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진헌철,오성찬,류석용,김홍용 대한응급의학회 2003 대한응급의학회지 Vol.14 No.3
A hepatoblastoma is the most common liver tumor in children between 6 months to 3 years of age. It is a rare malignancy of the liver with an incidence of 0.7 to 1 case per 1 million children under 15 years of age in Western countries. Males are more affected. Patients usually have normal liver funtion test, but have high serum levels of alpha-fetoprotein(AFP), which is a sensitive diagnostic marker. They usually present with abdominal distension or an asymptomatic abdorninal mass. Rarely, patients with a hepatoblastoma show an acute abdominal emergency which is not typical for the disease process. The management of a ruptured hepatocellular carcinoma provides guidance for diagnosis and treatment of a hepatoblastoma because the incidence of hepatoblastoma is low. We report a child who presented abdominal pain and distension with the diagnosis of a ruptured hepatoblastoma.
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안성훈,김양원,김미란,진헌철,안지영,이상래,류석용,김홍용,김성준,이병권,김경환 대한응급의학회 2001 대한응급의학회지 Vol.12 No.2
Background: A hyperosmolar nonketotic state has been known to have a high mortality, and even now, despite this high mortality, only a few studies of this disease have been performed. We studied the prognostic factors for the hyperosmolar nonketotic state. Methods: We retrospectively studied the cases of 40 patients who were in a hypersomolar nonketotic state when admitted to Sanggye Paik Hospital during the 6-year Period from 1995 through 2000. We divided the hyperosmolar nonketotic patients into two groups, the complete recovery group and the incomplete recovery group, and compared the clinical features, the laboratory findings, and the precipitating factors between two groups. Results: 1) A total of 40 patients were studied: 24 in the complete recovery group and 16 patients in the incomplete recovery group. The mortality rate was 32.5%. 2) No significant statistical difference existed among the clinical features of the two groups, except for the sex(p<0.01). 3) Among the laboratory findings of both groups, analysis revealed that the effective osmolarity was significantly higher among those in the incomplete recovery group(p<0.01). Serum sodium concentration was also significantly higher among those in the incomplete recovery group(p<0.01). Serum creatinine was also significantly higher among those in the incomplete recovery group(p<0.05). Serum bicarbonate concentration, on the other hand, was significantly lower among those in that group(p<0.05).4) Infection was identified as the most common precipitating factor(62.5%). Among the precipitating factors of the two groups, there were significant statistical difference in pneumonia, UTI, and inappropriate glucose control. 5) A significant statistical difference existed among the initial level of consciousness of both groups(p<0.05). 6) The only significant independent factor responsible for prognosis of nonketotic hyperosmolar state patients was the sex. Conclusion: The sex was only significant independent prognostic factor of nonketotic hyperosmolar state patients.
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3.0T MR system에서 TOF-MRA의 유체속도와 신호소실의 정량분석 : 유속조절팬텀 이용
백상훈(Sang-Hoon Back),정진헌(Jin-Heon Jeong),이예은(Ye-Eun Lee),곽민영(Min-Young Gwak),윤준(Jun Yoon),정다빈(Dabin Jung),오현식(Hyun-Sik Oh),허영철(Yeong-Cheol Heo) 한국방사선학회 2020 한국방사선학회 논문지 Vol.14 No.7
본 연구의 목적은 TOF-MRA에서 유체속도의 변화와 신호소실의 상관성을 정량적으로 분석하고자 하였다. 유체속도를 제어할 수 있는 팬텀을 자체 제작하여 유체속도를 8.0 ~ 127.3 mc/s까지 총 16단계로 변화시켰다. 3.0T MRI장치를 이용하여 TOF-MRA검사를 하였고 신호소실의 길이와 영상을 유입부, 중간부, 유출부로 분류하여 각 신호강도를 측정하였다. 신호소실의 길이는 유체속도가 127.3 cm/s였을 때 가장 길게 측정되었고 신호강도는 유체속도가 증가할수록 감소하였다(p<0.05). 유입부(-.547)와 중간부(-.643)는 유체의 속도가 증가할수록 음의 상관성이 있었다(p<0.05). 결론적으로 유체속도의 증가는 TOF-MRA에서 신호소실을 야기하는 주요한 인자였음을 확인하였다. 추후 혈류속도가 빠른 모델에서 신호소실을 줄이는 시퀀스 및 파라메터를 연구할 때 본 연구가 기초자료를 제공할 것이라 사료된다. The purpose of this study was to quantitatively correlate the change of flow velocity and signal voiding in TOF-MRA. We made our phantom to control the flow velocity, and changed the flow velocity in 16 steps from 8.0 to 127.3 mc/s. The TOF-MRA test was performed using a 3.0T MRI system and the signal intensity was measured by classifying the signal voiding length and image into the In flow, Mid flow, and Out flow. The length of signal voiding was the longest when the flow velocity was 127.3 cm/s and the signal intensity decreased with increasing flow velocity(p<0.05). In flow(-.547) and Mid flow(-.643) were negatively correlated with flow velocitys(p<0.05). In conclusion, it was confirmed that the increase in flow velocity was a major factor causing signal voiding in TOF-MRA. In the future, this study will provide basic data when studying sequences and parameters to reduce signal voiding in models with a high flow velocity.
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