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심정석 원장의
위드심의원 심정석 원장입니다
위드심의원 심정석 원장입니다
안녕하세요, 위드심의원 심정석 원장입니다.
저는 갑상선의 결절성 질환을 진료하는 영상의학과 전문의이자, 이화의료원 영상의학과 겸임교수로서 환자 진료와 후학 양성, 학술 연구를 병행하고 있습니다.
몸에서 아주 작은 장기인 갑상선만을 진료하며, 그중에서도 결절성 질환의 초음파 진단, 조직검사, 그리고 비수술적 인터벤션 치료라는 좁고 깊은 영역에 집중해 왔습니다. 한 분야에 매진해 온 덕분에 질환의 미세한 변화는 물론, 환우님들이 느끼시는 불안과 고민까지 깊이 이해할 수 있게 되었습니다.
최근 갑상선 결절의 진단과 치료는 상전벽해라 할 만큼 빠른 속도로 발전하고 있습니다. 정교한 총조직검사(중심침생검)와 고주파 절제술은 물론, 최근에는 최첨단 분자 및 유전자 돌연변이 검사를 통합하여 암 위험도를 예측하는 수준까지 도달했습니다.
그러나 이처럼 의학 발전의 속도가 빠르다 보니 과거의 기준과 최신 지침이 혼재되어, 환우님들께서는 "어느 의사는 이렇게 말하고, 어느 의사는 저렇게 말한다"며 감당하기 힘든 혼선을 겪으시곤 합니다.
가장 대표적으로 혼선이 발생하는 경우는 아래 4가지입니다.
초음파 검사 후 조직검사를 해야 하는지 여부
양성으로 진단된 결절을 고주파 절제술로 치료해야 하는지 여부
비정형이나 여포성 종양으로 진단된 결절을 수술해야 하는지, 아니면 경과 관찰만 해도 될지 여부
갑상선암으로 진단된 결절을 즉시 수술해야 하는지, 아니면 능동적 감시나 비수술적 치료 방식을 고려할 수 있는지 여부
이 사이트는 진료실 안에서의 짧은 만남만으로는 환우님들을 제대로 돌봐드릴 수 없다는 안타까움에, 진료실 밖에서 더욱 깊이 소통하고자 만든 공간입니다.
개원의로서, 그리고 대학병원 교수로서 쌓아온 전문성과 풍부한 임상 경험, 그리고 최신 정밀 의학 지식을 바탕으로 환우님 한 분 한 분께 가장 객관적이고 최적화된 진료 방침을 제시해 드리겠습니다.
심정석 원장 약력
심정석 원장 약력
1992년 서울대학교 의과대학 졸업
1997년 서울대학교 병원 영상의학과 전문의 취득
2003년 서울대학교 의과대학 박사학위 취득
~ 2005년 국립암센터 전문의 재직
2006년 마더스여성의원 개원
2012년 위드심의원으로 개명
2013년 이비인후과 조우진 원장 합류
2016년 ~ 대한 갑상선 영상의학회 보험이사
~ 2020년 대한 영상의학회 보험이사
2020년 ~ 심사평가원 심사위원
2024년 대한초음파의학회 간사
2024년 11월 ~ 이대서울병원 초빙교수
2006년 마더스여성의원 개원
2021년 유튜브 라이브 방송 갑질훈남 시작
갑상선 고주파 핸즈온 워크샵
스페인어 교과서 (2022년), 베트남어 교과서 (2024년)의 갑상선 고주파 chapter 저술
2013년 조우진 원장 합류
백지은 원장, 김미혜 원장, 김현주 원장, 천병준 원장 합류
연구업적, 논문
연구업적, 논문
1. Letter to the Editor Regarding "Validation of Ultrasound and Computed Tomography-Based Risk Stratification System and Biopsy Criteria for Cervical Lymph Nodes in Preoperative Patients With Thyroid Cancer" and "Validation of CT-Based Risk Stratification System for Lymph Node Metastasis in Patients With Thyroid Cancer".
Lim H, Sim JS.
Korean J Radiol. 2024 Mar;25(3):319-320. doi: 10.3348/kjr.2023.1125.
2. Inquiries Regarding "Delayed Cancer Diagnosis in Thyroid Nodules Initially Treated as Benign With Radiofrequency Ablation: Ultrasound Characteristics and Predictors for Cancer".
Sim JS, Baek JH.
Korean J Radiol. 2024 Jan;25(1):116-117. doi: 10.3348/kjr.2023.0918.
3. [Clinical Approach for Thyroid Radiofrequency Ablation].
Sim JS.
J Korean Soc Radiol. 2023 Sep;84(5):1017-1030. doi: 10.3348/jksr.2023.0088. Epub 2023 Sep 22.
4. Long-term follow-up of the radiofrequency ablation of benign thyroid nodules: the value of additional treatment.
Kim HJ, Baek JH, Cho W, Sim JS.
Ultrasonography. 2022 Oct;41(4):661-669. doi: 10.14366/usg.21231. Epub 2022 Jul 3.
5. 2021 Korean Thyroid Imaging Reporting and Data System and Imaging-Based Management of Thyroid Nodules: Korean Society of Thyroid Radiology Consensus Statement and Recommendations.
Ha EJ, Chung SR, Na DG, Ahn HS, Chung J, Lee JY, Park JS, Yoo RE, Baek JH, Baek SM, Cho SW, Choi YJ, Hahn SY, Jung SL, Kim JH, Kim SK, Kim SJ, Lee CY, Lee HK, Lee JH, Lee YH, Lim HK, Shin JH, Sim JS, Sung JY, Yoon JH, Choi M.
Korean J Radiol. 2021 Dec;22(12):2094-2123. doi: 10.3348/kjr.2021.0713. Epub 2021 Oct 26.
6. Additional treatment of recurrent or regrowing cystic thyroid nodules after ethanol ablation.
Sim JS.
Ultrasonography. 2021 Oct;40(4):617-618. doi: 10.14366/usg.21007. Epub 2021 Feb 14.
7. Long-Term Outcomes of Thermal Ablation for Benign Thyroid Nodules: The Issue of Regrowth.
Sim JS, Baek JH.
Int J Endocrinol. 2021 Jul 21;2021:9922509. doi: 10.1155/2021/9922509. eCollection 2021.
8. Radiofrequency Ablation of Papillary Thyroid Microcarcinoma: A 10-Year Follow-Up Study.
Seo YK, Cho SW, Sim JS, Yang GE, Cho W.
Taehan Yongsang Uihakhoe Chi. 2021 Jul;82(4):914-922. doi: 10.3348/jksr.2020.0128. Epub 2021 Apr 14.
9. Re: Technical issues in ultrasound-guided ethanol ablation for thyroid lesions.
Cho W, Sim JS, Jung SL.
Ultrasonography. 2021 Oct;40(4):623-624. doi: 10.14366/usg.21078. Epub 2021 Apr 13.
10. Unresolved Clinical Issues in Thermal Ablation of Benign Thyroid Nodules: Regrowth at Long-Term Follow-Up.
Sim JS, Baek JH.
Korean J Radiol. 2021 Aug;22(8):1436-1440. doi: 10.3348/kjr.2021.0093. Epub 2021 May 20.
11. Letter to the Editor Regarding "Minimally Invasive Treatment for Benign Parathyroid Lesions: Treatment Efficacy and Safety Based on Nodule Characteristics".
Sim JS.
Korean J Radiol. 2021 May;22(5):861-863. doi: 10.3348/kjr.2020.1373. Epub 2021 Mar 9.
12. Unresolved Clinical Issues in Thermal Ablation of Benign Thyroid Nodules: Regrowth at Long-Term Follow-Up
Jung Suk Sim 1, Jung Hwan Baek 2
2021 May 20. doi: 10.3348/kjr.2021.0093. Online ahead of print.
13. Letter: Twelve-Month Volume Reduction Ratio Predicts Regrowth and Time to Regrowth in Thyroid Nodules Submitted to Laser Ablation: A 5-Year Follow-Up Retrospective Study.
Sim JS.
Korean J Radiol. 2021 Feb;22(2):291-292. doi: 10.3348/kjr.2020.0647. Epub 2020 Sep 10.
14. Ultrasound-guided ethanol ablation for cystic thyroid nodules: effectiveness of small amounts of ethanol in a single session.
Cho W, Sim JS, Jung SL.
Ultrasonography. 2020 Dec 22. doi: 10.14366/usg.20170. Online ahead of print.
15. Letter to the editor regarding residual vital ratio: predicting regrowth after radiofrequency ablation for benign thyroid nodules.
Sim JS, Baek JH.
Int J Hyperthermia. 2020;37(1):1310-1311. doi: 10.1080/02656736.2020.1847332.
16. Response: Long-Term Outcomes Following Thermal Ablation of Benign Thyroid Nodules as an Alternative to Surgery: The Importance of Controlling Regrowth (Endocrinol Metab 2019;34:117-23, Jung Suk Sim et al.).
Sim JS, Baek JH.
Endocrinol Metab (Seoul). 2019 Sep;34(3):325-326. doi: 10.3803/EnM.2019.34.3.325.
17. Long-Term Outcomes Following Thermal Ablation of Benign Thyroid Nodules as an Alternative to Surgery: The Importance of Controlling Regrowth.
Sim JS, Baek JH.
Endocrinol Metab (Seoul). 2019 Jun;34(2):117-123. doi: 10.3803/EnM.2019.34.2.117. Review.
18. Ethanol Ablation of the Thyroid Nodules: 2018 Consensus Statement by the Korean Society of Thyroid Radiology.
Hahn SY, Shin JH, Na DG, Ha EJ, Ahn HS, Lim HK, Lee JH, Park JS, Kim JH, Sung JY, Lee JH, Baek JH, Yoon JH, Sim JS, Lee KH, Baek SM, Jung SL, Kim YK, Choi YJ; Korean Society of Thyroid Radiology (KSThR); Korean Society of Radiology.
Korean J Radiol. 2019 Apr;20(4):609-620. doi: 10.3348/kjr.2018.0696.
19. Initial Ablation Ratio: Quantitative Value Predicting the Therapeutic Success of Thyroid Radiofrequency Ablation.
Sim JS, Baek JH, Cho W.
Thyroid. 2018 Nov;28(11):1443-1449. doi: 10.1089/thy.2018.0180. Epub 2018 Oct 16.
20. 2017 Thyroid Radiofrequency Ablation Guideline: Korean Society of Thyroid Radiology.
Kim JH, Baek JH, Lim HK, Ahn HS, Baek SM, Choi YJ, Choi YJ, Chung SR, Ha EJ, Hahn SY, Jung SL, Kim DS, Kim SJ, Kim YK, Lee CY, Lee JH, Lee KH, Lee YH, Park JS, Park H, Shin JH, Suh CH, Sung JY, Sim JS, Youn I, Choi M, Na DG; Guideline Committee for the Korean Society of Thyroid Radiology (KSThR) and Korean Society of Radiology.
Korean J Radiol. 2018 Jul-Aug;19(4):632-655. doi: 10.3348/kjr.2018.19.4.632. Epub 2018 Jun 14. Review.
21. Efficacy and Safety of Radiofrequency Ablation for Benign Thyroid Nodules: A Prospective Multicenter Study.
Jung SL, Baek JH, Lee JH, Shong YK, Sung JY, Kim KS, Lee D, Kim JH, Baek SM, Sim JS, Na DG.
Korean J Radiol. 2018 Jan-Feb;19(1):167-174. doi: 10.3348/kjr.2018.19.1.167. Epub 2018 Jan 2.
22. Radiofrequency ablation of benign thyroid nodules: depicting early sign of regrowth by calculating vital volume.
Sim JS, Baek JH, Lee J, Cho W, Jung SI.
Int J Hyperthermia. 2017 Dec;33(8):905-910. doi: 10.1080/02656736.2017.1309083. Epub 2017 Apr 10.
23. Core Needle Biopsy of the Thyroid: 2016 Consensus Statement and Recommendations from Korean Society of Thyroid Radiology.
Na DG, Baek JH, Jung SL, Kim JH, Sung JY, Kim KS, Lee JH, Shin JH, Choi YJ, Ha EJ, Lim HK, Kim SJ, Hahn SY, Lee KH, Choi YJ, Youn I, Kim YJ, Ahn HS, Ryu JH, Baek SM, Sim JS, Jung CK, Lee JH; Korean Society of Thyroid Radiology (KSThR) and Korean Society of Radiology.
Korean J Radiol. 2017 Jan-Feb;18(1):217-237. doi: 10.3348/kjr.2017.18.1.217. Epub 2017 Jan 5. Review.
24. Ultrasound-guided core needle biopsy of cervical lymph nodes in the diagnosis of toxoplasmosis.
Cho W, Kim MK, Sim JS.
J Clin Ultrasound. 2017 May;45(4):192-196. doi: 10.1002/jcu.22431. Epub 2016 Nov 22.
25. Radiofrequency Ablation for Iatrogenic Thyroid Artery Pseudoaneurysm: Initial Experience.
Jun YK, Jung SL, Byun HK, Baek JH, Sung JY, Sim JS.
J Vasc Interv Radiol. 2016 Oct;27(10):1613-7. doi: 10.1016/j.jvir.2016.06.005.
26. Core Needle Biopsy of Thyroid Nodules: Consensus Statement and Recommendations.
Baek JH, Na DG, Lee JH, Jung SL, Kim JH, Sung JY, Kim KS, Shin JH, Park JS, Baek SM, Sim JS, Kim KT, Bae MY, Ryu JH, Lim HK, Lee JH; Korean Society of Thyroid Radiology; Korean Society of Radiology.
J Korean Soc Ultrasound Med. 2013 Jun;32(2):95-102. Korean.
27. Radiofrequency ablation of benign thyroid nodules and recurrent thyroid cancers: consensus statement and recommendations.
Na DG, Lee JH, Jung SL, Kim JH, Sung JY, Shin JH, Kim EK, Lee JH, Kim DW, Park JS, Kim KS, Baek SM, Lee Y, Chong S, Sim JS, Huh JY, Bae JI, Kim KT, Han SY, Bae MY, Kim YS, Baek JH; Korean Society of Thyroid Radiology (KSThR); Korean Society of Radiology
Korean J Radiol. 2012 Mar-Apr;13(2):117-25. doi: 10.3348/kjr.2012.13.2.117. Epub 2012 Mar 7. Review.
28. Complications encountered in the treatment of benign thyroid nodules with US-guided radiofrequency ablation: a multicenter study.
Baek JH, Lee JH, Sung JY, Bae JI, Kim KT, Sim J, Baek SM, Kim YS, Shin JH, Park JS, Kim DW, Kim JH, Kim EK, Jung SL, Na DG; Korean Society of Thyroid Radiology.
Radiology. 2012 Jan;262(1):335-42. doi: 10.1148/radiol.11110416. Epub 2011 Oct 13.
29. Kidney Length in Normal Korean Children.
Kim IO, Cheon JE, Lee YS, Lee SW, Kim OH, Kim JH, Kim HD, Sim JS.
J Korean Soc Ultrasound Med. 2010 Sep;29(3):181-188. Korean.
30. Role of positron emission tomography in pretreatment lymph node staging of uterine cervical cancer: a prospective surgicopathologic correlation study.
Roh JW, Seo SS, Lee S, Kang KW, Kim SK, Sim JS, Kim JY, Hong EK, Cho DS, Lee JS, Park SY.
Eur J Cancer. 2005 Sep;41(14):2086-92.
31. Incidental ovarian 18F-FDG accumulation on PET: correlation with the menstrual cycle.
Kim SK, Kang KW, Roh JW, Sim JS, Lee ES, Park SY.
Eur J Nucl Med Mol Imaging. 2005 Jul;32(7):757-63. Epub 2005 Mar 17.
32. Pretreatment laparoscopic surgical staging in locally advanced cervical cancer: preliminary results in Korea.
Chung HH, Lee S, Sim JS, Kim JY, Seo SS, Park SY, Roh JW.
Gynecol Oncol. 2005 May;97(2):468-75.
33. Prevalence and risk of cancer of focal thyroid incidentaloma identified by 18F-fluorodeoxyglucose positron emission tomography for metastasis evaluation and cancer screening in healthy subjects.
Kang KW, Kim SK, Kang HS, Lee ES, Sim JS, Lee IG, Jeong SY, Kim SW.
J Clin Endocrinol Metab. 2003 Sep;88(9):4100-4
34. Renal cyst ablation with n-butyl cyanoacrylate and iodized oil in symptomatic patients with autosomal dominant polycystic kidney disease: preliminary report.
Kim SH, Moon MW, Lee HJ, Sim JS, Kim SH, Ahn C.
Radiology. 2003 Feb;226(2):573-6.
35. Hepatic hemangioma: atypical appearances on CT, MR imaging, and sonography.
Jang HJ, Kim TK, Lim HK, Park SJ, Sim JS, Kim HY, Lee JH.
AJR Am J Roentgenol. 2003 Jan;180(1):135-41.
36. Hypoechoic normal renal sinus and renal pelvis tumors: sonographic differentiation.
Seong CK, Kim SH, Lee JS, Kim KH, Sim JS, Chang KH.
J Ultrasound Med. 2002 Sep;21(9):993-9; quiz 1001-2. Erratum in: J Ultrasound Med. 2002 Nov;21(11):1200.
37. Atypical low-signal-intensity renal parenchyma: causes and patterns.
Jeong JY, Kim SH, Lee HJ, Sim JS.
Radiographics. 2002 Jul-Aug;22(4):833-46. Review.
38. MR findings of renal cortical necrosis.
Jeong JY, Kim SH, Sim JS, Lee HJ, Do KH, Moon MH, Lee DK, Seong CK.
J Comput Assist Tomogr. 2002 Mar-Apr;26(2):232-6.
39. The Usefullness of the Transrectal Ultrasonography in the Diagnosis of the Prostate Cancer: Comparison with Systemic Sextant Biopsy.
Moon MH, Seong CK, Jeong JY, Choi HJ, Sim JS, Kim SH.
J Korean Radiol Soc. 2001 Aug;45(2):195-200. Korean.
40. A Case of Well-differentiated Papillary Mesothelioma Developing Malignant Mesothelioma with Seeding Mass on the Trocar Insertion Site of Diagnostic Laparoscopy and Malignant Change.
Kim MJ, Moon EJ, Park YJ, Roh JW, Park YS, Park SY, Kim HS, Sim JS, Park SY.
Cancer Res Treat. 2001 Aug;33(4):357-61. doi: 10.4143/crt.2001.33.4.357.
41. Detection of segmental branch renal artery stenosis by Doppler US: a case report.
Seong CK, Kim SH, Sim JS.
Korean J Radiol. 2001 Jan-Mar;2(1):57-60.
42. Interface vessels on color/power Doppler US and MRI: a clue to differentiate subserosal uterine myomas from extrauterine tumors.
Kim SH, Sim JS, Seong CK.
J Comput Assist Tomogr. 2001 Jan-Feb;25(1):36-42.
43. Intaureteral Recurrence of Renal Cell Carcinoma Following Nephrectomy: A Case Report
Yoo SY, Kim SH, Lee KH, Hwang SI, Sim JS.
J Korean Radiol Soc. 2000 Nov;43(5):607-609. English.
44. Recurrent uterine cervical carcinoma: spectrum of imaging findings.
Choi JI, Kim SH, Seong CK, Sim JS, Lee HJ, Do KH.
Korean J Radiol. 2000 Oct-Dec;1(4):198-207. Review.
45. Spiral CT in Kidney: Assumption of Renal Function by Objective Evaluation of Renal Cortical Enhancement.
Choi BY, Lee JS, Lee JW, Myung JS, Sim JS, Seong CK, Choi GM, Cho SW, Kim HS, Kim SH.
J Korean Radiol Soc. 2000 Oct;43(4):483-488. Korean.
46. Ultrasonographic findings of an intratesticular adenomatoid tumor.
Kim TJ, Kim SH, Sim JS, Seong CK, Lee DK.
J Ultrasound Med. 2000 Mar;19(3):227-9.
47. Retroperitoneal Fibrosis: Spectrum of Imaging Findings.
Lee JS, Seong CK, Sim JS, Shin SJ, Kim SH.
J Korean Radiol Soc. 1999 Dec;41(6):1177-1182. Korean.
48. Vesicouterine fistula after cesarean section: ultrasonographic findings in two cases.
Park BK, Kim SH, Cho JY, Sim JS, Seong CK.
J Ultrasound Med. 1999 Jun;18(6):441-3.
49. Differentiation of small hyperechoic renal cell carcinoma from angiomyolipoma: computer-aided tissue echo quantification.
Sim JS, Seo CS, Kim SH, Kim JH, Kim WS, Han JK, Choi BI.
J Ultrasound Med. 1999 Apr;18(4):261-4.
50. Definitive diagnosis of intestinal volvulus in utero.
Yoo SJ, Park KW, Cho SY, Sim JS, Hhan KS.
Ultrasound Obstet Gynecol. 1999 Mar;13(3):200-3.
51. Dynamic and Interactive Web-based Radiology Teaching File Using Layer and JavaScript.
Park SH, Han JK, Lee KH, Chung WS, Sim JS, Kim JH, Song JW, Chung HW, Song CS, Yeon KM, Han MC.
J Korean Radiol Soc. 1999 Mar;40(3):603-608. Korean.
52. Impact of Image Post-Processing on PACS Workstation: Dynamic Range Suppression(DRS) of Chest Radiographs.
Jae HJ, Cha JH, Sim JS, Kim JH, Lee DH, Im JG, Han MC.
J Korean Radiol Soc. 1999 Jan;40(1):181-186. Korean.
53. Control of clonorchiasis by repeated praziquantel treatment and low diagnostic efficacy of sonography.
Hong ST, Yoon K, Lee M, Seo M, Choi MH, Sim JS, Choi BI, Yun CK, Lee SH.
Korean J Parasitol. 1998 Dec;36(4):249-254. English.
54. Multimedia Radiology Self-Learning Course on the World Wide Web.
Sim JS, Kim JH, Kim TK, Han JK, Lee DH, Jae EK, Kang HS, Yeon KM, Han MC.
J Korean Radiol Soc. 1997 Dec;37(6):1145-1148. Korean.
55. Clinical Usefulness of FLAIR MR sequence in the Diagnosis of Cerebral Disease.
Lee SH, Chang KH, Park HS, Sim JS, Cho SW, Yu IK, Han MH.
J Korean Radiol Soc. 1997 Jul;37(1):1-7. Korean.
56. Angiographic Evaluation of Coronary Arterial Abnormalities in Kawasaki Disease.
Choi IJ, Kim YM, Kim MY, Sim JS, Je EK, Kim SB, Moon Y, Kim SH, Bae EJ.
J Korean Radiol Soc. 1998 Mar;38(3):547-552. Korean.
57. Helical CT anatomy of pancreatic arteries.
Sim JS, Choi BI, Han JK, Chung MJ, Chung JW, Park JH, Han MC.
Abdom Imaging. 1996 Nov-Dec;21(6):517-21.
58. Comparison of MR Imaging Findings Between Post-operative Change and Residual/Recurrent Tumor in Cerebral Glioma.
Sim JS, Chang KH, Han MH, Park HS, Jung HW.
J Korean Radiol Soc. 1996 Nov;35(5):645-649. Korean.
59. Growth Hormone-Secreting Pituitary Adenoma: Clinical and MR Imaging Findings.
Park HS, Chang KH, Han MH, Sim JS, Lee SH, Song JU, Yoo IK, Jung HW, Yeon KM.
J Korean Radiol Soc. 1996 Oct;35(4):441-446. Korean.
60. Two-phase Spiral CT of the Pancreatic Adenocarcinoma: Comparison of Arterial and Late Phase.
Choi BI, Han JK, Han MC, Sim JS, Chung MJ.
J Korean Radiol Soc. 1995 Mar;32(3):429-434. Korean.
61. Acute Neuropathic Joint in Diabetic Foot: Plain Radiographic Findings.
Kang HS, Yoon YK, Yoon DY, Sim JS, Kirn CW.
J Korean Radiol Soc. 1994 May;30(5):929-933. Korean.
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