• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• 제17권2호
• /
• pp.98-103
• /
• 2014

Purpose: Gallbladder (GB) wall thickening can be found in various conditions unrelated to intrinsic GB disease. We investigated the predisposing etiologies and the outcome of acalculous GB wall thickening in children. Methods: We retrospectively analyzed 67 children with acalculous GB wall thickening who had visited our institute from June 2010 to June 2013. GB wall thickening was defined as a GB wall diameter > 3.5 mm on abdominal ultrasound examination or computed tomography. Underlying diseases associated with GB wall thickening, treatment, and outcomes were studied. Results: There were 36 boys and 31 girls (mean age, $8.5{\pm}4.8years$ [range, 7 months-16 years]). Systemic infection in 24 patients (35.8%), acute hepatitis in 18 (26.9%), systemic disease in 11 (16.4%), hemophagocytic lymphohistiocytosis in 4 (6.0%), acute pancreatitis in 3 (4.5%), and specific liver disease in 3 (4.5%) predisposed patients to GB wall thickening. Systemic infections were caused by bacteria in 10 patients (41.7%), viruses in 5 patients (20.8%), and fungi in 2 patients (8.3%). Systemic diseases observed were systemic lupus erythematosus in 2, drug-induced hypersensitivity in 2, congestive heart failure in 2, renal disorder in 2. Sixty-one patients (91.0%) received symptomatic treatments or treatment for underlying diseases. Five patients (7.5%) died from underlying diseases. Cholecystectomy was performed in 3 patients during treatment of the underlying disease. Conclusion: A wide range of extracholecystic conditions cause diffuse GB wall thickening that resolves spontaneously or with treatment of underlying diseases. Surgical treatments should be avoided if there are no definite clinical manifestations of cholecystitis.

• 대한핵의학회지
• /
• 제31권1호
• /
• pp.43-49
• /
• 1997

이 연구에서 우리는 관동맥우회로술을 시행한 환자에서 수술 전에 게이트 심근 SPECT에서 심근벽의 수축기 두꺼워짐을 보아 수술 후 심근벽 운동이상의 호전을 예측할 수 있는지 조사하였다. 연구 결과 심근벽의 수축기 두꺼워짐이 좋은 분절은 생존심근이라 할 수 있었으나 심근벽의 수축기 두꺼워짐이 좋지 못하여도 생존심근이 아니라고 단정할 수 없었다. 심근벽 두꺼워짐 여부의 예측능은 심근 관류 감소의 중증도, 심근벽 운동 장애의 정도와 관련이 없었다. 게이트 심근 SPECT로 심근벽 두꺼워짐을 자극할 방법을 도입하고 자극 후 변화를 보는 방법으로 게이트 심근 SPECT를 시행하여 생존심근을 찾는 예민도와 음성예측율을 높일 필요가 있다.

• 대한핵의학회지
• /
• 제34권6호
• /
• pp.487-496
• /
• 2000

목적: 국소 심근 벽 운동과 수축기 심근두꺼워짐에 대한 자동정량화 소프트웨어의 재현성을 알아보고자 하였다. 대상 및 방법: 31명의 무작위 추출한 관상동맥질 환자에서 부하 게이트 Tc-99m-MIBI SPECT를 시행하는 중에, 게이트 심근 SPECT를 1회 시행한 이후 바로 이어 한번 더 게이트 SPECT를 시행하였다. 얻어진 영상으로부터 AutoQUANT 소프트웨어를 이용하여 분절별, 심근벽별로 심근벽 운동과 수축기 심근두꺼워짐의 자동정량값을 얻어, 1회째 값과 2회째 값 사이의 상관계수를 계산하고 Bland-Altman 도표를 통해 변이의 범위를 보았다. 또 각 값들을 등급화한 수치 간에 kappa 값을 구해보았다. 결과: 재현성 분석에서 1회와 2회 시행간의 상관계수는 각각 0.948, 0.878이었으며, weighted kappa 값은 0.807, 0.708로 아주 좋은 일치도를 보였다. Bland-Altman 분석에서 변이의 2 표준편차 범위는 각각 ${\pm}2.0mm,\;{\pm}20.2%$였다. 각각의 재현성은 분절영역, 성별, 관류의 수준에 따라 차이를 보이지 않았다. 결론: 이 연구에서 우리는, 심근 벽 운동과 수축기 심근두꺼워짐의 자동정량화 소프트웨어가 좋은 재현성을 가지고 있음을 알았으며, 또한 추적 검사나 치료효과 판정시 심근 벽 운동과 수축기 심근두꺼워짐의 변화 판정 기준을 마련하였다.

• Journal of Veterinary Science
• /
• 제24권2호
• /
• pp.25.1-25.6
• /
• 2023

An eight-year-old Maltese dog presented with diarrhea and anorexia. Ultrasonography revealed marked focal wall thickening with loss of layering in the distal ileum. Contrast-enhanced computed tomography (CT) revealed a preserved wall layer with hypoattenuating middle wall thickening. In some segments of the lesion, small nodules protruding toward the mesentery from the outer layer were observed. Histopathology revealed focal lipogranulomatous lymphangitis (FLL) with lymphangiectasia. This is the first report to describe the CT features of FLL in a dog. CT features of preserved wall layers with hypoattenuating middle wall thickening and small nodules can assist in diagnosing FLL in dogs.

• Investigative Magnetic Resonance Imaging
• /
• 제24권2호
• /
• pp.85-89
• /
• 2020

Amyloidosis is an all-inclusive disease of deposition of amyloid proteins in the extracellular spaces, which in localized or systemic form cause tissue damage and dysfunction. Herein, we report a case of small bowel involvement of systemic amyloidosis presenting with multiple polypoid wall thickening mimicking small bowel polyposis syndrome in an age 75 male. Interestingly, polypoid wall thickening and amyloidoma showed hypointensity on T2-weighted images. To our knowledge, there has been no literature describing MRI findings of poylpoid wall thickening and amyloidoma. Although the underlying mechanisms are unclear and need validation, hypointensity on T2-weighted images could be valuable in diagnosing small bowel involvement of amyloidosis in patients presenting with poylpoid wall thickening and amyloidoma.

• Investigative Magnetic Resonance Imaging
• /
• 제10권2호
• /
• pp.81-88
• /
• 2006

목적: 경증과 중등도 간경화 환자에서 장관 비후의 MR 영상 소견을 분석하고, 혈액검사 소견과 비교하여 임상적 의미를 알아보고자 한다. 대상과 방법: 경증과 중등도 간경화 환자 123명을 대상으로 MR영상소견을 분석하고 혈액검사 소견과 비교하였다. MR 영상 소견은 장관벽 비후, 우회혈류의 유무, 복수, 비장의 크기를 분석하였다. 이 소견들과 혈청 단백질, 담즙색소 수치, 혈액응고(프로트롬빈) 시간을 비교하였다. 결과: 위장관벽 비후는 25명 환자에서 37개의 위치에서 있었고, 경증 간경화(17%) 보다 중등도 간경화(20%)에서 더 높게 나타났다. 장관벽 비후의 가장 흔한 위치는 공장과 상행결장이었고 각각 22명과 9 명에서 나타났다. 상행 결장의 비후는 경증 간경화 보다 중등도 간경화에서 더 높게 나타났다. 비후된 장관벽은 대칭적이며 T2강조영상에서 고신호강도를 보였고 T1강조영상에서 동등신호강도와 저신호강도가 섞인 신호강도를 나타냈으며 균질하거나 과녁형 조영증강을 보였다. 혈청 단백질은 장관벽 비후가 있는 환자에서 의미있게 낮은 수치를 보였다($3.3{\pm}0.9$ g/dl vs. $3.9{\pm}0.7$ g/dl; p=0.0024). 혈청 담즙색소는 장관벽 비후가 있는 환자에서 의미있게 높은 수치를 보였다($1.7{\pm}1.0$ mg/dl vs. $1.4{\pm}1.2$ mg/dl; p=0.0160). 장관벽 비후는 우회혈류의 유무, 복수, 비장의 크기, 혈액응고 시간의 지연과 의미있는 관계가 없었다. 결론: 경증과 중등도 간경화에서 MR영상 소견은 간경화의 중증도와 혈액검사 소견을 평가하는데 유용하였다.

• Molecules and Cells
• /
• 제25권2호
• /
• pp.294-300
• /
• 2008

Cytokinins are essential hormones in plant development. $\underline{A}$rabidopsis $\underline{h}$istidine-containing $\underline{p}$hosphotransfer proteins (AHPs) are mediators in a multistep phosphorelay pathway for cytokinin signaling. The exact role of AHP4 has not been elucidated. In this study, we demonstrated young flower-specific expression of AHP4, and compared AHP4-overexpressing (Ox) trangenic Arabidopsis lines and an ahp4 knock-out line. AHP4-Ox plants had reduced fertility due to a lack of secondary cell wall thickening in the anther endothecium and inhibition of IRREGURAR XYLEMs (IRXs) expression in young flowers. Conversely, ahp4 anthers had more lignified anther walls than the wild type, and increased IRXs expression. Our study indicates that AHP4 negatively regulates thickening of the secondary cell wall of the anther endothecium, and provides new insight into the role of cytokinins in formation of secondary cell walls via the action of AHP4.

• 대한미생물학회지
• /
• 제5권1호
• /
• pp.9-18
• /
• 1970

The present study is of ultra-fine structures of Trichophyton rubrum, Trichophyton mentagrophytes, Microsporum canis and Epidermophyton floccosum by means of electron microscopy and reveals the following. 1. In contrast to the bacteria, the normal fungus contains nuclear membrane, mitochondria, endoplasmic reticulun, distinct cell wall and cell membrane and secretory granules as observed in the higher plants and animals. 2. Thickening of the cell wall, inapparent cell wall, inapparent cell membrane with the appearance of electron thin area(ETA) and increase of inclusions were observed in the L-1 treated groups. 3. Thickening of cell wall and increase of ETA were more apparent in the Epidermophyton floccosum than the other groups. 4. Increase of electron thin area was thought to be associated with autolysis.

• Journal of the Korean Wood Science and Technology
• /
• 제24권1호
• /
• pp.54-67
• /
• 1996

Micromorphology of the vessel wall sculptures such as perforation plate, inter-vessel pits, vessel-ray pits, vessel-parenchyma pits, vestured pits, spiral thickening, and warts was observed in 78 species(45 genera, 25 families) of Korean hardwoods using a scanning electron microscopy. The SEM observation revealed the micromorphology of vessel wall sculptures which have not yet been described, and have confirmed findings already established at the light microscopical level.

• Journal of the Korean Wood Science and Technology
• /
• 제9권1호
• /
• pp.1-12
• /
• 1981

The structure of spiral thickenings, particulary the appearance, arrangement and orientation of thickenings in compression wood of Torreya nucifera, were studied in detail by light and polarizing microscope, scanning and transmission electron microscope. The results obtained are as follows: (1) Using the inclined sections at an angle of 45 degrees to the fiber axis, it seems that we can not only observe the more accurate transverse view of the thickenings but also investigate the formation of their thickenings. (2) Generally 2-4 pieces of thickenings are projected to the cell lumen as nipple-like appearance in transverse section and are as frequent, well developed, forming pair and have the rope-like appearance in radial surface. (3) The secondary wall of early wood is composed of 3 layers (S1, S2, S3) and orientation of thickening appears S helix but that of late wood is of 2 layers (S1, S2) and that orientation shows Z helix. Above two regions are demaracted at several tracheid cells from the growth ring boundary. (4) Orientation of thickening seems to be a element showing the characteristics of compression wood in Torreya nucifera. (5) It believes that the thickenings of compression wood are integral part of the S3 in early wood tracheids and of the S2 in late wood and have the same orientations as the inner-most microfibrils in these layers. (6) Thickening and cavities seem to be not formed together in a secondary cell wall of same tracheids.