Publications by authors named "Jeong Hee Yoon"

Purpose: To demonstrate flow-suppressed two-dimensional (2D) spin-echo and spin-echo diffusion echo-planar imaging (EPI) sequences using hyperbolic secant (HS) pulses for both π/2 excitation and π refocusing.

Theory And Methods: A theoretical framework to derive phase dispersion of moving spins under π/2 excitation and π refocusing using HS pulses was described. Numerical simulations were performed to verify the validity of the theoretical analysis.

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Simple hepatic cysts are now diagnosed in over 8,000 individuals annually in South Korea, largely due to the widespread adoption of medical check-ups and advancements in imaging techniques. However, no appropriate clinical practice guideline has been established to address this condition. While international guidelines have recently been published, differences in clinical and epidemiological contexts have highlighted the need for a tailored guideline to assist domestic clinicians.

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Estrogen plays some important roles in many physiological processes in animals. This hormone is used as a type of medication for humans and animals, including fish, but is associated with serious side effects and environmental persistence, which has led to a growing interest in phytoestrogens as an alternative. Phytoestrogens are compounds derived from plants that are structurally similar to estrogen and may exhibit similar behavior in the body.

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Background: The utility of threshold growth (TG) in hepatocellular carcinoma (HCC) imaging remains contentious across major guidelines. This study aimed to investigate the diagnostic implications of TG in HCC diagnosis using the criteria set by the Liver Imaging Reporting and Data System (LI-RADS).

Methods: In this single-center retrospective study, three radiologists independently evaluated pre-transplantation hepatobiliary agent-enhanced MR images and prior CT/MR images using LI-RADS v2018 in consecutive patients who underwent liver transplantation between January 2010 and November 2022.

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Introduction: Magnetic resonance imaging (MRI) has been shown to outperform computed tomography (CT) in diagnosing hepatocellular carcinoma (HCC), although inconsistencies exist across studies. We compared the performance of CT and gadoxetic acid-enhanced MRI in diagnosing HCC according to various guidelines, and to assess the incremental value of a second-line examination.

Methods: This retrospective multicenter study included patients at risk of developing HCC with focal liver lesions (FLLs) ≥10 mm.

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Objective: We aimed to examine how different types of adrenal hormone excess influence body composition.

Design: A retrospective, cross-sectional, single-centre study.

Methods: We retrospectively enrolled 2971 consecutive adults with adrenal tumours and age-, sex-, and body mass index-matched controls at a 1:3 ratio.

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Incidentally detected gallbladder polyps (GBPs) and gallbladder wall thickening (GBWT) are frequently encountered in clinical practice. However, characterizing GBPs and GBWT in asymptomatic patients can be challenging and may result in overtreatment, including unnecessary follow-ups or surgeries. The Korean Society of Abdominal Radiology (KSAR) Clinical Practice Guideline Committee has developed expert recommendations that focus on standardized imaging interpretation and follow-up strategies for both GBPs and GBWT, with support from the Korean Society of Radiology and KSAR.

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Objective: The aim of this study was to intraindividually compare the conspicuity of focal liver lesions (FLLs) between low- and ultra-low-dose computed tomography (CT) with deep learning reconstruction (DLR) and standard-dose CT with model-based iterative reconstruction (MBIR) from a single CT using dual-split scan in patients with suspected liver metastasis via a noninferiority design.

Materials And Methods: This prospective study enrolled participants who met the eligibility criteria at 2 tertiary hospitals in South Korea from June 2022 to January 2023. The criteria included ( a ) being aged between 20 and 85 years and ( b ) having suspected or known liver metastases.

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Purpose: To assess the efficacy of contrast vector imaging (CVI) in detecting tumoral vascular structures and flow characteristics of focal liver lesions (FLLs) for differential diagnosis.

Materials And Methods: In this prospective study, 65 participants with FLLs underwent CEUS using SonoVue with high-frame-rate imaging technique between July 2019 and October 2020. CVI was obtained by post-processing arterial cine imaging of CEUS.

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Aim/introduction: We assess the efficacy of artificial intelligence (AI)-based, fully automated, volumetric body composition metrics in predicting the risk of diabetes.

Materials And Methods: This was a cross-sectional and 10-year retrospective longitudinal study. The cross-sectional analysis included health check-up data of 15,330 subjects with abdominal computed tomography (CT) images between January 1, 2011, and September 30, 2012.

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Objective: To survey experts' opinions in abdominal radiology (radiologists) and pancreas-specialized gastroenterology (pancreatologists) in South Korea regarding diagnosing and managing pancreatic cystic neoplasms (PCNs).

Materials And Methods: Between August 25, 2023, and October 5, 2023, an online survey was conducted among members of the Korean Society of Abdominal Radiology and the Korean Pancreatobiliary Association via email invitation.

Results: The responses from 100 radiologists and 41 pancreatologists were analyzed.

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Objective: To compare the image quality and lesion conspicuity of conventional vs deep learning (DL)-based reconstructed three-dimensional T1-weighted images in gadoxetic acid-enhanced liver magnetic resonance imaging (MRI).

Methods: This prospective study (NCT05182099) enrolled participants scheduled for gadoxetic acid-enhanced liver MRI due to suspected focal liver lesions (FLLs) who provided signed informed consent. A liver MRI was conducted using a 3-T scanner.

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Article Synopsis
  • - The study evaluated the effectiveness of virtual monoenergetic images (at 50 keV) from dual-layer spectral CT (DLSCT) in detecting colorectal liver metastasis (CRLM) compared to standard iDose images, using a sample of 173 patients.
  • - Findings revealed that 50 keV images had higher rates of lesion detection (45% vs. 40%) and better visibility of CRLMs, but lower specificity for diagnosis (94.5% vs. 96%) and more indeterminate lesions.
  • - In conclusion, while 50 keV images showed superior detection and visibility of CRLM, they did not significantly enhance diagnostic accuracy, indicating a trade-off between detection and specificity. *
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Cross-sectional imaging plays a crucial role in the detection, diagnosis, staging, and resectability assessment of intra- and extrahepatic cholangiocarcinoma. Despite this vital function, there is a lack of standardized CT and MRI protocol recommendations for imaging cholangiocarcinoma, with substantial differences in image acquisition across institutions and vendor platforms. In this review, we present standardized strategies for the optimal imaging assessment of cholangiocarcinoma including contrast media considerations, patient preparation recommendations, optimal contrast timing, and representative CT and MRI protocols with individual sequence optimization recommendations.

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  • A study evaluated the effectiveness of no-touch radiofrequency ablation (NT-RFA) with twin cooled wet electrodes in patients with recurrent hepatocellular carcinoma (HCC) after prior treatments, involving 102 patients and 112 tumors.
  • The study found that 21.4% of cases needed to switch to conventional RFA, but overall treatment success was high at 99.1%, with no major complications reported.
  • Mid-term analyses showed low rates of local tumor progression (LTP), with significant predictive factors identified, including the number of prior treatments and certain patient health indicators.
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Introduction: The purpose of this study was to evaluate the effect of side flattening of cutting flutes on the cyclic resistance and torsional resistance of nickel-titanium files.

Methods: Both novel flattened Platinum V.EU (PL) and standard nonflattened CC Premium V.

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Article Synopsis
  • Ultrasound (US) is commonly used for hepatocellular carcinoma (HCC) surveillance in high-risk patients, but its effectiveness in detecting early-stage HCC is limited.
  • A study compared biannual US with annual non-contrast abbreviated magnetic resonance imaging (NC-AMRI) over a 30-month period in patients with a high risk of HCC.
  • Results showed that NC-AMRI had a slightly higher sensitivity and significantly better diagnostic yield for HCC detection compared to US, suggesting alternating these methods every six months may provide the best surveillance strategy for high-risk patients.
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  • * Data was collected from over 6,500 patients who underwent esophagogastroduodenoscopy (EGD) and abdominal CT, revealing that higher visceral adipose tissue (VAT) correlated with increased RE risk and that fat reduction could improve disease severity.
  • * Findings suggest that targeting visceral obesity could be an effective strategy in treating reflux esophagitis, as reducing VAT was linked to better outcomes in patients.
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  • The study investigates the effectiveness of four different international guidelines for diagnosing hepatocellular carcinoma (HCC) using gadoxetic acid-enhanced MRI in high-risk patients.
  • A total of 2,445 focal liver lesions were analyzed, with the Korean guideline (KLCA-NCC) showing the highest accuracy at 80%, while sensitivity was high for Eastern guidelines and specificity was strong for Western guidelines.
  • Results indicate significant differences in diagnostic performance among the guidelines, with diagnostic odds ratios helping to quantify their effectiveness in detecting HCC.
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  • A study was conducted to evaluate if deep learning (DL) techniques in a specialized liver MRI method called CAIPIRINHA-VIBE could enhance image quality, visibility of lesions, and their detection compared to the standard approach.
  • The research involved 168 patients and assessed both standard and DL CAIPIRINHA-VIBE images, with independent evaluations by three radiologists on various image aspects and statistical analyses for comparison.
  • Results showed that DL and high-resolution DL (HR-DL) techniques provided better image quality and quicker scans, with HR-DL significantly improving the detection rates of small liver lesions when compared to the standard method.
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Background: Sarcopenia or visceral adipose tissue has been reported to be related to pancreatic cancer prognosis. However, clinical relevance of the comprehensive analysis of body compositions and their longitudinal changes is lacking. This study analysed the association between body composition changes after chemotherapy and survival in patients with metastatic pancreatic cancer.

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