Fetal bilateral renal agenesis is a lethal congenital anomaly. An early and reliable prenatal diagnosis is extremely important as it may offer options for pregnancy termination as early as possible. The criteria for the ultrasonographic diagnosis of bilateral renal agenesis are severe oligohydramnios, nonvisualization of the bladder, and the empty renal fossa. However, severe oligohydramnios makes it difficult to diagnose the disease because of poor sonographic resolution. We present two cases of bilateral renal agenesis, one is diagnosed by ultrasonography after amnioinfusion at 24 weeks gestation, the other is diagnosed postnatally after term delivery.
Diagnosis ; Female ; Oligohydramnios ; Pregnancy ; Prenatal Diagnosis ; Ultrasonography ; Urinary Bladder

OBJECTIVE: The aim of this study is to review 6 years' experience of peritoneal inclusion cysts at our hospital. METHODS: A retrospective study of 13 cases of peritoneal inclusion cysts between Jan. 1, 1996 and Dec. 31, 2001 was carried out and then clinical feature, radiologic finding, and treatment method were compared with previous reports. RESULTS: Most of patients were premenopausal. Chief complaints were lower abdominal pain or palpable abdominal mass, and so forth. The majority of patients had history of lapalotomy. Peritoneal inclusion cyst was diagnosed by ultrasonogrphy and CT. Most specific finding is that normal ovary is seen in the cysts. In the past, operation was the main treatment method. Recently sclerotherapy was introduced and available. CONCLUSION: Because peritoneal inclusion cyst is benign and uncommon disease, it had not been interesting part. So, preoperative diagnosis rate was low and surgical resection was main treatment method. Preoperative diagnosis rate has been higher after it's clinical feature and specific radiologic findings were reported. Recently, conservative treatment may substitute for operation.
Abdominal Pain ; Diagnosis ; Female ; Humans ; Ovary ; Retrospective Studies ; Sclerotherapy ; Ultrasonography

A 77-year-old man developed diplopia, gait ataxia, and paresthesia. A clinical examination also revealed ophthalmoplegia, facial palsy, ataxia of the limbs and trunk, and reduced deep tender reflexes. Laboratory and electrophysiological studies revealed albuminocytological dissociation and demyelination. He was diagnosed as Miller-Fisher syndrome and received intravenous immunoglobulin therapy. His clinical symptoms deteriorated at 12 weeks after onset. We diagnosed acute-onset chronic inflammatory demyelinating polyradiculoneuropathy, and which the patient recovered from following corticosteroid therapy.
Aged ; Ataxia ; Demyelinating Diseases ; Diplopia ; Extremities ; Facial Paralysis ; Gait Ataxia ; Guillain-Barre Syndrome ; Humans ; Immunization, Passive ; Miller Fisher Syndrome* ; Ophthalmoplegia ; Paresthesia ; Polyradiculoneuropathy, Chronic Inflammatory Demyelinating* ; Reflex

A 77-year-old man developed diplopia, gait ataxia, and paresthesia. A clinical examination also revealed ophthalmoplegia, facial palsy, ataxia of the limbs and trunk, and reduced deep tender reflexes. Laboratory and electrophysiological studies revealed albuminocytological dissociation and demyelination. He was diagnosed as Miller-Fisher syndrome and received intravenous immunoglobulin therapy. His clinical symptoms deteriorated at 12 weeks after onset. We diagnosed acute-onset chronic inflammatory demyelinating polyradiculoneuropathy, and which the patient recovered from following corticosteroid therapy.
Aged ; Ataxia ; Demyelinating Diseases ; Diplopia ; Extremities ; Facial Paralysis ; Gait Ataxia ; Guillain-Barre Syndrome ; Humans ; Immunization, Passive ; Miller Fisher Syndrome* ; Ophthalmoplegia ; Paresthesia ; Polyradiculoneuropathy, Chronic Inflammatory Demyelinating* ; Reflex

No abstract available.
Cryptorchidism* ; Humans ; Infant* ; Male

Purpose: Multi-echo gradient echo (mGRE) images are used to acquire and analyze multiple echo signals. As the number of acquired echoes increases, more information on the voxel decay changes can be obtained, facilitating myelin water fraction (MWF) mapping.However, an increase in the acquired echoes leads to an increase in scan time. In this study, we developed a workflow to reduce the scan time using a two-stage neural network approach, which extrapolates additional echo images using mGRE data. Materials and Methods: In Stage 1, a pseudo-T1 map was estimated using a U-net network combined with a simple signal model to correct the bias between two mGRE acquired with different scan parameters. The pseudo-T1 map was used to generate an initial echo time (TE) image from the mGRE images. In Stage 2, subsequent TE images were predicted from the initial echo image generated using a trained prediction network. The results were quantitatively compared with those obtained using a fitting algorithm. The MWF mapping results were then compared. Results: The proposed model exhibited better root mean square error, structural similarity index measure, and peak signal-to-noise ratio, as well as a higher correlation with the MWF analysis compared to the fitting algorithm. Conclusion These results demonstrate that the proposed network can effectively reduce the scan time for mGRE image acquisition.

Purpose: Multi-echo gradient echo (mGRE) images are used to acquire and analyze multiple echo signals. As the number of acquired echoes increases, more information on the voxel decay changes can be obtained, facilitating myelin water fraction (MWF) mapping.However, an increase in the acquired echoes leads to an increase in scan time. In this study, we developed a workflow to reduce the scan time using a two-stage neural network approach, which extrapolates additional echo images using mGRE data. Materials and Methods: In Stage 1, a pseudo-T1 map was estimated using a U-net network combined with a simple signal model to correct the bias between two mGRE acquired with different scan parameters. The pseudo-T1 map was used to generate an initial echo time (TE) image from the mGRE images. In Stage 2, subsequent TE images were predicted from the initial echo image generated using a trained prediction network. The results were quantitatively compared with those obtained using a fitting algorithm. The MWF mapping results were then compared. Results: The proposed model exhibited better root mean square error, structural similarity index measure, and peak signal-to-noise ratio, as well as a higher correlation with the MWF analysis compared to the fitting algorithm. Conclusion These results demonstrate that the proposed network can effectively reduce the scan time for mGRE image acquisition.

Purpose: Multi-echo gradient echo (mGRE) images are used to acquire and analyze multiple echo signals. As the number of acquired echoes increases, more information on the voxel decay changes can be obtained, facilitating myelin water fraction (MWF) mapping.However, an increase in the acquired echoes leads to an increase in scan time. In this study, we developed a workflow to reduce the scan time using a two-stage neural network approach, which extrapolates additional echo images using mGRE data. Materials and Methods: In Stage 1, a pseudo-T1 map was estimated using a U-net network combined with a simple signal model to correct the bias between two mGRE acquired with different scan parameters. The pseudo-T1 map was used to generate an initial echo time (TE) image from the mGRE images. In Stage 2, subsequent TE images were predicted from the initial echo image generated using a trained prediction network. The results were quantitatively compared with those obtained using a fitting algorithm. The MWF mapping results were then compared. Results: The proposed model exhibited better root mean square error, structural similarity index measure, and peak signal-to-noise ratio, as well as a higher correlation with the MWF analysis compared to the fitting algorithm. Conclusion These results demonstrate that the proposed network can effectively reduce the scan time for mGRE image acquisition.

No abstract available.
Child* ; Classification* ; Humans ; Precursor Cell Lymphoblastic Leukemia-Lymphoma* ; Prognosis*

Colorectal cancer consists of 8.2 percent of all malignancy in korea, and shows more increaing tendency. Despite the advances in the detection of calorectal cancer no single screening technique has achieved both high degree of diagnostic accuracy and minimal patient morbidity. We studied 24 patients, who underwent colonoscopy, with clinical suspicious colon cancer at Presbyterian Medical Center between Jan and Sep.1995, and evaluated the diagnostic feasibility of colon lavage cytology using oral cleansing solution.(continue...)
Colon* ; Colonic Neoplasms* ; Colonoscopy ; Colorectal Neoplasms ; Diagnosis* ; Humans ; Korea ; Mass Screening ; Protestantism ; Therapeutic Irrigation