• Title/Summary/Keyword: 자기공명영상(MRI)

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허혈성 심질환의 자기공명 영상 진단

  • 최영희
    • Investigative Magnetic Resonance Imaging
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    • v.6 no.1
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    • pp.5-20
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    • 2002
  • 허혈성 심질환 환자의 평가도구로서 MRI의 역할이 확대된 데에는 소위 "one-stop shop"이라는 통합적 심장검사법의 개발이 계기가 되었다. 즉 한 번의 MRI 검사로서 심실벽운동을 평가하여 심근의 기능과 예비능을 측정하여 만성 심근경색을 평가할 수 있고, 심근의 관류를 평가할 수 있고, 관동맥의 혈류 예비능과 심근의 viability를 평가하고, 관동맥 조영술을 통해, 수술 후의 우회로 평가 및 관동맥의 협착 여부의 진단이 가능한 프로토콜이 MRI장비마다 각각 개발되어 보급되고 있다. 하드웨어와 소프트웨어의 개발과 지속적인 연구를 통해서 MRI는 허혈성 심질환의 진단적 검사로서 기존의 다른 검사들과 비교하여 높은 시간적, 공간적 해상력으로 정확한 구조와 기능의 평가를 제공할 수 있는 가장 유용한 검사가 될 것으로 사료된다 특히, MR 관동맥조영술, 심근관류검사, 심근 표지법, dobutamine 부하검사, viability 평가, plaque characterization, MR spectroscopy 분야에서 현재 활발히 연구가 진행되고 있으며 향후 임상적용이 확대될 것으로 예상된다.

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Effect of Metals used in Orthopedic on Magnetic Resonance Imaging II (정형 보철용 금속이 자기공명영상에 미치는 영향 II)

  • Kim, Hyeong-Gyun;Choi, Seong-Dae
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.11 no.5
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    • pp.115-120
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    • 2012
  • Metals used orthopedic in human magnetic resonance imaging scan of the metal to be inserted, The information to users about the image distortion is to propose a basis for judgment. Metals used orthopedic on Stainless, Titanium and Clip using ferromagnetic artifacts and distortion of the image were measured. Using Phantom "Effect of Metals used in Orthopedic on Magnetic Resonance ImagingI" pig in a paper subsequently was carried out using the same bone. Experimental results using a pure Titanium is a relatively high diagnostic value was found that.

The Evaluation of Image Quality using Time of Flight in Intracranial Magnetic Resonance Imaging : Comparison with 1.5 T and 3.0 T (뇌혈관 자기공명영상에서 Time-of-flight(TOF) 기법을 이용한 영상의 질 평가: 1.5 T 와 3.0 T 자기공명영상 비교)

  • Goo, Eunhoe
    • Korean Journal of Digital Imaging in Medicine
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    • v.17 no.1
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    • pp.43-48
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    • 2015
  • Intracrnial 3D TOF MR angiography was performed in 30 normal volunteers with both 1.5 and 3.0 T MRI system with high resolutions. Used Voxel sizes were $0.39{\times}0.39{\times}0.2$(1.5 T) and $0.19{\times}0.19{\times}0.35$(3.0 T), respectively. High image quality and depiction of small vessel branches were equality demonstrated with 1.5 T and 3.0 T HR TOF MRA(p<0.05). Intracranial high resolution TOF MRA with 1.5 T and 3.0 T provides high diagnostic information with having merits and demerits in depiction of vascular branches.

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Imaging Features of Mucinous Breast Carcinoma (점액암의 영상소견)

  • Han, Hye-Jung;Kim, Sung-Hun;Cha, Eun-Suk;Kim, Hyun-Sook;Kang, Bong-Joo;Choi, Jae-Jung;Lee, Jee-Hye;Lee, Ah-Won
    • Investigative Magnetic Resonance Imaging
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    • v.14 no.1
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    • pp.21-30
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    • 2010
  • Purpose : To examine the imaging findings of mucinous breast carcinoma and to evaluate the difference in these findings based on the histopathologic grade. Materials and Methods : We retrospectively analyzed the imaging features according to BI-RADS in 29 patients with surgically proven mucinous carcinoma. The histopathologic grade was classified as well-differentiated, moderately-differentiated and poorly-differentiated. Based on these criteria, the differences in imaging findings were statistically analyzed. Results : Mammography was available in 20 cases, which contained 17 mass lesions (85%) and 3 cases of normal findings. On ultrasonography (27 cases), mucinous carcinoma was observed as a mass with an oval shape (59.3%), a microlobulated margin (55.6%) or an inhomogeneous isoechogenicity (74.1%). On MRI (21 cases), mucinous carcinoma was commonly observed to have a lobular shape (76%), smooth margin (86%) or heterogeneous contrast-enhancement (61.9%). On the kinetic curve, there was a delayed wash-out pattern (52.3%). There were no significant differences in the imaging findings for each histopathologic grade except that a welldifferentiated tumor had an abrupt interface. Conclusion : A well-differentiated mucinous carcinoma tended to have an abrupt interface on ultrasonography, as compared with the moderately-differentiated one. Mucinous carcinoma showed a heterogeneous enhancement and a delayed washout kinetic curve pattern on dynamic MRI.

Evaluation of Treatment Response Using Diffusion-Weighted MAI in Metastatic Spines (척추 전이암에서 확산강조 자기공명 영상을 이용한 치료반응의 평가)

  • Lee, Jang-Jin;Shin, Sei-One
    • Journal of Yeungnam Medical Science
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    • v.18 no.1
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    • pp.30-38
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    • 2001
  • Background: The purpose of this study was to evaluate the usefulness of diffusion-weighted magnetic resonance imaging for monitoring the response to radiation therapy in metastatic bone marrow of the spines. Materials and Methods: Twenty-one patients with metastatic bone marrow of the spines were examined with MRI. Diffusion-weighted and spin-echo MRI were performed in 10 patients before and after radiation therapy with or without systemic chemotherapy, and performed in 11 patients after radiation therapy alone. Follow up spin-echo and diffusion-weighted MRI were obtained at 1 to 6 months after radiation therapy according to patients' condition. The diffusion-weighted imaging sequence was based on reversed fast imaging with steady-state precession (PSIF). Signal intensity changes of the metastatic bone marrows before and after radiation therapy on conventional spin-echo sequence MRI and diffusion-weighted MRI were evaluated. Bone marrow contrast ratios and signal-to-noise ratios before and after radiation therapy of diffusion- weighted MRI were analyzed. Results: All metastatic bone marrow of the spinal bodies were hyperintense to normal bone marrow of the spinal bodies on pretreatment diffusion-weighted MRI and positive bone marrow contrast ratios(p<0.001), and hypointense to normal spinal bodies on posttreatment diffusion-weighted MRI and negative bone marrow contrast ratios(p<0.001). The signal to noise ratios after treatment decreased comparing with those of pretreatment. Decreased signal intensity of the metastatic bone marrows on diffusion-weighted MRI began to be observed at average more than one month after the initiation of the radiation therapy. Conclusion: These results suggest that diffusion-weighted MRI would be an excellent method for monitoring the response to therapy of metastatic bone marrow of the spinal bodies, however, must be investigated in a larger series of patients with longer follow up period.

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Magnetic Resonance Imaging Factors Predicting Re-excision in Breast Cancer Patients Having Undergone Conserving Therapy (유방보존술을 시행받는 유방암환자에서 재절제 예측의 자기공명영상소견)

  • Jang, Mijung;Kim, Sun Mi;Yun, Bo La;Kim, Sung-Won;Kang, Eun Young;Park, So Yeon;Kim, Jee Hyun;Kim, Yeongmi;Ahn, Hye Shin
    • Investigative Magnetic Resonance Imaging
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    • v.18 no.2
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    • pp.133-143
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    • 2014
  • Purpose : The aim of this study was to determine the magnetic resonance imaging (MRI) features associated with re-excision due to the presence of a positive margin after breast conserving therapy (BCT) in breast cancer patients. Materials and Methods: We reviewed the records of 286 consecutive breast cancer patients who received BCT between January 2006 and December 2007. Among 246 patients who had undergone BCT, 38 (15.4%) underwent immediate further surgery due to positive margin status. We analyzed the MRI findings using ${\chi}^2$ test, Fisher's exact test and t tests. Multivariate logistic regression was conducted for prediction of re-excision. Results: Tumor size (p < 0.001), lesion multiplicity (p = 0.003), and non-mass-like enhancement (NMLE) type on MRI (p < 0.001) were associated with margin involvement in BCT. On preoperative MRI, larger size (${\geq}5cm$) (odds ratio = 2.96), NMLE (odds ratio = 3.81), and multifocal lesions (odds ratio = 2.54) were positively associated with re-excision. In cases involving NMLE, segmental distribution was associated with a greater likelihood of immediate re-excision. Conclusion: Larger size, multiplicity, and NMLE on MRI are significantly associated with re-excision after BCT in breast cancer patients. For NMLE lesions, the segmental distribution pattern was predictive of re-excision.

Brain Iron Imaging in Aging and Cognitive Disorders: MRI Approaches (노화 및 인지기능장애에서 뇌 철 영상 기법: 자기공명영상을 이용한 접근)

  • Jinhee Jang;Junghwa Kang;Yoonho Nam
    • Journal of the Korean Society of Radiology
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    • v.83 no.3
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    • pp.527-537
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    • 2022
  • Iron has a vital role in the human body, including the central nervous system. Increased deposition of iron in the brain has been reported in aging and important neurodegenerative diseases. Owing to the unique magnetic resonance properties of iron, MRI has great potential for in vivo assessment of iron deposition, distribution, and non-invasive quantification. In this paper, we will review the MRI methods for iron assessment and their changes in aging and neurodegenerative diseases, focusing on Alzheimer's disease. In addition, we will summarize the limitations of current approaches and introduce new areas and MRI methods for iron imaging that are expected in the future.

In-Vivo Heat Transfer Measurement using Proton Resonance Frequency Method of Magnetic Resonance Imaging (자기 공명영상 시스템의 수소원자 공명 주파수법을 이용한 생체 내 열 전달 관찰)

  • 조지연;조종운;이현용;신운재;은충기;문치웅
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.40 no.3
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    • pp.172-180
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    • 2003
  • The purpose of this study is to observe the heat transfer process in in-vivo human muscle based on Proton Resonance Frequency(PRF) method in Magnetic Resonance Imaging(MRI). MRI was obtained to measure the temperature variation according to the heat transfer in phantom and in-vivo human calf muscle. A phantom(2% agarose gel) was used in this experiment. MR temperature measurement was compared with the direct temperature measurement using a T-type thermocouple. After heating agarose gel to more than 5$0^{\circ}C$ in boiling hot water, raw data were acquired every 3 minutes during one hour cooling period for a phantom case. For human study heat was forced to deliver into volunteer's calf muscle using hot pack. Reference data were once acquired before a hot pack emits heat and raw data were acquired every 2 minutes during 30minutes. Acquired raw data were reconstructed to phase-difference images with reference image to observe the temperature change. Phase-difference of the phantom was linearly proportional to the temperature change in the range of 34.2$^{\circ}C$ and 50.2$^{\circ}C$. Temperature resolution was 0.0457 radian /$^{\circ}C$(0.0038 ppm/$^{\circ}C$) in phantom case. In vivo-case, mean phase-difference in near region from the hot pack is smaller than that in far region. Different temperature distribution was observed in proportion to a distance from heat source.

Optimizations of 3D MRI Techniques in Brain by Evaluating SENSE Factors (삼차원 자기공명영상법의 뇌 구조 영상을 위한 최적화 연구: 센스인자 변화에 따른 신호변화 평가)

  • Park, Myung-Hwan;Lee, Jin-Wan;Lee, Kang-Won;Ryu, Chang-Woo;Jahng, Geon-Ho
    • Investigative Magnetic Resonance Imaging
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    • v.13 no.2
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    • pp.161-170
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    • 2009
  • Purpose : A parallel imaging method provides us to improve temporal resolution to obtain three-dimensional (3D) MR images. The objective of this study was to optimize three 3D MRI techniques by adjusting 2D SESNE factors of the parallel imaging method in phantom and human brain. Materials and Methods : With a 3 Tesla MRI system and an 8-channel phase-array sensitivity-encoding (SENSE) coil, three 3D MRI techniques of 3D T1-weighted imaging (3D T1WI), 3D T2-weighted imaging (3D T2WI) and 3D fluid attenuated inversion recovery (3D FLAIR) imaging were optimized with adjusting SESNE factors in a water phantom and three human brains. The 2D SENSE factor was applied on the phase-encoding and the slice-encoding directions. Signal-to-noise ratio(SNR), percent signal reduction rate(%R), and contrast-to-noise ratio(CNR) were calculated by using signal intensities obtained in specific regions-of-interest (ROI). Results : In the phantom study, SENSE factor = 3 was provided in 0.2% reduction of signals against without using SENSE with imaging within 5 minutes for 3D T1WI. SENSE factor = 2 was provided in 0.98% signal reduction against without using SENSE with imaging within 5 minutes for 3D T2WI. SENSE factor = 4 was provided in 0.2% signal reduction against without using SENSE with imaging around 6 minutes for 3D FLAIR. In the human brain study, SNR and CNR were higher with SENSE factors = 3 than 4 for all three imaging techniques. Conclusion : This study was performed to optimize 2D SENSE factors in the three 3D MRI techniques that can be scanned in clinical time limitations with minimizing SNR reductions. Without compromising SNR and CNR, the optimum 2D SENSE factors were 3 and 4, yielding the scan time of about 5 to 6 minutes. Further studies are necessary to optimize 3D MRI techniques in other areas in human body.

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Comparative Study of a Multi-Channel Coils of Magnetic Resonance Imaging(MRI) Signal Intensities under Identical Parameters (동일한 조건의 자기공명검사에서 코일의 채널수 변화에 따른 신호강도의 평가)

  • Son, Soon-Yong
    • The Journal of the Korea Contents Association
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    • v.19 no.6
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    • pp.418-423
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    • 2019
  • The purpose of this study was to determine how the different number of channels of coils were related in the perceived signal intensity under identical parameters and area. Dedicated knee phantoms were scanned consecutively using both of the 16-channel and 8-channel knee coils. The T1 weighted and T2 weighted sequences were acquired using both coils to compare the signal intensities according to the number of channels. As a result, the 16-channel knee coils outperformed the 8-channel knee coils and the signal intensity was significantly increased in both of the T1 and T2 weighted images with the 16-channel coil. In conclusion, it is considered that better signal intensities and more clinical utility can be provided, when coils with more number of channels are used rather than using the coils with smaller number of channels.