• Title/Summary/Keyword: CT/MRI

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The Evaluation about the Information Fidelity in the External Image Information Input - Using DICOM Validation Tool - (외부영상정보 입력 시 DICOM정보 충실성에 대한 평가 - DICOM Validation Tool 이용 -)

  • Lee, Song-Woo;Lee, Ho-Yeon;Do, Ji-Hoon;Jang, Hye-Won
    • Korean Journal of Digital Imaging in Medicine
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    • v.13 no.1
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    • pp.33-38
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    • 2011
  • Now a days, there's many change over for PACS among the most of hospital and it standard for DICOM 3.0. These kind of using of DICOM 3.0 improves increasing of medical imaging exchange and service for patient. However, there's some problems of compatibility caused during carry out CD and DVD from hospital. For this reason, this thesis analyzed patients image targeting those storages requested to hospitals in Seoul by using Validation Toolkit which is recommended from KFDA. The analyze type is like this. Make 100 data, total 500, each of MRI CT Plain x-ray Ultrasound PET-CT images and analyzed type of error occurred and loyalty of information. If express percentage of error occurred statistically, we can get a result as follows MRI 5%, Plain x-ray 11%, CT 18%, US 25%, PET-CT 30%. The reson why percentage of error occurred in PET-CT is because of imperfective support and we could notice that we weren't devoted to information. Even though, PET-CT showed highest percentage of error occurred, currently DICOM data improved a lot compare to past. Moreover, it should be devoted to rule of IHE TOOL or DICOM. In conclusion, we can help radiographer to analyze information of image by providing clues for solving primary problem and further more, each of PACS company or equipment company can enhance fidelity for following standard of image information through realizing the actual problem during transfer of image information.

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Sequential Change of Hypometabolic Metastasis from Non-small-cell Lung Cancer on Brain FDG-PET/CT (연속적인 FDG-PET/CT 검사에서 섭취 감소로 관찰된 비소세포암의 뇌전이)

  • Park, Soon-Ah;Yang, Sei-Hoon;Yang, Chung-Yong;Choi, Keum-Ha
    • Nuclear Medicine and Molecular Imaging
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    • v.43 no.5
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    • pp.505-507
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    • 2009
  • A 60-year-old woman, who had non-small-cell lung cancer (NSCLC) in left lower lobe underwent brain F-18 fluorodeoxyglucose positron emission tomography/computed tomography (FDG-PET/CT) for evaluation of cerebral metastasis. On follow-up FDG-PET/CT, only hypometaolic lesion was detected and progressed in right frontal lobe at 6 months and 10 months, later. Hypermetabolic metastasis was not detected even at last scan time of FDG-PET/CT. Brain MRI showed brain metastasis in right frontal lobe. As might be expected, the physician should take cerebral metastasis into consideration even though there is only hypometabolic change on subsequent FDG-PET/CT in patients with NSCLC.

The Imaging Features of Desmoid Tumors: the Usefulness of Diffusion Weighted Imaging to Differentiate between Desmoid and Malignant Soft Tissue Tumors

  • Lee, Seung Baek;Oh, Soon Nam;Choi, Moon Hyung;Rha, Sung Eun;Jung, Seung Eun;Byun, Jae Young
    • Investigative Magnetic Resonance Imaging
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    • v.21 no.3
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    • pp.162-170
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    • 2017
  • Purpose: To evaluate the imaging findings of desmoid tumors using various imaging modalities and to evaluate whether diffusion-weighted imaging (DWI) can help differentiate between desmoid and malignant tumors. Materials and Methods: The study included 27 patients with pathologically confirmed desmoid tumors. Two radiologists reviewed 23 computed tomography (CT), 12 magnetic resonance imaging (MRI) and 8 positron emission tomography-computed tomography (PET-CT) scans of desmoid tumors and recorded data regarding the shape, multiplicity, size, location, degree of enhancement, and presence or absence of calcification or hemorrhage. The signal intensity of masses on T1- and T2-weighted imaging and the presence or absence of whirling or band-like low signal intensity on T2-weighted imaging were recorded. The apparent diffusion coefficient (ADC) values of the desmoid tumors in nine patients with DWIs were compared with the ADC values of 32 malignant tumors. The maximum standardized uptake value ($SUV_{max}$) on PET-CT images was measured in 8 patients who underwent a PET-CT. Results: The mean size of the 27 tumors was 6.77 cm (range, 2.5-26 cm) and four tumors exhibited multiplicity. The desmoid tumors were classified by shape as either mass forming (n = 18), infiltrative (n = 4), or combined (n = 5). The location of the tumors was either intra-abdominal (n = 15), within the abdominal wall (n = 8) or extra-abdominal (n = 4). Among the 27 tumors, 21 showed moderate to marked enhancement and 22 showed homogeneous enhancement. Two tumors showed calcifications and one displayed hemorrhage. Eleven of the 12 MR T2-weighted images showed whirling or band-like low signal intensity areas in the mass. The mean ADC value of the desmoid tumors ($1493{\times}10^{-6}mm^2/s$) was significantly higher than the mean of the malignant soft tissue tumors ($873{\times}10^{-6}mm^2/s$, P < 0.001). On the PET-CT images, all tumors exhibited an intermediate $SUV_{max}$ (mean, 3.7; range, 2.3-4.5). Conclusion: Desmoids tumors showed homogenous, moderate to marked enhancement on CT and MRI scans and a characteristic whirling or band-like pattern on T2-weighted images. DWI can be useful for the differentiation of desmoid tumors from malignant soft tissue tumors.

Feature extraction of medical image using GLCM (GLCM을 이용한 의료영상 특징정보 추출)

  • Park, Yong Sung;Jeong, Su Young;Kim, Wook;Lim, Ilhan;Kang, Joo Hyun;Lim, Sang Moo;Woo, Sang-Keun
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2017.01a
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    • pp.239-240
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    • 2017
  • 본 연구는 의료영상내 특징정보를 추출 및 평가함으로서 정밀의료 실현 가능성을 확인하고자 하였다. 영상화는 PET/CT 및 MRI 스캐너를 이용하여 암환자의 기능적 정보와 해부학적 정보를 획득하고 관심영역을 설정하였으며 각각의 영상내 특징정보를 추출하였다. 영상내 특징정보는 GLCM을 이용하여 에너지, 대비, 엔트로피, 균질성을 획득하였고, 획득된 영상 데이터에 따른 관심영역 설정 차이를 확인하였다. 영상내 특징 정보는 MRI 영상의 해부학적 정보를 이용한 분석결과에서 엔트로피 및 균질성이 PET 보다 증가 하였고 대비는 감소함을 확인하였다. 추후연구는 다양한 영상내 특징 정보를 획득하고 정밀의료를 위한 기계학습에 활용할 예정이다.

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A Survey and Comparison of 3D Registration of Brain Images Between Marker Based and Feature Based Method (마커 기반과 특징기반에 기초한 뇌 영상의 3차원 정합방법의 비교 . 고찰)

  • 조동욱;김태우;신승수;김지영;김동원;조태경
    • The Journal of the Korea Contents Association
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    • v.3 no.3
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    • pp.85-97
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    • 2003
  • Medical tomography images like CT, MRI, PET, SPECT, fMRI, ett have been widely used for diagnosis and treatment of a patient and for clinical study in hospital. In many cases, tomography images are scanned in several different modalities or with time intervals for a single subject for extracting complementary information and comparing one another. 3D image registration is mapping two sets of images for comparison onto common 3D coordinate space, and may be categorized to marker -based matching and feature-based matching. 3D registration of brain images has an important role for visual and quantitative analysis in localization of treatment area of a brain, brain functional research, brain mapping research, and so on. In this article, marker-based and feature-based matching methods which are often used are introduced.

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The Correlation of MRI Findings to Outcome in Diffuse Axonal Injury Patients (미만성 뇌축삭손상 환자의 자기공명영상 소견과 예후와의 상관관계)

  • Oh, Kyung Seup;Ha, Sung Il;Suh, Bumn Suk;Lee, Hyun Sung;Lee, Jong Soo
    • Journal of Korean Neurosurgical Society
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    • v.30 no.sup1
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    • pp.20-24
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    • 2001
  • Object : We intended to investigate the relationship between the degree of injury on MRI and the outcome of the patients with diffuse axonal inury. Method : From january, 1995 to march, 1999, 22 patients were supposed to have diffuse axonal injuries by means of their neurologic signs and MRI. We investigated their prognosis according to CT, MRI and initial neurologic findings. Result : 1) The lesions were mainly located at white matter of cerebrum, corpus callosum, brainstem, and basal ganglia. 2) The lesions of white matter were most commonly in the frontal lobe and temporal lobe. 3) The majority of corpus callosal lesions were located in the posterior body and splenium, but anterior corpus callosal lesions combined with posterior lesions were not found. 4) Brainstem lesions, all non-hemorrhagic, were mostly located in the dorsolateral aspect, not be found on CT. 5) The brainstem lesions were found in 10 cases among total 22 cases, and corpus callosal lesions were accompanied with 8 cases of brainstem lesions. 6) The patients with brainstem lesions had worse prognosis. Conclusion : It is important and reasonable to take brain MRI to identify the brainstem lesions in any cases of suspicious diffuse axonal injury, and we should remind that the diffuse axonal injury with stem lesion has worse prognosis.

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Langerhans Cell Histiocytosis of the Rib of an Adult Female Patient: a Case Report

  • Oh, Chang Hoon;Kang, Woo Young;Lee, Ok-Jun
    • Investigative Magnetic Resonance Imaging
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    • v.24 no.1
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    • pp.61-65
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    • 2020
  • Langerhans cell histiocytosis (LCH) is generally considered a childhood disease that exhibits various nonspecific clinical and radiological manifestations that mimic infection or malignancy. Here, we present a case of LCH involving the rib in an adult patient. CT and MRI revealed an expansile lytic lesion with periosteal reaction on the left 8th rib, suggesting a malignant bone tumor. Surgical resection was performed and histopathological examination was consistent with LCH. Owing to its rare occurrence in adults and nonspecific aggressive features, LCH should be included in the differential diagnosis of an aggressive-appearing rib lesion in both adults and children.

Giant Benign Schwannoma Involving Sacral Bone - A Case Report - (천골부에 발생한 거대 신경초종 - 증 례 보 고 -)

  • Oh, Kyung Seup;Ha, Sung Il;Lee, Hyun Sung;Lee, Jong Soo;Kwak, Seung Su;Yun, Suk Hoon
    • Journal of Korean Neurosurgical Society
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    • v.30 no.4
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    • pp.509-513
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    • 2001
  • Sacral schwannoma is a rare lesion with a tendency to reach large proportions. The benign schwannoma rarely involves the vertebral bodies extensively. The authors report a case of giant intrasacral schwannoma in 30-year-old woman who had intermittent lower back pain during 3 years period. CT and MRI showed a destructive mass lesion within the upper part of sacrum with a large mass extending into the presacral space. The patient underwent combined surgery consisted of anterior transabdominal approach and posterior sacral laminectomy and total removal of tumor. The characteristics of the lesion were discussed with a review of literatures.

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급속조형기술을 이용한 인체모형의 제작에 관한 연구

  • 이태영;김항묵;채수원;장준근
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 1995.10a
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    • pp.903-906
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    • 1995
  • In this paper,human body models have been manufactured by the use of rapid prototyping techniques, which are to be used for surgery planning in clinical practice. In this manufactacturing process, CT or MRI data of human bodies are prepared and the images are processed to obtain sectional contours. With these contours, three-dimensional surface triangulated models are constructed, which finally transformed to STL file for rapid prototyping. For this purpose, total service system for manufacturing of human body models is constructed by employing commercial softwares, and the related problems and process parameters are investigated

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Multilobular Osteochondrosarcoma of the Cranium in a Miniature Pinscher Dog

  • Kim, Soo-Chan;Lee, Jung-Woo;Jeong, Woo-Chang;Song, Ha-Na;Choi, Soo-Young;Choi, Ho-Jung;Lee, Young-Won
    • Journal of Veterinary Clinics
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    • v.34 no.6
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    • pp.470-473
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    • 2017
  • An eight-year old neutered male miniature pinscher dog was referred with a mass on the right frontal region. Radiography, computed tomography (CT) and magnetic resonance imaging (MRI) examination were performed. Imaging results showed mineralized mass invaded frontal bone without brain parenchymal change and distant metastasis. The mass was removed mostly by surgical resection, and the dog was discharged without any complications. On the histopathological examination, the mass was diagnosed as grade I multilobular osteochondrosarcoma. Though the mass recurred after the surgical resection, the dog is still alive to date without metastasis.