Minji Kim, Won-Hee Jee, Youngjun Lee, Ji Hyun Hong, Chan Kwon Jung, Yang-Guk Chung, So-Yeon Lee
{"title":"[Tumor Margin Infiltration in Soft Tissue Sarcomas: Prediction Using 3T MRI Texture Analysis].","authors":"Minji Kim, Won-Hee Jee, Youngjun Lee, Ji Hyun Hong, Chan Kwon Jung, Yang-Guk Chung, So-Yeon Lee","doi":"10.3348/jksr.2021.0037","DOIUrl":"https://doi.org/10.3348/jksr.2021.0037","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the value of 3 Tesla (T) MRI texture analysis for predicting tumor margin infiltration in soft tissue sarcomas.</p><p><strong>Materials and methods: </strong>Thirty-one patients who underwent 3T MRI and had a pathologically confirmed diagnosis of soft tissue sarcoma were included in this study. Margin infiltration on pathology was used as the gold standard. Texture analysis of soft tissue sarcomas was performed on axial T1-weighted images (WI) and T2WI, fat-suppressed contrast-enhanced (CE) T1WI, diffusion-weighted images (DWI) with b-value of 800 s/mm<sup>2</sup>, and apparent diffusion coefficient (ADC) was mapped. Quantitative parameters were compared between sarcomas with infiltrative margins and those with circumscribed margins.</p><p><strong>Results: </strong>Among the 31 patients with soft tissue sarcomas, 23 showed tumor margin infiltration on pathology. There were significant differences in kurtosis with the spatial scaling factor (SSF) of 0 and 6 on T1WI, kurtosis (SSF, 0) on CE-T1WI, skewness (SSF, 0) on DWI, and skewness (SSF, 2, 4) on ADC between sarcomas with infiltrative margins and those with circumscribed margins (<i>p</i> ≤ 0.046). The area under the receiver operating characteristic curve based on MR texture features for identification of infiltrative tumor margins was 0.951 (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>MR texture analysis is reliable and accurate for the prediction of infiltrative margins of soft tissue sarcomas.</p>","PeriodicalId":74904,"journal":{"name":"Taehan Yongsang Uihakhoe chi","volume":" ","pages":"112-126"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0e/ee/jksr-83-112.PMC9238208.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33509115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jong Hee Kim, Jung Won Moon, Yoo Na Kim, Ji Young Woo, Jeong Won Kim
{"title":"CT Findings of Thymic Epidermoid Cyst in the Anterior Mediastinum: A Case Report and Literature Review.","authors":"Jong Hee Kim, Jung Won Moon, Yoo Na Kim, Ji Young Woo, Jeong Won Kim","doi":"10.3348/jksr.2021.0014","DOIUrl":"https://doi.org/10.3348/jksr.2021.0014","url":null,"abstract":"<p><p>An epidermoid cyst is a benign tumor found anywhere in the body. However, the occurrence of epidermoid cysts in the thymus is extremely rare, with only six cases reported worldwide. The correct diagnosis of thymic epidermoid cysts is often difficult due to the unusual location and nonspecific imaging findings. Herein, we present a case of a thymic epidermoid cyst in a 37-year-old female with clinical information and chest CT findings. Further, we have reviewed previous literature reports describing imaging findings of thymic epidermoid cysts.</p>","PeriodicalId":74904,"journal":{"name":"Taehan Yongsang Uihakhoe chi","volume":" ","pages":"212-217"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4e/34/jksr-83-212.PMC9238202.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33509120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"CT Findings of Granulomatous <i>Pneumocystis jiroveci</i> Pneumonia in a Patient with Multiple Myeloma.","authors":"So Ra Shin, Tae Sung Kim, Joungho Han","doi":"10.3348/jksr.2021.0043","DOIUrl":"https://doi.org/10.3348/jksr.2021.0043","url":null,"abstract":"<p><p>Although the typical CT findings of <i>Pneumocystis jiroveci</i> pneumonia (PJP) include diffuse or multifocal areas of ground-glass opacities in both lungs, it can also rarely manifest as multiple pulmonary nodules. We report a rare case of atypical PJP in an immunocompromised patient with multiple myeloma, presenting as widespread ground-glass opacities and multiple necrotic subpleural nodules in both lungs on CT, which proved to be granulomatous PJP on percutaneous transthoracic needle biopsy.</p>","PeriodicalId":74904,"journal":{"name":"Taehan Yongsang Uihakhoe chi","volume":" ","pages":"218-223"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4c/8b/jksr-83-218.PMC9238193.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33509141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jinho Jeong, Chang Suk Park, Jung Whee Lee, Kijun Kim, Hyeon Sook Kim, Sun-Young Jun, Se-Jeong Oh
{"title":"Computer-Aided Diagnosis Parameters of Invasive Carcinoma of No Special Type on 3T MRI: Correlation with Pathologic Immunohistochemical Markers.","authors":"Jinho Jeong, Chang Suk Park, Jung Whee Lee, Kijun Kim, Hyeon Sook Kim, Sun-Young Jun, Se-Jeong Oh","doi":"10.3348/jksr.2021.0061","DOIUrl":"https://doi.org/10.3348/jksr.2021.0061","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the correlation between computer-aided diagnosis (CAD) parameters in 3-tesla (T) MRI and pathologic immunohistochemical (IHC) markers in invasive carcinoma of no special type (NST).</p><p><strong>Materials and methods: </strong>A total of 94 female who were diagnosed with NST carcinoma and underwent 3T MRI using CAD, from January 2018 to April 2019, were included. The relationship between angiovolume, curve peak, and early and late profiles of dynamic enhancement from CAD with pathologic IHC markers and molecular subtypes were retrospectively investigated using Dwass, Steel, Critchlow-Fligner multiple comparison analysis, and univariate binary logistic regression analysis.</p><p><strong>Results: </strong>In NST carcinoma, a higher angiovolume was observed in tumors of higher nuclear and histologic grades and in lymph node (LN) (+), estrogen receptor (ER) (-), progesterone receptor (PR) (-), human epidermal growth factor 2 (HER2) (+), and Ki-67 (+) tumors. A high rate of delayed washout and a low rate of delayed persistence were observed in Ki-67 (+) tumors. In the binary logistic regression analysis of NST carcinoma, a high angiovolume was significantly associated with a high nuclear and histologic grade, LN (+), ER (-), PR (-), HER2 (+) status, and non-luminal subtypes. A high rate of washout and a low rate of persistence were also significantly correlated with the Ki-67 (+) status.</p><p><strong>Conclusion: </strong>Angiovolume and delayed washout/persistent rate from CAD parameters in contrast enhanced breast MRI correlated with predictive IHC markers. These results suggest that CAD parameters could be used as clinical prognostic, predictive factors.</p>","PeriodicalId":74904,"journal":{"name":"Taehan Yongsang Uihakhoe chi","volume":" ","pages":"149-161"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/87/c7/jksr-83-149.PMC9238214.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33509521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sonographic and Strain Elastographic Findings of a Clear Cell Hidradenoma that Looked Like an Epidermoid Tumor: A Case Report.","authors":"Jin Hee Kim, Hee Jin Park, Ji Na Kim","doi":"10.3348/jksr.2021.0027","DOIUrl":"https://doi.org/10.3348/jksr.2021.0027","url":null,"abstract":"<p><p>Clear cell hidradenoma (CCH) is a rare tumor of the sweat glands of eccrine or apocrine differentiation. It can occur anywhere in the body, but common sites of involvement are the head, face, trunk, and extremities. Although several reports have described sonographic findings of CCH, only one study on the axilla mentioned its strain elastographic findings. Here, we present a case of CCH in the right calf with its sonographic and strain elastographic findings in a tumor that looked like an epidermoid tumor.</p>","PeriodicalId":74904,"journal":{"name":"Taehan Yongsang Uihakhoe chi","volume":"83 1","pages":"194-198"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/05/b3/jksr-83-194.PMC9238206.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10117819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Boram Song, Sun Kyoung You, Jeong Eun Lee, So Mi Lee, Hyun-Hae Cho
{"title":"Prevalence of Incidentally Detected Spondylolysis in Children.","authors":"Boram Song, Sun Kyoung You, Jeong Eun Lee, So Mi Lee, Hyun-Hae Cho","doi":"10.3348/jksr.2021.0020","DOIUrl":"https://doi.org/10.3348/jksr.2021.0020","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the prevalence of incidentally detected lumbar spondylolysis in children.</p><p><strong>Materials and methods: </strong>We retrospectively reviewed the data of 809 patients under the age of 11 years (mean age, 7.0 ± 2.7 years; boys:girls = 479:330) who underwent abdominal and pelvic CT between March 2014 and December 2018. We recorded the presence, level, and laterality (unilateral or bilateral) of spondylolysis. Patients were divided into two groups based on the presence of spondylolysis: the spondylolysis (SP) and non-SP groups.</p><p><strong>Results: </strong>In total, 21 cases of spondylolysis were detected in 20 patients (20/809, 2.5%). The mean age of the SP group was higher than that of the non-SP group (7.8 ± 1.8 vs. 6.9 ± 2.7 years, <i>p</i> > 0.05). The prevalence of spondylolysis in boys was higher than that in girls (15/479 [3.1%] vs. 5/330 [1.5%], <i>p</i> > 0.05). The prevalence of spondylolysis in school-age children (6-10 year olds) was higher than that in preschool-age children (0-5 year olds) (17/538 [3.2%] vs. 3/271 [1.1%], <i>p</i> > 0.05). L5 was the most common level of spondylolysis (76.2%); one 8-year-old boy had twolevel spondylolysis. One case of isthmic spondylolisthesis was detected in a 10-year-old boy (1/809, 0.1%). There were 11 unilateral spondylolysis cases (11/21, 52.4%).</p><p><strong>Conclusion: </strong>In our study, the prevalence of spondylolysis in children under the age of 11 was 2.5%. The prevalence was higher in boys than in girls and in school-age than in preschool-age children, despite the lack of any statistically significant differences.</p>","PeriodicalId":74904,"journal":{"name":"Taehan Yongsang Uihakhoe chi","volume":" ","pages":"127-137"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7a/af/jksr-83-127.PMC9238207.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33509145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sung Hyun Yu, Young Sup Shim, So Hyun Park, Seung Joon Choi, Dong Hae Chung, Sang Jin Yoon
{"title":"MRI Findings of Renal Myxoma: A Case Report and Literature Review.","authors":"Sung Hyun Yu, Young Sup Shim, So Hyun Park, Seung Joon Choi, Dong Hae Chung, Sang Jin Yoon","doi":"10.3348/jksr.2019.0174","DOIUrl":"https://doi.org/10.3348/jksr.2019.0174","url":null,"abstract":"<p><p>Renal myxomas are very rare benign tumors. To date, a few cases have been reported in English literature, mostly in pathology and urology journals. Thus, there are few reports on the radiological findings associated with renal myxomas. We report on the imaging findings in a case of renal myxoma in a 62-year-old male. MRI demonstrated a well-defined mass in the left renal sinus, with intermediate high signal intensity on T2-weighted images and low signal intensity on T1-weighted images. The tumor showed gradual enhancement on contrast-enhanced T1-weighted images.</p>","PeriodicalId":74904,"journal":{"name":"Taehan Yongsang Uihakhoe chi","volume":" ","pages":"162-167"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/89/f4/jksr-83-162.PMC9238218.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33509113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Moon Young Kim, Dong Hyun Yang, Ki Seok Choo, Whal Lee
{"title":"[Beyond Coronary CT Angiography: CT Fractional Flow Reserve and Perfusion].","authors":"Moon Young Kim, Dong Hyun Yang, Ki Seok Choo, Whal Lee","doi":"10.3348/jksr.2021.0177","DOIUrl":"https://doi.org/10.3348/jksr.2021.0177","url":null,"abstract":"<p><p>Cardiac CT has been proven to provide diagnostic and prognostic evaluation of coronary artery disease for cardiovascular risk stratification and treatment decision-making based on rapid technological development and various research evidence. Coronary CT angiography has emerged as a gateway test for coronary artery disease that can reduce invasive angiography due to its high negative predictive value, but the diagnostic specificity is relatively low. However, coronary CT angiography is likely to overcome its limitations through functional evaluation to identify the hemodynamic significance of coronary artery disease by analyzing myocardial perfusion and fractional flow reserve through cardiac CT. Recently, studies have been actively conducted to incorporate artificial intelligence to make this more objective and reproducible. In this review, functional imaging techniques of cardiac computerized tomography are explored.</p>","PeriodicalId":74904,"journal":{"name":"Taehan Yongsang Uihakhoe chi","volume":" ","pages":"3-27"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/db/fc/jksr-83-3.PMC9238199.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33509520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[The Potential Role of Cardiac CT in Patients with Acute Coronary Syndrome].","authors":"Sang Hyun Lee, Ki Seok Choo","doi":"10.3348/jksr.2021.0174","DOIUrl":"https://doi.org/10.3348/jksr.2021.0174","url":null,"abstract":"<p><p>Acute coronary syndrome involves three types of coronary artery disease associated with sudden rupture of coronary artery plaque, and has a clinical presentation ranging from ST-segment elevation myocardial infarction (STEMI) to non-ST-segment elevation myocardial infarction (NSTEMI) or unstable angina. Cardiac CT can help quantify and characterize atherosclerotic plaques. According to a previous study, low-attenuation plaque, napkin ring sign, positive remodeling, spotty calcification, and increased perivascular fat attenuation are associated with plaque ruptures on cardiac CT. Therefore, coronary artery stenosis, as well as acute coronary artery syndrome, can be diagnosed using cardiac CT.</p>","PeriodicalId":74904,"journal":{"name":"Taehan Yongsang Uihakhoe chi","volume":" ","pages":"28-41"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/23/12/jksr-83-28.PMC9238217.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33509525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bitbyeol Kim, Ho Kyung Kim, Jinsung Kim, Yongkan Ki, Ji Hyeon Joo, Hosang Jeon, Dahl Park, Wontaek Kim, Jiho Nam, Dong Hyeon Kim
{"title":"Adaptive Image Rescaling for Weakly Contrast-Enhanced Lesions in Dedicated Breast CT: A Phantom Study.","authors":"Bitbyeol Kim, Ho Kyung Kim, Jinsung Kim, Yongkan Ki, Ji Hyeon Joo, Hosang Jeon, Dahl Park, Wontaek Kim, Jiho Nam, Dong Hyeon Kim","doi":"10.3348/jksr.2020.0191","DOIUrl":"https://doi.org/10.3348/jksr.2020.0191","url":null,"abstract":"<p><strong>Purpose: </strong>Dedicated breast CT is an emerging volumetric X-ray imaging modality for diagnosis that does not require any painful breast compression. To improve the detection rate of weakly enhanced lesions, an adaptive image rescaling (AIR) technique was proposed.</p><p><strong>Materials and methods: </strong>Two disks containing five identical holes and five holes of different diameters were scanned using 60/100 kVp to obtain single-energy CT (SECT), dual-energy CT (DECT), and AIR images. A piece of pork was also scanned as a subclinical trial. The image quality was evaluated using image contrast and contrast-to-noise ratio (CNR). The difference of imaging performances was confirmed using student's <i>t</i> test.</p><p><strong>Results: </strong>Total mean image contrast of AIR (0.70) reached 74.5% of that of DECT (0.94) and was higher than that of SECT (0.22) by 318.2%. Total mean CNR of AIR (5.08) was 35.5% of that of SECT (14.30) and was higher than that of DECT (2.28) by 222.8%. A similar trend was observed in the subclinical study.</p><p><strong>Conclusion: </strong>The results demonstrated superior image contrast of AIR over SECT, and its higher overall image quality compared to DECT with half the exposure. Therefore, AIR seems to have the potential to improve the detectability of lesions with dedicated breast CT.</p>","PeriodicalId":74904,"journal":{"name":"Taehan Yongsang Uihakhoe chi","volume":"82 6","pages":"1477-1492"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/bb/56/jksr-82-1477.PMC9431963.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33512161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}