{"id":1285,"date":"2024-02-20T21:54:01","date_gmt":"2024-02-20T12:54:01","guid":{"rendered":"https:\/\/healthstar.kr\/?p=1285"},"modified":"2024-02-20T21:54:06","modified_gmt":"2024-02-20T12:54:06","slug":"%ec%9e%90%ea%b0%80%eb%a9%b4%ec%97%ad%eb%87%8c%ec%97%bc%ec%9d%98-%ec%a6%9d%ec%83%81-%ec%a7%84%eb%8b%a8-%ec%b9%98%eb%a3%8c%eb%b0%a9%eb%b2%95","status":"publish","type":"post","link":"https:\/\/healthstar.kr\/%ec%9e%90%ea%b0%80%eb%a9%b4%ec%97%ad%eb%87%8c%ec%97%bc%ec%9d%98-%ec%a6%9d%ec%83%81-%ec%a7%84%eb%8b%a8-%ec%b9%98%eb%a3%8c%eb%b0%a9%eb%b2%95\/","title":{"rendered":"\uc790\uac00\uba74\uc5ed\ub1cc\uc5fc\uc758 \uc99d\uc0c1, \uc9c4\ub2e8, \uce58\ub8cc\ubc29\ubc95."},"content":{"rendered":"\n
\uc790\uac00\uba74\uc5ed\ub1cc\uc5fc\uc740 \uba74\uc5ed \uc2dc\uc2a4\ud15c\uc774 \uc2e4\uc218\ub85c \ub1cc \uc870\uc9c1\uc744 \uacf5\uaca9\ud558\ub294 \uc0c1\ud0dc\ub97c \ub9d0\ud569\ub2c8\ub2e4. \uc774\ub294 \ub1cc \uc5fc\uc99d\uc744 \uc77c\uc73c\ud0a4\uba70 \ub2e4\uc591\ud55c \uc2e0\uacbd\ud559\uc801 \uc99d\uc0c1\uc744 \ucd08\ub798\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4.
<\/p>\n\n\n\n
\uc790\uac00\uba74\uc5ed\ub1cc\uc5fc\uc758 \uc815\ud655\ud55c \uc6d0\uc778\uc740 \uc544\uc9c1 \uc54c\ub824\uc838 \uc788\uc9c0 \uc54a\uc9c0\ub9cc, \uba87 \uac00\uc9c0 \uc694\uc778\uc774 \uad00\ub828\ub418\uc5b4 \uc788\ub2e4\uace0 \uc0dd\uac01\ub429\ub2c8\ub2e4. \uc774\ub294 \ud2b9\uc815 \uc720\uc804\uc801 \ubcc0\uc774, \ubc14\uc774\ub7ec\uc2a4 \uac10\uc5fc, \uc554 \ub4f1\uc774 \ud3ec\ud568\ub420 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \ud589\ub3d9 \ubcc0\ud654, \uc2e0\uccb4 \uc99d\uc0c1, \uc2e0\uacbd\ud559\uc801 \uc99d\uc0c1 \ub4f1\uc774 \ube60\ub978 \uc18d\ub3c4\ub85c \ub098\ud0c0\ub098\uba70, \uae30\uc5b5\ub825 \uc800\ud558, \uc815\uc2e0 \ud63c\ub780, \ubc1c\uc791, \uc6b4\ub3d9\ub2a5\ub825 \uc800\ud558, \uc5b8\uc5b4 \uc190\uc2e4 \ub4f1\uc774 \ub098\ud0c0\ub0a0 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \uc790\uac00\uba74\uc5ed\ub1cc\uc5fc\uc758 \uc9c4\ub2e8\uc740 \uc8fc\ub85c \uc2e0\uccb4 \uc99d\uc0c1, \uc2e0\uacbd\ud559\uc801 \uac80\uc0ac, \ud608\uc561 \uac80\uc0ac, \ucc99\uc218\uc561 \uac80\uc0ac, MRI, \uc804\uc0b0\ud654 \ub2e8\uce35 \ucd2c\uc601 (CT) \ub4f1\uc744 \ud1b5\ud574 \uc774\ub8e8\uc5b4\uc9d1\ub2c8\ub2e4. \ub610\ud55c, \ud2b9\uc815 \uc790\uac00\ud56d\uccb4\uc758 \uc874\uc7ac\ub3c4 \ud655\uc778\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \uce58\ub8cc\ub294 \uc8fc\ub85c \uba74\uc5ed \uae38\ud56d\uc81c, \uc2a4\ud14c\ub85c\uc774\ub4dc, \ud608\uc7a5\uad50\ud658, \uba74\uc5ed\uae00\ub85c\ubd88\ub9b0 \uce58\ub8cc \ub4f1\uc744 \ud3ec\ud568\ud569\ub2c8\ub2e4. \uc774\ub7ec\ud55c \uce58\ub8cc\ub294 \uba74\uc5ed \uc2dc\uc2a4\ud15c\uc758 \uacfc\ub3c4\ud55c \ubc18\uc751\uc744 \uc5b5\uc81c\ud558\uace0 \ub1cc \uc5fc\uc99d\uc744 \uc904\uc774\ub294 \ub370 \ubaa9\ud45c\ub97c \ub450\uace0 \uc788\uc2b5\ub2c8\ub2e4. \uc2e0\uacbd\ud559\uc801 \uc99d\uc0c1: \ud658\uc790\uc758 \ub300\ub2e4\uc218\uac00 \uc2e0\uacbd\ud559\uc801 \uc99d\uc0c1\uc744 \ubcf4\uc774\uba70, \uc774\ub294 \ub1cc\uc758 \uc5b4\ub290 \ubd80\ubd84\uc774 \ud53c\ud574\ub97c \uc785\uc5c8\ub294\uc9c0\uc5d0 \ub530\ub77c \ub2ec\ub77c\uc9d1\ub2c8\ub2e4. \ud754\ud788 \ubcf4\uc774\ub294 \uc99d\uc0c1\uc73c\ub85c\ub294 \uacbd\ub828, \uadfc\uc721 \uacbd\uc9c1, \ubd88\uaddc\uce59\ud55c \uc6c0\uc9c1\uc784, \uc5b4\ub824\uc6b4 \uac77\uae30 \ub4f1\uc774 \uc788\uc2b5\ub2c8\ub2e4. \uc778\uc9c0 \ubc0f \ud589\ub3d9 \ubcc0\ud654: \ub2e8\uae30 \uae30\uc5b5 \uc0c1\uc2e4, \uc758\uc2dd \uc0c1\ud0dc \ubcc0\ud654, \uc815\uc2e0\uacfc\uc801 \uc99d\uc0c1 \ub4f1\uc740 \uc790\uac00\uba74\uc5ed\ub1cc\uc5fc\uc758 \ud754\ud55c \uc99d\uc0c1\uc785\ub2c8\ub2e4. \ud658\uc790\ub294 \ud63c\ub780\uc2a4\ub7ec\uc6cc\ud558\uac70\ub098, \uc6b0\uc6b8\uc99d, \ubd88\uc548, \ud53c\ub85c, \uacf5\ud3ec \ub4f1\uc758 \uac10\uc815 \ubcc0\ud654\ub97c \uacaa\uc744 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \uc815\uc2e0\ubcd1\uc801 \uc99d\uc0c1: \ud658\uac01, \ub9dd\uc0c1, \ud658\uccad \ub4f1 \uc815\uc2e0\ubcd1\uc801 \uc99d\uc0c1\ub3c4 \uc790\uac00\uba74\uc5ed\ub1cc\uc5fc\uc5d0\uc11c \ud754\ud788 \ubcfc \uc218 \uc788\uc2b5\ub2c8\ub2e4. \uc774\ub7ec\ud55c \uc99d\uc0c1\uc740 \ubcd1\uc758 \ubcf5\uc7a1\uc131\uc744 \ub192\uc774\uba70, \uce58\ub8cc\ub97c \uc5b4\ub835\uac8c \ub9cc\ub4e4 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \uc2e0\uccb4 \uc99d\uc0c1: \uba38\ub9ac\ud1b5\uc99d, \ubc1c\uc5f4, \uc2dd\uc695 \ubd80\uc9c4, \uccb4\uc911 \uac10\uc18c, \uc218\uba74\uc7a5\uc560 \ub4f1\uc758 \uc77c\ubc18\uc801\uc778 \uc99d\uc0c1\ub3c4 \ub098\ud0c0\ub0a0 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \uc790\uac00\uba74\uc5ed\ub1cc\uc5fc\uc758 \uc99d\uc0c1\uc740 \ub2e4\uc591\ud558\ubbc0\ub85c, \uc774\ub85c \uc778\ud574 \ud658\uc790\uc758 \uc77c\uc0c1\uc0dd\ud65c\uc5d0 \uc2ec\uac01\ud55c \uc601\ud5a5\uc744 \ubbf8\uce60 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \ub530\ub77c\uc11c, \uc774\ub7ec\ud55c \uc99d\uc0c1\uc774 \ub098\ud0c0\ub098\uba74 \uac00\ub2a5\ud55c \ud55c \ube68\ub9ac \uc758\ub8cc \uc804\ubb38\uac00\uc640 \uc0c1\uc758\ud574\uc57c \ud569\ub2c8\ub2e4. \uadf8\ub7ec\ub098 \ubaa8\ub4e0 \uc790\uac00\uba74\uc5ed\ub1cc\uc5fc \ud658\uc790\uc5d0\uac8c \ud56d\uccb4\uac00 \ubc1c\uacac\ub418\ub294 \uac83\uc740 \uc544\ub2d9\ub2c8\ub2e4. \uc774\ub7f0 \uacbd\uc6b0\uc5d0\ub3c4, \uc758\uc0ac\ub294 \ud658\uc790\uc758 \uc99d\uc0c1\uacfc \uc0c1\ud0dc\ub97c \ud1b5\ud574 \uc790\uac00\uba74\uc5ed\ub1cc\uc5fc\uc744 \uc9c4\ub2e8\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \uc774\ucc98\ub7fc \ub1cc\ucc99\uc218\uc561 \uac80\uc0ac\uac00 \ud544\uc694\ud55c \uc774\uc720\ub294 \ud608\uc561 \uac80\uc0ac\ub9cc\uc73c\ub85c\ub294 \uc815\ud655\ud55c \uc9c4\ub2e8\uc774 \uc5b4\ub835\uae30 \ub54c\ubb38\uc785\ub2c8\ub2e4. \ud2b9\ud788, \ud56d-NMDA \uc218\uc6a9\uccb4 \ub1cc\uc5fc\uc758 \uacbd\uc6b0, \ud608\uc561 \uac80\uc0ac\ub9cc\uc73c\ub85c\ub294 \uc9c4\ub2e8\uc774 \uc5b4\ub824\uc6b4 \uacbd\uc6b0\uac00 \uc788\uc2b5\ub2c8\ub2e4. \uc774\ub7f0 \uacbd\uc6b0, \uac80\uc0ac \uacb0\uacfc\uac00 \uc74c\uc131\uc73c\ub85c \ub098\uc624\ub294 \uc704\uc74c\uc131\uc758 \uac00\ub2a5\uc131\uc774 \uc57d 14%\ub098 \ub429\ub2c8\ub2e4. \ub610\ud55c, \ub1cc\ucc99\uc218\uc561 \uac80\uc0ac\ub97c \ud1b5\ud574, \uc790\uac00\uba74\uc5ed\ub1cc\uc5fc \ud658\uc790\uc758 80% \uc774\uc0c1\uc5d0\uc11c \ubc31\ud608\uad6c \uc218\uce58\uc758 \uc99d\uac00\ub97c \uad00\ucc30\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \uc774\ub294 \ub1cc\ucc99\uc218\uc561\uc5d0\uc11c\uc758 \ubc31\ud608\uad6c \uc99d\uac00\uc99d, \uc989 pleocytosis\ub77c\ub294 \ud604\uc0c1\uc744 \ud1b5\ud574 \ud655\uc778\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \ub610\ud55c, \ub2e8\ubc31\uc9c8 \uc218\uce58\uc758 \uc99d\uac00\ub294 \uc57d 30%\uc758 \ud658\uc790\uc5d0\uc11c \ub098\ud0c0\ub098\uba70, \ub1cc\ucc99\uc218\uc561\uc758 \uc62c\ub9ac\uace0\ud074\ub860\ub760(oligoclonal band)\ub294 50~60%\uc758 \ud658\uc790\uc5d0\uc11c \ud655\uc778\ub429\ub2c8\ub2e4. \uc790\uac00\uba74\uc5ed\ub1cc\uc5fc\uc758 \uc815\ud655\ud55c \uc9c4\ub2e8\uacfc \uce58\ub8cc\ub97c \uc704\ud574\uc11c\ub294 \uc790\uac00\uba74\uc5ed\ud56d\uccb4\uc758 \uc874\uc7ac\ub97c \ud655\uc778\ud558\uba70, \uac10\uc5fc\uc131 \uc6d0\uc778\uc744 \ud568\uaed8 \uc81c\uc678\ud558\ub294 \uac83\uc774 \uc911\uc694\ud569\ub2c8\ub2e4. \uc784\uc0c1 \uc0c1\ud669\uc5d0\uc11c \uac10\uc5fc\uc131 \ub1cc\uc5fc\uacfc \uc790\uac00\uba74\uc5ed\ub1cc\uc5fc\uc744 \uad6c\ubcc4\ud558\ub294 \uac83\uc740 \uc885\uc885 \ubcf5\uc7a1\ud55c \ubb38\uc81c\ub85c \ub098\ud0c0\ub098\uae30 \ub54c\ubb38\uc5d0, \ubc14\uc774\ub7ec\uc2a4\ub97c \ud3ec\ud568\ud55c \ubaa8\ub4e0 \uac00\ub2a5\ud55c \uac10\uc5fc \uc6d0\uc778\uc5d0 \ub300\ud55c \uaf3c\uaf3c\ud55c \uc870\uc0ac\uac00 \ubc18\ub4dc\uc2dc \uc774\ub8e8\uc5b4\uc838\uc57c \ud569\ub2c8\ub2e4. \ud658\uc790\uc758 \uc5ec\ud589 \uc774\ub825\uacfc \uc6d0\uc778\uade0\uc5d0 \ub178\ucd9c\ub41c \uac00\ub2a5\uc131\uc774 \uc788\ub294 \ubcd1\ub825\uc744 \ud30c\uc545\ud558\ub294 \uac83\uc740 \uac10\uc5fc\uc131 \ub1cc\uc5fc\uc744 \uc2dd\ubcc4\ud558\ub294\ub370 \uc911\uc694\ud55c \ub2e8\uacc4\uc785\ub2c8\ub2e4. \ub610\ud55c, \ud658\uc790\uc758 \uba74\uc5ed \uc0c1\ud0dc\ub294 \uac10\uc5fc\uc131 \uc9c8\ud658\uc758 \uc704\ud5d8\ub3c4\uc5d0 \ud070 \uc601\ud5a5\uc744 \ubbf8\uce69\ub2c8\ub2e4. \ub530\ub77c\uc11c HIV \uac10\uc5fc \uc5ec\ubd80, \uc7a5\uae30 \uc774\uc2dd, \ud56d\uc554\uce58\ub8cc \ub4f1\uc758 \ubcd1\ub825\uc744 \ud655\uc778\ud558\uc5ec \ud658\uc790\uc758 \uba74\uc5ed \uc0c1\ud0dc\ub97c \uc815\ud655\ud788 \uc774\ud574\ud558\ub294 \uac83\uc774 \uc911\uc694\ud569\ub2c8\ub2e4. \ub1cc \uc790\uae30\uacf5\uba85\uc601\uc0c1(MRI)\uc740 \uc790\uac00\uba74\uc5ed\ub1cc\uc5fc \uc9c4\ub2e8\uc5d0 \uc911\uc694\ud55c \ub3c4\uad6c\ub85c \uc0ac\uc6a9\ub429\ub2c8\ub2e4. \uc790\uac00\uba74\uc5ed\ub1cc\uc5fc\uc740 \uc911\ucd94\uc2e0\uacbd\uacc4\uc758 \uc5fc\uc99d\uc131 \uc9c8\ud658\uc73c\ub85c, \ub1cc\uc758 \ud2b9\uc815 \ubd80\ubd84\uc5d0 \uc5fc\uc99d\uc774 \ubc1c\uc0dd\ud558\uac8c \ub429\ub2c8\ub2e4. MRI\ub294 \uc774\ub7ec\ud55c \uc5fc\uc99d \ubd80\uc704\ub97c \uc138\ubc00\ud558\uac8c \ud655\uc778\ud558\uace0, \uadf8 \uc704\uce58\uc640 \ud655\uc0b0 \uc815\ub3c4\ub97c \uc815\ud655\ud558\uac8c \ud30c\uc545\ud558\ub294\ub370 \ud65c\uc6a9\ub429\ub2c8\ub2e4. \uc790\uac00\uba74\uc5ed\ub1cc\uc5fc\uc758 \uc804\ud615\uc801\uc778 MRI \uc18c\uacac\uc740 \uc591\uce21 \ub0b4\uce21 \uce21\ub450\uc5fd\uc5d0 \ub098\ud0c0\ub098\ub294 T2 \uace0\uc2e0\ud638\uac15\ub3c4 \ubcd1\ubcc0\uc785\ub2c8\ub2e4. \uc774\ub294 \ub1cc\uc758 \ud2b9\uc815 \ubd80\ubd84\uc5d0\uc11c \uc218\ubd84 \ub610\ub294 \uc5fc\uc99d\uc774 \uc99d\uac00\ud588\uc74c\uc744 \ub098\ud0c0\ub0b4\ub294 \uc2e0\ud638\uc785\ub2c8\ub2e4. \uadf8\ub7ec\ub098 \ubaa8\ub4e0 \ud658\uc790\uc5d0\uc11c \uc774\ub7f0 \ubcd1\ubcc0\uc744 \ud655\uc778\ud560 \uc218 \uc788\ub294 \uac83\uc740 \uc544\ub2d9\ub2c8\ub2e4. \ub610\ud55c, \uac10\uc5fc\uc131 \ub1cc\uc5fc\uc758 \uc6d0\uc778\uc774 \ub420 \uc218 \uc788\ub294 \ubc14\uc774\ub7ec\uc2a4, \uc608\ub97c \ub4e4\uc5b4 \ub2e8\uc21c\ud5e4\ub974\ud398\uc2a4\ubc14\uc774\ub7ec\uc2a4, HHV6, \ub9e4\ub3c5 \ub4f1\ub3c4 MRI\uc5d0\uc11c \ube44\uc2b7\ud55c \uc601\uc0c1 \ud328\ud134\uc744 \ubcf4\uc77c \uc218 \uc788\uc2b5\ub2c8\ub2e4. \ud2b9\ud788 \ub2e8\uc21c\ud5e4\ub974\ud398\uc2a4\ubc14\uc774\ub7ec\uc2a4 \ub1cc\uc5fc\uc758 \uacbd\uc6b0, \ubcd1\ubcc0\uc774 \ub0b4\uce21 \uce21\ub450\uc5fd\uc5d0 \uad6d\ud55c\ub418\uc9c0 \uc54a\uace0 \ub300\uc0c1\ud53c\uc9c8\uacfc \uc12c\uc774\ub791 \uc601\uc5ed\uae4c\uc9c0 \ub113\uac8c \ud37c\uc838\uc788\ub294 \uac83\uc774 \ud2b9\uc9d5\uc785\ub2c8\ub2e4. \ub530\ub77c\uc11c, MRI \uacb0\uacfc\ub9cc\uc73c\ub85c \uc790\uac00\uba74\uc5ed\ub1cc\uc5fc\uc744 \ud655\uc815 \uc9d3\ub294 \uac83\uc740 \uc5b4\ub835\uc2b5\ub2c8\ub2e4. \uc774\uc640 \uac19\uc740 \uc601\uc0c1 \uc18c\uacac\uc740 \ub2e4\ub978 \uc784\uc0c1 \uc99d\uc0c1, \ub1cc\ucc99\uc218\uc561 \uac80\uc0ac \uacb0\uacfc, \uadf8\ub9ac\uace0 \ud544\uc694\ud558\ub2e4\uba74 \uc790\uac00\ud56d\uccb4 \uac80\uc0ac \ub4f1\uacfc \ud568\uaed8 \uc885\ud569\uc801\uc73c\ub85c \uace0\ub824\ub418\uc5b4\uc57c \ud569\ub2c8\ub2e4. \uc790\uac00\uba74\uc5ed\ub1cc\uc5fc \uc9c4\ub2e8 \uacfc\uc815\uc5d0\uc11c\ub294 \uc885\uc591\uc758 \uc874\uc7ac \uc5ec\ubd80\ub97c \ud655\uc778\ud558\ub294 \uac83\uc774 \uc911\uc694\ud569\ub2c8\ub2e4. \uc774\ub97c \uc704\ud574 \uc5ec\ub7ec \uac80\uc0ac\uac00 \uc9c4\ud589\ub429\ub2c8\ub2e4. \ud749\ubd80 \uc800\uc120\ub7c9 CT\uc640 \ubcf5\ubd80 \uace8\ubc18 CT\ub97c \ud1b5\ud574 \uc885\uc591\uc758 \uc704\uce58\uc640 \ud06c\uae30\ub97c \ud30c\uc545\ud558\uace0, \uc720\ubc29\ucd2c\uc601 \ub610\ub294 \uc720\ubc29 \ucd08\uc74c\ud30c\ub97c \ud1b5\ud574 \uc720\ubc29 \ub0b4\uc758 \uc774\uc0c1 \uc18c\uacac\uc744 \ucc3e\uc2b5\ub2c8\ub2e4. \uc0b0\ubd80\uc778\uacfc \uc554 \uac80\uc9c4, \uace0\ud658 \ucd08\uc74c\ud30c, \uadf8\ub9ac\uace0 \uc5ec\ub7ec \uc885\uc591 \ub9c8\ucee4 \uac80\uc0ac\ub3c4 \uc774\ub8e8\uc5b4\uc9d1\ub2c8\ub2e4. \ud2b9\ud788, \ud56dNMDA\uc218\uc6a9\uccb4 \ub1cc\uc5fc\uc758 \uacbd\uc6b0, MRI\ub97c \ud1b5\ud574 \ub09c\uc18c \uae30\ud615\uc885\uc744 \ud655\uc778\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \uc774\ub294 T1 \uace0\uc2e0\ud638 \ubcd1\ubcc0\uc774\ub77c\ub294 \ud2b9\uc815 MRI \uc18c\uacac\uc744 \ud1b5\ud574 \uac00\ub2a5\ud569\ub2c8\ub2e4. CT\uc5d0\uc11c\ub294 \ud655\uc778\ud560 \uc218 \uc5c6\uc9c0\ub9cc MRI\uc5d0\uc11c\ub294 \ubcf4\uc774\ub294 \uacbd\uc6b0\uac00 \uc788\uc73c\ubbc0\ub85c, \uac00\ub2a5\ud55c \ud55c \uace8\ubc18 MRI\ub97c \uc9c4\ud589\ud558\ub294 \uac83\uc774 \ubc14\ub78c\uc9c1\ud569\ub2c8\ub2e4. \uc774\ucc98\ub7fc, \uc885\uc591\uc758 \uc874\uc7ac \uc5ec\ubd80\ub97c \ud655\uc778\ud558\ub294 \uac83\uc740 \uc790\uac00\uba74\uc5ed\ub1cc\uc5fc\uc758 \uc815\ud655\ud55c \uc9c4\ub2e8\uacfc \uce58\ub8cc \ubc29\ud5a5 \uacb0\uc815\uc5d0 \uc911\uc694\ud55c \uc694\uc18c\uc785\ub2c8\ub2e4. \uc774\ub97c \ud1b5\ud574 \uc801\uc808\ud55c \uce58\ub8cc \uacc4\ud68d\uc744 \uc218\ub9bd\ud558\uace0, \ud658\uc790\uc758 \uc608\ud6c4\ub97c \uac1c\uc120\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \uccab\uc9f8, 3\uac1c\uc6d4 \uc774\ub0b4\uc5d0 \ub2e8\uae30 \uae30\uc5b5 \uc190\uc0c1, \uc758\uc2dd \uc0c1\ud0dc \ubcc0\ud654 \ub610\ub294 \uc815\uc2e0\uacfc\uc801 \uc99d\uc0c1 \uc911 \ud55c \uac00\uc9c0 \uc774\uc0c1\uc774 \ubc1c\uc0dd\ud574\uc57c \ud569\ub2c8\ub2e4. \ub458\uc9f8, \uc0c8\ub85c \ubc1c\uc0dd\ud55c \uc911\ucd94\uc2e0\uacbd\uacc4 \ubcd1\ubcc0\uc744 \ub098\ud0c0\ub0b4\ub294 \uc784\uc0c1\uc801 \uc99d\uc0c1, \uc774\uc804\uc5d0 \uc54c\ub824\uc9c4 \uacbd\ub828\uc131 \uc9c8\ud658\uc73c\ub85c \uc124\uba85\ud560 \uc218 \uc5c6\ub294 \uacbd\ub828, \ubc31\ud608\uad6c \uc218\uac00 5cells\/\u33a3 \uc774\uc0c1\uc778 \ub1cc\ucc99\uc218\uc561 \uac80\uc0ac \uacb0\uacfc, \ub610\ub294 \ub1cc\uc5fc\uc744 \ub098\ud0c0\ub0b4\ub294 MRI \uc18c\uacac \uc911 \ud558\ub098\uc5d0 \ud574\ub2f9\ud574\uc57c \ud569\ub2c8\ub2e4. \uc14b\uc9f8, \ubc14\uc774\ub7ec\uc2a4\uc131 \ub1cc\uc5fc \ub4f1 \ub2e4\ub978 \uac00\ub2a5\ud55c \uc6d0\uc778\uc774 \ubc30\uc81c\ub418\uc5b4\uc57c \ud569\ub2c8\ub2e4. \uc2e4\uc81c \uc9c4\ub2e8 \uacfc\uc815\uc5d0\uc11c\ub294 \uc774\ub7f0 \uae30\uc900 \uc678\uc5d0\ub3c4 \uc784\uc0c1\uc801 \uacbd\ud5d8\uc774 \uc911\uc694\ud558\uac8c \uc791\uc6a9\ud569\ub2c8\ub2e4. \uc544\uae09\uc131\uc73c\ub85c \ubc1c\ubcd1\ud558\ub294 \uae30\uc5b5 \uc800\ud558, \uc758\uc2dd\uc800\ud558, \uc815\uc2e0\uc774\uc0c1 \uc99d\uc0c1 \ub4f1\uc758 \ub1cc\uc5fc \uc774\ub7f0 \uc885\ud569\uc801\uc778 \uc811\uadfc \ubc29\uc2dd\uc740 \uc790\uac00\uba74\uc5ed\ub1cc\uc5fc\uc758 \uc815\ud655\ud55c \uc9c4\ub2e8\uc744 \uc704\ud574 \ud544\uc218\uc801\uc785\ub2c8\ub2e4. \uac01\uac01\uc758 \uac80\uc0ac \uacb0\uacfc\uac00 \ubaa8\ub450 \uc911\uc694\ud558\uc9c0\ub9cc, \uc774\ub4e4\uc744 \uc885\ud569\uc801\uc73c\ub85c \ud574\uc11d\ud558\uace0 \uac01 \ud658\uc790\uc758 \ud2b9\uc131\uc5d0 \ub9de\uac8c \uc774\ud574\ud558\ub294 \uac83\uc774 \uc911\uc694\ud569\ub2c8\ub2e4. \uc790\uac00\uba74\uc5ed\ub1cc\uc5fc\uc758 \uce58\ub8cc\ub294 \uc9c4\ub2e8\uacfc \ubcd1\ud589\ud558\uc5ec \uc774\ub8e8\uc5b4\uc9d1\ub2c8\ub2e4. \uc774\uc804\uc5d0\ub294 \uc2a4\ud14c\ub85c\uc774\ub4dc\uc640 \uba74\uc5ed \uae00\ub85c\ubd88\ub9b0\uacfc \uac19\uc740 \uc804\ud1b5\uc801\uc778 \uba74\uc5ed \uce58\ub8cc\uac00 \uc8fc\ub85c \uc0ac\uc6a9\ub418\uc5c8\uc2b5\ub2c8\ub2e4. \uadf8\ub7ec\ub098 \uc774\ub7ec\ud55c \uce58\ub8cc\uc5d0\ub3c4 \ubd88\uad6c\ud558\uace0 \ub9ce\uc740 \ud658\uc790\ub4e4\uc774 \uc2ec\uac01\ud55c \uc2e0\uacbd\ud559\uc801 \ud6c4\uc720\uc99d\uc744 \ub0a8\uae30\uac70\ub098, \ubd88\ud589\ud558\uac8c\ub3c4 \uc0ac\ub9dd\ud558\ub294 \uacbd\uc6b0\ub3c4 \uc788\uc5c8\uc2b5\ub2c8\ub2e4. \ub530\ub77c\uc11c, \ucd5c\uadfc\uc5d0\ub294 \ud45c\uc801 \uba74\uc5ed \uce58\ub8cc\uc81c\ub97c \uc0ac\uc6a9\ud558\uc5ec \ubcd1\uc758 \uc644\uce58\uc728\uc744 \ub192\uc774\ub824\ub294 \uc5f0\uad6c\uac00 \ud65c\ubc1c\ud788 \uc9c4\ud589\ub418\uace0 \uc788\uc2b5\ub2c8\ub2e4. \uc870\uae30\uc5d0 \uba74\uc5ed \uce58\ub8cc\uc81c\ub97c \uc0ac\uc6a9\ud558\uace0, \uc6d0\uc778 \uc885\uc591\uc774 \ub3d9\ubc18\ub41c \uacbd\uc6b0 \uadf8 \uc885\uc591\uc758 \uce58\ub8cc\ub3c4 \ubcd1\ud589\ud558\ub294 \uac83\uc774 \uc911\uc694\ud569\ub2c8\ub2e4. \uce58\ub8cc\uc758 \ubaa9\ud45c\ub294 \ub1cc\uc758 \uc5fc\uc99d\uc744 \uc904\uc774\ub294 \uac83\uc785\ub2c8\ub2e4. \uc774\ub97c \uc704\ud574 B\uc138\ud3ec \ub9bc\ud504\uc885 \uce58\ub8cc\uc81c\ub85c \uac1c\ubc1c\ub41c \ub9ac\ud23d\uc2dc\ub9d9\uc744 \uc0ac\uc6a9\ud558\uc5ec, \ud56d\uccb4 \uc0dd\uc131\uacfc \uad00\ub828\ub41c B\uc138\ud3ec\ub97c \uc5b5\uc81c\ud558\uc5ec \uc5fc\uc99d\uc744 \uc644\ud654\uc2dc\ud0b5\ub2c8\ub2e4. \ud55c \uc8fc\uc5d0 \ud55c \ubc88 \ucd1d 4\ud68c \uce58\ub8cc\ub97c \uc9c4\ud589\ud558\uace0, \uadf8 \ud6c4 \ud55c \ub2ec\uc5d0 \ud55c \ubc88 \uc720\uc9c0\uc694\ubc95\uc744 \uc9c4\ud589\ud569\ub2c8\ub2e4. \ub9ac\ud23d\uc2dc\ub9d9\uc5d0 \ubc18\uc751\ud558\uc9c0 \uc54a\ub294 \uacbd\uc6b0\uc5d0\ub294 \ud1a0\uc2e4\ub9ac\uc8fc\ub9d9\uc744 \uc0ac\uc6a9\ud569\ub2c8\ub2e4. \ud1a0\uc2e4\ub9ac\uc8fc\ub9d9\uc740 \ub958\ub9c8\ud2f0\uc2a4\uad00\uc808\uc5fc \uce58\ub8cc\uc81c\ub85c \uac1c\ubc1c\ub418\uc5c8\uc73c\uba70, \uc5fc\uc99d\uc744 \uc77c\uc73c\ud0a4\ub294 \uc778\ud130\ub8e8\ud0a86 \uc218\uc6a9\uccb4\ub97c \uc5b5\uc81c\ud569\ub2c8\ub2e4. \uc774 \uc57d\uc744 \ubcd1\uc6a9\ud558\uac70\ub098 \ub2e8\ub3c5\uc73c\ub85c \uc0ac\uc6a9\ud558\uba74, \uc57d 80%\uc758 \ud658\uc790\uac00 \uc644\uce58\ub418\uac70\ub098 \uc99d\uc0c1\uc774 \ud06c\uac8c \ud638\uc804\ub429\ub2c8\ub2e4. \uadf8\ub7ec\ub098 \uc774\ub7f0 \uce58\ub8cc\uc5d0\ub3c4 \ubc18\uc751\ud558\uc9c0 \uc54a\ub294 \uacbd\uc6b0\uc5d0\ub294 \ud608\uc7a5\uad50\ud658\uc220, \uc800\uc6a9\ub7c9 interleukin2, bortezomib \ud56d\uc554\uc81c \ub4f1\uc758 \uce58\ub8cc\ubc95\uc744 \uace0\ub824\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \uc544\uc8fc \uc2ec\ud55c \uacbd\uc6b0\uc5d0\ub294 \uc804\uae30\ucda9\uaca9 \uce58\ub8cc\ub97c \uc2dc\ud589\ud558\uae30\ub3c4 \ud569\ub2c8\ub2e4. \uc790\uac00\uba74\uc5ed\ub1cc\uc5fc \uce58\ub8cc\ub294 \ubcf5\ud569\uc801\uc778 \uc811\uadfc\uc774 \ud544\uc694\ud569\ub2c8\ub2e4. \uac01 \uac1c\uc778\uc758 \uc0c1\ud0dc\uc640 \ubc18\uc751\uc131\uc5d0 \ub530\ub77c \uac00\uc7a5 \uc801\ud569\ud55c \uce58\ub8cc\ubc95\uc744 \uc120\ud0dd\ud558\uace0, \uadf8 \ud6a8\uacfc\ub97c \uc9c0\uc18d\uc801\uc73c\ub85c \ubaa8\ub2c8\ud130\ub9c1\ud558\ub294 \uac83\uc774 \uc911\uc694\ud569\ub2c8\ub2e4. \uc790\uac00\uba74\uc5ed\ub1cc\uc5fc\uc758 \uc9c4\ub2e8\uacfc \uce58\ub8cc\ub294 \ubcf5\uc7a1\ud55c \uacfc\uc815\uc744 \uac70\uce58\uba70, \ud604\uc7ac\ub85c\uc11c\ub294 \uadf8 \uacfc\uc815\uc774 \uc784\uc0c1 \uacbd\ud5d8\uc5d0 \uae30\ubc18\ud55c \ud310\ub2e8\uacfc \uac80\uc0ac \uacb0\uacfc\uc5d0 \ud06c\uac8c \uc758\uc874\ud569\ub2c8\ub2e4. \uc774\ub85c \uc778\ud55c \ubd88\ud655\uc2e4\uc131\uc740 \ud658\uc790\uc640 \ubcf4\ud638\uc790\uc5d0\uac8c \ucda9\ubd84\ud788 \uc124\uba85\ub418\uc5b4\uc57c \ud569\ub2c8\ub2e4. \uc790\uac00\uba74\uc5ed\ub1cc\uc5fc\uc758 \uc9c4\ub2e8\uacfc \uce58\ub8cc\ub294 \ub3d9\uc2dc\uc5d0 \uc9c4\ud589\ub418\uba70, \uc774\ub294 \ubcd1\uc758 \ud2b9\uc131\uc0c1 \ubd88\uac00\ud53c\ud569\ub2c8\ub2e4. \uc790\uac00\uba74\uc5ed\ub1cc\uc5fc \ud56d\uccb4 \uac80\uc0ac\ub294 \ub2e8\uc9c0 \ucc38\uace0 \uc790\ub8cc\ub85c \ud65c\uc6a9\ub418\uba70, \ud56d\uccb4 \uac80\uc0ac \uacb0\uacfc\ub97c \uae30\ub2e4\ub9ac\ub294 \ub3d9\uc548 \uc9c4\ub2e8\uacfc \uce58\ub8cc \uacfc\uc815\uc774 \uc911\ub2e8\ub418\uc5b4\uc11c\ub294 \uc548\ub429\ub2c8\ub2e4. \uc790\uac00\uba74\uc5ed\ub1cc\uc5fc\uc740 \uc801\uc808\ud55c \uce58\ub8cc\ub97c \ud1b5\ud574 \uc0c1\ud0dc\uac00 \uac1c\uc120\ub420 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \ud558\uc9c0\ub9cc \uce58\ub8cc \uae30\uac04\uc740 \uac10\uc5fc\uc131 \ub1cc\uc5fc\uc5d0 \ube44\ud574 \uc0c1\ub2f9\ud788 \uae38\uba70, \uba87 \uac1c\uc6d4\uc5d0\uc11c \uc218\ub144\uae4c\uc9c0 \uac78\ub9b4 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \uce58\ub8cc\ub97c \ud1b5\ud574 \uc644\uc804\ud788 \ud68c\ubcf5\ub418\ub294 \uacbd\uc6b0\ub3c4 \uc788\uc9c0\ub9cc, \uc77c\ubd80 \ud658\uc790\ub4e4\uc740 \uc7a5\uc560\ub97c \uc9c0\uc18d\uc801\uc73c\ub85c \uacaa\uac8c \ub429\ub2c8\ub2e4. \ud2b9\ud788, \uae30\uc5b5\ub825 \uc800\ud558\ub294 \uc790\uac00\uba74\uc5ed\ub1cc\uc5fc \ud658\uc790\ub4e4\uc5d0\uac8c \ud754\ud788 \ub098\ud0c0\ub098\ub294 \uc99d\uc0c1\uc785\ub2c8\ub2e4. \uce21\ub450\uc5fc\uc774\ub098 \ud574\ub9c8 \ubd80\uc704\uc758 \uce68\ubc94\uc73c\ub85c \uc778\ud574 \uc9c0\uc18d\uc801\uc778 \uae30\uc5b5\ub825 \uc800\ud558\ub97c \uacaa\ub294 \ud658\uc790\ub4e4\uc774 \ub9ce\uc2b5\ub2c8\ub2e4. \ub610\ud55c, \uc815\uc2e0\ubcd1\uc801 \uc99d\uc0c1, \uc608\ub97c \ub4e4\uc5b4 \ud658\uccad, \ud658\uc2dc, \ub9dd\uc0c1 \ub4f1\uc774 \ubc1c\uc0dd\ud558\ub294 \uacbd\uc6b0\ub3c4 \uc788\uc2b5\ub2c8\ub2e4. \uc774\ub7f0 \uc99d\uc0c1\uc740 \ubcd1\uc774 \uc5b4\ub290 \uc815\ub3c4 \ud68c\ubcf5\ub418\uc5c8\uc74c\uc5d0\ub3c4 \ubd88\uad6c\ud558\uace0 \uc9c0\uc18d\ub420 \uc218 \uc788\uc5b4, \ud658\uc790\uc640 \uac00\uc871\uc5d0\uac8c \ud070 \uace0\ud1b5\uc744 \uc904 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \ud604\uc7ac, \uc790\uac00\uba74\uc5ed\ub1cc\uc5fc\uc740 \uc0b0\uc815\ud2b9\ub840 \ub300\uc0c1\uc774\ubbc0\ub85c, \uc9c4\ub2e8 \uae30\uc900\uc5d0 \ubd80\ud569\ud558\ub294 \ud658\uc790\ub294 5\ub144 \ub3d9\uc548 \uc774\ub97c \uc801\uc6a9\ubc1b\uc744 \uc218 \uc788\uc2b5\ub2c8\ub2e4. 5\ub144 \uc774\ud6c4\uc5d0\ub3c4 \uc7ac\ub4f1\ub85d\uc774 \ud544\uc694\ud55c \uacbd\uc6b0, \uc758\ub8cc\uc9c4\uc758 \uc784\uc0c1 \uc18c\uacac\uc5d0 \ub530\ub77c \ub4f1\ub85d\uc774 \uac00\ub2a5\ud569\ub2c8\ub2e4. <\/p>\n\n\n\n \uc790\uac00\uba74\uc5ed\ub1cc\uc5fc\uc740 \uba74\uc5ed \uc2dc\uc2a4\ud15c\uc774 \uc2e4\uc218\ub85c \ub1cc \uc870\uc9c1\uc744 \uacf5\uaca9\ud558\ub294 \uc0c1\ud0dc\ub97c \ub9d0\ud569\ub2c8\ub2e4. \uc774\ub294 \ub1cc \uc5fc\uc99d\uc744 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<\/p>\n\n\n\n<\/figure>\n\n\n\n
\uc790\uac00\uba74\uc5ed\ub1cc\uc5fc\uc758 \uc99d\uc0c1\uc740 \uc5ec\ub7ec \uac00\uc9c0\uac00 \uc788\uc744 \uc218 \uc788\uc73c\uba70, \uc774\ub294 \uac1c\uc778\uc5d0 \ub530\ub77c \ub2e4\ub985\ub2c8\ub2e4. \uc77c\ubc18\uc801\uc73c\ub85c\ub294 \ub2e4\uc74c\uacfc \uac19\uc740 \uc99d\uc0c1\uc774 \uc788\uc744 \uc218 \uc788\uc2b5\ub2c8\ub2e4.
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\uc790\uac00\uba74\uc5ed\ub1cc\uc5fc\uc758 \uc99d\uc0c1\uc740 \ub2e4\uc591\ud558\uba70, \uac01 \uac1c\uc778\ub9c8\ub2e4 \ub2e4\ub974\uac8c \ub098\ud0c0\ub0a0 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \uc790\uac00\uba74\uc5ed\ub1cc\uc5fc\uc740 \uc911\ucd94\uc2e0\uacbd\uacc4\ub97c \uacf5\uaca9\ud558\ub294 \ubcd1\uc774\uae30 \ub54c\ubb38\uc5d0, \uc99d\uc0c1\uc740 \ub1cc\uc758 \uc5b4\ub5a4 \ubd80\ubd84\uc774 \ud53c\ud574\ub97c \uc785\uc5c8\ub294\uc9c0\uc5d0 \ub530\ub77c \uacb0\uc815\ub429\ub2c8\ub2e4.
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\uc790\uac00\uba74\uc5ed\ub1cc\uc5fc\uc758 \uc9c4\ub2e8\uc740 \ud56d\uccb4 \uac80\uc0ac\ub97c \ud1b5\ud574 \uc774\ub8e8\uc5b4\uc9c0\ub294 \uacbd\uc6b0\uac00 \ub9ce\uc2b5\ub2c8\ub2e4. \ud608\uc561\uacfc \ub1cc\ucc99\uc218\uc561\uc5d0\uc11c \uc5bb\uc740 \uc0d8\ud50c\uc744 \uc774\uc6a9\ud558\uc5ec, \uc774 \uc9c8\ubcd1\uc758 \uc6d0\uc778\uc774 \ub418\ub294 \ud56d\uccb4\ub97c \ucc3e\uc544\ub0c5\ub2c8\ub2e4 \ub610\ud55c, \ud608\uc561 \uac80\uc0ac\ub97c \ud1b5\ud574 \ud658\uc790\uac00 \ub2e4\ub978 \uc790\uac00\uba74\uc5ed\uc9c8\ud658\uc744 \uac00\uc9c0\uace0 \uc788\ub294\uc9c0 \uc5ec\ubd80\ub3c4 \ud655\uc778\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4.
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<\/p>\n\n\n\n\ub1cc \uc790\uae30\uacf5\uba85\uc601\uc0c1(MRI) \uc790\uac00\uba74\uc5ed\ub1cc\uc5fc \uac80\uc0ac<\/h2>\n\n\n\n
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<\/p>\n\n\n\n\uc790\uac00\uba74\uc5ed\ub1cc\uc5fc\uacfc \ub3d9\ubc18\ub41c \uc885\uc591 \ud655\uc778 CT \uac80\uc0ac<\/h2>\n\n\n\n
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\uc790\uac00\uba74\uc5ed\ub1cc\uc5fc\uc758 \uc9c4\ub2e8\uc740 \ub2e4\uc74c \uc138 \uac00\uc9c0 \uae30\uc900\uc744 \ubaa8\ub450 \ub9cc\uc871\ud574\uc57c \ud569\ub2c8\ub2e4.<\/p>\n\n\n\n
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\uc99d\uc0c1\uc744 \uac00\uc9c4 \ud658\uc790\uc5d0\uc11c MRI, \ub1cc\ucc99\uc218\uc561 \uac80\uc0ac, \ub1cc\ud30c \uac80\uc0ac, \uc790\uac00\ud56d\uccb4 \uac80\uc0ac \ub4f1\uc758 \uacb0\uacfc\ub97c \uc885\ud569\ud558\uc5ec \ud310\ub2e8\ud558\uac8c \ub429\ub2c8\ub2e4.
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