• 대한방사선기술학회지:방사선기술과학
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• 제46권5호
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• pp.427-433
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• 2023

This study aimed to quantitatively compare the diameters measured directly from the coronal plane or sagittal plane of 2D digital subtraction angiography (DSA) and the cross-sectional area-converted diameters calculated from contrast-enhanced MR (CE-MR) imaging. A retrospective analysis was conducted on 20 patients who underwent both 2D DSA and CE-MR imaging. Firstly, the venous diameters of the superior sagittal sinus (SSS) and transverse sinus (TS) were directly measured from 2D DSA. Subsequently, the axial planes for SSS diameter and the sagittal plane for TS in CE-MR imaging were utilized to calculate cross-sectional area-based converted diameters. The numerical values obtained from 2D DSA and CE-MR imaging were compared pairwise at each location. For SSS, the diameter measured by 2D DSA was 27% larger than the conversion-based diameter from CE-MR imaging (9.8±1.4 mm vs. 7.1±1.3 mm, P<0.05). Similarly, for the right TS, the difference was 16% (8.8±3.2 mm vs. 7.4±2.0 mm, P<0.05), and for the left TS, the difference was 22% (8.4±2.8 mm vs. 6.6±1.3 mm, P<0.05). In conclusion, the diameter measured directly in conventional 2D DSA may be larger than the diameter converted based on the cross-sectional area. Therefore, when selecting the size of the stent, it is crucial to make precise determinations while keeping this fact in mind.

• 대한의용생체공학회:학술대회논문집
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• 대한의용생체공학회 1997년도 춘계학술대회
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• pp.230-234
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• 1997

The matching pursuit (MP) algorithm developed by S. Mallat and Z. Zhang is applied to magnetic resonance (MR) imaging. Since matching pursuit is a greedy algorithm to find waveforms which are the best match for an object-signal, the signal can be decomposed with a few iterations. In this paper, we propose an application of the MP algorithm to the MR imaging to reduce imaging time. Inner products of residual signals and selected waveforms in the MP algorithm are derived from the MR signals by excitation of RF pulses which are fourier transforms of selected waveforms. Results from computer simulations demonstrate that the imaging time is reduced by using the MP algorithm and further a progressive reconstruction can be achieved.

• Journal of Korean Neurosurgical Society
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• 제47권6호
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• pp.437-441
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• 2010

Objective : The precise intra- vs. extradural localization of aneurysms involving the paraclinoid internal carotid artery is critical for the evaluation of patients being considered for aneurysm surgery. The purpose of this study was to investigate the clinical usefulness of T2-weighted threedimensional (3-D) fast spin-echo (FSE) magnetic resonance (MR) imaging in the evaluation of unruptured paraclinoid aneurysms. Methods : Twenty-eight patients with unruptured cerebral aneurysms in their paraclinoid regions were prospectively evaluated using a T2- weighted 3-D FSE MR imaging technique with oblique coronal sections. The MR images were assessed for the location of the cerebral aneurysm in relation to the dural ring and other surrounding anatomic compartments, and were also compared with the surgical or angiographic findings. Results : All 28 aneurysms were identified by T2-weighted 3D FSE MR imaging, which showed the precise anatomic relationships in regards to the subarachnoid space and the surrounding anatomic structures. Consequently, 13 aneurysms were determined to be intradural and the other 15 were deemed extradural as they were confined to the cavernous sinus. Of the 13 aneurysms with intradural locations, three superior hypophyseal artery aneurysms were found to be situated intradurally upon operation. Conclusion : High-resolution T2-weighted 3-D FSE MR imaging is capable of confirming whether a cerebral aneurysm at the paraclinoid region is intradural or extradural, because of the MR imaging's high spatial resolution. The images may help in identifying patients with intradural aneurysms who require treatment, and they also can provide valuable information in the treatment plan for paraclinoid aneurysms.

• 대한의생명과학회지
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• 제10권3호
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• pp.285-291
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• 2004

To determine the magnetic resonance (MR) imaging findings and natural history of cerebral fat embolism in a cat model, and to correlate the MR imaging and histologic fmdings. Intemel carotid artery of 11 cats was injected with 0.1 ml of triolein. T2-weighted, T1-weighted and Gd-enhanced T1-weighted images were obtained serially for 2 hours, 1 days, 4 days, 1 week, 2 weeks and 3 weeks after embolization. Any abnormal signal intensity was evaluated. After MR imaging at 3 weeks, brain tissue was obtained for light microscopic (LM) examination using hematoxylin-eosin (HE) and Luxol fast blue staining, and for electron microscopic examination. The LM examination with HE staining revealed normal histological findings in the greater part of an embolized lesion. Cystic change was observed in the gray matter of 8 cats, while in the gray and white matter of 3 cats. At LM examination, Luxol fast blue, staining demonstrated demyelination around the cystic change occurring in the white matter, and EM examination of the embolized cortex revealed sporadic intracapillary fat vacuoles (n=11) and disruption of the blood-brain barrier (n=4). Most lesions were normal, however, and perivascular interstitial edema and cellular swelling were mild compared with the control side. The greater part of an embolized lesion showed reversible findings at MR and histological examination. Irreversible focal necrosis was, however, observed in gray and white matter at weeks 3.

• Journal of Yeungnam Medical Science
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• 제8권1호
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• pp.220-230
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• 1991

Internuclear ophthalmoplegia is a conjugated gaze disorder characterized by impaired adduction on the side of a lesion involving the medial longitudinal fasciculus with dissociated nystagmus of the other abducting eye. Six patients with INO(who had clinical cerebrovascular diseases) underwent MR imaging and the results were as follows : 1. The MLF lesions were identified by MR imaging in 5 cases 2. The ratio of unilateral INO to bilateral INO was 5:1 3. The nature of lesions was infarction in 4 cases and hemorrhage in 1 case 4. The sites of MLF lesion were in the midbrain in 4 cases and in the pons in 1 case 5. All 5 cases of INO identified by MR imaging had other lesion sites in addition to MLF lesion.

• 대한전자공학회논문지SP
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• 제46권5호
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• pp.25-31
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• 2009

Compressed sensing은 기존의 Nyquist sampling 이론에 기반을 두었던 dynamic MRI에서의 시 공간 해상도의 제한을 획기적으로 향상시킴으로써, 최근 몇 년 사이, MR reconstruction 분야에서 가장 큰 이슈가 되고 있는 연구주제이다. Dynamic MRI 는 대부분 시간방향의 redundancy 가 매우 크므로, 쉽게 sparse 변환이 가능하다. 따라서 sparsity를 기본 조건으로 하는 compressed sensing은 거의 모든 dynamic MRI 에 대해 효과적으로 적용될 수 있다. 본 review 페이퍼에서는 최근 compressed sensing 에 기반을 두거나 영상의 sparsity를 이용하여 개발된 dynamic MR imaging algorithm 들을 간략히 소개하고, 비교 분석함으로써, compressed sensing과 같은 새로운 접근 방식의 dynamic MRI가 실제 임상에서 가져다 줄 발전 가능성을 제시한다.

• 대한영상의학회지
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• 제84권3호
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• pp.565-585
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• 2023

항문주위 샛길은 일반 인구에서 매우 흔하고 항문관 주변 부위에 영향을 미치는 염증성 질환이다. 대부분 양성이지만 심각한 이환율을 유발하고 재발 위험이 높아 외과적 치료가 필요하다. 자기공명(MR) 영상은 항문관의 해부학적 구조, 항문조임근 복합체와의 관계, 2차 경로 또는 농양의 정확한 식별에 대한 정확한 정보를 제공하고 관련 합병증을 보고하는 항문주위 샛길 평가를 위한 최적 표준 기술로 간주된다. MR 영상은 또한 치료 효과를 모니터링하고 치료 방법을 결정하기 위한 정확한 정보를 제공할 수 있다. 크론병 관련 샛길은 종종 질병을 완화하기 위해 외과적 치료보다는 내과적 치료가 필요하다. 영상의학과 의사는 샛길의 해부학적 구조와 MR 영상 소견을 알아야 하고 임상의사에게 정확한 진단을 제시할 수 있어야 한다.

• 대한의용생체공학회:의공학회지
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• 제16권4호
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• pp.481-491
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• 1995

Endovaginal and endorectal receiver only surface coils were designed for MR imaging (MRI) and $^1H$ MR spectroscopy (MRS) for the uterine cervix and the prostate. The shape of endovaginal coil wire was rectangular with round corner. Size of the coil wire was empirically determined for 7cm and 4cm along the long and short axis, respectively. The coil wire loop was supported by acryl handle and bent about $150^{\circ}$ at one side of the loop considering the average angle of the cervix to the vagina. We called this as a "spoon-type endovaginal coil". The wire of the endorectal coil was made of the flexible materials so that the wire loop became long elliptic shape by pushing the acryl handle into the plastic tube for the comfort of patients when the coil was inserted into the cervix. Then, the shape was maintained to be circle by popping out handle. Conventional spin echo (SE) and fast spin echo (FSE) sequences were used as 71 and 72 weighted imaging sequences, respectively. Matrix size was 128~$256{\times}256$. FOVs for surface coil and body coil were 14cm and 24cm, respectively. 3D volume localized in vivo $^1H$ MR spectroscopy of the human cervix and prostate was performed using PRESS or STEAM localization method with the following parameters . TR=3 sec, TE=135 msec for PRESS or 30 msec for STEAM, NEX=2, NS=48, Sl=2048, and SW=2500 Hz. Using home-built endovaginal and endorectal coils, excellent T1- and T2-images were obtained to visualize early cervical and prostate tumors. 3D volume localized in vivo IH MRS was useful to differentiate the cancerous tissue from the normal tissue.

• 치과방사선
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• 제29권1호
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• pp.149-159
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• 1999

Purpose: The purpose of this study was to evaluate cervical lymph node metastasis of oral squamous cell carcinoma patients by MRI film and neural network system. Materials and Methods: The oral squamous cell carcinoma patients(21 patients. 59 lymph nodes) who have visited SNU hospital and been taken by MRI. were included in this study. Neck dissection operations were done and all of the cervical lymph nodes were confirmed with biopsy. In MR images. each lymph node were evaluated by using 6 MR imaging criteria(size. roundness. heterogeneity. rim enhancement. central necrosis, grouping) respectively. Positive predictive value. negative predictive value. and accuracy of each MR imaging criteria were calculated. At neural network system. the layers of neural network system consisted of 10 input layer units. 10 hidden layer units and 1 output layer unit. 6 MR imaging criteria previously described and 4 MR imaging criteria (site I-node level II and submandibular area. site II-other node level. shape I-oval. shape II-bean) were included for input layer units. The training files were made of 39 lymph nodes(24 metastatic lymph nodes. 10 non-metastatic lymph nodes) and the testing files were made of other 20 lymph nodes(10 metastatic lymph nodes. 10 non-metastatic lymph nodes). The neural network system was trained with training files and the output level (metastatic index) of testing files were acquired. Diagnosis was decided according to 4 different standard metastatic index-68. 78. 88. 98 respectively and positive predictive values. negative predictive values and accuracy of each standard metastatic index were calculated. Results: In the diagnosis of using single MR imaging criteria. the rim enhancement criteria had highest positive predictive value (0.95) and the size criteria had highest negative predictive value (0.77). In the diagnosis of using single MR imaging criteria. the highest accurate criteria was heterogeneity (accuracy: 0.81) and the lowest one was central necrosis (accuracy: 0.59). In the diagnosis of using neural network systems. the highest accurate standard metastatic index was 78. and that time. the accuracy was 0.90. Neural network system was more accurate than any other single MR imaging criteria in evaluating cervical lymph node metastasis. Conclusion: Neural network system has been shown to be more useful than any other single MR imaging criteria. In future. Neural network system will be powerful aiding tool in evaluating cervical node metastasis.

• 한국방사선학회논문지
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• 제6권5호
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• pp.409-414
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• 2012

본 연구는 나노 조영제를 이용하여 분자영상을 획득하고 이와 동일한 조건의 일반영상을 획득하여 두 영상을 DWT(Discrete Wavelet Transform)로 변환하여 분자영상과 일반영상간의 차이를 분석하였다. 현재까지의 분자영상 기술은 나노 조영제를 이용한 MR 영상과, PET를 이용한 분자영상 연구가 주류를 이루고 있다. MRI를 이용한 동일병변의 일반영상과 분자영상을 DWT로 분석한 결과 병변이 존재하는 블록에서는 병변이 있음을 예시하여 주는 고주파 특징값이 일반영상과 분자영상 모두 더 높게 나타나는 것을 알 수 있었다. 특히 고주파 영역의 특징추출값은 분자영상이 더 높게 나타남을 알 수 있었다.