Publications by authors named "Ki Chang Kang"

Article Synopsis
  • Acute hypertension is common in postcraniotomy patients, prompting many to require antihypertensive treatment due to the risk of intracranial hemorrhage.
  • A national survey conducted among neurosurgical residents revealed that most programs set specific systolic blood pressure (SBP) goals post-surgery, primarily aiming for SBP below 140 mm Hg or 160 mm Hg.
  • The most frequently used medications to manage blood pressure were intravenous nicardipine and labetalol, with practices generally consistent until the next morning after surgery.
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 Traditional open mastoidectomy is performed through a retro-auricular incision to expose the mastoid cortex. Few have addressed the possibility of performing an endoscopic minimally invasive mastoidectomy.  Our objective was to test the feasibility of performing an endoscopic mastoidectomy through a 1 cm incision and burr hole.

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Objective: Spinal cord stimulation (SCS) is an invasive treatment option for patients suffering from chronic low-back pain (cLBP). It is an effective treatment that has been shown to reduce pain and increase the quality of life in patients. However, the activation of pain processing regions of cLBP patients receiving SCS has not been assessed using objective, quantitative functional imaging techniques.

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Stimulating the brain in a precise location is crucial in ultrasound neuromodulation. However, improving the resolution proves a challenge owing to the characteristics of transcranial focused ultrasound. In this paper, we present a new neuromodulation system that overcomes the existing limitations based on an acoustic radiation force with a frequency-modulated waveform and standing waves.

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Background And Objectives: Robotic assistance has garnered increased use in neurosurgery. Recently, this has expanded to include deep brain stimulation (DBS). Several studies have reported increased accuracy and improved efficiency with robotic assistance, but these are limited to individual robotic platforms with smaller sample sizes or are broader studies on robotics not specific to DBS.

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Article Synopsis
  • Fractionated stereotactic radiotherapy (FSRT) is effective for treating nonfunctional pituitary adenomas, showing high tumor control rates of 94.3% for adjuvant therapy and 95.0% for therapy upon progression.
  • A study of 75 patients over a median follow-up of 53 months indicated that early treatment (adjuvant) led to a slightly higher rate of new endocrine issues compared to delayed treatment (on-progression).
  • The results suggest that monitoring and delaying FSRT until tumor progression might reduce the risk of developing complications like hypopituitarism while maintaining effective tumor control.
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Background And Purpose: Traumatic brain injury (TBI) can cause progressive neuropathology that leads to chronic impairments, creating a need for biomarkers to detect and monitor this condition to improve outcomes. This study aimed to analyze the ability of data-driven analysis of diffusion tensor imaging (DTI) and neurite orientation dispersion imaging (NODDI) to develop biomarkers to infer symptom severity and determine whether they outperform conventional T1-weighted imaging.

Materials And Methods: A machine learning-based model was developed using a dataset of hybrid diffusion imaging of patients with chronic traumatic brain injury.

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Introduction: Epilepsy is defined as non-lesional (NLE) when a lesion cannot be localized via standard neuroimaging. NLE is known to have a poor response to surgery. Stereotactic electroencephalography (sEEG) can detect functional connectivity (FC) between zones of seizure onset (OZ) and early (ESZ) and late (LSZ) spread.

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Background And Purpose: Spinal cord injury (SCI) results in the loss of motor and sensory function from disconnections between efferent and afferent pathways. Most SCI patients are affected with chronic neuropathic pain, but there is a paucity of data concerning neuroplastic changes following SCI. Chronic pain disrupts default networks and is associated with abnormal insular connectivity.

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Ultrasonic reflectivity using a V(z) technique is a powerful characterization method in acoustic microscopy to measure the elastic properties of materials. Conventional techniques generally use a low f-number with high frequency; however, to measure the reflectance function of the highly attenuative material, a low frequency is essential. In this study, the transducer-pair method based on Lamb waves is used to measure the reflectance function of a highly attenuative material.

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Article Synopsis
  • Spatial registration is essential for correlating brain regions in both research and clinical settings, particularly for functions related to the insular cortex and gyri, which are important in conditions like epilepsy.
  • The study evaluated eight different registration algorithms on images from 40 individuals (20 controls and 20 epilepsy patients) to assess how well they could align the insula to a standardized brain template (MNI152).
  • Results showed significant variation in the effectiveness of these algorithms, indicating that the choice of registration method is crucial for accurate analysis involving the insular cortex and its gyri.
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In this study, we examined whether amplitude synchronization of medial (MTL) and lateral (LTL) temporal lobes can detect unique alterations in patients with MTL epilepsy (mTLE) with mesial temporal sclerosis (MTS). This was a retrospective study of preoperative resting-state fMRI (rsfMRI) data from 31 patients with mTLE with MTS (age 23-69) and 16 controls (age 21-35). fMRI data were preprocessed based on a multistep preprocessing pipeline and registered to a standard space.

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Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) and short-lasting unilateral neuralgiform headache with autonomic symptoms (SUNA) are disabling primary headache disorders. The advent of advanced imaging technologies and surgical techniques has translated to a growing arsenal of interventional therapies capable of treating headache disorders. This literature review sheds light on the current evidence available for interventional therapies in medically intractable SUNCT/SUNA.

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Background: The transradial approach has increasingly been used for neurointerventions because of the improved safety profile compared with transfemoral. However, it is important to be aware of potential complications such as radial artery (RA) spasm, RA occlusion, pseudoaneurysm, extravasation, arteriovenous fistula, and wrist hematoma as well as their management.

Objective: To present our institution's experience with the prevention and management of local access site complications associated with the transradial approach for neuroendovascular interventions.

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Transcranial focused ultrasound (FUS) is a noninvasive treatment for brain tumors and neuromodulation. Based on normal incidence, conventional FUS techniques use a focused or an array of ultrasonic transducers to overcome the attenuation and absorption of ultrasound in the skull; however, this remains the main limitation of using FUS. A dual-mode conversion technique based on Lamb waves is proposed to achieve high transmission efficiency.

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Compared with the conventional method of transcranial focused ultrasound stimulation using a single transducer or a focused beam, the compression and tensile forces are generated from the high-pressure gradient of a standing wave that can generate increased stimulation. We experimentally verified a neuromodulation system using patterned interference radiation force (PIRF) and propose a method for obtaining the magnitude of the radiation force, which is considered the main factor influencing ultrasound neuromodulation. The radiation forces generated using a single focused transducer and a standing wave created via two focused transducers were compared using simulations.

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We present a noncontact, non-immersion ultrasonic inspection method. A broadband ultrasound signal generated by a pulsed laser was measured using a hydrophone. The generated ultrasound signals propagated through the specimen and received a signal from the hydrophone in the water.

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Kinesins play important roles in the progression and development of cancer. Kinesin family member C1 (KIFC1), a minus end-directed motor protein, is a novel Kinesin involved in the clustering of excess centrosomes found in cancer cells. Recently KIFC1 has shown to play a role in the progression of many different cancers, however, the involvement of KIFC1 in the progression of prostate cancer (PCa) is still not well understood.

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In this article, we present a single-shot dual-mode imaging system that uses optical ultrasound (US) as an ultrasonic pulser without a transmission circuit. The ultrasonic pulse-echo system comprises an optical US pulser generated by carbon nanotubes (CNTs), which generate a high-power photoacoustic (PA) signal and a capacitive micromachined ultrasonic transducer (CMUT) receiver. By fabricating a thin CNT-polydimethylsiloxane (PDMS) composite capable of semiabsorption of the laser, a single-shot imaging system was developed.

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