• Title/Summary/Keyword: Brain magnetic resonance imaging (MRI)

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Brain Abscess Showing a Lack of Restricted Diffusion and Successfully Treated with Linezolid

  • Kim, Joo-hyun;Park, Sang-phil;Moon, Byung-gwan;Kim, Deok-ryeong
    • Brain Tumor Research and Treatment
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    • v.6 no.2
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    • pp.92-96
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    • 2018
  • A 59-year-old patient with a history of hepatocellular carcinoma presented with decreased consciousness and left hemiparesis. A rim-enhanced mass lesion without diffusion restriction was observed in contrast-enhanced MRI including diffusion-weighted imaging. Based on these findings, metastatic brain tumor was suspected. However, brain abscess (BA) was diagnosed after multiple bacterial colonies were observed in aspiration biopsy. Initial conventional antibiotic treatment including vancomycin had failed, so linezolid was used as second-line therapy. As a result, infection signs and clinical symptoms were resolved. We report a case with atypical imaging features and antibiotic susceptibility of a BA in an immunocompromised patient undergoing chemotherapy.

Patterns of ischemic injury on brain images in neonatal group B Streptococcal meningitis

  • Choi, Seo Yeol;Kim, Jong-Wan;Ko, Ji Won;Lee, Young Seok;Chang, Young Pyo
    • Clinical and Experimental Pediatrics
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    • v.61 no.8
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    • pp.245-252
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    • 2018
  • Purpose: This study investigated patterns of ischemic injury observed in brain images from patients with neonatal group B Streptococcal (GBS) meningitis. Methods: Clinical findings and brain images from eight term or near-term newborn infants with GBS meningitis were reviewed. Results: GBS meningitis was confirmed in all 8 infants via cerebrospinal fluid (CSF) analysis, and patients tested positive for GBS in both blood and CSF cultures. Six infants (75.0%) showed early onset manifestation of the disease (<7 days); the remaining 2 (25.0%) showed late onset manifestation. In 6 infants (75%), cranial ultrasonography showed focal or diffuse echogenicity, suggesting hypoxic-ischemic injury in the basal ganglia, cerebral hemispheres, and periventricular or subcortical white matter; these findings are compatible with meningitis. Findings from magnetic resonance imaging (MRI) were compatible with bacterial meningitis, showing prominent leptomeningeal enhancement, a widening echogenic interhemisphere, and ventricular wall thickening in all infants. Restrictive ischemic lesions observed through diffusion-weighted imaging were evident in all eight infants. Patterns of ischemic injury as detected through MRI were subdivided into 3 groups: 3 infants (37.5%) predominantly showed multiple punctuate lesions in the basal ganglia, 2 infants (25.0%) showed focal or diffuse cerebral infarcts, and 3 infants (37.5%) predominantly showed focal subcortical or periventricular white matter lesions. Four infants (50%) showed significant developmental delay or cerebral palsy. Conclusion: Certain patterns of ischemic injury are commonly recognized in brain images from patients with neonatal GBS meningitis, and this ischemic complication may modify disease processes and contribute to poor neurologic outcomes.

Image Reconstruction of Eigenvalue of Diffusion Principal Axis Using Diffusion Tensor Imaging (확산텐서영상을 이용한 확산 주축의 고유치 영상 재구성)

  • Kim, In-Seong;Kim, Joo-Hyun;Yeon, Gun;Suh, Kyung-Jin;Yoo, Don-Sik;Kang, Duk-Sik;Bae, Sung-Jin;Chang, Yong-Min
    • Investigative Magnetic Resonance Imaging
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    • v.11 no.2
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    • pp.110-118
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    • 2007
  • Purpose: The objective of this work to construct eigenvalue maps that have information of magnitude of three primary diffusion directions using diffusion tensor images. Materials and Methods: To construct eigenvalue maps, we used a 3.0T MRI scanner. We also compared the Moore-Penrose pseudo-inverse matrix method and the SVD (single value decomposition) method to calculate magnitude of three primary diffusion directions. Eigenvalue maps were constructed by calculating of magnitude of three primary diffusion directions. We did investigate the relationship between eigenvalue maps and fractional anisotropy map. Results: Using Diffusion Tensor Images by diffusion tensor imaging sequence, we did construct eigenvalue maps of three primary diffusion directions. Comparison between eigenvalue maps and Fractional Anisotropy map shows what is difference of Fractional Anisotropy value in brain anatomy. Furthermore, through the simulation of variable eigenvalues, we confirmed changes of Fractional Anisotropy values by variable eigenvalues. And Fractional anisotropy was not determined by magnitude of each primary diffusion direction, but it was determined by combination of each primary diffusion direction. Conclusion: By construction of eigenvalue maps, we can confirm what is the reason of fractional anisotropy variation by measurement the magnitude of three primary diffusion directions on lesion of brain white matter, using eigenvalue maps and fractional anisotropy map.

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

  • Kim, Chang-Gyu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.10
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    • pp.2985-2989
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    • 2009
  • An experiment was conducted to examine the effects of ceramic sheet on concentration of students studies. 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.

Intracranial ipoma : CT and MRI Findings

  • Lee, Jong-Deok;Choi, Chang-Min
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.3
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    • pp.830-833
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    • 2005
  • Intracranial lipomas are rare lesions, which are believed to be congenital malformations. They are usually asymptomatic incidental findings and localized in the midline. However, they may occasionally produce neurological symptoms such as seizure, headache, mental changes, paresis. Currently, diagnosis of intracranial lipomas is made on based of imaging modalities, particularly Magnetic resonance imaging(MRI). Because Lipomas are strongly adherent to the surroundings and typically enclose both vessels and nerves, Surgical approach is rarely indicated.

Transmit Receive RF Resonator Optimization at 7 T MRI System (7 T 자기공명영상시스템에서의 송수신 RF 공진기 최적화)

  • Alam, Mohammad Wajih;Yoo, Hyoungsuk
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.65 no.10
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    • pp.1727-1730
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    • 2016
  • Magnetic resonance imaging has a potential to produce clear anatomical as well as functional images of human body. However, the ability to diagnose is limited by signal to noise ratio (SNR) and the resolution of current medical systems. To remove the challenges prevalent due to the use of high field scanners, dedicated radio frequency coils are used. Transverse electromagnetic coils have an advantage of providing homogeneous magnetic field throughout the region but with low signal to noise ratio while surface coils have an advantage of providing higher signal to noise ratio but with low homogeneity. This research combines both the advantage into one by utilizing transmit only transverse electromagnetic radio frequency coils (8 channel) along with receive only surface coils (by varying the number) for better imaging of brain. A 7 Tesla 32-channel close fitting helmet shaped phased-array surface coils along with the combination of 8 channel transmit only transverse electromagnetic coils provided good homogeneity as well as significant SNR improvements throughout the human brain.

Visual recovery demonstrated by functional MRI and diffusion tensor tractography in bilateral occipital lobe infarction

  • Seo, Jeong Pyo;Jang, Sung Ho
    • Journal of Yeungnam Medical Science
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    • v.31 no.2
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    • pp.152-156
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    • 2014
  • We report on a patient who showed visual recovery following bilateral occipital lobe infarct, as evaluated by follow up functional magnetic resonance imaging (fMRI) and diffusion tensor tractography (DTT). A 56-year-old female patient exhibited severe visual impairment since onset of the cerebral infarct in the bilateral occipital lobes. The patient complained that she could not see anything, although the central part of the visual field remained dimly at 1 week after onset. However, her visual function has shown improvement with time. As a result, at 5 weeks after onset, she notified that her visual field and visual acuity had improved. fMRI and DTT were acquired at 1 week and 4 weeks after onset, using a 1.5-T Philips Gyroscan Intera. The fiber number of left optic radiation (OR) increased from 257 (1-week) to 353 (4-week), although the fiber numbers for right OR were similar. No activation in the occipital lobe was observed on 1-week fMRI. By contrast, activation of the visual cortex, including the bilateral primary visual cortex, was observed on 4-week fMRI. We demonstrated visual recovery in this patient in terms of the changes observed on DTT and fMRI. It appears that the recovery of the left OR was attributed more to resolution of local factors, such as peri-infarct edema, than brain plasticity.

Electrical Impedance Tomography and Biomedical Applications

  • Woo, Eung-Je
    • 한국지구물리탐사학회:학술대회논문집
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    • 2007.06a
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    • pp.1-6
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    • 2007
  • Two impedance imaging systems of multi-frequency electrical impedance tomography (MFEIT) and magnetic resonance electrical impedance tomography (MREIT) are described. MFEIT utilizes boundary measurements of current-voltage data at multiple frequencies to reconstruct cross-sectional images of a complex conductivity distribution (${\sigma}+i{\omega}{\varepsilon}$) inside the human body. The inverse problem in MFEIT is ill-posed due to the nonlinearity and low sensitivity between the boundary measurement and the complex conductivity. In MFEIT, we therefore focus on time- and frequency-difference imaging with a low spatial resolution and high temporal resolution. Multi-frequency time- and frequency-difference images in the frequency range of 10 Hz to 500 kHz are presented. In MREIT, we use an MRI scanner to measure an internal distribution of induced magnetic flux density subject to an injection current. This internal information enables us to reconstruct cross-sectional images of an internal conductivity distribution with a high spatial resolution. Conductivity image of a postmortem canine brain is presented and it shows a clear contrast between gray and white matters. Clinical applications for imaging the brain, breast, thorax, abdomen, and others are briefly discussed.

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A Case Report of Idiopathic Bilateral Internuclear Ophthalmoplegia (특발성 양안성 핵간안근마비 1례)

  • Eom, Ye-Jin;Hong, Chul-Hee
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.29 no.3
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    • pp.177-185
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    • 2016
  • Objectives : The aim of this study is to report the effect of Korean medicine treatment on bilateral internuclear ophthalmoplegia without abnormal findings on brain magnetic resonance imaging.Methods : The patient was treated by using acupuncture, electroacupuncture treatment and hominis placenta pharmacoacupuncture. The change of eye movement and strabismus were evaluated by comparison the photographs of the extraocular movements of patient. Strabismus also was evaluated by corneal reflex test.Results : Adduction of both eyes were improved after Korean medicine treatment. The amplitude and frequency of nystagmus showed a tendency to decrease in both eyes.Conclusions : Korean medicine treatment should be effective for the idiopathic bilateral internuclear ophthalmoplegia.

Investigation of a Photothrombosis Inducing System for an Observation of Transient Variations in an in vivo Rat Brain

  • Oh, Sung Suk;Park, Hye Jin;Min, Han Sol;Kim, Sang Dong;Bae, Seung Kuk;Kim, Jun Sik;Ryu, Rae-Hyung;Kim, Jong Chul;Kim, Sang Hyun;Lee, Seong-jun;Kang, Bong Keun;Choi, Jong-ryul;Sohn, Jeong-woo
    • Current Optics and Photonics
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    • v.2 no.6
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    • pp.499-507
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    • 2018
  • For the spatiotemporally aligned observation of photothrombosis induction and transient variations of in vivo brain stroke, we developed a novel photothrombosis inducing system compatible to a magnetic resonance imaging (MRI) system using nonmagnetic stereotaxic equipment. From the spatial point of view, the system provides a more reliable level of reproducibility of the photothrombosis in each brain. From the temporal point of view, from T1- and T2-weighted in vivo MR (magnetic resonance) images, the transient variations such as incidence, location, and size of the thrombosis are measured quantitatively. In addition, the final variation is observed in the ex vivo brain by TTC (Triphenyltetrazolium chloride) staining based on histological assay and utilized for the verification of the MR images. From the experimental result of the rat brain, the proposed system shows more reliable characteristics for transient variations of brain strokes.