• Title/Summary/Keyword: MR 조영제

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Optimization of Flip Angle at Head & Neck MR Angiography using Gadoteridol (Gadoteridol을 이용한 Head & Neck MR Angiography에서의 적정 Flip Angle)

  • Jeong, Hyunkeun;Kim, Mingi;Song, Jaejun;Nam, Kichang;Choi, Hyunsung;Jeong, Hyundo;Kim, Hochul
    • Journal of the Institute of Electronics and Information Engineers
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    • v.53 no.3
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    • pp.151-159
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    • 2016
  • In this research, we tried to suggest moderate FA(Flip Angle) for CE(Contrast Enhnaced)-Head&Neck MR Angiography with Gadoteridol. For this study, we did test MR phantom and clinical study according to FA change. After that, quantitative analysis was progressed. The results of MR phantom study were as follow: RSP(Reaction Starting Point)was recorded within 300~400 mmol. MPSI(Max Peak Signal Intensity) was 2,086, 3,705, 5,109, 6,194, 7.096, 7,192 [a.u]. MPP(Max Peak Point) was shown at 30, 50, 50, 40, 50, 40 mmol. IRMPSI(Increase Rate of MPSI) was 77.6%, 37.9%, 21.2%, 14.6%, 1.4% as increasing of FA. The results of clinical study were as follow SICB(Signal Intensity of Carotid artery Bifurcation) was recorded respectively 392.5, 4165.2, 4270, 3502.2, 3263.7, 3119.6 [a.u]. ORA(Occurence Rate of Artifact) was increased as 0, 0, 20, 40, 50, 70%. According to this research, we are not only able to assure that increase of FA can be effect on H1 spin's SI(Signal Intensity) which was combined with gadolinium agent, but also be effect on artifact rate in blood vessel. In clinical field, we expect that CE-Head&Neck MR Angiography can be performed in a practical way with this research.

Pediatric Neuro-MRI : Techniques and Methods

  • 윤혜경
    • Proceedings of the KSMRM Conference
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    • 1999.04a
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    • pp.81-86
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    • 1999
  • MR은 높은 조직 대조도와 축상, 시상 및 관상면 등의 multiplanar capability의 커다란 장점을 갖고 있어 뇌 신경계질환 진단에 필수적이며, 특히 ionizing radiation이 아니고 요오드계 IV 조영제를 사용하지 않는다는 점이 CT에 비해 더욱 유리하다. 소아에서의 뇌신경계 질환은 선천성 기형이나 대사성 질환이 많은 등 성인과는 다른 질환분포를 보인다. 따라서 성인에서와 같은 protocol을 그대로 적용하였을 때 좋은 질의 영상을 얻기 힘든 경우가 있으며, 연령 또는 질환에 따라 촬영기법도 다양하게 하여야 하므로 routine protocol을 정하지 않고 매 환아 마다 적절한 기법을 선택하고 있다. 또한 움직임을 억제하기 위하여 진정 (sedation)이 필요한 예가 대부분이며 적절한 잠재우기는 좋은 질의 영상을 얻기 위해 필수적이므로 이에 대한 지식을 필요로 한다.

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Unusual MR Features of Extravasation of Contrast Material in Hyperacute Intracerebral Hemorrhage (초급성 두개내 출혈 환자에서 조영제의 혈관외 누출을 동반한 비전형적 자기공명영상)

  • Choi Seung Hong;Chun Woo Sun;Kim Ji-Hoon;Kang Hyun Seung;Kwon Bae Ju;Na Dong Gyu;Kim Jae Hyung;Han Moon Hee;Chang Kee-Hyun
    • Investigative Magnetic Resonance Imaging
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    • v.9 no.1
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    • pp.50-56
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    • 2005
  • Contrast extravasation in hyperacute intracerebral hemorrhage (ICH) indicative of active bleeding is a predictor of possible enlargement of hematoma, providing clinician with valid management decisions. We report unusual MR imaging features of contrast extravasation in hyperacute ICH in three patients: Case 1 with hypertension revealed dual foci of contrast extravasation, one in right basal ganglia and the other in left lateral ventricle, suggesting simultaneous bleeding of the two foci. Case 2 with presumed diagnosis of vasculitis showed relatively large area of contrast extravasation mimicking enhancing tumor or vascular lesion. Case 3 with hypertension showed the findings of active bleeding which was likely to occur during the time of MR imaging acquisition.

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Primary Hepatic Lymphoma: MR Imaging and Pathologic Correlation (일차성 간림프종: 자기공명영상과 병리소견의 연관)

  • Kim, Han-Na;Shin, Yu-Ri;Rha, Sung-Eun;Jung, Eun-Sun;Oh, Soon-Nam;Choi, Joon-Il;Jung, Seung-Eun;Lee, Young-Joon
    • Investigative Magnetic Resonance Imaging
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    • v.14 no.2
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    • pp.151-155
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    • 2010
  • Primary hepatic lymphoma is extremely rare, representing less than 1% of all extranodal lymphomas. We report MR imaging features and pathologic correlation of a case of primary hepatic lymphoma. MR images showed a large lobulated mass with gradual contrast enhancement, resembling intrahepatic cholangiocarcinoma. However, both hepatobiliary phase image obtained 20 minutes after injection of hepatocyte specific contrast agent and diffusion-weighted image demonstrated characteristic three layered pattern representing viable lymphoma in the outer layer, tumor necrosis in the middle layer and necrotic hepatic parenchyma in the center.

[ $^1H$ ] MR Spectroscopy of the Normal Human Brains: Comparison between Signa and Echospeed 1.5 T System (정상 뇌의 수소 자기공명분광 소견: 1.5 T Signa와 Echospeed 자기공명영상기기에서의 비교)

  • Kang Young Hye;Lee Yoon Mi;Park Sun Won;Suh Chang Hae;Lim Myung Kwan
    • Investigative Magnetic Resonance Imaging
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    • v.8 no.2
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    • pp.79-85
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    • 2004
  • Purpose : To evaluate the usefulness and reproducibility of $^1H$ MRS in different 1.5 T MR machines with different coils to compare the SNR, scan time and the spectral patterns in different brain regions in normal volunteers. Materials and Methods : Localized $^1H$ MR spectroscopy ($^1H$ MRS) was performed in a total of 10 normal volunteers (age; 20-45 years) with spectral parameters adjusted by the autoprescan routine (PROBE package). In all volunteers, MRS was performed in a three times using conventional MRS (Signa Horizon) with 1 channel coil and upgraded MRS (Echospeed plus with EXCITE) with both 1 channel and 8 channel coil. Using these three different machines and coils, SNRs of the spectra in both phantom and volunteers and (pre)scan time of MRS were compared. Two regions of the human brain (basal ganglia and deep white matter) were examined and relative metabolite ratios (NAA/Cr, Cho/Cr, and mI/Cr ratios) were measured in all volunteers. For all spectra, a STEAM localization sequence with three-pulse CHESS $H_2O$ suppression was used, with the following acquisition parameters: TR=3.0/2.0 sec, TE=30 msec, TM=13.7 msec, SW=2500 Hz, SI=2048 pts, AVG : 64/128, and NEX=2/8 (Signa/Echospeed). Results : The SNR was about over $30\%$ higher in Echospeed machine and time for prescan and scan was almost same in different machines and coils. Reliable spectra were obtained on both MRS systems and there were no significant differences in spectral patterns and relative metabolite ratios in two brain regions (p>0.05). Conclusion : Both conventional and new MRI systems are highly reliable and reproducible for $^1H$ MR spectroscopic examinations in human brains and there are no significant differences in applications for $^1H$ MRS between two different MRI systems.

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Contrast Enhanced Cerebral MR Venography: Comparison between Arterial and Venous Triggering Methods (조영 증강 자기공명정맥 촬영술에서의 동맥과 정맥 triggering 방법의 비교)

  • Jang, Min-Ji;Choi, Hyun-Seok;Jung, So-Lyung;Ahn, Kook-Jin;Kim, Bum-Soo
    • Investigative Magnetic Resonance Imaging
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    • v.16 no.2
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    • pp.152-158
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    • 2012
  • Purpose : To compare the arterial and venous detection sites of triggering methods in contrast-enhanced-MR-venography (CE-MRV) for the evaluation of intracranial venous system. Materials and Methods: 41 healthy patients underwent CE-MRV with autotriggering at either the cavernous segment of internal carotid artery with an inserted time-delay of 6 seconds (n = 20) or the superior sagittal sinus without any timedelay (n = 21). 0.1 mmol/kg gadolinium-based contrast material ($Magnevist^{(R)}$, Schering, Germany) was intravenously injected by hand injection. A sagittal fast-spoiled-gradient-echo-sequence ranging from one ear to the other was performed (TR/TE5.2/1.5, Matrix $310{\times}310$, 124 sections in the 15-cm-thick volume). 17 predefined venous structures were evaluated on all venograms by two neuroradiologists and defined as completely visible, partially visible, or none visible. Results: The rate of completely visible structures were 272 out of 323 (84%) in the arterial triggering CE-MRV and 310 out of 340 (91%) in the venous triggering CE-MRV. The venous triggering CE-MRV demonstrated an overall superior visualization of the cerebral veins than the arterial triggering CE-MRV (Fisher exact test, p < 0.006). Conclusion: CE-MRV using venous autotriggering method provides higher-quality images of the intracranial venous structures compared to that of arterial.

Gadoteridol's Signal Change according to TR, TE Parameters in T1 Image (T1영상에서 TR, TE 매개변수에 따른 Gadoteridol의 신호강도 변화)

  • Jeong, Hyun Keun;Jeong, Hyun Do;Nam, Ki Chang;Kim, Ho Chul
    • Journal of the Institute of Electronics and Information Engineers
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    • v.52 no.9
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    • pp.117-124
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    • 2015
  • In this paper, we introduce how to control TR, TE physical MR parameters for managing $H_1$ spin's SI(Signal Intensity) which is combined with gadolinium following administration MR agent in T1 effect for diagnostic usefulness. we used MRI phantom made with 0.5 mol Gadoteridol. This phantom was scanned by FSE sequence with different TR, TE parameters. In this study, to make T1 effect, TR was 200, 250, 300, 350, 400, 450, 500, 550, 600 msec. In addition to, TE was 6.2, 12.4, 18.6, 21.6 msec. The results were as follows ; Each RSP(Reaction Starting Point) was 100, 50, 40, 30 mmol in TE 6.2, 12.4, 18.6, 21.6 msec being irrelevant to TR. In MPSI(Max Peak Signal Intensity), 4 mmol was showed in TR 200 msec while peak signal was decreased to low concentration mol in TR 250-600 msec. In terms of RA(Reaction Area), the highest SI was TE 6.2 msec in TR 200-600msec. According to the study, we are able to recognize it is possible to control enhance rates by managing TR and TE of MR parameters; moreover, we expect that enhanced T1 image in MR clinical field can be performed in a practical way with this quantitative data.

Polycarprolacton으로 표면 수식된 나노 산화철 조영제의 합성에 관한 연구

  • 박동규;박지애;장용민;강덕식
    • Proceedings of the KSMRM Conference
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    • 2003.10a
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    • pp.35-35
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    • 2003
  • 목적: 나노 산화철 입자 및 생고분자인 PCL(Polycarprolacton)로 표면 코팅한 T2 MR 조영제를 합성하고 동물 종양 모델을 이용하여 In vivo 특성을 조사하고자 하였다. 대상 및 방법: $FeC1_2$.$4H_2$O와 $FeC1_3$.$6H_2$O을 무게비를 1:2로 정량하여 첨가하고 NaOH 혹은 TMAOH로 pH를 조절한후 PCL를 첨가하여 magnetite가 생성되는 동시에 고분자로서 코팅을 한후 증류수로 여러번 씻어준다. TEM, SEM, DLS 및 IR spectroscopy와 SQUID등을 측정하여 최종 반응물의 입자크기, 자성, 코팅 상태등을 평가하였다. 최소의 입자크기를 형성하는데 필요한 실험 조건을 찾기 위해 반응온도, 코팅할 고분자의 함량, 교반속도별로 실험하여서 최적의 조건을 찾으려 하였다. 토끼의 간에 VX2 암종을 이식한 동물 모델을 이용하여 PCL로 표면 코팅된 나노자성체의 in vivo 영상 특성을 알아보았다.

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Usefulness of contrast agent involving high gadolium content for myocardial viability assessment (심근생존능검사 시 가돌리늄 함유량이 높은 조영제의 유용성)

  • Choi, Kwan-Woo;Son, Soon-Yong;Kim, Tae-Hyung;Han, Man-Seok;Lee, Ju-Hee;Min, Jung-Whan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.3
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    • pp.1294-1300
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    • 2013
  • The purpose of this study is to increase contrast to noise ratio(CNR) in myocardial viability test by using contrast agent which highly content gadolinium(1mmol/mL) maximizing diagnostic value. This research method that four hundred four patients were underwent the MRI scanning two hundred eighty four of them were injected commercial contrast media which have 0.5mmol/L and the rest of them were injected new contrast media(gadobutrol) which have 1mmol/mL of molarity to study the contrast difference depending on the molarity of the contrast agent signal intensities of normal ventricle and left ventricle were measured to compare and evaluate signal to noise ratio(SNR) and CNR of the images. As result, 1mmol/mL contrast agent showed higher SNR by 25.13% in myocardium and 30.74% in left ventricle. CNR was proved to be better in 1mmol/mL contrast agent by 31.29%. The results above were all statistically meaningful. Therefore, contrast agent contenting more gadolinium which was 1mmol/mL in this study, could more effectively shorten T1 relaxation time, increase the signal intensity and at the same time maximize CNR and diagnostic value. This study firstly report the usefulness of 1mmol/mL contrast agent in patients allegedly suffering cardiac diseases and it is considered to increase diagnostic value.

The Value of Three-Dimensional Reconstructions of MRI Imaging using Maximum Intensity Projection Technique (유방 MRI의 최대강도투사 기법에 의한 3차원 재구성 영상의 유용성)

  • Cho, Jae-Hwan;Lee, Hae-Kag;Hong, In-Sik;Kim, Hyun-Joo;Jang, Hyun-Cheol;Park, Cheol-Soo;Park, Tae-Nam
    • Journal of Digital Contents Society
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    • v.12 no.2
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    • pp.157-164
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    • 2011
  • The purpose of this study was to examine the usefulness of 3D reconstruction images in breast MRI by performing a quantitative comparative analysis in patients diagnosed with DCIS. On a 3.0T MR scanner, subtraction images and 3D reconstruction images were obtained from 20 patients histologically diagnosed with ductal carcinoma in situ (DCIS). The findings from the quantitative image analysis are the following: The 3D reconstruction images showed higher SNR at the lesion area, ductal area, and fat area that of the subtraction image. In addition, the CNR were not significantly different in the lesion area itself between the subtraction images and 3D reconstruction images.