경추외상의 자기공명영상 소견

정선관 대한영상의학회 1994 대한영상의학회지 Vol.30 No.4

Wegener 씨 육아종 증례보고 1예 : A Case Report

정선관,임형근,정은택,노병석,김창근,원종진 圓光大學校 醫科學硏究所 1995 圓光醫科學 Vol.11 No.2

Wegener's granulomatosis is characterized by necrotizing and granulomatous disease which involves upper, lower respiratory tract and kidney. The basic pathophysiologic mechanism of Wegener's granulomatosis is still unknown. We report a case of Wegener's granulomatosis which involved lung and pleura and was diagnosed by clinical symptoms, radiologic findings and anti-neutrophilic cytoplasmic autoantibodies.

골다공증성 대퇴골 골절의 위험인자 평가

정선관,박성훈,김혜원,이영환,윤권하,최시성,노병석,원종진 圓光大學校 醫科學硏究所 2007 圓光醫科學 Vol.22 No.1

소아 복부종괴의 초음파 소견

정선관 대한영상의학회 1986 대한영상의학회지 Vol.22 No.1

Ultrasongraphy is a very useful diagnostic modality for the evaluation of clinically suspicious abdominal masses in infants and children, especially in assessing their existence, size, location, origin and internal consistency. Authors analyzed and present ultrasonographic findings of 92 pathologically and/or clinically proven pediatric abdominal masses that were studied and treated in Chonnam University Hospital during recent 4 year. The results were as follows : 1. The most common origination site was kidney(26 cases : 28.3%), followed by gastrointerstinal tract (21 cases : 22.8%), genital organ (17 cases : 18.5%), non-renal retroperitoneum (13 cases : 18.5%), hepatobilary tract (12 cases : 13.0%), and anterior abdominal wall (3 cases : 3.3%) in order of frequency. 2. The most common mass was hydronephrosis(18 cases : 19.6%). Neuroblastoma (7 cases : 7.6%), hepatoblastoma, ovarian teratoma, periappendiceal abscess and abdominal tuberculosis(6 cases : 6.5%, respectively), W lms tumor (5 cases : 5.4%) were next in order of frequency. 3. The sex distribution is rather similar, that is , male 42(45.7%) and female 50(54.3%) , but characteristically choledochal cyst(2 cases) and genital mass (17 cases) were found only in females. considering age distribution, 78 cases(84.8%) were found within the range of one to 15 years of age. The rest, 14 cases(15, 2%), were under the age of one year. 4. With ultrasonography, the diagnosis of hydronephrosis could be made easily in every cases and we could evaluate its severity and level of obstruction with high accuracy. 5. All Wilms tumor were large, round or oval, sharply marginated and relatively homogeneous solid masses. 6. All neuroblastomas were irregular shaped, poorly defined, heterogeneous solid masses. Tumor calcificaion and extension across the midline were noted in 6 cases (85.7%) and 5 cases(71.4%) respectively. 7. All periappendiceal abscesses had irregular thickened wall and posterior acoustic enhancement 4 cases (66.7%) among them were mixed echo pattern and 2 cases(33.3%) echo free. 8. Among the 6 abdominal tuberculoses, 2 were seen as irregularly defined solid masses, 1 as conglomeration of multiple hypoechoic modulles and 3 as mixed patterns. 9. All hepatoblastomas were seen to be poorly marginated solid masses with more echogenicity than adjacent normal hepatic echo in 5 cases except one. 10. Among the6 ovarian teratomas, 4 cases were cystic and 2 cases solid. Acoustic shadowing was seen in 3 cases. 11. Choledochal cyst (2cases), hydrops of gallbladder(1cases) and cyst of pancreas head (1 cases) had similar ultrasonic appearance as a large elliptical cystic mass, but, it was important in differential diagnosis to ascertain the existence of gallbladder and the connection between the cyst and bile duct.

측두골 골절 : 고해상력 전산화 단층촬영 HRCT

정선관,이지영,노병석,김창근,원종진 圓光大學校 醫科學硏究所 1990 圓光醫科學 Vol.6 No.1-2

High resolution computed tomographic(HRCT) findings in 23 patients with temporal bone fractures were reviewed. Seventeen patients suffered from longitudinal fractures of the petrous bone, which was with a contralateral atypical fracture in one patient. Transverse and direct mastoid fractures were detected in three patients, respectively. The ossicular changes were noted in three patients of longitudinal fracture and also in one of transverse fracture. In all cases, HRCT allowed rapid and detailed evaluation of temporal bone fractures.

Multicentric Castleman 병 : 1예 보고 A Case Report

정선관,이성아 圓光大學校 醫科學硏究所 1995 圓光醫科學 Vol.11 No.2

Castleman disease is a rare disease entity of unknown etiology. Although the mediastinum is its most common location, it also occurs in other areas of the body, usually where lymph nodes are normally found. The multicentric form of the disease has been recognized only recently as a disease with an aggressive, often malignant course. The authors present the radiologic findings of a case of multicentric Castleman disease.

지역사회(익산시) 골다공증의 유병률

정선관 圓光大學校 醫科學硏究所 1999 圓光醫科學 Vol.15 No.2

Purpose: To evaluate the prevalence of osteoporosis as a major public health problem in a community society of Korea (Iksan city. South Korea). Materials and Methods: Face to face interviewing in 140 women who volunteered for the osteoporosis screening program of Wonkwang University Hospital was done. The following were excluded: women with previous trauma, hormone replacement therapy, and suspicious secondary osteoporosis. Both posterior-anterior and lateral dual energy x-ray absorptiometry measurement of the lumbar spine were performed in the remaining 101 women using the Hologic QDR 2000 bone densitometer. Bone mass measurement results were categorized according to the WHO definition. The prevalence of osteoporosis and osteopenia was calculated. In addition, correlation between bone mineral density and demographic characteristics (age, weight, height, and body-mass index (BMI, Kg/㎡) was evaluated with the correlation and multiple regression analyses. Results: The prevalence of osteopenia and osteoporosis was 39.6%, 25.7% respectively: 35.5%, 11.3% under 50 years; 46.1%, 48.7% above 50 years. The correlation, between bone mineral density (BMD) and demographic characteristics was followed: age. negatively related (r=-0.549, P<0.01); weight, positively (r=0.224, P<0.05); height, positively (r=0.204, P<0.05); BMI, positively (r=0.123, P>0.05). The age factor among them was significant. Conclusions: The prevalence of both osteopenia and osteoporosis in a Korean community society is high and BMD is significantly decreased according to age. these results may suggest that osteoporosis is a major public health problem.

반월형 공기음영(air-meniscus sign)을 보인 폐 경화성 혈관종 1례 : A Case Report

정선관,노지영,노병석,원종진 圓光大學校 醫科學硏究所 1998 圓光醫科學 Vol.14 No.1

Sclerosing hemangiomas which uncommonly occur in the pulmonary parenchyma rarely have the air-meniscus sign on the radiologic examinations. We report a case of histopathologically proven sclerosing hemangioma with the air-meniscus sign of the lung on both chest radiograph and CT.

대퇴골두를 포함한 요추 전후 단순촬영에서 발견되는 고관절 및 골반 병변

임현수,정선관,김은아,김정호,송하헌,심대무 대한영상의학회 2002 대한영상의학회지 Vol.47 No.6

Purpose: To determine the frequency of diseases of the hip and pelvis, as seen of plain radiography of the lumbar spine in patients with suspicious lumbar disease, and to evaluate the methods used for lumbar spine radiography in Korea. Materials and Methods: Sixty university and training hospitals were randomly selected and asked to describe the projections, film size and radiographic techniques employed for routine radiography in patients with suspected disease of the lumbar spine. Plain radiographs of 1252 patients, taken using 14”×17”film and depicting both hip joints and the lumbar region, were analysed between March 1999 and February 2000. Results: In 15 patients (1.2%), the radiographs revealed hip or pelvic lesions, confirmed as follows: avascular necrosis of the femoral head (n=11, with bilateral lesions in four cases); sustained ankylosing spondylitis (n=2); acetabular dysplasia (n=1); and insufficiency fracture of the pubic rami secondary to osteoporosis (n=1). In 11 of the 20 hospitals which responded, 14”×17”film was being used for lumbar radiography, while in the other nine, film size was smaller. Conclusion: Plain radiography of the lumbar spine including both hip joints, may be a useful way to simultaneously evaluate lesions not only of the lumbar spine but also of the hip and/or pelvis. 목적: 요추 질환이 의심되어 촬영한 요추 단순촬영사진에서 확인될 수 있는 고관절 및 골반 병변의 질환과 그 빈도를 알아보고 또 요추 단순촬영 방법에 관한 국내의 실태를 조사하고자 하였다. 대상과 방법: 요통을 호소하여 요추 질환이 의심된 환자 1,252명에서 양 고관절을 포함한 요추단순촬영사진을 분석하였다. 요추 단순촬영의 실태조사는 대학병원 및 종합병원 60곳을 무작위로 추출하여 요추 환자에서 촬영하는 기본 단순촬영의 종류 및 필름의 크기, 촬영 방법 등에 관하여 설문조사를 하였다. 결과: 총 15예(1.2%)에서 고관절 및 골반부에 이상이 있었다. 대퇴골두에 무혈성괴사가 11예(양측 4예)로 많았으며, 강직성 척추염이 2예, 양측 비구이형성 1예, 골다공증에 의한 치골지의 병적 골절이 1예가 있었다. 설문에 응답한 20개 병원에서 선호하는 방사선 필름의 크기는14”×17”가 11곳(55%)으로 많았으나, 9곳(45%)에서 이보다 작은 크기의 사진을 선호하였다. 결론: 요추 단순촬영은 국내에서 아직 표준화되어 있지 않았으나, 양측 고관절이 포함된 요추전후면 사진을 촬영하면 요추 질환과 동반되거나 요추 질환으로 오인 될 가능성이 있는 고관절 질환이나 골반 질환을 추가적으로 진단할 수 있다.

탈신경시킨 토끼 골격근의 자기공명영상

임형근,정선관,이성아,이강모,김선구,박동식,최시성,노병석,김창근 대한영상의학회 1997 대한영상의학회지 Vol.36 No.1

Purpose: To determine the time of magnetic resonance(MR) signal intensity changes in denervated skeletal muscle and to compare MR imaging with electromyography(EMG) in the evaluation of peripheral nerve injury. Materials and Methods: We evaluated MR imagings of devervated muscles after experimental transection of the sciatic nerve n five rabbits using 1.0T MR unit. MR imaging and EMG were performed 3 days and 1, 2 and 3 weeks after denervation. T1-weighted images(T1-WI), T2-WI and short Tau Inversion Recovery(STIR) images were obtained. The signal intensty (SI) of muscles in the denervated and normal sides were visually and quantitatively compared. After measuring the SI of the normal and abnormal areas, the time of SI change was determined when there was significant difference (P<0.05) of SI between the normal and denervated sides. Results: On STIR images, two of the five rabbits showed significant SI changes at the third day (P<0.05) and all showed significant changes(P<0.05) at the first week. On T2-WI, one rabbit showed significant SI changes at the third day, and all showed significant SI changes at the first week. On T1-WI, significant SI changes were seen in one rabbit at the second week and in one at the third. One week after denervation, all showed denervation potential on EMG. Conclusion: This study suggests that MR imaging using STIR images is a useful method in the evaluation of denervated muscle, and that MR signal changes of denervated muscle may precede EMG changes after denervation. To localize and to determine the severity of the peripheral nerve injury, future analysis of the distribution of abnormal MR SI in denervated muscles would be helpful.