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      • KCI등재후보

        Treatment outcomes and prognostic factors of gallbladder cancer patients after postoperative radiation therapy

        Suzy Kim,Kyubo Kim,Eui Kyu Chie,Sun Whe Kim,Yung-Jue Bang,Sung Whan Ha 한국간담췌외과학회 2011 한국간담췌외과학회지 Vol.15 No.3

        Backgrounds/Aims: To investigate survival rates and prognostic factors of patients with gallbladder cancer who were treated with surgery and postoperative radiation therapy. Methods: Seventeen gallbladder cancer patients who received surgery and postoperative radiotherapy from October 1989 to April 1998 were included in this retrospective study. Five patients had stage II, 8 patients had stage III, and 4 patients had stage IV disease according to the 1997 American Joint Committee on Cancer (AJCC) staging. All patients received ≥40 Gy of postoperative radiotherapy with a daily dose of 2.0 Gy/fraction and 15 patients received concurrent chemotherapy. An analysis was performed for the endpoints of overall and disease-free survival. Results: Of the 17 patients, 13 had no residual disease (R0), 1 had microscopic residual disease (R1), and 3 had macroscopic residual disease (R2) after surgery. Among patients with no residual disease, 4 had locoregional recurrences during the follow-up period. One patient with microscopic residual disease had local recurrence. The 5-year overall survival rate was 38.2%. The median overall survival time was 21 months and the median disease-free survival time was 12 months. Old age (≥60 years old), female gender, a high pathological stage (≥IVA), and the presence of residual disease after surgery were significant prognostic factors for disease-free survival. Conclusions: Despite a high proportion of patients with advanced disease and macroscopic residual disease, the prognosis of gallbladder patients who had postoperative radiotherapy is encouraging. Additional investigation to improve the loco-regional control of gallbladder cancer patients with adverse prognostic factors is warranted. (Korean J Hepatobiliary Pancreat Surg 2011;15:152-156)

      • KCI우수등재

        Victorian Values: Wilkie Collins, Debt, and Reading Suspense

        ( Suzy Kim ) 한국영어영문학회 2021 영어 영문학 Vol.67 No.1

        This article argues that Wilkie Collins’s The Woman in White and The Moonstone present a plot structure that parallels a payment of debt. They show that the contractual relationship between debtor and creditor, and most of all the condition of debt marking a character as ontologically lacking, is a necessary, or even the primary element in the governing system of a narrative. The secret of the suspense plot in these two novels, is ultimately the secret of illegitimate money; the individual characters and their own happy endings pale in comparison to the emphasis that the plot puts on the exchange of credit and debt between them. This puts these novels in a particular tension with the form of the Bildungsroman by inverting the Bildungsroman’s established relationship between subjecthood and money. Money was tangled up with the idea of selfhood and its emergence in the Bildung plots of the Victorian realist novels; in contrast, debt was the shadow-money that was antithetical to successful self-making. Collins’s sensation fiction disregards that emerging selfhood for the plot of money. At first glance, the narratives construct a seeming upward socio-economic development in their two male protagonists; however, they ultimately undermine these stories of self-becoming to centralize the narrative action of paying off debt. Moreover, this twists the realist novel’s tradition of recognition scenes into a scene of comparing receipts, in which the debt of the villain is finally revealed, to the protagonist’s credit. By doing this, the novels present to us a severely contractual way of reading plots: reading for the payoff.

      • SCOPUSKCI등재

        Prediction of response by FDG PET early during concurrent chemoradiotherapy for locally advanced non-small cell lung cancer

        Kim, Suzy,Oh, So Won,Kim, Jin Soo,Kim, Ki Hwan,Kim, Yu Kyeong The Korean Society for Radiation Oncology 2014 Radiation Oncology Journal Vol.32 No.4

        Purpose: To evaluate the predictive value of the early response of $^{18}F$-flurodeoxyglucose positron emission tomography (FDG PET) during concurrent chemoradiotherapy (CCRT) for locally advanced non-small cell lung cancer (NSCLC). Materials and Methods: FDG PET was performed before and during CCRT for 13 NSCLC patients. Maximum standardized uptake value ($SUV_{max}$), mean standardized uptake value ($SUV_{mean}$), metabolic tumor volume (MTV), and total lesion glycolysis (TLG) were measured and the changes were calculated. These early metabolic changes were compared with the standard tumor response by computed tomograms (CT) one month after CCRT. Results: One month after the completion of CCRT, 9 patients had partial response (PR) of tumor and 4 patients had stable disease. The percent changes of $SUV_{max}$ ($%{\Delta}SUV_{max}$) were larger in responder group than in non-responder group ($55.7%{\pm}15.6%$ vs. $23.1%{\pm}19.0%$, p = 0.01). The percent changes of $SUV_{mean}$ ($%{\Delta}SUV_{mean}$) were also larger in responder group than in non-responder group ($54.4%{\pm}15.9%$ vs. $22.3%{\pm}23.0%$, p = 0.01). The percent changes of MTV ($%{\Delta}MTV$) or TLG ($%{\Delta}TLG$) had no correlation with the tumor response after treatment. All the 7 patients (100%) with $%{\Delta}SUV_{max}{\geq}50%$ had PR, but only 2 out of 6 patients (33%) with $%{\Delta}SUV_{max}$ < 50% had PR after CCRT (p = 0.009). Likewise, all the 6 patients (100%) with $%{\Delta}SUV_{mean}{\geq}50%$ had PR, but only 3 out of 7 patients (43%) with $%{\Delta}SUV_{mean}$ < 50% had PR after CCRT (p = 0.026). Conclusion: The degree of metabolic changes measured by PET-CT during CCRT was predictive for NSCLC tumor response after CCRT.

      • SCOPUSKCI등재

        Prediction of response by FDG PET early during concurrent chemoradiotherapy for locally advanced non-small cell lung cancer

        Suzy Kim,MD,PhD,So Won Oh,MD,PhD,Jin Soo Kim,MD,PhD,Ki Hwan Kim,MD,PhD,Yu Kyeong Kim,MD,PhD 대한방사선종양학회 2014 Radiation Oncology Journal Vol.32 No.4

        Purpose: To evaluate the predictive value of the early response of 18F-flurodeoxyglucose positron emission tomography (FDG PET) during concurrent chemoradiotherapy (CCRT) for locally advanced non-small cell lung cancer (NSCLC). Materials and Methods: FDG PET was performed before and during CCRT for 13 NSCLC patients. Maximum standardized uptake value (SUVmax), mean standardized uptake value (SUVmean), metabolic tumor volume (MTV), and total lesion glycolysis (TLG) were measured and the changes were calculated. These early metabolic changes were compared with the standard tumor response by computed tomograms (CT) one month after CCRT. Results: One month after the completion of CCRT, 9 patients had partial response (PR) of tumor and 4 patients had stable disease. The percent changes of SUVmax (%ΔSUVmax) were larger in responder group than in non-responder group (55.7% ± 15.6% vs. 23.1% ± 19.0%, p = 0.01). The percent changes of SUVmean (%ΔSUVmean) were also larger in responder group than in non-responder group (54.4% ± 15.9% vs. 22.3% ± 23.0%, p = 0.01). The percent changes of MTV (%ΔMTV) or TLG (%ΔTLG) had no correlation with the tumor response after treatment. All the 7 patients (100%) with %ΔSUVmax ≥ 50% had PR, but only 2 out of 6 patients (33%) with %ΔSUVmax < 50% had PR after CCRT (p = 0.009). Likewise, all the 6 patients (100%) with %ΔSUVmean ≥ 50% had PR, but only 3 out of 7 patients (43%) with %ΔSUVmean < 50% had PR after CCRT (p = 0.026). Conclusion: The degree of metabolic changes measured by PET-CT during CCRT was predictive for NSCLC tumor response after CCRT.

      • Specters of War in Pyongyang: The Victorious Fatherland Liberation War Museum in North Korea

        Suzy Kim 고려대학교 민족문화연구원 2015 Cross-Currents Vol.- No.14

        While North Korea accused South Korea of starting a “civil war” (naeran) during the Korean War, it has now moved away from such depictions to paint the war as an American war of imperialist aggression against Korea that was victoriously thwarted under the leadership of Kim Il Sung. In this regard, it may be more than a coincidence that the Victorious Fatherland Liberation War Museum in Pyongyang was built in the early 1970s, just as the Vietnam War drew to a close with a Vietnamese victory. This article examines the memorialization of the Korean War in North Korea at two pivotal historical points—the end of the Vietnam War in the 1970s and the end of the Cold War in the 1990s—with a particular focus on contemporary exhibitions at the war museum in Pyongyang. Rather than offering a simple comparison of divergent narratives about the war, the article seeks to illustrate that North Korea’s conception of history and its account of the war are staunchly modernist, with tragic consequences.

      • SCOPUSKCI등재
      • SCOPUSKCI등재

        Prognostic value of FDG PET/CT during radiotherapy in head and neck cancer patients

        Kim, Suzy,Oh, Sowon,Kim, Jin Soo,Kim, Yu Kyeong,Kim, Kwang Hyun,Oh, Do Hoon,Lee, Dong-Han,Jeong, Woo-Jin,Jung, Young Ho The Korean Society for Radiation Oncology 2018 Radiation Oncology Journal Vol.36 No.2

        Purpose: To evaluate the prognostic value of $^{18}F$-fluorodeoxyglucose positron-emission tomography (FDG PET) with computed tomography (CT) before and during radiotherapy (RT) in patients with head and neck cancer. Methods: Twenty patients with primary head and neck squamous cell carcinoma were enrolled in this study, of whom 6 had oropharyngeal cancer, 10 had hypopharyngeal cancer, and 4 had laryngeal cancer. Fifteen patients received concurrent cisplatin and 2 received concurrent cetuximab chemotherapy. FDG PET/CT was performed before RT and in the 4th week of RT. The parameters of maximum standardized uptake value, metabolic tumor volume, and total lesion glycolysis (TLG) of the primary tumor were measured, and the prognostic significance of each was analyzed with the Cox proportional hazards model. Results: Higher TLG (>19.0) on FDG PET/CT during RT was a poor prognostic factor for overall survival (OS) (p = 0.001) and progression-free survival (PFS) (p = 0.007). In the multivariate analysis, TLG during RT as a continuous variable was significantly associated with OS and PFS rate (p = 0.023 and p = 0.016, respectively). Tumor response worse than partial remission at 1 month after RT was another independent prognostic factor for PFS (p = 0.024). Conclusions: Higher TLG of the primary tumor on FDG PET/CT during RT was a poor prognostic factor for OS and PFS in patients with head and neck cancer.

      • KCI등재

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