• Title/Summary/Keyword: Imaging Modality

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Hybrid Imaging in Oncology

  • Fatima, Nosheen;uz Zaman, Maseeh;Gnanasegaran, Gopinath;Zaman, Unaiza;Shahid, Wajeeha;Zaman, Areeba;Tahseen, Rabia
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.14
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    • pp.5599-5605
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    • 2015
  • In oncology various imaging modalities play a crucial role in diagnosis, staging, restaging, treatment monitoring and follow up of various cancers. Stand-alone morphological imaging like computerized tomography (CT) and magnetic resonance imaging (MRI) provide a high magnitude of anatomical details about the tumor but are relatively dumb about tumor physiology. Stand-alone functional imaging like positron emission tomography (PET) and single photon emission tomography (SPECT) are rich in functional information but provide little insight into tumor morphology. Introduction of first hybrid modality PET/CT is the one of the most successful stories of current century which has revolutionized patient care in oncology due to its high diagnostic accuracy. Spurred on by this success, more hybrid imaging modalities like SPECT/CT and PET/MR were introduced. It is the time to explore the potential applications of the existing hybrid modalities, developing and implementing standardized imaging protocols and train users in nuclear medicine and radiology. In this review we discuss three existing hybrid modalities with emphasis on their technical aspects and clinical applications in oncology.

In vivo functional photoacoustic imaging (나노초 레이져를 이용한 광-초음파 이미지 결상법)

  • Oh, Jung-Taek;Li, Meng-Lin;Song, Kwang-Hyun;Xie, Xueyi;Stoica, George;Wang, Lihong V.
    • Proceedings of the Optical Society of Korea Conference
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    • 2006.02a
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    • pp.359-360
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    • 2006
  • Functional photoacoustic tomography is a new non-invasive imaging modality, and it is emerging as a very practical method for imaging biological tissue structures by means of laser-induced ultrasound. Structures with high optical absorption, such as blood vessels, can be imaged with the spatial resolution of ultrasound, which is not limited by the strong light scattering in biological tissues. By varying wavelengths of the laser light and acquiring photoacoustic images, optical absorption spectrum of each image pixel is found. Since the biochemical constituents of tissues determine the spectrum, useful functional information like oxygen saturation ($SO_2$) and total haemoglobin concentration (HbT) can be extracted. In this study, as a proof-of-principle experiment, hypoxic brain tumor vasculature and traumatic brain injury (TBI) of small animal brain are imaged with functional photoacoustic tomography. High resolution brain vasculature images of oxygen saturation and total hemoglobin concentration are provided to visualize hypoxic tumor vasculature, and hemorrhage on the cortex surface by the TBI.

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Malignant Fibrous Histiocytoma in the Infratemporal Fossa (측두하와에 발생한 악성 섬유성 조직구성)

  • Lee Kyung-Hee;Heo Min-Suk;Lee Sam-Sun;Choi Soon-Chul
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.29 no.2
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    • pp.533-547
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    • 1999
  • Malignant fibrous histiocytoma is one of the most common soft tissue sarcomas in late adult life. but its incidence in oral and maxillofacial region is extremely rare. We report a case of malignant fibrous histiocytoma which occurred in the infratemporal fossa. Conventional radiograph of this case showed an ill-defined radiolucent lesion in the alveolar bone of the right maxillary first molar area. the lateral wall of the maxillary sinus. and the ascending ramus of mandible. MRI demonstrated a well defined mass of intermediate signal intensitiy in Tl weighted images but T2 weighted images showed two distinctive regions of different characteristics. Upper portion of the lesion was of hyperintense signal but (at) lower portion, the signal intensity decreased clearly, which might mean that this lesion(mass) is composed of two different subtypes though it couldn't be confirmed by histopathological examination. Biopsy was taken the lesion as only in the soft tissue of the maxillary posterior alveolar region and confirmed the storiform-pleomorphic type of malignant fibrous histiocytoma. Histopathological subtype was well consistent with the relatively aggressive imaging findings of that region. We expect more detailed analysis of the nature of malignant fibrous histiocytoma with improvement of the imaging modality and the identification of the relationship between diagnostic imaging and histopathologic findings.

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Study on Radiation Dose in the Medical Image Data Display Method - Focused on the DICOM Standard (의료영상 데이터에서의 피폭선량 표시 방법에 관한 고찰: DICOM 표준을 중심으로)

  • Kim, Jung-Su
    • Journal of radiological science and technology
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    • v.38 no.4
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    • pp.483-489
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    • 2015
  • DICOM (Digital Imaging and Communications in Medicine) standards are generally introduced as de facto and de jure standards in modern medical imaging devices to store and to transmit medical image information. DICOM Dose Structured Report (DICOM dose SR) is implemented to report radiation exposure information in image acquiring process. and DIOCM Modality Performed Procedure Step (DICOM MPPS) is also partly used to report this exposure with the information in its DICOM tag. This article is focused on three type of radiation exposure information of DICOM standards, 1) DICOM dose SR, 2) DICOM MPPS and 3) Radiation Exposure Monitoring(REM) profile by Integrating the Healthcare Enterprise(IHE), to study on radiation exposure reporting. Healthcare facility and its staff of medical imaging related to radiation exposure should have a deep understanding of radiation exposure, and it required a standards to enhance the quality control of medical imaging and the safety of patients and staffs. Staff member have to pay attention on radiation exposures and controling processes from the purchasing stage of X-ray devices.

Pulse Sequence based MR Images for Compressed Sensing Algorithm Applications (펄스열을 이용한 MR 영상의 Compressed Sensing 알고리즘 적용)

  • Gho, Sung-Mi;Choi, Na-Rae;Kim, Dong-Hyun
    • Journal of the Institute of Electronics Engineers of Korea SP
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    • v.46 no.5
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    • pp.1-7
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    • 2009
  • In recent years, compressed sensing (CS) algorithm has been studied in various research areas including medical imaging. To use the CS algorithm, the signal that is to be reconstructed needs to have the property of sparsity But, most medical images generally don't have this property. One method to overcome this problem is by using sparsifying transform. However, MR imaging, compared to other medical imaging modality, has the unique property that by using appropriate image acquisition pulse sequences, the image contrast can be modified. In this paper, we propose the possibility of applying the CS algorithm with non-sparsifying transform to the pulse sequence modified MR images and improve the reconstruction performance of the CS algorithm by using an appropriate sparsifying transform. We verified the proposed contents by computer simulation using Shepp-Logan phantom and in vivo data.

Diagnostic Ability of High-definition Imaging Using Ultraslim Endoscopes in Early Gastric Cancer

  • Sugita, Tomomi;Suzuki, Sho;Ichijima, Ryoji;Ogura, Kanako;Kusano, Chika;Ikehara, Hisatomo;Gotoda, Takuji;Moriyama, Mitsuhiko
    • Journal of Gastric Cancer
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    • v.21 no.3
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    • pp.246-257
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    • 2021
  • Purpose: It is unclear whether high-definition (HD) imaging improves visibility and diagnostic ability in early gastric cancer (EGC) compared with standard-definition (SD) imaging. We aimed to compare the diagnostic performance and visibility scores of HD and SD ultraslim endoscopes in EGC. Materials and Methods: We used HD and SD ultraslim endoscopes to obtain 60 images with similar compositions of gastric environments. Of the 60 images, 30 showed EGC (15 images for each modality) and 30 showed no EGC (15 images for each modality). Seventeen endoscopists evaluated the presence and location of the lesions in each image. Diagnostic ability was compared between modalities. The color difference between a lesion and the surrounding mucosa (ΔE) was measured and compared between the modalities. Results: The ability of HD to detect EGC was significantly higher than that of SD (accuracy: 80.8% vs. 71.6%, P=0.017; sensitivity: 94.9% vs. 76.5%, P<0.001; positive predictive value, 76.2% vs. 55.3%, P<0.001; and negative predictive value (NPV), 94.1% vs. 73.5%, P<0.001). The ability of HD to determine the horizontal extent of EGC was significantly higher than that of SD (accuracy: 71.0% vs. 57.8%, P=0.004; sensitivity: 75.3% vs. 49.0%, P<0.001; NPV, 72.9% vs. 55.9%, P<0.001; and area under the curve: 0.891 vs. 0.631, P=0.038). The mean ΔE was significantly higher for HD than for SD (10.3 vs. 5.9, P=0.011). Conclusions: The HD ultraslim endoscope showed a higher diagnostic performance in EGC than the SD endoscope because it provided good color contrast.

Medical Ultrasonic Elasticity Imaging Techniques (의료용 초음파탄성영상법)

  • Jeong, Mok-Keun
    • Journal of the Korean Society for Nondestructive Testing
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    • v.32 no.5
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    • pp.573-584
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    • 2012
  • Breast and prostate tumors or cancers tend to be stiffer than the surrounding normal tissue. However, the difference in echogenicity between cancerous and normal tissues is not clearly distinguishable in ultrasound B-mode imaging. Thus, imaging the stiffness contrast between the two different tissue types helps to diagnose lesions quantitatively, and such a method of imaging the elasticity of human tissue is termed ultrasound elasticity imaging. Recently, elasticity imaging has become an effective complementary diagnostic modality along with ultrasound B-mode imaging. This paper presents various elasticity imaging methods that have been reported up to now and describes their characteristics and principles of operation.

Clinical Application of $^{18}F-FDG$ PET in Malignant Mesothelioma (악성중피종에서 $^{18}F-FDG$ PET의 임상응용)

  • Lee, Eun-Jeong
    • Nuclear Medicine and Molecular Imaging
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    • v.42 no.sup1
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    • pp.157-161
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    • 2008
  • Malignant pleural mesothelioma (MPM) has a poor prognosis and a strong association with exposure to asbestos. Although there are not generally accepted guidelines for treatment of MPM, recent reports suggest that multi modality therapy combining chemotherapy, radiotherapy, and surgery can improve the survival of patients with MPM. Therefore exact staging is required to decide the best treatment option. However, it is well known that there are many difficulties in determining precise preoperative stage, predicting prognosis, and monitoring response to therapy with conventional imaging modalities such as CT and MRI in MPM. Recently PET with $^{18}F-FDG$ comes into the spotlight as an important staging method. There is increasing evidence that PET is superior to other conventional imaging modalities in diagnosis and staging of MPM. Particularly PET/CT improves the diagnostic and staging accuracy over PET or CT alone in MPM because it provides anatomic imaging data as well as functional information. PET and PET/CT are also useful for monitoring response to therapy and SUV is reported as a prognostic factor in MPM.

A method for ultrasound image edge enhancement by using Probabilistic edge map (초음파 진단영상 대조도 개선을 위한 확률 경계 맵을 이용한 연구)

  • Choi, Woo-hyuk;Park, Won-hwan;Park, Sungyun
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.20 no.1
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    • pp.37-44
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    • 2016
  • Ultrasonic imaging is the most widely modality among modern imaging device for medical diagnosis. Nevertheless, medical ultrasound images suffer from speckle noise and low contrast. In this paper, we propose probabilistic edge map for ultrasound image edge enhancement using automatic alien algorithm. The proposed method used applied speckle reduced ultrasound imaging for edge improvement using sequentially acquired ultrasound imaging. To evaluate the performance of method, the similarity between the reference and edge enhanced image was measured by quantity analysis. The experimental results show that the proposed method considerably improves the image quality with region edge enhancement.

The Emerging Role of Fast MR Techniques in Traumatic Brain Injury

  • Yoo, Roh-Eul;Choi, Seung Hong
    • Investigative Magnetic Resonance Imaging
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    • v.25 no.2
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    • pp.76-80
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    • 2021
  • Post-concussion syndrome (PCS) following mild traumatic brain injury (mTBI) is a major factor that contributes to the increased socioeconomic burden caused by TBI. Myelin loss has been implicated in the development of PCS following mTBI. Diffusion tensor imaging (DTI), a traditional imaging modality for the evaluation of axonal and myelin integrity in mTBI, has intrinsic limitations, including its lack of specificity and its time-consuming and labor-intensive post-processing analysis. More recently, various fast MR techniques based on multicomponent relaxometry (MCR), including QRAPMASTER, mcDESPOT, and MDME sequences, have been developed. These MCR-based sequences can provide myelin water fraction/myelin volume fraction, a quantitative parameter more specific to myelin, which might serve as a surrogate marker of myelin volume, in a clinically feasible time. In this review, we summarize the clinical application of the MCR-based fast MR techniques in mTBI patients.