• 제목/요약/키워드: Diffusion magnetic resonance

검색결과 339건 처리시간 0.029초

Diffusion-Weighted Magnetic Resonance Imaging of the Breast: Standardization of Image Acquisition and Interpretation

  • Su Hyun Lee;Hee Jung Shin;Woo Kyung Moon
    • Korean Journal of Radiology
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    • 제22권1호
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    • pp.9-22
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    • 2021
  • Diffusion-weighted (DW) magnetic resonance imaging (MRI) is a rapid, unenhanced imaging technique that measures the motion of water molecules within tissues and provides information regarding the cell density and tissue microstructure. DW MRI has demonstrated the potential to improve the specificity of breast MRI, facilitate the evaluation of tumor response to neoadjuvant chemotherapy and can be employed in unenhanced MRI screening. However, standardization of the acquisition and interpretation of DW MRI is challenging. Recently, the European Society of Breast Radiology issued a consensus statement, which described the acquisition parameters and interpretation of DW MRI. The current article describes the basic principles, standardized acquisition protocols and interpretation guidelines, and the clinical applications of DW MRI in breast imaging.

Pseudoglandular Formation in Hepatocellular Carcinoma Determines Apparent Diffusion Coefficient in Diffusion-Weighted MRI

  • Park, In Kyung;Yu, Jeong-Sik;Cho, Eun-Suk;Kim, Joo Hee;Chung, Jae-Joon
    • Investigative Magnetic Resonance Imaging
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    • 제22권2호
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    • pp.79-85
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    • 2018
  • Purpose: To determine the impact of pseudoglandular formation on apparent diffusion coefficient (ADC) values of hepatocellular carcinoma (HCC) in diffusion-weighted imaging (DWI), and to validate the results using histopathological grades. Materials and Methods: We assessed 182 HCCs surgically resected from 169 consecutive patients. Each type of tumor pseudoglandular formation was categorized into "non-," "mixed-," or "pure-," based on official histopathology reports. The ADC for each tumor was independently measured, using the largest region of interest on the ADC map. Data were assessed using the analysis of variance test, with Bonferroni correction for post hoc analysis to stratify the relationship of ADCs with pseudoglandular formation, followed by subgroup analysis according to the histopathological tumor grades. Results: The mean ADC was significantly higher in pure pseudoglandular lesions (n = 5, $1.29{\pm}0.08{\times}10^{-3}mm^2/s$) than in non-pseudoglandular lesions (n = 132, $1.08{\pm}0.17{\times}10^{-3}mm^2/s$; P = 0.003) or mixed-pseudoglandular lesions (n = 45, $1.16{\pm}0.24{\times}10^{-3}mm^2/s$; P = 0.034). The ADC values and pseudoglandular formation were significantly correlated in moderately differentiated HCCs (n = 103; r = 0.307, P = 0.007), while well- (n = 19) and poorly-differentiated HCCs (n = 60) did not show significant correlation (r = 0.105 and 0.068, respectively; P = 0.600 and 0.685, respectively). Conclusion: The degree of pseudoglandular formation could be one of the determinants of ADC in DWI of HCCs-especially moderately differentiated HCCs-while its influence does not appear to be significant in well- or poorly differentiated HCCs.

MR Findings of Seizure-Related Cerebral Cortical Lesions during Periictal Period

  • Kim, Na Yoon;Baek, Hye Jin;Choi, Dae Seob;Ha, Jee Young;Shin, Hwa Seon;Kim, Ju Ho;Choi, Ho Cheol;Kim, Ji Eun;Park, Mi Jung
    • Investigative Magnetic Resonance Imaging
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    • 제21권2호
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    • pp.82-90
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    • 2017
  • Purpose: This study investigated the MRI, MR angiography (MRA) and MR perfusion findings of seizure-related cerebral cortical lesions during the periictal period. Materials and Methods: From a retrospective review of the institutional database between 2011 and 2014, a total of 21 patients were included in this study. Two radiologists assessed periictal MRI, including MRA and MR perfusion, in patients with seizure-related cortical lesions. The parameters examined include: location of cortical abnormality, multiplicity of the affected cortical region, cerebral vascular dilatation, perfusion abnormality and other parenchymal lesions. Results: All patients showed T2 hyperintense cerebral cortical lesions with accompanying diffusion restriction, either unilateral (18/21, 85.7%) or bilateral (3/21, 14.3%). Of the 21 patients enrolled, 10 (47.6%) had concurrent T2 hyperintense thalamic lesions, and 10 (47.6%) showed hippocampal involvement. Of the 17 patients (81%) who underwent MRA, 13 (76.5%) showed vascular dilatation with increased flow signal in the cerebral arteries of the affected cortical regions. On MR perfusion, all 5 patients showed cortical hyperperfusion, corresponding to the region of cortical abnormalities. Conclusion: Seizure-related cerebral cortical lesions are characterized by T2 and diffusion hyperintensities, with corresponding cerebral hyperperfusion and vascular dilatation. These findings can be helpful for making an accurate diagnosis in patients with seizure.

Diffusion and Perfusion MRI

  • 정은기
    • 대한자기공명의과학회:학술대회논문집
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    • 대한자기공명의과학회 1998년도 춘계학술대회 초록집
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    • pp.30-42
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    • 1998
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Self-Diffusion of Hydrophobically End-Capped Polyethylene Oxide Urethane Resin by Using Pulsed-Gradient Spin Echo NMR Spetroscopy

  • Park, Jinwoo;Daewon Sohn;Lee, Youngil;Chaejoon Cheong
    • Macromolecular Research
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    • 제11권6호
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    • pp.444-450
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    • 2003
  • Hydrophobically End-capped polyethylene oxide Urethane Resin(HEUR)-associating polymers, HEUR 35(8), HEUR 35(12), and HEUR 35(18), comprise a polyethylene oxide (PEO) having a molecular weight of 35,000 that is end capped with two C$\_$8/H$\_$17/, C$\_$12/H$\_$25/, and C$\_$18/H$\_$37/ alkyl chains, respectively. These associating polymers were synthesized by condensation reactions with polyethylene oxides and alkyl isocyanates. The self-diffusion coefficients of HEUR-associating polymers were measured in aqueous solution by pulsed-gradient spin-echo (PGSE) nuclear magnetic resonance (NMR) spectroscopy. All polymers underwent a decrease in their mean diffusion coefficients as the concentration was increased. However, the dispersion of the diffusion coefficients, ${\beta}$, about the mean fluctuated with changes in concentration. The large dispersion at low concentrations of HEUR 35(8) and HEUR 35(12) is related to the interaction between hydrophobic end groups, and the large dispersion at high concentrations of HEUR 35(18) is correlated with transient network formation. These results are valuable for predicting the associating mechanism of the large aggregates before and after their critical micelle concentration.