4 results on '"Chang, Yeun-Chung"'
Search Results
2. Imaging findings in coronavirus infections : SARS-CoV, MERS-CoV, and SARS-CoV-2
- Author
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Franquet, Tomas, Jeong, Yeon Joo, Lam, Hiu Yin Sonia, Wong, Ho Yuen Frank, Chang, Yeun-Chung, Chung, Myung Jin, Lee, Kyung Soo, and Universitat Autònoma de Barcelona
- Subjects
Adult ,Male ,Middle East respiratory syndrome coronavirus ,viruses ,Pneumonia, Viral ,Pictorial Review ,Disease ,Severe Acute Respiratory Syndrome ,medicine.disease_cause ,030218 nuclear medicine & medical imaging ,Diagnosis, Differential ,Betacoronavirus ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Diffuse alveolar damage ,Pandemics ,Aged ,Coronavirus ,Lung ,biology ,medicine.diagnostic_test ,SARS-CoV-2 ,Viral Epidemiology ,business.industry ,COVID-19 ,virus diseases ,General Medicine ,Middle Aged ,biology.organism_classification ,Virology ,Radiography ,medicine.anatomical_structure ,Severe acute respiratory syndrome-related coronavirus ,030220 oncology & carcinogenesis ,Middle East Respiratory Syndrome Coronavirus ,Female ,Coronavirus Infections ,Tomography, X-Ray Computed ,Chest radiograph ,business - Abstract
During the first two decades of the 21st century, there have been three coronavirus infection outbreaks raising global health concerns by severe acute respiratory syndrome coronavirus (SARS-CoV), the Middle East respiratory syndrome coronavirus (MERS-CoV), and the SARS-CoV-2. Although the reported imaging findings of coronavirus infection are variable and non-specific, the most common initial chest radiograph (CXR) and CT findings are ground-glass opacities and consolidation with peripheral predominance and eventually spread to involve both lungs as the disease progresses. These findings can be explained by the immune pathogenesis of coronavirus infection causing diffuse alveolar damage. Although it is insensitive in mild or early coronavirus infection, the CXR remains as the first-line and the most commonly used imaging modality. That is because it is rapid and easily accessible and helpful for monitoring patient progress during treatment. CT is more sensitive to detect early parenchymal lung abnormalities and disease progression, and can provide an alternative diagnosis. In this pictorial review, various coronavirus infection cases are presented to provide imaging spectrums of coronavirus infection and present differences in imaging among them or from other viral infections, and to discuss the role of imaging in viral infection outbreaks.
- Published
- 2020
3. Usefulness of magnetic resonance imaging in the assessment of venoatrial connections, atrial morphology, bronchial situs, and other anomalies in right atrial isomerism
- Author
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Wu Mei-Hwan, Li Yiu-Wah, Chang Yeun-Chung, Wang Jou-Kou, Hung Chi-Ren, Lue Hung-Chi, and Chiu Ing-Sh
- Subjects
Male ,medicine.medical_specialty ,Vena Cava, Superior ,medicine.medical_treatment ,Bronchi ,Hepatic Veins ,Predictive Value of Tests ,Internal medicine ,medicine ,Humans ,Abnormalities, Multiple ,Heart Atria ,Prospective Studies ,Angiocardiography ,Total anomalous pulmonary venous connection ,Child ,Cardiac catheterization ,medicine.diagnostic_test ,business.industry ,Infant, Newborn ,Infant ,Magnetic resonance imaging ,medicine.disease ,Magnetic Resonance Imaging ,Venous Obstruction ,Pulmonary Veins ,Child, Preschool ,Angiography ,Cardiology ,Female ,Radiology ,Venae cavae ,Cardiology and Cardiovascular Medicine ,business ,Spleen ,Venous return curve - Abstract
Multiple complex venous and intracardiac anomalies are frequently seen in patients with right atrial isomerism, and complete anatomic information may not always be obtained from combined echocardiography and angiography. Twenty patients with right atrial isomerism were prospectively studied with use of magnetic resonance imaging (MRI); satisfactory imaging was obtained in 18 patients, aged 6 days to 12 years (median 3 months). All patients had undergone echocardiography, cardiac catheterization, and angiocardiography. The purpose of this study was to assess the usefulness of MRI in the evaluation of venoatrial connections, atrial morphology, bronchial situs, and additional anomalies. Bilateral superior venae cavae were documented in 12 patients and anomalous hepatic venous drainage in 11. The pulmonary venous system was imaged in all 18 patients, of whom 12 had total anomalous pulmonary venous connection: 9 supracardiac, 2 infracardiac, and 1 mixed type. Some obstruction to pulmonary venous return was present in 9 of the 12 patients, and the site of obstruction was demonstrated by MRI in 6. Bilateral morphologic right atrial appendages were imaged in 7 patients. Bilateral morphologic right bronchi were identified in 17 patients, asplenia was confirmed in 17 of 18 patients by the absence of splenic tissue on imaging, and hiatal hernia was imaged in 4. Compared with angiography and echocardiography, MRI more clearly defined the pulmonary venous connections in 10 patients with pulmonary venous obstruction. Anomalous hepatic venous connections were better defined by MRI in 2. Therefore, MRI provided valuable supplementary information on the cardiovascular and visceral anomalies in these patients.
- Published
- 1994
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4. Evaluation of swallowing safety with fiberoptic endoscope: comparison with videofluoroscopic technique
- Author
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Lee Shiann-Yann, Hsiao Tzu-Yu, Wu Chih-Hsiu, Chang Yeun-Chung, and Chen Jiann-Chyuan
- Subjects
Adult ,Male ,medicine.medical_specialty ,Velopharyngeal Insufficiency ,Sensitivity and Specificity ,law.invention ,Gagging ,Swallowing ,law ,otorhinolaryngologic diseases ,medicine ,Fiberscope ,Fiber Optic Technology ,Humans ,Coloring Agents ,Aged ,Aged, 80 and over ,Endoscopes ,Mouth ,medicine.diagnostic_test ,Esophageal disease ,business.industry ,Pharyngeal swallowing ,Pharynx ,Gold standard ,Videotape Recording ,Middle Aged ,medicine.disease ,Foreign Bodies ,Dysphagia ,Endoscopy ,Surgery ,Deglutition ,Trachea ,medicine.anatomical_structure ,Otorhinolaryngology ,Cough ,Evaluation Studies as Topic ,Food ,Anesthesia ,Fluoroscopy ,Chronic Disease ,Female ,medicine.symptom ,Larynx ,Safety ,business ,Deglutition Disorders - Abstract
Videofluoroscopy has long been viewed as the "gold standard" of swallowing examination for the comprehensive information it provides. However, it is not very efficient and accessible in some practical situations. In this study, we tried to use a modified technique of fiberoptic endoscopic examination of swallowing (FEES) in evaluating dysphagic patients. For each examination, a spoonful of pudding and dyed water were fed in sequence three times. The pharyngeal swallowing events were observed with fiberscope panoramically and videotaped. Twenty-eight chronic dysphagic patients underwent both videofluoroscopy and FEES in 2 weeks. Comparison of the results revealed that disagreements in premature oral leakage to the pharynx, pharyngeal stasis, laryngeal penetration, aspiration, effective cough reflex, and velopharyngeal incompetence were 39.3%, 10.7%, 14.3%, 14.3%, 39.3%, and 32.1%, respectively. FEES was found to be more sensitive in detecting these risky features of swallowing, except with respect to premature leakage. Possible causes of the discrepant results are discussed, and the limitation of videofluoroscopy in practical usage is discussed. FEES is conclusively a safer, more efficient, and sensitive method than videofluoroscopy in evaluating swallowing safety.
- Published
- 1997
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