• Investigative Magnetic Resonance Imaging
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• 제4권2호
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• pp.128-135
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• 2000

목적 자기공명 스펙트럼 데이터의 처리 및 분석을 특정 workstation이 아닌 일반 PC의 windows 운영체제에서 동작할 수 있도록 GUI(Graphical User Interface)기반의 Spectroscopy 분석용 도구를 개발하였다. 대상 및 방법 S/W의 개발은 MATLAB(Mathwork사 미국)을 이용하여 PC의 window운영 체제에서 GUI 기반으로 동작하게 하였다. 시간 영역의 raw data와 주파수 영역의 spectrum data를 동시에 display할 수 있게 하였으며 Zero filling, 여러 종류의 filtering, 위상보정, FFT, peak area 측정 등의 기능을 갖추었다. 또한, 1.5T Gyroscan ACS-NT R6(Philips, Amsterdam, Netherland)의 $^1H$ Spectroscopy 패키지를 이용하여 정상인 뇌의 Parietal white matter, Basal ganglia, Occipital grey matter 영역에서 얻은 $^1$H MRS data를 정성 .정량적으로 분석하여 타 기종에서 얻어 발표된 $^1H$ MRS data와 비교분석하였다. 결과 : 본 연구에서 개발된 S/W를 이용하여 정상인 뇌에서 $^1H$ MRS data를 processing한 결과 NAA/Cr, Cho/Cr, MI/Cr 비율은 TE를 달리하였을 때, 유의수준 5%에서 Parietal white matter(PWM)의 NAA/Cr peak ratio를 제외하고 유의한 차이가 없었다. 그리고 기존에 발표된 문헌과 비교할 때 다른 MR장치의 NAA/Cr, Cho/Cr, MI/Cr 값들에 비해 평균값과 표준편차가 전반적으로 10-50%의 큰 값을 나타내었다. 결론 : 정상인 뇌에서 세 부위에 대하여 $^1H$ MRS를 얻고 이에 대한 정성.정량 분석을 함으로써 MRS를 임상적으로 적용하기 위한 준비를 하였으며 이러한 작업을 PC에서 독립적으로 수행함으로서 MRI system의 작업효율을 향상시킬 수 있었다. 그리고 서로 다른 기종간에는 유의한 차이가 있으므로 정상인에 대한 MRS database를 구축한 후에 $^1H$ MRS를 임상에 적용해야 함을 알 수 있었다.

• Investigative Magnetic Resonance Imaging
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• 제12권2호
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• pp.107-114
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• 2008

목적 : 3T MR 기기를 이용하여, 췌장 주위에 발생한 낭성 종양에 대하여, 생체내, 그리고 생체외 생체내 자기공명분광법(magnetic resonance spectroscopy: MRS)를 획득한 후, 생체외 핵자기공명 (nuclear magnetic resonance, NMR) 스펙트럼을 기준으로 비교함으로써, 낭성 종양의 감별 진단에 있어 MRS의 적용 가능성을 알아보고자 하였다. 대상 및 방법 : 췌장 주위에 발행한 12예의 낭성 종양(점액성 낭성 종양=5, 췌담관내 유두종=5, 가성 낭종=1, 및 림프관종 n=1)을 대상으로 3.0T 생체내, 생체외 양성자 MRS 및 9T NMR 스펙트럼을 획득하였다. NMR의 피크와 상응하는 생체내, 생체외 양성자 MRS에서 관찰되는 피크의 존재유무를 알아보았으며, 특정 질환을 예측하는 피크에 대하여 알아보았다. 결과 : 생체내 MRS는 NMR과 민감도 29.6%, 특이도 82.6% 그리고, 67.7%의 정확도를 보였으며 (p=0.096, McNemar test), 생체외 MRS는 생체내 MRS는 민감도 57.1%, 특이도 92.6%, 그리고, 82.3%의 정확도를 보였다 (p = 0.362, McNemar test). 질병간의 스펙트럼의 차이는 NMR에서 췌담관내 유두종의 경우에서 점액성 낭성 종양에 비해 3.5-4.0 ppm에서 유의하게 많은 피크를 보였다 (p=0.026). 결론 : 결론적으로, NMR 이용한 화학물질 분석은 낭성 종양의 감별 진단에 도움이 될 가능성이 있는 기법으로 생각되지만, 생체내 및 생체외 MRS는 임상에 적용되기 위해서는 많은 기술적 발전을 필요로 하는 것으로 생각된다.

• 한국자기공명학회논문지
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• 제10권2호
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• pp.126-140
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• 2006

Purpose: Contrary to the human study, it has rarely investigated metabolic alterations in the dorsolateral prefrontal cortex (DLPFC) of depressed rats versus age and sex-matched controls using proton magnetic resonance spectroscopy (MRS). Thus, the purpose of this research was to verify the feasibility of metabolic differences between the normal rat and the depression model rat. Materials and Methods: A homogeneous group of 20 SD male rats was used for MRI and in vivo 1H MRS. To induce a depressed status in SD rats, we performed the forced swimming test (FST). Using image-guide, water suppressed in vivo 1H MRS with 4.7 T MRI/MRS system, NAA/Cr and Cho/Cr ratios were mainly measured between depressed rats and normal subjects. Results: In depressed rats, increased Cho/Cr ratio was measured versus control subjects. However, no significant group effect for NAA/Cr was observed between case-control pairs. Discussion and Conclusions: The present 1H MRS study shows significant brain metabolic alterations of dorsolateral prefrontal cortex with experimental depressed status of SD rat induced by FST compared to normal subjects. This result provides new evidence that in vivo 1 H MRS may be a useful modality for detecting localized functional neurochemical markers alterations in left DLPFC in SD rats.

• 한국의학물리학회지:의학물리
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• 제21권1호
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• pp.22-28
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• 2010

유방암 중에서 가장 발생율이 높은 침윤성 관상피암을 대상으로 생체 국소 수소핵 자기공명분광법(localized in vivo $^1H$ MRS)을 시행하여 조직학적 형태에 따른 자기공명 분광상(MR spectroscopy)의 특성을 분석하고자 본 연구를 실시하였다. 조직학적으로 침윤성 관상피암으로 진단 받은 환자 40명을 대상으로 하여 종양이 있는 부위를 실험군으로 정하였고 종양이 없는 반대쪽 부위를 대조군으로 정하여 3.0T MR scanner를 이용한 수소핵 자기공명분광영상으로 검사를 시행하여 영상 및 분광 정보를 얻었다. 유방암 환자 40명 중 34명(85%)에서 3.2 ppm 분광정점을 확인할 수 있었고 MRS상 3.2 ppm에서의 분광정점 발현여부를 유방암의 진단 기준으로 선택하는 경우 민감도는 85% (34/40), 특이도는 92.5% (37/40), 양성예측율은 100% (34/34), 음성 예측율은 86% (37/43)이었다. 정상 조직의 1.3 ppm에서의 분광정점을 진단 기준으로 정할때 민감도는 92.5% (37/40), 특이도는 85% (34/40), 양성 예측율은 100% (37/37), 음성 예측율은 91.8% (34/37)이었다. $^1H$ MRS방법이 유방암의 진단에 이용될 수 있는 가능성을 제시하였고 추후 지속적인 연구를 통해 임상적으로 진단 및 치료 판정에 널리 이용될 수 있을 것으로 사료된다.

• Investigative Magnetic Resonance Imaging
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• 제17권4호
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• pp.326-333
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• 2013

$H^1$ 자기공명분광술에서 악성 종양은 양성 병변보다 더 높은 농도의 대사물질들을 보여준다. 락테이트의 이중 첨단점은 악성 종양과 자궁내막증에서 나타났으며, 자궁내막증에서 더 높은 농도를 보였다. 자궁관난소농양과 난관염은 분명한 첨단점이 보이지 않는다. 유피낭종은 높은 수준의 지질 첨단점이 나타난다. 부난관 낭종 및 난포낭도 지질 첨단점을 보일 수 있지만, 지질의 농도는 유피낭종보다 현저히 낮다. $H^1$ 자기공명분광술은 낭성 난소병변의 대사 물 성분에 대한 유용한 정보를 제공할 수 있다.

• 한국자기공명학회논문지
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• 제3권2호
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• pp.140-148
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• 1999

Using 1H magnetic resonance spectroscopy (MRS), we quantitatively evaluated correlation representing linear relationship between the metabolite peak area ratios associated with poor shimming conditions. The inadequate shimming due to linear shim offsets directly affected overall MR spectral quality as well as peak area for each metabolite. Three major peaks such as N-acetylaspartate (NAA), creatine (Cr,) choline (Cho) were used as a reference for data analysis. Despite considerable variations of metabolite peak area, a significant correlation between the metabolite peak area ratios relative to Cr was established while the correlation between the peak area ratios relative to Cho and NAA was not. The present study suggested that metabolite peak area ratios based on the metabolite of Cr could be an acceptable quantification method even under the poor shimming in clinical MRS examination.

• Journal of Gastric Cancer
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• 제3권3호
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• pp.151-157
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• 2003

Purpose: In this study, we attempted to ascertain the proton magnetic resonance spectroscopy (${1}^H$ MRS) peak characteristics of human gastric tissue layers and finally to use the metabolic peaks of MRS to distinguish between normal and abnormal gastric specimens. Materials and Methods: Ex-vivo ${1}^H$ MRS examinations of thirty-five gastric specimens were performed to distinguish abnormal gastric tissues invaded by carcinoma cells from normal stomach-wall tissues. High-resolution 400-MHz (9.4-T) ${1}^H$ nuclear magnetic resonance (NMR) spectra of two gastric layers, a proper muscle layer, and a composite mucosasubmucosa layer were compared with those of clinical 64- MHz (1.5-T) MR spectra. Three-dimensional spoiled gradient recalled (SPGR) images were used to determine the size and the position of a voxel for MRS data collection. Results: For normal gastric tissue layers, the metabolite peaks of 400-MHz ${1}^H$ MRS were primarily found to be as follows: lipids at 0.9 ppm and 1.3 ppm; alanine at 1.58 ppm; N-acetyl neuraminic acid (sialic acid) at 2.03 ppm; and glutathione at 2.25 ppm in common. The broad and featureless featureless spectral peaks of the 64-MHz MRS were bunched near 0.9, 1.3, and 2.0, and 2.2 ppm in human specimens without respect to layers. In a specimen (Borrmmann type III) with a tubular adenocarcinoma, the resonance peaks were measured at 1.26, 1.36 and 3.22 ppm. All the peak intensities of the spectrum of the normal gastric tissue were reduced, but for gastric tumor tissue layers, the lactate peak split into 1.26 and 1.39 ppm, and the peak intensity of choline at 3.21 ppm was increased. Conclusion: We found that decreasing lipids, an increasing lactate peak that split into two peaks, 1.26 ppm and 1.36 ppm, and an increasing choline peak at 3.22 ppm were markers of tumor invasion into the gastric tissue layers. This study implies that MR spectroscopy can be a useful diagnostic tool for gastric cancer.

• Investigative Magnetic Resonance Imaging
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• 제22권1호
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• pp.26-36
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• 2018

Purpose: Children born with single ventricle physiology demonstrate poor growth rate and suffer from malnutrition, which lead to increased morbidity and mortality in this population. We assume that an anabolic steroid, oxandrolone, will promote growth in these infants by improving myocardial energy utilization. The purpose of this paper is to study the efficacy of oxandrolone on myocardial energy consumption in these infants. Materials and Methods: We modeled single ventricle physiology in a lamb by prenatally shunting the aorta to the pulmonary artery and then postnatally, we monitored cardiac energy utilization by quantitatively measuring the first order reaction rate constant, $k_f$ of the creatine-kinase reaction in the heart using magnetization transfer $^{31}P$ magnetic resonance spectroscopy, home built $^1H/^{31}P$ transmit/receive double tuned coil, and transmit/receive switch. We also performed cine MRI to study the structure and dynamic function of the myocardium and the left ventricular chamber. The spectroscopy data were processed using home-developed python software, while cine data were analyzed using Argus software. Results: We quantitatively measured both the first order reaction rate constant and ejection fraction in the control, shunted, and the oxandrolone-treated lambs. Both $k_f$ and ejection fraction were found to be more significantly reduced in the shunted lambs compared to the control lambs, and they are increased in oxandrolone-treated lambs. Conclusion: Some improvement was observed in both the first order reaction rate constant and ejection fraction for the lamb treated with oxandrolone in our preliminary study.

• 한국자기공명학회논문지
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• 제13권2호
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• pp.64-83
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• 2009

The purpose of this study was to evaluate the usefulness of in vivo 3T $^1H$ MRS with short TE for prescreening various brain diseases. Together with ten normal volunteers, 12 brain tumor patients(2 lymphomas, 5 malignant gliomas) and 5(benign meningiomas) and 10 brain ischemic disease patients(6 acute and 4 subacute infarctions) participated. Lymphomas showed increased intensities of Cho and Lac. Likewise, gliomas showed increased Cho and Lac, but with decreased NAA and ${\beta}\;{\gamma}$-Glx; in higher grade of gliomas, Lac, Cho, mI and Lip predominantly increased with decrease of NAA. Benign meningiomas showed increased Cho, Lac and ${\beta}\;{\gamma}$-Glx; with decreased of NAA. The alanine peak at 1.47 ppm is a neuronal marker for meningiomas. Infarctions showed increased Lac and Lip and decreased NAA, ${\alpha}$-Glx and ${\beta}\;{\gamma}$-Glx where Lac increased with decreased of ${\alpha}$-Glx in acute, and Cho, Lac and Lip increased with decrease of NAA in subacute. Elevated Lac and decreased NAA levels were more aggravated in subacute. Clinical application of the $^1H$ MRS with short TE at 3T is able to povide valuable spectral information for prescreening various brain diseases by monitoring the changes of disease-specific cerebral metabolite concentrations in vivo, and consequently, it can be applicable to assessment of differential diagnosis and malignancy as well.

• 대한자기공명의과학회:학술대회논문집
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• 대한자기공명의과학회 2003년도 제8차 학술대회 초록집
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• pp.87-87
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• 2003

Purpose： To determine the motor cortex dysfunction in hemiparetic patients due to deep intracerebral hematoma, authors peformed proton magnetic resonance spectroscopy (1H MRS) for the evaluation of biochemical changes in the cortex on affected hemisphere according to axonal injury at the level of internal capsule. Materials and methods： Ten control subjects and 14 patients with documentable hemiparesis of varying severity hemiparesis were included. All the hemiparesis was caused by deep intracerebral hematoma (putaminal and thalamic hemorrhage). In vivo 1H MRS study was performed on a 3T MRI/MRS system using STEAM sequence. As a single-voxel technique, Spectral parameters were： 20 ms TE, 2000 ms TR, 128 averages, 2500 Hz spectral width, and 2048 data points.