2.Fast Spin-Echo T2-Weighted MR Imaging of Tongue Cancer: the Value of Fat-suppression.
Zu Byoung KIM ; Dong Gyu NA ; Jae Wook RYOO ; Kyeong Ah KIM ; Hong Sik BYUN ; Chung Whan BAEK ; Yong Ik SON
Journal of the Korean Radiological Society 2000;43(6):683-689
PURPOSE: To compare the diagnostic efficacy of fast spin-echo (FSE) T2-weighted MR imaging with and without fat suppression. MATERIALS AND METHODS: Twelve patients (7 men and 5 women; mean age, 48 years) with pathologically proven cancer of the tongue were included in this study. In all of these, FSE T2-weighted MR images with and without fat suppression were obtained in the same imaging planes before surgery or biopsy. Two radiologists visually compared the images thus obtained in terms of detection, extent, and conspicuity of the tumor, and the contrast-to-noise ratio (CNR) of each tumor was also calculated. RESULTS: In all patients, both imaging modalities were equal in terms of tumor detection. In 4 of 12(33%), the extent of the tumor was greater with fat suppression, while in eight (67%), it was almost the same both with and without. In ten patients (83%), the tumor was more conspicuous with fat suppression, and percentage CNRs were significantly higher with fat suppression than without (180 +/-70% and 113 +/-61%, respectively; p = 0.02). CONCLUSION: For the evaluation of patients with tongue cancer, fat-suppressed FSE T2-weighted MR imaging is superior to its conventional equivalent.
Biopsy
;
Female
;
Humans
;
Magnetic Resonance Imaging*
;
Male
;
Tongue Neoplasms*
;
Tongue*
3.Fast Spin-Echo T2-Weighted MR Imaging of Tongue Cancer: the Value of Fat-suppression.
Zu Byoung KIM ; Dong Gyu NA ; Jae Wook RYOO ; Kyeong Ah KIM ; Hong Sik BYUN ; Chung Whan BAEK ; Yong Ik SON
Journal of the Korean Radiological Society 2000;43(6):683-689
PURPOSE: To compare the diagnostic efficacy of fast spin-echo (FSE) T2-weighted MR imaging with and without fat suppression. MATERIALS AND METHODS: Twelve patients (7 men and 5 women; mean age, 48 years) with pathologically proven cancer of the tongue were included in this study. In all of these, FSE T2-weighted MR images with and without fat suppression were obtained in the same imaging planes before surgery or biopsy. Two radiologists visually compared the images thus obtained in terms of detection, extent, and conspicuity of the tumor, and the contrast-to-noise ratio (CNR) of each tumor was also calculated. RESULTS: In all patients, both imaging modalities were equal in terms of tumor detection. In 4 of 12(33%), the extent of the tumor was greater with fat suppression, while in eight (67%), it was almost the same both with and without. In ten patients (83%), the tumor was more conspicuous with fat suppression, and percentage CNRs were significantly higher with fat suppression than without (180 +/-70% and 113 +/-61%, respectively; p = 0.02). CONCLUSION: For the evaluation of patients with tongue cancer, fat-suppressed FSE T2-weighted MR imaging is superior to its conventional equivalent.
Biopsy
;
Female
;
Humans
;
Magnetic Resonance Imaging*
;
Male
;
Tongue Neoplasms*
;
Tongue*
4.Change of Selection to Antihypertensive Drugs in Hypertensive Patients with Diabetes Mellitus: In Pohang . Gyeongju Primary Care Research Network.
Zu Young YUN ; Dong Wook LEE ; Hee Su JUNG ; Ki Hm PARK ; Sin Hyeong LEE ; Jung Jae PARK ; Dong Ik KIM ; Jae Man KI ; Kyung Rae CHO ; Joon Seok SONG ; Seok CHOI ; Cheang Ho U ; Tae Ho JUNG ; Sook Heong JUNG ; Sung Woo KIM ; Ik KIM
Korean Journal of Family Medicine 2009;30(3):197-201
BACKGROUND: Angiotensin converting enzyme inhibitors (ACEIs) or Angiotensin II type 1 receptor blockers (ARBs) are compelling indication drugs for hypertensive patients with diabetes mellitus. But prescription rate in 2005 year study of Pohang . Gyeongju area was only 30.8%. Therefore, a study on the change of prescription rate in the same area after 3 years was done. METHODS: During three months from January 2008, 152 hypertensive patients with diabetes mellitus on their prescribed antihypertensive medications by 9 family physicians in visiting order were analyzed. After the analysis, the infl uencing factors for such prescriptions were ascertained by directly visiting each physicians who prescribed them. RESULTS: A regimen of 16 antihypertensive agents were prescribed by these family physicians. Prescription count of ACEIs or ARBs was 101 cases (66.4%). ACEIs single therapy was 19 cases (12.5%), ACEIs combination therapy was 7 cases (4.6%), ARBs single therapy was 31 cases (20.4%) and ARBs combination therapy was 44 cases (28.9%). The ACEIs or ARBs which were selected by physicians that followed "compelling indication" was 5 (55.6%), "excellent reduce pressure effect" was 3 (33.3%) and "public relations of new medicine" was 1 (11.1%). CONCLUSION: In prescribing antihypertensive agents for patients with diabetes mellitus, selection of ACEIs or ARBs was increased from 30.8% to 66.4%. Education of recommended standard by participating in such study and developing of excellent new medicines may increase such change.
Angiotensin II Type 1 Receptor Blockers
;
Angiotensin-Converting Enzyme Inhibitors
;
Antihypertensive Agents
;
Diabetes Mellitus
;
Humans
;
Hypertension
;
Physicians, Family
;
Prescriptions
;
Primary Health Care