• Title/Summary/Keyword: Magnetic Resonance Imaging/methods

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Role of MR Neurography for Evaluation of the Lumbosacral Plexus: A Scoping Review (요천추 신경총에 대한 자기공명신경조영술의 역할: 주제 범위 문헌고찰)

  • Seon Gyeong Kim;Joon-Yong Jung
    • Journal of the Korean Society of Radiology
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    • v.83 no.6
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    • pp.1273-1285
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    • 2022
  • Purpose MR neurography (MRN) is an imaging technique optimized to visualize the peripheral nerves. This review aimed to discover an optimized protocol for MRN of the lumbosacral plexus (LSP) and identify evidence for the clinical benefit of lumbosacral plexopathies. Materials and Methods We performed a systematic search of the two medical databases until September 2021. 'Magnetic resonance imaging', 'lumbosacral plexus', 'neurologic disease', or equivalent terms were used to search the literature. We extracted information on indications, MRN protocols for LSP, and clinical efficacy from 55 studies among those searched. Results MRN of the LSP is useful for displaying the distribution of peripheral nerve disease, guiding perineural injections, and assessing extraspinal causes of sciatica. Three-dimensional short-tau inversion recovery turbo spin-echo combined with vascular suppression is the mainstay of MRN. Conclusion Future work on the MRN of LSP should be directed to technical maturation and clinical validation of efficacy.

Magnetic Resonance Imaging of the Temporomandibular Joint (측두하악관절의 핵자기공명영상 촬영에 관한 연구)

  • Nah Kyung-Soo
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.29 no.2
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    • pp.407-410
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    • 1999
  • Purpose; To find out the best imaging parameters for the diagnosis of disc in MRI imaging. Materials and methods; The diagnostic quality of the disc among the Tl, PD and T2 images of same patients02 joints, 223 images) was compared by visual(I-IV grades) and gray level measurement (pre- and infra-discal area) method. Results; PD images showed best results with 43.7% of the images belonging to grade III (good) and with statistically significant higher difference of the gray levels at pre- and infra-discal areas. But there were no grade N (excellent) images. Conclusions; PD images are best method among Tl. PD and T2 images in diagnosing the disc but since there were no excellent images further imaging parameters should be studied for better images.

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Improvement of Gibb's Phenomena in Fast Spin Echo Imaging Using Symmetric Echo Arrangement and Filtering (대칭적 에코 배치 및 필터링을 통한 Fast Spin Echo 영상에서의 Gibb's 현상 개선)

  • 안창범;김치영;오창현;신진교
    • Investigative Magnetic Resonance Imaging
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    • v.1 no.1
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    • pp.79-85
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    • 1997
  • Fast spin echo imaging utilizes multiple spin echoes to encode multiple k-space lines instead of multiple $T_2-weighted$ images. As results, intensities in k-space data are varying according to T2 decay, which generates Gibb's artifact in the reconstructed image. The echo time for e encoding dc block determines contrast, as is specified by the effective echo time, however, all location of other echoes to different k-space frequency blocks in fast spin echo imaging is not f fully investigated. In this study, symmetric arrangement of multiple echoes in k-space is investigated to reduce Gibb's artifact. Design of filters based on the measurement of multiple e echo intensities is also proposed in two stage manner, i.e., equalization and filtering. From s simulation and experiment, it was observed that Gibb's phenomena were substantially reduced b by the proposed methods.

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Comparison of MRI findings with clinical symptoms in temporomandibular joint internal derangement (측두하악관절 내장증 환자의 임상증상과 자기공명영상 소견의 비교 연구)

  • Kwon Ki-Jeong
    • Imaging Science in Dentistry
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    • v.35 no.2
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    • pp.69-75
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    • 2005
  • Purpose : To determine the clinical correlation of magnetic resonance imaging (MRI) findings of temporomandibular joint internal derangements. Materials and Methods : The MR images of 150 TMJs in 75 patients were analyzed. The clinical symptoms were pain in the preauricular area and masticatory muscles and TMJ sounds. Results : There was a statistically significant relationship between the MRI diagnoses of different types of disc displacements and clinical findings of pain, clicking, and crepitus. The risk of TMJ pain was increased when the disc displacement without reduction occurred at the same time in combination with the osteoarthrosis and effusion. Conclusion : Regardless of the results, the data indicate that each of these MR imaging variables may not be regarded as the unique and dominant factor in defining TMJ pain occurrence.

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Imaging Technologies for Nondestructive Measurement of Internal Properties of Agricultural Products: A Review

  • Ahmed, Mohammed Raju;Yasmin, Jannat;Lee, Wang-Hee;Mo, Changyeun;Cho, Byoung-Kwan
    • Journal of Biosystems Engineering
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    • v.42 no.3
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    • pp.199-216
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    • 2017
  • Purpose: This study reviewed the major nondestructive measurement techniques used to assess internal properties of agricultural materials that significantly influence the quality, safety, and value of the products in markets. Methods: Imaging technologies are powerful nondestructive analytical tools that possess specific advantages in revealing the internal properties of products. Results: This review was exploring the application of various imaging techniques, specifically, hyperspectral imaging (HSI), magnetic resonance imaging (MRI), soft X-ray, X-ray computed tomography (XRI-CT), thermal imaging (TI), and ultrasound imaging (UI), to investigate the internal properties of agricultural commodities. Conclusions: The basic instruments used in these techniques are discussed in the initial part of the review. In the context of an investigation of the internal properties of agricultural products, including crops, fruits, vegetables, poultry, meat, fish, and seeds, various extant studies are examined to understand the potential of these imaging technologies. Future trends for these imaging techniques are also presented.

The Pallidal Index in Patients with Acute-on-Chronic Liver Disease: Is It a Predictor of Severe Hepatic Encephalopathy?

  • Lee, Dong Hyun;Lee, Hui Joong;Hahm, Myong Hun
    • Investigative Magnetic Resonance Imaging
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    • v.21 no.3
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    • pp.125-130
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    • 2017
  • Purpose: To evaluate the clinical significance of T1 high signal intensity on the globus pallidus as a predictor of severe hepatic encephalopathy in patients with acute-on-chronic liver failure (ACLF), which is a distinct syndrome characterized by multi-organ dysfunction including cerebral failure. Materials and Methods: From January 2002 to April 2014, we retrospectively reviewed the magnetic resonance imaging (MRI) findings and clinical and magnetic resonance (MR) features of 74 consecutive patients (44 men and 30 women; mean age, 59.5 years) with liver cirrhosis. The chronic liver failure-sequential organ failure assessment score was used to diagnose ACLF. The pallidal index (PI), calculated by dividing the mean signal intensity of the globus pallidus by that of the subcortical frontal white matter were compared according to ACLF. The PI was compared with the Model for End-Stage Liver Disease (MELD) score in predicting the development of ACLF. Results: Fifteen patients who were diagnosed with ACLF had higher hepatic encephalopathy grades (initial, P = 0.024; follow-up, P = 0.002), MELD scores (P < 0.001), and PI (P = 0.048). In the ACLF group, the mean PI in patients with cerebral failure was significantly higher than that in the patients without cerebral failure (1.33 vs. 1.20, P = 0.039). In patients with ACLF, the area under the curve (AUC) for PI was 0.680 (95% confidence intervals [CI], 0.52-0.85), which was significantly lower than that for the MELD score (AUC, 0.88; 95% CI, 0.77-0.99) (P = 0.04). Conclusion: The PI can be an ancillary biomarker for predicting the development of ACLF and severe hepatic encephalopathy.

Transcranial Doppler Ultrasonography(TCD) in diagnosis of Cerebrovascular Accident (CVA) (뇌졸중의 진단에 대한 TCD의 활용 (Brain CT, Brain MRI와 Transcranial Doppler Ultrasonography 비교를 통한 뇌졸중 진단의 상호 보완에 관한 연구))

  • Park, Se-Gi;Kang, Myeong-Seog;Jun, Chan-Yong;Park, Chong-Hyeong
    • The Journal of Korean Medicine
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    • v.17 no.1 s.31
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    • pp.171-189
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    • 1996
  • Background and Purpose: The greater part of patients to visit Hospital of Oriental Medicine suffer from cerebrovascular accident(CVA). There is transcranial Doppler(TCD) in the diagnostic method to confirm cerebrovascular accident(CVA). Transcranial Doppler(TCD) is an accurate method of monitoring the blood flow velocities of the cerebral vessels and have been generally used to prevent symptomatic vasospasm and confirm cerebral infarction. So we studied, in the crebrovascular accident(CVA), to estimate whether transcranial Doppler(TCD) is useful to. Methods: Using transcranial doppler(Multigon Model 500M Transcranial Doppler System), we measured the mean and peak velocity and the direction of blood flow in 10 cerebrovascular accident(CVA)'s subjects who had been examined by Computed Tomography(CT) or Magnetic Resonance Imaging (MRI). Results : As an anticipation, in cerebrovascular accident(CVA)'s subject with Cb-infarction, the mean and peak velocity of blood flow fell down remarkably and the direction of blood flow was change or irritable. But didn't find out any signal in lacunar infarction. Also, in case with spontaneous hemorrhage, the velocity and direction of blood flow was change but this signal was short of diagnosis for Cb-hemorrhage. Besides, we found signals about embolism, stenosis, thrombosis and occlusion in cerebrovascular accident(CVA)'s subjects. Conclusion: In Cb-infarction, the result of TCD was equal to diagnosis with Computed Tomography(CT) or Magnetic Resonance Imaging (MRI). But about lacunar infarction or spontaneous hemorrhage, signals of TCD couldn't be found out or was insufficient more than Computed Tomography(CT) or Magnetic Resonance Imaging(MRI). In cerebrovascular accident(CVA)'s subject with embolism, stenosis, thrombosis or occlusion, signals of TCD were found out more than Computed Tomography(CT) or Magnetic Resonance Imaging(MRI). Therefore transcranial doppler(TCD) is necessary method which makes a diagnosis of cerebrovascular accident(CVA), with Computed Tomography(CT) or Magnetic Resonance Imaging(MRI).

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Efficient Experimental Design for Measuring Magnetic Susceptibility of Arbitrarily Shaped Materials by MRI

  • Hwang, Seon-ha;Lee, Seung-Kyun
    • Investigative Magnetic Resonance Imaging
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    • v.22 no.3
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    • pp.141-149
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    • 2018
  • Purpose: The purpose of this study is to develop a simple method to measure magnetic susceptibility of arbitrarily shaped materials through MR imaging and numerical modeling. Materials and Methods: Our 3D printed phantom consists of a lower compartment filled with a gel (gel part) and an upper compartment for placing a susceptibility object (object part). The $B_0$ maps of the gel with and without the object were reconstructed from phase images obtained in a 3T MRI scanner. Then, their difference was compared with a numerically modeled $B_0$ map based on the geometry of the object, obtained by a separate MRI scan of the object possibly immersed in an MR-visible liquid. The susceptibility of the object was determined by a least-squares fit. Results: A total of 18 solid and liquid samples were tested, with measured susceptibility values in the range of -12.6 to 28.28 ppm. To confirm accuracy of the method, independently obtained reference values were compared with measured susceptibility when possible. The comparison revealed that our method can determine susceptibility within approximately 5%, likely limited by the object shape modeling error. Conclusion: The proposed gel-phantom-based susceptibility measurement may be used to effectively measure magnetic susceptibility of MR-compatible samples with an arbitrary shape, and can enable development of various MR engineering parts as well as test biological tissue specimens.

Method of tumor volume evaluation using magnetic resonance imaging for outcome prediction in cervical cancer treated with concurrent chemotherapy and radiotherapy

  • Kim, Hun-Jung;Kim, Woo-Chul
    • Radiation Oncology Journal
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    • v.30 no.2
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    • pp.70-77
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    • 2012
  • Purpose: To evaluate the patterns of tumor shape and to compare tumor volume derived from simple diameter-based ellipsoid measurement with that derived from tracing the entire tumor contour using region of interest (ROI)-based 3D volumetry with respect to the prediction outcome in cervical cancer patients treated with concurrent chemotherapy and radiotherapy. Materials and Methods: Magnetic resonance imaging was performed in 98 patients with cervical cancer (stage IB-IIIB). The tumor shape was classified into two categories: ellipsoid and non-ellipsoid shape. ROI-based volumetry was derived from each magnetic resonance slice on the work station. For the diameter-based surrogate "ellipsoid volume," the three orthogonal diameters were measured to calculate volume as an ellipsoid. Results: The more than half of tumor (55.1%) had a non-ellipsoid configuration. The predictions for outcome were consistent between two volume groups, with overall survival of 93.6% and 87.7% for small tumor (<20 mL), 62.9% and 69.1% for intermediate-size tumor (20-39 mL), and 14.5% and 16.7% for large tumors (${\geq}$40 mL) using ROI and diameter based measurement, respectively. Disease-free survival was 93.8% and 90.6% for small tumor, 54.3% and 62.7% for intermediate-size tumor, and 13.7% and 10.3% for large tumor using ROI and diameter based method, respectively. Differences in outcome between size groups were statistically significant, and the differences in outcome predicted by the tumor volume by two different methods. Conclusion: Our data suggested that large numbers of cervical cancers are not ellipsoid. However, simple diameter-based tumor volume measurement appears to be useful in comparison with ROI-based volumetry for predicting outcome in cervical cancer patients.

Tc-99m hydroxymethylene diphosphonate scintigraphy, computed tomography, and magnetic resonance imaging of osteonecrosis in the mandible: Osteoradionecrosis versus medication-related osteonecrosis of the jaw

  • Ogura, Ichiro;Sasaki, Yoshihiko;Sue, Mikiko;Oda, Takaaki;Kameta, Ayako;Hayama, Kazuhide
    • Imaging Science in Dentistry
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    • v.49 no.1
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    • pp.53-58
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    • 2019
  • Purpose: To present characteristic findings of Tc-99m hydroxymethylene diphosphonate (HMDP) scintigraphy, computed tomography (CT), and magnetic resonance (MR) imaging for osteonecrosis in the mandible, especially osteoradionecrosis(ORN) and medication-related osteonecrosis of the jaw(MRONJ). Materials and Methods: Thirteen patients with MRONJ and 7 patients with ORN in the mandible underwent Tc-99m HMDP scintigraphy, CT, and MR imaging (T1-weighted images[T1WI], T2-weighted images[T2WI], short inversion time inversion recovery images[STIR]), diffusion-weighted images[DWI], and apparent diffusion coefficient [ADC] mapping). The associations of scintigraphy, CT, and MR imaging findings with MRONJ and ORN were analyzed using the chi-square test with the Pearson exact test. Results: Thirteen patients with MRONJ and 7 patients with ORN in the mandible showed low signal intensity on T1WI and ADC mapping, high signal intensity on STIR and DWI, and increased uptake on scintigraphy. Periosteal bone proliferation on CT was observed in 69.2% of patients with MRONJ(9 of 13) versus 14.3% of patients with ORN(1 of 7)(P=0.019). Conclusion: This study presented characteristic imaging findings of MRONJ and ORN on scintigraphy, CT, and MR imaging. Our results suggest that CT can be effective for detecting MRONJ and ORN.