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      • SCOPUSSCIEKCI등재

        선형가속기 방사선 수술을 이용한 뇌동정맥기형의 치료

        이성열,손은익,김옥배,최태진,김동원,임만빈,김인홍,Lee, Sung Yeal,Son, Eun Ik,Kim, Ok Bae,Choi, Tae Jin,Kim, Dong Won,Yim, Man Bin,Kim, In Hong 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.8

        본 논문에서 뇌동정맥기형에 대해 포톤나이프로 정위적 방사선 수술을 시행한 후 방사선학적으로 10명의 환자중 6례에서 완전 폐색, 4례에서 부분적 폐색을 보였으며, 특히 3cm이하의 작은 뇌동정맥기형 7례중 6례에서 완전 폐색을 보였다(완전 폐색율 : 85.7%). 모든 환자에서 방사선 수술로 인한 방사선학적 합병증의 발병은 없었다. 신경학적으로도 모든 환자에서 방사선 수술 전에 보이던 증상들이 호전을 보였다. 포톤나이프 방사선 수술 시스템은 이미 실험적으로 안정성이 검증된 것으로 이 논문에서 임상적으로 방사선 수술의 안정성 및 정확성을 다시 확인할 수 있었다. 정위적 방사선 수술은 지금까지 치료 불가능했던 부위에 생긴 병소, 수술이나 다른 치료방법으로 완전 제거에 실패한 경우, 노인환자나 다른 내과적 질환으로 수술이 어렵거나 수술적 치료를 거부하는 환자에서도 좋은 치료 방법으로 사용되어지며, 특히 뇌 중요부위나 심부병변에 위치한 경우 또는 최대직경이 3cm 이하의 소 동정맥기형으로 발견 당시 출혈량이 많지 않고 신경학적 결손이 경미한 환자에서 좋은 적응증이 되리라 사료된다. Objective : The aim of this study was to retrospectively analyze the safety and effect of Linac based Photon Knife Radiosugery System(PKRS) for treatment of cerebral arteriovenous malformation. Patients and Methods : The authors analyzed the clinical method and results of ten patients who were followed up more than two years, among the 18 patients who had radiosurgery on arteriovenous malformation from June, 1992, to Dec. 1997, with Linac based Photon knife radiosurgery system(PKRS) which was developed in our hospital. Results : The average age of the patients was 30.4(with the range of 13-49), and the sex was seven males and three females. For the initial clinical symptoms, there were five patients with headache, three with seizure, one with hemiparesis, and one with vomiting. Before the radiosurgery, computed tomography, MRI, and cerebral angiogram were done. For the location of arteriovenous malformation, it was found on six patients of cerebral hemisphere, two of thalamus, one of brainstem, and one of corpus callosum. Regarding the size of nidus, there were seven patients of smaller than 3cm, and three patients of larger than 3cm. Computed tomography, MRI, and cerebral angiogram were done periodically for sixth months, first year, and second year after the radiosurgery of PKRS for the completeness of obliteration. Six cases showed complete obliteration, and four partial obliterations were observed among ten cases, and interestingly, six cases of complete obliteration were observed among seven cases of small AVM of smaller than 3cm(the rate of complete obliteration : 85.7%). All patients tolerated the treatment and no significant complication were seen. Conclusion : In this study, linac based radiosurgery using PKRS onto arteriovenous malformation showed excellent effects, therefore authors believe that it is an ideal method for small sized or deep seated AVM.

      • SCOPUSSCIEKCI등재

        원발성 뇌하수체 농양 - 2례 보고 -

        이성열,이창영,임만빈,Lee, Sung Yeal,Lee, Chang Young,Yim, Man Bin 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.8

        Pituitary abscess is a very rare disorder, since antibiotics therapy has become widely available. Clinically and radiologically, the preoperative diagnosis of pituitary abscess is difficult because of its features which may be identical to those of any space-occupying lesions of the sella turcica. A combination of clinical features, such as meningitis, paranasal sinusitis and panhypopituitarism with intrasellar cystic lesion with homogeneous ring enhancement on computed tomography or magnetic resonance image should raise the suspicion of a pituitary abscess. Drainage of the abscess through trans-sphenoidal approach, appropriate antibiotics therapy, endocrine assessment and hormonal replacement should bring complete recovery to the patient. The authors review the literature and report two cases of primary pituitary abscess.

      • KCI등재후보

        양발 착지 시 성별에 따른 상해 경험이 하지관절의 운동역학적 변인에 미치는 영향

        이성열,권문석,Lee, Seong-Yeol,Kwon, Moon-Seok 한국응용과학기술학회 2019 한국응용과학기술학회지 Vol.36 No.2

        본 연구는 양발 착지 시 성별에 따른 상해 경험이 무릎과 엉덩관절의 움직임 및 수직 지면반력에 미치는 영향을 분석하는데 목적이 있었다. 20대 남성 20명(상해 경험 8명, 비상해 경험 12명), 여성 20명(상해 경험 11명, 비상해 경험 9명)을 연구대상자로 선정하였다. 높이 45cm 박스에서 양발 착지를 통해 얻어진 운동역학적 변인을 Two-way mixed ANOVA를 실시하였으며, bonferroni adjustment를 이용하여 사후검증 하였다(p<.05). 본 연구결과 상해를 경험한 여성 그룹은 무릎 관절의 외반 및 내측회전 그리고 엉덩관절의 굴곡 및 외측회전 운동을 증가시켜 최대 수직 지면반발력의 감소를 유도할 수 있었던 것으로 판단된다. 상해를 경험하지 않은 여성 그룹의 경우 최대 무릎 굴곡각도가 가장 작게 나타났을 뿐만 아니라 엉덩관절의 굴곡과 외측회전 각도에서 가장 적은 수치를 나타내었고 최대 수직 지면반발력은 가장 높게 나타났다. 반면, 상해를 경험하지 않은 여성 INE 그룹의 경우 IE 그룹에 비해 상대적으로 무릎과 엉덩관절을 활용하지 못함으로서 높은 수직 지면반발력을 나타내었고, 이는 상대적으로 상해 위험성에 많이 노출되어 있음을 의미한다. 따라서 성별에 따른 상해 경험이 무릎과 엉덩관절의 운동과 최대 수직 지면반발력의 크기에 요인들에 영향을 주는 요인들임을 알 수 있었다. The purpose of this study was to investigate the effects of gender difference in injury experience on biomechanical variables of lower extremity during two leg drop landing. 20 male(injury experience=8, non-injury experience=12) and 20 female(injury experience=11, non-Injury Experience=9) in their 20's were selected as subjects. Two-way mixed ANOVA was performed on the biomechanical variables obtained from the two leg drop landing in a 45cm height box and post-test was performed with bonferroni adjustment(p <.05). The results of this study suggest that the group of female who injury experience could induce the reduction of the peak vertical ground reaction force by increasing the valgus and internal rotation of the knee joint and flexion and internal rotation of the hip joint. In the INE(injury non-experienced) female group, the peak knee flexion angle was the smallest, as well as the flexion of the hip joint and the external rotation angle, and the peak vertical ground reaction force was the highest. On the other hand, the INE female group showed high vertical ground reaction force because they did not utilize the knee and hip joints relatively than the IE(injury experienced) female group, this means that it is relatively exposed to the risk of injury. Therefore, it was found that gender difference in injury experience is a factor affecting factors of knee and hip joint movement and peak vertical GRF(ground reaction force).

      • KCI등재

        The Trends of IT Convergence in Korea

        이성열,Lee, Sung-Youl Korea Society of Industrial Information Systems 2012 한국산업정보학회논문지 Vol.17 No.7

        These days, the environment of IT development goes through converging with various industries and technologies. Also, it accelerates to pioneer new markets and develop new technologies. This trend becomes one of the most important factors to explore new national growth engines in Korea. Thus, this research examines current trends of IT convergence in Korea. The strategic characteristics of IT convergence in overseas are briefly explained for comparing purpose. The governmental strategies or efforts regarding the IT convergence have been surveyed. Some example convergences of LG, Samsung, and POSCO as major IT industries in Korea have been introduced. It also identifies several buzz concepts in this field. The study aims to provide an insight about the activities that are happening in the field of IT convergence in Korea. Finally, the findings through the research have been summarized.

      • SCOPUSKCI등재
      • SCOPUSKCI등재

        Photodissociation to Several Atomic Terms: Near-threshold Resonance for Production of O($^3$P) and O($^1$D) in OH Photodissociation

        이성열,Lee, Seong Yeol Korean Chemical Society 2001 Bulletin of the Korean Chemical Society Vol.22 No.12

        A theoretical analysis is presented for the multichannel type resonance at energies above the dissociation threshold to O(1D) in the photodissociation of OH. Dissociations to both oxygenic terms O(3P) and O(1D) are treated. Total cross sections for producing these oxygen terms display asymmetric resonance due to the quantum interference resulting from complicated interplay of electronic states correlating to these two oxygenic terms. The branching ratios of O(3Pj, j = 0, 1, 2), and the vector properties of O(3Pj, j =0,1,2) and O(1D) display extensive changes near the threshold resonance as the result of the interactions among the electronic states correlated with O(3P) and O(1D).

      • SCOPUSKCI등재
      • SCOPUSKCI등재

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