• Journal of the Korean Society of Radiology
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• v.84 no.1
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• pp.226-239
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• 2023

Purpose To compare the sensitivities of T2-weighted image (T2WI) and susceptibility-weighted imaging (SWI) in detecting cerebral arteriovenous fistula (AVF), cerebral arteriovenous malformation (AVM), and carotid-cavernous sinus fistula (CCF), and to qualitatively evaluate single-echo SWI (s-SWI) and multi-echo SWI (m-SWI) in characterizing vascular lesions. Materials and Methods From January 2016 to December 2021, cerebral angiography-proven lesions were recruited. The sensitivities of T2WI and SWI in detecting vascular lesions were compared using McNemar's test. Qualitative evaluations of s-SWI and m-SWI were categorized to be of poor, average, or good quality and compared using Fisher's exact test. Results A total of 24 patients (mean age: 61 years, 12 female, and 12 male) were enrolled. Twenty patients underwent s-SWI or m-SWI, and four patients underwent both. AVF, AVM, and CCF were diagnosed in 10, 11, and 3 patients, respectively. SWI demonstrated higher sensitivity compared to that of T2WI (82.1% vs. 53.6%, p = 0.013). m-SWI showed better image quality compared to that of s-SWI (good quality, 83.3% vs. 25.0%, p = 0.009). Conclusion SWI demonstrated a higher sensitivity for detecting cerebral arteriovenous shunts compared to that of T2WI. m-SWI exhibited better image quality compared to that of s-SWI in characterizing vascular lesions.

• Investigative Magnetic Resonance Imaging
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• v.11 no.2
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• pp.103-109
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• 2007

To develop an advanced non-linear curve fitting (NLCF) algorithm for performing dynamic susceptibility contrast study of the brain. The first pass effects give rise to spuriously high estimates of $K^{trans}$ for the voxels that represent the large vascular components. An explicit threshold value was used to reject voxels. The blood perfusion and volume estimation were accurately evaluated in the $T2^*$-weighted dynamic contrast enhanced (DCE)-MR images. From each of the recalculated parameters, a perfusion weighted image was outlined by using the modified non-linear curve fitting algorithm. The present study demonstrated an improvement of an estimation of the kinetic parameters from the DCE $T2^*$-weighted magnetic resonance imaging data with using contrast agents.

• Journal of the Korean Society of Radiology
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• v.7 no.1
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• pp.57-62
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• 2013

Despite the many advantages of magnetic resonance imaging in orthopedic prosthetic body image distortion to the differences in the magnetic susceptibility occurs. Attached to the phantom and pork produced by the same $65{\times}15{\times}2mm$ stainless steel and titanium specimen examined the relationship between magnetic resonance imaging and phantom images, the signal intensity changes of the subcutaneous tissue, fat-suppressed quantitative assessment of the degree through the length of image distortion and pig bones. Stainless steel to titanium to 2.8 times 4.4 times in the longitudinal direction than in the direction of the height of large image distortion, signal strength is relatively low 58.5%. Normal 56.2% compared to the subcutaneous tissue, fat-suppressed, were stainless steel 16.04%, 54.53% titanium. Experimental results than the diagnostic value of magnetic resonance imaging (MRI) images of stainless steel with a titanium metal if better could see.

• Investigative Magnetic Resonance Imaging
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• v.4 no.2
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• pp.113-119
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• 2000

Purpose : To know the possibility of clinical application of MRI using oxygen inhalation as a perfusion MRI Materials and methods : Two healthy volunteers and three patients of one moyamoya disease, one acute infarction and one meningioma were studied using a 1.5 Tesla MRI unit. Oxygen (15 liters/min) mixed with room air was given using face mask from 8 second to 35 second during the study. Images were acquired 25 times (scan time per study were 1.6 seconds) using susceptibility contrast EPI (echo planar image) sequence. Difference maps were acquired by early (study 12-18), and late (study 19-25) O2 inhalation image groups minus pre-O2 inhalation image group (study 3-9) with a Z-score of 0.7-1.0 using VB31C program of Magneton Vision. The resulting perfusion images were created by superimposition of difference maps on corresponding T1 weighted anatomic images. On moyamoya patient, similar perfusion images were acquired after Gd-DTPA injection, and compared with O2 inhalation perfusion images. Results ; The author can get the perfusion images of the brain by oxygen inhalation with susceptibility contrast EPI sequence at the volunteers, and the patient of moyomoya disease, acute infarction and meningioma. On moyamoya patient, perfusion images with O2 inhalation are similar with perfusion images by Gd-DTPA injection. Conclusion 1 This study has demonstrated that the susceptibility contrast EPI by oxygen inhalation can be used as the clinically useful perfusion MRI technique

• Journal of the Korean Society of Radiology
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• v.82 no.5
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• pp.1274-1280
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• 2021

Acute necrotizing encephalopathy (ANE) is a rare but distinctive type of influenza-associated encephalopathy characterized by symmetric multiple lesions with an invariable thalamic involvement. Although the exact pathogenesis of ANE remains unclear, the most prevalent hypothesis is the "cytokine storm," which results in blood-brain-barrier breakdown. We present the case of a 10-year-old boy with fulminant ANE confirmed with serial MRI studies, including diffusion-weighted imaging and susceptibility-weighted imaging. A comparison of these serial images demonstrated detailed and longitudinal changes in MRI findings during the clinical course corresponding to pathophysiological changes. Our case clarifies the pathogenesis of ANE brain lesions using serial imaging studies and suggests that early immunomodulatory therapy reduces brain damage.

• Proceedings of the KSMRM Conference
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• 2002.11a
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• pp.103-103
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• 2002

목적：자화율 대조법을 사용한 관류 영상에서 동시획득 $T_{1}T_{2}^{*}$ 강조 경사 자장 펄스열을 사용하여 Gd-DTPA에 의한 $T_{1}T_{2}^{*}$ 감소 효과를 동시에 획득하여 종양의 치료 효과, 판정에 중요한 기준을 제시할 수 있는 정확한 관류 정보를 얻고자 한다. 대상 및 방법： Gd-DTPA에 의한 $T_{1}T_{2}^{*}$ 감소 효과를 동시에 획득하기 위하여 기존의 이중 경사자장 펄스열을 수정, 동시획득 $T_{1}T_{2}^{*}$ 강조 경사자장 펄스열을 개발하였고, 시간 해상도를 높이기 위하여 key-hole 방법을 사용하였다. 고정 phantom으로 Sephadex를 다양한 농도의 Gd-DTPA 용액에 swelling하여 사용하였고, 관류 phantom으로는 Sephadex와 Dialyzer를 사용하였다. Sephadex는 swelling 하였을 때 $T_1$, $T_2$값이 생체 조직의 값과 비슷하고, 물을 관류시킬 수 있어 생체 모형에 적합한 phantom이다 .관류 phantom은 정량 펌프에 연결하여 사용하였다. Sephadex 관류 phantom에서는 분당 약 4$m\ell$ 속도로 관류시키면서 25 mM Gd-DTPA을 0.1$m\ell$ 일시 주입하여 관류 방향에 수직인 coronal 영상을 약 15분 동안 얻었다. 투과도를 구하기 위한 phantom으로는 hollow fiber type Dialyzer를 사용하였고, in vivo에서 1차 관류 이후에 현관 밖에서의 Gd농도가 높고 혈관 내부의 농도가 낮은 상태를 만들기 위하여 fiber 바깥쪽으로 500 mM Gd-DTPA 2 ml를 미리 넣어두고 fiber 내부로 이보다 낮은 농도의 Gd 용액을 관류시키면서 약 1시간동안 영상을 얻었다. 관류 영상에서 $T_1$/$T_{2}^{*}$ 감소 효과를 구분하여 구한 $\DeltaR_1$, $\DeltaR_2$ 곡선의 적분값으로부터 관류량을 구하고, 2 구획 모델을 적용하여 투과도를 구했다.

• Proceedings of the KSMRM Conference
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• 2002.11a
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• pp.127-127
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• 2002

목적： 자화율 대조법을 사용한 관류 영상에서 동시획득 $T_{1}{/}T_{2}^{*}$ 강조 경사 자장 펄스열을 사용하여 Gd-DTPA에 의한 $T_{1}{/}T_{2}^{*}$ 감소 효과를 동시에 획득하여 종양의 치료 효과, 판정에 중요한 기준을 제시할 수 있는 정확한 관류 정보를 얻고자 한다. 대상 및 방법： Gd-DTPA에 의한 $T_{1}{/}T_{2}^{*}$ 감소 효과를 동시에 획득하기 위하여 기존의 이중 경사자장 펄스열을 수정, 동시획득 $T_{1}{/}T_{2}^{*}$ 강조 경사자장 펄스열을 개발하였고, 시간 해상도를 높이기 위하여 key-hole 방법을 사용하였다. 고정 phantom으로 Sephadex를 다양한 농도의 Gd-DTPA 용액에 swelling하여 사용하였고, 관류 phantom으로는 Sephadex와 Dialyzer를 사용하였다. Sephadex는 swelling 하였을 때 $T_1$, $T_2$값이 생체 조직의 값과 비슷하고, 물을 관류시킬 수 있어 생체 모형에 적합한 phantom이다. 관류 phantom은 정량 펌프에 연결하여 사용하였다. Sephadex 관류 phantom에서는 분당 약 4$m\ell$ 속도로 관류시키면서 25 mM Gd-DTPA을 0.1$m\ell$ 일시 주입하여 관류 방향에 수직인 coronal 영상을 약 15분 동안 얻었다. 투과도를 구하기 위한 phantom으로는 hollow fiber type Dialyzer를 사용하였고, in vivo에서 1차 관류 이후에 혈관 밖에서의 Gd 농도가 높고 혈관 내부의 농도가 낮은 상태를 만들기 위하여 fiber 바깥쪽으로 500mM Gd-DTPA 2$m\ell$를 미리 넣어두고 fiber 내부로 이보다 낮은 농도의 Gd 용액을 관류시키면서 약 1시간동안 영상을 얻었다. 관류 영상에서 $T_{1}{/}T_{2}^{*}$ 감소 효과를 구분하여 구한 $\Delta{R}_{1}$, $\Delta{R}_{2}^{*}$ 곡선의 적분값으로부터 관류량을 구하고, 2 구획 모델을 적용하여 투과도를 구했다.

• Investigative Magnetic Resonance Imaging
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• v.10 no.2
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• pp.98-107
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• 2006

Magnetization Transfer (MT) imaging generates contrast dependent on the phenomenon of magnetization exchange between free water proton and restricted proton in macromolecules. In biological materials in knee, MT or cross-relaxation is commonly modeled using two spin pools identified by their different T2 relaxation times. Two models for cross-relaxation emphasize the role of proton chemical exchange between protons of water and exchangeable protons on macromolecules, as well as through dipole-dipole interaction between the water and macromolecule protons. The most essential tool in medical image manipulation is the ability to adjust the contrast and intensity. Thus, it is desirable to adjust the contrast and intensity of an image interactively in the real time. The proton density (PD) and T2-weighted SE MR images allow the depiction of knee structures and can demonstrate defects and gross morphologic changes. The PD- and T2-weighted images also show the cartilage internal pathology due to the more intermediate signal of the knee joint in these sequences. Suppression of fat extends the dynamic range of tissue contrast, removes chemical shift artifacts, and decreases motion-related ghost artifacts. Like fat saturation, phase sensitive methods are also based on the difference in precession frequencies of water and fat. In this study, phase sensitive methods look at the phase difference that is accumulated in time as a result of Larmor frequency differences rather than using this difference directly. Although how MT work was given with clinical evidence that leads to quantitative model for MT in tissues, the mathematical formalism used to describe the MT effect applies to explaining to evaluate knee disorder, such as anterior cruciate ligament (ACL) tear and meniscal tear. Calculation of the effect of the effect of the MT saturation is given in the magnetization transfer ratio (MTR) which is a quantitative measure of the relative decrease in signal intensity due to the MT pulse.

• Journal of the Korean Society of Radiology
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• v.13 no.7
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• pp.1025-1033
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• 2019

Although magnetic resonance imaging without linear hardening of CT is recognized as a method of obtaining high contrast of tissue and excellent resolution image in brain disease and head and neck examination, magnetic susceptibility artifact is generated in case of metal implants in the oral cavity, which is an obstacle to image diagnosis. Therefore, an effort was made in this thesis to find a method to reduce artifacts caused by dental implants and prosthesis in MRI. Implant-induced artifacts in magnetic resonance imaging showed that the signal size increased with shorter TE in GE technique and was inconsistent with water temperature change. In SE technique as well, the signal size of water was generally higher than that of air, but the signal to noise ratio (SNR) was not different by air and temperature. In EPI technique, images with fewer artifacts were obtained quantitatively and qualitatively when there was more water than air, and the signal to noise ratio was measured the highest, especially at water temperatures of 20° and 30°. In conclusion, when examining using the EPI technique rather than the SE or the GE technique, obtaining brain diffusion using a 20° and 30° water bag reduces the magnetic susceptibility artifacts caused by implants and prosthesis, suggesting that it may provide images with high diagnostic value.

• Journal of radiological science and technology
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• v.44 no.1
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• pp.25-30
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• 2021

The purpose was to reduce the distortion of the image that occurs in the temporal bone area due to the very strong differences in susceptibility. A new SS-TSE technique was applied when examining the diffusion-weighted image of the temporal bone, where the auditory and facial nerves to be imaged were very thin and were adjacent to the cranial base including bone and air. This study was conducted from March 2020 to August of the same year, targeting 32 subjects who underwent the diffusion-weighted imaging of the temporal bone. To compare the distortion, existing SS-EPI technique and the new SS-TSE technique were both applied on the temporal bone area. As a result of the study, applying the new SS-TSE technique appeared to lower the distortion of images by 87.44, 46.13 and 42.35 % on the b-value 0, 800 and the ADC images, respectively. In conclusion, when using the new SS-TSE technique on the temporal bone DWI, distortion can be reduced, and thus images with high diagnostic value can be obtained.