• Parasites, Hosts and Diseases
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• 제47권1호
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• pp.53-56
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• 2009

The authors report here a rare case of cerebellar schistosomiasis identified by pathological diagnosis, lacking extracranial involvement. The clinical symptoms included headache, dizziness, and nausea. Studies in blood were normal and no parasite eggs were detected in stool. Computed tomography of brains showed hypodense signal, and magnetic resonance imaging showed isointense signal on T1-weighted images, hyperintense signal on T2-weighted images, and intensely enhancing nodules in the right cerebellum after intravenous administration of gadolinium. A high-grade glioma was suspected, and an operation was performed. The pathologic examination of the biopsy specimen revealed schistosomal granulomas scattered within the parenchyma of the cerebellum. The definitive diagnosis was cerebellar schistosomiasis japonica. A standard use of praziquantel and corticosteroid drugs was applied, and the prognosis was good. When the pattern of imaging examinations is present as mentioned above, a diagnosis of brain schistosomiasis should be considered.

• Imaging Science in Dentistry
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• 제38권1호
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• pp.57-62
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• 2008

The Warthin tumor is a benign neoplasm that occurs mostly in the parotid gland. The tumor frequently occurs in the tail of the parotid gland. A 75-year-old man was referred to Wonkwang dental hospital with a chief complaint of swelling on the right submandibular area. Numerous salivary stones were observed in the right submandibular gland on computed tomography (CT). And the two tumorous lesions were incidentally found in the parotid gland bilaterally. The tumorous lesions showed homogeneous enhancement on the CT and intermediate signal intensity on both T1- and T2-weighted magnetic resonance (MR) images. This tumorous lesions also showed contrast enhancement on fat suppressed T1 weighted MR images. We report common CT and MR features of this case of Warthin tumor in the parotid gland with literature review.

• Imaging Science in Dentistry
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• 제53권3호
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• pp.239-245
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• 2023

Schwannomas are uncommon neoplasms of neurologic origin that are rare in the salivary glands. A schwannoma that persists for a long time is referred to as an ancient schwannoma if it is accompanied by degenerative changes on histology. The case described herein involved a 37-year-old man with an ancient schwannoma that had persisted for 20 years in his right parotid gland. Clinically, the lesion presented with swelling and pain. Computed tomography revealed a well-defined, multilocular enhanced lesion. T2-weighted magnetic resonance images displayed multilocular hyperintensity, while T1-weighted images showed a high signal at the lobulated margin and a homogeneous low signal internally. The preoperative diagnosis, based on the lesion's location and imaging diagnosis, was Warthin's tumor. However, a biopsy conducted after surgical excision identified the lesion as a schwannoma with cystic degeneration. This report also presents a summary of the characteristics of rare cases of schwannoma in the major salivary gland based on this case and a literature review.

• 대한치과의사협회지
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• 제58권9호
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• pp.556-562
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• 2020

Neurofibroma is a benign, heterogenous peripheral nerve sheath tumor arising from the connective tissue of peripheral nerve sheaths, especially the endoneurium. Its intraoral occurrence is uncommon and its occurrence within mandible is extremely rare. A case of solitary intraosseous neurofibroma of the mandible involving masticator space in a 8-year-old male is reported. He was referred from a private local clinic with a chief complaint of limitation in opening of the mouth. Panoramic and cone-beam computed tomographic images showed unilocular radiolucent lesion with scalloped border at the right mandibular ramus, connected posteriorly to the enlarged mandibular foramen and anteriorly to the mandibular canal. T1-weighted magnetic resonance images showed soft tissue mass of isointensity compared with muscles. Contrast-enhanced T1-weighted images showed peripheral enhancement and T2-weighted images showed the heterogeneous hyperintense mass with extension between lateral and medial pterygoid muscles. The tumor was surgically removed under general anesthesia and diagnosed to be neurofibroma at the biopsy.

• 대한의용생체공학회:의공학회지
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• 제28권4호
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• pp.549-555
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• 2007

In order to study cortical properties in human, it is necessary to obtain an accurate and explicit representation of the cortical surface in individual subjects. Among many approaches, surface-based method that reconstructs a 3-D model from contour lines on cross-section images is widely used. In general, however, medical brain imaging has some problems such as the complexity of the images, non-linear gain artifacts and so on. Due these limitations, therefore, extracting anatomical structures from imaging data is very a complicated and time-consuming task. In this paper, we present an improved method for extracting contour lines of cortical surface from magnetic resonance images that simplifies procedures of a conventional method. The conventional method obtains contour lines through thinning and chain code process. On the other hand, the proposed method can extract contour lines from comparison between boundary data and labeling image without supplementary processes. The usefulness of the proposed method has been verified using brain image.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제14권3호
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• pp.1167-1187
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• 2020

With the development of medical imaging technology, image registration has been widely used in the field of disease diagnosis. The registration between different modal images of brain magnetic resonance (MR) is particularly important for the diagnosis of brain diseases. However, previous registration methods don't take advantage of the prior knowledge of bilateral brain symmetry. Moreover, the difference in gray scale information of different modal images increases the difficulty of registration. In this paper, a multimodal medical image registration method based on image segmentation and symmetric self-similarity is proposed. This method uses modal independent self-similar information and modal consistency information to register images. More particularly, we propose two novel symmetric self-similarity constraint operators to constrain the segmented medical images and convert each modal medical image into a unified modal for multimodal image registration. The experimental results show that the proposed method can effectively reduce the error rate of brain MR multimodal medical image registration with rotation and translation transformations (average 0.43mm and 0.60mm) respectively, whose accuracy is better compared to state-of-the-art image registration methods.

• 대한의용생체공학회:의공학회지
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• 제19권3호
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• pp.233-242
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• 1998

본 논문에서는 척추 자기공명영상에 대하여 자동적으로 질환에 관련된 특징 벡터들을 추출하고 디스크 질환을 인식하는 방법을 제안하였다. 척추 자기공명영상은 절단면에 따라 시상 단면 영상과 축 단면 영상으로 나누어 진다. 두가지 영상에서 질환에 관련된 특징 벡터를 추출하여 질환의 유무와 종류를 인식하는데 사용하였다. 시상 단면 영상에서는 각 부위에 해당하는 영역의 동질성을 이용하여 디스크 부분을 추출한 후 영역레이블링 과정을 통해 전체적인 크기와 돌출 정도를 구해서 질환을 나타내는 특징으로 이용하였다. 축 단면 영상에서는 템플릿 정합을 이용하여 디스크 영역을 찾고 경계선을 추출하기 위해 세기와 방향성을 고려한 연산자를 사용했다. 경계선의 모양을 분석해서 디스크 돌출 정도에 관한 수치를 얻었다. 이렇게 얻은 특징벡터들은 유사한 질환을 가진 환자의 영상을 찾기 위한 의료 영상 데이터 베이스에 사용될 수 있으며, 많은 양의 영상에서 질환이 나타나 있는 것을 일차적으로 선별하여 전문의에게 제공하는데 이용될 수 있을 것으로 예상한다.

• Investigative Magnetic Resonance Imaging
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• 제22권2호
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• pp.86-93
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• 2018

Purpose: Imaging plays a significant role in diagnosing leptomeningeal metastases. However, the most appropriate sequence for the detection of leptomeningeal metastases has yet to be determined. This study compares the efficacies of contrast-enhanced T2 fluid attenuated inversion recovery (FLAIR) and contrast-enhanced 3D T1 black-blood fast spin echo (FSE) imaging for the detection of leptomeningeal metastases. Materials and Methods: Tube phantoms containing varying concentrations of gadobutrol solution were scanned using T2 FLAIR and 3D T1 black-blood FSE. Additionally, 30 patients with leptomeningeal metastases were retrospectively evaluated to compare conspicuous lesions and the extent of leptomeningeal metastases detected by T2 FLAIR and 3D T1 black-blood FSE. Results: The signal intensities of low-concentration gadobutrol solutions (< 0.5 mmol/L) on T2 FLAIR images were higher than in 3D T1 black-blood FSE. The T2 FLAIR sequences exhibited significantly greater visual conspicuity scores than the 3D T1 black-blood sequence in leptomeningeal metastases of the pial membrane of cistern (P = 0.014). T2 FLAIR images exhibited a greater or equal extent (96.7%) of leptomeningeal metastases than 3D T1 black-blood FSE images. Conclusion: Because of its high sensitivity even at low gadolinium concentrations, contrast-enhanced T2 FLAIR images delineated leptomeningeal metastases in a wider territory than 3D T1 black-blood FSE.

• Investigative Magnetic Resonance Imaging
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• 제25권3호
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• pp.156-163
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• 2021

Recently, neuromelanin and nigrosome imaging techniques have been developed to evaluate the substantia nigra in Parkinson's disease. Previous studies have shown potential benefits of quantitative analysis of neuromelanin and nigrosome images in the substantia nigra, although visual assessments have been performed to evaluate structures in most studies. In this study, we investigate the potential of using deep learning based automatic region segmentation techniques for quantitative analysis of the substantia nigra. The deep convolutional neural network was trained to automatically segment substantia nigra regions on 3D nigrosome and neuromelanin sensitive MR images obtained from 30 subjects. With a 5-fold cross-validation, the mean calculated dice similarity coefficient between manual and deep learning was 0.70 ± 0.11. Although calculated dice similarity coefficients were relatively low due to empirically drawn margins, selected slices were overlapped for more than two slices of all subjects. Our results demonstrate that deep convolutional neural network-based method could provide reliable localization of substantia nigra regions on neuromelanin and nigrosome sensitive MR images.

• Journal of Magnetics
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• 제17권2호
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• pp.138-144
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• 2012

3-dimensional magnetic resonance cholangiopancreatography (MRCP) images reconstructed using the maximum intensity projection technique were analyzed qualitatively in patients diagnosed with pancreatobiliary diseases to determine their diagnostic utility. Single shot fast spin echo (SSFSE), fast spin echo (FSE) and 3-dimensional reconstructive images were acquired from 20 patients diagnosed histologically with pancreatobiliary diseases using a 3.0T MR scanner. According to qualitative analysis, the fast spin echo images and 3-dimensional reconstructed images of the hepatic duct, gall bladder and common bile duct had a higher signal to noise ratio (SNR) than the single shot fast spin echo images. Fast spin echo images and 3-dimensional reconstructed images did not show any differences. The contrast to noise ratio of the hepatic duct, gallbladder and common bile duct on the fast spin echo images and 3-dimensional reconstructed images was higher than that of the single shot fast spin echo images. The fast spin echo images and 3-dimensional reconstructed images showed similar quality.