• Title/Summary/Keyword: MRI 영상

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Preoperative Meniscus: Pitfalls and Traps to Avoid (수술 전 반월연골: 피해야 할 함정들)

  • Hye Jin Yoo;Kyung Nam Ryu;Ji Seon Park;Wook Jin;So Young Park;Hye Jin Kang;Hyun Soo Kim;Gene Hyuk, Kwon
    • Journal of the Korean Society of Radiology
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    • v.83 no.3
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    • pp.582-596
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    • 2022
  • To accurately interpret knee MRI, it is important not only to know the basic meniscal anatomy but also to distinguish it from that under pathological conditions. Thus, it would be helpful to know the normal meniscus variants (false positives) that could be mistaken for meniscal tears, and tears that could easily be missed and incorrectly diagnosed as normal (false negatives). False positives include synovial recesses, meniscal flounce, the relationship between the popliteus tendon and lateral meniscus, transverse ligament, the anterior root of the meniscus, and meniscofemoral ligament. False negatives include focal radial tears, flap tears, posterior root tears, meniscocapsular separation, and discoid meniscal tears. In this pictorial essay, we reviewed the imaging data obtained in the aforementioned cases.

Postoperative Imaging Findings of Biliary Atresia (담도폐쇄증의 수술 후 영상 소견)

  • Jisun Hwang;Hee Mang Yoon;Pyeong Hwa Kim;Jung-Man Namgoong;Seak Hee Oh;Ah Young Jung;Jin Seong Lee;Young Ah Cho
    • Journal of the Korean Society of Radiology
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    • v.83 no.5
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    • pp.1014-1031
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    • 2022
  • The Kasai portoenterostomy is the first-line treatment for the restoration of the flow of bile to the small intestine in patients with biliary atresia. Various complications can occur after Kasai portoenterostomy, including ascending cholangitis, biliary cirrhosis, and portal hypertension. Of these potential complications, ascending cholangitis in the most common. In cases of patients having uncontrolled complications due to progressive liver cirrhosis, portal hypertension, or progressive hyperbilirubinemia, liver transplantation is the indicated as treatment plan. Lifelong follow-up, particularly involving imaging studies, is important for the identification of various complications arising from biliary atresia after Kasai portoenterostomy. Additionally, imaging studies play a crucial role in the evaluation of potential liver donors and recipients. US is a key imaging modality utilized in the management of patients who undergo Kasai portoenterostomy, while CT and MRI are imperative to obtaining an accurate diagnosis.

Evaluation of osseous changes of TMJ in internal derangement and osteoarthritis patients using MRI (자기공명영상을 이용한 악관절내장증환자와 악관절증환자의 골변화에 관한 연구)

  • Cho Su-Beom;Koh Kwang-Joon
    • Imaging Science in Dentistry
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    • v.31 no.3
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    • pp.159-164
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    • 2001
  • Purpose: To evaluate the osseous changes of TMJ in internal derangement and osteoarthritis patients using MRI. Materials and Methods: MR images of 111 TMJs in 64 patients were analyzed to evaluate the osseous changes, 111 TMJs were divided into 6 groups according to the radiologic Stages by Schellhas and Wilkes. On MR images, we evaluate the osseous changes of articular eminence and condylar head. Results: The most frequent Stage in internal derangement of TMJ was Stage I. And 28 joints (25.2%) revealed osteoarthritis with internal derangement. When osseous change of articular eminence and condylar head occur, flattening was the most common osseous change. Sclerosis was observed in all Stages and osteophytosis of condylar head was observed in Stage II (1.8%) and III (0.9%). Out of 28 joints with osteoarthritis, 6 joints (21.4%) showed joint effusion. Conclusion: MR image revealed abnormal configuration of disk, but the detection of minimal osseous change was subtle.

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Discoid Medial Meniscus - A Case Report - (내측 원판형 연골 - 증례 보고 -)

  • Nha, Kyung-Wook;Kim, Dong-Hwan;Kim, Young-Ju
    • Journal of the Korean Arthroscopy Society
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    • v.9 no.2
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    • pp.218-221
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    • 2005
  • The most of discoid meniscus is located in lateral side. Medial discoid meniscus is rare. The medial discoid meniscus was reported by Cave and Staples at first in 1941 but rarely reported since then. A 8 year's old boy was diagnosed as having a complete medial discoid meniscus by means of MRI and arthroscopy. Authors performed the arthroscopic partial menisectomy for medial discoid meniscus. For confirmation of the bilaterality, arthroscopic examination on contralateral knee was performed but we did not find a medial discoid meniscus. We report 1 case of a medial discoid meniscus with a brief review of literatures.

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A Review of Brain Magnetic Resonance Imaging Correlates of Successful Cognitive Aging (뇌자기공명영상의 노화에 따른 변화)

  • Ji, Eun-Kyung;Chung, In-Won;Youn, Tak
    • Korean Journal of Biological Psychiatry
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    • v.21 no.1
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    • pp.1-13
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    • 2014
  • Normal aging causes changes in the brain volume, connection, function and cognition. The brain changes with increases in age and difference of gender varies at all levels. Studies about normal brain aging using various brain magnetic resonance imaging (MRI) variables such as gray and white matter structural imaging, proton spectroscopy, apparent diffusion coefficient, diffusion tensor imaging and functional MRI are reviewed. Total volume of brain increases after birth but decreases after 9 years old. During adulthood, total volume of brain is relatively stable. After 35 years old, brain shrinks gradually. The changes of gray and white matters by aging show different features. N-acetylaspartate decreases or remains unchanged but choline, creatine and myo-inositol increase with aging. Apparent diffusion coefficient decreases till 20 years old and then becomes stable during adulthood and increase after 60 years old. Diffusion tensor properties in white matter tissue are variable during aging. Resting-state functional connectivity decreases after middle age. Structural and functional brain changes with normal aging are important for studying various psychiatric diseases such as dementia, schizophrenia and bipolar disorder. Our review may be helpful for studying longitudinal changes of these diseases and successful aging.

Understanding of Neuroimaging and Its Perspectives in Mental Illnesses (정신질환에서 뇌영상의 이해와 전망)

  • Kim, Jae-Jin;Han, Ki-Wan;Lee, Jung-Suk;Choi, Soo-Hee
    • Korean Journal of Biological Psychiatry
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    • v.18 no.1
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    • pp.5-14
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    • 2011
  • Neuroimaging in psychiatry encompasses the powerful tools available for the in vivo study of brain structure and function. MRI including the volumetry, voxel-base morphometry(VBM) and diffusion tensor imaging (DTI) are useful for assessing brain structure, whereas function MRI, positron emission tomography(PET) and magnetoencephalography(MEG) are well established for probing brain function. These tools are well tolerated by the vast majority of psychiatric patients because they provide a powerful but noninvasive means to directly evaluate the brain. Although neuroimaging technology is currently used only to rule in or rule out general medical conditions as opposed to diagnosing primary mental disorders, it may be used to confirm or make psychiatric diagnoses in the future. In addition, neuroimaging may be valuable for predicting the natural course of psychiatric illness as well as treatment response.

Isolated Weakness of Radial-side Fingers Due to a Small Cortical Infarction (국소 뇌경색에 의한 요골측 손가락 마비)

  • Hwang, Kyoung Jin;Park, Key-Chung;Chang, Dae-Il;Yoon, Sung Sang
    • Investigative Magnetic Resonance Imaging
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    • v.18 no.4
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    • pp.362-365
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    • 2014
  • Predominant involvement of a particular group of fingers due to a central nervous system lesion has been described as pseudoperipheral palsy. Two patients visited our hospital with isolated weakness of a particular group of fingers due to small cortical infarctions. A 51-year-old woman suddenly developed weakness in her left index and middle fingers. The brain MRI showed a small infarct in the right frontal cortex. A 67-year-old man was sudden difficulty using his chopsticks and had weakness in his right thumb and index finger. The brain MRI showed a small infarct in the left precentral cortex.

Methods of DICOM and Non-DICOM Interfacing for various Radiological Equipments with PACS (방사선 검사 관련 의료장비와 PACS 간의 연동을 위한 DICOM 및 Non-DICOM 인터페이스 방안)

  • Kim, H.C.
    • Korean Journal of Digital Imaging in Medicine
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    • v.6 no.1
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    • pp.51-64
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    • 2003
  • This thesis describes the effective interfacing methods of PACS Modality based on the system installation andoperating experiences. PACS(Picture Archiving and Communication Systems) is a system for medical image archiving and communication using large storage device and high-speed network. The standard communication protocol of PACS is DICOM(Digital Imaging and Communication in Medicine) based on TCP/IP and point-to-point protocol. However, there are many Non-DICOM Modalities and DICOM Modalities having problems. First, we had interfaced almost modalities. Fuji CR, GE CT, MRI, Angio, Fluoro, Phillips Angio, Shimadzu Fluoro. Ultrasound PACS, with the main PACS in the Seoul S Hospital as large scale hospital. And we manipulated the intelligent image distribution and the CT. MRI Interfaces never experienced beforein the Anyang J Hospital and the Chungju C Hospital as mid or small scale hospital. Technically, we developed both the DICOM Interface and the Non-DICOM Interface. At the last, the DICOM Worklist and the DICOM Print Interface were implemented in the Seoul B Hospital, the Bucheon SJ Hospital and the Seoul K Hospital independently with PACS. The Oracle, Sybase and MS-SQL are used as database, and UNIX, Macintosh, MS Windows as operating systems. And the Visual C++ and UNIX C are the main programming tools. We have used UTP, coaxial and fiber optic cable under 10/100 mbps LAN for networking.

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MRI findings of the antero-superior attachment of the disc in TMJ internal derangement (측두하악관절 내장증에서의 관절원판 전상방부착부의 자기공명영상)

  • Cho Bong-Hae;Jung Yun-Hoa
    • Imaging Science in Dentistry
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    • v.36 no.2
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    • pp.73-79
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    • 2006
  • Purpose : To describe the MRI findings of the antero-superior attachment of the disc in patients with internal derangement. Materials and Methods : One hundred fifty-six MR images from 40 normal subjects and 55 abnormal subjects were classified into three study groups of normal, anterior disc displacement with reduction and anterior disc displacement without reduction. On both closed- and open-mouth proton density sagittal images, the depiction of the antero-superior attachment of the disc and its demarcation from the disc were evaluated in three cuts of lateral, central and medial one thirds of the condyle. Results : The depiction of antero-superior attachment was more frequent by the order of normal, anterior disc displacement with reduction and anterior disc displacement without reduction groups, and the significant differences were found on lateral cut of the closed images and lateral and central cuts of the open images. In study for the demarcation between the antero-superior attachment and the disc the lateral cut of the closed images and all three cuts of the open images showed significant differences. Conclusion : Open images are useful to show the difference in depiction of the antero-superior attachment of the disc among the TMJ groups.

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Methods of DICOM and Non-DICOM Interfacing for various Radiological Equipments with PACS (방사선 검사 관련 의료장비와 PACS 간의 연동을 위한 DICOM 및 Non-DICOM 인터페이스 방안)

  • Kim, Hyeon-Cheol
    • Korean Journal of Digital Imaging in Medicine
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    • v.5 no.1
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    • pp.46-63
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    • 2002
  • This thesis describes the effective interfacing methods of PACS Modality based on the system installation and operating experiences. PACS(Picture Archiving and Communication Systems) is a system for medical image archiving and communication using large storage device and high-speed network. The standard communication protocol of PACS is DICOM(Digital Imaging and Communication in Medicine) based on TCP/IP and point-to-point protocol. However, there are many Non-DICOM Modalities and DICOM Modalities having problems. First, we had interfaced almost modalities, Fuji CR, GE CT, MRI, Angio, Fluoro, Phillips Angio, Shimadzu Fluoro, Ultrasound PACS, with the main PACS in the Seoul S Hospital as large scale hospital. And we manipulated the intelligent image distribution and the CT, MRI Interfaces never experienced before in the Anyang J Hospital and the Chungju C Hospital as mid or small scale hospital. Technically, we developed both the DICOM Interface and the Non-DICOM Interface. At the last, the DICOM Worklist and the DICOM Print Interface were implemented in the Seoul B Hospital, the Bucheon SJ Hospital and the Seoul K Hospital independently with PACS. The Oracle, Sybase and MS-SQL are used as database, and UNIX, Macintosh, MS Windows as operating systems. And the Visual C++ and UNIX C are the main programming tools. We have used UTP, coaxial and fiber optic Gable under 10/100 mbps LAN for networking.

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