• Title/Summary/Keyword: 자기공명영상(MRI)

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Adhesive Capsulitis of the Shoulder (견관절의 유착성 관절낭염)

  • Soo-Jung Choi
    • Journal of the Korean Society of Radiology
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    • v.82 no.6
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    • pp.1355-1365
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    • 2021
  • Adhesive capsulitis, the so-called 'frozen shoulder', is one of the common causes of pain with a limited range of motion in the shoulder joint. The condition is usually diagnosed through the clinical course and physical examinations; however, several studies on imaging findings of adhesive capsulitis using sonography, MRI, and MR angiography have been reported. In this article, various imaging findings for the diagnosis of adhesive capsulitis-related anatomy are reviewed.

Clinical Experience with 3.0 T MR for Cardiac Imaging in Patients: Comparison to 1.5 T using Individually Optimized Imaging Protocols (장비 별 최적화된 영상 프로토콜을 이용한 환자에서의 3.0T 심장 자기공명영상의 임상경험: 1.5 T 자기공명영상과의 비교)

  • Ko, Jeong Min;Jung, Jung Im;Lee, Bae Young
    • Investigative Magnetic Resonance Imaging
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    • v.17 no.2
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    • pp.83-90
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    • 2013
  • Purpose : To report our clinical experience with cardiac 3.0 T MRI in patients compared with 1.5 T using individually optimized imaging protocols. Materials and Methods: We retrospectively reviewed 30 consecutive patients and 20 consecutive patients who underwent 1.5 T and 3 T cardiac MRI within 10 months. A comparison study was performed by measuring the signal-to-noise ratio (SNR), the contrast-to-noise ratio (CNR) and the image quality (by grading each sequence on a 5-point scale, regarding the presence of artifacts). Results: In morphologic and viability studies, the use of 3.0 T provided increase of the baseline SNRs and CNRs, respectively (T1: SNR 29%, p < 0.001, CNR 37%, p < 0.001; T2-SPAIR: SNR 13%, p = 0.068, CNR 18%, p = 0.059; viability imaging: SNR 45%, p = 0.017, CNR 37%, p = 0.135) without significant impairment of the image quality (T1: $3.8{\pm}0.9$ vs. $3.9{\pm}0.7$, p = 0.438; T2-SPAIR: $3.8{\pm}0.9$ vs. $3.9{\pm}0.5$, p = 0.744; viability imaging: $4.5{\pm}0.8$ vs. $4.7{\pm}0.6$, p = 0.254). Although the image qualities of 3.0 T functional cine images were slightly lower than those of 1.5 T images ($3.6{\pm}0.7$ vs. $4.2{\pm}0.6$, p < 0.001), the mean SNR and CNR at 3.0 T were significantly improved (SNR 143% increase, CNR 108% increase, p < 0.001). With our imaging protocol for 3.0 T perfusion imaging, there was an insignificant decrease in the SNR (11% decrease, p = 0.172) and CNR (7% decrease, p = 0.638). However, the overall image quality was significantly improved ($4.6{\pm}0.5$ vs. $4.0{\pm}0.8$, p = 0.006). Conclusion: With our experience, 3.0 T MRI was shown to be feasible for the routine assessment of cardiac imaging.

ARTHROSCOPIC REPAIR OF FULL THICKNESS TEAR OF THE SUPRASPINATUS; Evaluation of the Clinical Outcome and the Postoperative Rotator Cuff Integrity - A MR arthrogram and MRI follow-up study - (견관절 극상건 전층 파열의 관절경적 복원술; 임상적 결과 및 술후 회전근 개 상태의 평가 - 자기 공명 영상 조영술 및 자기 공명 영상술의 추적 조사 -)

  • No, Gyu-Cheol;Jeong, Yeong-Gi;Yu, Jeong-Han
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2005.03a
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    • pp.14-15
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    • 2005
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Pediatric Neuro-MRI : Techniques and Methods

  • 윤혜경
    • Proceedings of the KSMRM Conference
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    • 1999.04a
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    • pp.81-86
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    • 1999
  • MR은 높은 조직 대조도와 축상, 시상 및 관상면 등의 multiplanar capability의 커다란 장점을 갖고 있어 뇌 신경계질환 진단에 필수적이며, 특히 ionizing radiation이 아니고 요오드계 IV 조영제를 사용하지 않는다는 점이 CT에 비해 더욱 유리하다. 소아에서의 뇌신경계 질환은 선천성 기형이나 대사성 질환이 많은 등 성인과는 다른 질환분포를 보인다. 따라서 성인에서와 같은 protocol을 그대로 적용하였을 때 좋은 질의 영상을 얻기 힘든 경우가 있으며, 연령 또는 질환에 따라 촬영기법도 다양하게 하여야 하므로 routine protocol을 정하지 않고 매 환아 마다 적절한 기법을 선택하고 있다. 또한 움직임을 억제하기 위하여 진정 (sedation)이 필요한 예가 대부분이며 적절한 잠재우기는 좋은 질의 영상을 얻기 위해 필수적이므로 이에 대한 지식을 필요로 한다.

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A New TE/TR Reduction Technique in MR Pulse Sequences and Its Application to Radial Imaging

  • 김용권;류연철;오창현
    • Proceedings of the KSMRM Conference
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    • 2003.10a
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    • pp.18-18
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    • 2003
  • 목적: MRI 시스템에서 얻어지는 Data는 TR(Repetition Time)과 TE(Echo Time)에 따라서 신호 대잡음비(SNR), 조직들간의 대조도(Contrast), Artifact 및 촬영시간이 결정된다. 이 연구에서는 TR/TE를 줄이는 기법을 이용한 Radial Imaging 영상기법을 제시하고자 한다. 대상 및 방법: 일반적인 Radial Imaging 기법에 HASTE 기법과 Non-uniform sampling 기법의 특징을 이용하여 구현하였으며, TR/TE를 줄일 수 있었으며 얻어진 K-space Data는 가변주파수 역 Fourier Transform을 이용하여 Projection Data를 재구성한 후 Back Projection 기법을 이용하여 최종 영상을 재구성한다.

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$In$ $vitro$ MRI and Characterization of Rat Mesenchymal Stem Cells Transduced with Ferritin as MR Reporter Gene (페리틴 리포터 유전자를 발현하는 백서 중간엽 줄기세포의 특성과 자기공명영상 연구)

  • Shin, Cheong-Il;Lee, Whal;Woo, Ji-Su;Park, Eun-Ah;Kim, Pan-Ki;Song, Hyun-Bok;Kim, Hoe-Suk
    • Investigative Magnetic Resonance Imaging
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    • v.16 no.1
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    • pp.47-54
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    • 2012
  • Purpose : This study was performed to evaluate the characteristics of rat mesenchymal stem cells (RMSCs) transduced with human ferritin gene and investigate $in$ $vitro$ MRI detectability of ferritin-transduced RMSCs. Materials and Methods: The RMSCs expressing both myc-tagged human ferritin heavy chain subunit (myc-FTH) and green fluorescence protein (GFP) were transduced with lentiviurs. Transduced cells were sorted by GFP expression using a fluorescence-activated cell sorter. Myc-FTH and GFP expression in transduced cells were detected by immunofluorescence staining. The cell proliferative ability and viability were assessed by MTT assay. The RMSC surface markers (CD29+/CD45-) were analyzed by flow cytometry. The intracellular iron amount was measured spectrophotometically and the presence of ferritin-iron accumulation was detected by Prussian blue staining. $In$ $vitro$ magnetic resonance imaging (MRI) study of cell phantoms was done on 9.4 T MR scanner to evaluate the feasibility of imaging the ferritin-transduced RMSCs. Results: The myc-FTH and GFP genes were stably transduced into RMSCs. No significant differences were observed in terms of biologic properties in transduced RMSCs compared with non-transduced RMSCs. Ferritin-transduced RMSCs exhibited increased iron accumulation ability and showed significantly lower $T_2$ relaxation time than non-transduced RMSCs. Conclusion: Ferritin gene as MR reporter gene could be used for non-invasive tracking and visualization of therapeutic mesenchymal stem cells by MRI.

MRI Findings in a Rare Case of Myxofibrosarcoma in the Anterior Mediastinum (전종격동에 발생한 매우 드문 점액섬유육종의 자기공명영상 소견)

  • Mi Jin Kim;Se Ri Kang;Ji Young Rho
    • Journal of the Korean Society of Radiology
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    • v.83 no.6
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    • pp.1366-1372
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    • 2022
  • Myxofibrosarcoma is one of the most common soft tissue sarcomas in elderly patients. It often occurs in the extremities, trunk, and retroperitoneum. However, it is rarely observed in the mediastinum, and only a few cases have been reported in the literature. Herein, we present the imaging findings, with an emphasis on the MRI results, of a surgically confirmed anterior mediastinal myxofibrosarcoma in a 66-year-old male.

Non-mass-forming Lymphoma of the Left Ventricle Mimicking Non-ischemic Cardiomyopathy on MR Imaging: A Case Report (MRI에서 비허혈성 심근병증으로 오인된 좌심실의 림프종: 증례 보고)

  • Shin, Won-Seon;Kim, Sung-Mok;Choe, Yeon-Hyeon;Hyeon, Ji-Yeon;Kim, Jung-Sun;Chang, Sung-A
    • Investigative Magnetic Resonance Imaging
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    • v.16 no.2
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    • pp.189-194
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    • 2012
  • We report a case of cardiac lymphoma in a 40-year-old man, who had a mediastinal mass which was diagnosed as sclerosing mediastinitis pathologically. The mediastinal mass caused right pulmonary arterial stenosis. The patient developed myocardial hypertrophy and echocardiography showed restrictive physiology and severely decreased left ventricle ejection fraction, 6 months later. MRI showed global left ventricular myocardial hypertrophy and diffuse late gadolinium hyperenhancement after administration of contrast material. Thus, non-ischemic cardiomyopathy was suspected on MRI. However, pathology confirmed the myocardial abnormality as lymphoma after myocardial biopsy. Because a basal part of the left ventricle and global subendocardial myocardium were not involved on contrast-enhanced delayed MRI, the MRI abnormalities could be differentiated from amyloidosis and other myocardial diseases. The peculiar non-mass forming diffuse hypertrophy pattern of cardiac lymphoma has not been known in the MRI literature.

Alternative Input Lower Weight Information Method Error to Reduce Specific Absorption Rate in MRI (자기공명영상 검사 시 환자정보의 체중을 낮게 입력하여 전자파흡수율을 감소시키는 대안의 오류)

  • Choi, Kwan-Woo
    • The Journal of the Korea Contents Association
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    • v.20 no.2
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    • pp.472-477
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    • 2020
  • The purpose of this study is to correct the error of lower weight input method as an alternative to reduce the specific absorption rate(SAR) in MRI. In order to prove that the SAR values not change according to the weight entered into the patient information, the 50kg phantom is placed in the coil and the input weight is changed from 10 to 100 in 10kg units to compare the SAR values. As a result, T1-weighted images had a SAR rate of 0.2W/kg and T2-weighted images had an average of 0.4W/kg. In conclusions, the SAR does not change according to the weight input by the technician before the scan, a lower weight when inputting patient information cannot be an alternative to reduce the SAR.

Multimodal Diagnostic Approach for Synovitis of the Wrist (수근관절 활액막염 원인 질환 진단을 위한 다중적 접근법)

  • Bae, Kee Jeong;Kim, Jihyeung;Yoon, Chan;Hong, Seong Hwa;Gong, Hyun Sik;Baek, Goo Hyun
    • Journal of the Korean Orthopaedic Association
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    • v.53 no.6
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    • pp.540-546
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    • 2018
  • Purpose: The purpose of this study was to suggest a multimodal diagnostic approach to determine the cause of the disease in patients diagnosed with synovitis of the wrist and who underwent synovectomy. Materials and Methods: Twenty-nine patients, who underwent contrast magnetic resonance imaging (MRI) preoperatively and synovectomy from January 2000 to December 2013, were reviewed retrospectively. Among them, 17 patients underwent a $Tc^{99m}$ white blood cell (WBC) scan preoperatively. In patients who met the diagnostic criteria of rheumatoid arthritis (RA), the diagnosis was confirmed as RA if the MRI finding or histology was compatible with RA. If the MRI finding and histology were disparate, the final diagnosis was made based on the histologic finding. Results: Of the nine patients who met the diagnostic criteria of RA, seven patients were finally diagnosed as RA and two patients as tuberculous arthritis. Of the 20 patients who did not meet the diagnostic criteria of RA, the MRI findings and histology were consistent with the same disease in 12 patients. In the remaining eight patients, five were diagnosed with nonspecific chronic synovitis, one with RA, and two with tuberculous arthritis based on the clinical findings, MRI, and histology findings. Conclusion: MRI and a WBC scan are very useful imaging modalities for diagnosing the causative condition of the wrist synovitis. A histology evaluation after synovectomy can also be useful in cases with a difficult diagnosis or are refractory to medications.