• 제목/요약/키워드: radiologic department

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요추부 불안정증의 방사선학적 소견 (Lumbar Spinal Instability and Its Radiologic Findings)

  • 양경훈;김남규;김영수;고용;오성훈;오석전;김광명
    • Journal of Korean Neurosurgical Society
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    • 제29권1호
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    • pp.78-86
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    • 2000
  • Objective : Lumbar spinal instability occurs when normal biomechanics support in lumbar vertebrae interrupted. Despite the recent enthusiastic studies, the precise radiological assessment has not been fully established, yet. Therefore, we carefully studied our cases to analyze the radiologic findings in lumbar spinal instability. Patients and Methods : We have put together radiological analysis and assessment based on 38 patients who have been diagnosed and treated for lumbar spinal instabilities from June 1994 to December 1998, Patients who have been diagnosed and treated for trauma were excluded from study. Results : The outcomes are as follows : 1) Lumbar lordotic curve was statistically significant in unstable group by 23.7, compared to the control group ($17.0^{\circ}$). 2) According to the resting x-ray, sagittal plane angulation measured on unstable group was $21.1^{\circ}$, control group $18.0^{\circ}$. Therefore unstable group was noticeably higher(p<0.01). 3) According to the resting x-ray sagittal plane displacement, unstable group had 4.3mm, the comparison had 1.2mm. Therefore measurement from the unstable group were significantly higher(p<0.01). 4) According to stress view, sagittal plane translation was 4.1mm for the unstables and 2.7mm for the comparisons. Therefore unstables were noticeably higher(p<0.01). 5) According to stress view, sagittal plane rotation was $15.1^{\circ}$ at L3-4, $22.0^{\circ}$ at L4-5, $27.9^{\circ}$ at L5S1 for the unstable group and $11.3^{\circ}$, $18.1^{\circ}$, $21.0^{\circ}$ each for the comparison. 6) Facet angle for unstable group, left $29.3^{\circ}-61.5^{\circ}$, right $24.4^{\circ}-63.2^{\circ}$ and the mean for each are $43.1^{\circ}$, $47.2^{\circ}$. The difference between left and right facet angle was $3.5^{\circ}-20.7^{\circ}$ and the mean value $15.3^{\circ}$. Facet angle for the comparisons for the left was $29.3^{\circ}-59.5^{\circ}$, right was in between $25.7^{\circ}-64.5^{\circ}$ range and the each mean are $44.9^{\circ}$ and $47.6^{\circ}$. Also, the difference between left and right facet angle was $4.1^{\circ}-9.3^{\circ}$ and the average was $17.1^{\circ}$. The average and the difference between the left and right angle are found not to have statistic necessity for both unstable and stable measurements(p>0.01). 7) 19 patients were found to have vacuum facet phenomenon among unstable group etc. results were collected. Conclusion : According to above results, we attempted to prepare the application to the patient of radiological analysis and assessment for lumbar spinal instability early checkup.

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전자선치료 시 3D 프린터로 제작한 환자 맞춤형 차폐체의 유용성 평가 (Evaluation of the Usefulness of Patient Customized Shielding Block Made with 3D Printer in the Skin Cancer Electron Beam Therapy)

  • 안기송;정우찬;김대현;김무섭;윤도군;심재구;서태석
    • 대한방사선기술학회지:방사선기술과학
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    • 제42권6호
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    • pp.447-454
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    • 2019
  • In order to improve and supplement the shielding method for electron beam treatment, we designed a patient-specific shielding method using a 3D printer, and evaluated the usefulness by comparing and analyzing the distribution of electron beam doses to adjacent organs. In order to treat 5 cm sized superficial tumors around the lens, a CT Simulator was used to scan the Alderson Rando phantom and the DICOM file was converted into an STL file. The converted STL file was used to design a patient-specific shield and mold that matched the body surface contour of the treatment site. The thickness of the shield was 1 cm and 1.5 cm, and the mold was printed using a 3D printer, and the patient customized shielding block (PCSB) was fabricated with a cerrobend alloy with a thickness of 1 cm and 1.5 cm. The dosimetry was performed by attaching an EBT3 film on the surface of the Alderson Rando phantom eyelid and measuring the dose of 6, 9, and 12 MeV electron beams on the film using four shielding methods. Shielding rates were 83.89%, 87.14%, 87.39% at 6, 9, and 12 MeV without shielding, 1 cm (92.04%, 87.48%, 86.49%), 1.5 cm (91.13%, 91.88% with PSCB), 92.66%) The shielding rate was measured as 1 cm (90.7%, 92.23%, 88.08%) and 1.5 cm (88.31%, 90.66%, 91.81%) when the shielding block and the patient-specific shield were used together. PCSB fabrication improves shielding efficiency over conventional shielding methods. Therefore, PSCB may be useful for clinical application.

마미총에 발생한 해면상 혈관종 - 증례보고 - (Cavernous Hemangioma of the Cauda Equina - A Case Report -)

  • 김근수;안병조;한동한
    • Journal of Korean Neurosurgical Society
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    • 제30권5호
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    • pp.662-665
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    • 2001
  • Spinal cavernous hemangiomas of the cauda equina are extremely rare vascular malformations. We report a case of intradural extramedullary cavernous hemangioma of the cauda equina with it's clinical, radiologic and surgical findings. This is the twelveth case of cavernous hemangioma of the cauda equina in the literature. The pertinent literatures are reviewed.

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부신 석회화가 동반된 영아형 신증후군 (A Case of Infantile Nephrotic Syndrome)

  • 이경아;신손문;박용훈
    • Journal of Yeungnam Medical Science
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    • 제9권2호
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    • pp.427-435
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    • 1992
  • We have experienced a case of infantile nephrotic syndrome confirmed by renal biopsy in a 13-month-old female patient who showed growth and develop mental retardation and persistent proteinuria. She revealed mild eyelid edema, joint laxity, delayed speech development and adrenal cortical calcification on the radiologic study. Renal biopsy showed microcystic tubular change, micro-glomeruli and marked mesangial proliferation.

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Gas-Filled Intradural Cyst within the Cauda Equine

  • Cho, Hyung-Lea;Lee, Sang-Ho;Kim, Jin-Sung
    • Journal of Korean Neurosurgical Society
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    • 제49권3호
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    • pp.182-185
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    • 2011
  • A case of radicular pain that resulted from a gas-filled intradural cyst in an 80-year-old male is described. Temporary improvement of radicular pain was observed after CT-guided aspiration. However, recurrent radicular pain led to surgical treatment. In this report, the authors document the radiologic and intraoperative features of a gas-filled intradural cyst that migrated into the nerve root, and propose an optimal treatment plan based on a review of the literature.

양측성 폐종괴 양상을 보인 알레르기성 기관지 폐 아스페르걸루스증 1예 (A Case of Allergic Bronchopulmonary Aspergillosis Shown as Bilateral Pulmonary Masses)

  • 고원기;최승원;박재민;안강현;김세규;장준;김성규;이원영;최규옥;신동환
    • Tuberculosis and Respiratory Diseases
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    • 제46권2호
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    • pp.260-265
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    • 1999
  • The first case of allergic bronchopulmonary aspergillosis(ABPA) was reported by Hinson, et al. in 1952. This was followed by a number of significant description of the disorder. Although typical ABP A initially presents with asthma, fleeting pulmonary infiltrates, and marked eosinophilia, there are many other ways in which the disease may be first manifested. Common radiologic findings in ABP A include pulmonary infiltrates, atelectasis, emphysema, fibrosis, lobar shrinkage with hilar elevation, cavitation, pneumothorax, aspergilloma and central bronchiectasis. We experienced a case of allergic bronchopulmonary aspergillosis presenting rare radiologic finding of bilateral pulmonary masses in chest radiography. With oral corticosteroid treatment, the size of both pulmonary masses was decreased significantly and his asthmatic symptoms were improved.

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X선진단(X線診斷) 부문(部門)에 있어서 업무량(業務量)에 관(關)한 조사연구(調査硏究)(II) (A Study on Activities of Diagnostic X-ray Examination(II))

  • 경광현;허준
    • 대한방사선기술학회지:방사선기술과학
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    • 제1권1호
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    • pp.44-54
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    • 1978
  • This study was carried out with statistical materials during the last two years of period from Jan. 1975 to Dec. 1976 which presented at radiologic department of 5 hospitals in Seoul City. The primary purpose of this study was to obtained more detailed informations related to the activities of radiologic technologists in diagnostic X-Ray examinations part and to provide some basic materials for managements in activities of then and manpower managements of their organization and practice. From the results of this study, the following conclusions were obtained [1] During two year from the January of 1975 to the December of 1976, total number of case in X-ray examinations were 464,830 case and 22,029 case in 1975 and 24,461 in 1976. And ratio of icreased in X-Ray examinations by year was 11.09 per cent. [2] Regarding the examined portion of X-Ray examination, a great propotion was chest examination as 56.88 per cent. [3] An average, the required time per case in X-Ray exam. was 9.28 minutes and make used of 1.94 sheets of X-Ray film per case in radiography. [4] An average, ratio of increased in X-Ray film by year was 12.71 per cent and ratio of failed film in it was 2.23 per cent. [5] The frequency rate of film size showed the highest distribution of $8"{\times}10"$(28.17%) and the highest distribution of X-Ray film by month was July(8.93%). [6] An average, the amount of activities per a diagnostic X-Ray equipment was 34.92 case and make used of 67.81 sheets of X-Ray film in a day. [7] The mean number of case in X-Ray examinations by radiologic technologists was 29.29 cases and make used of 56.87 sheets of X-Ray film in a day. Also, the average number of case was reading by radiologists was 32.42 case and 62.97 sheets of X-Ray film in a day.

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방사선 정보원과 전공 선택 만족도의 상관관계 분석 : 한·미 방사선학과 대학생들 중심으로 (Analysis of Correlation Between Radiation Information Sources and Major Selection Satisfaction : Focused on Radiologic Science Students in Korea and the United States)

  • 성열훈
    • 한국방사선학회논문지
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    • 제13권6호
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    • pp.865-872
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    • 2019
  • 본 연구에서는 한국과 미국 방사선학과 대학생들을 대상으로 방사선 정보원과 전공 선택 만족도의 상관관계를 분석하고자 하였다. 본 연구의 대상자는 한국의 충북 소재의 일개 4년제 대학교와 미국의 텍사스 주 소재의 일개 4년제 대학교의 방사선학과 1, 2 학년을 대상으로 하였다. 설문조사는 2019년 5월 7일부터 5월 28일까지 방사선 정보원과 정보원 신뢰도 그리고 방사선학과 선택 만족도에 대해 자기기입방식으로 조사하였다. 그 결과 첫째, 양국 대학생 모두 인터넷을 가장 많이 사용하는 정보원이지만 교과서를 통한 정보 수집 비중은 미국 대학생들이 유의하게 높았다. 둘째, 한국 대학생들은 미국 대학생들보다 정보원에 대한 신뢰도가 정부의 인쇄물을 제외한 인터넷, 신문, 소셜 네트워크 순으로 유의하게 높았다. 셋째, 미국의 대학생들은 한국 대학생들보다 방사선학과 선택 만족도가 유의하게 높았다. 넷째, 한국 대학생들은 다양한 정보원을 통해 전공 선택에 도움을 받고 있었으며 특히, 소셜 네트워크간의 상관계수가 유의하게 높은 상관관계를 나타냈다.

A Case of Delayed Diagnosis of Pulmonary Paragonimiasis due to Improvement after Anti-tuberculosis Therapy

  • Lee, Suhyeon;Yu, Yeonsil;An, Jinyoung;Lee, Jeongmin;Son, Jin-Sung;Lee, Young Kyung;Song, Sookhee;Kim, Hyeok;Kim, Suhyun
    • Tuberculosis and Respiratory Diseases
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    • 제77권4호
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    • pp.178-183
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    • 2014
  • Here, we report a case of pulmonary paragonimiasis that was improved with initial anti-tuberculosis (TB) therapy but confused with reactivated pulmonary TB. A 53-year-old Chinese female presented with a persistent productive cough with foul smelling phlegm and blood streaked sputum. Radiologic findings showed subpleural cavitary consolidation in the right upper lobe (RUL). Bronchoscopic and cytological examination showed no remarkable medical feature. She was diagnosed with smear-negative TB, and her radiologic findings improved after receiving a 6-month anti-TB therapy. The chest CT scans, however, obtained at 4 months after completion of anti-TB therapy showed a newly developed subpleural consolidation in the RUL. She refused pathologic confirmation and was re-treated with anti-TB medication. Nevertheless, her chest CT scans revealed newly developed cavitary nodules at 5 months after re-treatment. She underwent thoracoscopic wedge resection; the pathological examination reported that granuloma caused by Paragonimus westermani. Paragonimiasis should also be considered in patients assessed with smear-negative pulmonary TB.

파노라마 촬영의 피폭선량에 관한 문헌분석 연구 (A Literature Review and Analysis of Dosimetry in Panoramic Radiography)

  • 권대철;동경래;정재은;이경희;김수경;김욱태;이청재;송운흥;마상철
    • 대한방사선기술학회지:방사선기술과학
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    • 제33권1호
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    • pp.1-10
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    • 2010
  • 치과파노라마 촬영은 구강에 대한 선량의 증가와 안전관리가 필요하여 이에 대한 안전관리 및 장치관리에 대한 실태의 조사와 연구가 필요하다. 치과파노라마 촬영에 대한 기본 데이터 확보와 파노라마 촬영에 대한 국내 및 국외의 문헌에 대한 보고와 조사가 전무하여 이에 대한 조사 및 선량의 측정이 필요하다. 파노라마 촬영에 따른 유효선량, DAP, DWP를 분석하였고, ICRP에서 규정한 흡수선량과 가중계수 및 논문에서 국외의 진단참고준위를 참고하였다. 파노라마 촬영은 방사선의 피폭에 따른 환자에게 위험도를 수반하므로 진단참고 준위를 참조하여 환자의 방사선 방어를 최적화해야 한다. 또한 파노라마 방사선 촬영은 부위에 따라 흡수선량의 차이가 있어 선량에 가능한 노출되지 않도록 해야 한다.