• Title/Summary/Keyword: MRI 영상

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Effects of Decompression Therapy for 6 Cases with Lumbar Herniated Disc (감압치료가 요추간판탈출 6(증)례에 미치는 영향)

  • Kwon, Won-An;Lee, Seung-Ho;Lee, Jae-Hong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.5
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    • pp.2133-2141
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    • 2012
  • The Purpose of this study was to report magnetic resonance imaging(MRI) changes of six cases of Lumbar herniated disc which was treated with spinal decompression therapy, oriental medical therapy. 'Disc heights' were measured on sagittal view of $T_2$-weighted MRI. Size of the herniated disc was measured by MRI and 'disc herniations index'. The grading system and algorithm for 'disc degeneration' were based on MRI signal intensity, disc structure, distinction between nucleus and anulus, and disc height. Data for disc height, disc herniations index and disc degeneration grade were collected before and after the treatment together with calculation from the MRI. Case studies were showed that decompression therapy for the herniated disc has an positive effect on disc herniations index, disc regeneration, not disc heights. The clinical evidence for the use of decompression in herniated disc remains inconclusive because of limited researches. Further trials, which give attention to these areas, are needed before any firm conclusions may be made.

Magnetic Resonance Imaging Diagnosis: Nasal Adenosquamous Cell Carcinoma in a Dog (개 비강종양의 자기공명영상학적 평가 1예)

  • Choi Chi-Bong;Cho Ik-Hyun;Kim Hwi-Yool;Bae Chun-Sik
    • Journal of Life Science
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    • v.15 no.4 s.71
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    • pp.668-672
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    • 2005
  • Nasal tumors have been reported frequently in dogs and nasal discharge has been the primary presenting complaint in nasal tumor patients. A 10-year-old 7 kg male mixed breed dog was presented to the animal hospital for evaluation of severe bloody nasal discharge. After physical examination, blood examination and X-ray examination, magnetic resonance imaging (MRI) examination was also conducted. Based on MRI nasal tumor which does not extend cranial vault was diagnosed. The nasal tumor was confirmed as adenosquamous cell carcinoma by histopathological examination after necropsy. The invasive characteristics of the neoplasm were documented by MRI. MRI was very valuable diagnostic tool for identifying extracranial and intracranial tumor invasion in a small animal.

Breast Cancer Screening with MRI (유방암 스크리닝 자기공명영상)

  • Cho, Nariya;Moon, Woo-Kyung
    • Investigative Magnetic Resonance Imaging
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    • v.16 no.1
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    • pp.1-5
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    • 2012
  • Breast MRI is the most accurate adjunctive to the mammography for the screening of breast cancer. Despite lack of randomized controlled trials on the effectiveness of MRI screening, it is now recommended for the women at high risk for breast cancer by the American Cancer Society and the National Comprehensive Cancer Network based on several prospective observational studies. In Korea, a retrospective study reported that preoperative MRI screening of the contralateral breast in women with unilateral breast cancer was associated with reduced metachronous cancer incidence. To introduce breast MRI as a supplemental modality to screening mammography in Korea, standardization and education of interpretation, establishment of MR-guided biopsy and adequate indication, and evaluation of cost-effectiveness and should be preceded.

Comparison of Abbreviated MRI and Full Diagnostic MRI in Distinguishing between Benign and Malignant Lesions Detected by Breast MRI: A Multireader Study

  • Eun Sil Kim;Nariya Cho;Soo-Yeon Kim;Bo Ra Kwon;Ann Yi;Su Min Ha;Su Hyun Lee;Jung Min Chang;Woo Kyung Moon
    • Korean Journal of Radiology
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    • v.22 no.3
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    • pp.297-307
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    • 2021
  • Objective: To compare the performance of simulated abbreviated breast MRI (AB-MRI) and full diagnostic (FD)-MRI in distinguishing between benign and malignant lesions detected by MRI and investigate the features of discrepant lesions of the two protocols. Materials and Methods: An AB-MRI set with single first postcontrast images was retrospectively obtained from an FD-MRI cohort of 111 lesions (34 malignant, 77 benign) detected by contralateral breast MRI in 111 women (mean age, 49.8. ± 9.8; range, 28-75 years) with recently diagnosed breast cancer. Five blinded readers independently classified the likelihood of malignancy using Breast Imaging Reporting and Data System assessments. McNemar tests and area under the receiver operating characteristic curve (AUC) analyses were performed. The imaging and pathologic features of the discrepant lesions of the two protocols were analyzed. Results: The sensitivity of AB-MRI for lesion characterization tended to be lower than that of FD-MRI for all readers (58.8-82.4% vs. 79.4-100%), although the findings of only two readers were significantly different (p < 0.05). The specificity of AB-MRI for lesion characterization was higher than that of FD-MRI for 80% of readers (39.0-74.0% vs. 19.5-45.5%, p ≤ 0.001). The AUC of AB-MRI was comparable to that of FD-MRI for all readers (p > 0.05). Fifteen percent (5/34) of the cancers were false-negatives on AB-MRI. More suspicious margins or internal enhancement on the delayed phase images were related to the discrepancies. Conclusion: The overall performance of AB-MRI was similar to that of FD-MRI in distinguishing between benign and malignant lesions. AB-MRI showed lower sensitivity and higher specificity than FD-MRI, as 15% of the cancers were misclassified compared to FD-MRI.

Study on the Interanal Physical Changes of Kiwi Fruit Using Magnetic Resonance Imaging Technique (자기공명영상 기술을 이용한 저장 중 키위의 내부 변화 연구)

  • Baek, Seung Hoon;Kim, Myoung Ho;Choi, Kyu Hong;Kim, Seong Min
    • Proceedings of the Korean Society for Agricultural Machinery Conference
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    • 2017.04a
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    • pp.96-96
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    • 2017
  • 농산물 수확 이후 저장 유통 과정에서 일어나는 생리적 현상 변화에 따른 내부품질의 측정 분석연구가 활발히 진행되고 있다. 이 연구에서는 비파괴 측정 방법들 중 하나인 자기공명영상(Magnetic Resonance Imaging, MRI) 기술을 활용하여 후숙 과일인 키위의 저장 일수에 따른 형태 및 내부 구조의 변화를 조사하였다. 공시재료는 국내에서 판매되고 있는 키위들 중 3품종(뉴질랜드산 Sun Gold, 뉴질랜드산 Green, 칠레산 Jin Green)별로 균일한 크기의 과일 5개씩을 이용하였으며, 시료를 실험실내($16.6^{\circ}C$, 38% RH)에서 18~19 일간 보관하면서 3~5일 간격으로 5회 시험하였다. 전북대 농업과학기술연구소가 보유하고 있는 MRI(M10, Aspect Imaging, Israel)를 활용하여 영상 이미지를 얻었으며, 저장 기간에 따른 무게 감소는 전자저울(한성, HK-series)을 이용하였다. 자기공명영상 이미지는 Gradient-Eco 펄스열을 사용하였고, 횡단면(Axial)의 영상면(Image-direction)을 중심으로 영상영역(Field of View, FOV)은 $80mm{\times}80mm$로 1회 촬영 할 때 마다 30개의 영상들을 얻었다. 저장 기간이 길어질수록 내부 공동현상이 커지는 것으로 나타났고, 뉴질랜드산 Sun Gold 품종은 다른 두 품종보다 내부 공동이 빠르게 나타났다. 실험이 끝나는 날에는 껍질이 연화되어 타원형의 형체를 계속 유지하지 못하고 붕괴되는 이미지를 MRI를 통해서 관찰 할 수 있었다. 시간이 지남에 따라 영상들의 위치가 일정하지 않고 일부 회전을 한 것처럼 나타났다. 이는 키위 전용 홀더를 만들어 고정하지 않고 측정하다보니 생긴 오차로 생각 되었다. 키위를 건조한 공간에 오래 보관하였기 때문에 시간이 지남에 따라 수분증발과 연화된 껍질 사이로 과육이 흘러 일부를 제외한 대부분의 키위 무게가 일정하게 감소하는 것을 알 수 있었다.

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Testicular Epidermoid Cyst on Diffusion-Weighted MR Imaging and ADC Map : A Case Report (확산강조영상과 현상확산계수(ADC) 영상을 통한 고환 표피 낭종의 진단: 증례 보고)

  • Kim, Mi-Sun;Kim, Kyung-Ah;Chang, Sun-Hee
    • Investigative Magnetic Resonance Imaging
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    • v.15 no.2
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    • pp.154-159
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    • 2011
  • Testicular epidermoid cyst is a rare benign tumor, accounting for 1-2% of all testicular tumors. It can be cured by organ preserving surgery, so accurate preoperative diagnosis is very important for preventing unneccessary and extensive orchiectomy. We experienced a case of an 18-year-old man who presented with a painless lump in his right testis. The testicular mass showed an onion ring sign on ultrasonography. Computed tomography images showed the mass as a low attenuating lesion with curvilinear calcification. On Magnetic resonance imaging (MRI), the mass appeared as high signal intensity with internal alternating low signal intensity patterns on T2-weighted images. The mass was displayed as having homogeneous high signal intensity on diffusion magnetic resonance imaging and showed lower apparent diffusion coefficient values than normal testis parenchyma, similar to intracranial epidermoid cysts. Testicular MRI with DWI and ADC map can help to more accurately diagnose testicular epidermoid cyst.

The Optimal Signal Intensity according to Image Scale Reset of MRI (자기공명영상의 image scale 재설정에 따른 최적의 영상신호 표준화)

  • Lee, Ho-Beom;Choi, Kwan-Woo;Son, Soon-Yong
    • The Journal of the Korea Contents Association
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    • v.17 no.12
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    • pp.266-271
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    • 2017
  • In this study, we tried to improve the reproducibility of signal intensity by applying DOTS method. The study was conducted on 30 patients who had undergone hepatic screening because of poor reproducibility and decreased signal intensity. The images were acquired before and after injection of contrast media and then post-processed by DOTS methods. Signal intensity was compared and evaluated. The results showed that the signal intensity of the images was 183.3% ($1038.0{\pm}70.7$ before application, $2940.7{\pm}179.6$ after application) and 1118.4% ($444.1{\pm}92.4$, $5410.5{\pm}168.4$ after application). This is a significant improvement in the fact that the reproducibility of MRI) was changed by the DOTS method, which is a post-processing method.

CT and MRI Image Fusion Reproducibility and Dose Assessment on Treatment Planning System (치료계획시스템에서 전산화단층촬영과 자기공명영상의 영상융합 재현성 및 선량평가)

  • Choi, Jae-Hyock;Park, Cheol-Soo;Seo, Jeong-Min;Cho, Jae-Hwan;Choi, Cheon-Woong
    • Journal of the Korean Magnetics Society
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    • v.24 no.6
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    • pp.191-196
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    • 2014
  • The purpose of this study is to evaluate the reproducibility and usefulness of an image through the fusion of the computed tomography image and the magnetic resonance image by using a self-produced phantom when planning the treatment, and also to compare and analyze the target dose on the acquired image. The size of small hole and the reproducibility of capacity existed in the phantom on the image of the phantom obtained by the computed tomography and the magnetic resonance image of the phantom scanning with different intensity of magnetic field are compared, and the change of dose in the random target is compared and analyzed.

Isolated Intracranial Rosai-Dorfman Disease Mimicking Meningioma: A Case Report (뇌수막종으로 오인된 두개 내에만 발생한 Rosai-Dorfman Disease: 증례 보고)

  • Minji Shin;Young Jin Heo;Donghyun Kim;Hae Woong Jeong;Jin Wook Baek;Ha Young Park
    • Journal of the Korean Society of Radiology
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    • v.83 no.3
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    • pp.719-723
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    • 2022
  • Rosai-Dorfman Disease (RDD) is a rare lymphoproliferative disease, and the occurrence of isolated intracranial RDD is extremely rare. Most cases of intracranial RDDs present as dural masses showing homogenous enhancement on MRI, which makes it difficult to differentiate these masses from meningiomas before surgery unless massive cervical lymphadenopathy is observed. We herein report a rare case of isolated intracranial RDD in a 65-year-old male. Brain MRI revealed a well-defined enhancing mass-like lesion involving the right frontal convexity and subtle diffusion restriction. However, only a subtle blush was observed on the preoperative cerebral angiogram. Although instances of isolated intracranial RDD are rare, it should be considered as a potential differential diagnosis when a dural mass with hypovascularity is visualized on the cerebral angiogram.

Cerebrovascular Reservoir and Arterial Transit Time Changes Assessed by Acetazolamide-Challenged Multi-Phase Arterial Spin Labeling Perfusion MRI in Chronic Cerebrovascular Steno-Occlusive Disease (만성 뇌혈관 협착폐색증에서 아세타졸아미드 부하 다상 동맥스핀표지 자기공명관류영상으로 평가한 뇌혈류 예비능과 동맥 통과 시간의 변화)

  • Inpyeong Hwang;Chul-Ho Sohn;Keun-Hwa Jung;Eung Koo Yeon;Ji Ye Lee;Roh-Eul Yoo;Koung Mi Kang;Tae Jin Yun;Seung Hong Choi;Ji-hoon Kim
    • Journal of the Korean Society of Radiology
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    • v.82 no.3
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    • pp.626-637
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    • 2021
  • Purpose To explore cerebrovascular reservoir (CVR) and arterial transit time (ATT) changes using acetazolamide-challenged multi-phase arterial spin labeling (MP-ASL) perfusion-weighted MRI in chronic cerebrovascular steno-occlusive disease. Materials and Methods This retrospective study enrolled patients with chronic steno-occlusion who underwent acetazolamide-challenged MP-ASL between June 2019 and October 2020. Cerebral blood flow, CVR, basal ATT, and ATT changes associated with severe stenosis, total occlusion, and chronic infarction lesions were compared. Results There were 32 patients (5 with bilateral steno-occlusion) in our study sample. The CVR was significantly reduced during total occlusion compared with severe stenosis (26.2% ± 28.8% vs. 41.4% ± 34.1%, respectively, p = 0.004). The ATT changes were not significantly different (p = 0.717). The CVR was marginally lower in patients with chronic infarction (29.6% ± 39.1% vs. 38.9% ± 28.7%, respectively, p = 0.076). However, the ATT was less shortened in patients with chronic infarction (-54 ± 135 vs. -117 ± 128 ms, respectively, p = 0.013). Conclusion Acetazolamide-challenged MP-ASL provides an MRI-based CVR evaluation tool for chronic steno-occlusive disease.