각종 암환자에 있어서의 폐전이에 관한 X선학적 고찰

진수일 대한영상의학회 1978 대한영상의학회지 Vol.14 No.1

A statistical analysis about the frequency and pattern of pulmonary metastases was carried out from the roentgenological aspect in 5,748 cases of various cancer patients visiting the Cancer Research Hospital during past three years from October 1974 to September 1977. Simple chest P-A and lateral, laminograms, and bronchograms were analysed in all cases. Following are the results. 1. The frequency of pulmonary metastases in total of 5,748 cases was 17.5%, and the mean of frequencies in 5,666 cases, except for 82 cases of lip cancer and others without metastases, was 28.3%. 2. The frequencies of pulmonary metastases in 5,666 cases according to the primary sites were 4.0% in nasal cavity and paranasal sinuses, 11.3% in larynx, 84.2% in lung, 100.0% in mesotheliomas, 19.5% in thyroid, 12.5% in oropharynx, 7.1% in tongue, 10.9% in salivary gland, 11.3% in esophagus, 5.7% in stomach, 8.4% in colon, rectum, and anus, 23.6% in liver, 25.0% in pancreas, 53.3% in renal cell carcinomas, 33.3% in Wilm's tumors, 20.0% in neuroblastomas, 11.6% in bladder, 19.4% in breast, 36.4% in seminomas, 53.8% in testis, 12.5% in penis, 5.2% in uterus, 69.0% in choriocarcinomas, 13.8% in ovary, 25.0% in dysgerminomas, 4.1% in vagina and vulva, 33.8% in malignant lymphoma group, 50.0% in thymomas, 5.9% in skin, 45.5% in skin melanomas, 37.6% in bone sarcomas, 27.1% in soft tissue sarcomas, and 51.6% in primary site unknown cancers. 3. The metastatic pattern of these 1,005 cases were huge mass type 2.4%, golfball type 10.4%, nodular type 32.8%, lymphangitic type 17.1%, miliary type 3.9%, pleural metastases 17.2%, hilar node swelling only 10.6% and miscellaneous type 5.6%. Of all these types, mass les ons such as huge mass, golfball type, and nodular type were 45.6%. 4. As successful operation could be done in resectable pulmonary metastases, it is again stressed that the early diagnosis and treatment of the metastatic lesion is very important.

비인두 및 구강암의 CT 소견

진수일 대한영상의학회 1987 대한영상의학회지 Vol.23 No.5

Eighty-four histologically proven cases of carcinoma of the orpharynx and oral cavity were analyzed with CT findings. RESULTS : 1. CT has great advantages in the evaluation of deep infiltration and cervical lymph node metastasis. 2. Cervical lymph node metastasis were found in 52 cases of all and primary draining lymph nodes were jugulodigastric and submandibular. 3. Local extension of tumor was observed in 49 cases and tongue base cancer had greatest tendency to infiltrate deeply.

흉부X선촬영과 진단

진수일 대한방사선과학회(구 대한방사선기술학회) 1979 방사선기술과학 Vol.2 No.1

Postictal Pulmonary Edema의 2 예

진수일 대한영상의학회 1968 대한영상의학회지 Vol.4 No.1

Postictal pulmonary edema is a definite clinical entity, of which incidence is not uncommon. Two cases of postictal pulmonary edema due to subarachnoidal hemorrhage in 5 months old Korean infant and 10 years old Korean boy, which are experienced by writers recently, are reported. And here the literature on the roke of the central nervous system in the genesis of pulmonary edema is reviewed.

후두 및 하인두암의 CT 소견

진수일 대한영상의학회 1986 대한영상의학회지 Vol.22 No.6

Fifty-nine histologically proven cases of carcinoma of the larynx and hypopharynx were examined with CT for the staging before surgery or radioagtion therapy and the findings of primary disease and neck metastasis were analyzed. Local extension of the tumor can be easily evaluated with CT and findings of lymph node metastasis of neck were seen in 33 cases (79%) of all. Among cases of neck metastasis, peripheral contrast enhancement of the lymph nodes were demonstrated in 26 cases(79%).

식도암으로 인한 식도절제술 및 식도위문합술후 재발의 흉부 CT소견

진수일 대한영상의학회 1992 대한영상의학회지 Vol.28 No.3

Surgical resection of esophageal cance has played a prominent role in both cure and palliation. The radiologic evaluation of postesophagectomy patients is directed at the detection of normal and pathological appearances after surgical resection. Since early detection of recurrent tumor is important in the manhagement of patients who have undergone esophagectomy, we undertook a retrospective study to evalute the findings of recurrence on CT in posesophagectomy patients. Between January 1988 and July 1991, 26 patients who had undergone transthoracic esophagectomy with esophagogastrostomy for epidermoid carcinoma of the esophagus with following reoccurance were examined by chest CT. The group included 25 male and one female patients were aged 45-71 years (mean, 53). All patients had studies done immediate post operative 7-10 days. The CT were performed with a CT 9800 scanner (GE Medical System, Milwaukee) after administration of oral contrast media and intravenous injection of co trast media. The findings seen on CT were confirmed by biopsy in five cases and by clinical, radiological follow-up manifestation in 21 cases. The abnormalities that were demonstrated on follow-up CT were adenopathy - mediastinal node (ten cases) or abdominal node (five cases), local recurrence - previous tumor site (five cases), anastomotic siteI(two cases) or thoractomy site (one case), distant metastases - liver(four cases), lung(two cases) or spleen (two cases), and others - ascites (three cases), peicardial effusion (two cases). Our results indicate that serial chest CT play an important role in the evaluation of the patients after transthoracic esophagectomy with esophagogastrostomy.

각종 위질환의 진단에 있어서 위내시경진단법의 확진술

진수일 대한영상의학회 1971 대한영상의학회지 Vol.7 No.1

Gastrofiberscopy as well as roentgenologic examination of stomach, is now considered to be one of the indispensable diagnostic methods of gastric diseases. In general it is agreed that the roentgenologic examination is convenient for observation of shape, contour, motor function and gross lesions of stomach while gastrofiberscopy is especially valueable in detection of mucosal changes or small lesions of stomach. For evaluation of gastrofiberscopy in the diagnosis of various gastric diseases, the diagnostic accuracy of gastrofiberscopy was studied in 964 cases who underwent the fiberscopic examination in SNUH during the period from March 1, 1968 till April 30, 1971.

Vlahovitch system에 의한 Sylvian triangle의 측정

진수일 대한영상의학회 1975 대한영상의학회지 Vol.11 No.1

The sylvian triangle is the single most important vascular configuration in the angiographic localization of supratentorial hemispheric tumors. Vlahovitch et al. recently described a now system for measuring the sylvian triangle on the lateral cerebral angiograms and thereafter Gonzales et al. evaluated the Vlahovitch system, using computer programing, and reported its diagnostic values and advantages. The present study was designed to contain normal measurements of the sylvian triangle in Koreans. The author measured all extremities, angles, height, and superior insular line of the sylvian triangle in 100 lateral carotid angiograms of 68 males and 32 females, which were considered anatomically normal. The results were as follows: 1. Extremities of the sylvian triangle: The anterior extremity (a) of the sylvian triangle was close to or on the line MM' in the great majority of the cases and, on the average, lay 1.55mm(SD$\pm$1.01mm) behind the line. The posterior extremity (b) lay 15.05mm (SD$\pm$6.49mm) behind the line AA' and the inferior point (c) lies at the junction of one-fourth of AA' and one-third of AO with a variation of 3.82mm (SD$\pm$1.70mm) in all directions, on the average. 2. Angles of the sylvian triangle: The mean anterosuperior angle (i) was 70。 (2SD$\pm$6.67。), and the mean posterior angle (ii) was 31。 (2SD$\pm$6.50。), and the men inferior angle (iii) was 79。 (2SD$\pm$7.34。). 3. The height of the sylvian triangle (cn) was found to be one-fourth the hemispheric height and the mean height was 2.83mm (SD$\pm$0.23mm). 4. Superior border of the sylvian trianle: The superor insular line is located 6.22mm (SD$\pm$3.66mm), on the average, below the midpoint of the hemispheric height ($\times$).

고횡위 위의 병변을 진단하기 위한 경각후전최영술 Angled Postero-anterior Projection의 이용

진수일 대한영상의학회 1969 대한영상의학회지 Vol.5 No.1

The high transverse stomach is considered the type most difficult to examine, which is most frequently encountered in the very obese patient. And so, despite the use of multiple projections, parts of the contour of these stomach, particularly in the region of the upper corpus, occasionally elude full visualization. All of these consideration limit diagnostic accuracy. With this problem in mind, the author has utilized a new projection to minimize the amount of overlapping of the various portions of the stomach. This projection has the virture of "opening up" the stomach, so to speak, by projecting the fufundus and upper portion of the body upward and the antrum same as in the ordinary sthenic individual. RESULTS : 1. There have been 6 isolated instances in which the projection made possible a diagnosis which was not otherwise apparent either at fluoroscopy or on routine roentgenographic study. 2. And there have been 5 cases in which it gave considerable anatomical detail concerning the localization of the lesion and it was useful in confirming an otherwise equivocal diagnosis.diagnosis.

梵漢對勘《撰集百緣經》、《維摩詰經》、《金光明經》、《妙法蓮華經》的 “V已” 結構-也論漢語完成貌詞尾 “已₂” 的來源

陳秀蘭(진수란),朱慶之(주경지) 한국교통대학교 동아시아연구소 2015 동아문헌연구 Vol.- No.-