• Title/Summary/Keyword: 자기공명촬영

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Medial Longitudinal Fasciculus on MRI in a Patient with Internuclear Ophthalmoparesis: A Case Report (신경핵사이 눈근육마비환자에서 자기공명영상에서의 내측세로다발: 증례 보고)

  • Kim, Sung Min;Kim, Ho Kyun;Lee, Hui Joong
    • Investigative Magnetic Resonance Imaging
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    • v.18 no.2
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    • pp.167-170
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    • 2014
  • The medial longitudinal fasciculus (MLF) is myelinated composite tract, lying near the midline, ventral to periaqueductal grey matter that plays a key role in coordinating eye movements. A lesion of the MLF results in an ipsilateral adduction deficit and a contralateral abducting nystagmus, referred to as an internuclear ophthalmoparesis. The blended tract with adjacent white matter in pons and midbrain is indistinguishable on brain imaging such as CT and MRI. Until now, to the best of our knowledge, MLF is not delineated on in vivo MRI. We present a case showing the whole connecting courses of MLF lesion on MRI in a patient with inflammatory demyelinating disorder.

Radiologic Findings of Local Effect of Right Adrenal Pheochromocytoma on the Adjacent Liver: A Case Report (우측 부신에서 발생한 갈색세포종이 인접 간에 미치는 국소적 영향에 관한 영상의학적 소견 : 증례 보고)

  • Rhim, Jung-Hyo;Cho, Jeong-Yeon;Kim, Seung-Hyup
    • Investigative Magnetic Resonance Imaging
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    • v.16 no.2
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    • pp.173-176
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    • 2012
  • We report the radiological findings of regional enhancement of the liver adjacent to the right adrenal pheochromocytoma. CT and MRI showed focal strong enhancement of adjacent liver tissue in the arterial phase. However during the delayed phase, the lesion showed iso-attenuation with normal hepatic parenchyma and not delineated. The lesion did not show abnormal signal intensity on neither T1 nor T2 weighted images and indistinguishable from normal parenchyma. The enhancing hepatic lesion was spontaneously regressed on postoperative follow up CT which was taken several months after the adrenalectomy.

A New TE/TR Reduction Technique in MR Pulse Sequences and Its Application to Radial Imaging

  • 김용권;류연철;오창현
    • Proceedings of the KSMRM Conference
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    • 2003.10a
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    • pp.18-18
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    • 2003
  • 목적: MRI 시스템에서 얻어지는 Data는 TR(Repetition Time)과 TE(Echo Time)에 따라서 신호 대잡음비(SNR), 조직들간의 대조도(Contrast), Artifact 및 촬영시간이 결정된다. 이 연구에서는 TR/TE를 줄이는 기법을 이용한 Radial Imaging 영상기법을 제시하고자 한다. 대상 및 방법: 일반적인 Radial Imaging 기법에 HASTE 기법과 Non-uniform sampling 기법의 특징을 이용하여 구현하였으며, TR/TE를 줄일 수 있었으며 얻어진 K-space Data는 가변주파수 역 Fourier Transform을 이용하여 Projection Data를 재구성한 후 Back Projection 기법을 이용하여 최종 영상을 재구성한다.

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Magnetic Resonance Electrical Impedance Tomography

  • 오석훈;이항로;우응제;조민형;이수열
    • Proceedings of the KSMRM Conference
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    • 2002.11a
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    • pp.100-100
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    • 2002
  • 목적: 인체에 전류를 주입하면 체내 생체조직의 임피던스 분포에 따라서 전류밀도 분포가 결정된다. 이러한 전류밀도 분포를 MRI를 이용하여 고해상도로 얻어내면 인체 내부의 임피던스 영상을 구성할 수 있다. 이는 기존의 전기 임피던스 단층 촬영법이 갖는 여러 한계를 극복할 수 있으며 이로부터 생체의 기능에 대한 다양한 정보를 추출할 수 있게 된다. 본 논문은 3차원 팬텀 내부의 전류밀도 분포를 영상화하고 이것으로부터 인체내부의 임피던스 영상을 얻어내는 실험 결과를 기술한다.

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A New Fast Spin Echo MR Imaging Technique for the Simultaneous Dual Echo Image Acquisition (Dual Echo 영상의 동시 획득을 위한 새로운 Fast Spin Echo 자기 공명 영상법)

  • 조민형;이수열
    • Journal of Biomedical Engineering Research
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    • v.19 no.1
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    • pp.91-100
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    • 1998
  • In magnetic resonance imaging, the fast spin echo imaging technique is a widely used clinical imaging method. since its scanning time is much shorter than the conventional spin echo imaging and it gives the almost same image quality. However, the fast spin echo technique has two times longer imaging time for the dual echo acquisition which can obtain a spin density image and a T-give the same qulity images at the single echo imaging time. T he proposed technique reduces the imaging time by overlapping most of were obtained at the 0.3T permanent MRI system are presented.

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Comparative Evaluations of Magnetic Resonance Image, Spiral Computed Tomography and Ultrasound in the Diasnosis of Experimental Diaphragmatic Rupture in the Rabbit (토끼의 횡격막 파열 진단에 있어서 자기공명영상, 나선형전산화단층촬영 및 초음파의 가치 비교)

  • 김학희;정승은;이배영;최병길;신경섭
    • Investigative Magnetic Resonance Imaging
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    • v.1 no.1
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    • pp.154-161
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    • 1997
  • Purpose: Traumatic rupture of the diaphragm is not easy to diagnose and often delayed. Delayed diagnosis of diaphragmatic rupture accompanied by higher chances of strangulation of herniated viscera which may result in higher morbility and mortality. The purpose of this study was to evaluate diagnostic accuracy of spiral CT, MRI and US for the diagnosis of diaphragmatic rupture in an animal model. Materials and Methods: Small, medium, and large sized transabdominal diaphragmatic ruptures were surgically made in experimental rabbits and then followed up with spiral CT, MR!, and US at 1 day, 3 day, and 1 week after operation. Results: US was superior to MR! or spiral CT in diagnosis of diaphragmatic rupture(P(0.05). The sensitivity and specificity were 94.4% and 92.9% for US, 54.0% and 85.7% for MRI, and 46.0% and 78.6% for spiral CT, respectively. The size of laceration was not related to diagnostic sensitivity in US. Sensitivity of MRI and spiral CT increased as the size of laceration were larger, but no statistical significance was present(P>0.05). All experimental animals developed pleural effusion or hemothorax one day after operation. In acute phase, US and MRI were more sensitive than spiral CT in detecting diaphragmatic rupture. Spiral CT was more sensitive than US and MRI in delayed phase but without statistical significance(P>0.05). In the experimental rabbits with accompanying visceral hernia through the diaphragmatic defect, diagnostic accuracy was found equally high among three image modalities(P>0.05). Conclusion: This study indicates that US is the most accurate diagnostic method in detecting injury to the diaphragm in a rabbit model. The findings obtained in this experimental study can be applied to the diaphragmatic rupture of human being.

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Spin MR Imaging : Pitfalls and Artifacts

  • 이영준
    • Proceedings of the KSMRM Conference
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    • 1999.04a
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    • pp.130-136
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    • 1999
  • 척추의 MR촬영은 두부 다음으로 흔하게 시행되고 있는데, 척추의 해부학 적 구조물들은 일반적으로 널리 알려져 있고 이해하기가 쉽기 때문에 척추의 MR영상을 분석하는데 큰 어려움이 없을 수 있다. 관절부위를 포함한 근골격계 MR영상에서는 MR ar디facts가 병변을 관찰하는데 장애를 초래하여 위양성 혹은 위음성의 결과를 나타낼 수 있기 때문에 빈번히 언급되고 있다. 척추 MR영상을 판독하는 데는 다른 근골격계 영상에 비하여 artifact의 빈도 나 정도는 작지만, 의외로 많은 pitfall이나 ar디fact들이 관찰된다. 척추 MR 영상의 pitall과 artifact에 대한 정확한 인지와 이해가 필요한 이유는 MR영상에서 병변이 관찰되지 않거나 정상조직이 병변처럼 관찰될 수 있고, 또 병변의 특정을 잘못 판단할 수 있기 때문에 artifact를 교정하거나 최소화시키고, 방지할 수 있는 방법들을 사용하여 더욱 정확한 척추 MR영상의 결과를 얻는데 있다. 지면 관계상 모든 종류의 MR artifact를 언급하기 보다는 척추 MRI를 판독하면서 병변과 혼동을 주는 MR artifacts를 먼저 살펴보고, 진단적 오류를 범할 수 있는 pitfall들에 대하여 알아보도록 하겠다. 여기에서는 편의상 MR 촬영과 관계된 artifact들만을 artifact라고 하고 MR artifact와 직접적으로 연관이 없으면서 위양성이나 위음성을 초래할 수 있는 pitfall이나 variant를 pitfall로 묵어서 설명하겠다.

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Changes in Total Cerebral Blood Flow with Aging, Parenchymal Volume Changes, and Vascular Abnormalities: a Two-dimensional Phase-Contrast MRI Study (나이와 뇌실질부피 변화 및 혈관이상에 따른 총뇌혈류량 변화: 이차원 위상대조 자기공명영상을 이용한 연구)

  • Liu Haiying;Shin Tae-Beom;Youn Seong-Kuk;Oh Jong-Yong;Lee Young-Il;Choi Sun-Seob
    • Investigative Magnetic Resonance Imaging
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    • v.8 no.1
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    • pp.17-23
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    • 2004
  • Purpose : To evaluate changes in total cerebral blood flow (tCBF) with aging, parenchymal volume changes and vascular abnormalities, using 2 dimensional (D) phase-contrast magnetic resonance imaging (PC MRI). Materials and Methods : Routine brain MRI including T2 weighted image, time-of-flight (TOF) MR Angiography (MRA) and 2D PC MRI were performed in 73 individuals, including 12 volunteers. Normal subjects (12 volunteers, and 21 individuals with normal MRI and normal MRA) were classified into groups according to age (18-29, 30-49 and 50-66 years). For the group with abnormalities in brain MRIs, cerebral parenchymal volume changes were scored according to the T2 weighted images, and atherosclerotic changes were scored according to the MRA findings. Abnormal groups were classified into 4 groups: (i) mild reduction in volume, (ii) marked reduction in volume by parenchymal volume and atherosclerotic changes, and (iii) increased volume and (iv) Moya-moya disease. Volumetric flow was measured at the internal carotid artery (ICA) and vertebral artery bilaterally using the velocity-flow diagrams from PC MRI, and combined 4 vessel flows and tCBF were compared among all the groups. Results : The age-specific distribution of tCBFs in normal subjects were as follows: $12.0{\pm}2.1ml/sec$ in 18-29 years group, $11.8{\pm}1.9ml/sec$ in 30-49 years group, $10.9{\pm}2.2ml/sec$ in 50-66 years group. The distribution of tCBFs in the different subsets of the abnormal population were as follows: $9.5{\pm}2.5ml/sec$ in the group with mild reduction in volume, $7.6{\pm}2.0ml/sec$ in the group with marked reduction in volume, and $7.3{\pm}1.2ml/sec$ and $7.0{\pm}1.1ml/sec$ in the increased parenchymal volume and Moya-moya disease groups respectively. Conclusion : Total cerebral blood flow decreases with increasing age with a concomitant reduction in parenchymal volumes and increasing atherosclerotic changes. It is also reduced in the presence of increased parenchymal volume and Moya-moya disease.2D PC MRI can be used as a tool to evaluate tCBF with aging and in the presence of various conditions that can affect parenchymal volume and cerebral vasculature.

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A Case of Xanthogranulomatous Pyelonephritis with Nephropleural Fistula Formation: Role of MRI in Diagnosis and Treatment (황색육아종성 신우신염의 신장-흉강 누공 형성의 증례: 진단과 치료에서의 자기공명영상의 역할)

  • Geon Yang Lee;Sung Kyoung Moon;Myung-Won You;Joo Won Lim
    • Journal of the Korean Society of Radiology
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    • v.82 no.2
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    • pp.475-480
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    • 2021
  • Xanthogranulomatous pyelonephritis (XGP) is a rare type of chronic bacterial nephritis, which rarely involves the invasion of adjacent organs or the formation of fistulas due to tissue-destructive granulomatous reactions. Although the invasions of various adjacent organs have been reported in several cases of XGP, MRI data on their features are limited. MRI has a better soft-tissue resolution than CT. Thus, it can identify the extent of extrarenal involvement in advanced XGP, and the findings can be used in treatment planning. Herein, we report a rare case of XGP with nephropleural fistula formation diagnosed using CT and MRI.