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임재훈,김민주,유위강,임효근,박철권,박성운,고광철,조재원 대한간학회 2002 Clinical and Molecular Hepatology(대한간학회지) Vol.8 No.2
Objective: The objective of this study was evaluate the diagnostic efficacy of three-phase helical dynamic CT in the detection of hepatocellular carcinomas in patients with advanced liver cirrhosis. Materials and Methods: Three-phase helical dynamic CT in 77 patients with advanced liver cirrhosis was evaluated prospectively before orthotopic liver transplantation. The histopathologically confirmed hepatocellular carcinomas in the explanted livers were compared with pretransplantation CT results by one-to-one correlation. Results: Histopathologic examination of the explanted livers revealed 72 hepatocellular carcinomas in 41 patients. The size of the hepatocellular carcinomas was 0.5-14.0 cm (mean, 1.6 cm). The use of helical dynamic CT enabled the detection of 38 of 72 hepatocellular carcinomas (sensitivity, 53%). Fifteen of 35 (43%) hepatocellular carcinomas smaller than 2 cm and 23 of 37 (62%), hepatocellular carcinomas ranging from 2.0 cm to 14.0 cm were detected. Patient sensitivity and specificity in the detection of hepatocellular carcinoma were 81% (33/41) and 94% (34/36), respectively. Conclusions: Three-phase helical dynamic CT is insensitive for detection of hepatocellular carcinomas in patients with advanced liver cirrhosis, especially for hepatocellular carcinomas smaller than 2 cm.(Korean J Hepatol 2002;8:201-208)
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협부 결손성 전방전위증에서 발생한 만성 요추 경막 외 혈종: 증례 보고
박현선,이상호,유위강,박지영,이상윤 대한영상의학회 2006 대한영상의학회지 Vol.55 No.5
Nontraumatic spinal epidural hematoma (SEH) is a rare condition and the exact cause of the hemorrhage in SEH has never been established. However, there have been a few recent reports on some types of the epidural hematoma with a detectable origin of hemorrhage. We encountered a case of chronic SEH in a patient who had spondylolytic spondylolisthesis, which is also a rare condition to be associated with SEH. We report here on the radiologic findings of a case of chronic epidural hematoma in a patient who had spondylolytic spondylolisthesis at the L4-5 level, and we include a review of the related literatures. 비외상성 척추 경막 외 혈종은 매우 드물며, 주원인은 경막외 정맥총의 파열로 생각되고 있으나 아직 정립되지 않았다. 최근에는 경막외 혈종의 원인을 알 수 있는 증례들이 드물게 보고되고 있으며, 저자들은 제 요추 4-5번에 협부 결손성 전방전위증을 가진 환자에서 발생한 만성 요추 경막 외 혈종 1예를 경험하여 보고하고자 한다.
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Hepatic CT Enhancement: Comparison between Dimeric and Monomeric Nonionic Contrast Agents in Rabbits
김기현,곽병국,심형진,김교남,유위강,유승훈,김양수,이종범,김건상,Kim, Gi-Hyeon,Kwak, Byung-Kook,Shim, Hyung-Jin,Kim, Kyo-Nam,Liu, Wei Chiang,Ryu, Seung-Hoon,Kim, Yang-Soo,Lee, Jong-Beum,Kim, Kun-Sang The Korean Radiological Society 2003 대한영상의학회지 Vol.48 No.6
목적: 정상 가토에서 비이온성 이중체(dimer)인 iodixanol과 단량체(monomer)인 ioversol간의 간과 대동맥에서의 조영증강 정도를 비교하고자 하였다. 대상과 방법: 나선식 CT를 이용하여 가토 7마리에서 일주일 간격을 두고 iodixanol(Visipaque 320, Nycomed, Oslo, Norway)과 ioversol(Optiray 320, Mallincrodt medical, Quebec, Canada)로 각각 3초간격으로 120초 동안 간의 한부위에서 역동적 CT를 시행하였다. 각 가토 체중에 따라 동일량의 조영제를 사용하였으며 2(ml/kg), 조영 증강치와 최고 조영 증강치에 도달하는 평균 시간을 산출한 후 조영증강 곡선을 구하였고, 두 조영제간의 차이를 통계학적으로 비교하였다. 결과: 간실질의 평균 조영 증강치는 후기 동맥기에서 조기 문맥기(18-39초)에 이르는 동안 ivorsol을 사용한 예에서 더 높게 관찰 되었으며 통계학적으로 의의가 있었다(P<0.05). 또한 간실질, 문맥, 대동맥에서의 평균 최고 조영 증강치 역시 ioversol을 사용한 예에서 더 높게 관찰되었다. 그러나, 최고 조영 증강치에 도달하는 평균시간은 두 조영제 사이에 유의한 차이가 관찰되지 않았다. 결론: Ioversol은 후기 동맥기에서 조기 문맥기에 이르는 동안 간실질의 조영증강에 있어 iodixanol보다 통계적으로 유의한 효과를 보였다. Purpose: To determine the hepatic and vascular enhancement profiles with nonionic dimeric, iodixanol, contrast agent in the rabbit and to compare them with nonionic monomeric, ioversol, contrast agent. Materials and Methods: Seven rabbits initially underwent hepatic dynamic CT scan with either iodixanol or ioversol, followed by repeated CT scan with other unused contrast agent with one week interval between scans. Pre and post contrast attenuation values of hepatic parenchyma, aorta and portal vein were measured sequentially. The mean enhancement of the hepatic parenchyma, aorta and portal vein were compared between two agents. The mean peak enhancement and peak enhancement time of the liver, aorta, and portal vein were also compared. Results: The attenuation values of ioversol showed a greater mean hepatic enhancement than iodixanol from 18 seconds to 39 seconds after injection (from late arterial phase to early portal venous phase) with a statistical significance (p<0.05). The mean peak enhancement of hepatic parenchyma, aorta and portal vein was also greater using ioversol than iodixanol, but the mean peak enhancement times of ioversol and iodixanol were nearly identical. Conclusion: Ioversol may have the greater effects than iodixanol on hepatic tumor conspicuity, especially from late arterial phase to early portal veneous phase.
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Thoracic Intraspinal Synovial Cyst Causing Myelopathy: A Case Report
박현선,이상호,이호연,조병준,유위강,윤득희,팽성숙,이상윤 대한영상의학회 2008 대한영상의학회지 Vol.58 No.5
Intraspinal synovial cysts are commonly found in the lumbar spine and occur less commonly in the cervical spine. Occurrence of a cyst in the thoracic spine causing myelopathy is extremely rare. We report here the radiological findings of a case of a thoracic intraspinal synovial cyst that caused myelopathy at the T2-3 level with an accompanying review of the clinical literature.
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