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Treatment of Cerebral Arteriovenous Malformations by Preoperative Embolization and Microsurgery
김규홍,노명호,이운기,최정훈,이인창,배상도,Kim, Kyu Hong,Rho, Myung Ho,Lee, Woon Gi,Choi, Jeong Hoon,Lee, In Chang,Bae, Sang Do The Korean Neurosurgical Society 2000 Journal of Korean neurosurgical society Vol.29 No.4
Objective : To determine the role of preoperative embolization on postoperative neurological outcome in the treatment of cerebral AVMs, we retrospectively evaluated an effectiveness of combining preoperative embolization and microsurgery for arteriovenous malformations(AVM) of the brain. Method : Two groups(10 patients who underwent preoperative superselective embolization and surgery versus 27 patients who underwent surgery only) were compared and categorized by Spetzler-Martin grade, the size of AVM and postoperative clinical outcome using Glasgow Outcome Scale. The 37 patients included 23 males and 14 females, ranging in age from 11 to 74 years(mean 36 years). Results : The arteriovenous malformations in preoperative embolization and surgery group had a larger average greatest diameter(4.45cm versus 3.83cm) and were of higher Spetzler-Martin grade(80% versus 52% grade III through V). At 1 week after surgery, the preoperative embolization and surgery group represented a better outcome(60% versus 44% with Glasgow Outcome Scale score of 5). And over 6 months after surgery, the embolization and surgery group displayed more favorable clinical outcome(80% versus 63% with Glasgow Outcome Scale score of 5). Conclusion : Combined treatment with superselective preoperative embolization using N-butyl cyanoacrylate and direct surgery may help neurosurgeon treating the high grade AVMs thus improving the postsurgical outcome. 뇌동정맥기형의 치료에 있어 술 전 색전술과 미세뇌수술을 병합함으로서 얼마나 치료효과를 높일 수 있는지를 알고자 후향적조사를 시행하였다. 조사군은 수술 전 초선택적 색전술후 수술을 시행하였던 10명의 뇌동정맥기형 환자를 대상으로 하였고, 대조군은 술 전 색전술 없이 수술만으로 치료하였던 27명의 환자를 대상으로 하였으며 각각의 환자군은 Spetzler-Martin grade, 뇌동정맥기형의 크기 그리고 Glasgow Outcome Scale을 이용한 술 후 추적관찰 결과에 따라 나누어 비교하였다. 조사대상 37명의 환자중 남자가 23명, 여자가 14명이었으며 나이는 11세부터 74세(평균 36세)였다. 뇌동정맥기형의 크기는 술 전 색전술과 수술적 치료를 병합하였던 조사군에서 평균 4.45cm로 수술만 시행하였던 군의 3.83cm에 비해 크게 나타났으며, Spetzler-Martin grade도 조사군에서는 3, 4, 5등급이 80%이었으나 대조군에서는 52%로 술 전 색전술과 수술을 병합한 군에서 높은 등급의 환자가 많았다. 수술 후 일주일째 평가한 Glasgow-Outcome Scale 점수는 조사군에서는 5점인 경우가 60%로 대조군의 44%보다 높았으며, 수술 후 6개월만에 평가한 점수도 조사군에서 5점인 경우가 80%이었고 대조군은 63%로 술 전 색전술과 수술을 병합하였던 환자에서 더 좋은 예후를 보였다. 결론적으로 수술 전 N-butyl cyanoacrylate를 이용한 초선택적 색전술을 시행한 후 수술 적으로 뇌동정맥기형을 제거함으로서 비교적 등급이 높은 환자에서 치료가 용이하였으며 이전의 수술적 치료만 하였던 경우에 비해 더 좋은 예후를 보임을 알 수 있었다.
김규홍,최정훈,배상도,Kim, Kyu Hong,Choi, Jung Hoon,Bae, Sang Do 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.10
Objectives : To assess the surgical results for patients with multiple intracranial aneurysms and factors related to prognosis of patients. Materials and Methods : We retrospectively analyzed the clinical characteristics of 47 patients with multiple intracranial aneurysms and assessed the types of surgical treatment and prognosis of 44 patients who received surgical treatment from January 1986 to March 1999. Results : The 47 patients presented altogether 108 aneurysms with male to female ratio of 1 : 3.7, and average age 54.9 years(range 33-81 years). Common locations for multiple aneurysms were P-com(31%), MCA(30%) and Acom( 15%). The postoperative good and poor outcomes were 30 cases(68%) and 11 cases(25%), respectively and there were 3 deaths(7%). The analyzed results for 44 surgically treated patients were as follows ; 1) The size of aneurysm was relevant to frequency of rupture ; the lowest for lesions less than 1cm(21%), rising to 85% for lesions greater than 3cm(p<0.05). 2) The surgical outcome was significantly correlated with preoperative clinical status of the patients(p<0.05). 3) The good outcome was associated with surgery within 7 days(especially 24 hours) after clinical onset of symptoms but not with type of operation and laterality of aneurysms. Conclusion : With regard to the surgical treatment for multiple aneurysm cases, surgeons should consider the salient factors in a good prognosis such as patient's preoperative status, size of aneurysm, timing of surgery, and type of operation.
김규홍 ( Kyu Hong Kim ),김문영 ( Moon Young Kim ),백순구 ( Soon Koo Baik ),박동훈 ( Dong Hun Park ),임대욱 ( Dae Wook Rhim ),김정민 ( Jung Min Kim ),석기태 ( Ki Tae Suk ),김재우 ( Jae Woo Kim ),권상옥 ( Sang Ok Kwon ) 대한내과학회 2008 대한내과학회지 Vol.74 No.2
Background/Aims: Portal hypertension occurs as a consequence of liver cirrhosis and is responsible for serious complications such as variceal bleeding, ascites and hepatic encephalopathy. The hepatic venous pressure gradient (HVPG) is the gold standard for assessment of portal hypertension. However, use of the HVPG is limited by being an invasive test. This prospective study evaluated whether the parameters identified by the non-invasive Doppler ultrasonography reflect the HVPG and could potentially be used for the assessment of the severity of portal hypertension in patients with liver cirrhosis. Methods: HVPG and Doppler ultrasonographic parameters, including the damping index (DI) of the hepatic vein waveform, the portal venous velocity and flow, the splenic venous velocity and flow, the pulsatility and the resistive index of the hepatic, splenic and renal arteries were measured in 114 patients with liver cirrhosis and compared. Results: The DI of the Doppler hepatic vein waveform was significantly correlated with the grade of the HVPG, i.e. with a higher HVPG, an increase in the DI was observed (p<0.01). The other Doppler parameters did not correlate with the HVPG grade. Conclusions: The results of this study showed that the DI measurements of the hepatic vein waveform by Doppler ultrasonography might provide a noninvasive assessment of the severity of portal hypertension. (Korean J Med 74:139-145, 2008)
다차원 유동의 정확한 수치해석 : 다차원 고차 내삽 기법
김규홍(Kyu Hong Kim),김종암(Chongam Kim),노오현(Oh-Hyun Rho) 한국전산유체공학회 2003 한국전산유체공학회 학술대회논문집 Vol.2003 No.-
The new multi -dimensional higher order interpolation scheme called MHIS is developed. Firstly, multi-dimensional TVD condition is derived based on one-dimensional TVD condition. Using multi-dimensional TVD condition, 2nd, 3rd and 5th order MHIS are presented. By help of multi-dimensional TVD condition, it is possible to captured a discontinuity monotonically even in a multi-dimensional flow. It is verified through several test cases that the accuracy and the robustness of MHIS are enhanced in regions of shock discontinuities as well as boundary-layers.
미끄럼 벽면 경계조건을 고려한 C/SiC TPS 벽면의 비평형 공력가열 현상 분석
김규홍(Kyu Hong Kim) 한국항공우주학회 2004 韓國航空宇宙學會誌 Vol.32 No.1
Stuttgart IRS에서 개발된 URANUS 코드에 사용되어 온 미끄럼 경계조건을 단순화시킨 새로운 미끄럼 경계조건을 개발하였다. 기존의 미끄럼 경계조건과 장단점 비교를 위해 MIRKA 재돌입 비행체의 실제 비행 조건에서 ablator와 C/SiC 두개의 충으로 구성된 열 방어 시스템(Thermal Protection System)을 해석하였다. 이를 통해 새로운 미끄럼 경계조건이 기존의 미끄럼 경계조건의 정확성을 그대로 유지하면서 계산 효율성을 상당히 향상시켰음을 확인하였다. A new slip boundary condition is developed by simplifying the previous slip model in URANUS code that has been developed in IRS in Stuttgart. For comparison of the new model and the previous model, Thermal Protection System (TPS) which consists of ablator and C/SiC layers, is calculated in the condition of experimental data obtained from MIRKA reentry capsule. Through numerical calculations, it is certified that efficiency is improved significantly without compromising accuracy of boundary condition.
직교 주파수 분할 다중화 시스템의 최대전력 대 평균전력의 비 감소를 위한 비트 선택사상 기법
김규홍(Kyu-Hong Kim),노형석(Hyung-Suk Noh),허석중(Seok-Joong Heo),노종선(Jong-Seonh No),신동준(Dong-Joon Shin) 한국통신학회 2008 韓國通信學會論文誌 Vol.33 No.6C
선택사상기법(selected mapping; SLM)은 직교 주파수 분할 다중화(orthogonal frequency division multiplexing; OFDM) 시스템에서 최대전력 대 평균전력의 비 (peak to average power ratio; PAPR)를 감소시키는 잘 알려진 기법이다. 본 논문에서는 SLM 기법의 전송 후보 시퀀스를 발생시키는 새로운 방법을 제안한다. 기존의 SLM 기법은 M-ary 심볼의 위상을 회전시켜 전송 후보 시퀀스를 발생 시키지만, 제안된 방법은 원 신호의 이진 데이터에 m-시퀀스를 곱하여 전송 후보 시퀀스를 발생시킨다. 제안된 방법의 PAPR 감소 성능은 기존의 SLM에 비해 우수하였고, 모의실험 결과로부터 적은 수의 부 반송파를 사용하는 시스템에서 더 좋은 성능을 보이는 것을 확인하였다. Selected mapping is well-known scheme for peak to average power ratio(PAPR) reduction in orthogonal frequency multiplexing(OFDM) systems. In this paper, we proposed a new scheme for generating a set of candidate transmission sequences. In conventional SLM, candidate sequences were generated by rotating the phases of the frequency domain OFDM M-ary symbols but in proposed scheme, candidate sequences are generated by multiplying the m-sequences with data in bit format of OFDM signals. Computer simulation results show that, as compared to the conventional SLM scheme, the proposed approach has better PAPR reduction performance and especially in case of OFDM systems which has small number of subcarriers has better performance than large ones.