• Title/Summary/Keyword: 정상 공명

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Enhancement Pattern of the Normal Facial Nerve on Three - Dimensional (3D) - Fluid Attenuated Inversion Recovery (FLAIR) Sequence at 3.0 T MR Units (3.0T 자기공명영상기기에서 시행한 3D-FLAIR 영상에서의 정상 안면신경의 조영증강 양상)

  • Hyun, Dong-Ho;Lim, Hyun-Kyung;Park, Jee-Won;Kim, Jong-Lim;Lee, Ha-Young;Park, Soon-Chan;Ahn, Joong-Ho;Baek, Jung-Hwan;Choi, Choong-Gon;Lee, Jeong-Hyun
    • Investigative Magnetic Resonance Imaging
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    • v.16 no.1
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    • pp.25-30
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    • 2012
  • Purpose : To compare the enhancement pattern of normal facial nerves on 3D-FLAIR and 3D-T1-FFE-F) sequences at 3.0 T MR units. Materials and Methods: We assessed 20 consecutive subjects without a history of facial nerve abnormalities who underwent temporal bone MRI with contrast enhancement between January 2008 and March 2009. Two neuroradiologists independently reviewed pre-/post-enhanced 3D-T1-FFE-FS and 3D-FLAIR images respectively with 2-week interval to assess the enhancement of normal facial nerves divided into five anatomical segments. The degree of enhancement in each segment was graded as none, mild or strong, and the results of 3D-FLAIR and 3D-T1-FFE-FS image sets were compared. Results: On 3D-FLAIR images, one of the two reviewers observed mild enhancement of the genu segment in two (10%) subjects. On 3D-T1-FFE-FS images, at least one segment of the facial nerve was enhanced in 13 (65%) subjects. At least one reviewer found that 17 of the 100 segments showed enhancement on 3D-T1-FFE-FS images, with the mastoid segment being the most commonly enhanced. Interobserver agreement on 3D-T1-FFE-FS images was good for enhancement of the normal facial nerve (${\kappa}$= 0.589). Conclusion: In contrast to 3D-T1-FFE-FS, normal facial nerve segments rarely showed enhancement on 3D-FLAIR images.

The significance of corpus callosal size in the estimation of neurologically abnormal infants (신경학적인 결함이 있었던 영아의 예후 판단에서 뇌량 크기의 중요성)

  • Yu, Seung Taek;Lee, Chang Woo
    • Clinical and Experimental Pediatrics
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    • v.51 no.11
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    • pp.1205-1210
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    • 2008
  • Purpose : The development of the corpus callosum occupies the entire period of cerebral formation. The myelination pattern on magnetic resonance imaging (MRI) is very useful to evaluate neurologic development and to predict neurologic outcome in high risk infants. The thickness of the corpus callosum is believed to depend on the myelination process. It is possible to calculate the length and thickness of the corpus callosum on MRI. Thus, we can quantitatively evaluate the development of the corpus callosum. We investigated the clinical significance of measuring various portions of the corpus callosum in neonate with neurologic disorders such as hypoxic brain damage and seizure disorder. Methods : Forty-two neonates were evaluated by brain MRI. We measured the size of the genu, body, transitional zone, splenium, and length of the corpus callosum. Each measurement was divided by the total length of the corpus callosum to obtain its corrected size. The ratio of corpus callosal length and the anteroposterior diameter of the brain was also measured. Results : There was no statistical significance in the sample size of each part of the corpus callosum. However, the corrected size or the ratio of body of the corpus callosum correlated with periventricular leukomalacia and hypoxic ischemic encephalopathy. Conclusion : The abnormal size of the corpus callosum showed a good correlation with periventricular leukomalacia and hypoxic ischemic encephalopathy in neonates. We can predict clinical neurological problems by estimation of the corpus callosum in the neonatal period.

Clinical Usefulness of Arterial Spin Labeling Perfusion MR Imaging in Acute Ischemic Stroke (급성 허혈성 뇌경색 환자에서 동맥스핀표지 관류자기공명영상의 유용성)

  • Oh, Keun-Taek;Jung, Hong-Ryang;Lim, Cheong-Hwan;Cho, Young-Ki;Ha, Bon-Chul;Hong, Doung-Hee
    • Journal of radiological science and technology
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    • v.34 no.4
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    • pp.323-331
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    • 2011
  • We evaluated clinical usefulness of Arterial spin labeling perfusion MR imaging on the acute ischemic cerebral infarction patients through this study. We compared 22 patients who were done with DSC imaging and ASL imaging in admitted emergency room with acute ischemic cerebral infarction, with 36 normal comparison persons (DSC image on 21persons, ASL images on 15persons). Siemens Magnetom Verio 3.0T with 12 channel head coil was used for this study. DSC image obtained 4 maps(rCBV, rCBF, rMTT, TTP) through post-processing. For qualitative analysis we compared the area of lesion macro-diagonal with the size of diffusion weighted MR image for rMTT, TTP, rCBF, rCBV, ASL maps. For Quantitative analysis we analyzed significant correlations between less than 3 cm infarction group and normal comparison group using mean relative value of flowing image with Mann-Whitney U test. TTP(95.5%) and rCBF(95.5%) maps showed high recognition rate in qualitative analysis for >3cm infarction group. The rCBF and rCBV map tests were highly related with final stage stroke areas. Mean relative value of infarction group showed a significant correlations in quantitative analysis(p<0.05). As a conclusion, arterial spin labeling image showed high lesion recognition rate in the >3cm infarction group. Mean relative values in quantitative evaluation were used for reference data. If we do more sustainable researches, ASL image will be useful for an early diagnosis of cerebral infarction, determination of the range of ischemic pneumbra and effective treatments.

수삼 내부의 자기공명영상 특성

  • 손재룡;이강진;최동수;김기영;강석원;최규홍
    • Proceedings of the Korean Society of Postharvest Science and Technology of Agricultural Products Conference
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    • 2003.10a
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    • pp.151-152
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    • 2003
  • 최근 NMR, MRI, x-선 등 전자파의 기술이 발전되면서 이들을 이용하여 내부품질을 검출하는 보다진보된 연구가 수행되고 있다. 관련 연구로는 자기공명영상을 이용하여 내공수삼 및 정상수삼의 내부를 촬영하여 T$_1$, T$_2$의 값을 측정하여 내부조직의 이상유무를 추정하였고, 또한 MRI에 의해 수삼의 내부품질 뿐만 아니라 연근 판정 가능성을 검토하는 등 많은 연구가 수행되고있다. 이 연구에서는 MRI 시스템을 이용하여 수삼의 내부단면 영상을 획득하여 내부결함 유무를 검출하고, 또한 동일한 수삼을 대상으로 홍삼 제조 후 내부품질의 변화 특성을 조사하고자 수행하였다. 공시재료는 충북 음성에 있는 인삼연초연구원에서 4~6년 근 된 수삼을 이용하였고, 시험 장비로는 국내 MRI 생산 전문 업체인 ISOL Tech. Co.에서 개발한 의료용 장비인 CHORUS 1.5T(자속밀도 1.5 Tesla)를 이용하였다. 슬라이스 두께/간격은 5mn/5mn, 촬영 단면수는 15장/시료, 영상영역(FOV)은 180mmx90mm, image size는 256$\times$128 pixels 그리고 TR/TE는 각각의 이완상수별로 500/13(Tl), 4,000/63(T2) 및 2,200/21(Pd)에 대한 단면영상을 얻었다. 5개의 수삼을 동시에 뇌두에서 뿌리 쪽으로 MR 단면영상을 획득하였다. 이완상수 T$_1$, T$_2$, Pd에 대해서 MR 영상을 획득하였으며, 총 15장의 단면 영상 중 내부 상태를 가장 잘 식별 할 수 있는 영상을 조사한 결과 T$_1$과 Pd에서 촬영한 영상에서는 내부상태가 잘 나타났으나, T$_2$에서 얻은 영상은 영상의 손실이 많이 발생되었다. 한편, T$_1$에 대해서 뇌두에서 뿌리쪽으로 가면서 각 위치에 따라 수삼 내부의 부패된 영상이 나타나 이에 대한 판정은 가능한 것으로 나타났다. 2000년도와 2001년도에 각각 수확.저장된 수삼을 부위별로 단면영상을 MRI로 측정하고, 그 시료를 인삼연초연구원(음성시험장)에서 홍삼으로 제조한 후 수삼 상태에서의 내부품질과 홍삼으로 제조된 후의 내부품질 변화를 조사하였다. 총 20본의 수삼을 MRI 시스템으로 영상을 획득하였고, 모든 시료에 대해서 내부조직의 상태를 관찰하였다. 수삼의 수분함량은 뇌두로부터 1cm부위를 절단하여 조사하였고, 수삼조직은 절단시 단면의 달관 조사에 의한 성적이며 홍삼품질은 제조삼의 조직상태를 절단하여 육안판별로 검사하였다. 총 20본의 수삼 중 정상은 16본 이었고, 이들은 홍삼으로 제조된 후 내공 내백 등이 혼재되어 나타났으며 정상수삼이 정상홍삼으로 나타난 경우는 5본이었고, 내백은 5본, 내공은 6본으로 조사되었다. 또한 수삼에서 4본은 썩은 부위가 포함되어있는 수삼이었는데 홍삼으로 제조되었을 때 3본은 내백으로 되었고 1 본은 수삼에서 썩은 부위가 1/4정도로 미미해서 홍삼 제조시 정상으로 나타났다. 일반적으로 홍삼 제조시 내공의 발생은 제조공정에서 나타나는 경우가 많으며, 내백의 경우는 홍삼으로 가공되면서 발생하는 경우가 있고, 인삼이 성장될 때 부분적인 영양상태의 불충분이나 기후 등에 따른 영향을 받을 수 있기 때문에 앞으로 이에 대한 많은 연구가 이루어져야할 것으로 판단된다.

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MR Microscopy of both normal and abnormal skin layers (정상 및 비정상 피부층에 대한 자기공명현미영상법)

  • Lee, D.H.;Kim, J.I.;Lee, H.K.
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.05
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    • pp.101-103
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    • 1997
  • In-vivo and in-vitro MR Microscopy has been performed to investigate any differences in-between the normal and the abnormal skin layers. Noninvasively acquired images could provide the skin histology. Also, it was found that the epidermis of the abnormal skin was thickened more than that of normal skin. MR Microscopy utilized for the present study may be applicable to the noninvasive investigation of skin pathology and this technique may be of use in the development of cosmetics.

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Brain Trouble Detection of MRI Image using Markov Random Field (마르코프 랜덤 필드를 이용한 자기 공명 영상의 뇌질환 검출)

  • 조상현;염동훈;김태형;김두영
    • Proceedings of the Korea Institute of Convergence Signal Processing
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    • 2003.06a
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    • pp.1-5
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    • 2003
  • 의료영상의 분할은 의료영상을 컴퓨터 진단 및 가시화에 필요한 같은 성질을 가진 여러 조직으로 나누어주는 방법이다. 즉 입력되어진 영상을 처리하여 유사한 화소들의 집합인 영역들로 화소들을 구분하는 작업이며 영상분할의 결과는 영상인식의 정확성에 큰 영향을 미친다. MRI(Magnetic Resonance Imaging)으로부터 정상적인 세포조직 또는 뇌종양과 같은 비정상적인 세포조직의 가시화와 분석을 위해서는 대상 세포조직의 적절한 분류를 필요로 한다. 하지만 기존의 영역 검출 방법으로는 잡음이 섞여 있는 영상에서 여러 가지의 처리과정(주로 잡음 제거)이 필수적이고 그런 과정으로 인해 정확한 영역 검출이 힘들게 된다. 이에 잡음이 있더라도 이를 제거하기 위한 처리가 필요 없이 영역기반으로 필요한 파라미터의 추정을 통한 MRF(Markov Random Field)를 이용하여 보다 효율적이고 정확하게 MRI에서 질환 영역을 검출할 수 있다.

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Magnetic Resonance Imaging of Red Ginsengs (홍삼의 자기 공명 영상)

  • 임종국;김철수;김성민
    • Proceedings of the Korean Society for Agricultural Machinery Conference
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    • 2002.02a
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    • pp.450-456
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    • 2002
  • MRI 시스템을 이용하여 홍삼의 MR 영상을 획득하여 내부 품질 평가 가능성을 검토해 보았다. 천삼, 내공이 존재하는 양삼 및 내백이 존재하는 양삼에 대하여 실제 단면 영상과 MR 영상과를 비교 검토해 본 결과, 비파괴적으로 홈삼 내부의 영상을 확인할 수 있었으며 내부 품질 평가에 있어서 주요한 판별인자가 될 것으로 사료된다. 또한 획득된 MR 영상의 중심부를 지나는 부분에 대하여 ID profile을 실시하여 분석해 본 결과에서 알 수 있듯이 정상 조직과 비정상 조직인 내공이나 내백 부의 구분이 용이하게 관찰됨을 관찰할 수 있었다. 즉, 홍삼의 내부 품질 평가에 있어서 비교적 용이하게 진행될 수 있는 ID profile을 적용한다면, 전체의 MR 영상을 획득하는데 있어 소요되는 시간 및 절차를 줄이고 효과적인 판별 가능성을 제시할 수 있었다.

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Structural and Functional Changes of The Brain in The Patient with Schizophrenia, Paranoid type : Correlation among Brain MRI Findings, Neurocognitive Function and Psychiatric Symptoms (편집형 정신분열병 환자에서 뇌의 구조적 변화와 기능적 변화 : 뇌자기공명영상소견, 신경인지기능 및 정신증상간의 상관관계)

  • Kang, Cheol-Min;Lee, Young-Ho;Jung, Young-Jo;Lee, Jung-Heum;Kim, Su-Ji;Park, Hyun-Jin
    • Sleep Medicine and Psychophysiology
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    • v.5 no.1
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    • pp.54-70
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    • 1998
  • Objectives : The purpose of this study is to evaluate the role of structural and functional changes of the brain in the pathophysiology of schizophrenia. Methods : The authors measured the regions of interest on the magnetic resonance imaging of the brain in 20 patients with paranoid schizophrenia(15 men and 5 women) and 23 control subjects(15 men and 8 women). We also assessed the neurocognitive functions with the Wisconsin Card Sorting Test, the Benton Neuropsychological Assessment, and the Weschler IQ test-Korean version, soft neurologic signs, and psychiatric symptoms in the patient group. Results : In the patient group, all ventricles and basal ganglia including caudate nucleus and globus pallidus were significantly enlarged. Although there were no significant differences between the two groups in the values of right frontal lobe and left temporal lobe, there was a tendency of decrease in the values of right frontal lobe and left temporal lobe. There were significant positive correlations between the values of ventricles and the frequency of previous hospitalization. However, there were no significant correlations between other values of regions of interest and clinical data. The value of the right frontal lobe was significantly correlated with the score of soft neurologic signs, which is suggestive of the neurodevelopmental abnormalities. There were significant correlations between the value of frontal lobe and the scores of the various subscales of Benton Neuropsychiatric Inventory. In contrast, the value of left amygdala and putamen showed significant correlation with the score of verbal IQ on the Weschler IQ test. Structural changes of the temporal lobe areas were related with the positive and general symptom scores on PANSS, while those of the basal ganglia were related with the negative symptom scores. Conclusions : These results suggest that the structural changes of the brain in the patients with schizophrenia show the dual process, which is suggestive that the enlarged ventricle show the neurodegenerative process, while enlarged basal ganglia, and shrinked right frontal and left temporal lobe show the neurodevelopmental abnormalities. Among these changes, structural changes of the frontal lobe related with various neuropsychological deficits, while those of left temporal lobe related with language abnormality. Relative to the relation between structural changes and psychiatric symptoms, structural changes of the temporal lobe areas were related with the positive and general symptoms, while those of the basal ganglia were related with the negative symptoms.

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EVALUATION OF INTERNAL DERANGEMENT OF TMJ BY ANALYZING TMJ SOUNDS (측두하악관절잡음을 이용한 악관절내장증 진단)

  • Kim, Tae-Woo;Yang, Won-Sik;Suhr, Cheong-Hoon
    • The korean journal of orthodontics
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    • v.26 no.4
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    • pp.423-439
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    • 1996
  • The purpose of this study was to evaluate the diagnostic value of $SONOPAK^*$ in internal derangement of TMJ by comparing the spectral analysis data of TMJ sounds recorded by SONOPAK with the results of MRI. From the patients who came to Department of Orthodontics, Seoul National University Dental Hospital for treatment of malocclusion, eighteen adult patients (five males and thirteen females) with TMD symptoms were selected. After joint sounds were checked by a pediatric stethoscope, they were recorded and analyzed by the SONOPAK. The spectral analysis of the SONOPAK provided SONOPAK INTERPRETATION data about the stage of internal derangement, which were compared with the results of MRI. Among the patients whose disc positions were diagnosed as 'normar by MRI, there were no false positive diagnosis by the SONOPAK INTERPRETATION, But in the cases of anterior disc displacements (reducible and/or nonreducible), most of SONOPAK INTERPRETATION data did not coincide with MRI results. In conclusion, it is not adequate to try to differentiate reducible and non-reducible anterior disc displacements on the basis of joint sounds. And it is recommended not to determine the stage of internal derangement according to the nature of sounds. We suggest that the diagnostic value of the SONOPAK will be enhanced when clinicians combine some other informations such as clinical signs/symptoms and other supplementary diagnostic tools), and that more data be incoporated into the SONOPAK INTERPRETATION software.

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Evaluation of the Cause of Internal Jugular Vein Obstruction on Head and Neck Contrast Enhanced 3D MR Angiography Using Contrast Enhanced Computed Tomography (조영증강 전산화단층촬영술을 이용한 두경부 조영증강 삼차원 자기공명혈관촬영술에서 내경정맥 폐쇄의 원인 평가)

  • Gweon, Hye-Mi;Chung, Tae-Sub;Suh, Sang-Hyun
    • Investigative Magnetic Resonance Imaging
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    • v.15 no.1
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    • pp.41-47
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    • 2011
  • Purpose : To evaluate the cause of internal jugular vein (IJV) obstruction on contrast enhanced 3D MR angiography (CE-MRA) using contrast enhanced computed tomography (CE-CT). Materials and Methods : A total number of 30 patients were enrolled, who underwent both head and neck CE-MRA and CE-CT from 2005 to 2008. We defined obstruction group which had IJV obstruction and control group which had no IJV obstruction on CE-MRA. The following parameters were measured from axial images of CE-CT: 1) diameter of IJV; 2) distance between the styloid process and ipsilateral lateral mass of the atlas; 3) maximum area of lateral mass of the atlas. Each parameter was compared between obstruction group and control group. Results : The diameter of IJV and distance between the styloid process and lateral mass of the atlas at IJV obstruction side in obstruction group were $1.6{\pm}1.0\;mm$ and $4.1{\pm}2.1\;mm$ respectively, which resulted in statistical significance (p<0.01). The maximum area of lateral mass of the atlas at IJV obstruction side in obstruction group was $103.4{\pm}25.3\;mm^2$ which is significantly larger than in control group (p<0.05). Conclusion : We found that the cause of IJV obstruction on CE-MRA could be narrow space between the styloid process and the lateral mass of the atlas, which was related with asymmetric larger area of lateral mass of atlas.