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      • KCI등재

        전산화히스토그램을 이용한 간신티그램의 정량분석 (제1보)

        김춘열 대한영상의학회 1985 대한영상의학회지 Vol.21 No.1

        The lack of specificity of an abnormal findings visualized on a conventional radiocolloid liver imaging remains significant limitation of the examination. The purpose of this investigation is to clarify an equivocal abnormal finding visualized on a conventional liver and spleen imaging by using combination of scintiangiography and histogram as a quantiative assessment. Histo-analysis of peak colloidal distribution in the liver and spleen was undertaken as a complement of conventional liver imaging. The following useful patterns was emerged: 1. In hepatitis, the splenic uptake was slightly higher than in normal group. This change was usually not recognized in conventional imaging. 2. In liver cirrhosis, the liver uptake was markedly low whilst splenic uptake was very high, resulting in splenic shift and very low liver-spleen uptake ratio. 3. In hepatoma, the liver uptake was not definitely changed but splenic uptake was considerably high, so that the liver-spleen uptake ratio w s very low. 4. In liver metastasis, both liver and splenic uptakes were within normal limits and the liver-spleen uptake ratio was not changed.

      • KCI등재

        유행성출혈열의 흉부 및 단순복부 X-선 소견

        김춘열 대한영상의학회 1972 대한영상의학회지 Vol.8 No.2

        Epidemic hemorrhagic fever, first described in the far eastern area of the Soviet Union in the 1930's, is an acute disease characterized by fever, malaise, vomiting, hemorrhagic manifestations, shock and renal failure. The endemic area included far eastern Siberia, estern part of manchuria and Korea north of Seoul. This disease was known is Korea already before 1951 when the first English report was published by Takami of the US army. He reported on seasonal endemic occurance of the disease among the UN troops in Korea. A few years later, full acounts of the disease were given in the form of symposium. Since then there have appeared numerous publications on epidemic hemorragic fever in Korea as well as in western countries, but radiological minifestations of the disease has received little attention. Inasmuch as there is as yet no specific test for this disease, any substantial diagnostic information is to be searched. In the present study, we have analysed radiological findings of the simple chest and flat abdomen x-rays which were secured as a part of routine tests in patients with this disease. The study was concentratedon the oliguric phase of the disease when pathological changes culminate. In addition, intensity ad incidence of radiological changes were correlated to blood urea nitrogen and serum creatinine levels. Clinical materials consisted of 50 patients of both sexes seen at the Department of Radiology, St. Mary's Hospital, Seoul, and St. Vincent Hospital, Suwon, Catholic Medical College, during the period of 2 years from January 1969.

      • SCOPUSKCI등재
      • KCI등재

        근본적 자궁젤제술 전.후 임파 조영술의 의의

        김춘열 대한영상의학회 1983 대한영상의학회지 Vol.19 No.3

        Radiological demonstration of lymph vessels and lymph nodes may be achieved only by direct lymphography, which is performed by injecting contrast material directly ito the lymph vessels, lymph nodes, or occasionally into lymph cysts. Clinical lymphography is performed essentially according to the direct technique of Kinmonth (1952 & 1954). Lymphography has become a routine procedure in patients with carcinoma of the uterine cervix. Through assessment of the extent of carcinoma of the uterine cervix is necessary to the intelligent management of any patient with uterine carcinoma. This presentation is to outline the technique of lymphangio-adenography (lymphography), lymphographic finding and diagnostic criteria of the cervical carcinoma, and evaluation of the accuracy of lymphography diagnosis in cervical carcinoma. A retrospective review of the lymphograms of 145 patients with carcinoma of the uterine cervix was undertaken. All lymphograms were performed at Kang Nam St. Mary's and St. Mary's Hospitals, Catholic Medical College from 1975 to 1982. Of these patients 87 were got radical hysterectomy and lymphographic diagnosis was compared with tissue pathology of the lymph nodes removed, and determined the diabnostic accuracy of lymphography. Lymphography can make a significant contribution in the pretreatment assessment of patients with carcinoma of the uterine cervix. Strict adherence to rigid criteria will yield excellent pathologic correlation in the event of a positive radiographic diagnosis of metastatic carcinoma. Once a positive diagnosis is made, it should influence the management of the cancer patients. The results were as follow : 1. The accuracy of lymphography in diagnosing lymph node metastasis of carcinoma of the uterine cervix was 85.1%, 82.4% in sensitivity and 86.8% in specificity. 2. Metasitc lymph nodes were moderately to markedly enlarged and irregular in shape and shown motheaten marginal filling defects in 92.7%. These were ranged from 3mm to 20mm in the greatest diameter. 3. Metastatic lymph nodes showed a tendency to get increased in size, in proportion to the size of marginal filling defect. 4. The size of filling defect of metastatic lymph nodes was not correlated to the clinical stage of carcinoma of the uterine cervix. 5. Lymph node metastasis was confirmed in 6 patients of 10 patients who were got lymphography in 2 to 5 years after radical hysterectomy. 6. Many collateral lymphatics and lymphatic cysts were found out in the lymphography after radical hysterectomy in carcinoma of the uterine cervix.

      • SCOPUSKCI등재

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