Publications by authors named "Miran Han"

Rationale: Gastrointestinal stromal tumors (GIST) are neoplasms that originate from the interstitial cells of cajal located in the muscular layer of the gastrointestinal tract. Surgery is the primary treatment options; however, if resection is not feasible, or in cases of metastatic or recurrent GIST, systemic chemotherapy can be considered as an alternative. Sunitinib, a multi-targeted tyrosine kinase inhibitor, is indicated as an essential second-line treatment for GIST following disease progression or intolerance to imatinib mesylate.

View Article and Find Full Text PDF

Purpose: Glymphatic system impairment has been suggested in previous animal and human studies regarding traumatic brain injury (TBI). Diffuse axonal injury (DAI) is an important pathological feature of TBI and is frequently diagnosed in patients with moderate to severe TBI. This study evaluated the glymphatic system function in patients with DAI using diffusion tensor imaging analysis along the perivascular space (DTI-ALPS), a non-invasive technique.

View Article and Find Full Text PDF

Pembrolizumab, an immune checkpoint inhibitor (ICI) targeting the programmed cell death protein 1 (PD-1) receptor on T cells, enhances the immune system's ability to recognize and attack cancer cells. However, immune-related adverse events (irAEs) may arise, necessitating careful monitoring during treatment. Here, we present the case of a 47-year-old woman who developed multiple irAEs following pembrolizumab therapy.

View Article and Find Full Text PDF

Background The increasing workload of radiologists can lead to burnout and errors in radiology reports. Large language models, such as OpenAI's GPT-4, hold promise as error revision tools for radiology. Purpose To test the feasibility of GPT-4 use by determining its error detection, reasoning, and revision performance on head CT reports with varying error types and to validate its clinical utility by comparison with human readers.

View Article and Find Full Text PDF

A novel water-soluble root canal filling material based on sodium iodide (NaI) has been developed to overcome the limitations of existing iodine-based formulations. However, the biological stability of this approach in animal studies remains unverified. This study evaluated the biocompatibility of NaI compared to commercial root canal filling materials (Calcipex II and Vitapex) in pulpectomized canine teeth to assess its clinical applicability.

View Article and Find Full Text PDF

Premature loss of root canal-treated primary teeth has long been a concern in dentistry. To address this, researchers developed a sodium iodide-based root canal-filling material as an alternative to traditional iodoform-based materials. The goal of this study was to improve the physicochemical properties of the sodium iodide-based material to meet clinical use standards.

View Article and Find Full Text PDF
Article Synopsis
  • Hemophagocytic lymphohistiocytosis (HLH) is a severe condition linked to infections, cancers, and autoimmune diseases, and can be triggered by relapsing polychondritis (RP) which causes inflammation in the cartilage.
  • A 74-year-old woman presented with fever and underwent various tests revealing signs of RP and hemophagocytic cells, leading to a diagnosis of HLH.
  • Treatment with methylprednisolone and azathioprine successfully resolved the condition after two months, emphasizing the importance of physical exams in diagnosing such complex cases.
View Article and Find Full Text PDF

Background: Patients with autism spectrum disorder (ASD) present challenges in dental treatment cooperation owing to deficits in communication skills and social interaction. Behavioral guidance, sedation, and general anesthesia may be employed to ensure the quality of dental care for individuals with ASD. This study aimed to examine the trends in dental treatment for patients with ASD who visited the Department of Pediatric Dentistry at Dankook University Jukjeon Dental Hospital, an oral health center for the disabled in the Gyeonggi region, over the past 10 years.

View Article and Find Full Text PDF

Background: Anxiety and fear in children's dental care are major impediments to successful dental care. High-quality dental treatment can be achieved using various behavioral control methods; however, conscious sedation using drugs can be used if behavioral control is difficult, owing to excessive fear and anxiety. This study aimed to examine the trends in conscious sedation implemented in pediatric dentistry at the Dankook University Dental Hospital over the past 11 years.

View Article and Find Full Text PDF

Calcium silicate-based cement (CSC) is a pharmaceutical agent that is widely used in dentistry. This bioactive material is used for vital pulp treatment due to its excellent biocompatibility, sealing ability, and antibacterial activity. Its drawbacks include a long setting time and poor maneuverability.

View Article and Find Full Text PDF

This study aimed to investigate the impact of different viscosities of silicone oil on the physicochemical, pre-clinical usability, and biological properties of a sodium iodide paste. Six different paste groups were created by mixing therapeutic molecules, sodium iodide (D30) and iodoform (I30), with calcium hydroxide and one of the three different viscosities of silicone oil (high (H), medium (M), and low (L)). The study evaluated the performance of these groups, including I30H, I30M, I30L, D30H, D30M, and D30L, using multiple parameters such as flow, film thickness, pH, viscosity, and injectability, with statistical analysis ( < 0.

View Article and Find Full Text PDF
Article Synopsis
  • Acute intracranial haemorrhage (AIH) is a critical medical issue requiring swift diagnosis, prompting a study to create an AI algorithm for better detection using brain CT scans.
  • The study utilized a large dataset of CT images and involved multiple levels of reviewers evaluating their accuracy with and without AI support.
  • Results showed that AI assistance notably improved diagnostic accuracy, especially for non-radiologist physicians, indicating the AI's potential to enhance assessments of brain CT scans for AIH.
View Article and Find Full Text PDF

Purpose: Glymphatic system dysfunction has been reported in animal models of traumatic brain injury (TBI). This study aimed to evaluate the activity of the human glymphatic system using the non-invasive Diffusion Tensor Image-Analysis aLong the Perivascular Space (DTI-ALPS) method in patients with TBI.

Methods: A total of 89 patients with TBI (June 2018 to May 2020) were retrospectively enrolled, and 34 healthy volunteers were included who had no previous medical or neurological disease.

View Article and Find Full Text PDF
Article Synopsis
  • - Silver diamine fluoride (SDF) is effective for treating and preventing dental caries but has problems like high flowability and potential harm to tooth pulp, which researchers aimed to address by adding copper-doped bioactive glass nanoparticles (CuBGns).
  • - The study found that incorporating CuBGns into SDF significantly increased its viscosity and reduced flowability while enhancing the deposition of beneficial elements like silver (Ag) and fluoride (F) on hydroxyapatite (HA) surfaces.
  • - The modified SDF showed lower cytotoxic effects on pulp stem cells and improved antibacterial properties against cariogenic bacteria, suggesting that CuBGns improve both the physical and biological performance of dental materials.
View Article and Find Full Text PDF
Article Synopsis
  • Cone-beam computed tomography (CBCT) is an innovative and effective imaging technique for evaluating sinonasal conditions, offering benefits like low radiation exposure, affordability, and rapid access for patients.
  • A study comparing CBCT and multi-detector computed tomography (MDCT) found that although CBCT had lower image quality (higher noise and lower signal-to-noise ratio), its diagnostic performance was comparable to MDCT with 1 mm slices and better than MDCT with 3 mm slices.
  • Given its advantages, CBCT is recommended as a first-line imaging option for sinonasal evaluations, especially for follow-up examinations, due to its lower radiation dose and cost-effectiveness.
View Article and Find Full Text PDF

Objective: Preoperative differential diagnosis of follicular-patterned lesions is challenging. This multicenter cohort study investigated the clinicoradiological characteristics relevant to the differential diagnosis of such lesions.

Materials And Methods: From June to September 2015, 4787 thyroid nodules (≥ 1.

View Article and Find Full Text PDF

Therapeutic iodoform (CHI) is commonly used as a root-filling material for primary teeth; however, the side effects of iodoform-containing materials, including early root resorption, have been reported. To overcome this problem, a water-soluble iodide (NaI)-incorporated root-filling material was developed. Calcium hydroxide, silicone oil, and NaI were incorporated in different weight proportions (30:30:X), and the resulting material was denoted DX (D5~D30), indicating the NaI content.

View Article and Find Full Text PDF

Pulp regeneration has recently attracted interest in modern dentistry. However, the success ratio of pulp regeneration is low due to the compromising potential of stem cells, such as their survival, migration, and odontoblastic differentiation. Stem cells from human exfoliated deciduous teeth (SHED) have been considered a promising tool for regenerative therapy due to their ability to secrete multiple factors that are essential for tissue regeneration, which is achieved by minimally invasive procedures with fewer ethical or legal concerns than those of other procedures.

View Article and Find Full Text PDF

This study aimed to evaluate the sensitivity and prognostic value of arterial spin labeling (ASL) in a large group of status epilepticus (SE) patients and compare them with those of other magnetic resonance (MR) sequences, including dynamic susceptibility contrast (DSC) perfusion imaging. We retrospectively collected data of patients with SE in a tertiary center between September 2016 and March 2020. MR images were visually assessed, and the sensitivity for the detection of SE and prognostication was compared among multi-delay ASL, DSC, fluid-attenuated inversion recovery (FLAIR), and diffusion-weighted imaging (DWI).

View Article and Find Full Text PDF

Background: A large-bore aspiration catheter can be employed for recanalization of acute basilar artery occlusion. Here we compare the results of mechanical thrombectomy using a stent retriever (SR) and manual aspiration thrombectomy (MAT) using a large-bore aspiration catheter system as a first-line recanalization method in acute basilar artery occlusion (BAO).

Methods: The records of 50 patients with acute BAO who underwent mechanical thrombectomy were retrospectively reviewed.

View Article and Find Full Text PDF

The incidence rates of structural persistent disease (PD) and recurrent disease (RD) after thyroidectomy, and their clinicoradiological (CT) characteristics, remain poorly understood. Therefore, we characterized differentiated thyroid cancer (DTC) patients who underwent re-operations, with a focus on preoperative CT scans. We examined neck CT scans obtained prior to initial surgery and reoperation, and classified the disease into four categories according to the persistence/recurrence and neck dissection/non-dissection status.

View Article and Find Full Text PDF

Purpose: We compared the diagnostic performance of CT texture analysis in single-phase CT scan with that of conventional enhancement pattern analysis in a two-phase CT scan for discrimination of salivary gland tumors, Warthin tumor (WT) from pleomorphic adenoma (PA).

Methods: One hundred seventy-eight patients with PA and 84 patients with WT were selected and CT texture analysis was separately performed on early (40s) and delayed (180s) phases, after injection of the contrast agent, using commercially available software. The attenuation changes and enhancement patterns were visually and quantitatively assessed with Hounsfield units (HU).

View Article and Find Full Text PDF

Chloral hydrate is the oldest and most common sedative drug used in moderate sedation for pediatric dental patients. Hence, the purpose of this article is to review the safety and possible adverse events of this drug when used for pediatric dental treatment. A bibliographic search in PubMed, MEDLINE, Cochrane Library and KMbase, KISS, DBpia, KoreaMed, and RISS databases was performed.

View Article and Find Full Text PDF

Objective: Susceptibility-weighted imaging (SWI) can be used to evaluate deep medullary veins (DMVs). This study aimed to apply texture analysis on SWI to evaluate developmental and ischemic changes of DMV in infants.

Methods: A total of 38 infants with normal brain MRI (preterm [n = 12], term-equivalent age [TEA] [n = 18], and term [n = 8]) and seven infants with ischemic injury (preterm [n = 2], TEA [n = 1], and term [n = 4]) were included.

View Article and Find Full Text PDF