• 제목/요약/키워드: CT/MRI

검색결과 888건 처리시간 0.023초

CT상 폐암과 유사하게 보이는 기관지 탄분 섬유화증의 자기공명영상 소견 (Anthracofibrosis Mimicking Lung Cancer on CT: MR Imaging Findings)

  • 류대식;이덕희;정승문;최수정;박성빈;박만수;강길현
    • Investigative Magnetic Resonance Imaging
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    • 제5권1호
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    • pp.18-23
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    • 2001
  • 목적 : 전산화단층촬영(CT)상 폐암과 유사하게 보인 기관지 탄분 섬유화증 환자에서 자기공명영상(MRI) 소견을 알아보고자 하였다. 대상 및 방법 : 기관지내시경검사상 기관지 탄분 섬유화증으로 입증된 50명의 환자에서 CT상 중 페암과 유사하게 보인 10명의 환자(남 : 여 = 2 : 8, 평균 연령 68세, 연령 분포: 58-79세)를 대상으로 하였다. 전 예에서 CT(n=10)검사와 MRI(n=10) 검사를 시행하였고 경피적 조직생검(n=1)은 1예에서 시행하였다. 조영증강 없이 축상 T1 강조영상(600/30/3, repetition time/echo time/excitation)과 T2 강조영상(3500/99/4)에서 종괴, 무기폐와 림프절의 신호강도를 2명의 방사선과 전문의가 합의에 의해 후향적으로 분석하였다. 결과 : CT 소견은 4명에서는 종괴로, 4명에서는 무기폐로, 2명에서는 기관지벽 비후였다. 전 예에서 기관지 탄분 섬유화증의 특징인 종격동 림프절은 커져 있었다. 종괴는 T1 강조영상과 T2 강조영상에서 모두 저 신호강도로 보였다. 무기페는 T1 강조영상에서 중등도 신호 강도로, T2 강조영상에서 저 신호강도로 보였다. 림프절은 9명의 환자에서 T1 과 T2 강조영상에서 저 신호 강도로 보였다. 한명의 환자에서 T2 강조영상에서 림프절이 중심부는 고 신호강도로, 주변부는 저 신호강도로 보였다. 결론 : 폐암과 유사하게 보인 기관지 탄분 섬유화증환자에서 종괴, 무기폐와 림프절은 T2 강조영상에서 주로 저 신호강도로 보여 폐암과의 감별에 자기공명영상이 도움이 될 것으로 생각한다.

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Influence of Iodinated Magnetic Resonance Contrast Media and Isotope 99mTc on Changes of Computed Tomography Number

  • Kim, Sang-Beom;Lee, Jin-Hyeok;Ahn, Jae-Ouk;Cho, Jae-Hwan
    • Journal of Magnetics
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    • 제20권3호
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    • pp.302-307
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    • 2015
  • The purpose of the study was to identify how isotope and magnetic resonance imaging (MRI) contrast media impact on noise to computed tomography (CT) examination. For the study, divide the phantoms to two groups: 1) saline, saline + different kinds of contrast agent without $^{99m}Tc$ administration; 2) $^{99m}Tc$ administration: saline, saline + different kinds of contrast agent with $^{99m}Tc$ administration. CT contrast agent was used for Iopamidol$^{(R)}$ and Dotarem. And MRI contrast agent was used for Primovist$^{(R)}$ and Gadovist$^{(R)}$. To obtain an image, we used CT scanner. With an obtained image, we set the $1cm^2$ region of interest in the middle of bottle to measure the noise and CT number. As a result, there was no difference in CT number before and after inserting $^{99m}Tc$ into all contrast media including Normal Saline. However, when it comes to Noise, there was a difference before and after inserting $^{99m}Tc$ into every contrast media except MRI contrast media such as Primovist$^{(R)}$ and Gadovist$^{(R)}$.

Advanced Imaging Applications for Locally Advanced Cervical Cancer

  • Petsuksiri, Janjira;Jaishuen, Atthapon;Pattaranutaporn, Pittayapoom;Chansilpa, Yaowalak
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권5호
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    • pp.1713-1718
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    • 2012
  • Advanced imaging approaches (computed tomography, CT; magnetic resonance imaging, MRI; $^{18}F$-fluorodeoxyglucose positron emission tomography, FDG PET) have increased roles in cervical cancer staging and management. The recent FIGO (International Federation of Gynecology and Obstetrics) recommendations encouraged applications to assess the clinical extension of tumors rather than relying on clinical examinations and traditional non-cross sectional investigations. MRI appears to be better than CT for primary tumors and adjacent soft tissue involvement in the pelvis. FDG-PET/CT has increased in usage with a particular benefit for whole body evaluation of tumor metabolic activity. The potential benefits of advanced imaging are assisting selection of treatment based upon actual disease extent, to adequately treat a tumor with minimal normal tissue complications, and to predict the treatment outcomes. Furthermore, sophisticated external radiation treatment and brachytherapy absolutely require advanced imaging for target localization and radiation dose calculation.

Imaging Anatomy of Waldeyer's Ring and PET/CT and MRI Findings of Oropharyngeal Non-Hodgkin's Lymphoma

  • Zhang, Chun-Xing;Liang, Long;Zhang, Bin;Chen, Wen-Bo;Liu, Hong-Jun;Liu, Chun-Ling;Zhou, Zheng-Gen;Liang, Chang-Hong;Zhang, Shui-Xing
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권8호
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    • pp.3333-3338
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    • 2015
  • Background: This study was conducted to analyze positron emission tomography (PET) / computed tomography (CT) and magnetic resonance imaging (MRI) performance with oropharyngeal non-Hodgkin's lymphoma (ONHL).Materials and Methods: The complete image data of 30 ONHL cases were analyzed, all patients were performed PET / CT and MRI examination before the treatment, with the time interval of these two inspections not exceeding 14 days. The distribution, morphology, MRI signal characteristics, enhancement feature, standardized uptake value (SUV) max value and lymph node metastasis way of the lesions were analyzed. Results: Among the 30 cases, 23 cases were derived from the B-cell (76.7%), 5 cases were derived from the peripheral T cells (16.7%) and 2 cases were derived from the NK/T cells (6.7%). 19 cases exhibited the palatine tonsil involvement (63.3%). As for the lesion appearance, 10 cases appeared as mass, 8 cases were the diffused type and 12 cases were the mixed type. 25 cases exhibited the SUVmax value of PET / CT primary lesions as 11 or more (83.3%). MRI showed that all patients exhibited various degrees of parapharyngeal side-compressed narrowing, but MRI still exhibited the high-signal fat, and the oropharyngeal mucosa was intact. 25 cases were associated with the neck lymph node metastasis, among who 22 cases had no necrosis in the metastatic lymph nodes, while the rest 3 cases exhibited the central necrosis in the metastatic lymph nodes. Conclusions: PET / CT and MRI have important value in diagnosing and determining the lesion extent of ONHL.

In vivo quantification of mandibular bone remodeling and vascular changes in a Wistar rat model: A novel HR-MRI and micro-CT fusion technique

  • Song, Dandan;Shujaat, Sohaib;Zhao, Ruiting;Huang, Yan;Shaheen, Eman;Van Dessel, Jeroen;Orhan, Kaan;Velde, Greetje Vande;Coropciuc, Ruxandra;Pauwels, Ruben;Politis, Constantinus;Jacobs, Reinhilde
    • Imaging Science in Dentistry
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    • 제50권3호
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    • pp.199-208
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    • 2020
  • Purpose: This study was performed to introduce an in vivo hybrid multimodality technique involving the coregistration of micro-computed tomography (micro-CT) and high-resolution magnetic resonance imaging (HR-MRI) to concomitantly visualize and quantify mineralization and vascularization at follow-up in a rat model. Materials and Methods: Three adult female rats were randomly assigned as test subjects, with 1 rat serving as a control subject. For 20 weeks, the test rats received a weekly intravenous injection of 30 ㎍/kg zoledronic acid, and the control rat was administered a similar dose of normal saline. Bilateral extraction of the lower first and second molars was performed after 10 weeks. All rats were scanned once every 4 weeks with both micro-CT and HR-MRI. Micro-CT and HR-MRI images were registered and fused in the same 3-dimensional region to quantify blood flow velocity and trabecular bone thickness at T0 (baseline), T4 (4 weeks), T8 (8 weeks), T12 (12 weeks), T16 (16 weeks), and T20 (20 weeks). Histological assessment was the gold standard with which the findings were compared. Results: The histomorphometric images at T20 aligned with the HR-MRI findings, with both test and control rats demonstrating reduced trabecular bone vasculature and blood vessel density. The micro-CT findings were also consistent with the histomorphometric changes, which revealed that the test rats had thicker trabecular bone and smaller marrow spaces than the control rat. Conclusion: The combination of micro-CT and HR-MRI may be considered a powerful non-invasive novel technique for the longitudinal quantification of localized mineralization and vascularization.

퇴행성 과두 흡수 환자에서 교합 안정장치 병용 교정치료 (Orthodontic Treatment Combined with Occlusal Splint in Regressive Condyle Resorption Patients)

  • 태기출
    • 구강회복응용과학지
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    • 제23권1호
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    • pp.1-10
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    • 2007
  • 악관절 잡음과 동통,과두 흡수를 동반한 퇴행성 측두하악장애는 교합 불안정과 개구장애 를 동반하기도 한다. 진단을 위해 CT나 MRI를 이용해 과두 형태 및 디스크 위치를 파악하 는 것이 유용한 접근법이다. 퇴행성 측두하악관절 환자는 CT나 MRI를 이용하여 진단하고, 과두-원판 재위치와 근 기능 개선을 위해 장기간 교합 안정장치 사용이 필요하므로 교정치료 기간에 변형된 교합 안정장치의 병용이 필요하다. 이에 본 연구에서 교합 안정장치를 병용하여 교합 재구성 증례를 CT나 MRI로 고찰해 보고자 한다.

3차원 프린터 응용을 위한 CT/MRI-영상 기반 GUI소프트웨어 개발 (Development of CT/MRI based GUI Software for 3D Printer Application)

  • 정영진
    • 대한방사선기술학회지:방사선기술과학
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    • 제41권5호
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    • pp.451-456
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    • 2018
  • During last a decade, there has been increased demand for 3D-printed medical devices with significant improvement of 3D-Printer (also known as Additive. Manufacturing AM), which depend upon human body features. Especially, demand for personalized medical material is highly growing with being super-aged society. In this study, 3D-reconstructed 3D mesh image from CT/MRI-images is demonstrated to analyse each patients' personalized anatomical features by using in house, then to be able to manufacture its counterpart. Developed software is distributed free of charge, letting various researcher identify biological feature for each areas.

Recurrence and Metastasis of Lung Cancer Demonstrate Decreased Diffusion on Diffusion-Weighted Magnetic Resonance Imaging

  • Usuda, Katsuo;Sagawa, Motoyasu;Motomo, Nozomu;Ueno, Masakatsu;Tanaka, Makoto;Machida, Yuichiro;Maeda, Sumiko;Matoba, Munetaka;Tonami, Hisao;Ueda, Yoshimichi;Sakuma, Tsutomu
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권16호
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    • pp.6843-6848
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    • 2014
  • Background: Diffusion-weighted magnetic resonance imaging (DWI) is reported to be useful for detecting malignant lesions. The purpose of this study is to clarify characteristics of imaging, detection rate and sensitivity of DWI for recurrence or metastasis of lung cancer. Methods: A total of 36 lung cancer patients with recurrence or metastasis were enrolled in this study. While 16 patients underwent magnetic resonance imaging (MRI), computed tomography (CT) and positron emission tomography-computed tomography (PET-CT), 17 underwent MRI and CT, and 3 underwent MRI and PET-CT. Results: Each recurrence or metastasis showed decreased diffusion, which was easily recognized in DWI. The detection rate for recurrence or metastasis was 100% (36/36) in DWI, 89% (17/19) in PET-CT and 82% (27/33) in CT. Detection rate of DWI was significantly higher than that of CT (p=0.0244) but not significantly higher than that of PET-CT (p=0.22). When the optimal cutoff value of the apparent diffusion coefficient value was set as $1.70{\times}10^{-3}mm^2/sec$, the sensitivity of DWI for diagnosing recurrence or metastasis of lung cancer was 95.6%. Conclusions: DWI is useful for detection of recurrence and metastasis of lung cancer.

상완신경총의 영상 (Imaging of the Brachial Plexus)

  • 서경진;이정현;이경규
    • Investigative Magnetic Resonance Imaging
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    • 제11권2호
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    • pp.119-126
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    • 2007
  • 상완신경총의 영상 진단은 복잡한 해부학적인 구조와 다양하게 침범하는 병들로 인해 어렵고 도전적이다. 상완신경총 영상 진단의 일차적인 목표는 외상성 손상과 비외상성 손상의 구별이다. MRI의 급속경사와 전용표면코일을 이용한 적절한 공간분해능을 가진 영상기기의 발전과 이를 이용한 다양한 펄스열의 개발이 상완신경총의 외상성 손상과 비외상성 손상에 대한 구별에 많은 도움을 주어 정확한 진단으로 수술 여부의 결정에 이용된다. MRI는 비외상성 상완신경총 병변의 진단에 가장 좋은 영상진단이며, CT 척수강조영술은 상완신경총을 침범하는 신경근견열 병변의 검사에 많이 이용된다. 그리고 일반적으로 고화질, 고해상력의 MRI 가 상완신경총 비외상성병변의 진단에 일차적인 영상검사로 중요한 역할을 하고 있다.

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Computer Tomography and Magnetic Resonance Image Manifestations of Primary Hepatic Neuroendocrine Cell Carcinomas

  • Huang, Juan;Yu, Jian-Qun;Sun, Jia-Yu
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권6호
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    • pp.2759-2764
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    • 2014
  • Aim: This study aims to investigate the manifestation of CT, MRI and dynamic enhanced scans for primary hepatic neuroendocrine cell carcinoma. Methods: CT or MRI arterial and venous phase scan images of 19 cases of pathologically confirmed PHNEC were retrospectively analyzed. Results: 14 cases (73.68%) with single lesion, 5 cases (26.3%) with multiple lesions, with an average diameter of 13.2 cm. Some 12 cases (63.16%) showed inhomogeneous enhancement, seven cases (36.8%) showed homogeneous enhancement, 13 cases (68.4%) demonstrated significant enhancement in the arterial phase, 13 cases (68.4%) had significantly enhanced portal venous phase including 7 cases (36.8 %) with portal venous phase density or signal above the arterial phase and 5 cases (26.3%) with the portal vein density or signal below the arterial phase. Seven cases (36.8%) had continued strengthened separate shadows in the center of the lesion. Thrombosis were not seen in portal veins. Conclusion: CT and MRI images of liver cell neuroendocrine carcinoma have certain characteristics that can provide valuable information for diagnosis and differential diagnosis.