• Title/Summary/Keyword: Magnetic resonance images

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Discal Cyst of the Lumbar Spine

  • Hwang, Jae-Ha;Park, In-Sung;Kang, Dong-Ho;Jung, Jin-Myung
    • Journal of Korean Neurosurgical Society
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    • v.44 no.4
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    • pp.262-264
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    • 2008
  • Discal cysts are rare lesions that can cause radiating leg pain. Because they are very rare, their natural history and the details of the therapeutic guidelines for the treatment of these cysts are still unknown. A 30-year-old male patient presented to our institute with radiating pain in his left leg and mild back pain. Magnetic resonance imaging (MRI) revealed an intraspinal extradural cystic mass with low signal intensity on T1-weighted images and high signal intensity on T2-weighted images at the L5-S1 level. The partial hemilaminectomy and cyst resection were performed. We report a patient with low back pain and radiating leg pain caused by a lumbar discal cyst and discuss the treatment of this cyst.

Primary Occipital Malignant Melanoma

  • Oh, Jong-Yang;Joo, Won-Il;Rha, Hyoung-Kyun;Kim, Young-Woo
    • Journal of Korean Neurosurgical Society
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    • v.41 no.1
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    • pp.39-42
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    • 2007
  • Primary intracranial melanoma is uncommon. These tumors most commonly occur at the temporal lobe, cerebellum and cerebellopontine angle. We report a case of intracranial malignant melanoma of the occipital lobe in a 60-year-old man who presented with headache and visual disturbance. The mass showed hyperintensity on T1-weighted images and hypointensity on T2-weighted magnetic resonance images. He underwent gross total removal of tumor and received radiotherapy. Follow-up imaging studios showed neither recurrence nor any signs of residual disease for 4 months.

Diagnosis of Subclavian Steal: Contrast Enhanced 3D MR Angiography vs 2D TOF

  • 이호규;김건언;최중곤;서대철
    • Proceedings of the KSMRM Conference
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    • 2001.11a
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    • pp.136-136
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    • 2001
  • Purpose: Subclavian steal refers to the retrograde flow of blood in a vertebral artery that supplies t ipsilateral shoulder and arm caused by proximal subclavian artery stenosis or occlusion. T purpose of this exhibit is to demonstrate MR findings of subclavian steal on contrast-enhanc 3D (CE 3DMRA) and 2D TOF MR angiography. Method: Four patients(men 3 and women 1, age: 28-78years) with subclavian steal obtained both CE 3DMRA and digital subtraction angiography(DSA) including subclavian arterie Sequential imaging was undertaken during first pass after double dose of Gd-DTPA (0 mM/kg) Injected by a power injector. Coronal source images were obtained with coronal D-fast low angle shot sequence(TR/TE/flip angle=3.8/l.3/35, acquisition time= 10sec/one measurement). Precontrast imaging was subtracted from enhanced images and maximu intensity projection was done. 2D time-of-flight MR angiography(2D TOF) of the carot bifurcation was added in all cases with post-saturation. All studies were review retrospectively.

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Hepatocellular carcinomas: correlation of enhancement degree with pathologic grades triple contrast MR imaging

  • Kim, Joo-Hee;Kim, Myeong-Jin;Park, Young-Nyun;Kim, Kyung-Sik;Lee, Woo-Jung
    • Proceedings of the KSMRM Conference
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    • 2001.11a
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    • pp.108-108
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    • 2001
  • Purpose: To correlate the histological differentiation of hepatocellular carcinomas (HCCs) with finding on triple contrast-enhanced MR imaging using gadolinium-chelates, superparamganetic ire oxides (SPIO), and mangafodipir trisodium. Method: Ten patients with proven HCC underwent triple contrast-enhanced MRI befo surgical resection. Subjective ratings of the enhancement pattern and degree were compare with the histological grades determined on surgical specimen. Quantitative measurements signal-to-noise ratio (S/N) of the lesion and the lesion-to-liver contrast-to-noise ratio C/N on the enhanced MR images, and the degree of S/N and C/N changes between the unenhanced and enhanced images were also correlated with the histological grades.

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Feasibility of Proton Chemical Shift Imaging with a Stereotactic Headframe

  • 백현만;최보영;손병철;정성택;이형구;서태석
    • Proceedings of the KSMRM Conference
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    • 2003.10a
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    • pp.86-86
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    • 2003
  • Purpose: To prove feasibility of proton chemical shift. imaging (1H CSI) during stereotactic procedure, authors peformed 1H CSI in combination with a stereotactic headframe and selected targets according to local metabolic information, evaluated the pathologic results Materials and methods: The 1H CSI directed stereotactic biopsy was performed in five patients. 1H CSI was performed before conventional stereotactic MRI with gadolinium enhancement for stereotactic coordinates. The metabolite images expressed as integral ratios, Cho/Cr and Lac/Cr, were displayed in different colors. The stereotactic target coordinates were correlated with the coordinates from the 1H CSI images.

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Central Neurocytoma

  • Shin, Seung-Ho;Koh, Eun-Jeong;Choi, Ha-Young
    • Journal of Korean Neurosurgical Society
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    • v.39 no.2
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    • pp.152-155
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    • 2006
  • Central neurocytoma is a rare, well-differentiated neuronal tumor and is usually located in the lateral or third ventricle of young adults. The occurrence of an intraventricular tumor with a characterisitic magnetic resonance image findings including isointense signal in T1-weighted images, the presence of a cystic component, small signal-void areas due to calcification, heterogenous and hyperintense "bubbly" appearance in T2-weighted images in a young patient should suggest preoperatively the diagnosis of central neurocytoma. The typical immunohistochemical finding, positivity for synaptophysin, is the main pathological feature. We experienced two cases of central neurocytomas with typical radiological and histopathological findings. We expect growth arrest of these cases by subtotal removal to avoid postoperative neurologic deficit followed by radiation therapy.

Automated Segmentation of 3-D Sagittal Brain MR Images Through Boundery Comparison (경로 재설정을 통한 3차원 시상 두뇌 자기공명영상 분할)

  • Hun, S.;Sohn, K. H.;Choe, Y. S.;Kang, M. G.;Lee, C. H.
    • Journal of Biomedical Engineering Research
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    • v.21 no.2
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    • pp.145-156
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    • 2000
  • 본 논문에서는 중앙시상 두뇌 자기공명영상 분할결과를 이용한 3차원 시상 두뇌 자기공명영상의 자동분할기법을 제안한다. 제안된 알고리즘에서는 먼저 3차원 시상 두뇌 자기공명영상의 중앙영상을 분할하고, 분할된 중앙두뇌 자기공명영상을 인접하는 영상에 마스크로 적용한다. 이 때 마스크 적용으로 인하여 인접하는 영상이 절단되는 문제가 발생할 수 있다. 이러한 문제를 해결하기 위하여 절단 영역의 경계점을 검출한 후, 절단 영역에 대한 경로 재설정을 통해 절단 영역을 복원한다. 이러한 경로 재설정을 위해 connectivity-based threshold segmentation algorithm을 사용하였다. 실험결과 제안된 알고리즘의 유용성을 확인할 수 있었다.

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Intracranial Dissemination from Spinal Cord Anaplastic Astrocytoma

  • Jeong, Seong-Man;Chung, Yong-Gu;Lee, Jang-Bo;Shin, Il-Young
    • Journal of Korean Neurosurgical Society
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    • v.47 no.1
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    • pp.68-70
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    • 2010
  • We report a case of intracranial dissemination developing approximately 4 months after partial removal of a spinal cord anplastic astrocytoma in a 22-year-old male. He presented with paraplegia on initial admission at a local hospital. Spinal magnetic resonance (MR) images disclosed multiple intramedullary lesions at the T3-11. The tumor was partially removed. The final histologic diagnosis was anaplastic astrocytoma. Four months after the operation, he was admitted with the symptoms of headache and deterioration of consciousness. MR images showed enhanced lesions in the anterior horn of the left lateral ventricle, and septum pellucidum. He underwent computed tomography-guided stereotactic biopsy and histological appearance was consistent with anaplastic astrocytoma. The clinical course indicates that the tumor originated in the spinal cord and extended into the subarachnoid space, first the spinal canal and later intracranial.

A novel detection method of periodically moving region in radial MRI

  • Seo, Hyunseok;Park, HyunWook
    • IEIE Transactions on Smart Processing and Computing
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    • v.2 no.4
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    • pp.203-207
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    • 2013
  • The appropriate handling of motion artifacts is essential for clinical diagnosis in magnetic resonance imaging (MRI). In many cases, motion is an inherent part of MR images because it is difficult to control during MR imaging. As the motion in the human body occur in a deformable manner, they are difficult to deal with. This paper proposes a novel detection method for periodically moving regions to produce MR images with less motion artifacts. When the data is acquired by the radial trajectory, the proposed method can extract the deformable region easily using the difference in the modulated sinograms, which have different periodic phase terms. The simulation results applied to the various cases confirmed the good performance of the proposed method.

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The Role of Dynamic Contrast Enhanced MR Mammography in Differentiation between Benign and Malignant Breast Lesions

  • 한송이;차은숙;정상설;김학희;변재영;이재문
    • Proceedings of the KSMRM Conference
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    • 2002.11a
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    • pp.135-135
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    • 2002
  • Purpose: To assess diagnostic accuracy of dynamic contrast enhanced MR mammography in differentiating between benign and malignant lesions. Materials and methods: Ninety-three patients with suspicious mammographic, sonographic or palpable findings underwent pre- or postoperative contrast-enhanced MR imaging of breast using three dimensional fast low-angle shot (3D FLASH) sequence (16/4 msec[repetition time / echo time], 20 flip angle, 3mm slice thickness with no slice gap, 256 by 256 in-plane matrix) covering whole breasts. T1 weighted images were obtained before and after bolus administration of gadopentetate dimeglumine (0.15 mmol/kg). Subtraction images and time-signal intensity curves of region of interest were obtained sequentially and correlated with pathologic diagnoses of lesions.

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