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Heo Subin,이승수,Kim So Yeon,Lim Young-Suk,Park Hyo Jung,Yoon Jee Seok,Suk Heung-Il,Sung Yu Sub,Park Bumwoo,Lee Ji Sung 대한영상의학회 2022 Korean Journal of Radiology Vol.23 No.12
Objective: This study aimed to evaluate the usefulness of quantitative indices obtained from deep learning analysis of gadoxetic acid-enhanced hepatobiliary phase (HBP) MRI and their longitudinal changes in predicting decompensation and death in patients with advanced chronic liver disease (ACLD). Materials and Methods: We included patients who underwent baseline and 1-year follow-up MRI from a prospective cohort that underwent gadoxetic acid-enhanced MRI for hepatocellular carcinoma surveillance between November 2011 and August 2012 at a tertiary medical center. Baseline liver condition was categorized as non-ACLD, compensated ACLD, and decompensated ACLD. The liver-to-spleen signal intensity ratio (LS-SIR) and liver-to-spleen volume ratio (LS-VR) were automatically measured on the HBP images using a deep learning algorithm, and their percentage changes at the 1-year follow-up (ΔLS-SIR and ΔLS-VR) were calculated. The associations of the MRI indices with hepatic decompensation and a composite endpoint of liver-related death or transplantation were evaluated using a competing risk analysis with multivariable Fine and Gray regression models, including baseline parameters alone and both baseline and follow-up parameters. Results: Our study included 280 patients (153 male; mean age ± standard deviation, 57 ± 7.95 years) with non-ACLD, compensated ACLD, and decompensated ACLD in 32, 186, and 62 patients, respectively. Patients were followed for 11–117 months (median, 104 months). In patients with compensated ACLD, baseline LS-SIR (sub-distribution hazard ratio [sHR], 0.81; p = 0.034) and LS-VR (sHR, 0.71; p = 0.01) were independently associated with hepatic decompensation. The ∆LS-VR (sHR, 0.54; p = 0.002) was predictive of hepatic decompensation after adjusting for baseline variables. ∆LS-VR was an independent predictor of liver-related death or transplantation in patients with compensated ACLD (sHR, 0.46; p = 0.026) and decompensated ACLD (sHR, 0.61; p = 0.023). Conclusion: MRI indices automatically derived from the deep learning analysis of gadoxetic acid-enhanced HBP MRI can be used as prognostic markers in patients with ACLD.
Heo, Subin,Han, Miran,Kim, Sung Hwan,Choi, Jin Wook Korean Society of Magnetic Resonance in Medicine 2019 Investigative Magnetic Resonance Imaging Vol.23 No.3
Although many imaging modalities can play some roles in the diagnosis of vertebral artery dissection (VAD), digital subtraction angiography (DSA) remains the gold standard method, with the highest detection rate and ability to assist in planning for endovascular treatment. However, this tool is often avoided in children because its invasive nature and it exposes them to radiation. High resolution magnetic resonance imaging (HR-MRI) have been suggested to be a reliable and non-invasive alternative, but it has never been discussed in children in whom vertebral artery dissection is a rare condition. In this report, we evaluate a case of a 2-year-old child who initially presented with cerebellar symptoms, and was early diagnosed with vertebral artery dissection using HR- MRI and was successfully treated.
Evaluation of Poly(lactic-co-glycolic Acid) Plate and Screw System for Bone Fixation
Park, Subin,Kim, Jin Hee,Kim, Il Hwan,Lee, Minsu,Heo, Suhak,Kim, Hong,Kim, Eun Hee,Choy, Young Bin,Heo, Chan Yeong Mutaz B. Habal, MD 2013 JOURNAL OF CRANIOFACIAL SURGERY - Vol.24 No.3
ABSTRACT: In this study, we investigated the efficacy and safety of the recently developed modifiable bioabsorbable plates and screws, which are made of PLGA [poly(lactic-co-glycolic acids)]. An in vitro extract test and a mammalian erythrocyte micronucleus test revealed that neither cytotoxicity nor genotoxicity was observed with the plates and screws tested in this study. An in vivo mandible fracture model in rabbit was introduced to evaluate the in vivo efficacy and of the PLGA-based plates and screws. At 4, 6, 8, and 10 weeks after implantation, tissue specimens were taken from the implanted sites of the rabbits and a histologic analysis was performed for each of the specimens. After 4 weeks, the plate was covered by connective tissues and severe chronic active inflammation in soft tissue was observed. After 6 weeks, the inflammation decreased and some of the specimens exhibited new bone formation around the periosteum. After 8 and 10 weeks, new bone formation was observed with all samples, where almost no severe inflammation was involved, implying the healing of the fracture. Given these, it can be suggested that the biodegradable plate and screw system that we evaluated in this study is effective for treatment of mandible fracture, one of the regions under a high load-bearing condition. The adjustment process and the long-term follow-up study are in progress for clinical application of the plate and screw system introduced in this study.
Subin Kim,Jin Kyo Jung,Yonggyun Shin,Heo Jin Woo,Myungeun Chwa,Hyeon Suk Jo,Dong-soon Kim 한국응용곤충학회 2023 한국응용곤충학회 학술대회논문집 Vol.2023 No.10
왕담배나방은 기주범위가 넓은 다식성으로 토마토, 옥수수, 담배, 해바라기, 땅콩, 면화, 콩 등 다양한 작물에 피해를 주는 해충이며, 장거리 이동성 해충으로도 유명하다. 본 연구에서는 기존 자료를 바탕으로 월동번데기의 성충으로 우화모델(2종)를 작성하고 포장 실측자료와 비교하여 평가하였다. 월동 번데기는 휴면을 종료한 후 안점소실 과정을 거쳐 정상의 번데기로 이행되고 비로소 성충으로 우화하는 것으로 가정하였다. 첫 번째 모형(모 형 1)은 2단계 휴면후발육 우화모형으로 안점소실에 필요한 적산온도 59.9DD (발육영점온도 15.9℃)와 번데기 발육완료에 필요한 192.3DD (발육영점온도 10.2℃)로 구성하였다. 두 번째 모형(모형 2)은 온도자극 우화모형으 로 17.63℃의 온도자극 이후에 번데기 발육을 개시하는 모형이었다. 적산온도는 단순 평균온도법과 사인곡선법 으로 계산하여 비교하였다. 포장자료와 비교 결과 모형 1에 사인곡선법을 적용했을 때 실측치와 편차가 3일보다 작거나 차이가 없었다. 반면 사인곡선법을 적용한 모형 2는 3~6.5일의 편차가 있었다. 평균온도법을 적용한 경우 두 모형 모두 실측치와 편차가 증가하였다. 모형을 활용하여 예측 우화시기와 트랩유살자료를 비교하여 왕담배 나방의 비래 가능성에 대하여 고찰하였다.