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Park, J S,Ryu, K N,Han, C S,Park, Y-K British Institute of Radiology 2010 The British journal of radiology Vol.83 No.991
<P>We report an extremely rare case of malignant myoepithelioma presenting as a cortical osseous lesion on the humeral shaft with a satellite lesion. A 21-year-old man presented with persistent pain of the right upper arm after local trauma that had occurred 2 months earlier. Radiological examination revealed an expansile osseous tumour based on the cortex of the humeral shaft as well as a satellite lesion. En bloc resection was performed. Microscopic examination with immunohistochemical staining was used to establish a diagnosis of malignant myoepithelioma. Osseous malignant myoepithelioma occurring in long tubular bones rather than in bony structures with salivary tissue is extremely rare. Here, we demonstrate radiological and pathological features of a malignant myoepithelioma that developed in the cortex of the humeral shaft and review previously reported cases.</P>
Kim, H S,Lee, D H,Kim, H J,Kim, S J,Kim, W,Kim, S Y,Suh, D C British Institute of Radiology 2006 The British journal of radiology Vol.79 No.939
<P>Carotid blowout is a devastating complication in patients with head and neck malignancy. A covered stent offers an alternative to treatment of a carotid blowout patient thought to be at high risk for surgery or carotid occlusion. Stent placement in the common carotid artery or carotid bulb is a technical challenge because of large luminal diameter and luminal calibre discrepancy between internal carotid artery and common carotid artery. We present four patients with common carotid rupture and massive bleeding who were treated with self-expanding covered stents, among them, two cases were treated with newly designed self-expanding polytetrafluoroethylene (PTFE)-covered nitinol stents.</P>
Miliary tuberculosis: a comparison of CT findings in HIV-seropositive and HIV-seronegative patients.
Kim, J Y,Jeong, Y J,Kim, K-I,Lee, I S,Park, H K,Kim, Y D,Seok I, H British Institute of Radiology 2010 The British journal of radiology Vol.83 No.987
<P>The aim of this study was to determine the differences in CT findings of miliary tuberculosis in patients with and without HIV infection. Two radiologists reviewed retrospectively the CT findings of 15 HIV-seropositive and 14 HIV-seronegative patients with miliary tuberculosis. The decisions on the findings were reached by consensus. Statistical analysis was performed using the chi(2) test, Mann-Whitney U-test and Fisher's exact test. All of the HIV-seropositive and -seronegative patients had small nodules and micronodules distributed randomly throughout both lungs. HIV-seropositive patients had a higher prevalence of interlobular septal thickening (p = 0.017), necrotic lymph nodes (p = 0.005) and extrathoracic involvement (p = 0.040). The seropositive patients had a lower prevalence of large nodules (p = 0.031). In conclusion, recognition of the differences in the radiological findings between HIV-seropositive and -seronegative patients may help in the establishment of an earlier diagnosis of immune status in patients with miliary tuberculosis.</P>
Quality of tri-Co-60 MR-IGRT treatment plans in comparison with VMAT treatment plans for spine SABR
Choi, Chang Heon,Park, So-Yeon,Kim, Jung-in,Kim, Jin Ho,Kim, Kyubo,Carlson, Joel,Park, Jong Min British Institute of Radiology 2017 The British journal of radiology Vol.90 No.1070
<P>Advances in knowledge: For spine SABR, the tri-Co-60 IMRT is inappropriate owing to the large penumbra, large leaf width and low dose rate of the ViewRay system.</P>
Case report: Imaging features of perianal leiomyoma.
Kim, H J,Lee, G H,Kim, Y W British Institute of Radiology 2009 The British journal of radiology Vol.82 No.980
<P>A leiomyoma is a benign mesenchymal neoplasm that usually develops where smooth muscle is present. In this report, we present a rare case of perianal leiomyoma. The external anal sphincter was stretched over the surface of the leiomyoma and the internal anal sphincter was intact on surgery. It was confirmed as a deep soft-tissue leiomyoma on pathology. We describe the ultrasonographic and MRI findings of a rare case of perianal leiomyoma, together with differential diagnoses.</P>
Lee, M W,Kim, Y J,Park, S W,Hwang, J H,Jung, S I,Jeon, H J,Kwon, W K British Institute of Radiology 2009 The British journal of radiology Vol.82 No.983
<P>The purpose of this study was to assess the feasibility and efficacy of percutaneous radiofrequency ablation combined with transarterial chemoembolisation (TACE) for the treatment of hepatocellular carcinoma that are invisible on both ultrasound and unenhanced CT. 73 patients with a total of 101 nodular hepatocellular carcinomas were referred for possible radiofrequency (RF) ablation. Of these, 14 lesions (14%) in 14 patients were invisible on both ultrasound and unenhanced CT. The invisible nodules averaged 1.2 cm in diameter (range, 0.8-2.0 cm; median, 1.1 cm). After segmental TACE, percutaneous RF ablation was performed if the index tumour was visible on fluoroscopy, ultrasound or CT. All cases of combined treatment were evaluated for size of ablative zone, complications, rate of technical effectiveness at 1-month follow-up CT and local tumour progression. After TACE, percutaneous RF ablation was technically feasible in 10 (71%) of the 14 nodules. RF ablation was performed with the guidance of fluoroscopy (n = 6, 42%), ultrasound (n = 2, 14%) or CT (n = 2, 14%). The mean diameter of the ablative zone by percutaneous RF ablation combined with TACE was 4.8+/-0.7 cm and 3.4+/-0.6 cm in the long and short axis, respectively. No major complications were documented. The primary technical effectiveness rate for nodules treated by combined treatment was 100% (10/10) at 1-month follow-up CT. No local tumour progression was found during the follow-up period (median 15 months; range 4-20 months). Percutaneous RF ablation combined with TACE is a feasible and effective technique for treating small hepatocellular carcinomas that are not visible on ultrasound or unenhanced CT.</P>
British Institute of Radiology 2009 The British journal of radiology Vol.82 No.977
<P>Acute aortic regurgitation is frequently recognised in patients with Stanford Type A aortic dissection. However, diastolic prolapse of the aortic intimal flap into the left ventricle can cause aortic regurgitation in rare cases. Here is presented an image report of severe aortic regurgitation that was secondary to the back-and-forth intimal flap movement of acute Type A aortic dissection by the use of transthoracic echocardiography and multidetector row CT.</P>
Kim, J H,Shin, J H,Shin, D H,Moon, M-W,Park, K,Kim, T-H,Shin, K M,Won, Y H,Han, D K,Lee, K-R British Institute of Radiology 2011 The British journal of radiology Vol.84 No.999
<P>Objective: Neointimal hyperplasia is a major complication of endovascular stent placement with consequent in-stent restenosis or occlusion. Improvements in the biocompatibility of stent designs could reduce stent-associated thrombosis and in-stent restenosis. We hypothesised that the use of a diamond-like carbon (DLC)-coated nitinol stent or a polyethylene glycol (PEG)-DLC-coated nitinol stent could reduce the formation of neointimal hyperplasia, thereby improving stent patency with improved biocompatibility. Methods: A total of 24 stents were implanted, under general anaesthesia, into the iliac arteries of six dogs (four stents in each dog) using the carotid artery approach. The experimental study dogs were divided into three groups: the uncoated nitinol stent group (n = 8), the DLC-nitinol stent group (n = 8) and the PEG-DLC-nitinol stent group (n = 8). Results: The mean percentage of neointimal hyperplasia was significantly less in the DLC-nitinol stent group (26.7±7.6%) than in the nitinol stent group (40.0±20.3%) (p = 0.021). However, the mean percentage of neointimal hyperplasia was significantly greater in the PEG-DLC-nitinol stent group (58.7±24.7%) than in the nitinol stent group (40.0±20.3%) (p = 0.01). Conclusion: Our findings indicate that DLC-coated nitinol stents might induce less neointimal hyperplasia than conventional nitinol stents following implantation in a canine iliac artery model; however, the DLC-coated nitinol stent surface when reformed with PEG induces more neointimal hyperplasia than either a conventional or DLC-coated nitinol stent.</P>
Development of an applicator for eye lens dosimetry during radiotherapy.
Park, J M,Lee, J,Kim, H S,Ye, S-J,Kim, J-I British Institute of Radiology 2014 The British journal of radiology Vol.87 No.1042
<P>To develop an applicator for in vivo measurements of lens dose during radiotherapy.</P>