• Title/Summary/Keyword: Magnetic resonance imaging & #40;MRI& #41;

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Evaluation of the Usefulness of Refraction Glasses to Reduce Claustrophobia During Magnetic Resonance Imaging (자기공명영상검사 시 폐쇄공포증 완화를 위한 굴절안경의 유용성 평가)

  • Jeon, Byeong-cheon;Jeong, Seong-Hun;Lee, Sang-hyeon;Son, Ji-hye
    • Journal of radiological science and technology
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    • v.41 no.5
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    • pp.421-426
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    • 2018
  • Unlike the traditional Radiological examinations, Magnetic Resonance Imaging (MRI) does not cause any harm and high levels of Radiation to the human body. Furthermore, MRI is widely used owing to its ability to adapt to different situations. However, the MRI equipment creates noises from its mechanical parts, and its magnetic bore structure can cause anxiety and claustrophobia in patients. To relieve claustrophobia, commercial refraction glasses were provided to the participants in this study, and the changes in anxiety and claustrophobia were measured. The participants were 30 volunteers with claustrophobia. To measure anxiety, the participants were asked to answer a Visual Analogue Scale (VAS) questionnaire. The physical markers of discomfort included perspiration on the forehead or hands (46.7%), mild frowning (30.3%), and leg shaking (40.1%). The subjective markers of discomfort included dizziness (2.85% in the men and 1.75% in the women). Although fear and anxiety levels were observed to be higher in the men, the difference was not significant. Hence, it was determined that both men and women felt discomfort (p >0.5). The fear coefficient was observed to decrease from 7.67 prior to wearing refraction glasses to 2.42 after wearing refraction glasses (p<0.000). In addition, use of refraction glass decreased MRI aversion from 1.97 to 1.03 (p<0.000). It can be inferred that refraction glasses are beneficial to patients undergoing MRI.

Evaluation of the condylar movement on MRI during maximal mouth opening in patients with internal derangement of TMJ; comparison with trans cranial view (악관절 내장증 환자의 최대 개구시 하악과두 운동량에 대한 자기공명영상 평가; 경두개촬영법과의 비교)

  • Cho Bong-Hae
    • Imaging Science in Dentistry
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    • v.31 no.4
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    • pp.185-192
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    • 2001
  • Purpose: To evaluate the condylar movement at maximal mouth opening on MRI in patients with internal derangement. Materials and Methods: MR images and transcranial views for 102 TMJ s in 51 patients were taken in closed and maximal opening positions, and the amount of condylar movement was analyzed quantitatively and qualitatively. Results: For MR images, the mean condylar movements were 9.4 mm horizontally, 4.6 mm vertically and 10.9 mm totally, while those for transcranial views were 12.5 mm, 4.6 mm, and 13.7 mm respectively. The condyle moved forward beyond the summit of the articular eminence in 41 TMJs (40.2%) for MR images and 56 TMJs (54.9%) for transcranial views. Conclusion: The horizontal and total condylar movements were smaller in MR images than in transcranial views.

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Phantom-Validated Reference Values of Myocardial Mapping and Extracellular Volume at 3T in Healthy Koreans

  • Lee, Eunjin;Kim, Pan Ki;Choi, Byoung Wook;Jung, Jung Im
    • Investigative Magnetic Resonance Imaging
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    • v.24 no.3
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    • pp.141-153
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    • 2020
  • Purpose: Myocardial T1 and T2 relaxation times are affected by technical factors such as cardiovascular magnetic resonance platform/vendor. We aimed to validate T1 and T2 mapping sequences using a phantom; establish reference T1, T2, and extracellular volume (ECV) measurements using two sequences at 3T in normal Koreans; and compare the protocols and evaluate the differences from previously reported measurements. Materials and Methods: Eleven healthy subjects underwent cardiac magnetic resonance imaging (MRI) using 3T MRI equipment (Verio, Siemens, Erlangen, Germany). We did phantom validation before volunteer scanning: T1 mapping with modified look locker inversion recovery (MOLLI) with 5(3)3 and 4(1)3(1)2 sequences, and T2 mapping with gradient echo (GRE) and TrueFISP sequences. We did T1 and T2 mappings on the volunteers with the same sequences. ECV was also calculated with both sequences after gadolinium enhancement. Results: The phantom study showed no significant differences from the gold standard T1 and T2 values in either sequence. Pre-contrast T1 relaxation times of the 4(1)3(1)2 protocol was 1142.27 ± 36.64 ms and of the 5(3)3 was 1266.03 ± 32.86 ms on the volunteer study. T2 relaxation times of GRE were 40.09 ± 2.45 ms and T2 relaxation times of TrueFISP were 38.20 ± 1.64 ms in each. ECV calculation was 24.42% ± 2.41% and 26.11% ± 2.39% in the 4(1)3(1)2 and 5(3)3 protocols, respectively, and showed no differences at any segment or slice between the sequences. We also calculated ECV from the pre-enhancement T1 relaxation time of MOLLI 5(3)3 and the post-enhancement T1 relaxation time of MOLLI 4(1)3(1)2, with no significant differences between the combinations. Conclusion: Using phantom-validated sequences, we reported the normal myocardial T1, T2, and ECV reference values of healthy Koreans at 3T. There were no statistically significant differences between the sequences, although it has limited statistical value due to the small number of subjects studied. ECV showed no significant differences between calculations based on various pre- and post-mapping combinations.

Neural Correlates of Faux Pas Detection: An fMRI Study (헛디딤 탐지의 신경 상관: 기능적 자기공명 영상 연구)

  • Park, Min;Lee, Seung-Bok;Yoon, Hyo-Woon;Ghim, Hei-Rhee
    • Korean Journal of Cognitive Science
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    • v.21 no.1
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    • pp.77-93
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    • 2010
  • The aim of this study was to identify neural correlates underlying the detection of faux pas, a test of theory of mind (ToM), in Korean healthy adults. Using functional magnetic resonance imaging, we compared the brain activities associated with faux pas stories and the activities associated with control stories. Faux pas stories compared with the control stories produced activations bilaterally in the superior frontal gyrus (BA 9) and in the precuneus (BA 7). The left medial frontal gyrus (BA 9), the left superior temporal gyrus (BA 38), the left inferior temporal gyrus (BA 20) and the right inferior parietal lobule (BA 40), the right postcentral gyrus (BA 1), the right lingual gyrus (BA 18), the right transverse temporal gyrus (BA 41) were also activated. The orbitofrontal cortex and the amygdala were not found to be involved in the detection of faux pas. This result suggests that brain activations associated with ToM are dependent on the type of mental state drawn by the task.

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MRI study of temporomandibular joint disorder in orthodontic patients (교정환자에서 MRI를 이용한 측두하악관절 장애의 연구)

  • Kim, Tae-Woo;Byun, Eun-Sun;Baek, Seung-Hak;Chang, Young-Il;Nahm, Dong-Seok;Yang, Won-Sik
    • The korean journal of orthodontics
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    • v.30 no.2 s.79
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    • pp.235-243
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    • 2000
  • Magnetic resonance imaging(MRI) of the temporomandibular joint(TMJ) is very useful method to diagnose internal derangement of the TMJ because of its high specificity foy identification of condyle-disc relationships. The purpose of this study was to evaluate the existence, incidence and severity o』 internal derangement o』 the TMJ by the MRI of Patients who are suspected to have TMJ disorder. MRI sample was composed of 50 subjects(10 males, 40 females) and the mean age was 22.9 years. 43 subjects of the sample were found to have positive findings. $56\%$ of the subjects with positive findings had ADD(anterior disc displacement) without reduction, and $65\%$ had internal derangement of bilateral joints. Distributions in the types of malocclusion in patients with positive findings, the Angle's classification had shown : the largest $41.9\%$ for Cl II ($39.6\%$ for Cl II div 1 and $2.3\%$ for Cl II div 2), $37.2\%$ for Cl I, $18.6\%$ for Cl III, and $2.3\%$ for the unidentified. $8.6\%$ of the subjects with positive findings had facial asymmetry and $55.8\%$ had openbite. We can conclude that the percentage of Cl II is the highest in patients with internal derangement of the TMJ. Openbite or facial asymmetry is considered to be uncompensated or compensated deformity which results from facial skeleton remodeling in the process of degenerative joint disease(DJD) due to TMJ degeneration. Therefore it is recommended to screen the patients with facial asymmetry or openbite by MRI before the beginning of orthodontic treatment. Differential diagnosis is essential because the tendency of relapse is high after the orthodontic treatment and continuous observation of TMJ is needed in patients with TMJ disorder.

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Therapeutic Approach by Traditional Veterinary Medicine in a Case with Canine Myleomalacia: Case Report (척수연화증 개에서 전통 수의학적 방법을 이용한 치료 시도: 증례 보고)

  • Jun, Hyung-Kyou;Oh, Hyun-Uk;Lee, Hyun-Hwa;Han, Ji-Won;Lee, Byung-Kon;Park, Jin-Ho;Lee, Young-Won;Jeong, Seong-Mok;Kim, Duck-Hwan
    • Journal of Veterinary Clinics
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    • v.24 no.4
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    • pp.608-612
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    • 2007
  • A 4-year-old castrated male Cocker spaniel was referred with chief complaint of pelvic limbs paralysis and trembling. This dog was diagnosed as a case of myelomalacia complicated with intervertebral disc disease(IVDD) by radiography and magnetic resonance imaging(MRI). This patient was treated by injection-AP with apitoxin, herbal medicine and moxibustion. The acupoints such as GV02-1, GV04, GV11, GV12, GV13, GV14, BL11, BL18, BL23, BL25, BL28, GB21, HT07, KI03, LI04, LU07, SI03, SI06, ST36, ST38, ST39, ST40, ST41, GB30, GB31, GB34, Liv03, SP06 and trigger points($T1{\sim}T4\;and\;T9{\sim}L1$) were used for treatment. At the session 1, the dog could not stand and move the limbs. However, gradual improvement of clinical signs was observed after 7, 14 and 21 session of treatment. Although the clinical signs related to pelvic paralysis were not completely abolished with TVM methods, this case showed the marked improvement of clinical signs after 21 sessions of treatment. In conclusion, the present patient was a case with canine myelomalacia complicated with IVDD which showed not so complete but somewhat improvement by TVM method.

Clinical Presentations and Causative Organisms in Children and Adolescents with Osteoarticular Infections: A Retrospective Study (소아청소년기에 발생한 골관절염의 임상 양상 및 원인균에 대한 고찰)

  • Lee, Soyoung;Kim, Han Wool;Cho, Hye-Kyung;Yun, Yoe Hon;Ryu, Kyung Ha;Kim, Kyung-Hyo
    • Pediatric Infection and Vaccine
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    • v.22 no.3
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    • pp.154-163
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    • 2015
  • Purpose: Osteoarticular infections in children and adolescents are important because it can cause functional compromise if appropriate treatment is delayed. Therefore, this study was designed to describe the clinical presentations and causative organisms of osteoarticular infections in children and adolescents in order to propose early diagnosis method and an appropriate empiric antimicrobial therapy. Methods: Forty-two medical records were reviewed retrospectively, which were confirmed as osteomyelitis (OM) or septic arthritis (SA) at Department of Pediatrics or Orthopedic Surgery in patients under 18 years old of Ewha Womans University Mokdong Hospital from March 2008 to March 2015. Results: We identified 21 cases of OM, 13 cases of SA and 8 cases of OM with SA. There were 31 males and 11 females and mean age was 7.1 years old. The most common symptoms were pain and tenderness of involved site. Major involved bones were femur (10 cases, 34.5%), tibia (7 cases, 24.1%) and major involved joints were hip (9 cases, 42.9%), and knee (5 cases, 23.8%). Increased serum C-reactive protein and erythrocyte sedimentation rate were observed in 37 cases (88.1%) respectively. Magnetic resonance imaging was performed in 40 cases among 42 cases and was used to demonstrate osteoarticular infections and other adjacent infections. Nine cases (23.7%) among 38 cases and 20 cases (50.0%) among 40 cases were positive in blood culture and infected site culture respectively. The most common causative organism was Staphylococcus aureus, which was represented in 22 cases (75.9%), of which nine cases (40.9%) were resistant to methicillin. Conclusions: S. aureus was the most common causative organism of osteoarticular infections in children and adolescents and the proportion of MRSA was high in this study. Therefore, we recommend vancomycin as the first empiric antimicrobial therapy and suggest that further study is necessary to elucidate an appropriate guideline for treatment which takes into account MRSA proportion.