Publications by authors named "Kyoung Sook Won"

Background: Intrahepatic cholangiocarcinoma (IHCC) is highly aggressive primary hepatic malignancy with an increasing incidence.

Objective: This study aimed to develop machine learning-based radiomic clustering using F-18 fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) for predicting recurrence-free survival (RFS) and overall survival (OS) in IHCC.

Methods: We retrospectively reviewed pretreatment F-18 FDG PET/CT scans of 60 IHCC patients who underwent surgery without neoadjuvant treatment between January 2008 and July 2020.

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  • Scapular stress fractures (SSF) are a frequent complication after reverse total shoulder arthroplasty, potentially impacting long-term recovery.
  • Scapular stress reactions (SSR), which involve pain but no visible fractures, can signal the onset of SSF and require early detection.
  • The study emphasizes the importance of using SPECT/CT imaging for timely identification and management of SSRs to improve patient outcomes and prevent further complications.
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Visceral adipose tissue (VAT) dysfunction has been recently recognized as a potential contributor to the development of Alzheimer's disease (AD). This study aimed to explore the relationship between VAT metabolism and cerebral glucose metabolism in patients with cognitive impairment. This cross-sectional prospective study included 54 patients who underwent F-fluorodeoxyglucose (F-FDG) brain and torso positron emission tomography/computed tomography (PET/CT), and neuropsychological evaluations.

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Objective: We aimed to evaluate whether the degree of F-18 fluorodeoxyglucose (FDG) uptake in the lungs is associated with an increased risk of lung cancer and to develop lung cancer risk prediction models using metabolic parameters on F-18 FDG positron emission tomography (PET).

Methods: We retrospectively included 795 healthy individuals who underwent F-18 FDG PET/CT scans for a health check-up. Individuals who developed lung cancer within 5 years of the PET/CT scan were classified into the lung cancer group (n = 136); those who did not were classified into the control group (n = 659).

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We developed and validated a new staging system that includes metabolic information from pretreatment [F]Fluorodeoxyglucose ([F]FDG) positron emission tomography/computed tomography (PET/CT) for predicting disease-specific survival (DSS) in gastric cancer (GC) patients. Overall, 731 GC patients undergoing preoperative [F]FDG PET/CT were enrolled and divided into the training (n = 543) and validation (n = 188) cohorts. A metabolic score (MS) was developed by combining the maximum standardized uptake value (SUVmax) of the primary tumor (T_SUVmax) and metastatic lymph node (N_SUVmax).

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The visceral adipose tissue (VAT) has been recognized as an endocrine organ, and VAT dysfunction could be a risk factor for Alzheimer's disease (AD). We aimed to evaluate the association of VAT metabolism with AD pathology. This cross-sectional study included 54 older subjects with cognitive impairment who underwent 2-deoxy-2-[fluorine-18]-fluoro-D-glucose (F-FDG) torso positron emission tomography (PET) and F-florbetaben brain PET.

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  • The study investigates how chronic cerebral hypoperfusion (CCH) impacts brain regions and contributes to Alzheimer's disease (AD) pathology using a rat model.
  • It identifies decreased cerebral glucose metabolism in specific brain areas after CCH, particularly in the anterodorsal hippocampus at 3 months post-ligation, while cognitive function worsens in the CCH group compared to the control group.
  • Key findings show increased levels of harmful proteins associated with AD, indicating that CCH may lead to selective neurodegeneration in the hippocampus, potentially initiating AD development.
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I-metaiodobenzylguanidine (MIBG) cardiac scintigraphy was performed to assess cardiac autonomic dysfunction and demonstrate its correlation with clinical and polysomnographic characteristics in patients with isolated rapid eye movement (REM) sleep behavior disorder. All subjects including 39 patients with isolated REM sleep behavior disorder and 17 healthy controls underwent MIBG cardiac scintigraphy for cardiac autonomic dysfunction assessment. The isolated REM sleep behavior disorder was confirmed by in-lab overnight polysomnography.

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Purpose: The objective of this study was to estimate the incidence of secondary cancers and the factors associated with their development among patients who underwent radioiodine therapy (RIT) with differentiated thyroid cancer.

Methods: We retrospectively collected medical records for patients who underwent first RIT between January 1, 2000, and December 31, 2005, from seven tertiary hospitals in South Korea after total thyroidectomy for differentiated thyroid cancer. Cancer incidence and calculated standardized rate ratio were compared with Korean cancer incidence data.

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  • Pharmacological and non-pharmacological treatments for chemotherapy-induced peripheral neuropathy (CIPN) lack comprehensive investigation, prompting a hypothesis that cyclic thermal therapy might enhance blood flow and alleviate symptoms.
  • The study involved treatment of patients over 10 days, assessing blood volume through RBC scintigraphy and quality of life using specific questionnaires focused on CIPN.
  • Results indicated that cyclic thermal therapy significantly reduced symptom scores and blood volume variance, suggesting it effectively improves blood circulation and alleviates CIPN symptoms.
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We aimed to investigate the prognostic value of the metabolic parameters of F-fluorodeoxyglucose positron emission tomography/computed tomography (FDG PET/CT) in classical rectal adenocarcinoma (CRAC). We retrospectively reviewed 149 patients with CRAC who underwent preoperative F-FDG PET/CT at initial diagnosis followed by curative surgical resection. F-FDG PET/CT metabolic parameters including maximum standardized uptake value (SUVmax), metabolic tumour volume (MTV), and total lesion glycolysis (TLG) for disease-free survival (DFS) and overall survival (OS) were evaluated for prognostic significance by univariate and multivariate analyses, along with conventional risk factors including pathologic T (pT) stage, lymph node (LN) metastasis, lymphovascular invasion (LVI), perineural invasion (PNI), and preoperative carcinoembryonic antigen (CEA) level.

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Objective: The aim of this pilot study was to investigate the potential of early-phase single-photon emission computed tomography (SPECT)/computed tomography (CT) using technetium-99m methyl diphosphonate (Tc-MDP) for diagnosing osteomyelitis (OM).

Materials And Methods: Twenty-one patients with suspected OM were enrolled retrospectively. Three-phase bone scan (TPBS), early-phase SPECT/CT (immediately after blood pool planar imaging), and delayed-phase SPECT/CT (immediately after delayed planar imaging) were performed.

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Purpose: This study aimed to evaluate the concordance and equivalence of results between the newly acquired digital PET/CT(dPET) and the standard PET/CT (sPET) to investigate possible differences in visual and semi-quantitative analyses.

Methods: A total of 30 participants were enrolled and underwent a single F-FDG injection followed by dual PET/CT scans, by a dPET scan, and immediately after by the sPET scan or vice versa. Two readers reviewed overall image quality using a 5-point scale and counted the number of suggestive F-FDG avid lesions.

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  • This study aimed to determine if the maximum standardized uptake value (SUV) from F-FDG PET/CT can predict 3-year survival rates after recurrence in patients with gastric cancer who had previously undergone surgery.
  • It involved 47 patients, and results showed that 83% died within 3 years of recurrence, with SUV levels along with weight loss and neutrophil count identified as significant prognostic indicators.
  • Patients with an SUV greater than 5.1 had a drastically lower 3-year post-recurrence survival rate (3.5%) compared to those with an SUV of 5.1 or lower (38.9%), highlighting the potential of SUV as a tool for better prognosis in recurrent
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Although several studies have reported an association between thyroid dysfunction and Alzheimer's disease (AD), the effect of mild thyroid dysfunction within the normal range of thyrotropin (TSH) on the development of AD remains unclear. The aim of this study was to evaluate the association between thyroid hormones and the pathology of AD in euthyroid subjects. Sixty-nine subjects with a TSH level between 0.

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  • - The study aimed to see how different evaluation methods influence the prediction of responses to radioactive iodine (RAI) therapy in patients with differentiated thyroid carcinoma (DTC), analyzing data from over 1500 patients post-surgery.
  • - Two follow-up protocols were employed, one based on serum thyroglobulin levels and neck ultrasound, and the other combining these with a radioiodine scan; the latter revealed a drop in the percentage of patients rated as having an excellent response.
  • - Key findings indicated that the method of patient preparation and the amount of RAI administered significantly impacted therapy outcomes, highlighting the importance of standardized response evaluations and patient management.
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Cerebrovascular disease is a potential risk factor for Alzheimer's disease (AD). Although acute cerebral hypoperfusion causes neuronal necrosis and infarction, chronic cerebral hypoperfusion induces apoptosis in neurons, but its effects on the cognitive impairment are not clear. The purpose of this study was to evaluate the effects of chronic cerebral hypoperfusion on AD pathology and cerebral glucose metabolism.

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  • The study aimed to evaluate the effectiveness of Tc-99m DMSA renal SPECT compared to planar scans in detecting renal cortical defects in infants under one year old with suspected acute pyelonephritis.
  • Sixty infants participated, and results showed that SPECT significantly outperformed the planar scan, detecting 53.3% of cases versus 35.0% for the planar scan.
  • The findings highlighted that SPECT not only identified more defects overall, but also displayed a greater sensitivity for detecting smaller cortical defects compared to larger ones.
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Aim: White matter lesions (WMLs), detected as hyperintensities on T2-weighted MRI, represent small vessel disease in the brain and are considered a potential risk factor for memory and cognitive impairment. It has not been sufficiently evident that cognitive impairment in patients with Alzheimer's disease is caused by WMLs as well as β-amyloid (Aβ) pathology. The aim of this study was to evaluate relationship between WMLs and cerebral glucose metabolism in patients with cognitive impairment after adjustment of cerebral Aβ burden.

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Purpose: In intrahepatic cholangiocarcinoma (iCCA), genetic characteristics on F-fluorodeoxyglucose (F-FDG)-PET scans are not yet clarified. If specific genetic characteristics were found to be related to FDG uptake in iCCA, we can predict molecular features based on the FDG uptake patterns and to distinguish different types of treatments. In this purpose, we analyzed RNA sequencing in iCCA patients to evaluate gene expression signatures associated with FDG uptake patterns.

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[F]Fluorodeoxyglucose ([F]FDG) Positron emission tomography/computed tomography (PET/CT) is commonly used for rectal cancer staging, but improved diagnostic methods for nodal metastases are needed. We aimed to evaluate whether the combination model of the metabolic tumor volume of primary tumor (T_MTV) and maximum standardized uptake value of lymph node (N_SUVmax) on pretreatment [F]FDG PET/CT could improve nodal metastases prediction in rectal cancer. We enrolled a total of 166 rectal cancer patients who underwent pretreatment [F]FDG PET/CT and surgical resection without neoadjuvant treatment between January 2009 and August 2016.

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  • - The study investigates the link between vitamin intake and amyloid-β peptide (Aβ) deposition in patients with cognitive impairments, focusing on 49 participants divided into two groups: those with subjective cognitive impairment and those with mild cognitive impairment.
  • - Researchers discovered that higher intakes of specific vitamins, particularly pantothenic acid, were associated with a greater cerebral Aβ burden, suggesting that diets rich in certain vitamins may influence the progression of Alzheimer's disease.
  • - The results highlight the potential role of pantothenic acid in Alzheimer's disease, offering insights into dietary strategies that could help in preventing or managing the condition.
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Introduction: White matter lesions (WMLs), detected as hyperintensities on T2-weighted MRI, represent small vessel disease in the brain and are considered a potential risk factor for memory and cognitive impairment in older adults. The purpose of this study was to evaluate the association between WMLs and cerebral amyloid-β (Aβ) burden in patients with cognitive impairment.

Methods: A total of 83 patients with cognitive impairment, who underwent brain MRI and F-18 florbetaben PET, were included prospectively: 19 patients were cognitively unimpaired, 30 exhibited mild cognitive impairment (MCI), and 34 exhibited dementia.

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Background: The low sensitivity of F-18 fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) for the evaluation of metastatic lymph nodes (LNs) is mainly due to the partial volume effect in patients with rectal cancer. This retrospective study evaluated the diagnostic accuracy of F-18 FDG PET/CT with optimal cut-off values of the maximum standardized uptake value (SUV), according to LN size, for the evaluation of regional LN in rectal cancer patients.

Methods: This study included 176 patients with rectal cancer who underwent F-18 FDG PET/CT for initial staging.

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  • A study involving 36 very low birth weight (VLBW) infants used F-18 fluorodeoxyglucose (F-18 FDG) brain PET and MRI to assess brain metabolism, specifically looking for asymmetries in glucose metabolism without evidence of overt brain injury.
  • Results showed that 58.3% of infants had asymmetrical cerebral glucose metabolism, with more infants displaying right > left asymmetry, particularly in specific brain regions such as the frontal and temporal cortices.
  • The findings suggest that VLBW infants, even without structural brain abnormalities, exhibit metabolic asymmetries, and those with certain neurodevelopmental risk factors have lower glucose metabolism, indicating that PET scans may reveal issues that MRI does not.
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