• 제목/요약/키워드: 뇌 자기공명영상

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Diffusion-weighted MR imaging findings of intracerebral hematoma (뇌실질내의 확산강조영상 소견)

  • 박창숙;최순섭;오종영;박병호;김기욱;남경진;이영일
    • Investigative Magnetic Resonance Imaging
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    • v.6 no.1
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    • pp.21-27
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    • 2002
  • Purpose : To evaluate diffusion-weighted imaging findings of intracerebral hematoma according to the time sequence. Materials and methods : Seventeen patients with intracerebral hematoma were studied. Diffusion weighted images using 1.5 tesla MRI machine were obtained with b-value of $1000{\;}sec/\textrm{mm}^2$. The patients were grouped as hyperacute stage(within 12 hours, 5 patients), acute stage(within 3 days, 4 patients), subacute stage(within 3 weeks, 4 patients), and chronic stage(after 3 weeks,4 patients). The signal intensities were analysed as bright, high, iso, low and dark at the central and peripheral portions of the hematoma in each stage, and compared with those of T2 and T1 weighted images. Results : The signal intensities of the central and peripheral portion of the intracerebral hematoma on diffusion-weighted images were high and dark in hyperacute stage, dark and high-bright in acute stage, and high-bright and dark in subacute and chronic stages. The patterns of signal change of hematoma on diffusion-weighted image according to the time sequence were similar to those on T2-weighted image, but changed early and prominently. Conclusion : The intracerebral hematoma on diffusion-weighted image showed unique central and peripheral signal intensity according to the time sequence. Central portions show high to bright signals in hyperacute, subacute and chronic stage, and dark signal in acute stage, and peripheral portions show dark signals in hyperacute, subacute and chronic stage, and high to bright signal in acute stage.

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Brain MRI Findings of the Cri-Du-Chat Syndrome: A Case Report and Summary (묘성증후군 환아의 뇌 자기공명영상 소견: 증례 보고 및 정리)

  • Jin Sol Choi;Eun Ae Yoo;Jin Ok Choi;Soo Jung Kim
    • Journal of the Korean Society of Radiology
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    • v.81 no.4
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    • pp.979-984
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    • 2020
  • Cri-du-chat syndrome is a rare genetic disorder in which the patient presents with a characteristic high-pitched monotonous cry and recurrent aspiration pneumonia, attributed to abnormalities in the larynx, epiglottis, and nervous system. The most prominent brain MRI findings are the presence of pontine and cerebellar hypoplasia, which primarily involve posterior cranial fossa structures. Although atrophy of supratentorial structures were also a common radiological finding, it was considered to be a secondary change due to pontine hypoplasia. Here, we present the case of a three-month-old patient presenting with cri-du-chat at our institution. The patient also showed the presence of prominent pontine hypoplasia similar to previously reported cases; however, contrary to other cases, there was a general delayed myelination of brain instead of decreased myelination of anterior limb of internal capsule. Since the larynx, pons, and cerebellum all originated from similar notochord level, which suggests anomaly in early stage of development, laryngeal, and brain anomaly characteristically observed in the cridu-chat syndrome.

Brain Atrophy and White Matter Lesions on Magnetic Resonance Imaging in Alzheimer's Disease (알쯔하이머 치매 환자의 뇌자기공명영상(腦磁氣共鳴影像)에 나타난 뇌위축(腦萎縮)과 뇌백질병변(腦白質病變)에 대한 연구)

  • Woo, Jong Inn;Kim, Ju Han
    • Korean Journal of Biological Psychiatry
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    • v.3 no.2
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    • pp.203-210
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    • 1996
  • Objects : To investigate the relationship between the age of onset with the atrophy and the white matter hyperintensities observed in the brain MRI of Alzheimer patients. Methods : The authors measured volumetrically cortical and ventricular brain atrophy and rated semiquantitatively white matter signal hyperintensities in nine presenile and 18 senile Alzheimer patients, who were matched for dementia severity, according to NINCDS-ADRDA criteria and in age-matched 10 presenile and 11 senile control subjects. Results : Presenile Alzheimer patients showed significantly greater cortical and ventricular atrophy indices(p<0.05) but no difference in white matter hyperintensity scores compared to the age-matched control group. On the contrary, senile Alzheimer patients showed significantly greater white matter hyperintensity scores(p<0.05) but no difference in cortical and ventricular atrophy indices compared to the age-matched control group. Conclusion : An earlier onset was related to marked brain atrophy with less white matter lesions and a later onset is related to marked white matter lesions with less brain atrophy in Alzheimer's disease. Our results suggested the passible difference in the pathophysiology between the presenile and the senile-onset Alzheimer's disease.

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Functional MRI of Language Area (언어영역의 기능적 자기공명영상)

  • 유재욱;나동규;변홍식;노덕우;조재민;문찬홍;나덕렬;장기현
    • Investigative Magnetic Resonance Imaging
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    • v.3 no.1
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    • pp.53-59
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    • 1999
  • Purpose : To evaluate the usefulness of functional MR imaging (fMRI) for language mapping and determination of language lateralization. Materials and Methods : Functional maps of the language area were obtained during word generation tasks and decision task in ten volunteers (7 right handed, 3 left-handed). MR examinations were performed at 1.5T scanner with EPI BOLD technique. Each task consisted of three resting periods and two activation periods with each period of 30 seconds. Total acquisition time was 162 sec. SPM program was used for the postprocessing of images. Statistical comparisons were performed by using t-statistics on a pixel-by- pixel basis after global normalization by ANCOVA. Activation areas were topographically analyzed (p>0.001) and activated pixels in each hemisphere were compared quantitatively by lateralization index. Results : Significant activation signals were demonstrated in 9 of 10 volunteers. Activation signals were found in the premotor and motor cortices, the inferior frontal, inferior parietal, and mid-temporal lobes during stimulation tasks. In the right handed seven volunteers, activation of language areas was lateralized to the left side. Verb generation task produced stronger activation in the language areas and higher value of lateralization index than noun generation task or decision task. Conclusion : fMRI could be a useful non-invasive method for language mapping and determination of language dominance.

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A case of hippocampal sclerosis diagnosed as cortical dysplasia due to preoperative brain MRI finding (수술 전 뇌 자기공명 영상에서 겉질 형성이상증 소견 보였으나 수술 후 병리학적으로 확인된 해마경화증 1례)

  • Lee, Jun Seok;Kim, Kyo Ryung;Kim, Jeong Tae;Choi, Min Jung;Lee, Young Mock;Kim, Heung Dong;Lee, Joon Soo;Kim, Dong Seok;Kim, Tae Seong
    • Clinical and Experimental Pediatrics
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    • v.53 no.1
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    • pp.106-110
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    • 2010
  • Hippocampal sclerosis (HS) is one of the most common features of intractable temporal lobe epilepsy. Generally it can be identified through brain magnetic resonance imaging (MRI) with high degree of sensitivity and specificity. Typical brain MRI findings of HS are hippocampal atrophy with hyperintense signal confined to the lesion. On the other hand cortical dysplasia exhibits blurring of the gray-white matter junction and abnormal white matter signal intensity. We present a case where preoperative brain MRI strongly suggested the presence of diffuse cortical dysplasia in the left temporal lobe but postoperative pathology revealed the temporal lesion to be unremarkable except for hippocampal sclerosis.

Large-Scale Network Analysis using Effective Connectivity for Effective Brain Functional Imaging Analysis (효과적인 뇌기능 영상 분석을 위한 유효 연결성을 이용한 대규모 네트워크 분석)

  • Park, Ki-Hee;Lee, Seong-Whan
    • Proceedings of the Korean Information Science Society Conference
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    • 2011.06c
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    • pp.377-378
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    • 2011
  • 본 논문은 뇌기능 연구에 크게 기여하는 기능적 자기공명영상을 효과적으로 분석하기 위한 유효 연결성(Effective Connectivity, EC)을 이용한 대규모 네트워크(Large-Scale Network, LSN) 분석(LSN-EC)을 제안한다. 유효 연결성은 뇌영역간의 시공간적 인과관계를 표현한 연결성이며, 뇌의 기능적 연결성 및 구조탐색 사용된다. LSN-EC는 뇌영역간의 EC를 표현하고 그룹간의 차이분석을 통하여 뇌질환 분석 및 진단 연구로의 응용이 가능하다. 실험결과에서 알츠하이머병과 관련이 높다고 알려진 후대상피질(Posterior Cingulate Cortex)과 해마(Hippocampus)가 포함된 변연엽(Limbic Lobe), 기저핵 및 시상(Basal Ganglion and Thalamus) 주변 영역에서 감소된 EC를 확인하였다.

Neural correlates of the aesthetic experience using the fractal images : an fMRI study (프랙탈 이미지를 이용하여 본 미적 경험의 뇌 활성화: 기능적 자기공명영상 연구)

  • Lee, Seung-Bok;Jung, Woo-Hyun;Son, Jung-Woo;Jo, Seong-Woo
    • Science of Emotion and Sensibility
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    • v.14 no.3
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    • pp.403-414
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    • 2011
  • The current study examined brain regions associated with aesthetic experience to fractal images using functional MRI. The aesthetic estimations of the images showed that there is a general consensus regarding the perception of beautiful images. Out of 270 fractal images, fifty images rated highest(beautiful images) and fifty images rated lowest(non-beautiful images) were selected and presented to the participants. The two conditions were presented using the block design. Frontal lobes, cingulate gyri, and insula, the areas related to the cognitive and emotional processing in aesthetic experience, were activated when beautiful images were presented. In contrast, the middle occipital gyri and precuneus, the areas associated with experience of negative emotions, were activated when non-beautiful images were presented. The conjunction analysis showed activations in temporal areas in response to beautiful images and activations in parietal areas in response to non-beautiful images. These results indicate that beautiful images elicit semantic interpretations whereas non-beautiful images facilitate abstract processes.

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Intracerebral Hemorrhage Caused by Thrombosis of a Developmental Venous Anomaly with an Unusual Structure: A Case Report (특이한 구조의 뇌정맥발달기형 내 혈전증에 의해 생긴 뇌출혈: 증례 보고)

  • Sunhyang Lee;Dae Yoon Kim;Mi Kyung Kim;Hyun Jin Kim
    • Journal of the Korean Society of Radiology
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    • v.83 no.1
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    • pp.199-205
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    • 2022
  • Developmental venous anomalies (DVAs) are common intracranial vascular malformations and they are generally do not cause clinical complications. In cases showing DVA and hemorrhage, the hemorrhage is usually associated with adjacent cavernous malformations. Very few cases of intracerebral hemorrhage (ICH) caused by thrombosis in DVA have been reported in the literature. In this case report, we present an interesting case of a large ICH caused by thrombosis within a DVA with an unusual structure that may have potentiated the thrombosis.

Usefulness of Functional MRI for the study of concentration sheet (Functional MRI를 이용한 학습집중력 향상 시트 개발)

  • Kim, Chang-Gyu
    • Proceedings of the KAIS Fall Conference
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    • 2009.05a
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    • pp.13-17
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    • 2009
  • In this thesis, we made a sheet to improve the concentration of study. To demonstrate the improvement in the concentration of study, we obtained functional magnetic resonance imaging (fMRI), which has superior time resolution and measures brain noninvasively by using intrinsic contrast agent. As a result of Brainwave measurement, we could verify the blood flow's activate in the nearby frontal lobe related to memory process and noticeable ratio change in absolute alpha wave and beta wave after the analysis of Brainwave measurement. fMRI ascertains the physiological function of the brain and is being used to prevent the trouble medically that can be caused before and after the operation. For the visibility of cranial nerve network, many researches will be carried out to develope the product which is related to brain like concentration of study.

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[ $^1H$ ] MR Spectroscopy of the Normal Human Brains: Comparison between Signa and Echospeed 1.5 T System (정상 뇌의 수소 자기공명분광 소견: 1.5 T Signa와 Echospeed 자기공명영상기기에서의 비교)

  • Kang Young Hye;Lee Yoon Mi;Park Sun Won;Suh Chang Hae;Lim Myung Kwan
    • Investigative Magnetic Resonance Imaging
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    • v.8 no.2
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    • pp.79-85
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    • 2004
  • Purpose : To evaluate the usefulness and reproducibility of $^1H$ MRS in different 1.5 T MR machines with different coils to compare the SNR, scan time and the spectral patterns in different brain regions in normal volunteers. Materials and Methods : Localized $^1H$ MR spectroscopy ($^1H$ MRS) was performed in a total of 10 normal volunteers (age; 20-45 years) with spectral parameters adjusted by the autoprescan routine (PROBE package). In all volunteers, MRS was performed in a three times using conventional MRS (Signa Horizon) with 1 channel coil and upgraded MRS (Echospeed plus with EXCITE) with both 1 channel and 8 channel coil. Using these three different machines and coils, SNRs of the spectra in both phantom and volunteers and (pre)scan time of MRS were compared. Two regions of the human brain (basal ganglia and deep white matter) were examined and relative metabolite ratios (NAA/Cr, Cho/Cr, and mI/Cr ratios) were measured in all volunteers. For all spectra, a STEAM localization sequence with three-pulse CHESS $H_2O$ suppression was used, with the following acquisition parameters: TR=3.0/2.0 sec, TE=30 msec, TM=13.7 msec, SW=2500 Hz, SI=2048 pts, AVG : 64/128, and NEX=2/8 (Signa/Echospeed). Results : The SNR was about over $30\%$ higher in Echospeed machine and time for prescan and scan was almost same in different machines and coils. Reliable spectra were obtained on both MRS systems and there were no significant differences in spectral patterns and relative metabolite ratios in two brain regions (p>0.05). Conclusion : Both conventional and new MRI systems are highly reliable and reproducible for $^1H$ MR spectroscopic examinations in human brains and there are no significant differences in applications for $^1H$ MRS between two different MRI systems.

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