Imaging diagnosis of hepatocellular carcinoma: Future directions with special emphasis on hepatobiliary magnetic resonance imaging and contrast-enhanced ultrasound

Junghoan Park,Jeong Min Lee,Tae-Hyung Kim,Jeong Hee Yoon 대한간학회 2022 Clinical and Molecular Hepatology(대한간학회지) Vol.28 No.3

Hepatocellular carcinoma (HCC) is a unique cancer entity that can be noninvasively diagnosed using imaging modalities without pathologic confirmation. In 2018, several major guidelines for HCC were updated to include hepatobiliary contrast agent magnetic resonance imaging (HBA-MRI) and contrast-enhanced ultrasound (CEUS) as major imaging modalities for HCC diagnosis. HBA-MRI enables the achievement of high sensitivity in HCC detection using the hepatobiliary phase (HBP). CEUS is another imaging modality with real-time imaging capability, and it is reported to be useful as a second-line modality to increase sensitivity without losing specificity for HCC diagnosis. However, until now, there is an unsolved discrepancy among guidelines on whether to accept “HBP hypointensity” as a definite diagnostic criterion for HCC or include CEUS in the diagnostic algorithm for HCC diagnosis. Furthermore, there is variability in terminology and inconsistencies in the definition of imaging findings among guidelines; therefore, there is an unmet need for the development of a standardized lexicon. In this article, we review the performance and limitations of HBAMRI and CEUS after guideline updates in 2018 and briefly introduce some future aspects of imaging-based HCC diagnosis.

C 언어를 사용한 정지화상 표준화방안에서의 화상압축의 구현

임정환(Junghoan Lim),김지용(Jeeyong Kim),정화자(Hwaja Chung),정기현(Gihyun Jung),나상신(Sangsin Na),김용득(Yong-Deak Kim) 대한전자공학회 1992 대한전자공학회 학술대회 Vol.1992 No.6

Hepatocellular Carcinoma: Texture Analysis of Preoperative Computed Tomography Images Can Provide Markers of Tumor Grade and Disease-Free Survival

오지선,이정민,Junghoan Park,주이진,윤정희,이동호,Balaji Ganeshan,Joon Koo Han 대한영상의학회 2019 Korean Journal of Radiology Vol.20 No.4

Objective: To investigate the usefulness of computed tomography (CT) texture analysis (CTTA) in estimating histologic tumor grade and in predicting disease-free survival (DFS) after surgical resection in patients with hepatocellular carcinoma (HCC). Materials and Methods: Eighty-one patients with a single HCC who had undergone quadriphasic liver CT followed by surgical resection were enrolled. Texture analysis of tumors on preoperative CT images was performed using commercially available software. The mean, mean of positive pixels (MPP), entropy, kurtosis, skewness, and standard deviation (SD) of the pixel distribution histogram were derived with and without filtration. The texture features were then compared between groups classified according to histologic grade. Kaplan-Meier and Cox proportional hazards analyses were performed to determine the relationship between texture features and DFS. Results: SD and MPP quantified from fine to coarse textures on arterial-phase CT images showed significant positive associations with the histologic grade of HCC (p < 0.05). Kaplan-Meier analysis identified most CT texture features across the different filters from fine to coarse texture scales as significant univariate markers of DFS. Cox proportional hazards analysis identified skewness on arterial-phase images (fine texture scale, spatial scaling factor [SSF] 2.0, p < 0.001; medium texture scale, SSF 3.0, p < 0.001), tumor size (p = 0.001), microscopic vascular invasion (p = 0.034), rim arterial enhancement (p = 0.024), and peritumoral parenchymal enhancement (p = 0.010) as independent predictors of DFS. Conclusion: CTTA was demonstrated to provide texture features significantly correlated with higher tumor grade as well as predictive markers of DFS after surgical resection of HCCs in addition to other valuable imaging and clinico-pathologic parameters.

정지영상 압축기법을 이용한 簡易 동영상 압축의 具現

이종민(Jongmin Lee),임정환(Junghoan Rim),김상중(Sangjoong Kim),정기현(Gihyun Jung),김용득(Yongdeak Kim) 대한전자공학회 1993 대한전자공학회 학술대회 Vol.1993 No.7

저가격 동영상 부/복호기의 H/W구현에 관한 연구

이종민(Jongmin LEE),임정환(Junghoan Rim),김상중(Sangjoong Kim),정기현(Gihyun Jung),김용득(Yongdeak Kim) 대한전자공학회 1993 대한전자공학회 학술대회 Vol.1993 No.11

Levels of Perfluorinated Compounds in Liquid Milk Products in Korea

Park, Na-youn,Kho, Younglim,Kim, Junghoan The Korean Society of Food Hygiene and Safety 2021 한국식품위생안전성학회지 Vol.36 No.4

본 연구는 국내 유통되는 액상 유제품에 함유된 17종의 과불화화합물 (PFCs) 함량에 대한 모니터링을 위해 수행되었다. 샘플을 액체-액체 추출을 통해 추출하고 LC-MS/MS로 정량 분석하였다. 시중에 유통중인 98개의 액상 유제품 샘플에서 PFCs의 모니터링을 진행하였으며 그 결과, PFTeDA를 제외한 16종의 PFCs가 검출되었다. 총 PFCs의 함량은 0.9037 ng/mL로 액상 우유에서 가장 높았으며, PFPeA, PFDS, PFHxA도 액상우유에서 0.1 ng/mL 이상의 농도 수준을 보였다. 미국과 이탈리아에서 수행한 연구와 비교했을 때 PFOA와 PFOS의 잔류 패턴은 유사한 것으로 나타났으며, 농도 수준은 0.1 ng/mL 미만이었다. 액상 유제품은 다양한 가공단계(살균, 혼합, 지방제거 등)를 거쳐 총 PFCs의 함량이 감소하는 것으로 보여 지며, 특히 짧은 탄소 사슬을 가진 PFCs가 크게 감소하거나 검출되지 않았다. 이는 식품 안전에서 원료의 PFOS와 PFOA의 잔류정도가 중요하다는 것을 의미한다. This study was carried out to monitor the level of 17 perfluorinated compounds (PFCs) present in liquid milk products sold on the Korean market. The liquid milk samples were extracted via liquid-liquid extraction and analyzed by LC-MS/MS. Excellent linearity over the calibration range (r²>0.99), and the limit of quantification of perfluorooctane sulfonate (PFOS) was 0.021 ng/g, and perfluorotetradecanoic acid (PFOA) was 0.057 ng/g. The accuracy was in the range of 72.5-115.3%, and the precision was under 20%. The preprocessing method for this experiment is considered appropriate for analysis of milk samples. The proposed analytical method was applied for the determination of PFCs in 98 liquid milk product samples, and the average content of total PFCs was 0.6576 ng/mL. PFOA and PFOS were detected in most samples, and their levels were less than 0.1 ng/mL, which was lower than those in other studies.

Volumetric CT Texture Analysis of Intrahepatic Mass-Forming Cholangiocarcinoma for the Prediction of Postoperative Outcomes: Fully Automatic Tumor Segmentation Versus Semi-Automatic Segmentation

Park Sungeun,Lee Jeong Min,Park Junghoan,Lee Jihyuk,Bae Jae Seok,Kim Jae Hyun,Joo Ijin 대한영상의학회 2021 Korean Journal of Radiology Vol.22 No.11

Objective: To determine whether volumetric CT texture analysis (CTTA) using fully automatic tumor segmentation can help predict recurrence-free survival (RFS) in patients with intrahepatic mass-forming cholangiocarcinomas (IMCCs) after surgical resection. Materials and Methods: This retrospective study analyzed the preoperative CT scans of 89 patients with IMCCs (64 male; 25 female; mean age, 62.1 years; range, 38–78 years) who underwent surgical resection between January 2005 and December 2016. Volumetric CTTA of IMCCs was performed in late arterial phase images using both fully automatic and semi-automatic liver tumor segmentation techniques. The time spent on segmentation and texture analysis was compared, and the first-order and second-order texture parameters and shape features were extracted. The reliability of CTTA parameters between the techniques was evaluated using intraclass correlation coefficients (ICCs). Intra- and interobserver reproducibility of volumetric CTTAs were also obtained using ICCs. Cox proportional hazard regression were used to predict RFS using CTTA parameters and clinicopathological parameters. Results: The time spent on fully automatic tumor segmentation and CTTA was significantly shorter than that for semiautomatic segmentation: mean ± standard deviation of 1 minutes 37 seconds ± 50 seconds vs. 10 minutes 48 seconds ± 13 minutes 44 seconds (p < 0.001). ICCs of the texture features between the two techniques ranged from 0.215 to 0.980. ICCs for the intraobserver and interobserver reproducibility using fully automatic segmentation were 0.601–0.997 and 0.177– 0.984, respectively. Multivariable analysis identified lower first-order mean (hazard ratio [HR], 0.982; p = 0.010), larger pathologic tumor size (HR, 1.171; p < 0.001), and positive lymph node involvement (HR, 2.193; p = 0.014) as significant parameters for shorter RFS using fully automatic segmentation. Conclusion: Volumetric CTTA parameters obtained using fully automatic segmentation could be utilized as prognostic markers in patients with IMCC, with comparable reproducibility in significantly less time compared with semi-automatic segmentation.

접촉상태에 있는 역전방지 클러치의 거동에 관한 연구

이상범(Sangbum Lee),황영진(Youngjin Hwang),정성교(Sungkyo Jung),김종범(Jongbum Kim),이석순(Suksoon Lee),최중환(Junghoan Choi),이태선(Taesun Lee) 대한기계학회 2002 대한기계학회 기타 간행물 Vol.2002 No.11

표면위치표지자를 적용한 정위적 부분유방방사선치료의 유용성 평가

김종열,정동민,김세영,유현종,최정환,박효국,백종걸,이상규,조정희,Kim, JongYeol,Jung, DongMin,Kim, SeYoung,Yoo, HyunJong,Choi, JungHoan,Park, HyoKuk,Baek, JongGeol,Lee, SangKyu,Cho, JeongHee 대한방사선치료학회 2021 대한방사선치료학회지 Vol.33 No.-

Purpose: The goal of this study is to evaluate usefulness of noninvasive method instead of previous inserting Fiducial Marker Method when performing Stereotactic Partial Breast Irradiation in CyberKnife. Material and methods: For consistency of Imaging Center, we evaluated both oblique images at angle 45 and 315 acquired from 2D Simulator and CyberKnife quantitatively through dice similarity coefficient. Also, location reproducibility of Surface Fiducial Marker was analyzed from 2D Simulator, treatment plans and CyberKinfe images by using 8 Fiducial Markers made of gold attached to ATOM Phantom based on our institution's protocols. Results: The results of the estimated consistency were 0.87 and 0.9 at the oblique angle 45 and 315, respectively. For location consistency of Surface Fiducial Markers, values of horizontal vertical direction of left breast were Superior/Inferior 0.3 mm, Left/Right -0.3 mm, Anterior/Posterior 0.4 mm, and the values of rotational direction were Roll 0.3 °, Pitch 0.2 °, Yaw 0.4 °. The values of horizontal vertical direction of right breast were Superior/Inferior -0.1 mm, Left/Right -0.1 mm, Anterior/Posterior -0.1 mm, and the values of rotational direction were Roll 0.2°, Pitch 0.1°, Yaw 0.1°. Conclusions: We expect that the protocols used by Surface Fiducial Markers when performing Stereotactic Partial Breast Irradiation in CyberKnife will provide protection from pain and cut expenses for treatment and reduce treatment errors and make treatment more accurate by suggesting treatment protocols based on high consistency of Imaging Center and reproducibility of Fiducial Markers. 목 적: 사이버나이프를 이용한 정위적 부분유방방사선치료(Stereotactic Partial Breast Irradiation) 시 기존의 침습적인 위치표지자(Fiducial Marker) 삽입 방식이 아닌 비침습방식에 대한 유용성을 평가 하고자 한다. 대상 및 방법: 본 연구를 위한 영상 중심(Imaging Center)의 일치도는 2D모의치료기와 사이버나이프의 양사방향(Both oblique, 45 °, 315 °) 영상 획득 후 다이스 유사 계수를 통해 정량적으로 평가하였다. 표면위치표지자의 위치 재현성은 본원 프로토콜을 기반으로 ATOM Phantom 표면에 금 재질의 위치표지자 8개를 부착하고 2D모의치료와 치료계획, 사이버나이프 영상을 분석하여 평가 하였다. 결 과: 영상 중심의 일치도 평가결과는 양사방향(45 °, 315 °)에서 각각 0.87, 0.9 였다. 표면위치표지자의 재현성 평가 결과 좌측 유방은 수평수직방향 Superior/Inferior 0.3 mm, Left/Right -0.3 mm, Anterior/Posterior 0.4 mm, 회전 방향 Roll 0.3 °, Pitch 0.2 °, Yaw 0.4 ° 로 나타났다. 우측 유방은 수평수직방향 Superior/Inferior -0.1 mm, Left/Right -0.1 mm, Anterior/Posterior -0.1 mm 회전 방향 Roll 0.2 °, Pitch 0.1 °, Yaw 0.1 ° 로 나타났다. 결 론: 사이버나이프를 이용한 정위적 부분유방암방사선치료 시 표면위치표지자의 비침습 트로토콜을 기반으로 통증 및 감염 등의 예방과 전처치 시간을 줄이고 환자의 경제적 부담을 경감 할 수 있었으며, 영상 중심의 높은 일치도 및 위치표지자의 재현성을 바탕으로 치료에 유용할 것으로 사료된다.

Comparing levels of perfluorinated compounds in processed marine products

Jeong, Yu-Jin,Bang, Sunah,Kim, Jihyun,Chun, Su-Hyun,Choi, Seogyeong,Kim, Jinhye,Chung, Myung-Sub,Kang, Gil Jin,Kang, Young-Woon,Kim, Junghoan,Kho, Younglim,Joo, Yongsung,Lee, Kwang-Won Elsevier 2019 Food and chemical toxicology Vol.126 No.-

<P><B>Abstract</B></P> <P>Perfluorinated compounds (PFCs) are widely distributed in nature and have many applications due to their unique chemical and physicochemical properties. While, PFCs are present in soil, water, and air, their pathway for entry into the human body is circumstantially via contaminated food. The demand for seafood has been increasing. In this study, we investigated via LC-MS/MS, the content of 19 different types of PFCs in 302 samples belonging to five different categories of the typical South Korean seafood. The highest levels of PFOA, PFTrDA, PFOS, and PFPeA were found in dried seafood, canned and salted seafood, processed fish food, and seasoned laver, respectively. The levels of PFOA and PFOS were compared on the basis of various criteria including the nomenclature, biological classification, and habitat of the source of seafood. High levels of PFOA and PFOS were detected in anchovy, sea squirt, and mackerel based on the nomenclature of raw seafood, in crustaceans based on the biological classification, and in demersal organisms based on the habitat. The human intake values of PFOA and PFOS from the processed marine products in South Korea were lower than the tolerable daily intake, indicating that the consumption of these processed seafood poses no immediate harm.</P> <P><B>Highlights</B></P> <P> <UL> <LI> Method validation of each food base was performed. </LI> <LI> 19 types of PFCs showed different patterns in 5 processed seafoods. </LI> <LI> The main cause of the detected levels of PFOA and PFOS was fish species. </LI> <LI> Dry process and characteristics of PFCs affect their levels in dried seafood. </LI> <LI> The levels of PFOA and PFOS were higher in demersal fish than in pelagic fish. </LI> </UL> </P>