• Title/Summary/Keyword: brain MRI

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Brain Mapping Using Neuroimaging

  • Tae, Woo-Suk;Kang, Shin-Hyuk;Ham, Byung-Joo;Kim, Byung-Jo;Pyun, Sung-Bom
    • Applied Microscopy
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    • v.46 no.4
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    • pp.179-183
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    • 2016
  • Mapping brain structural and functional connections through the whole brain is essential for understanding brain mechanisms and the physiological bases of brain diseases. Although region specific structural or functional deficits cause brain diseases, the changes of interregional connections could also be important factors of brain diseases. This review will introduce common neuroimaging modalities, including structural magnetic resonance imaging (MRI), functional MRI (fMRI), diffusion tensor imaging, and other recent neuroimaging analyses methods, such as voxel-based morphometry, cortical thickness analysis, local gyrification index, and shape analysis for structural imaging. Tract-Based Spatial Statistics, TRActs Constrained by UnderLying Anatomy for diffusion MRI, and independent component analysis for fMRI also will also be introduced.

A New Healthcare Policy in Korea Part 1: Expanded Reimbursement Coverage of Brain MRI, Brain/Neck MRA, and Head and Neck MRI by National Health Insurance (새로운 건강보험 보장성 강화 대책 1부: 뇌 MRI, 뇌혈관/경부혈관 MRA, 두경부 MRI 급여 확대)

  • Eunhee Kim
    • Journal of the Korean Society of Radiology
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    • v.81 no.5
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    • pp.1053-1068
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    • 2020
  • In accordance with the new healthcare policy of government (Moon Jae-In Care) to strengthen health insurance coverage, the National Health Insurance (NHI) coverage of brain magnetic resonance imaging (MRI), brain/neck MR angiography (MRA), and head and neck MRI have been expanded since 2018 in Korea. This article has been reviewed focusing on the "Detailed matter concerning criteria and method for providing reimbursed services in the NHI. Some revisions" regarding reimbursement for MRI, which was revised from October 2018 to April 2020 and is currently in effect. It included the MRI reimbursement system in Korea, recent adjustment of the reimbursement coverage for patients with headache or dizziness, and reimbursement coverage, standard imaging, and radiologic report of brain MRI, brain/neck MRA and head and neck MRI. This article could help radiologists gain knowledge on health insurance to protect the expertise of the radiologist and to play a leading role in the hospital. As the policy changes, detailed matter concerning criteria and method for providing reimbursed services in the NHI may be revised. Therefore, radiologists should update issues related to insurance reimbursement for MRI continuously.

Prevalence of Pathological Brain Lesions in Girls with Central Precocious Puberty: Possible Overestimation?

  • Yoon, Jong Seo;So, Cheol Hwan;Lee, Hae Sang;Lim, Jung Sub;Hwang, Jin Soon
    • Journal of Korean Medical Science
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    • v.33 no.51
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    • pp.329.1-329.9
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    • 2018
  • Background: Brain magnetic resonance imaging (MRI) is routinely performed to identify brain lesions in girls with central precocious puberty (CPP). We aimed to investigate the prevalence and type of brain lesions among Korean girls with CPP and evaluate the need for routine brain MRI examinations. Methods: This retrospective cross-sectional study evaluated data on 3,528 girls diagnosed with CPP from April 2003 to December 2016, and identified 317 girls who underwent sellar MRI. Exclusion criteria were patients with a known brain tumor or who did not undergo brain MRI due to refusal or the decision of the pediatric endocrinologist. Results: Normal sellar MRI findings were observed in 291 of the 317 girls (91.8%). Incidental findings were observed in 26 girls (8.2%). None of the patients had pathological brain lesions. Conclusion: The prevalence of intracranial lesions among girls who were generally healthy and without neurological symptoms but diagnosed with CPP was lower than that previously reported. Furthermore, none of the identified lesions required treatment. It may be prudent to reconsider the routine use of brain MRI to screen all patients with CPP, especially if they are healthy and neurologically asymptomatic, and are girls aged 6-8 years.

The Feasibility for Whole-Night Sleep Brain Network Research Using Synchronous EEG-fMRI (수면 뇌파-기능자기공명영상 동기화 측정과 신호처리 기법을 통한 수면 단계별 뇌연결망 연구)

  • Kim, Joong Il;Park, Bumhee;Youn, Tak;Park, Hae-Jeong
    • Sleep Medicine and Psychophysiology
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    • v.25 no.2
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    • pp.82-91
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    • 2018
  • Objectives: Synchronous electroencephalogram (EEG) and functional magnetic resonance imaging (fMRI) has been used to explore sleep stage dependent functional brain networks. Despite a growing number of sleep studies using EEG-fMRI, few studies have conducted network analysis on whole night sleep due to difficulty in data acquisition, artifacts, and sleep management within the MRI scanner. Methods: In order to perform network analysis for whole night sleep, we proposed experimental procedures and data processing techniques for EEG-fMRI. We acquired 6-7 hours of EEG-fMRI data per participant and conducted signal processing to reduce artifacts in both EEG and fMRI. We then generated a functional brain atlas with 68 brain regions using independent component analysis of sleep fMRI data. Using this functional atlas, we constructed sleep level dependent functional brain networks. Results: When we evaluated functional connectivity distribution, sleep showed significantly reduced functional connectivity for the whole brain compared to that during wakefulness. REM sleep showed statistically different connectivity patterns compared to non-REM sleep in sleep-related subcortical brain circuits. Conclusion: This study suggests the feasibility of exploring functional brain networks using sleep EEG-fMRI for whole night sleep via appropriate experimental procedures and signal processing techniques for fMRI and EEG.

Clinical outcomes of traumatic brain injury dogs underwent CT or MRI

  • Unghui Kim;Woo-Jin Song
    • Korean Journal of Veterinary Service
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    • v.47 no.2
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    • pp.101-105
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    • 2024
  • Three dogs (7-year-old, neutered male Chihuahua; case 1, 1-year-old, spayed female mixed breed; case 2, 10-month-old, female Maltese; case 3) were referred to Jeju Veterinary Medicine Teaching Hospital for traumatic brain injury. All three patients exhibited abnormal neurological symptoms. The patients were diagnosed through medical history obtained from their caregivers and through computed tomography (CT) or magnetic resonance imaging (MRI) scans. Structural brain abnormalities were observed in two dogs through CT scans and in one dog through MRI. Decompression therapy with mannitol was administered to all three dogs. Case 1, which showed CT findings of pulmonary hemorrhage but no significant brain injury, and case 2, which had mild brain damage on CT imaging, showed improvement in neurological symptoms and gait abnormalities after decompression therapy. However, case 3, which showed suspected brain hemorrhage and brain edema on MRI, did not respond to decompression therapy and was euthanized one month later. Imaging evaluation through CT or MRI in dogs with traumatic brain injury can assist clinical veterinarians in assessing the prognosis of patients.

Multi-scale U-SegNet architecture with cascaded dilated convolutions for brain MRI Segmentation

  • Dayananda, Chaitra;Lee, Bumshik
    • Proceedings of the Korean Society of Broadcast Engineers Conference
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    • 2020.11a
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    • pp.25-28
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    • 2020
  • Automatic segmentation of brain tissues such as WM, GM, and CSF from brain MRI scans is helpful for the diagnosis of many neurological disorders. Accurate segmentation of these brain structures is a very challenging task due to low tissue contrast, bias filed, and partial volume effects. With the aim to improve brain MRI segmentation accuracy, we propose an end-to-end convolutional based U-SegNet architecture designed with multi-scale kernels, which includes cascaded dilated convolutions for the task of brain MRI segmentation. The multi-scale convolution kernels are designed to extract abundant semantic features and capture context information at different scales. Further, the cascaded dilated convolution scheme helps to alleviate the vanishing gradient problem in the proposed model. Experimental outcomes indicate that the proposed architecture is superior to the traditional deep-learning methods such as Segnet, U-net, and U-Segnet and achieves high performance with an average DSC of 93% and 86% of JI value for brain MRI segmentation.

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Brain-wave Analysis using fMRI, TRS and EEG for Human Emotion Recognition (fMRI와 TRS와 EEG를 이용한 뇌파분석을 통한 사람의 감정인식)

  • Kim, Ho-Duck;Sim, Kwee-Bo
    • Journal of the Korean Institute of Intelligent Systems
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    • v.17 no.6
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    • pp.832-837
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    • 2007
  • Many researchers are studying brain activity to using functional Magnetic Resonance Imaging (fMRI), Time Resolved Spectroscopy(TRS), Electroencephalography(EEG), and etc. They are used detection of seizures or epilepsy and deception detection in the main. In this paper, we focus on emotion recognition by recording brain waves. We specially use fMRI, TRS, and EEG for measuring brain activity Researchers are experimenting brain waves to get only a measuring apparatus or to use both fMRI and EEG. This paper is measured that we take images of fMRI and TRS about brain activity as human emotions and then we take data of EEG signals. Especially, we focus on EEG signals analysis. We analyze not only original features in brain waves but also transferred features to classify into five sections as frequency. And we eliminate low frequency from 0.2 to 4Hz for EEG artifacts elimination.

The Usefulness of Brain Magnetic Resonance Imaging with Mild Head Injury and the Negative Findings of Brain Computed Tomography

  • Kim, Du Su;Kong, Min Ho;Jang, Se Youn;Kim, Jung Hee;Kang, Dong Soo;Song, Kwan Young
    • Journal of Korean Neurosurgical Society
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    • v.54 no.2
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    • pp.100-106
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    • 2013
  • Objective : To investigate the cases of intracranial abnormal brain MRI findings even in the negative brain CT scan after mild head injury. Methods : During a 2-year period (January 2009-December 2010), we prospectively evaluated both brain CT and brain MRI of 180 patients with mild head injury. Patients were classified into two groups according to presence or absence of abnormal brain MRI finding even in the negative brain CT scan after mild head injury. Two neurosurgeons and one neuroradiologist validated the images from both brain CT scan and brain MRI double blindly. Results : Intracranial injury with negative brain CT scan after mild head injury occurred in 18 patients (10.0%). Headache (51.7%) without neurologic signs was the most common symptom. Locations of intracranial lesions showing abnormal brain MRI were as follows; temporal base (n=8), frontal pole (n=5), falx cerebri (n=2), basal ganglia (n=1), tentorium (n=1), and sylvian fissure (n=1). Intracranial injury was common in patients with a loss of consciousness, symptom duration >2 weeks, or in cases of patients with linear skull fracture (p=0.00013), and also more frequent in multiple associated injury than simple one (35.7%>8.6%) (p=0.105). Conclusion : Our investigation showed that patients with mild head injury even in the negative brain CT scan had a few cases of intracranial injury. These findings indicate that even though the brain CT does not show abnormal findings, they should be thoroughly watched in further study including brain MRI in cases of multiple injuries and when their complaints are sustained.

Nursing Approach of an Offered Blanket on the Anxiety of Patients Undergoing Brain MRI (담요제공이 Brain MRI 검사를 받는 환자의 불안에 미치는 간호중재적 접근)

  • Park, Jin-Yeong;Kim, Kye-Ha
    • The Journal of the Korea Contents Association
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    • v.16 no.11
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    • pp.623-632
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    • 2016
  • The purpose of the present study was to evaluate the effect of an offered blanket on the anxiety of patients undergoing brain MRI. The participants were 52 patients who underwent brain MRI in C university hospital of G city. Blanket was applied to the experimental group (n=26) before MRI. Data were collected from May to December 2015, and analysed using the chi-squared test, the independent t-test, and repeated measures ANOVA. The results showed that there was no significant difference in the anxiety measured by STAI of the two groups. But, the level of anxiety measured by the visual analog scales was reduced in the experimental group (t=-2.75, p=0.008). There were no difference in the blood pressure and pulse rate in the experimental and control groups. Therefore, further study is needed to decrease the level of anxiety of patients undergoing brain MRI.

Tumor Segmentation in Multimodal Brain MRI Using Deep Learning Approaches

  • Al Shehri, Waleed;Jannah, Najlaa
    • International Journal of Computer Science & Network Security
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    • v.22 no.8
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    • pp.343-351
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    • 2022
  • A brain tumor forms when some tissue becomes old or damaged but does not die when it must, preventing new tissue from being born. Manually finding such masses in the brain by analyzing MRI images is challenging and time-consuming for experts. In this study, our main objective is to detect the brain's tumorous part, allowing rapid diagnosis to treat the primary disease instantly. With image processing techniques and deep learning prediction algorithms, our research makes a system capable of finding a tumor in MRI images of a brain automatically and accurately. Our tumor segmentation adopts the U-Net deep learning segmentation on the standard MICCAI BRATS 2018 dataset, which has MRI images with different modalities. The proposed approach was evaluated and achieved Dice Coefficients of 0.9795, 0.9855, 0.9793, and 0.9950 across several test datasets. These results show that the proposed system achieves excellent segmentation of tumors in MRIs using deep learning techniques such as the U-Net algorithm.