• 제목/요약/키워드: Fat saturation

검색결과 42건 처리시간 0.02초

MRI에서 화학적 이동 선택(CHESS) pulse에 의한 지방소거의 임상적 유용성 (The clinical usefulness of fat suppression by chemical shift selective(CHESS) pulse in MRI)

  • 한만석;양해술;진경수;어익수;조동헌
    • 정보처리학회논문지B
    • /
    • 제14B권6호
    • /
    • pp.431-436
    • /
    • 2007
  • 자기공명영상(Magnetic Resonance Imaging:MRI)은 물과 지방 사이에 화학적 이동 현상을 가지고 있고 지방에 의해 구조적 현상이 나타난다. 또한 지방은 기본적으로 강한 신호를 가지고 있어 잘못된 인공물을 형성한다. 그래서 지방소거(fat suppression)에 대해 연구하고자 한다. MRI에서 지방소거(fat suppression)방법만을 사용하여 진단하는데 약간의 어려움은 있지만 기본은 화학적 이동 선택 포화(chemical shift selective saturation : CHESS) pulse 방법을 이용하여 물과 지방 phantom을 가지고 지방소거(fat suppression)를 연구하는데 목적이 있다. 본 연구에서 CHESS pulse를 matlap 프로그램을 이용 Map pulse로 알맞게 design하고 Pre saturation을 하기 위한 pulse diagram이 가능하였고, fat phantom과 water phantom을 실험하여 지방소거 기법(fat saturation)의 효과를 볼 수가 있었으며 임상 적용 부위로 경추(C-SPINE), 요추(L-SPINE), 가습(BREAST)에 적용하여 의료영상진단에 있어 화학적 이동 선택 포화 CHESS pulse의 지방소거(fat suppression)는 유용한 방법임을 증명하였다.(충남대학병원 G.E 1.5T MR를 이용하여 실험하였다.)

견관절 삽입술을 시행한 환자의 자기 공명 영상법에 관한 연구 (A Study on MR Imaging Method for The Patient with Inserting Shoulder Joint Suture Anchor)

  • 박의철;배석환;류연철;박영준;김용권
    • 한국산학기술학회논문지
    • /
    • 제22권4호
    • /
    • pp.513-519
    • /
    • 2021
  • 봉합 나사못을 이용한 견관절 수술 환자들의 예후를 확인하기 위하여 MRI(Magnetic Resonance Imaging)를 이용하여 추적검사를 시행한다. 봉합나사못을 삽입한 경우에는 임상적 관찰을 용이하게 하기 위하여 지방소거법을 이용한 영상촬영 기법이 이용되는데, 이때 이용되는 지방 신호 억제 기법으로 CHESS(Chemical Shift Selective), STIR(Short Tau Inversion Recovery), Dixon 기법 등이 주로 이용되고 있다. 봉합나사못은 비자성 재료를 이용해서 제작되지만, 환부에 삽입되는 티타늄 재질의 금속물질은 비자성체임에도 불구하고 국소자장을 왜곡시켜 결과 영상의 기하학적인 왜곡은 물론 심각한 영상신호의 감소 현상을 발생시킨다. 봉합나사못을 삽입하여 환부를 관찰하는 경우에는 뼈 혹은 뼈 인접 부위의 영상을 획득하여야 하는데 뼈와 주변 조직의 임상적 관찰을 위해서는 뼈의 지방 신호를 억제할 필요가 있다. 이때 이용되는 지방 신호 억제 기법은 금속 삽입물로 인한 자기장 불균일의 영향을 받는다. 본 연구에서는 3가지 지방억제 영상기법(CHESS, STIR, Dixon)을 이용하여 금속물질을 삽입한 환자로부터 영상을 획득하여 비교, 분석하였으며, 그 결과로 봉합나사못을 삽입한 환자의 병변 관찰 및 수술 후 예후를 관찰하기 위한 영상기법으로 STIR 영상기법이 가장 적합함을 알 수 있었다. 연구 결과에 따르면 금속 물질을 인체에 삽입한 환자의 경우, 지방 신호 억제가 필요한 MRI 검사에서는 STIR 기법을 이용하는 것이 임상적 가치가 높은 영상을 얻을 수 있을 것이다.

Evaluation of Selective Saturation and Refocousing Pulses in Chemical Shift NMR Imaging

  • Shin, Yong-Jin;Park, Young-Sik
    • 한국자기공명학회논문지
    • /
    • 제4권1호
    • /
    • pp.64-73
    • /
    • 2000
  • There are several methods to achieve selective NMR image of differing chemical species with the three most popular methods of Dixon's, CHESS, and SECSI. A major problem common to all chemical shift imaging methods is the uniformity of the static magnetic field and distortions introduced when RF coils are loaded with a conducting specimen. Without magnetic field shimming, these methods cannot be used to acquire selectively image protons in fat and water which are separated by approximately 3.0ppm. Experiments with a phantom, with linewidths of 2.5 to 3.5ppm, were quantitatively evaluated for the three methods and a new chemical shift imaging method. In this study the new chemical shift imaging method (modified CHESS+SECSI technique) which included a selective saturation and refocusing pulse, was developed to determine the ratios of water and fat in different samples.

  • PDF

Magnetic Resonance Imaging Evaluation of the Prostate in Normal Dogs

  • Cho, Yu-Gyeong;Choi, Ho-jung;Lee, Ki-ja;Lee, Youngwon
    • 한국임상수의학회지
    • /
    • 제37권6호
    • /
    • pp.317-323
    • /
    • 2020
  • The aims of this study were to describe the appearance and size of the normal canine prostate using magnetic resonance (MR) imaging and to calculate the apparent diffusion coefficient (ADC) values. MR images were obtained from seven intact male beagle dogs using a 1.5 T MR unit. The sequences included pre- and post-contrast T1- and T2-weighted imaging with and without fat saturation. The signal intensity of the prostate was compared with the adjacent musculature, fat, and urine in the urinary bladder. We recorded the mean prostatic length, width, and height and the length of the sixth lumbar vertebral body (L6). In addition, the prostatic length (rL), width (rW), and height (rH) ratios to L6 were calculated. Diffusion-weighted images of the prostate were obtained and ADC values were calculated. The prostate was bilobed and oval-shaped, homogenous on T1-weighted images, and heterogeneous with radiating lines on T2-weighted images. Post-contrast T1-weighted sequences showed contrast enhancement of the central and radiating striations. The prostatic capsule was clearly identified on post-contrast T1-weighted images with fat saturation. The ADC values were 1.72-2.04 × 10-3mm2/sec (mean, 1.88 × 10-3mm2/sec). Knowledge of the normal appearance of the prostate on MR images is essential to assess prostatic diseases in dogs.

상완신경총 환자에서 최적의 자기공명영상 지방소거 기법에 관한 연구 : SPAIR, STIR 지방소거 중심으로 (A Study on Optimized MRI Fat-Saturation Technique for Brachial Plexus Patients : Focused on SPAIR and STIR Fat-Saturation)

  • 구은회
    • 한국방사선학회논문지
    • /
    • 제8권5호
    • /
    • pp.271-278
    • /
    • 2014
  • 상완신경총에서 STIR(short TI inversion recovery) 지방소거 강조영상과 SPAIR(spectral adiabatic inversion recovery) T2, T1 지방소거 강조영상기법을 비교 평가하여 최적의 지방소거 기법을 알아보고자 하였다. 총 30 명 상완신경총에 질환이 없는 정상인 지원자를 대상으로 3.0 T MRI 기기를 이용하여 검사를 하였고, 분석방법으로 세 기법에 대하여 SNR, CNR 및 4단계 점수로 평가를 하였다. 정량적 분석 결과로 SPAIR T1 기법에 대한 SNR, CNR 값은 상완신경총기시부($03.07{\pm}0.98$, $-2.25{\pm}0.54$), 상완신경총몸체($06.70{\pm}1.81$, $36.31{\pm}2.17$)에서 높은 값을 제공하였다 (p<0.05). 정성적 분석결과 상완신경총 묘출도와 지방소거 정도, 영상의 인공물은 SPAIR T1($3.2{\pm}0.70$, $3.6{\pm}0.51$, $3.4{\pm}0.10$)기법이 의미 있게 높게 나타났다(p<0.05).

급식교와 비급식교 아동의 성장발달 및 철분영양상태 비교 (A Comparison of Anthropometry and Iron Status in Children Provided with and without Natinoal School Lunch Program)

  • 김은경
    • Journal of Nutrition and Health
    • /
    • 제30권8호
    • /
    • pp.1009-1017
    • /
    • 1997
  • This study was designed to assess the iron nutritional status and growth development of children provided with and without the national school -lunch program(NLSP). The subjects consisted of 590 elementary school children (313 boys, 277 girls) in the 2nd, 4th and 6th grades provided with (n=390) and without (n=200) NSLP. anthropometric measurements were taken for body weight, height, triceps skinfold thickness and body fat percentage. Nutrient intakes were assessed by a modified 24 -hour recall method. Fastinig blood samples were obtained and analyzed for hemoglobin concentration, hematocrit, serum iron and total iron binding capacity. The results obtained are summarized as follows. No significant differences between children provided with and without NSLP were found in height and body weight, but triceps skinfold thickness and body fat(%) were significantly higher in children without NSLP than in those with NSLP. There was no significant difference in hemoglobin concentration and hematocrit between children provided with and without NSLP. However, serum iron concentration and transferrin saturation were higher in the children provided with NSLP(81.9$\mu\textrm{g}$/dl and 22.8%) than in the children without NSLP(73.1$\mu\textrm{g}$/dl and 20.9%). When comparing iron and vitamin C intakes , iron intake was significantly higher in children provided with school-lunch, but vitamin C intake was significantly higher in children provided without school-lunch. Percentages of iron -deficient anemia in underweight, normal and obese children when judged by total iron binding capacity were 14.9%, 12.5% and 25.8% respectively.

  • PDF

고자장 자기공명영상에서 효율적인 지방 정량화를 위한 필드 맵 측정 기술 (Field Map Estimation for Effective Fat Quantification at High Field MRI)

  • 은성종;황보택근
    • 한국콘텐츠학회논문지
    • /
    • 제14권11호
    • /
    • pp.558-574
    • /
    • 2014
  • 최근 복부비만, 고혈압, 당뇨, 고지혈증과 같은 대사성 증후군에 속하는 질환이 급격히 증가하여 지방간 환자수가 급격히 증가하고 있다. 이를 위해 자기공명영상을 통한 검진이 요구되는데 관심 영역과 관심 영역이 아닌 영역의 intensity 값이 상당히 유사하거나 동일한 경우가 많기 때문에 전문적인 물, 지방 분리 방법을 통해서 분석하는 경우가 많다. 그러나 이러한 분리법은 필드의 불균일성이 큰 고자장으로 갈수록 부정확한 결과가 도출하게 된다. 본 논문은 이러한 기존 분리법의 한계를 극복하고자, 고자장에서도 적용이 가능한 필드 맵 측정 방법을 제안한다. 제안 방법은 기존 IDEAL 시퀀스로 얻어진 에코 영상을 통해 필드 맵을 생성하고, 클러스터링 작업, 그리고 영역성장법 스키마 기반의 least square fit을 통한 필드 맵의 보정, 마지막으로 필드 맵의 homogeneity를 위한 경계선의 보정을 수행하여 최종적으로 물과 지방을 분리한다. 실험결과 IDEAL방법이 평균 61.5%, Yu의 방법이 평균 62.6%, 제안 방법이 평균 86.4%의 지방 검출율로 제안방법이 월등함을 확인하였다. 또한 물 검출율 역시 제안 방법이 평균 98.4%의 물 검출율로 Fat saturation의 평균 88.6% 보다 높은 정확도를 확인 할 수 있었다.

Rare Imaging of Fat Embolism Seen on Computed Tomography in the Common Iliac Vein after Polytrauma

  • Lee, Hojun;Moon, Jonghwan;Kwon, Junsik;Lee, John Cook-Jong
    • Journal of Trauma and Injury
    • /
    • 제31권2호
    • /
    • pp.103-106
    • /
    • 2018
  • Fat embolism refers to the presence of fat droplets within the peripheral and lung microcirculation with or without clinical sequelae. However, early diagnosis of fat embolism is very difficult because the embolism usually does not show at the computed tomography as a large fat complex within vessels. Forty-eight-year-old male with pedestrian traffic accident ransferred from a local hospital by helicopter to the regional trauma center by two flight surgeons on board. At the rendezvous point, he had suffered with dyspnea without any airway obstruction sign with 90% of oxygen saturation from pulse oximetry with giving 15 L of oxygen by a reserve bag mask. The patient was intubated at the rendezvous point. The secondary survey of the patient revealed multiple pelvic bone fracture with sacrum fracture, right femur shaft fracture and right tibia head fracture. Abdominal computed tomography was performed in 191 minutes after the injury and fat embolism with Hounsfield unit of -86 in his right common iliac vein was identified. Here is a very rare case that mass of fat embolism was shown within common iliac vein detected in computed tomography. Early detection of the fat embolus and early stabilization of the fractures are essential to the prevention of sequelae such as cerebral fat embolism.

Energy Utilization of Growing Chicks in Various Nutritional Conditions

  • Sugahara, Kunio
    • Asian-Australasian Journal of Animal Sciences
    • /
    • 제16권6호
    • /
    • pp.903-909
    • /
    • 2003
  • For the last two decades, energy utilization of growing chicks has been studied more and more. This paper focuses on the energy utilization estimated by the metabolizable energy (ME) values and the efficiency at which ME is used for growth of chicks under various nutritional environment. Degree of saturation of dietary fats is responsible for nitrogen-corrected apparent metabolizable energy (AMEn) of fats. The effect of dietary fat sources on heat production depends on the kind of unsaturated fatty acids as well as the degree of saturation. Medium chain triglyceride shows lower AME and net energy than long chain triglyceride. Phytase as feed additives increases the AME values of the diet along with improvement of the phosphorous utilization. Ostriches have higher ability to metabolize the energy of fiber-rich foodstuffs than fowls. Their higher ability seems to be associated with fermentation of fiber in the hindgut. Proportions of macronutrients in the diets have influenced not only the gain of body protein and energy but also the oxidative phosphorylation of the chicken liver. Essential amino acids deficiency reduces ME/GE (energy metabolizability) little, if any. Growing chicks respond to a deficiency of single essential amino acids with the reduction of energy retained as protein and increased energy retained as fat. Thus, energy retention is proportional to ME intake despite deficiency, and efficiency of ME utilization is not affected by deficiency of amino acids. Effect of oral administration of clenbuterol, a beta-adrenergic agonist, on the utilization of ME varies with the dose of the agents. Although the heat production related to eating behavior has been estimated less than 5% of ME, tube-feeding diets decreases HI by about 30%.