• Title/Summary/Keyword: 자기공명영상(MRI)

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MR Imaging of Primary Retroperitoneal Mucinous Cystadenocarcinoma in Pregnant Woman (임산부에서 발생한 원발성 후복막 점액낭샘암종의 자기공명영상 소견: 1예 보고)

  • Lee, Jisun;Cho, Bum Sang;Kim, Yook;Yi, Kyung Sik;Kang, Min Ho;Lee, Seung Young;Kim, Sung Jin;Park, Kil Sun
    • Investigative Magnetic Resonance Imaging
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    • v.17 no.3
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    • pp.243-248
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    • 2013
  • Primary retroperitoneal mucinous cystadenocarcinoma is a very rare malignancy. To date, 51 cases have been reported, including 3 in pregnant women. Herein, we report magnetic resonance findings of a 31-year-old Korean woman (15 weeks and 3 days pregnant) with primary retroperitoneal mucinous cystadenocarcinoma. On abdominal magnetic resonance imaging (MRI), a mass was identified in the retroperitoneal area with a nodular lesion showing heterogeneous signal intensity and focal wall thickening on T1- and T2-weighted images. Exploratory laparotomy and tumor excision were performed. Histological examination revealed primary retroperitoneal mucinous cystadenocarcinoma. The patient subsequently underwent total hysterectomy, bilateral salpingo-oophorectomy, and omentectomy for metastatic mucinous cystadenocarcinoma of both ovaries 15 months after her initial surgery.

Suggested Protocol for Efficient Medical Image Information Exchange in Korea: Breast MRI (효율적 의료영상정보교류를 위한 프로토콜 제안: 유방자기공명영상)

  • Park, Ji Hee;Choi, Seon-Hyeong;Kim, Sungjun;Yong, Hwan Seok;Woo, Hyunsik;Jin, Kwang Nam;Jeong, Woo Kyoung;Shin, Na-Young;Choi, Moon Hyung;Jung, Seung Eun
    • Journal of the Korean Society of Radiology
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    • v.79 no.5
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    • pp.254-258
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    • 2018
  • Purpose: Establishment of an appropriate protocol for breast magnetic resonance imaging (MRI) in the study of image quality standards to enhance the effectiveness of medical image information exchange, which is part of the construction and activation of clinical information exchange for healthcare informatization. Materials and Methods: The recommended protocols of breast and MRI scans were reviewed and the questionnaire was prepared by a responsible researcher. Then, a panel of 9 breast dedicated radiologists was set up in Korea. The expert panel conducted a total of three Delphi agreements to draw up a consensus on the breast MRI protocol. Results: The agreed breast MRI recommendation protocol is a 1.5 Tesla or higher device that acquires images with prone position using a breast dedicated coil and includes T2-weighted and pre-contrast T1-weighted images. Contrast enhancement images are acquired at least two times, and include 60-120 seconds between images and after 4 minutes. The contrast enhancement T1-weighted image should be less than 3 mm in thickness, less than 120 seconds in temporal resolution, and less than $1.5mm^2$ in-plane pixel resolution. Conclusion: The Delphi agreement of the domestic breast imaging specialist group has established the recommendation protocol of the effective breast MRI.

Diffusion-weighted and Dynamic Contrast-enhanced MRI of Metastatic Bone Tumors: Correlation of the Apparent Diffusion Coefficient, $K^{trans}$ and $v_e$ values (골전이암의 확산강조영상과 역동적 조영증강 자기공명영상: 겉보기 확산계수, $K^{trans}$$v_e$ 값들의 상관관계)

  • Koo, Ji Hyun;Yoon, Young Cheol;Kim, Jae Hoon
    • Investigative Magnetic Resonance Imaging
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    • v.18 no.1
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    • pp.25-33
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    • 2014
  • Purpose : To investigate whether quantitative parameters derived from Diffusion-weighted magnetic resonance imaging (DW-MRI) correlate with those of Dynamic contrast-enhanced MRI (DCE-MRI). Materials and Methods: Thirteen patients with pathologically or clinically proven bony metastasis who had undergone MRI prior to treatment were included. The voxel size was $1.367{\times}1.367{\times}5mm$. A dominant tumor was selected and the apparent diffusion coefficient (ADC) value and DCE-MRI parameters were obtained by matching voxels. DCE-MRI data were analyzed yielding estimates of $K^{trans}$ (volume transfer constant) and $v_e$. (extravascular extracellular volume fraction). Statistical analysis of ADC, $K^{trans}$, and $v_e$ value was conducted using Pearson correlation analyses. Results: Fifteen lesions in pelvic bones were evaluated. Of these, 11 showed a statistically significant correlation (P<0.05) between ADC and $K^{trans}$. The ADC and $K^{trans}$ were inversely related in 7 lesions and positively related in 4 lesions. This did not depend on the primary cancer or site of metastasis. The ADC and $v_e$ of 9 lesions correlated significantly. Of these, 4 lesions were inversely related and 5 lesions were positively related. Conclusion: Unlike our theoretic hypothesis, there was no consistent correlation between ADC values and $K^{trans}$ or between ADC values and $v_e$ in metastatic bone tumors.

Carotid Vessel Wall MRI Findings in Acute Cerebral Infarction Caused by Polycythemia Vera: A Case Report (적혈구 증가증으로 인한 급성 뇌경색에서 경동맥 혈관벽 자기공명영상 소견: 증례 보고)

  • Jun Kyeong Park;Eun Ja Lee;Dong-Eog Kim;Hyun Jung Lee
    • Journal of the Korean Society of Radiology
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    • v.83 no.1
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    • pp.178-183
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    • 2022
  • Polycythemia vera (PV) is a rare myeloproliferative disease that causes elevated absolute red blood cell (RBC) mass due to uncontrolled RBC production. Moreover, this condition has been associated with a high risk of ischemic stroke and large vessel stenosis or occlusion, with many studies reporting cerebral infarction in PV patients. Despite these findings, there have been no reports on the vessel wall MRI (VW-MRI) findings of the narrowed vessels in PV-associated ischemic stroke patients. To the best of our knowledge, this is the first report in English regarding the carotid VW-MRI findings of a 30-year-old male diagnosed with PV after being hospitalized due to stroke.

Vital Signs Investigation in Subjects Undergoing Magnetic Resonance Imaging (자기공명검사 시 활력 징후의 변화)

  • Jeong, Mi-Ae;Choi, Kwan-Woo
    • The Journal of the Korea Contents Association
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    • v.19 no.6
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    • pp.412-417
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    • 2019
  • This study was proposed to investigate vital signs in subjects undergoing high magnetic field (3T) MR imaging for provide basic data on causes of claustrophobia as few previous studies were conducted on this special issue. Vital signs of 104 patients were monitored before and during the clinically indicated MR examinations to identify any relationship between MR scanning and the vital signs. An increase of systolic, diastolic blood pressure and pulse pressure were observed. However, they were not statistically significant(p>0.05), which meant the vital signs measured before and during the MRI scanning showed no significant change. This study is considered to be meaningful basic data for analyzing the links between vital sign fluctuations on claustrophobia during routine clinical MR examinations.

A feasibility study on new stimulation method in fMRI language examinations using custom designed images (기능적 자기공명영상의 언어기능검사 시 image를 이용한 자극방법의 타당성 연구)

  • Choi, Kwan-Woo;Son, Soon-Yong;Jeong, Mi-Ae;Min, Jung-Whan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.11
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    • pp.5005-5011
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    • 2011
  • The purpose of this work is to know the validity of a new stimulation method in cognitive functional imaging using custom-designed images correspond to words or syllables improving the shortcomings of existing method using text. From March 2011 to May five Subjects in need of language related functional MRI scanning were selected and both of text stimulating method and image stimulating method sacanning were carried out three times each. Using 3.0T Philps MRI machine and Invivo Co's Eloquence system, data acquisition was performed with EPI-BOLD technique. Post processing was performed with SPM 99 while the activated signals were determined within 95 percent confidence level.The number of activation clusters and the activation ratio inside ROI were compared. As as result, all of the subject showed activation inside Broca area but it did not have statistical significance. In conclusion, the image sitimulation method has potential because image itself is a common means of recognition and it can be recognised easily even if there language barrier. This stimulation method can be applied to replacing the exising scanning method especially in the elderly, infants, foerigners who may not fully understand about the examination.

Magnetic Resonance Electrical Impedance Tomography

  • 오석훈;이항로;우응제;조민형;이수열
    • Proceedings of the KSMRM Conference
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    • 2002.11a
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    • pp.100-100
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    • 2002
  • 목적: 인체에 전류를 주입하면 체내 생체조직의 임피던스 분포에 따라서 전류밀도 분포가 결정된다. 이러한 전류밀도 분포를 MRI를 이용하여 고해상도로 얻어내면 인체 내부의 임피던스 영상을 구성할 수 있다. 이는 기존의 전기 임피던스 단층 촬영법이 갖는 여러 한계를 극복할 수 있으며 이로부터 생체의 기능에 대한 다양한 정보를 추출할 수 있게 된다. 본 논문은 3차원 팬텀 내부의 전류밀도 분포를 영상화하고 이것으로부터 인체내부의 임피던스 영상을 얻어내는 실험 결과를 기술한다.

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