뇌자도 측정을 위한 저잡음 Nb SQUID 센서의 설계 및 제작

이용호,권혁찬,김진목,이상길,임청무,박용기,박종철 경북대학교 센서기술연구소 1998 센서技術學術大會論文集 Vol.9 No.1

We report on the design, fabrication and performances of a low-noise Nb SQUID sensor for neuromagnetic measurements. The main features of the developed sensor are i) large flux-to-voltage transfer, making the SQUID readout electronics simple, and ii) use of the integrated planar pickup coil to eliminate the environmental magnetic field noises. The magnetic field noise of the developed SQUID sensor is below 5 fT/√Hz at 100 Hz, which is low enough to be used in neuromagnetic measurements.

Pomeranian에서 발생한 치주 질환에 의한 비염 1례

이기자,최윤정,최형준,이용진,최호정,이영원,정성목 忠南大學校 獸醫科大學 動物醫科學硏究所 2005 動物醫科學硏究誌 Vol.13 No.-

A 10-year-old spayed female dog with history of persistent nasal discharge and halitosis was presented. In oral examination, there were severe dental calculi and gingivitis. The radiographic imaging showed lesions of left nasal cavity and periodontal membrane. In computed tomographic imaging, there are increased density of left nasal cavity, loss of nasal concha and partial defect of nasal septum. Many inflammatory cells were observed in nasal cytology. The result of culture from nasal smear was negative. All these findings result in rhinitis by dental calculi and gingivitis. The dog got improved after scaling, tooth extraction, and medical treatment.

위에서 발생한 원발성 순수편평상피암 1예

이수형,배용목,권균홍,조용건,이현승,김규종 고신대학교의과대학 2007 고신대학교 의과대학 학술지 Vol.22 No.2

A case of pure squamous cell carcinoma of the stomach in a 41-year-old female is reported. Its pathogenesis is still unknown and epidermoid carcinomas of the stomach without a glandular cell component are a rare tumor described in only about 20 patients since 1905. In Korea, six patients have reported to date. In this case upper gastrointestinal endoscopy showed a large ulceroinfiltrating mass with marginal irregularities in the lower body of the stomach. Histologic finding of biopsy specimen was squamous cell carcinoma. Abdominal computerd CT showed metastatic invasions to the spleen, abdominal wall and small bowel loop.

우측 대장에 발생한 연소성 용종 1예

이준식,박성한,홍현진,안광순,김지연,배용목,이은영,박선자 고신대학교의과대학 2007 고신대학교 의과대학 학술지 Vol.22 No.2

Juvenile polyp, also known as a retention polyp because they contain mucin cysts, is a relatively common hamartomatous lesion in chlidhood. It occurs in 1-2% of children and young adults; however it is uncommon in adulthood. Juvenile polyp is rare in the first year of life and is thus presumed to be acquired and not congenital. It is pedunculated, 2-3 cm in size, red-tan in colour, smooth and always shows fluid filled cystic spaces on cut surface. Histologically, Juvenile polyps are hamartomatous with distended, mucus-filled glands, often with cystic dilatation and edematous lamina propria containing abundant vasculature. The most common manifestation is rectal bleeding produced by auto-amputation of the polyp. Juvenile polyp has been considered not to be at increased risk of developing carcinoma. However, atypical epithelium is observed in some lesions, especially in larger polyps, which may give rise to adenoma and subsequent malignant transformation. Therefore the diagnosis of solitary juvenile polyp should not be made only with colonoscopy and biopsy, but should be totally resected endoscopically for pathologic evaluation. About 90% of the lesions are solitary and localized within 20cm from anal verge. In Korea, there are some reports of juvenile polyps located in the rectosigmoid colon. We report one case of juvenile polyp in adolescent that presented as a hematochezia & abdominal pain, which is located at right colon.

MEG를 이용한 기능성 뇌질환 진단연구

이용호,권혁찬,김기웅,김진목,박용기 한국뇌학회 2002 한국뇌학회지 Vol.2 No.2

두뇌 신경세포의 전기생리학전인 활동에 의해 발생되는 자기장의 분포를 머리 밖에서 초전도양자간섭소자(Superconducting QUantum Interference Device; SQUID)로 측정한 것이 뇌자도(Magnetoencephalogram; MEG) 이다. MEG 기술은 뇌신경활동에 참여하는 세포내 전류가 만드는 자기장 신호를 측정하므로 뇌신경활동을 직접 알 수 있는 장점이 있고, 비접촉 . 비파괴적인 측정방법이며 우수한 시간 . 공간분해능을 가지므로 뇌기능 연구 및 기능적 질환진단에 중요하게 사용될 수 있다. 이미 선진연구기관 또는 병원에서는 정밀한 뇌기능 연구 및 진단에 MEG 기술을 본격적으로 활용하기 시작하였다. 뇌신경회로의 미약한 전류에 의해 발생되는 MEG 신호는 매우 미약하기 때문에 정밀측정기술이 요구되는 데 고감도 SQUID의 개발, 환경자기잡음 제거기술, 신호처리기술 등이 개발됨으로써 MEG 측정이 가능하게 되었다. MEG의 주된 목적은 두뇌 활동전류의 위치, 크기 및 방향을 동적으로 표시하는 것으로서, 측정된 다채널 MEG 신호로부터 활동전류의 정보를 구하기 위하여 역문제의 해법을 풀고, MRI 데이터에 시각적으로 표시함으로써 임상적으로 유용한 정보가 된다. MEG는 뇌신경세포에서의 전기적 활동을 직접 관찰할 수 있다는 점에서 다른 뇌기능 영상진단법과는 구분되는 특징을 가지며, MEG 기술의 주된 응용분야는 수술전 대뇌피질의 기능조사, 간질 발생부위의 국소화, 정신분열 등 임상진단과 인지기능 연구이다. 본 논문에서는 MEG 신호의 발생원, MEG 기술의 특징, 측정에 필요한 요소기술, MEG의 응용예에 대해 소개하고자 한다. Magnetoencephalogram (MEG) is the magnetic fields produced by the electrophysiological activity of the brain. By measuring the MEG signals using the magnetic sensors, superconducting quantum interference devices (SQUID_s), localization and diagnosis of the brain function are possible with superior temporal and spatial resolution. Since the human head is transparent to the magnetic field and MEG measures the magnetic field signals without any disturbance, we can get precise information on the neural currents directly. However, the magnetic field strength of the MEG signals is very weak, typically smaller than 1 pT. In order to measure and analyze MEG signals, very sensitive SQUID sensors, elimination of environmental magnetic noises, signal processing and localization of current dipoles are necessary. As a totally noninvasive metho, MEG is currently used routinly in many advanced clinics for the locaization of epileptic foci and presurgical localization of the important brain regions.

후두와 병변 수술의 발생한 경막하 긴장성 기두증

목진호,김한식,이규춘,박용석,이영배 東國大學校醫學硏究所 1999 東國醫學 Vol.6 No.-

긴장성 기두증은 신경외과영역에서 개두수술 후에 발생할 수 있는 드문 합병증으로 특히 만성 뇌경막하 혈종 제거수술이나 좌위에서 후두와 수술을 시행한 경우에 발생할 수 있다. 따라서 개두수술 후에 신경학적 증상의 악화가 있거나 수술 후 예상경과를 취하지 않는 경우에는 긴장성 기두증의 발생 가증성을 항상 고려하여야 한다. 긴장성 기두증의 발생기전은 물병을 거꾸로 세운 것과 같은 기전(Inverted pop-bottle mechanism)으로 뇌척수액이 누수된 만큼 공기방울이 경막하강으로 올라가 빈 공간을 메우는 것이다. 이와 같은 기전으로 두개강내로 들어간 공기가 일정한 압력을 가지게 되어 주변 뇌조직을 압박하여 신경학적 장애를 초래하게 된다. 뇌전산화 단층촬영을 이용하여 쉽게 진단이 가능하며 치료는 두개골 천공을 시행하여 두개강내 공기를 배기시켜 줌으로서 가능하다. 저자들은 복와위에서 후두와 병변 수술 후에 발생한 긴장성 기두증을 뇌전산화 단층촬영을 이용하여 진단하고 전두골을 천공하여 두개강내 공기를 배기시켜 치험하였기에 문헌고찰과 함께 증례를 보고하는 바이다. 중심단어:긴장성 기두증, 후두와 수술, 경막하강, 복와위 Tension pneumocephalus is a rare complication in neurosurgical operation and should be considered whenever a patient fails to recover as expected following surgery. The possible mechanism for the entry of air into the subdural space is analogous to the entry of air into an inverted soda-pop bottle. As the fluid pours out. air bubbles reach the top of the container, Computed tomography permitted rapid diagnosis including localization of the air, thus facilitating prompt treatment. Peaking of frontal lobe. mountain appearance of frontal lobe. and air densities at the cisterns are characteristic findings of' tension pneumocephalus on brain CT scan. This condition is easily diagnosed and treated using twist-drill aspiration. The authors describe a case of subdural tension pneumocephalus complicating the early postoperative course after posterior fossa surgery in the prone position.

하악골에 발생한 거대한 cemento-ossifying fibroma의 치험례

이상철,권용대,이백수,김여갑,류동목,박종오 大韓顎顔面成形再建外科學會 2000 Maxillofacial Plastic Reconstructive Surgery Vol.22 No.1

The cemento-ossifying filbroma is a well-demarcated and occasionally encapsulated neoplasm composed of fibrous tissue that contains varying amounts of calcified tissue resembling bone, cementum, or both. The greatest number of cases are encountered during the third and fourth decades of life and there is a definite female predilection, with female-to-male ratios as high as 5 : 1 being reported. The mandible is involved far more than the maxilla, and 90 percent of all cases are located in the mandible. The mandibular premolar-molar area is the most common site. Radiographically, the lesion is most often well defined and unilocular. Depending on the amount of calcified produced in the tumor, it may appear as completely radiolucent : more often it shows varying degrees of radiopacity. Some lesions may be largely radiopaque with a radiolucent halo. On microscopic study, the tumor is composed of fibrous tissue of varying degrees of cellularity containing calcified material. This may be in the form of trabeculae of osteoid and bone or basophilic ovoid calcifications that resemble cementum-like material. Admixture of the two types of calcifications are commonly seen. On this case, large cemento-ossifying fibroma has grown in the mandible and this lesion was treated by complete surgical excision and posterior iliac bone graft. A review of literature and a report of a case of cemento-ossifying fibroma are presented.

NDE 및 생체자기 계측을 위한 SQUID 응용

박용기,김인선,이용호,권혁찬,김진목,김기웅 한국비파괴검사학회 2003 학술대회 논문집 Vol.- No.1

SQUID is the most sensitive magnetic sensor known. It is able to detect the magnetic field as small as few femto Tesla (fT), which is equivalent to one of 10 billionth of earth magnetic field (about 50 ??T). SQUID can be applied in the various fields and its need will be increased greatly in the future. If SQUID is applied in the medical technology, there will be improvement in accurate diagnosis of brain and heart by supplying more information about the functions of such human organs. The nondestructive evaluation (NDE) of deep-lying flaws in the inner layer of lab jointed structures of aircraft, which is very difficult with the existing method became possible using high T_c SQUID. In this paper, the current status of SQUID applications in both medical and NDE fields will be reviewed.

정상임신 산모와 중증자간전증 산모의 혈소판지수 비교

박용범,한지수,정동근,이인식,김암,민원기,지현숙,목정은 울산대학교 의과대학 1993 울산의대학술지 Vol.2 No.1

The purpose of this retrospective study was to define platelet indices in severe preeclampsia(N=98) and to compare them to normal nonpregnant values(N=93) during the years 1990-1993 in the Department of Obstetrics and Gynecology, College of medicine, University of Ulsan, Asan Medical Center. Indices evaluated included platelet count, mean platelet volume, and platelet distribution width. Means platelet volume was statistically different between two groups, however mean platelet count was significantly decreased(p=0.029) and platelet distribution width was significantly increased(p=0.0001) and platelet distribution width was significantly increased(p=0.0001) in severe preeclampria. Mean platelet volume versus platelet count in normal pregnancy showed a significant inverse nonlinear relationship(r=-0.39, 9<0.001) and that in preeclampsia was congruent with notmal nonpregnant valus. With same mean platelet volume, platelet distribution width showed tendency to shift to right in severe preeclampsia. These findings support the concept of severe preeclampsia as a compensated state of increased platelet comsumption comparing with normal pregnancy. We concluded from above results that quantification of platelet indices may have some value in screening for and following severe preeclampsia.

내시경역행성담췌관조영술 후 발생한 종격동기종, 피하공기증, 긴장성 기흉 1예

조용건,이현승,권균홍,김자영,김봉진,김지연,배용목,박선자 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.4

However, Endoscopic retrograde cholangiopancreatography (ERCP) is still helpful procedure for the diagonosis of the pancreatobiliary disease and treatment through endoscopic sphinterectomy (EST) is relatively safe, these have possiblity of complications such as hemorrhage, infection, panceatitis, and perforation. ERCP related perforation was rarely reported in 0.3 to 1.1% of previous study, but most serious complication. A report of Pneumomediastinum, Tension Pneumothorax complicating perforation after ERCP and EST is very uncommon. In our hospital, we experienced case of pneumomediastinum, subcutaneous emphysema, and tension pneumothorax after ERCP and EST, and the patient (a 58 years old female with suspicious common bile duct stone) was treated successfully with conservative treatment.