• Title/Summary/Keyword: MRI 영상

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Thoracic Intramedullary Schwannoma Aggravated on Follow-up MRI: Case Report and Review of the Literature (추적 자기공명영상에서 악화된 흉추 척수내 신경집종: 증례보고 및 문헌고찰)

  • Lee, So-Yeon;Jee, Won-Hee;Kim, Sun-Ki;Jung, Chan-Kwon;Park, Chun-Kun
    • Investigative Magnetic Resonance Imaging
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    • v.13 no.2
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    • pp.207-212
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    • 2009
  • Schwannoma is a rare intramedullary tumor. There has been no reported case about interval aggravation on follow-up MR imaging. We report initial and follow-up MR findings of a thoracic intramedullary schwannoma with syringomyelia and edema in a patient without neurofibromatosis. Intramedullary schwannoma should be included for differential diagnosis of intramedullary tumor even though followup MR imaging shows interval increase in size of the tumor and extent of associated edema to mimic malignancy.

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Design and Construction of Cylindrical Multi-Loop Z-gradient Coil for Linearity Improvement in MRI (핵자기공명영상에서 선형성의 증강을 위한 원통형 Multi-Loop Z-경사자기장 코일의 설계와 제작)

  • 이동훈;백승태;김송희
    • Journal of Biomedical Engineering Research
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    • v.21 no.6
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    • pp.583-589
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    • 2000
  • 본 논문에서는 핵자기공명영상의 고해상도를 이루고, 영상의 신뢰성을 높이기 위해서 선형성이 증가된 경사자기장 코일의 설계와 제작에 목적을 두었다. Maxwell pair를 이용하여 Z-경사자계의 선형성을 증강시키기 위해 코일의 기하학적인 형태의 이론적인 계산과 몇 가지 형태의 코일로부터 예상되는 자기장 및 경사자기장의 분포를 구현했다. 즉, 코일 축 방향의 자기장을 구면좌표계에서 전개하는 방법으로 Maxwell pair의 크기와 위치를 계산하고, 유한요소법을 이용하여 자기장 및 경사자기장의 2차원 분포를 그렸다. 더불어 이론적인 계산 결과와 함께 자기장의 2차원 분포를 토대로 실제 경사자기장 코일을 제작하였고 이를 0.15 Τ 핵자기공명영상기에 적용하여, 영상을 획득하였다. 기존의 방법에 따른 Maxwell pair 형태를 이용한 경우에 코일지름의 40% DSV(diameter spherical volume)내에서 DSV의 5% 이내의 뒤틀림(distortion)을 갖는 선형성이 유지되었고, 새롭게 시도된 방법에 의한 경사자기장 코일의 경우는 코일지름의 70% DSV 내에서 DSV의 5% 이내의 뒤틀림을 갖는 선형성을 유지하였으며, 설계 제작된 경사자기장 코일과 RF-코일을 이용하여 이를 확인하였다. 본 연구에서 제작된 경사자기장 코일의 선형성은 Maxwell pair 코일보다 향상된 결과를 보았으며, 본 논문에서 제시하는 방법은 자기공명영상의 해상도 향상에 기여할 것으로 판단된다.

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MR Imaging of Anoperineal Tuberculous Abscess: A Case Report (항문회음부 결핵성 농양의 자기공명 영상소견: 증례 보고)

  • Kang, Woo-Young;Sung, Deuk-Jae;Han, Na-Yeon;Park, Beom-Jin;Kim, Min-Ju;Cho, Sung-Bum
    • Investigative Magnetic Resonance Imaging
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    • v.16 no.2
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    • pp.184-188
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    • 2012
  • Anoperineal tuberculosis is a rare extrapulmonary form of the disease and may present as abscess. We report a case of anoperineal tuberculous abscess, which showed low signal intensity on T1-weighted images, high signal intensity on T2-weighted images and diffusion restriction on diffusion weighted images.

Soft Tissue Masses Showing Low Signal Intensity on T2-weighted Images: Correlation with Pathologic Findings (T2강조영상에서 저신호강도를 보이는 연부 조직 종양: 병리소견과의 비교)

  • Song, You Seon;Lee, In Sook;Choi, Kyung Un;Cho, Kil Ho;Lee, Sung Moon;Lee, Young Hwan;Kim, Jeung Il
    • Investigative Magnetic Resonance Imaging
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    • v.18 no.4
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    • pp.279-289
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    • 2014
  • Objective: The aims of this article are to differentiate soft tissue masses showing low signal intensity on T2-weighted images (T2WIs) according to the histopathologic findings. Conclusion: To know relatively small numbered soft tissue masses with low signal intensities on T2WIs adding characteristic location, morphology, signal intensities on other sequences might be helpful for differential diagnosis of mostly non-specific soft tissue tumors on MRI.

A State-of-the Art MRI of the Lungs Using Hyperpolarized Gas

  • 이동훈
    • Proceedings of the KSMRM Conference
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    • 1999.11a
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    • pp.19-25
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    • 1999
  • 허파에 대한 수소 자기공명영상은 현재까지 거의 불가능한 것으로 알려져 있다. 허파의 조직과 비어있는 공간 사이의 심한 자화율(susceptibility) 차이로 인해서 영상왜곡 현상이 유발되어 그릇된 영상정보를 만들기 때문이다. 본 강좌에서는 이러한 문제를 해결할 수 있는 레이저 광펌핑 방법으로 초편극화된 비활성기체를 이용한 자기공명연구를 소개한다. 일반적인 자기공명 신호와 쳐편극화된 비활성기체를 이용한 자기공명 연구를 소개한다. 일반적인 자기공명 신호와 초편극화 기체를 이용한 신호의 차이와 물리적인 원리를 고찰할 것이다 . 비활성기체가 초편극화 되었을 때, 일반적인 자기공명의 경우에 (자기장: 1 Tesla, 온도는 $30^{\circ}C$의 열평형상태) 비해서 약 $10^{5}$ 정도의 magnetizaion 향상을 기대할 수 있으며, 기체상태라는 점이 감안된다 해도 의미 있는 자기공명신호를 획득할 수 있다. 비활성기체를 초편exchange 방법을 통하여 간접적으로 가스를 편극화 시키는 두 가지 방법이 있다. 이들의 기본적인 원리와 두 방법의 장단점 등을 알아 볼 것이다. 더불어, 초편극화 정도가 외부자기장의 세기 차이에 의한 영향을 받지 않는 다는 특성을 이용하는 경우, 비용을 최소화 하면서 고해상도의 영상을 얻을 수 있으며, 이동성이 용이한 낮은 자기고명진단기가 가능한데 이에 대한 소개를 할 것이다. 그리고, 초편극화가스를 이용한 자기공명영상 연구의 현재 동향 및 미래에 대해서 논의한다.

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Rapid Development of Diffuse Myocardial Calcification in a Patient after Recovery from Sepsis and Renal Failure: A Case Report (패혈증과 신부전에서 회복된 환자에서 급속하게 발생한 미만성 심근 석회화: 증례 보고)

  • Mi Hyun Kang;Song Soo Kim;Byung Joo Sun;Jae-Hyeong Park
    • Journal of the Korean Society of Radiology
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    • v.83 no.5
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    • pp.1104-1108
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    • 2022
  • Myocardial calcification can develop owing to several conditions. It is a rare complication following sepsis and renal failure. We report a case of rapid development of left ventricular mid-wall calcification observed using CT and cardiac MRI in a patient after recovery from sepsis and acute renal failure.

A Complex Cortical Malformation Caused by a Mutation in the Tubulin-Encoding TUBB3 Gene (튜불린 부호화 유전자인 TUBB3 돌연변이에서 나타난 복합 뇌피질 발달기형)

  • Yu Hyun Lee;Noh Hyuck Park
    • Journal of the Korean Society of Radiology
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    • v.81 no.5
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    • pp.1246-1249
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    • 2020
  • Tubulinopathy commonly refers to complex congenital and non-progressive brain malformations caused by mutations in the tubulin genes. Among tubulin-encoding genes, TUBB3 has rarely been reported as a cause of complex cortical malformations. Herein, we report a case of tubulinopathy in a 21-month-old boy who presented with delayed development. He could not walk on his own and was not able to speak more than five words. Physical examination revealed right esotropia and hypotonia of the lower extremities. MRI showed dysmorphic brainstem and dysmorphic and hypertrophic basal ganglia. The right thalamus was relatively smaller than the left one. The cerebellum showed disorganization of the cerebellar folia. DNA sequencing revealed a missense mutation of the TUBB3 gene.

Anonymity of Medical Brain Images (의료 두뇌영상의 익명성)

  • Lee, Hyo-Jong;Du, Ruoyu
    • Journal of the Institute of Electronics Engineers of Korea SP
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    • v.49 no.1
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    • pp.81-87
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    • 2012
  • The current defacing method for keeping an anonymity of brain images damages the integrity of a precise brain analysis due to over removal, although it maintains the patients' privacy. A novel method has been developed to create an anonymous face model while keeping the voxel values of an image exactly the same as that of the original one. The method contains two steps: construction of a mockup brain template from ten normalized brain images and a substitution of the mockup brain to the brain image. A level set segmentation algorithm is applied to segment a scalp-skull apart from the whole brain volume. The segmented mockup brain is coregistered and normalized to the subject brain image to create an anonymous face model. The validity of this modification is tested through comparing the intensity of voxels inside a brain area from the mockup brain with the original brain image. The result shows that the intensity of voxels inside from the mockup brain is same as ones from an original brain image, while its anonymity is guaranteed.

SNR and ADC Changes at Increasing b Values among Patients with Lumbar Vertebral Compression Fracture on 1.5T MR Diffusion Weighted Images (1.5T MR 기기를 이용한 확산강조영상에서 b Value의 증가에 따른 요추압박골절 환자의 신호대 잡음비와 현성 확산 계수의 변화)

  • Cho, Jae-Hwan;Park, Cheol-Soo;Lee, Sun-Yeob;Kim, Bo-Hui
    • Progress in Medical Physics
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    • v.21 no.1
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    • pp.52-59
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    • 2010
  • To examine among patients with vertebral compression fracture the extent to which signal-to-noise ratio (SNR) and Apparent Diffusion Coefficient (ADC) values at the lumbar vertebral compression fracture site vary on diffusion-weighted MR images according to varying b values on the 1.5T MR device. Diffusion-weighted MR images of 30 patients with compression fracture due to chronic osteoporosis who underwent vertebral MRI from Jan. 2008 to Nov. 2009 were respectively obtained using a 1.5-T MR scanner with the b values increased from 400, 600, 800, 1,000 to $1,200\;s/mm^2$. For diffusion-weighted MR images with different b values, the signal-to-noise ratio (SNR) was assessed at three sites: the site of compression fracture of the lumbar vertebral body at L1 to L5, and both the upper and lower discs of the said fracture site, while for ADC map images with different b values, the SNR and ADC were respectively assessed at those three sites. As a quantitative analysis, diffusion-weighted MR images and ADC map images with b value of $400\;s/mm^2$ (the base b values) were respectively compared with the corresponding images with each different b value. As far as qualitative analysis is concerned, for both diffusion-weighted MR and ADC map images with b value of $400\;s/mm^2$, the extent to which signal intensity values obtained at the site of compression fracture of the lumbar vertebral body at L1 to L5 vary according to the increasing b values were examined. The quantitative analysis found that for both diffusion-weighted MR and ADC map images, as the b values increased, the SNR were relatively lowered at all the three sites, compared to the base b value. Also, it was found that as the b values increased, ADC valueswere relatively lowered at all the three sites on ADC map images. On the other hand, the qualitative analysis found that as the b values increased to more than $400\;s/mm^2$, the signal intensity gradually decreased at all the sites, while at the levels of more than $1,000\;s/mm^2$, severe image noises appeared at all of the three sites. In addition, higher signal intensity was found at the site of compression fracture of the lumbar vertebral body than at the discs. Findings showed that with the b value being increased, both the signal-to-noise ratio (SNR) and Apparent Diffusion Coefficient (ADC) values gradually decreased at all the sites of the lumbar vertebral compression fracture and both the upper and lower discs of the fracture site, suggesting that there is a possibility of a wider range of applications to assessment of various vertebral pathologies by utilizing multi b values in the diffusion-weighted MRI examination.

Comparison of Pulsed Arterial Spin Labeling with Conventional Perfusion MRI in Moyamoya Disease Patient (모야모야병에서 펄스 동맥 스핀 표지 영상과 고식적인 관류자기공명영상의 비교)

  • Jo, Gwang-Ho;Bae, Sung-Jin
    • Journal of radiological science and technology
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    • v.30 no.4
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    • pp.427-433
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    • 2007
  • This study was conducted to investigate the usefulness of PASL image technique through visual and quantitative assessment by dividing CBF image, conventional perfusion magnetic resonance image, anterior cerebral artery, middle cerebral artery and posterior cerebral artery into 6 territories both right and left in moyamoya disease. In visual assessment, the scope of decreased perfusion in the PASL CBF image and conventional perfusion MR CBF image agreed with the position of deficiency in the MR image. The quantitative assessment, showed that the scope and position of decreased perfusion accord with both in the PASL CBF image and the existing conventional perfusion MR CBF image but the assessment of measuring the quantity of perfusion according to signal intensity showed a little difference.

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