• Title/Summary/Keyword: Cine

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Identification and Assessment of Paradoxical Ventricular Wall Motion Using ECG Gated Blood Pool Scan - Comparison of Cine Loop, Phase Analysis and Paradox Image - (ECG Gated Blood Pool Scan을 이용한 심실벽 역행성 운동의 평가 - Cine Loop, Phase Analysis, Paradox Image의 비교 -)

  • Lee, Jae-Tae;Kim, Gwang-Weon;Jeong, Byeong-Cheon;Lee, Kyu-Bo;Whang, Kee-Suk;Chae, Sung-Chul;Jeon, Jae-Eun;Park, Wee-Hyun;Lee, Hyong-Woo;Chung, Jin-Hong
    • The Korean Journal of Nuclear Medicine
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    • v.24 no.2
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    • pp.244-253
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    • 1990
  • Sixty-four patients with paradoxical ventricular wall motion noticed both in angiocardiography or 2-dimensional echocardiography were assessed by ECG gated blood pool scan (GBPS). Endless cine loop image, phase and amplitude images and paradox image obtained by visual inspection of each cardiac beat or Fourier transformation of acquired raw data were investigated to determine the incremental value of GBPS with these processing methods for identification of paradoxical ventricular wall motion. The results were as follows: 1) Paradoxical wall motions were observed on interventricular septum in 34 cases, left ventricular free wall in 26 and right ventricular wall in 24. Underlying heart diseases were ischemic (23 cases) valvular(9), congenital heart disease (12), cardiomyopathy (5). pericardial effusion(5), post cardiac surgery(3), col pulmonale (2), endocarditis(1) and right ventricular tumor(1). 2) Left ventricular ejection fractions of patients with paradoxical left ventricular wall motion were significantly lower than those with paradoxical septal motion(p<0.005). 3) The sensitivity of each processing methods for detecting paradoxical wall motion was 76.9% by phase analysis, 74.6% by endless cine loop mapping and 68.4% by paradox image manipultion respectively. Paradoxial motions visualized only in phase, paradox or both images were appeared as hypokinesia or akinesia in cine loop image. 4) All events could be identified by at least one of above three processing methods, however only 34 cases (48.4%) showed the paradoxical molies in all of the three images. By these findings, we concluded that simultaneous inspection of all above three processing methods-endless cine loop, phase analysis and paradox image-is necessary for accurate identification and assessment of paradoxical ventricular wall motion when performing GBPS.

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Clinical Usefulness of Phase-Contrast Cine MRI Evaluation in Patients with Cervical Myelopathy (경추 척수병증 환자에 있어서 Phase-Contrast Cine MRI 평가의 임상적 유용성)

  • Lim, Jeong-Hwan;Song, Jun-Hyeok;Shin, Kyu-Man;Kim, Sung-Hak
    • Journal of Korean Neurosurgical Society
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    • v.29 no.12
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    • pp.1634-1641
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    • 2000
  • Objective : The cerebrospinal fluid(CSF) pulsates within the craniospinal axis in response to rhythmic cerebral blood volume variation during the cardiac cycle. The aim of this study is to characterize the normal and abnormal CSF flow and its waveforms in the cervical spinal subarachnoid space. Methods : The magnetic resonance(MR) images were obtained with 1.5 T(GE Signa, GE Medical Systems, Milwaukee, USA) unit using the 2 dimensional cine PC(phase contrast) sequence with cardiac gating and gradient recalled echo imaging. This pulse sequence yielded 16 quantitative flow-encoded images per cardiac cycle. Sagittal and axial images of the cervical spinal CSF space were obtained, and target sites were analyzed for characteristic CSF flow (TR=50ms, TE=12.5-15ms). The region of interest(ROI) was 1mm 3 in volume. Twenty six persons were included in this study : 10 healthy volunteers and 16 patients with cervical myelopathy. The post-operative cine MR study were also done in five patients. Results : The normal CSF pulsation dynamics in the cervical spine showed discrete systolic and diastolic components. The CSF flow revealed a sine wave pattern, in which the systolic phase was shorter than the diastolic phase(ratio=2 : 3). The patient group revealed decreased amplitudes of the CSF flow and irregularly distored flow waves. The systolic phase was elongated in the ROI above the stenotic level, whereas the diastolic phase was lengthened below the level. In the postoperative images, the abnormal pattern and amplitude were found to be corrected. Conclusion : From these results, the authors believe that the CSF flow study provides valuable informations regarding the extent of cervical stenosis and may be useful for the surgical planning and post-operative evaluation.

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Enfrentamiento con el trauma a través de análisis de personajes femeninos en (영화, <루시아>의 여성 인물 분석을 통한 트라우마 직면의 문제)

  • Park, Chong-Wook
    • Iberoamérica
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    • v.12 no.1
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    • pp.187-212
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    • 2010
  • El cine como medio de narrar el trauma histórico de los cubanos se formó especialmente en los años sesenta gracias al Instituto Cubano del Arte e Industria Cinematográficos y se sitúa en la cumbre. En el cine hecho por el director cubano Humberto Solás el discurso de historia, trauma y su memoria tiende a relatar básicamente sobre el mensaje de no olvidar el trauma histórico a través de buscar la manera eficaz e intrínseca de narrarlo. El hecho de no olvidar el trauma histórico y de poder enfrentarse con los elementos causantes del trauma significa el poder de tener la posibilidad probable de adquirir la mirada objetiva para observar la experiencia 'histórica' y la memoria 'cotidiana', y sus relaciones. Si consideramos el hecho de que la tendencia de la víctima suele querer olvidar la memoria del trauma por el miedo y dolor de enfrentarse con la representación del trauma, el enfrentarse con el trauma representado ya puede significar que la víctima esté en un trámite de conseguir la penetración con la cual supera lo negativo que le ofrece el trauma a la víctima. Este artículo se dedica especialmente para averiguar la estrategia del director cubano para realizar este fin de encontrar la manera adecuada en narrar el trauma cubano para que los cubanos puedan adquirir la penetración a través de la identificación y la simpatía entre los personajes del cine y los espectadores, enfocando con detalle en los carácteres de los protagonistas femeninas que son tres diferentes individuos en el mismo número de episodios. Cada protagonista, Lucía en cada episodio experimenta el trauma personal con diversos motivos, pero a pesar del dolor y del miedo del trauma histórico se despiertan los espectadores, quienes se identifican con la protagonista a través de la simpatía y la identificación, llegándose al momento de conseguir la penetración con la cual mira el futuro de la sociedad cubana con el objetivismo libre de los traumas históricos.

La plaza pública carnavalesca: Madrid en el cine de Pedro Almodóvar (카니발의 광장: 알모도바르 영화 속의 마드리드)

  • Yim, Ho-Joon
    • Iberoamérica
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    • v.12 no.1
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    • pp.349-374
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    • 2010
  • En realidad ningún otro cineasta español que Pedro Almodóvar ha centrado tan obsesivamente en Madrid. Casi todas sus obras se ocupan de la capital de España como espacio cinematográfico. Como uno de los protagonistas de La Movida, Almodóvar es un producto de Madrid de la Transición que dió luz a la nueva sociedad democrática. En principio, Madrid en las películas de Almodóvar se convierte en un espacio carnavalesco desde la perspectiva bajtiniana. El crítico ruso ha exaltado la plaza pública de los pueblos medievales europeos como el espacio carnavalesco en el que los contactos libres y familiares se realizan y el principio de lo corporal y lo material predomina. Para Bajtín, el carnaval es básicamente un rito político en el que el individuo parece dotado de una segunda vida que le permite establecer nuevas relaciones verdaderamente humanas con sus semejantes sin ninguna represión. Así que en el mundo carnavalesco todo lo sagrado, lo oficial y lo privilegiado se destronan, y en cambio lo grosero, lo extra-oficial y lo bajo se reivindican. Como los participantes del carnaval, los personajes de Almodóvar disfrutan de una segunda vida en un Madrid del mundo al revés. Por otra parte, la representación carnavalesca de Madrid tiene una tradición rica y larga en el arte español. Entre muchos artistas Goya, Arniches, Valle-Inclán y Buñuel son los antecedentes destacados de esta tradición. Así pues se puede concluir que la estética del cine de Almodóvar está anclada en la tradición hispánica del carnavalismo más bien que la estética global de la posmodernidad.

Review on Usefulness of EPID (Electronic Portal Imaging Device) (EPID (Electronic Portal Imaging Device)의 유용성에 관한 고찰)

  • Lee, Choong Won;Park, Do Keun;Choi, A Hyun;Ahn, Jong Ho;Song, Ki Weon
    • The Journal of Korean Society for Radiation Therapy
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    • v.25 no.1
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    • pp.57-67
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    • 2013
  • Purpose: Replacing the film which used to be used for checking the set-up of the patient and dosimetry during radiation therapy, more and more EPID equipped devices are in use at present. Accordingly, this article tried to evaluated the accuracy of the position check-up and the usefulness of dosimetry during the use of an electronic portal imaging device. Materials and Methods: On 50 materials acquired with the search of Korea Society Radiotherapeutic Technology, The Korean Society for Radiation Oncology, and Pubmed using "EPID", "Portal dosimetry", "Portal image", "Dose verification", "Quality control", "Cine mode", "Quality - assurance", and "In vivo dosimetry" as indexes, the usefulness of EPID was analyzed by classifying them as history of EPID and dosimetry, set-up verification and characteristics of EPID. Results: EPID is developed from the first generation of Liquid-filled ionization chamber, through the second generation of Camera-based fluoroscopy, and to the third generation of Amorphous-silicon EPID imaging modes can be divided into EPID mode, Cine mode and Integrated mode. When evaluating absolute dose accuracy of films and EPID, it was found that EPID showed within 1% and EDR2 film showed within 3% errors. It was confirmed that EPID is better in error measurement accuracy than film. When gamma analyzing the dose distribution of the base exposure plane which was calculated from therapy planning system, and planes calculated by EDR2 film and EPID, both film and EPID showed less than 2% of pixels which exceeded 1 at gamma values (r%>1) with in the thresholds such as 3%/3 mm and 2%/2 mm respectively. For the time needed for full course QA in IMRT to compare loads, EDR2 film recorded approximately 110 minutes, and EPID recorded approximately 55 minutes. Conclusion: EPID could easily replace conventional complicated and troublesome film and ionization chamber which used to be used for dosimetry and set-up verification, and it was proved to be very efficient and accurate dosimetry device in quality assurance of IMRT (intensity modulated radiation therapy). As cine mode imaging using EPID allows locating tumors in real-time without additional dose in lung and liver which are mobile according to movements of diaphragm and in rectal cancer patients who have unstable position, it may help to implement the most optimal radiotherapy for patients.

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Measurement of Flow Velocity and Flow Visualization with MR PC Image (MR PC 영상을 이용한 유체 흐름 분석)

  • Kim, S.J.;Lee, D.H.;Min, B.G.
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.05
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    • pp.127-130
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    • 1997
  • Phase-contrast(PC) methods have been used for quantitative measurements of velocity and volume flow rate. In addition, phase contrast cine magnetic resonance imaging (MRI) combines the flow dependent contrast of PC MRI with the ability of cardiac cine imaging to produce images throughout the cardiac cycle. In this method, the through-plane velocity has been encoded generally. However, the accuracy of the flow data can be reduced by the effect of flow direction, finite slice thickness, resolution, pulsatile flow pattern, and so on. In this study we calculated the error caused by misalignment of tomographic plane and flow directon. To reduce this error and encode the velocity for more complex flow, we suggested 3 directional velocity encoding method.

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Contrast-Enhanced Magnetic Resonance Imaging at True End-Diastole to Quantify Reproducible Transmural Extent of Myocardial Hyperenhancement

  • 최병욱;최규옥;김영진;정남식;임세중
    • Proceedings of the KSMRM Conference
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    • 2003.10a
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    • pp.44-44
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    • 2003
  • To determine feasibility of contrast-enhanced MRI (co-MRI) at true end-diastole (ED) free from limitation of time for inversion-recovery and trigger window for quantifying transmural extent of infarction. 대상 및 방법: MRI was performed in 18 patients with myocardial infarction. Cine imaging and co-MRI with same registered slices in short axis were peformed. To allow true ED co-MRI, ECG synchronization should use two RR-intervals for one acquisition of a segment of k-space by setting the heart rate to half that of the true heart rate. Trigger delay time was adjusted to the RR-interval for imaging at ED and to the sum of RR-interval plus the time between R-wave and the end-systole (ES) determined in cine images for imaging at ES.

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Contrast-Enhanced Magnetic Resonance Imaging at True End-Diastole to Quantify Reproducible Transmural Extent of Myocardial Hyperenhancement

  • 최병욱;최규옥;김영진;정남식;임세중
    • Proceedings of the KSMRM Conference
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    • 2003.10a
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    • pp.91-91
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    • 2003
  • To determine feasibility of contrast-enhanced MRI (co-MRI) at true end-diastole (ED) free from limitation of time for inversion-recovery and trigger window for quantifying transmural extent of infarction. 대상 및 방법: MRI was peformed in 18 patients with myocardial infarction. Cine imaging and co-MRI with same registered slices in short axis were performed. To allow true ED co-MRI, ECG synchronization should use two RR-intervals for one acquisition of a segment of k-space by setting the heart rate to half that of the true heart rate. Trigger delay time was adjusted to the RR-interval for imaging at ED and to the sum of RR-interval plus the time between R-wave and the end-systole (ES) determined in cine images for imaging at ES.

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The fate of necrosis-avid MR contrast material (Gadophrin-2)-enhanced area of acute reperfused myocardial infarction as determined by MR imaging with Gd-DTPA enhancement and TTC staining after four weeks in a rabbit model

  • Choe, Yeon-Hyeon;Park, Jong-Min;Weinmann, Hanns J.
    • Proceedings of the KSMRM Conference
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    • 2002.11a
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    • pp.114-114
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    • 2002
  • Purpose: To know the fate of Gadophrin-2-enhanced areas in hearts with acute reperfused myocardial infarction. Method: The left anterior descending branches of coronary arteries were occluded for 90 min and reperfused for 60 min in 15 rabbits. Then, Gadophrin-2 (0.05 mmol/kg) was injected via ear veins. Short-axial T1-weighted spin echo images and fast cine images were obtained 24 hours after injection of Gadophrin-2. After four weeks, short-axial cine MRI was performed and T1-weighted spin echo Images were obtained 5 min and 15 min after injection of Gd-DTPA (0.2 mmol/kg). The animals were sacrificed and short-axial slices of the specimen were stained with 1.5% triphenyltetrazolium chloride (TTC) solution.

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