• Title/Summary/Keyword: medical diagnostic and ultrasound imaging

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Medical Ultrasonic Elasticity Imaging Techniques (의료용 초음파탄성영상법)

  • Jeong, Mok-Keun
    • Journal of the Korean Society for Nondestructive Testing
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    • v.32 no.5
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    • pp.573-584
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    • 2012
  • Breast and prostate tumors or cancers tend to be stiffer than the surrounding normal tissue. However, the difference in echogenicity between cancerous and normal tissues is not clearly distinguishable in ultrasound B-mode imaging. Thus, imaging the stiffness contrast between the two different tissue types helps to diagnose lesions quantitatively, and such a method of imaging the elasticity of human tissue is termed ultrasound elasticity imaging. Recently, elasticity imaging has become an effective complementary diagnostic modality along with ultrasound B-mode imaging. This paper presents various elasticity imaging methods that have been reported up to now and describes their characteristics and principles of operation.

Ultrasound-guided interventions for controlling the thoracic spine and chest wall pain: a narrative review

  • Park, Donghwi;Chang, Min Cheol
    • Journal of Yeungnam Medical Science
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    • v.39 no.3
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    • pp.190-199
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    • 2022
  • Ultrasound-guided injection is useful for managing thoracic spine and chest wall pain. With ultrasound, pain physicians perform the injection with real-time viewing of major structures, such as the pleura, vasculature, and nerves. Therefore, the ultrasound-guided injection procedure not only prevents procedure-related adverse events but also increases the accuracy of the procedure. Here, ultrasound-guided interventions that could be applied for thoracic spine and chest wall pain were described. We presented ultrasound-guided thoracic facet joint and costotransverse joint injections and thoracic paravertebral, intercostal nerve, erector spinae plane, and pectoralis and serratus plane blocks. The indication, anatomy, Sonoanatomy, and technique for each procedure were also described. We believe that our article is helpful for clinicians to conduct ultrasound-guided injections for controlling thoracic spine and chest wall pain precisely and safely.

Cutaneous metastasis of mammary gland tumor in a dog: a case report

  • Choi, Hyejoon;Na, Hyemin;Lee, Sang-Kwon;Bae, Seulgi;Oh, Taeho;Lee, Kija
    • Korean Journal of Veterinary Research
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    • v.62 no.1
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    • pp.2.1-2.5
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    • 2022
  • An 8-year-old spayed female, mixed dog presented multiple, bloody exudative skin lesions on the bilateral flank which spread 1 week after mastectomy for treatment of mammary gland tumor (MGT). Multiple, ill-marginated, irregular, and heterogeneously thickened cutaneous and subcutaneous lesions and enlarged lymph nodes were identified in ultrasound and computed tomography. Histopathological examination confirmed adenocarcinoma with lymphatic invasion presumed to be metastatic MGT. Clinical signs improved after chemotherapy but died after 1 month. This study suggests that cutaneous metastasis be considered for differential diagnosis of cutaneous lesions in dogs with a history of MGT, although skin metastasis from MGT is rare.

Clinical Application of an Image-Guided Intervention in Three Dogs

  • Choi, Minsik;Kwon, Dohoon;Ahn, Jisoo;Ko, Minjung;Ahn, Jiyoung;Jung, Joohyun;Kim, Hakhyun;Kang, Ji-Houn;Chang, Dongwoo
    • Journal of Veterinary Clinics
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    • v.37 no.2
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    • pp.100-105
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    • 2020
  • A 9-month-old, 11.3 kg, intact, male, mixed-breed dog was referred for treatment of cor triatriatum dexter (CTD); a 5-month-old, 1.9 kg, intact, male Maltese for pulmonic stenosis (PS); and a 3-year-old, 6.62 kg, intact, female West Highland white terrier for esophageal stricture with regurgitation. A balloon catheter intervention was performed in the dog with CTD, and subsequent color Doppler ultrasound and abdominal ultrasound showed normal blood flow across the perforated membrane dividing the right atrium and the disappearance of the severe ascites present before treatment. Balloon catheter intervention in the dog with PS reduced the blood flow through the stenosis from 5.82 m/s to 3.97 m/s. In the dog with esophageal stricture, balloon catheter intervention widened the esophagus and no subsequent regurgitation was observed. Balloon catheter intervention is an interventional radiology procedure that represents a definitive treatment option for various stenotic lesions in dogs, including CTD, PS, and esophageal stricture. Although interventional radiology procedures for these diseases have already been reported, details of procedures and successful outcome have not been reported in Korea.

Hypertrophic pyloric gastropathy with Helicobacter spp. in a dog

  • Jang, Hyunyoung;Lee, Seoung-Woo;Jang, Min;Yun, Sungho;Kwon, Young-Sam;Park, Jin-Kyu;Lee, Kija
    • Korean Journal of Veterinary Research
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    • v.61 no.1
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    • pp.3.1-3.5
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    • 2021
  • A 12-year-old, castrated male, mixed dog presented with a history of gradual abdominal distention for a year and anorexia recently, with abdominal radiographs showing a gastric pylorus distention. A solitary, pedunculated, heterogeneous mass arising from the mucosal layer in the pylorus with intact wall layers was identified during ultrasound and computed tomography. The gastric muscular layer was evenly thick. After surgical excision of the mass, histological examination confirmed hypertrophic pyloric gastropathy with polypoid growth and Helicobacter spp. infiltrating the gastric mucosal epithelium. This is the first reported diagnostic imaging case of hypertrophic pyloric gastropathy with Helicobacter spp. in a dog.

Quantitative Evaluation of Hepatic Steatosis Using Advanced Imaging Techniques: Focusing on New Quantitative Ultrasound Techniques

  • Junghoan Park;Jeong Min Lee;Gunwoo Lee;Sun Kyung Jeon;Ijin Joo
    • Korean Journal of Radiology
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    • v.23 no.1
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    • pp.13-29
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    • 2022
  • Nonalcoholic fatty liver disease, characterized by excessive accumulation of fat in the liver, is the most common chronic liver disease worldwide. The current standard for the detection of hepatic steatosis is liver biopsy; however, it is limited by invasiveness and sampling errors. Accordingly, MR spectroscopy and proton density fat fraction obtained with MRI have been accepted as non-invasive modalities for quantifying hepatic steatosis. Recently, various quantitative ultrasonography techniques have been developed and validated for the quantification of hepatic steatosis. These techniques measure various acoustic parameters, including attenuation coefficient, backscatter coefficient and speckle statistics, speed of sound, and shear wave elastography metrics. In this article, we introduce several representative quantitative ultrasonography techniques and their diagnostic value for the detection of hepatic steatosis.

Granulosa Cell Tumor of Scrotal Tunics: A Case Report

  • Eun-Kyung Ji;Kyoung-Sik Cho
    • Korean Journal of Radiology
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    • v.2 no.2
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    • pp.117-120
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    • 2001
  • We report a case of adult granulosa cell tumor arising in the scrotal tunics. The patient was a 34-year-old man who presented with right scrotal swelling, first noticed four months previously. Under the initial clinical impression of epididymo-orchitis, antibiotic treatment was instituted but there was no response. The paratesticular nodules revealed by ultrasound and magnetic resonance imaging mimicked intratesticular lesion, and radical orchiectomy was performed. Although several cases of adult testicular granulosa cell tumor, have been reported, the occurrence of this entity in the paratesticular area has not, as far as we are aware, been previously described.

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A Study in the Crimes of the Medical Practice without License - Case of Oriental Medicine's use of Ultrasounds - (무면허의료행위에 대한 형사법적 쟁점 - 한의사의 초음파기기 사용을 중심으로 -)

  • Jang, Jun Hyuk
    • The Korean Society of Law and Medicine
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    • v.15 no.1
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    • pp.35-57
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    • 2014
  • Recently, there has been fierce argument between oriental and western doctors in the medical field. The use of medical devices has particularly come to the fore lately. Appropriate medical devices are required to diagnose and treat patients' conditions or illnesses accurately. At issue recently in medical device sector are diagnostic instruments using radiation, magnetic resonance imaging, ultrasound, IPL(Intense Pulse Light), and instruments used for tonometry. Relating to this issue, Association of Korean Oriental Medicine and The Association of Korean Medicine are sharply opposed. It is predicted that more accusations of this kind will be seen in the future. As oriental medicine contends, ultrasonic imaging itself seems to cause no harm to humans and its use may have an advantage for national health. The use of western diagnostic equipment can expand the diagnostic range of oriental doctors. However, unless new legislation is made, it is against the law for oriental doctors to use this equipment. Both law and medical science require grounds and predictability on the correctness of a decision and all of its consequences. Additionally, oriental medicine's use of ultrasounds and other medical devices should be established by standards and grounds which make same the diagnosis with repetition. Therefore, the scope of oriental medicine can be expanded following a revision of the Oriental Medicine Promotion Act and it is estimated that the state of national health will be greatly improved by the mutual respect of both sides of the health profession.

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Beamforming Technology in Medical Ultrasound System (초음파진단기의 빔포밍 기술)

  • Bae, Moo-Ho
    • Journal of the Korean Society for Nondestructive Testing
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    • v.32 no.5
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    • pp.551-563
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    • 2012
  • Medical ultrasound systems have been used since 1950s, and are now widely used in most hospitals as indispensable diagnostic imaging systems. Since array probe was introduced in 1970s, beamforming technology using electronic signal processing has been adopted to the medical ultrasound system, and has been improved. Beamforming is a important technology which defines the resolution of the ultrasound system. In this paper, the technologies are introduced from basic beamforming principles to current trend. They include principles of beamforming using array probe, basic theory, and practical implementation, and recent topics of synthetic aperture imaging, adaptive beamforming, 2-dimensional beamforming using 2-dimensional array are also introduced. These various technologies will improve system performances continuously by merging innovatively with various technologies in other fields.

Simulation and Experimental Studies of Super Resolution Convolutional Neural Network Algorithm in Ultrasound Image (초음파 영상에서의 초고분해능 합성곱 신경망 알고리즘의 시뮬레이션 및 실험 연구)

  • Youngjin Lee
    • Journal of the Korean Society of Radiology
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    • v.17 no.5
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    • pp.693-699
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    • 2023
  • Ultrasound is widely used in the medical field for non-destructive and non-invasive disease diagnosis. In order to improve the disease diagnosis accuracy of diagnostic medical images, improving spatial resolution is a very important factor. In this study, we aim to model the super resolution convolutional neural network (SRCNN) algorithm in ultrasound images and analyze its applicability in the medical diagnostic field. The study was conducted as an experimental study using Field II simulation and open source clinical liver hemangioma ultrasound imaging. The proposed SRCNN algorithm was modeled so that end-to-end learning can be applied from low resolution (LR) to high resolution. As a result of the simulation, we confirmed that the full width at half maximum in the phantom image using a Field II program was improved by 41.01% compared to LR when SRCNN was used. In addition, the peak to signal to noise ratio (PSNR) and structural similarity index (SSIM) evaluation results showed that SRCNN had the excellent value in both simulated and real liver hemangioma ultrasound images. In conclusion, the applicability of SRCNN to ultrasound images has been proven, and we expected that proposed algorithm can be used in various diagnostic medical fields.