A Pictorial Review of Radiologic Findings of Foreign Bodies in the Thorax

Thoracic foreign bodies (FBs) are serious and relatively frequent in emergency departments. Thoracic FBs may occur in association with aspiration, ingestion, trauma, or iatrogenic causes. Imaging plays an important role in the identification of FBs and their dimensions, structures, and locations, before the initiation of interventional treatment. To guide proper clinical management, radiologists should be aware of the radiologic presentations and the consequences of thoracic FBs. In this pictorial essay, we reviewed the optimal imaging settings to identify FBs in the thorax, classified thoracic FBs into four types according to their etiology, and reviewed the characteristic imaging features and the possible complications.

Bilateral Persistent Sciatic Arteries Complicated with Aneurysmal Dilatation and Thrombotic Occlusion: A Case Report

Persistent sciatic artery (PSA), a rare congenital vascular anomaly, increases susceptibility to aneurysms and accounts for 40–61% of the cases. Here, we describe a case of PSA in a 70-yearold man with a history of alcoholic liver cirrhosis. Bilateral complete PSAs were detected incidentally on computed tomography angiography during evaluation for spontaneous intramuscular bleeding in the thigh due to cirrhosis-related coagulopathy. Selective angiography of the left PSA revealed aneurysmal dilatation and thrombotic occlusion of the PSA, which was partially removed with aspiration thrombectomy. Intramuscular bleeding was succesfully managed with empirical embolization of the deep femoral artery.

A Gastro-Pleuro-Pericardial Fistula That Occurred Following Palliative Chemoradiotherapy for Tongue Cancer: A Case Report

A gastro-pleuro-pericardial fistula is an abnormal communication between the stomach, pleural cavity, and pericardium. It is a very rare and life-threatening condition, which needs prompt intervention. We report a case of gastro-pleuro-pericardial fistula in a patient with tongue cancer who was treated with chemoradiotherapy. A 41-year-old woman presented with left chest discomfort and dyspnea. She was diagnosed with left pleural metastasis from tongue cancer and was treated with chemoradiotherapy on the left posteroinferior chest wall. A CT revealed the abnormal connection between the gastric fundus, left pleura and pericardium, showing gastro-pleuro-pericardial fistula.

A Ruptured Metastatic Hepatic Gastrointestinal Stromal Tumor Treated by Angiographic Embolization / 대한소화기학회지

Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumor of the gastrointestinal tract and occur most frequently in the stomach. The liver is the most common metastatic site of a GIST, and spontaneous rupture of the hepatic metastasis of a malignant gastric GIST is rare. We report the case of a 70-year-old man who presented with sudden right lower quadrant abdominal pain and was diagnosed with a spontaneously ruptured hepatic metastasis of a malignant gastric GIST. The patient was successfully managed with transcatheter arterial embolization of the hepatic artery.

Effect of powder-liquid ratios and powder colors on color stability of 4-META / MMA-TBB resin after immersion in coffee / 대한치과재료학회지

The aim of this study was to evaluate the color stability of 4-methacryloxyethyl trimellitate anhydride (4-META) / methyl methacrylate (MMA) & tri-n-butylborane (TBB) resin with different powder-liquid (P/L) ratios and powder colors after immersion in coffee. Experimental groups (Bondfill SB) were classified by the P/L ratio (0.8:1 / 1:1 / 1.2:1, weight [wt] %) and color of the powder (light / medium). Light-cured resin composite (Filtek Z350 XT flowable) was used as a control group. Each disk-shaped specimen of 7 groups (n = 8 for color difference, n = 10 for translucency parameter [TP]) was immersed in a staining solution of coffee for 4 weeks. The color of the specimen was measured at the time of baseline, 1 day, 1 week, 2 weeks, 3 weeks, and 4 weeks with a spectrophotometer. The color difference (ΔE) and changes in translucency parameter (ΔTP) were statistically analyzed by one-way analysis of variance (ANOVA), followed by Tukey's post-hoc test. Independent t-test was applied to evaluate the effect on the colors of the powder (α = 0.05). The values of color difference (ΔE) of the experimental groups were within the clinically acceptable threshold (ΔE < 3.3), whereas control group showed values over 3.3 after 1 week of immersion. The values of TP ranged from 9.58 to 13.28. The differences of TP (ΔTP) between baseline and 4 weeks were less than 1.0, except in the control group. Conclusively, self-cured resin composite showed excellent color stability in coffee for the period of this study regardless of different P/L ratios and powder colors.

Quantification of Vestibulospinal Reflex Under the Stress Condition on Both Soleus Muscles / 대한평형의학회지

BACKGROUND AND OBJECTIVES: Vestibulospinal reflex (VSR), which is measured in static state, tends to be compensated prior to vestibule-ocular reflex. Therefore, by establishing method that enables to track and observe quantified VSR, the reliability of experiment is attempted to be increased. MATERIALS AND METHODS: On five SD Rats to measure electromyogram (EMG), electrodes, in the form of stranded cables composed of seven wires, are chronically implanted on both sides of the soleus muscles. Pre and post operative condition of sitting still, standing, and ladder step walking was compared before, and six and twenty four hours after a unilateral labyrinthectomy with quantified muscle activity in maximal voluntary activity. Simultaneously by using multi modality electric potential plus package, the muscle activity between the two legs was tracked and compared. RESULTS: In the sitting still position, the left/right soleus muscle activities were 25.7/26.0 microV before a unilateral labyrinthectomy which was changed after the surgery with the value of 23.1/8.1 microV and 23.4/14.3 microV when six and twenty four hours passed respectively. In the standing position, 92.8/124.0 microV of preoperative value was changed to 89.6/37.3 microV six hours after the unilateral labyrinthectomy, and it was 97.0/54.7 microV 24 hours after. The preoperative value in ladder step walking test was 56.2/86.0 microV, and postoperative ones were 54.9/21.2 microV and 55.7/38.0 microV after six and twenty four hours respectively. CONCLUSION: VSR assessment method by using quantitative EMG well reflects the process of vestibular compensation, and to maintain the tension of extensor muscles, ladder step walking test is shown to be useful.