• 대한디지털의료영상학회논문지
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• 제9권2호
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• pp.11-16
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• 2007

We have evaluated and compared of gradient echo and spin echo EPI for compensating about deeply distortion aspect in case of post-operation patients in magnetic resonance image. A total of 100 patients were performed on 3.0 T(GE Signa Excite E2, USA) with 8ch head coil. As a result of analysis, The SNRs of whiter and gray matter areas were 36.74 $\pm$ 06 and 39.96 $\pm$ 09 in the gradient echo EPI, the SNRs which white and gray matter areas were slightly higher than gradient echo EPI(P<0.005, paired student t-test). It was 46.24 $\pm$ 11 and 51.38 $\pm$ 13 in gradient and spin echo EPI, respectively. The signal intensity in the whiter and gray matter areas also were 87.33 $\pm$ 15.24 and 140.66 $\pm$ 13.45 in the gradient echo EPI techniques, The signal intensity of gradient echo EPI showed higher values compared to spin echo EPI. Otherwise, gradient echo EPI technique is distortion enough to operation wound and edge of the image, while spin echo EPI technique did not appear almost. In this point, the spin echo EPI technique, after surgical operation according to patient state beside gradient echo EPI techniques that signalbeside gradient echo EPI techniques that signal intensity is high and patient's case which image distortion is serious by metal etc, will be provide the useful information in adults and pediatric patients.

• 대한의용생체공학회:의공학회지
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• 제18권3호
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• pp.243-251
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• 1997

본 연구에서는 유체보상 경사자장 기법(flow-compensation-gradient of gradient-moment nulling method)을 이용하지 않은 Tailored RF를 이용한 TRFGE(tailored rf gradient echo) 영상에는 유체유입효과(in-flow effect)가 나타나지 않지만 절편(slice)내에서 판독경사자장(reading gradient)과 같은 방향으로 흐르는 유체는 신호가 강조가 됨을 이론과 실험으로 보였다. 절편 내에서 판독경사자장과 같은 방향으로 흐르는 유체의 신호가 TRFGE 영상에서 강조되는 이유를 이론적으로 설명하였으며 이 이론을 뒷받침 할 실험을 위해 유체 모형을 제작하였다. 원통 모양의 물 모형 중앙으로 유체 관을 통해 식염수(saline)가 주자장(B$B_0$)와 평행인 z 축 방향으로 흐를 수 있도록 하였다. 유체가 흐를 때와 흐르지 않을 때 CGE(conventional gradient echo) 영상과 TRFGE 영사을 얻어 각각 비교하였다. 유체 유입효과를 관찰하기 위해서는 횡단면(axial)의 영상을 얻었고 절편 내에서 판독경사자장과 같은 방향으로 흐르는 유체의 영상신호를 관찰하기 위해서 시상면(sagittal) 영상을 얻었다.

• 치과방사선
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• 제20권2호
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• pp.187-198
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• 1990

Examinations of the temporomandibular joints were performed on a 1.5 Tesla magnetic resonance (MR) system. An MR surface receiver coil 3 inch in diameter was placed on plastic frame, the patient's head being placed in the frame so that the coil was pressed against the temporal region. In taking advantage of the magnetic resonance imaging that has been studied briskly till now, author obtained the images of parasagittal and paracoronal planes about the temporomandibular joint by using MPGR (Multi-Planar Gradient Recalled), GRASS (Gradient Recalled Acquisition in the Steady State), and CSMEMP (Contiguous Slice Multiple Echo, Multi-Planar), that differ from the Spin Echo pulse sequence which the previous authors used. Five subjects with no symptoms of temporomandibular joint pain and dysfunction were studied. The plane images obtained by these methods were compared with those by Spin Echo pulse sequence. The results were as follows: 1. The optimal repetition times (TR) and echo times (TE) for T.M.J. image were; a. 400 msec and 18 msec in PMGR pulse sequence. b. 40 msec and 12 msec in GRASS pulse sequence. c. 700 msec and 30 msec in CSMEMP pulse sequence. d. 500 msec and 20 msec in Spin Echo pulse sequence. 2. When the MPGR pulse sequence was using, T2-weighted image was obtained in very short time. On the image of the paracoronal plane by GRASS pulse sequence, meniscus showed the moderate signal intensity, and the meniscus and its anteromedial, posterolateral attachments were observed definitely with gray color. 4. The signal intensity of Spin Echo pulse sequence was equal to that of CSMEMP pulse sequence, but the image by CSMEMP pulse sequence showed relatively lower level in its resolution.

• 대한의용생체공학회:학술대회논문집
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• 대한의용생체공학회 1998년도 추계학술대회
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• pp.307-308
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• 1998

In this paper, we describe a field measurement technique using multiple gradient echo method. For this purpose, 3 differential phase map is used between two images obtained in a single scan. The phase map is further processed to unfold phase folding (2n $\pi$). The inhomogeneity map is used to correct image distortion along readout gradient direction. Some experimental results obtained at 1.0 Tesla whole body MR system are shown with the proposed technique.

• 대한의용생체공학회:학술대회논문집
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• 대한의용생체공학회 1992년도 춘계학술대회
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• pp.92-97
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• 1992

The pulsatile nature of blood flow makes artefacts in 2D Fourier transform image. Spatial presaturation is known to be effective in eliminating flow artefacts when the spin echo acquisition is employed. However. this method requires additional RF pulse and spoiling gradient for presaturation. In this paper a new flow saturation technique which does not require additional saturation-RF and gradient is proposed. The proposed technique is equivalent to the existing saturation technique but the elimination of the flow component is achieved by a pair of tailored $90^{\circ}-180^{\circ}$ RF pulses in tile spin echo sequence. By use of two tailored RF pulses with opposite phase polarity, a linear phase gradient is generated for those moving materials and consequently all the spins of moving materials become dephased thereby no signal is observable. Computer simulations and experimental results obtained using both a phantom and a human volunteer with a 2.0 T whole body system are also presented.

• 대한의용생체공학회:의공학회지
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• 제16권2호
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• pp.209-216
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• 1995

Recently, a new tailored RF gradient echo (TRFGE) sequence was reported. This technique not only enhances the magnetic susceptibility effect but also allows us to measure local changes in brain oxygenation. In this study, a phantom and cat brain experiments were performed on a 4.7 Tesla BIQSPEC (BRUKER) instrument with a 26 cm gradient system. We have demonstrated that the signal intensity (SI) of the TRFGE sequence varies according to the concentration of susceptibility contrast agent. Three capillary tubes with different concentrations of Gd-DTPA (0.01, 0.05, 0.1 mMOI/l) were placed at the middle of a cylindrical water phantom. Using both TRFGE and conventional gradient echo (CGE) sequences, phantom images of the slices which contain all three tubes were obtained. For the animal experiment, cats were anesthetized and ventilated using halotane (0.5%) and a $N_2O/ O_2$ mixture (2:1), and blood pressure and heart rate were monitored and kept normal. For the observation of tue first pass of Gd- DTPA, imaging was started at t = 0. At t = 8 ~ 12s, 0.2 mMol/Kg Gd-DTPA was manually injected in the femoral vein. The imaging parameters were TRITE = 25/10 msec, flip angle = $30^{\circ}$, FOV = 10cm, image matrix size = $128{\times}128$ with 64 phase encodings and the image data acquisition window was 10 msec. SI-time curves were then obtained from a series of 30 images which were collected at 2 sec intervals using both CGE and TRFGE pulse sequences before, during, and following the contrast injection.

• 한국의학물리학회지:의학물리
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• 제10권1호
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• pp.33-40
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• 1999

목적 : 본 논문은 2차원과 3차원 신경계 자기공명영상에서 뼈 주위에 있는 여러 조직의 신호세기를 계산하고 측정값과 비교 분석하는 데 목적을 두었다. 대상 및 방법 : 신경계 양성자 강조영상은 뼈를 제외한 뇌척수액과 근육 및 지방 등 모든 조직을 보여준다. 또한 자기공명영상을 이용하면 2차원이나 3차원 영상을 얻을 수 있다. 본 연구에서는 2차원 영상기법으로 2차원 고속스핀반향 (Fast spin-echo) 영상법을 사용하였고 3 차원 영상기법으로는 3차원 경사자계반향(Gradient-echo) 영상법을 사용하였다. 2차원 스핀반향 (Spin-echo)과 3차원 경사자계반향 영상법에 나타난 뇌척수액과 근육 및 지방의 신호세기를 알아내기 위해 2차원 스핀 반향과 3차원 경사자계반향의 신호세기의 이론값을 계산하였다. 2차원 고속스핀반향 영상법에서는 양성자 강조영상을 얻기 위해 긴 반복시간 (4000 ms) 과 짧은 반향시간(TE$_{eff}$ =22 ms)을 적용하였다. 3차원 경사자계반향 영상법에서는 양성자 강조영상을 얻기 위해 작은 꺽임각 (8$^{\circ}$) 과 짧은 반복시간 (35 ms) 및 짧은 반향시간 (3 ms)을 적용하였다. 결과: 2차원 고속스핀반향 영상법에서는 뇌척수액과 근육 및 지방의 영상 대조도가 우수하였고 신호 대 잡음비(SNR) 값은 39-57 사이였다. 3차원 경사자계반향 영상법에 나타난 뇌척수액과 근육 및 지방의 영상 대조도는 2차원 고속스핀반향 영상법의 결과와 비슷하였지만 신호 대 잡음비(SNR) 값은 26-33 사이였다. 신호 대 잡음비는 2차원 고속스핀반향 영상법이 3차원 경사자계반향 영상 법보다 높았고 가장자리 향상효과 때문에 2차원 고속스핀반향 영상에서 머리뼈의 가장자리를 쉽게 구별할 수 있었다. 덧붙여 2차원 고속스핀반향 영상에 나타난 뇌척수액과 근육 및 지방 사이의 대조도는 강한 신호세기와 향상된 뇌척수액의 가장자리 때문에 상당히 우수하였다. 결론 : 2차원과 3차원 신경계 자기공명영상에서 머리뼈 주위에 있는 여러 조직의 신호세기를 계산하고 측정값과 비교 분석하였다. 뇌척수액과 근육 및 지방의 계산값과 측정값의 영상 대조도와 신호 대 잡음비 값이 2차원 고속스핀반향 영상법과 3차원 경사자계반향 영상법에서 대체로 일치하였다. 그렇지만 2차원 고속스핀반향 영상에서 뇌척수액과 근육 및 지방 사이의 대조도가 우수하였고 신호 대 잡음비는 상대적으로 높았으며 상대적으로 짧은 영상시간이 소요되었다.

• Journal of Korean Neurosurgical Society
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• 제30권2호
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• pp.168-172
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• 2001

Objective : The authors have studied the clinical outcome of patients with diffuse axonal injuries(DAI) to evaluate the prognostic value of gradient-echo MR imaging findings. Materials and Methods : From March 1995 to March 1998, there were nineteen patients with DAI whose initial Glasgow coma scales were eight or less. Authors divided them into two groups according to Glasgow outcome scales ; those patients with GOS 3 or less(group A ; 9) and those with 4 or more(group B ; 10). We subdivided the lesions as superficial and deep lesion, and analyzed the numbers, anatomical loci of the lesions on the gradient echo images of each group. Results : Mean numbers of the lesions were 15 per case in group A(135/9) and 10 in group B(100/10). The common loci involved in DAI were cerebral cortex, brain stem, and corpus callosum. Cortical lesions were 31.1% in group A(42/135) and 47% in group B(47/100). Brain stem lesions were 25.9%(35/135) and 15%(15/100) each. Callosal lesions were 31.1%(26/135) and 13%(13/100) each. The frequency of callosal and brain stem lesions was significantly different between two groups(p<0.05). We divided callosal lesions as genu, body, and splenium and body lesions as anterior, middle, posterior, but no significant topographical difference of lesions was observed between two groups. Deep lesions were observed more frequently in group A(58.5%, 79/135) than group B(36%, 36/100). Conclusion : The poor outcome group showed more numbers of lesion and more frequent involvement of brain stem and corpus callosum than favorable outcome group. Gradient-echo MR imaging seems to have predictive value for clinical outcome in patients with DAI.

• Investigative Magnetic Resonance Imaging
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• 제18권4호
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• pp.290-302
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• 2014

목적: 자화율 강조 자기공명영상 (Susceptibility-weighted imaging)은 혈액분해산물, 석회화, 철 침착물을 발견하는데 있어 높은 민감도를 보이는 3D spoiled gradient-echo pulse sequence 이다. 본 임상화보는 자화율 강조 자기공명영상의 주된 임상적 적용에 대해 설명하고 논의하는 데에 그 목적이 있다. 대상과 방법: 자화율 강조 자기공명영상은 자기강도영상 (magnitude image)과 위상영상 (phase image)을 이용한 고해상도, 3D fully velocity-compensated gradient-echo sequence 에 기초를 두고 있다. 정맥 구조물의 가시성을 향상시키기 위해, 자기강도영상은 여과된 위상 데이터 (phase data) 로부터 발생된 위상 마스크 (phase mask)를 이용해 증폭되고, 이것은 최소강도투사 (Minimal intensive projection) 알고리즘을 이용한 3D dataset 후처리 과정을 거치게 된다. 3T 자기공명기기에서 SWI를 포함하는 자기공명영상 검사를 시행한 총 200명의 환자를 대상으로 연구하였다. 결과: 자화율 강조 자기공명영상은 다양한 뇌 질환의 발견에 매우 유용하였다. 200명의 환자 중 80명은 선천성 정맥 기형, 22명은 해면상 혈관종, 12명은 다양한 질환에서의 석회화, 21명은 혈관자화 징후 (susceptibility vessel sign) 또는 미세출혈을 동반하는 뇌혈관 질환, 52명은 뇌종양, 2명은 미만성 축삭 손상, 3명은 동정맥 기형, 5명은 뇌경막 동정맥루, 1명은 모야모야병, 그리고 2명은 파킨슨병이 관찰되었다. 결론: 자화율 강조 자기공명영상은 미세 저혈량 혈관성 병변, 석회화 그리고 미세출혈과 다양한 뇌병변의 진단에 유용하다.

• 대한전기학회:학술대회논문집
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• 대한전기학회 1999년도 하계학술대회 논문집 G
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• pp.2809-2811
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• 1999

In this paper, we develope an algorithm to calculate field inhomogeneity in MR imaging using a dual fast spin echo pulse sequence. Because phase modulation time can be easily modified with this pulse sequence, high resolution image can be obtained and acquisition time can be reduced compared to gradient echo technique. In the case of phase wrapping in field map, phase corrected using image processing technique. We assume the field pattern to be second order polynomial and apply Pseudo-Inverse equation to calculate second order polynomial coefficients. These coefficients can be used for the shimming of the magnetic field.