격의 재배열을 억제함으로써 나타나는 것으로 부분적으로 설명될 수 있다.

레오나르도 다빈치의 해부학 업적과 사고 (Anatomical Achievement and Thought of Leonardo da Vinci)

  • 채옥희;송창호
    • 해부∙생물인류학
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    • 제29권2호
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    • pp.35-46
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    • 2016
  • 레오나르도 다빈치는 르네상스 시대의 천재 예술가이다. 그는 예술가와 과학자, 발명가로서 뛰어난 업적을 남겼고, 식물학과 수학, 지질학, 천문학, 기하학, 광학 등의 다양한 분야에서 최고의 반열에 올랐을 뿐 아니라 오늘날의 과학에까지 크게 기여하고 있다. 또한 레오나르도는 예술가와 과학자, 발명가, 철학자로도 잘 알려져 있으며, 사람과 동물들을 직접 해부하여 관찰한 후 많은 해부 그림들을 남긴 위대한 해부학자였다. 레오나르도가 해부학에 관심을 가졌던 이유는 - 화가는 해부학에 무지해서는 안 된다 - 라는 예술가의 관점에서 사람의 구조와 기능을 알기 위함이었다. 그는 사람 몸의 구조와 기능에 더욱 관심을 갖게 되었고, 시체를 구하기 어려운 상황에도 불구하고 많은 시체를 직접 해부하여 관찰하였다. 이러한 그의 해부학적 탐구와 심취로 말미암아 그는 동시대의 사람들보다 100년 이상 앞선 위대한 해부학 업적을 남겼다. 레오나르도가 남긴 뼈대와 근육, 혈관, 신경, 비뇨생식계통에 관한 1,800여 개의 해부 그림들은 높은 예술성과 함께 과학적으로도 매우 가치가 높은 걸작들이다. 이 연구의 목적은 레오나르도의 해부학 분야의 업적과 사고를 살펴보고, 해부학 분야의 선구자인 레오나르도의 위대한 업적을 오늘날 사람들에게 널리 알리고자 하는 것이다.

An Assessment of the Usefulness of Time of Flight in Magnetic Resonance Angiography Covering the Aortic Arch

  • Yoo, Yeong-Jun;Choi, Sung-Hyun;Dong, Kyung-Rae;Ji, Yun-Sang;Choi, Ji-Won;Ryu, Jae-Kwang
    • 방사선산업학회지
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    • 제12권4호
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    • pp.325-332
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    • 2018
  • Carotid angiography covering the aortic arch includes contrast-enhanced magnetic resonance angiography (CEA), which is applied to a large region and usually employs contrast media. However, the use of contrast media can be dangerous in infants, pregnant women, and patients with chronic renal failure (CRF). Follow-up patients informed of a lesion may also want to avoid constant exposure to contrast media. We aimed to apply time-of-flight (TOF) angiography to a large region and compare its usefulness with that of CEA. Ten patients (mean age, 58 years; range, 45~75 years) who visited our hospital for magnetic resonance angiography (MRA) participated in this study. A 3.0 Tesla Achieva magnetic resonance imaging (MRI) system (Philips, Netherland) and the SENSE NeuroVascular 16-channel coil were employed for both methods. Both methods were applied simultaneously to the same patient. Three TOF stacks were connected to cover the aortic arch through the circle of Willis, and CEA was applied in the same manner. For the quantitative assessment, the acquired images were used to set the regions of interest (ROIs) in the common carotid artery (CCA) bifurcation, internal carotid artery, external carotid artery, middle cerebral artery, and vertebral artery, and to obtain the signal-to-noise ratio (SNR) and the contrast-to-noise ratio (CNR) for the soft tissues. Three radiologists and one radiological resident performed the qualitative assessment on a 5-point scale - 1 point, "very bad"; 2 points, "bad"; 3 points, "average"; 4 points, "good"; and 5 points, "very good" - with regard to 4 items: (1) sharpness, (2) distortion, (3) vein contamination, and (4) expression of peripheral vessels. For the quantitative assessment, we estimated the mean SNR and CNR in each of the 5 ROIs. In general, the mean SNR was higher in TOF angiography (166.1, 205.2, 154.39, 172.23, and 161.95) than in CEA(92.05, 95.43, 84.76, 73.69, and 88.3). Both methods had a similar mean CNR: 67.62, 106.71, 55.9, 73.74, and 63.46 for TOF angiography, and 67.82, 71.19, 60.52, 49.45, and 64.07 for CEA. In all ROIs, the mean SNR was statistically significant (p<0.05), whereas the mean CNR was insignificant (p>0.05). The mean values of TOF angiography and CEA for each item in the qualitative assessment were 4.2 and 4.28, respectively for item 1; 2.93 and 4.55, respectively, for item 2; 4.6 and 3.13, respectively, for item 3; and 2.88 and 4.65, respectively, for item 4. Therefore, TOF angiography had a higher mean for item 3, and CEA had a higher mean for items 2 and 4; there was no significant difference between the two methods for item 1. The results for item 1 were statistically insignificant (p>0.05), whereas the results for items 2~4 were statistically significant (p<0.05). Both methods have advantages and disadvantages and they complement each other. However, CEA is usually applied to a large region covering the aortic arch. Time-of-flight angiography may be useful for people such as infants, pregnant women, CRF patients, and followup patients for whom the use of contrast media can be dangerous or unnecessary, depending on the circumstance.