1.Low-Dose Three-Dimensional Rotational Angiography for Evaluating Intracranial Aneurysms: Analysis of Image Quality and Radiation Dose
Hee Jong KI ; Bum-soo KIM ; Jun-Ki KIM ; Jai Ho CHOI ; Yong Sam SHIN ; Yangsean CHOI ; Na-Young SHIN ; Jinhee JANG ; Kook-jin AHN
Korean Journal of Radiology 2022;23(2):256-263
Objective:
This study aimed to evaluate the image quality and dose reduction of low-dose three-dimensional (3D) rotational angiography (RA) for evaluating intracranial aneurysms.
Materials and Methods:
We retrospectively evaluated the clinical data and 3D RA datasets obtained from 146 prospectively registered patients (male:female, 46:100; median age, 58 years; range, 19–81 years). The subjective image quality of 79 examinations obtained from a conventional method and 67 examinations obtained from a low-dose (5-seconds and 0.10-μGy/frame) method was assessed by two neurointerventionists using a 3-point scale for four evaluation criteria. The total image quality score was then obtained as the average of the four scores. The image quality scores were compared between the two methods using a noninferiority statistical testing, with a margin of -0.2 (i.e., score of low-dose group – score of conventional group). For the evaluation of dose reduction, dose-area product (DAP) and air kerma (AK) were analyzed and compared between the two groups.
Results:
The mean total image quality score ± standard deviation of the 3D RA was 2.97 ± 0.17 by reader 1 and 2.95 ± 0.20 by reader 2 for conventional group and 2.92 ± 0.30 and 2.95 ± 0.22, respectively, for low-dose group. The image quality of the 3D RA in the low-dose group was not inferior to that of the conventional group according to the total image quality score as well as individual scores for the four criteria in both readers. The mean DAP and AK per rotation were 5.87 Gy-cm2 and 0.56 Gy, respectively, in the conventional group, and 1.32 Gy-cm2 (p < 0.001) and 0.17 Gy (p < 0.001), respectively, in the low-dose group.
Conclusion
Low-dose 3D RA was not inferior in image quality and reduced the radiation dose by 70%–77% compared to the conventional 3D RA in evaluating intracranial aneurysms.
2.The inhibitory effects of Rheum palmatum extract on the growth of oral streptococci and biofilm formation
Si Yeong KIM ; Yuri SONG ; Hyun Ah LEE ; Hee Sam NA ; Jin CHUNG
Journal of Korean Academy of Oral Health 2022;46(3):129-134
Objectives:
Oral streptococci play a significant role in the development of dental caries. Among them, Streptococcus mutans and Streptococcus sobrinus are the principal causative agents of dental caries. Rheum palmatum is a flowering plant of the family Polygonaceae with several known medicinal properties. However, its effects on oral streptococci have yet to be established. Therefore, we investigated the effects of Rheum palmatum for its potential use as an anticaries agent in inhibiting the growth of streptococci and preventing biofilm formation.
Methods:
Rheum palmatum extract was diluted with sterile distilled water to obtain various extract concentrations. Several strains of oral bacteria, including S. mutans and S. sobrinus, were treated with the varying concentrations. The effects of the extract on bacterial growth was examined using the viable cell count method. Glucan synthesis was measured using a spectrophotometer at 650 nm optical density. Crystal violet staining was also carried out to observe the effect of the extract on biofilm formation.
Results:
The growth of S. mutans and S. sobrinus was significantly inhibited by the Rheum palmatum solution at concentrations of 0.3% or more compared to the control group. The viable cell count results indicated that the number of bacterial colonies decreased 1.2-fold and 1.7-fold at concentrations of 1.25% and 2.5%, respectively, compared to the control group. Biofilm formation by S. mutans and S. sobrinus was suppressed more than 20-fold compared to the control group at extract concentrations of 1.25% or more.
Conclusions
The extract inhibited the growth of caries-causing bacteria, namely S. mutans and S. sobrinus. Furthermore, the extract inhibited the synthesis of glucan and biofilm formation by S. mutans and S. sobrinus. Therefore, this study suggests that the extract is a potential candidate as a therapeutic agent for controlling dental caries.
3.Trimming conditions for DADA2 analysis in QIIME2 platform
Seo-Young LEE ; Yeuni YU ; Jin CHUNG ; Hee Sam NA
International Journal of Oral Biology 2021;46(3):146-153
Accurate identification of microbes facilitates the prediction, prevention, and treatment of human diseases. To increase the accuracy of microbiome data analysis, a long region of the 16S rRNA is commonly sequenced via paired-end sequencing. In paired-end sequencing, a sufficient length of overlapping region is required for effective joining of the reads, and high-quality sequencing reads are needed at the overlapping region. Trimming sequences at the reads distal to a point where sequencing quality drops below a specific threshold enhance the joining process. In this study, we examined the effect of trimming conditions on the number of reads that remained after quality control and chimera removal in the Illumina paired-end reads of the V3–V4 hypervariable region. We also examined the alpha diversity and taxa assigned by each trimming condition. Optimum quality trimming increased the number of good reads and assigned more number of operational taxonomy units. The pre-analysis trimming step has a great influence on further microbiome analysis, and optimized trimming conditions should be applied for Divisive Amplicon Denoising Algorithm 2 analysis in QIIME2 platform.
4.Low-Dose 3D Rotational Angiography in Measuring the Size of Intracranial Aneurysm: In Vitro Feasibility Study Using Aneurysm Phantom
Hee Jong KI ; Bum-soo KIM ; Jun-Ki KIM ; Jai Ho CHOI ; Yong Sam SHIN ; Yangsean CHOI ; Na-Young SHIN ; Jinhee JANG ; Kook-jin AHN
Neurointervention 2021;16(1):59-63
Purpose:
Three-dimensional (3D) measurement of intracranial aneurysms is important in planning endovascular treatment, and 3D rotational angiography (RA) is effective in accurate measurement. The purpose of this study was to evaluate the feasibility of low dose 3D RA (5 seconds 0.10 μGy/frame) in measuring an intracranial aneurysm using an in vitro phantom.
Materials and Methods:
We investigated an in vitro 3D phantom of an intracranial aneurysm with 10 acquisitions of 3D RA with a conventional dose (5 seconds 0.36 μGy/frame) and 10 acquisitions with a low-dose (5 seconds 0.10 μGy/frame). 3D size and neck diameters of the aneurysm were measured and compared between the 2 groups (conventional and low-dose) using noninferiority statistics.
Results:
The aneurysm measurements were well-correlated between the 2 readers, and noninferiority in the measurement of aneurysmal size of low-dose 3D RA was demonstrated, as the upper margin of the 1-sided 97.5% confidence interval did not cross the pre-defined noninferiority margin of 0.2 mm by the 2 readers.
Conclusion
Low-dose (5 seconds 0.10 μGy/frame) cerebral 3D RA is technically feasible and not inferior in in vitro 3D measurement of an intracranial aneurysm. Thus, low-dose 3D RA is promising and needs further evaluation for its clinical utility in the planning of endovascular treatment of an intracranial aneurysm.
5.Trimming conditions for DADA2 analysis in QIIME2 platform
Seo-Young LEE ; Yeuni YU ; Jin CHUNG ; Hee Sam NA
International Journal of Oral Biology 2021;46(3):146-153
Accurate identification of microbes facilitates the prediction, prevention, and treatment of human diseases. To increase the accuracy of microbiome data analysis, a long region of the 16S rRNA is commonly sequenced via paired-end sequencing. In paired-end sequencing, a sufficient length of overlapping region is required for effective joining of the reads, and high-quality sequencing reads are needed at the overlapping region. Trimming sequences at the reads distal to a point where sequencing quality drops below a specific threshold enhance the joining process. In this study, we examined the effect of trimming conditions on the number of reads that remained after quality control and chimera removal in the Illumina paired-end reads of the V3–V4 hypervariable region. We also examined the alpha diversity and taxa assigned by each trimming condition. Optimum quality trimming increased the number of good reads and assigned more number of operational taxonomy units. The pre-analysis trimming step has a great influence on further microbiome analysis, and optimized trimming conditions should be applied for Divisive Amplicon Denoising Algorithm 2 analysis in QIIME2 platform.
6.Inhibitory effects of Coptis chinensis extract on the growth and biofilm formation of Streptococcus mutans and Streptococcus sobrinus
Si Yeong KIM ; Yuri SONG ; Hyun Ah LEE ; Hee Sam NA ; Chul Jong JUNG ; Gyung Yun BEK ; Jin CHUNG
International Journal of Oral Biology 2020;45(4):143-151
Streptococcus mutans and Streptococcus sobrinus play important roles in dental caries. Coptis chinensis is a natural product with antimicrobial activity against enterobacteria; however, its effects on oral streptococci are still unknown.Therefore, the effects of C. chinensis on the growth and biofilm formation of the representative cariogenic bacteria S. mutans and S. sobrinus were investigated for the possible use of C. chinensis as an anticaries agent. The C.chinensis extract was diluted with sterile distilled water, and 0.1–2.5% of the extract was used in the experiment. The effects of the C. chinensis extract on the growth and glucan formation of S. mutans and S. sobrinus were measured by viable cell counting and spectrophotometry at 650 nm absorbance, respectively. Crystal violet staining was also carried out to confirm the C. chinensis extract’s inhibitory effect on biofilm formation. The C. chinensis extract significantly inhibited the growth of S. mutans and S. sobrinus at concentrations of ≥ 0.3% as compared with the control group. The viable cell count of colonies decreased by 1.7-fold and 1.2-fold at 2.5% and 1.25%, respectively, compared with the control group. The biofilm formation of S. mutans and S. sobrinus was inhibited by > 20-fold at C.chinensis extract concentrations of ≥ 1.25% as compared with the control group. In summary, the C. chinensis extract inhibited the growth and biofilm and glucan formation of S. mutans and S. sobrinus. Therefore, C. chinensis might be a potential candidate for controlling dental caries.
7.Practical considerations for the study of the oral microbiome
Yeuni YU ; Seo-young LEE ; Hee Sam NA
International Journal of Oral Biology 2020;45(3):77-83
In the oral cavity, complex microbial community is shaped by various host and environmental factors. Extensive literature describing the oral microbiome in the context of oral health and disease is available. Advances in DNA sequencing technologies and data analysis have drastically improved the analysis of the oral microbiome. For microbiome study, bacterial 16S ribosomal RNA gene amplification and sequencing is often employed owing to the cost-effective and fast nature of the method. In this review, practical considerations for performing a microbiome study, including experimental design, molecular analysis technology, and general data analysis, will be discussed.
8.Xylitol stimulates saliva secretion via muscarinic receptor signaling pathway
Eunjoo PARK ; Hee Sam NA ; Sunghee JEONG ; Jin CHUNG
International Journal of Oral Biology 2019;44(2):62-70
Xylitol is well-known to have an anti-caries effect by inhibiting the replication of cariogenic bacteria. In addition, xylitol enhances saliva secretion. However, the precise molecular mechanism of xylitol on saliva secretion is yet to be elucidated. Thus, in this study, we aimed to investigate the stimulatory effect of xylitol on saliva secretion and to further evaluate the involvement of xylitol in muscarinic type 3 receptor (M3R) signaling. For determining these effects, we measured the saliva flow rate following xylitol treatment in healthy individuals and patients with dry mouth. We further tested the effects of xylitol on M3R signaling in human salivary gland (HSG) cells using real-time quantitative reverse-transcriptase polymerase chain reaction, immunoblotting, and immunostaining. Xylitol candy significantly increased the salivary flow rate and intracellular calcium release in HSG cells via the M3R signaling pathway. In addition, the expressions of M3R and aquaporin 5 were induced by xylitol treatment. Lastly, we investigated the distribution of M3R and aquaporin 5 in HSG cells. Xylitol was found to activate M3R, thereby inducing increases in Ca²⁺ concentration. Stimulation of the muscarinic receptor induced by xylitol activated the internalization of M3R and subsequent trafficking of aquaporin 5. Taken together, these findings suggest a molecular mechanism for secretory effects of xylitol on salivary epithelial cells.
Aquaporin 5
;
Bacteria
;
Calcium
;
Calcium Signaling
;
Candy
;
Epithelial Cells
;
Humans
;
Immunoblotting
;
Mouth
;
Polymerase Chain Reaction
;
Receptors, Muscarinic
;
Saliva
;
Salivary Glands
;
Xylitol
9.Antibacterial and remineralization effects of orthodontic bonding agents containing bioactive glass.
You Min KIM ; Dong Hyun KIM ; Chang Weon SONG ; Seog Young YOON ; Se Yeon KIM ; Hee Sam NA ; Jin CHUNG ; Yong Il KIM ; Yong Hoon KWON
The Korean Journal of Orthodontics 2018;48(3):163-171
OBJECTIVE: The aim of this study was to evaluate the mechanical and biological properties of orthodontic bonding agents containing silver- or zinc-doped bioactive glass (BAG) and determine the antibacterial and remineralization effects of these agents. METHODS: BAG was synthesized using the alkali-mediated solgel method. Orthodontic bonding agents containing BAG were prepared by mixing BAG with flowable resin. Transbond™ XT (TXT) and Charmfil™ Flow (CF) were used as controls. Ion release, cytotoxicity, antibacterial properties, the shear bond strength, and the adhesive remnant index were evaluated. To assess the remineralization properties of BAG, micro-computed tomography was performed after pH cycling. RESULTS: The BAG-containing bonding agents showed no noticeable cytotoxicity and suppressed bacterial growth. When these bonding agents were used, demineralization after pH cycling began approximately 200 to 300 µm away from the bracket. On the other hand, when CF and TXT were used, all surfaces that were not covered by the adhesive were demineralized after pH cycling. CONCLUSIONS: Our findings suggest that orthodontic bonding agents containing silver- or zinc-doped BAG have stronger antibacterial and remineralization effects compared with conventional orthodontic adhesives; thus, they are suitable for use in orthodontic practice.
Adhesives
;
Dental Cements
;
Glass*
;
Hand
;
Hydrogen-Ion Concentration
;
Methods
10.Changes in Oral Microbiota in Patients Receiving Radical Concurrent Chemoradiotherapy for The Head and Neck Squamous Cell Carcinoma
Jin Ho KIM ; Yoon Hee CHOI ; Soo Youn AN ; Hee Young SON ; Chulwon CHOI ; Seyeon KIM ; Jin CHUNG ; Hee Sam NA
International Journal of Oral Biology 2018;43(1):13-21
Radiotherapy (RT) is a mainstay in the treatment of head and neck squamous cell carcinoma (HNSCC). For locally advanced HCSCC, concurrent chemoradiotherapy (CCRT) benefits HCSCC patients in terms of better survival and loco-regional control. In this study, we evaluated changes in oral microbiota in patients, who received CCRT for head and neck cancer. Oral rinsed samples were weekly collected before and during CCRT and at 4 weeks following treatment from HNSCC patients, who had received 70 Gy of radiation delivered to the primary sites for over 7 weeks and concurrent chemotherapy. Oral microbiota changes in three patients were analyzed by next-generation sequencing using 16S rRNA 454 pyrosequencing. On an average, 15,000 partial 16S rRNA gene sequences were obtained from each sample. All sequences fell into 11 different bacterial phyla. During early CCRT, the microbial diversity gradually decreased. In a patient, who did not receive any antibiotics during the CCRT, Firmicutes and Proteobacteria were the most abundant phylum. During the early CCRT, proteobacteria gradually decreased while Firmicutes increased. During the late CCRT, firmicutes gradually decreased while Bacteroides and Fusobacteria increased. In all the patients, yellow complex showed a gradual decrease, while orange and red complex showed a gradual increase during the CCRT. At 4 weeks after CCRT, the recovery of oral microbiota diversity was limited. During CCRT, there was a gradual increase in major periodontopathogens in association with the deterioration of the oral hygiene. Henceforth, it is proposed that understanding oral microbiota shift should provide better information for the development of effective oral care programs for patients receiving CCRT for HNSCC.
Anti-Bacterial Agents
;
Bacteroides
;
Carcinoma, Squamous Cell
;
Chemoradiotherapy
;
Citrus sinensis
;
Drug Therapy
;
Epithelial Cells
;
Firmicutes
;
Fusobacteria
;
Genes, rRNA
;
Head and Neck Neoplasms
;
Head
;
Humans
;
Microbiota
;
Neck
;
Oral Hygiene
;
Proteobacteria
;
Radiotherapy

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