2.Study on the needling depth of lumbar Jiaji (Ex-B2) points with CT imaging location.
Yu-ming WANG ; Bo LI ; Zhao-yu GUAN ; Zhi-mei CAI ; Qing-mei LI ; Yu-hua LU
Chinese Acupuncture & Moxibustion 2005;25(3):179-180
OBJECTIVETo study on safe depth and angle of needling lumbar Jiaji (Ex-B2) for treatment of prolapse of lumbar intervertebral disc.
METHODSCT technique was used for scanning investigation on the depth and angle of needling lumbar Jiaji (Ex-B2).
RESULTSWhen the acupuncture needle or puncture needle was inserted at an angle of 20-30 degrees to the sagittal plane of the human body, the tip of needle could reached to extradural posterior space of the depth of lumbar Jiaji points (being the best inserting depth), in which catgut or medicine could be placed.
CONCLUSIONAcupuncture or catgut stimulating the extradural posterior space at the depth of lumbar Jiaji is superior to the traditional needling method in treatment of prolapse of lumbar intervertebral disc.
Acupuncture Points ; Acupuncture Therapy ; Humans ; Intervertebral Disc Displacement ; therapy ; Lumbosacral Region ; Tomography, X-Ray Computed
3.Study on needling depth of Dazhui (GV 14), Jianzhongshu (SI 15), Xuanshu (GV 5) and Mingmen (GV 4) with CT.
Ya-dong LI ; Song-di YANG ; Jian-nan LI ; Lu LI
Chinese Acupuncture & Moxibustion 2005;25(12):863-864
OBJECTIVETo provide reference for the safe needling depth of Dazhui (GV 14), Jianzhongshu (SI 15), Xuanshu (GV 5) and Mingmen (GV 4) in clinical acupuncture and moxibustion treatment.
METHODSThirty-two adult volunteers were divided into 3 groups, thin person group, moderate person group and fat person group according to Luo's indexes, and computer-aided tomography was used to measure the needling depth of Dazhui (GV 14), Jianzhongshu (SI 15), Xuanshu (GV 5) and Mingmen (GV 4).
RESULTSThe safe depths of perpendicular needling were different for persons of different somatotypes, for example the needling depth for Dazhui (GV 14) was (32.86 +/- 3.96) mm for the thin person group, (37.76 +/- 4.91) mm for the moderate person group, and (47.93 +/- 5.30) mm for the fat person group.
Acupuncture Points ; Acupuncture Therapy ; Combined Modality Therapy ; Humans ; Moxibustion ; Tomography, X-Ray Computed
5.Attach importance to the moderate diagnosis and treatment of multiple pulmonary nodules.
Ning Xin CUI ; Lin YE ; Jia Yuan SUN
Chinese Journal of Preventive Medicine 2023;57(8):1181-1185
With the popularization of chest computed tomography examination in physical examination, the detection rate of multiple pulmonary nodules has significantly increased. However, there are no unified guidelines or consensus for the diagnosis and treatment of multiple pulmonary nodules, and the clinical diagnosis and treatment of such patients are often inadequate or excessive. Therefore, it is of great clinical significance to attach importance to the moderate diagnosis and treatment of multiple pulmonary nodules and formulate unified clinical practice standards for the prevention of lung cancer and the diagnosis and treatment of multiple pulmonary nodules.
Humans
;
Multiple Pulmonary Nodules/therapy*
;
Lung Neoplasms/therapy*
;
Tomography, X-Ray Computed/methods*
6.Attach importance to the moderate diagnosis and treatment of multiple pulmonary nodules.
Ning Xin CUI ; Lin YE ; Jia Yuan SUN
Chinese Journal of Preventive Medicine 2023;57(8):1181-1185
With the popularization of chest computed tomography examination in physical examination, the detection rate of multiple pulmonary nodules has significantly increased. However, there are no unified guidelines or consensus for the diagnosis and treatment of multiple pulmonary nodules, and the clinical diagnosis and treatment of such patients are often inadequate or excessive. Therefore, it is of great clinical significance to attach importance to the moderate diagnosis and treatment of multiple pulmonary nodules and formulate unified clinical practice standards for the prevention of lung cancer and the diagnosis and treatment of multiple pulmonary nodules.
Humans
;
Multiple Pulmonary Nodules/therapy*
;
Lung Neoplasms/therapy*
;
Tomography, X-Ray Computed/methods*
7.Intra-arterial Thrombolytic Therapy in Acute Ischemic Stroke a Preliminary Study.
Byung In LEE ; Byung Chul LEE ; Jin Soo KIM ; Dong Ik KIM ; Tae Sub CHUNG ; Jung Ho SUH
Journal of the Korean Neurological Association 1990;8(1):1-13
We conducted a pilot study to evaluate the possibility that the intra-arterial thrombolybolytic therapy might lead to recanalization of the acutely occluded cerebral arteries and subsequent clinical improvement in patients with acute ischemic stroke. Mean time from the onset of symptoms to the start of treatment and mean dosage of thrombolytic agent, Urokinase, were 6.4 hours and 120.3 X 10(4) units respectively. Seven of 12 cases with acute ischemic stroke demonstrated successful recanalization; 5 cases achieved complete recanalization; 2 cases partial recanalization, and remaining 5 cases did not show any evidence of recanalization. Neurological evaluation at 1 week and 3 months after the onset of symptoms suggested better outcome in a cases with recanalization. Repeat CT scan at 24 hours and 1 week after the procedure demonstrated evidence of hemorrhagic transformation in the infarcted territories in 5 cases(all in recanalized group), but clinical deteriorations were observed in only 2 case. Though statistical analysis could not be done because of the limited number of cases, these results suggest that the intra-arterial thrombolytic therapy had a role in the management of acute major carebral ischemic stroke.
Cerebral Arteries
;
Humans
;
Pilot Projects
;
Stroke*
;
Thrombolytic Therapy*
;
Tomography, X-Ray Computed
;
Urokinase-Type Plasminogen Activator
8.CT Findings of Hepatoblastoma Before and After Chemotherapy: Correlation with Pathologic Features.
Joon Beom SEO ; Woo Sun KIM ; In One KIM ; Ja June JANG ; Chong Jai KIM ; Hyo Seop AHN ; Kyung Mo YEON
Journal of the Korean Radiological Society 1998;38(5):941-948
PURPOSE: The purpose of this study was to analyze the CT findings of hepatoblastoma before and afterchemotherapy, and to compare them with surgical and pathologic features. MATERIALS AND METHODS: Twelvehepatoblastoma patients underwent chemotherapy prior to surgery; in all cases, CT scanning was performed beforeand after chemotherapy. We reviewed the findings with special attention to changes in tumor volume, the extent andpattern of contrast enhancement, the extent of low-attenuation area in the tumor, the presence of a septum, andcalcification or ossification within the mass before and after chemotherapy. Post-chemotherapy CT findings werecompared with operative and pathologic findings. RESULTS: After chemotherapy, the volume of the tumor massdecreased in all patients, and the extent of involved segments decreased in nine(75%), the non-enhancing areawithin the mass, on the other hand, increased in nine (75%). On pre-chemotherapy CT, calcifications were detectedin seven patients(58%), and on post-chemotherapy CT, in nine (75%); the extent of calcification increased in sevenpatients. On the basis of CT findings, viable tumor and necrosis areas could not be distinguished. Massivecalcification or an osteoid mixed with loose connective tissue was noted in the mesenchymal component of thetumor; the whirling pattern of enhancement within the area of low density asen on CT scanning corresponded toosteoid mixed with loose connective tissue, which contained rich blood vessels. CONCLUSION: We describe the CTfindings of hepatoblastoma both before and after chemotherapy, highlighting the changes which occurred. Anunderstanding of these changes is helpful for the proper management of this condition.
Blood Vessels
;
Connective Tissue
;
Drug Therapy*
;
Hand
;
Hepatoblastoma*
;
Humans
;
Necrosis
;
Tomography, X-Ray Computed
;
Tumor Burden
9.Peritonsillar Abscess in a 40-Day-Old Infant.
Soon Min LEE ; Byoung Chul KWON ; Sung Yon CHOI ; Myung Hyun SOHN ; Kyu Earn KIM ; Choon Sik YOON
Yonsei Medical Journal 2006;47(4):568-570
A peritonsillar abscess is one of the most commonly occurring deep space infections of the head and neck in adults and children. A peritonsillar abscess that appears in newborns, however, is extremely rare. The treatment of a peritonsillar abscess requires both the selection of appropriate antibiotics and the best procedure to remove the abscessed material. We report a case of a peritonsillar abscess in a 40-day-old infant who was treated with antibiotic therapy alone.
Tonsillectomy
;
Tomography, X-Ray Computed
;
Peritonsillar Abscess/*diagnosis/*radiography/therapy
;
Male
;
Infant
;
Humans
10.Radiofrequency Thermal Ablation of Metastatic Liver Tumors: Usefulness of Combined Chemotherapy.
Jeong Nam HEO ; Hyun Chul RHIM ; Yong Soo KIM ; Byung Hee KOH ; On Koo CHO ; Heung Suk SEO ; Kyung Bin JOO ; Young Yiul LEE
Journal of the Korean Radiological Society 2001;45(2):147-154
PURPOSE: To assess the usefulness of radiofrequency (RF) thermal ablation with combined chemotherapy for the treatment of metastatic liver tumors. MATERIALS AND METHODS: A non-randomized, comparative study was performed in 21 patients with metastatic liver tumors. Inclusion criteria were that these should be less than five in number and less than 6 cm in diameter. Two groups were designed for comparison of the local and remote (new intrahepatic or extrahepatic) tumor control rate (Group A: RF alone, n=11; Group B: RF+combined chemotherapy, n=10). There was no significant difference in age, sex, and mass size between the two groups (p>0.05). All ablations were performed percutaneously with a 50W RF generator and 15G-needle electrode (RITA Medical System Inc.) under US guidance. In group B, six cycles of systemic chemotherapy were performed every month immediately after RF ablation. Follow-up CT scans were obtained within 24 hours of ablation and were compared with the findings of pre-ablation CT scanning. If an ablated lesion covered the mass without any residual enhancing foci, this was defined as complete ablation. Three and six months after ablation, local and remote tumor control rates were compared between the two groups (follow up: range 4 -17 (mean, 10.2) months. RESULTS: In group A, the local tumor control rate was 43.8% (7/16) and 31.2% (5/16) at 3 and 6 months follow-up, respectively, while in group B, the corresponding rates were both 75% (15/20). At three months, the difference in this rate between the two groups was not significantly different (p>0.05), but at 6 months there was significant difference (p<0.05). At 6 months follow-up, the remote tumor control rate for Group A and Group B was 27.3% (3/11) and 80.0% (8/10), respectively, reflecting a significant difference between the two groups (p<0.05). CONCLUSION: In patients with metastatic liver tumor, radiofrequency thermal ablation with combined chemotherapy may be superior to RF thermal ablation alone for both local and remote tumor control.
Drug Therapy*
;
Electrodes
;
Follow-Up Studies
;
Humans
;
Liver*
;
Tomography, X-Ray Computed