• 제목/요약/키워드: CT/MRI

검색결과 888건 처리시간 0.028초

CT and MRI for Repaired Complex Adult Congenital Heart Diseases

  • Suvipaporn Siripornpitak;Hyun Woo Goo
    • Korean Journal of Radiology
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    • 제22권3호
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    • pp.308-323
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    • 2021
  • An increasing number of adult congenital heart disease (ACHD) patients continue to require life-long diagnostic imaging surveillance using cardiac CT and MRI. These patients typically exhibit a large spectrum of unique anatomical and functional changes resulting from either single- or multi-stage palliation and surgical correction. Radiologists involved in the diagnostic task of monitoring treatment effects and detecting potential complications should be familiar with common cardiac CT and MRI findings observed in patients with repaired complex ACHD. This review article highlights the contemporary role of CT and MRI in three commonly encountered repaired ACHD: repaired tetralogy of Fallot, transposition of the great arteries after arterial switch operation, and functional single ventricle after Fontan operation.

Assessment of The Accuracy of The MR Abdominal Adipose Tissue Volumetry using 3D Gradient Dual Echo 2-Point DIXON Technique using CT as Reference

  • Kang, Sung-Jin
    • Journal of Magnetics
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    • 제21권4호
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    • pp.603-615
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    • 2016
  • In this study, in order to determine the validity and accuracy of MR imaging of 3D gradient dual echo 2-point DIXON technique for measuring abdominal adipose tissue volume and distribution, the measurements obtained by CT were set as a reference for comparison and their correlations were evaluated. CT and MRI scans were performed on each subject (17 healthy male volunteers who were fully informed about this study) to measure abdominal adipose tissue volume. Two skilled investigators individually observed the images acquired by CT and MRI in an independent environment, and directly separated the total volume using region-based thresholding segmentation method, and based on this, the total adipose tissue volume, subcutaneous adipose tissue volume and visceral adipose tissue volume were respectively measured. The correlation of the adipose tissue volume measurements with respect to the observer was examined using the Spearman test and the inter-observer agreement was evaluated using the intra-class correlation test. The correlation of the adipose tissue volume measurements by CT and MRI imaging methods was examined by simple regression analysis. In addition, using the Bland-Altman plot, the degree of agreement between the two imaging methods was evaluated. All of the statistical analysis results showed highly statistically significant correlation (p<0.05) respectively from the results of each adipose tissue volume measurements. In conclusion, MR abdominal adipose volumetry using the technique of 3D gradient dual echo 2-point DIXON showed a very high level of concordance even when compared with the adipose tissue measuring method using CT as reference.

대구지역 의료기관의 CT, MRI 보유 현황과 정도관리에 관한 담당 방사선사들의 인식 조사 (The Study for the Present Possession of CT and MRI and the Technologists's Awareness of Quality Control)

  • 이창석;조인성;이상욱;정석종;성아라;이현정;형미림;성지수;박창희
    • 대한디지털의료영상학회논문지
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    • 제13권3호
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    • pp.117-126
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    • 2011
  • This study concerns the present possession of CT and MRI machines in Daegu and the technologists' awareness of Quality Control. the study was conducted by visiting forty medical institutions as well as a survey. The survey was carried out by technologists responsible for CT and MRI. CT and MRI machines have only been used in medical institutions in Daegu for a short period. The study revealed that most of them have been acquired by those institutions recently. Most of the technologists who participated in the study are aware of the (prescribed) Quality Control measures and conduct regular inspections in accordance with the quality control chart, however some of them do not.

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Comparison of X-ray computed tomography and magnetic resonance imaging to detect pest-infested fruits: A pilot study

  • Kim, Taeyun;Lee, Jaegi;Sun, Gwang-Min;Park, Byung-Gun;Park, Hae-Jun;Choi, Deuk-Soo;Ye, Sung-Joon
    • Nuclear Engineering and Technology
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    • 제54권2호
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    • pp.514-522
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    • 2022
  • Non-destructive testing (NDT) technology is a widely used inspection method for agricultural products. Compared with the conventional inspection method, there is no extensive sample preparation for NDT technology, and the sample is not damaged. In particular, NDT technology is used to inspect the internal structure of agricultural products infested by pests. The introduction and spread of pests during the import and export process can cause significant damage to the agricultural environment. Until now, pest detection in agricultural products and quarantine processes have been challenging because they used external inspection methods. However, NDT technology is advantageous in these inspection situations. In this pilot study, we investigated the feasibility of X-ray computed tomography (X-ray CT) and magnetic resonance imaging (MRI) to identify pest infestation in agricultural products. Three kinds of artificially pest-infested fruits (mango, tangerine, and chestnut) were non-destructively inspected using X-ray CT and MRI. X-ray CT was able to identify all pest infestations in fruits, while MRI could not detect the pest-infested chestnut. In addition, X-ray CT was superior to the quarantine process than MRI based on the contrast-to-noise ratio (CNR), image acquisition time, and cost. Therefore, X-ray CT is more appropriate for the pest quarantine process of fruits than MRI.

구강암의 진단에 사용되어지는 PET/CT: 임상 증례 (THE PET/CT IN THE DIAGNOSIS OF ORAL CANCER: CLINICAL CASES)

  • 김성진;김용각;김철
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제31권2호
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    • pp.178-182
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    • 2005
  • With the development of systemic diagnostic technique in cancer, the diagnostic methods of head and neck region are developing, also. Now, it is usually used computed tomography(CT), magnetic resornance image(MRI) in head and neck cancer and positron emission tomography(PET) is being increased in diagnostic use because of tumor specificity and accuracy. However, CT and MRI show the advantage of showing precise anatomical landmarks, but the disadvantage of these methods is much affecting by anatomical variations and changes. Otherwise, PET presents the imaging of physiologic and biochemical phenomenon and the disadvantage is the difficult differentiation of normal physiologic uptake, the lack of normal anatomical landmarks. PET/CT, the combination of clinical PET and CT imaging in a single unit is introduced recently, and it helps to get more accurate diagnostic interpretation and to improve in evaluating response to therapy, in management of patients with malignant tumors. So, we report the advantages of PET/CT in the diagnosis of oral cancer with review of literatures.

두부외상 환자의 신경정신의학적 평가(I) : 외상후 기질성정신장애 환자에서 뇌의 구조적 및 기능적 검사소견의 비교 (Neuropsychiatric Evaluation of Head-Injured Patients(I) : Comparison of Structural and Functional Brain Studies in Post-Traumatic Organic Mental Disorder)

  • 이장호;장환일
    • 생물정신의학
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    • 제3권1호
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    • pp.57-65
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    • 1996
  • The Evaluation of patients complaining of psychiatric symptoms following head injury is much affected by the results of various tests. The objecive of this paper is to investigate the effectiveness of each lest by comparing the structual and fuctional brain studies. The subjects were 93 organic menial disorder in and out patients at the Dept. of Neuropsychiatry of the Kyung Hee University Hospital. After carrying out MRI, CT, SPECT, EEG, the results of each were analysed for the sesitivity and ability to detect focal lesion. The degree of inter-test correlations of lest results were also investigated. Furthermore, the characteristic features of psychological tests were studied and the relationship between each of above mentioned tests and psychological test was examined. As for the test sensitivity to diagnosis, the SPECT was the most superior followed by MRI, CT, EEG in thai order. In the case of abnormality, SPECT ranked 1st in detection of focal lesion, followed by MRI, CT in that order. In the inter-test result correlation, the correlation of SPECT-MRI was statistically significant. When mare than moderate abnormality EEG finding was reported, it correlated significantly with that of MRI findings. In the MMPI, the average scores on F, Hs, D, Hy, Pa, Pt, Sc subscales were above 60. Abnormal SPECT group scored significantly high on the F, Pd, Pa, Sc, Ma scales and therefore in comparison ot the SPECT normal group, displayed more psychotic features. In K-WAIS, the mean full scale IQ was down to 77. 23(Verbal IQ : 78.76, Performance IQ : 77.44) but there was no characterogic significant relationship between the lowered to and abnormal SPECT, MRI, CT and EEG results. In conclusion, 1) The SPECT was mast superior in sensitivity and detection of focal lesions. In comparision with other tests, the results of SPECT correlated well with MRI had thus is thought to be very usefull testing method in the evaluation of organic mental disorder patients. 2) The MRI had relatively high sensitivity, ability to detect focal lesion and superior correlation with other test. 3) Although EEG fared less an sensitivity in comparison to other tests, the results of above moderate abnormal grade group and that of MRI correlated significantly. 4) In the MMPI highly scored in F, Hs, D, Hy, Pa, Pt, Sc subscales and abnormal SPECT patients were shown to display more sever psychotic features. There was no significant character relationship between the lowered IQ(in K-WAIS) and abnormal findings on MRI, CT, SPECT, EEG.

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Diagnostic Performance of Whole-Body Diffusion-Weighted Imaging Compared to PET-CT Plus Brain MRI in Staging Clinically Resectable Lung Cancer

  • Usuda, Katsuo;Sagawa, Motoyasu;Maeda, Sumiko;Motono, Nozomu;Tanaka, Makoto;Machida, Yuichiro;Matoba, Takuma Matsui Munetaka;Watanabe, Naoto;Tonami, Hisao;Ueda, Yoshimichi;Uramoto, Hidetaka
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권6호
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    • pp.2775-2780
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    • 2016
  • Background: Precise staging of lung cancer is usually evaluated by PET-CT and brain MRI. Recently, however, whole-body diffusion-weighted magnetic resonance imaging (WB-DWI) has be applied. The aim of this study is to determine whether the diagnostic performance of lung cancer staging by WB-DWI is superior to that of PET-CT+brain MRI. Materials and Methods: PET-CT + brain MRI and WB-DWI were used for lung cancer staging before surgery with 59 adenocarcinomas, 16 squamous cell carcinomas and 6 other carcinomas. Results: PET-CT + brain MRI correctly identified the pathologic N staging in 67 patients (82.7%), with overstaging in 5 (6.2%) and understaging in 9 (11.1%), giving a staging accuracy of 0.827. WB-DWI correctly identified the pathologic N staging in 72 patients (88.9%), with overstaging in 1 (1.2%) and understaging in 8 patients (9.9%), giving a staging accuracy of 0.889. There were no significant differences in accuracies. PET-CT + brain MRI correctly identified the pathologic stages in 56 patients (69.1%), with overstaging in 7 (8.6%) and understaging in 18 (22.2%), giving a staging accuracy of 0.691. WB-DWI correctly identified the pathologic stages in 61 patients (75.3%), with overstaging in 4 (4.9%) and understagings in16(19.7%), giving a staging accuracy of 0.753. There were no significant difference in accuracies. Conclusions: Diagnostic efficacy of WB-DWI for lung cancer staging is equivalent to that of PET-CT + brain MRI.

토끼의 횡격막 파열 진단에 있어서 자기공명영상, 나선형전산화단층촬영 및 초음파의 가치 비교 (Comparative Evaluations of Magnetic Resonance Image, Spiral Computed Tomography and Ultrasound in the Diasnosis of Experimental Diaphragmatic Rupture in the Rabbit)

  • 김학희;정승은;이배영;최병길;신경섭
    • Investigative Magnetic Resonance Imaging
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    • 제1권1호
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    • pp.154-161
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    • 1997
  • 목적: 횡격막 파열은 그 진단이 어렵고 지연되는 경우가 많으며, 진단이 늦어지면 유병율과 사망율이 높아지므로 조기진다는 매우 중요하다. 저자들은 최근 많이 이용되는 영상진단법인 나선형 CT와 자기공명영상, 그리고 초음파건사중 어떤 방법이 가장 예민하고 정확한 진단방법인지 동물실험 모델을 통하여 평가하고자 하였다. 대상 및 방법: 토끼에서 인위적으로 횡격막파열을 대, 중, 소로 만든 후 1일, 3일, 7일째 나선형 CT와 자기공명영상, 그리고 초음파검사를 동시에 시행하였다. 결과: 횡격막파열의 진단 민감도와 특이도는 초음파검사가 94.4%와 92.9%, 자기 공명영상이 54.0%와 85.75, 나선형 CT가 46.0%와 78.6%이었다. 횡격막 파열의 진단은 초음파검사, 자기공명영상, 나선형 CT순으로 정확하였으며 초음파 검사가 자기공명영상이나 나선형 CT보다 유의하게 우월하였고(P<0.05), 자기공명영상과 나선형 CT는 유의한 차이가 없었다. 초음파검사는 파열의 크기와 상관없이 횡격막파열의 구별이 용이하였고 자기공명영상과 나선형 CT는 파열의 크기가 클수록 횡격막파열의 구별이 용이하였으나 통계적으로 유의한 차이는 없었다(P>0.05). 수술후 1일에는 전예에서 늑막삼출액이나 혈흉을 동반하였다. 이때에는 초음파나 자기공명영상이 나선형 CT에 비해 우월하였다. 시간경과에 따랄 초음파검사와 자기공명영상은 진단율이 상대적으로 저하되었으나 통게적으로 유의한 차이는 없었다(P>0.05) 탈장을 동반한 경우에는 진단의 민감도가 자기공명영상, 나선형 CT, 초음파검사순으로 높았으며 초음파검사가 상대적으로 낮았다. 그러나 통계적으로 유의한 차이는 없었다(P>0.05). 결론: 초음파검사가 횡격막파열의 진단에 가장 유용한 것으로 밝혀졌으며, 이러한 결과는 앞으로 임상에 적용하여 검증되어야 할 필요가 있다고 생각된다.

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홀로렌즈를 이용한 장기 투영 시스템 (The Organ projection system using holographic lens)

  • 김동연;김동현
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2017년도 추계학술대회
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    • pp.83-85
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    • 2017
  • 일반적으로 현재 많이 사용하는 장기 투영 시스템은 MRI와 CT이다. MRI와 CT는 전자기장을 이용하여 인체를 절개하지 않고 내부 장기를 의사가 볼 수 있도록 한다. 하지만 문제점은 단면적으로 영상을 보여주기 때문에 의사들이 내부 장기를 입체적으로 관찰하기 어려운 문제가 있다. 이 논문에서는 증강현실의 기술을 이용하여 사람의 내부 장기를 현실에 투영 할 수 있는 시스템을 개발한다. 개발한 시스템은 홀로렌즈를 이용하여 환자의 신체위로 내부 장기를 입체 영상으로 보여주며 핸드 모션을 이용하여 내부 장기를 이동시켜 상세하게 관찰이 가능하게 한다.

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외상 후 후각이상에 대한 방사선학적 진단 (Radiological Diagnosis for Posttraumatic Olfactory Dysfunction)

  • 안정용;주진양;정태섭
    • Journal of Korean Neurosurgical Society
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    • 제29권12호
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    • pp.1570-1576
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    • 2000
  • Objective : To evaluate objectively the sites of injury in patients with posttraumatic olfactory deficits and to suggest the diagnostic procedure for evaluation of posttraumatic anosmia. Methods : Ten patients with posttraumatic olfactory dysfunction were examined by means of olfactory testing, sinoscopy, contrast filled paranasal sinus computed tomography(contrast filled PNS CT) and magnetic resonance imaging(MRI). Five normal persons without olfactory dysfunction were also evauluated. The aerodynamic patency of olfactory cleft was examined by contrast filled PNS CT. The olfactory system(oflactory bulbs, olfactory tracts, inferior frontal region, hippocampi, or temporal lobes) was investigated in detail with MRI. The difference in the size of the olfactory bulb between normal volunteers and anosmic patients was evaluated by Student's t test. Results : Contrast filled dynamic CT scan was useful method for the evaluation of dynamic patency of the olfactory cleft. Paranasal CT scan of the all anosmic patients showed dynamic reflux of contrast media in olfactory cleft on valsalva maneuver. For the largest cross-sectional area and great height, the difference in olfactory bulb size between normal volunteers and patients was statistically significant(p<0.001) in MRI study. Conclusion : Posttraumatic anosmia was completely evaluated by olfactory testing, sinoscopy, and contrast filled CT scan for differentiation between conductive type and neurogenic type. Neurogenic anosmia was confirmed by perfect localization with MRI study.

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