Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Optimization of MRI Protocol for the Musculoskeletal System

근골격계 자기공명영상 프로토콜의 최적화

  • Hong Seon Lee (Department of Radiology, Severance Hospital, Yonsei University College of Medicine) ;
  • Young Han Lee (Department of Radiology, Severance Hospital, Yonsei University College of Medicine) ;
  • Inha Jung (Department of Radiology, Severance Hospital, Yonsei University College of Medicine) ;
  • Ok Kyu Song (Department of Radiology, Severance Hospital, Yonsei University College of Medicine) ;
  • Sungjun Kim (Department of Radiology, Research Institute of Radiological Science, Center for Clinical Imaging Data Science (CCIDS), Yonsei University College of Medicine) ;
  • Ho-Taek Song (Department of Radiology, Severance Hospital, Yonsei University College of Medicine) ;
  • Jin-Suck Suh (Department of Radiology, Severance Hospital, Yonsei University College of Medicine)
  • 이홍선 (연세대학교 의과대학 세브란스병원 영상의학과) ;
  • 이영한 (연세대학교 의과대학 세브란스병원 영상의학과) ;
  • 정인하 (연세대학교 의과대학 세브란스병원 영상의학과) ;
  • 송옥규 (연세대학교 의과대학 세브란스병원 영상의학과) ;
  • 김성준 (연세대학교 의과대학 영상의학교실, 방사선의과학연구소, 의료영상데이터사이언스센터) ;
  • 송호택 (연세대학교 의과대학 세브란스병원 영상의학과) ;
  • 서진석 (연세대학교 의과대학 세브란스병원 영상의학과)
  • Received : 2019.10.30
  • Accepted : 2020.01.21
  • Published : 2020.01.01
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Abstract

Magnetic resonance imaging (MRI) is an essential modality for the diagnosis of musculoskeletal system defects because of its higher soft-tissue contrast and spatial resolution. With the recent development of MRI-related technology, faster imaging and various image plane reconstructions are possible, enabling better assessment of three-dimensional musculoskeletal anatomy and lesions. Furthermore, the image quality, diagnostic accuracy, and acquisition time depend on the MRI protocol used. Moreover, the protocol affects the efficiency of the MRI scanner. Therefore, it is important for a radiologist to optimize the MRI protocol. In this review, we will provide guidance on patient positioning; selection of the radiofrequency coil, pulse sequences, and imaging planes; and control of MRI parameters to help optimize the MRI protocol for the six major joints of the musculoskeletal system.

자기공명영상(magnetic resonance imaging; 이하 MRI)은 다른 영상 기법에 비해 연부 조직 대조도와 해상력이 높아 근골격계 영역에서 중요한 진단 기기로 이용되고 있다. 최근 MRI 관련 기술이 발달함에 따라 빠른 영상 촬영 및 다양한 영상면 재구성이 가능해짐으로써 입체적인 근골격계 해부학적 구조와 병변을 더욱 잘 평가할 수 있게 되었다. 또한, MRI는 최적화 정도에 따라 영상의 질, 진단 정확도 및 촬영 시간 등이 달라지며, MRI 장치의 효율적인 운용과도 관련이 있어, 이를 관리하는 것은 영상의학과 의사의 중요한 역할이다. 본 종설에서는 6개 주요 관절에 따른 환자 자세, radiofrequency 코일 선택, 권장 펄스열, 영상면 구성 및 스캔 파라미터에 대한 지침을 제시함으로써 근골격계 MRI의 최적화에 도움이 되고자 한다.

Keywords

References

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