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조광현,우종수,황윤호,이양행,박철호,김종성,김철호,이경순,조영일,박태인 인제대학교 1985 仁濟醫學 Vol.6 No.4
A successful treatment of infants and children with congenital heart defects depends upon several factors: diagnosis must be accurate, the operative technique, including techniques of perfusion and myocardial preservation, must be suited to the needs of patients and intensive cares, including accurate anesthesia, must be applied through all stages of investigation and treatment, i.e. before, during and after the operation. Recently we performed a open heart surgery successfully for a six-years old girl who had suffered from frequent upper respiratory tract infection and mild to moderate exertional dyspnea with congenital heart defects (ventricular septal defect, Kirklin type II, with patent foramen ovale). The operation and postoperative course were very smooth. And now we report this with review of literatures.
Hyun Jo Youn,Ha Rim Ahn,Sang Yull Kang,Sung Hoo Jung 대한외과초음파학회 2021 대한외과초음파학회지 Vol.8 No.1
Ultrasonography is mandatory for the evaluation of thyroid nodules. Although B-mode and Doppler ultrasonography are both sensitive for the diagnosis of thyroid lesions, they lack specificity in differentiating benign from malignant nodules. Elastography has been described as an accurate predictor of malignancy by determining tissue elasticity. There are several methods utilized to evaluate the stiffness of normal tissue and the thyroid nodule, such as strain elastography, acoustic radiation force impulse, and shear wave elastography. Many studies show that elastography has both high sensitivity and specificity that approaches 100% for the determination of thyroid carcinoma. In addition, elastography also has a very high negative predictive value and thus, may also be helpful in the identification of thyroid nodules that do not need further diagnostic evaluation, including fine needle aspiration cytology. However, in the light of current evidence, there is a need for standardization and consensus on the most optimum elastography acquisition process. The purpose of this review is to provide a comprehensive summary of the use of elastography in the evaluation of thyroid nodules.