• Title/Summary/Keyword: MRI 영상

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Usefulness of Permeability Map by Perfusion MRI of Brain Tumor the Grade Assessment (뇌종양의 등급분류를 위한 관류 자기공명영상을 이용한 투과성영상(Permeability Map)의 유용성 평가)

  • Bae, Sung-Jin;Lee, Joo-Young;Chang, Hyuk-Won
    • Journal of radiological science and technology
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    • v.32 no.3
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    • pp.325-334
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    • 2009
  • Purpose : This study was conducted to assess how effective the permeability ratio and relative cerebral blood volume ratio are to tumor through perfusion MRI by measuring and reflecting the grade assessment and differential diagnosis and the permeability and relative cerebral blood volume of contrast media plunged from blood vessel into organ due to breakdown of blood-brain barrier in cerebral. Subject and Method : Subject of study was 29 patients whose diagnosis were confirmed by biopsy after surgery and 550 (11 slice$\times$50 image) perfusion MRI were used to make image of relative cerebral blood volume with the program furnished on instrument. The other method was to transmit to private computer and the image analysis was made additionally by making image of relative cerebral blood volume-reformulated singular value decomposition, rCBV-rSVD and permeability using IDL.6.2. In addition, Kruskal-wallis test tonggyein non numerical average by a comparative analysis of brain tumors Results : The rCBV ratio (Functool PF; GE Medical Systems and IDL 6.2 program by analysis) and permeability ratio of tumors were as follows; high grade glioma(n=4), (14.75, 19.25) 13.13. low grade astrocytoma(n=5) (14.80, 15.90) 11.60, glioblastoma(n=5) (10.90, 18.60), 22.00, metastasis(n=6) (11.00, 15.08). 22.33. meningioma(n=6) (18.58, 7.67), 5.58. oliogodendroglioma(n=3) (23.33, 16.33, 15.67. Conclusion : It was not easy to classify the grade with the relative cerebral blood volume ratio measured by using the relative cerebral blood image by type of tumors, however, permeability ratio measured by permeability image revealed that the higher the grade of tumor, the higher the measured permeability ratio, showing the assessment of tumor grade is more effective to differential diagnosis.

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Radiologic Findings of Cervical Mass Type Cervical Pregnancy (자궁경부 종괴형 자궁경부임신의 영상 소견)

  • Cho, Jae-Ho
    • Journal of Yeungnam Medical Science
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    • v.22 no.1
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    • pp.43-51
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    • 2005
  • Background: To examine the ultrasonographic and magnetic resonance (MRI) imaging findings of a cervical mass type cervical pregnancy. Materials and Methods: The ultrasonographic and MRI findings of 5 patients pathologically confirmed as having a cervical pregnancy were analyzed retrospectively. On ultrasonography, the size and echo pattern of the uterine cervix, the shape and echo pattern of the lesion, the degree and the pattern of blood flow on the color Doppler study and the spectral Doppler pattern were analyzed. The shape, signal intensity, and degree and pattern of enhancement of the lesion were evaluated on MRI. Results: The uterine cervix was enlarged and the size of the lesion was 6.1 to 7.1 (average, 6.5) cm. The endocervical canal was irregularly dilated and showed heterogeneous echogenicity in all 5 cases. Four of the 5 lesions were heterogeneously hyper- or mixed echoic and remaining one was relatively homogeneous echogenic. Doppler ultrasonography revealed an increased vascularity of the peritrophoblastic flow pattern. In all 4 cases where MRI performed, the lesion was irregular in shape and the margin was not sharply demarcated. The T2-weighed image showed that the lesions were mixed signal intensity. Three of the 4 lesions contained high signal intensity nodular portions and a low signal intensity rim was observed along the margin of the nodular portions. The T1-weighted image revealed multiple signal voids along the periphery of the lesions and high signal intensity portions as a result of hemorrhage were noted. The dynamic enhanced study showed that the high signal intensity portions on the T2-weighted image were strongly enhanced similar to the vessels on the early phase and the contrast enhancement gradually decreased with time. Conclusion: A cervical mass type cervical pregnancy can be correctly diagnosed using the patient's clinical symptom, the elevation in the serum ${\beta}$-HCG level, and characteristic ultrasonographic and MRI findings.

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The clinical usefulness of fat suppression by chemical shift selective(CHESS) pulse in MRI (MRI에서 화학적 이동 선택(CHESS) pulse에 의한 지방소거의 임상적 유용성)

  • Han, Man-Seok;Yang, Hae-Sool;Jin, Kyung-Soo;Eo, Ik-Soo;Cho, Dong-Heon
    • The KIPS Transactions:PartB
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    • v.14B no.6
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    • pp.431-436
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    • 2007
  • Magnetic Resonance Imaging(MRI) has chemical shift phenomenon between fat and water, and the phenomenon has influence on structure enclosed by fat. Strong signals emitted from fat often generate false artefact, which reflects the importance of fat suppression techniques. There have been a number of researches on fat suppression techniques, but using fat suppression method alone in MRI can cause difficultproblems in diagnosis. This paper aims to study a fat suppression method by Chemical Shift Selective saturation(CHESS). This research describes the theoretical background and the experiment on water and fat phantom with MR instruments. In the experiment, CHESS pulse was designed by utilising Matlap program, and the pulse diagram was generated for the Pre-saturation process. The experiment using water and fat phantom was applied to C-spine, L-spine and Breast, and produced successful fat suppression results. This experiment has proved that the CHESSpulse fat suppression is a very helpful technique in diagnosing medical imaging. This method is a robust and useful technique for both clinical and basic investigators..(Experiment with Chungnam national university hospital G.E 1.5T MR)

Comparisons of functional brain mappings in sensory and affective aspects following taste stimulation (미각자극에 따른 감각 및 감성적 미각정보 처리과정의 기능적 매핑 비교)

  • Lee, Kyung Hee
    • Science of Emotion and Sensibility
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    • v.15 no.4
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    • pp.585-592
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    • 2012
  • Food is crucial for the nutrition and survival of humans. Taste system is one of the fundamental senses. Taste cells detect and respond to five basic taste modalities (sweet, bitter, salty, sour, and umami). However, the cortical processing of taste sensation is much less understood. Recently, there were many efforts to observe the brain activation in response to taste stimulation using functional magnetic resonance imaging (fMRI), magnetoencephalography (MEG), and optical imaging. These different techniques do not provide directly comparable data each other, but the complementary investigations with those techniques allowed the description and understanding of the sequence of events with the dynamics of the spatiotemporal pattern of activation in the brain in response to taste stimulation. The purpose of this study is the understanding of the brain activities to taste stimuli in sensory and affective aspects and the reviewing of the recent research of the gustotopic map by functional brain mapping.

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Evaluation of the Usefulness of PROPELLER (periodically rotated overlapping parallel lines with enhanced reconstruction) Technique to Reduce the Magnetic susceptibility artifact (Magnetic susceptibility artifact를 줄이기 위한 PROPELLER 확산강조영상기법의 유용성에 대한 평가)

  • Cho, Jae-Hwan
    • Journal of Digital Contents Society
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    • v.11 no.1
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    • pp.73-78
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    • 2010
  • This study attempted to examine whether the propeller diffusion weighted image method may remove magnetic susceptibility artifacts caused by metallic materials. A comparison of occurrence rates of magnetic susceptibility artifacts in the four regions, both temporal lobes, pons, and orbit, between b = 0 and b = 1,000 s/mm2 images was made after obtaining echo-planar diffusion weighted image, propeller diffusion weighted image, and ADC map images, respectively, from a total of 20 patients who had MRI shots taken of their brain and were found to be with retained metallic foreign bodies within their teeth using a 3.0T MR scanner. In the case of echo-planar diffusion weighted image technique, the presence of metallic materials may bring in some limits on accurate diagnosis due to magnetic susceptibility artifacts, while the propeller diffusion weighted image technique where magnetic susceptibility artifacts decrease is expected to be more useful in ensuring accurate diagnosis in the clinical context.

Magnetic Resonance Characteristics of Ischemic Brain Infarction in Three Dogs (자기공명영상을 이용한 개의 허혈성 뇌경색의 진단 3례)

  • Lee, Ki-Ja;Kim, Young-Whan;Choi, Sung-Jin;Choi, Soo-Young;Jeong, In-Seong;Choi, Ho-Jung;Lee, Young-Won
    • Journal of Veterinary Clinics
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    • v.31 no.5
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    • pp.457-460
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    • 2014
  • This case study describes the magnetic resonance characteristics of brain infarction in three dogs. Locations of the brain infarcts were cerebella, thalamus, and multifocal. The infarcts were sharply demarcated from adjacent brain parenchyma, homogeneous, T1-hypointense, T2-hyperintense with/without contrast enhancement, and minimal or no mass effect. Diffusion-weighted imaging (DWI) sequences were available in a dog and the infarcts were hyperintense on DWI and were hypointense on the apparent diffusion coefficient map.

Determining the Location of Metallic Needle from MR Images Distorted by Susceptibility Difference (자화율 차이로 인해 왜곡된 영상으로부터 금속 바늘의 위치 결정)

  • Kim, Eun-Ju;Kim, Dae-Hong
    • Investigative Magnetic Resonance Imaging
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    • v.14 no.2
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    • pp.87-94
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    • 2010
  • Purpose : To calculate the appearance of the image distortion from metallic artifacts and to determine the location of a metallic needle from a distorted MR image. Materials and Methods : To examine metal artifacts, an infinite metal cylinder in a strong magnetic field are assumed. The cylinder’s axis leaned toward the magnetic field along some arbitrary angle. The Laplace equation for this situation was solved to investigate the magnetic field distortion, and the simulation was performed to evaluation the image artifact caused by both readout and slice-selection gradient field. Using the result of the calculation, the exact locations of the metal cylinder were calculated from acquired images. Results : The distances between the center and the folded point are measured from images and calculated. Percentage errors between the measured and calculated distance were less than 5%, except for one case. Conclusion : The simulation was successfully performed when the metal cylinder was skewed at an arbitrary tilted angle relative to the main magnetic field. This method will make it possible to monitor and guide both biopsy and surgery with real time MRI.

Application of PET/CT Volume Rendering Technique to Improve Patient Satisfaction (환자의 만족도 향상을 위한 PET/CT Volume Rendering Technique 적용)

  • Jang, Dong-Gun;Lee, Sang-ho
    • Journal of the Korean Society of Radiology
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    • v.15 no.6
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    • pp.877-881
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    • 2021
  • Customer satisfaction is a very important factor in the Korean medical system. However, the field of medical imaging is very difficult for the general public to understand. Therefore, in this study, as a way to solve the communication problem between the medical staff and the patient, the PET/CT image was reconstructed using the Volume Rendering technique to increase patient satisfaction. VRT was performed on 360 cancer patients who had undergone PET/CT examination. As a result of a satisfaction survey on 100 patients, all 100 patients showed that the VRT image was superior to the existing image. PET/CT is not a device that observes detailed anatomical shapes, such as CT or MRI, but an image that shows a strong signal of cancer and can easily produce a VRT image. These VRT images can be expressed three-dimensionally so that the general public can easily understand them, so communication between medical staff and patients can be improved more efficiently, and it is expected that the patient's "right to know" will be satisfied.