1.In Vivo 1H MR Spectroscopic Imaging of Human Brain.
Yong Whee BAHK ; Kyung Sub SHINN ; Tae Suk SUH ; Bo Young CHOE ; Kyo Ho CHOI
Journal of the Korean Radiological Society 1994;31(2):185-190
PURPOSE: To evaluate the spatial distribution of various proton metabolites in the human brain with use of water-suppressed in vivo 1H MR spectroscopic imaging (MRSI) technique MATERIALS AND METHODS: All of water-suppressed in vivo 1H MRSI were performed on 1.5 T whole-body MRI/MRS system using Stimulated Echo Acquisition Method (STEAM) Chemical shift Imaging (CSI) pulse sequence. T1 -weighted MR images were used for CSl Field Of View (FOV; 24 cm). Voxel size of 1.S cm3 was designated from the periphery of the brain which was divided by 1024 x 16 x 16data points. RESULTS: Metabolite images of N-acetylaspartate (NAA), creatine/phosphocreatine (Cr) + choline/phosphocholine (Cho), and complex of gamma-aminobutyric acid (GABA) -I- glutamate (Glu) were obtained on the human brain. CONCLUSION: Our preliminary study suggests that in vivo 1H MRSl could provide the metabolite imaging to compensate for hypermetabolism on Positron Emission Tomography (PET) scans on the basis of the metabolic informations on brain tissues. The unique ability of in vivo 1H MRSI to offer noninvasive informations about tissue biochemistry in disease states will stimulate on clinical research and disease diagnosis.
Biochemistry
;
Brain*
;
Diagnosis
;
gamma-Aminobutyric Acid
;
Glutamic Acid
;
Humans*
;
Magnetic Resonance Imaging
;
Positron-Emission Tomography
;
Protons
2.The effect of hypertension on the progression of renal insufficiency in chronic renal failure patients.
Dae Suk HAN ; Kyu Hun CHOI ; Young Ki KIM ; Dong Hun CHA ; Ho Yung LEE ; Kyo Sun KIM
Korean Journal of Nephrology 1991;10(2):135-144
No abstract available.
Humans
;
Hypertension*
;
Kidney Failure, Chronic*
;
Renal Insufficiency*
3.The effect of hypertension on the progression of renal insufficiency in chronic renal failure patients.
Dae Suk HAN ; Kyu Hun CHOI ; Young Ki KIM ; Dong Hun CHA ; Ho Yung LEE ; Kyo Sun KIM
Korean Journal of Nephrology 1991;10(2):135-144
No abstract available.
Humans
;
Hypertension*
;
Kidney Failure, Chronic*
;
Renal Insufficiency*
4.Biology of Cholangiocytes: From Bench to Bedside.
Kyo Sang YOO ; Woo Taek LIM ; Ho Soon CHOI
Gut and Liver 2016;10(5):687-698
Cholangiocytes, the lining epithelial cells in bile ducts, are an important subset of liver cells. They are activated by endogenous and exogenous stimuli and are involved in the modification of bile volume and composition. They are also involved in damaging and repairing the liver. Cholangiocytes have many functions including bile production. They are also involved in transport processes that regulate the volume and composition of bile. Cholangiocytes undergo proliferation and cell death under a variety of conditions. Cholangiocytes have functional and morphological heterogenecity. The immunobiology of cholangiocytes is important, particularly for understanding biliary disease. Secretion of different proinflammatory mediators, cytokines, and chemokines suggests the major role that cholangiocytes play in inflammatory reactions. Furthermore, paracrine secretion of growth factors and peptides mediates extensive cross-talk with other liver cells, including hepatocytes, stellate cells, stem cells, subepithelial myofibroblasts, endothelial cells, and inflammatory cells. Cholangiopathy refers to a category of chronic liver diseases whose primary disease target is the cholangiocyte. Cholangiopathy usually results in end-stage liver disease requiring liver transplant. We summarize the biology of cholangiocytes and redefine the concept of cholangiopathy. We also discuss the recent progress that has been made in understanding the pathogenesis of cholangiopathy and how such progress has influenced therapy.
Bile
;
Bile Ducts
;
Biology*
;
Cell Death
;
Chemokines
;
Cytokines
;
Endothelial Cells
;
Epithelial Cells
;
Hepatocytes
;
Intercellular Signaling Peptides and Proteins
;
Liver
;
Liver Diseases
;
Myofibroblasts
;
Peptides
;
Stem Cells
5.Optimization of Multi-Atlas Segmentation with Joint Label Fusion Algorithm for Automatic Segmentation in Prostate MR Imaging
Yoon Ho CHOI ; Jae-Hun KIM ; Chan Kyo KIM
Investigative Magnetic Resonance Imaging 2020;24(3):123-131
Purpose:
Joint label fusion (JLF) is a popular multi-atlas-based segmentation algorithm, which compensates for dependent errors that may exist between atlases.However, in order to get good segmentation results, it is very important to set the several free parameters of the algorithm to optimal values. In this study, we first investigate the feasibility of a JLF algorithm for prostate segmentation in MR images, and then suggest the optimal set of parameters for the automatic prostate segmentation by validating the results of each parameter combination.
Materials and Methods:
We acquired T2-weighted prostate MR images from 20 normal heathy volunteers and did a series of cross validations for every set of parameters of JLF. In each case, the atlases were rigidly registered for the target image. Then, we calculated their voting weights for label fusion from each combination of JLF’s parameters (rpxy , rpz , rsxy , rsz , β). We evaluated the segmentation performances by five validation metrics of the Prostate MR Image Segmentation challenge.
Results:
As the number of voxels participating in the voting weight calculation and the number of referenced atlases is increased, the overall segmentation performance is gradually improved. The JLF algorithm showed the best results for dice similarity coefficient, 0.8495 ± 0.0392; relative volume difference, 15.2353 ± 17.2350; absolute relative volume difference, 18.8710 ± 13.1546; 95% Hausdorff distance, 7.2366 ± 1.8502; and average boundary distance, 2.2107 ± 0.4972; in parameters of rpxy = 10, rpz = 1, rsxy = 3, rsz = 1, and β = 3.
Conclusion
The evaluated results showed the feasibility of the JLF algorithm for automatic segmentation of prostate MRI. This empirical analysis of segmentation results by label fusion allows for the appropriate setting of parameters.
6.Low molecular-weight heparin for thromboprophylaxis in patients undergoing gastric cancer surgery: an experience from one Korean institute.
Sung Ho CHOI ; Jung Ho SHIM ; Cho Hyun PARK ; Kyo Young SONG
Annals of Surgical Treatment and Research 2014;86(1):22-27
PURPOSE: This study evaluated the efficacy for preventing venous thromboembolism (VTE) and adverse effects of low-molecular-weight heparin (LMWH) in order to launch a prospective clinical trial in Korea. METHODS: We reviewed the medical records of 108 consecutive patients who underwent gastric cancer surgery. These patients were divided into 2 groups according to the type of thromboprophylaxis: group A, LMWH combined with intermittent pneumatic compression (IPC); group B, IPC alone. The postoperative outcomes of the two groups were compared. RESULTS: Symptomatic VTE was observed in only 1 patient (0.9%) from group B. Postoperative bleeding was more common in group A than in group B (10.9% vs. 7.5%), although the difference was not significant (P = 0.055). Most bleeding episodes were minor and managed conservatively without intervention. Only a high body mass index was associated with a significantly increased risk of postoperative bleeding (odds ratio, 1.45; 95% confidence interval, 1.12-2.43; P = 0.051). CONCLUSION: A 40 mg of enoxaparin sodium is a safe and feasible dose for prevention of VTE. With the results of this study, we are planning a prospective randomized clinical trial to investigate the clinical efficacy of LMWH thromboprophylaxis in gastric cancer patients in Korea.
Body Mass Index
;
Enoxaparin
;
Hemorrhage
;
Heparin*
;
Heparin, Low-Molecular-Weight
;
Humans
;
Korea
;
Medical Records
;
Prospective Studies
;
Sodium
;
Stomach Neoplasms*
;
Thromboembolism
;
Venous Thromboembolism
7.Erratum: Seasonal Cycle and Relationship of Seasonal Rhino- and Influenza Virus Epidemics With Episodes of Asthma Exacerbation in Different Age Groups.
Seung Won LEE ; Shinhae LEE ; Youn Ho SHEEN ; Eun Kyo HA ; Sun Hee CHOI ; Min Suk YANG ; Sohyun HWANG ; Sung Soon KIM ; Jang Hoon CHOI ; Man Yong HAN
Allergy, Asthma & Immunology Research 2018;10(6):722-723
This erratum is being published to correct the printing error on page 517 of the article. Corrections for Fig. 1 and main text in page 519 are needed. The authors apologize for any inconvenience that this may have caused.
8.Laparoscopic Management for Intestinal Obstruction Caused by Meckel's Diverticulum.
Young Kyun KIM ; Ho Joong CHOI ; Jung Hyun PARK ; Kyo Young SONG ; Cho Hyun PARK
Journal of the Korean Surgical Society 2006;71(5):379-382
Meckel's diverticulum is the most frequent congenital anomaly of the gastrointestinal tract with an incidence of 2% for the general population, and it is one of the frequent causes of small bowel obstruction in young population. A 30-year-old male and a 20-year-old female presented with a short history of wide spread abdominal pain and distension. Radiologic studies revealed severe partial small bowel obstruction. Diagnostic laparoscopy was performed and the small bowel obstruction was observed to result from Meckel's diverticulum. The adhesive bands between Meckel's diverticulum and the mesentery of the ileum were lysed and the diverticulum was resected with an Endo-GIA stapler. The patients were discharged without complications and they tolerated a regular diet. Laparoscopy is a useful diagnostic and therapeutic tool for the younger patients showing small bowel obstruction with an unclear etiology.
Abdominal Pain
;
Adhesives
;
Adult
;
Diet
;
Diverticulum
;
Female
;
Gastrointestinal Tract
;
Humans
;
Ileum
;
Incidence
;
Intestinal Obstruction*
;
Laparoscopy
;
Male
;
Meckel Diverticulum*
;
Mesentery
;
Young Adult
9.Loss of heterozygosity affecting MCC and APC loci in Korean colorectal adenocarcinomas.
Won Sang PARK ; Nam Jin YOO ; Sang Wook CHOI ; Kyo Young LEE ; Suk Young LEE ; Jung Yong LEE ; Sang Ho KIM ; Joo Sung KIM
Journal of the Korean Cancer Association 1993;25(5):630-635
No abstract available.
Adenocarcinoma*
;
Loss of Heterozygosity*
10.A case of free-floating left atrial ball thrombus in mitral stenosis.
Young Jin KIM ; Tea Il LEE ; Kyo Won CHOI ; Seung Ho KANG ; Dong Gu SIN ; Young Jo KIM ; Bong Sup SHIM ; Hyun Woo LEE ; Eun Pyo HONG
Yeungnam University Journal of Medicine 1993;10(1):237-244
A free-floating ball thrombus in the left atrium is a rare complication of the mitral valvular disease. A 53-year-old man was admitted for pain and paresthesia on both legs. On admission he had auscultatory sign of mitral stenosis and mitral regurgitation, and the roentgenogram of his chest revealed a slight pulmonary ve..ous congestion, enlargement of the pulmonary conus and cardiomegaly. Laboratory findings including complete blood counts, coagulation studies and blood chemistry were normal. An echocardiographic examination revealed a mitral stenosis and a free-floating ball thrombus in the left atrium. We performed the emergent open heart surgery for removal of the ball thrombus and mitral replacement successfuly with Duromedics 29 mm valve. The size of thrombus was 39 X 32 X 30 mm.
Blood Cell Count
;
Cardiomegaly
;
Chemistry
;
Conus Snail
;
Echocardiography
;
Estrogens, Conjugated (USP)
;
Heart Atria
;
Humans
;
Leg
;
Middle Aged
;
Mitral Valve Insufficiency
;
Mitral Valve Stenosis*
;
Paresthesia
;
Thoracic Surgery
;
Thorax
;
Thrombosis*