• Title/Summary/Keyword: Imaging Modality

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The Usefulness of 4D Echocardiographic Modality for Assessing RV Affection in Uncontrolled Hypertensive Patients

  • Rehab M. Hamdy;Shaimaa A Habib;Layla A Mohamed;Ola H. Abd Elaziz
    • Journal of Cardiovascular Imaging
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    • v.30 no.4
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    • pp.279-289
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    • 2022
  • BACKGROUND: In many cardiovascular disorders, the contractile performance of the right ventricle (RV) is the primary determinant of prognosis. For evaluating RV volumes and function, 4 dimensional (4D)-echocardiography has become common. This research used 2D and 4D modalities to assess RV contractile performance in hypertensive patients. METHODS: A total of 150 patients with essential hypertension were enrolled in this study, along with 75 age and sex-matched volunteers. Clinical evaluation and echocardiographic examination (including M-mode, tissue Doppler imaging, and 2D speckle tracking) were conducted on all participants. RV volumes, 4D-ejection fraction (EF), 4D-fractional area change (FAC), 4D-tricuspid annular plane systolic excursion (TAPSE), 4D-septal and free wall (FW) strain were all measured using 4D-echocardiography. RESULTS: Hypertensive patients showed 2D-RV systolic and diastolic dysfunction (including TAPSE, 2D-right ventricular global longitudinal strain, RV-myocardial performance index and average E/EaRV) and 4D-RV impairment (including right ventricular EF, FAC, RV strain and TAPSE, right ventricular end-diastolic volume and right ventricular end-systolic volume) compared to the control group. We verified the prevalence of RV systolic dysfunction in hypertension patients using the following parameters: 1) 15% of them had 2D-TAPSE < 17 mm vs. 40% by 4D-TAPSE; 2) 25% of them had 2D-GLS < 19% vs. 42% by 4D-septal strain and 35% by 4D FW strain; 3) 35% of hypertensive patients had 4D-EF < 45%; and finally; 4) 25% of hypertensive patients had 2D-FAC < 35% compared to 45% by 4D-FAC. CONCLUSIONS: The incidence of RV involvement was greater in 4D than in 2D-modality trans-thoracic echocardiography. We speculated that 4D-echocardiography with 4D-strain imaging would be more beneficial for examining RV morphology and function in hypertensive patients than 2D-echocardiography, since 4D-echocardiography could estimate RV volumes and function without making geometric assumptions.

Efficacy of I-123/I-131 Metaiodobenzylguanidine Scan as A Single Initial Diagnostic Modality in Pheochromocytoma: Comparison with Biochemical Test and Anatomic Imaging (갈색세포종의 초기 진단에서 I-123/I-131 Metaiodobenzylguanidine 스캔의 단일 검사로써의 진단 성능: 생화학적 검사, 해부학적 영상과 비교)

  • Moon, Eun-Ha;Lim, Seok-Tae;Jeong, Young-Jin;Kim, Dong-Wook;Jeong, Hwan-Jeong;Sohn, Myung-Hee
    • Nuclear Medicine and Molecular Imaging
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    • v.43 no.5
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    • pp.436-442
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    • 2009
  • Purpose: We underwent this study to evaluate the diagnostic potential of I-123/I-131 metaiodobenzylguanidine (MIBG) scintigraphy alone in the initial diagnosis of pheochromocytoma, compared with biochemical test and anatomic imaging. Materials & Methods: Twenty two patients (M:F=13:9, Age: $44.3{\pm}\;19.3$ years) having the clinical evaluation due to suspicious pheochromocytoma received the biochemical test, anatomic imaging modality (CT and/or MRI) and I-123/I-131 MIBG scan for diagnosis of pheochromocytoma, prior to histopathological confirmation. MIBG scans were independently reviewed by 2 nuclear medicine physicians. Results: All patients were confirmed histopathologically by operation or biopsy (incisional or excisonal). In comparison of final diagnosis and findings of each diagnostic modality, the sensitivities of the biochemical test, anatomic imaging, and MIBG scan were 88.9%, 55.6%, and 88.9%, respectively. And the specificities of the biochemical test, anatomic imaging, and MIBG scan also were 69.2%, 69.2%, and 92.3%, respectively. MIBG scan showed one false positive (neuroblastoma) and one false negative finding. There was one patient with positive MIBG scan and negative findings of the biochemical test, anatomic imaging. Conclusion: Our data suggest that I-123/I-131 MIBG scan has higher sensitivity, specificity, positive predictive value, negative predictive value and accuracy than those of biochemical test and anatomic imaging. Thus, we expect that MIBG scan is e tectively used for initial diagnosis of pheochromocytoma alone as well as biochemical test and anatomic imaging.

Strain elastography of palatal tumors in conjunction with intraoral ultrasonography, computed tomography, and magnetic resonance imaging: 2 case reports

  • Ogura, Ichiro;Toshima, Hiroo;Akashiba, Tohru;Ono, Junya;Okada, Yasuo
    • Imaging Science in Dentistry
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    • v.50 no.1
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    • pp.73-79
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    • 2020
  • Computed tomography (CT) and magnetic resonance imaging (MRI) can be useful for the evaluation of palatal lesions, and strain elastography (performed together with intraoral ultrasonography) is a relatively new sonographic imaging modality. This report describes 2 clinical cases in which strain elastography was used to assess palatal tumors in conjunction with intraoral ultrasonography, CT, and MRI. In the first case, diagnosed as a myoepithelioma, the strain was determined to be 0.000% (strain of normal tissue, 0.556%). In the second case, diagnosed as an adenoid cystic carcinoma, the determined strain was 0.000% (strain of normal tissue, 1.077%). Therefore, we conclude that intraoral strain elastography can be useful for evaluating palatal lesions.

Application of Dual-Energy Spectral Computed Tomography to Thoracic Oncology Imaging

  • Cherry Kim;Wooil Kim;Sung-Joon Park;Young Hen Lee;Sung Ho Hwang;Hwan Seok Yong;Yu-Whan Oh;Eun-Young Kang;Ki Yeol Lee
    • Korean Journal of Radiology
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    • v.21 no.7
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    • pp.838-850
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    • 2020
  • Computed tomography (CT) is an important imaging modality in evaluating thoracic malignancies. The clinical utility of dual-energy spectral computed tomography (DESCT) has recently been realized. DESCT allows for virtual monoenergetic or monochromatic imaging, virtual non-contrast or unenhanced imaging, iodine concentration measurement, and effective atomic number (Zeff map). The application of information gained using this technique in the field of thoracic oncology is important, and therefore many studies have been conducted to explore the use of DESCT in the evaluation and management of thoracic malignancies. Here we summarize and review recent DESCT studies on clinical applications related to thoracic oncology.

Digital X-ray Imaging in Dentistry (치과에서 디지털 x-선 영상의 이용)

  • Kim Eun-Kyung
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.29 no.2
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    • pp.387-396
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    • 1999
  • In dentistry. RadioVisioGraphy was introduced as a first electronic dental x-ray imaging modality in 1989. Thereafter. many types of direct digital radiographic system have been produced in the last decade. They are based either on charge-coupled device(CCD) or on storage phosphor technology. In addition. new types of digital radiographic system using amorphous selenium. image intensifier etc. are under development. Advantages of digital radiographic system are elimination of chemical processing, reduction in radiation dose. image processing, computer storage. electronic transfer of images and so on. Image processing includes image enhancement. image reconstruction. digital subtraction, etc. Especially digital subtraction and reconstruction can be applied in many aspects of clinical practice and research. Electronic transfer of images enables filmless dental hospital and teleradiology/teledentistry system. Since the first image management and communications system(IMACS) for dentomaxillofacial radiology was reported in 1992. IMACS in dental hospital has been increasing. Meanwhile. researches about computer-assisted diagnosis, such as structural analysis of bone trabecular patterns of mandible. feature extraction, automated identification of normal landmarks on cephalometric radiograph and automated image analysis for caries or periodontitis. have been performed actively in the last decade. Further developments in digital radiographic imaging modalities. image transmission system. imaging processing and automated analysis software will change the traditional clinical dental practice in the 21st century.

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Generalized Lymphangiomatosis: A Case Report (전신성 림프관종증: 증례 보고)

  • Cha, Jang-Gyu;Park, Jai-Soung;Paik, Sang-Hyun;Kim, Hee-Kyung
    • Investigative Magnetic Resonance Imaging
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    • v.13 no.2
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    • pp.190-194
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    • 2009
  • Generalized lymphangiomatosis is a rare congenital malformation of the lymphatics. CT and MR scan have been used to evaluate lymphangiomas, which appear as large multicystic fluid-filled masses. CT and MR Imaging findings are often helpful in distinguishing lymphangiomas from various vascular disorders. We report the findings of CT, MRI and bone scan in a patient with generalized cystic lymphangiomatosis. Whole body 3.0-T MR scan using STIR sequence with a larger FOV could detect the additional lesions that were not seen at other imaging modalities. We believe that whole body 3.0 T MR imaging is a good modality to evaluate the extent of the disease and following up the patients with the generalized cystic lymphangiomatosis.

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Implementation of Strain Imaging Modality in Medical Ultrasonic Imaging System (초음파 의료 영상 시스템에서 탄성 영상의 구현)

  • Yoon Ra-Young;Kwon Sung-Jae;Bae Moo-Ho;Jeong Mok-Kun
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.42 no.3 s.303
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    • pp.53-62
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    • 2005
  • This paper proposes a method of measuring and visualizing the elasticity distribution of the human soft tissue to detect tumors or cancers which have been difficult to diagnose in conventional medical ultrasonic B-mode images. To measure the stiffness of soft tissue, first, pressure is applied to deform the tissue being imaged, and then the amount of mechanical displacement is determined from correlation coefficients obtained from ultrasonic data downconverted into the baseband. We confirmed the feasibility of imaging tissue stiffness by computer simulation and experiment.

Performance Analysis of the Inversion Schemes in the Spotlight-mode SAR(Synthetic Aperture Radar) (Spotlight-mode SAR(Synthetic Aperture Radar)에서의 Inversion 기법 성능 분석)

  • 최정희
    • Journal of the Institute of Electronics Engineers of Korea SP
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    • v.40 no.1
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    • pp.130-138
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    • 2003
  • The classical image reconstruction for stripmap-mode Synthetic Aperture Radar is the Range-Doppler algorithm. When the spotlight-mode SAR system was envisioned, Range-Doppler algorithm turned out to fail rapidly in this SAR imaging modality. Thus, what is referred to as Polar format algorithm, which is based on the Plane wave approximation, was introduced for imaging from spotlight-mode SAR raw- data. In this paper, we have studied for the raw data processing schemes in the spotlight-mode Synthetic Aperture Radar. We apply the Wavefront Reconstruction scheme that does not utilize the approximation in spotlight-mode SAR imaging modelity, and compare the performance of target imaging with the Polar format inversion scheme.

Comparison of conventional lateral cephalograms with corresponding CBCT radiographs

  • Park, Chang-Seo;Park, Jae-Kyu;Kim, Huijun;Han, Sang-Sun;Jeong, Ho-Gul;Park, Hyok
    • Imaging Science in Dentistry
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    • v.42 no.4
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    • pp.201-205
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    • 2012
  • Purpose: This study was performed to assess the compatibility of cone beam computed tomography (CBCT) synthesized cephalograms with conventional cephalograms, and to find a method for obtaining normative values for three-dimensional (3D) assessments. Materials and Methods: The sample group consisted of 10 adults with normal occlusion and well-balanced faces. They were imaged using conventional and CBCT cephalograms. The CBCT cephalograms were synthesized from the CBCT data using OnDemand 3D software. Twenty-one angular and 12 linear measurements from each imaging modality were compared and analyzed using paired-t test. Results: The linear measurements between the two imaging modalities were not statistically different (p>0.05) except for the U1 to facial plane distance. The angular measurements between the two imaging modalities were not statistically different (p>0.05) with the exception of the gonial angle, ANB difference, and facial convexity. Conclusion: Two-dimensional cephalometric norms could be readily used for 3D quantitative assessment, if corrected for lateral cephalogram distortion.

A New Method for Extending Doppler Mean Frequency in Ultrasonic Imaging Systems (초음파 영상 시스템에서 새로운 도플러 평균주파수 확장 방법)

  • Kwon, Sung-Jae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.8 no.5
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    • pp.1047-1056
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    • 2007
  • Basically, an ultrasonic imaging system has two fundamental imaging modes available. One is the B-mode imaging modality which provides an image of reflection coefficient, and the other is the Doppler color flow mode that maps blood flow inside the human heart and blood vessels. This paper presents a new method of detecting and compensating for aliasing that occurs when the Doppler frequency exceeds one-half of the pulse-repetition frequency (PRF). Its validity is shown by computer simulation. The new method not only extends the measurable Doppler frequency, but also helps to reduce the effect of noise. The results show that the aliasing can be compensated for correctly fur signal-to-noise ratios down to 20 dB.

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