• 제목/요약/키워드: Noninvasive Imaging

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Noninvasive diagnosis of pediatric nonalcoholic fatty liver disease

  • Yang, Hye Ran
    • Clinical and Experimental Pediatrics
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    • v.56 no.2
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    • pp.45-51
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    • 2013
  • Because nonalcoholic steatohepatitis can progress towards cirrhosis even in children, early detection of hepatic fibrosis and accurate diagnosis of nonalcoholic fatty liver disease (NAFLD) are important. Although liver biopsy is regarded as the gold standard of diagnosis, its clinical application is somewhat limited in children due to its invasiveness. Noninvasive diagnostic methods, including imaging studies, biomarkers of inflammation, oxidative stress, hepatic apoptosis, hepatic fibrosis, and noninvasive hepatic fibrosis scores have recently been developed for diagnosing the spectrum of NAFLD, particularly the severity of hepatic fibrosis. Although data and validation are still lacking for these noninvasive modalities in the pediatric population, these methods may be applicable for pediatric NAFLD. Therefore, noninvasive imaging studies, biomarkers, and hepatic fibrosis scoring systems may be useful in the detection of hepatic steatosis and the prediction of hepatic fibrosis, even in children with NAFLD.

Emerging Role of Hepatobiliary Magnetic Resonance Contrast Media and Contrast-Enhanced Ultrasound for Noninvasive Diagnosis of Hepatocellular Carcinoma: Emphasis on Recent Updates in Major Guidelines

  • Tae-Hyung Kim;Jeong Hee Yoon;Jeong Min Lee
    • Korean Journal of Radiology
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    • v.20 no.6
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    • pp.863-879
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    • 2019
  • Hepatocellular carcinoma (HCC) can be noninvasively diagnosed on the basis of its characteristic imaging findings of arterial phase enhancement and portal/delayed "washout" on computed tomography (CT) and magnetic resonance imaging (MRI) in cirrhotic patients. However, different specific diagnostic criteria have been proposed by several countries and major academic societies. In 2018, major guideline updates were proposed by the Association for the Study of Liver Diseases, European Association for the Study of the Liver (EASL), Korean Liver Cancer Association and National Cancer Center (KLCA-NCC) of Korea. In addition to dynamic CT and MRI using extracellular contrast media, these new guidelines now include magnetic resonance imaging (MRI) using hepatobiliary contrast media as the first-line diagnostic test, while the KLCA-NCC and EASL guidelines also include contrast-enhanced ultrasound (CEUS) as the second-line diagnostic test. Therefore, hepatobiliary MR contrast media and CEUS will be increasingly used for the noninvasive diagnosis and staging of HCC. In this review, we discuss the emerging role of hepatobiliary phase MRI and CEUS for the diagnosis of HCC and also review the changes in the HCC diagnostic criteria in major guidelines, including the KLCA-NCC practice guidelines version 2018. In addition, we aimed to pay particular attention to some remaining issues in the noninvasive diagnosis of HCC.

Noninvasive Depthwise Temperature Measurement in Skin Tissue Using Laser Speckle Imaging Technique (레이저 스펙클 이미징 기법을 이용한 피부 조직의 깊이 방향 비침습적 온도 측정)

  • Jakir Hossain Imran;Noemi Correa;Jung Kyung Kim
    • Journal of the Korean Society of Visualization
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    • v.22 no.2
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    • pp.74-81
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    • 2024
  • Accurate tissue temperature monitoring during clinical procedures, such as laser therapy or surgery, is crucial for ensuring patient safety and treatment efficacy. Noninvasive techniques are essential to prevent tissue disturbance while providing real-time temperature data. However, current methods often struggle to accurately measure temperature at various depths within the skin, which is essential to avoid damage to surrounding healthy tissues due to excessive heat. In response to this challenge, we developed a confocal imaging system that utilizes the laser speckle imaging (LSI) technique for precise depthwise temperature monitoring. LSI uses laser light scattering to capture subtle changes in speckle patterns on the skin's surface due to temperature fluctuations within the tissue. By analyzing these changes, LSI enables accurate depth-resolved temperature measurements. This technique enhances the precision and safety of medical procedures, offering significant potential for broader clinical applications, improved patient outcomes, and better thermal management during interventions.

The Principle of the NMR Image (NMR CT의 원리)

  • 조장희;김홍석
    • Journal of Biomedical Engineering Research
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    • v.3 no.2
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    • pp.119-122
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    • 1982
  • This paper presents the principles of image formation in NMR(Nuclear Magnetic Resonance) tomography. NMR tomographic imaging is a newly emerging, noninvasive, three-dimensional imaging technique. This new technique is an interdisciplinary science which encompasses the latest technologies in electrical, electronics, computers, physics, chemistry, mathematics, and medical sciences.

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NMR Microimaging for Noninvasive Investigation of Polymers (고분자의 비파괴 연구를 위한 핵자기 공명 현미영상법)

  • Lee, D.H.;Ko, R.K.;Moon, C.H.;Cho, Z.H.
    • Proceedings of the KOSOMBE Conference
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    • v.1995 no.11
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    • pp.253-256
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    • 1995
  • Polymers have been one of the emerging biomedical materials in the area of biomedical research which are applicable to the human body. For human applications, noninvasive characterization of the biomedical polymers has been one of the important topics, and is valuable information. Among others, the swelling rate is one of the important measurements needed for the hydrophilic polymers. NMR imaging has been a suitable method for the noninvasive study of such a material since it is sensitive to many physical and biochemical changes of the specimens. In addition, NMR techniques possess many useful intrinsic properties such as the relaxation and diffusion effects. The present study has provided a noble and noninvasive method of measuring the process of swelling as well as volumetric changes occurred in polymers and drug delivery processes in a drug delivery system (DDS) together with changes of released drug. This gives information, relating with both water ingress process, volumetric changes of polymer specimens and the visualization of sequential drug delivery process. Also, this study provides more reliable method to ascertain the time dependent swelling process compared to the conventional method. The important aspects is that the proposed method is truly noninvasive and is able to ascertain time dependent processes.

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In Vivo Reporter Gene Imaging: Recent Progress of PET and Optical Imaging Approaches

  • Min, Jung-Joon
    • Bioinformatics and Biosystems
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    • v.1 no.1
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    • pp.17-27
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    • 2006
  • Recent progress in the development of non-invasive imaging technologies continues to strengthen the role of molecular imaging biological research. These tools have been validated recently in variety of research models, and have been shown to provide continuous quantitative monitoring of the location(s), magnitude, and time-variation of gene delivery and/or expression. This article reviews the use of radionuclide, magnetic resonance, and optical imaging technologies as they have been used in imaging gene delivery and gene expression for molecular imaging applications. The studies published to date demonstrate that noninvasive imaging tools will help to accelerate pre-clinical model validation as well as allow for clinical monitoring of human diseases.

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Review of Photoacoustic Imaging for Imaging-Guided Spinal Surgery

  • Han, Seung Hee
    • Neurospine
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    • v.15 no.4
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    • pp.306-322
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    • 2018
  • This review introduces the current technique of photoacoustic imaging as it is applied in imaging-guided surgery (IGS), which provides the surgeon with image visualization and analysis capabilities during surgery. Numerous imaging techniques have been developed to help surgeons perform complex operations more safely and quickly. Although surgeons typically use these kinds of images to visualize targets hidden by bone and other tissues, it is nonetheless more difficult to perform surgery with static reference images (e.g., computed tomography scans and magnetic resonance images) of internal structures. Photoacoustic imaging could enable real-time visualization of regions of interest during surgery. Several researchers have shown that photoacoustic imaging has potential for the noninvasive diagnosis of various types of tissues, including bone. Previous studies of the surgical application of photoacoustic imaging have focused on cancer surgery, but photoacoustic imaging has also recently attracted interest for spinal surgery, because it could be useful for avoiding pedicle breaches and for choosing an appropriate starting point before drilling or pedicle probe insertion. This review describes the current instruments and clinical applications of photoacoustic imaging. Its primary objective is to provide a comprehensive overview of photoacoustic IGS in spinal surgery.

Fast Burt Imaging (고속 Burst 영상법 - pulse sequence 중심으로)

  • 강호경;노용만
    • Investigative Magnetic Resonance Imaging
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    • v.3 no.1
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    • pp.13-19
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    • 1999
  • MRI imaging provides many benefits such as noninvasive, 3-dimensional imaging capabilities. But it has relatively serious drawback that is the long data collection time, compared with other imaging modality. Many studies have been performed for fast MR imaging. But EPI and SEPI (4-6) are required to expensive hardware. In this paper, we introduce to Burst imaging technique. It can reduce imaging time by use of a mulitple RF excitation technique. Further it is easily implemented to the normal MRI system. But a pixel profile in the conventional burst sequence is so poor that excited area by burst sequence is a small portion of a pixel. This causes poor signal to noise ratio in burst image. therefore frequency sweeping of RF pulse for burst imaging sequence is proposed to improve pixel profile. A burst pulse train is shaped by liner or nonlinear frequency sweeping function so that all the spins within a pixel are excited, thereby improving the signal to noise ratio. It also shows that the pixel profiles are dependent on how frequency sweep is made. Computer simulations with Bloch equation and experimental results obtained using a 1.0 T NMR imaging system are presented.

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Stress Testing and Imaging Protocols for Myocardial Perfusion Studies (심근관류영상을 위한 심근부하 방법 및 검사 프로토콜)

  • Kim, Seong-Min
    • Nuclear Medicine and Molecular Imaging
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    • v.43 no.3
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    • pp.179-195
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    • 2009
  • Scince $^{201}$TI was introduced as a myocardial perfusion imaging agent in the early 1970s, scintigraphic evaluation of myocardial perfusion for the diagnosis of coronary artery disease is a valuable noninvasive diagnostic imaging modality. Stress radionuclide myocardial perfusion imaging is widely accepted to have high diagnostic and prognostic use in the assessment of patients with known or suspected coronary artery disease. With wise use of this nonivasive imaging technique, more patients are referred for stress perfusion imaging. Until now various protocols for stress testing and myocardial imaging were developed and used in worldwide. This article presented various protocols of stress testing and myocardial imaging for clinical use.

Monitoring Gene Therapy by Radionuclide Approaches (핵의학적 기법을 이용한 유전자 치료 영상법)

  • Min, Jung-Joon
    • Nuclear Medicine and Molecular Imaging
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    • v.40 no.2
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    • pp.96-105
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    • 2006
  • Molecular imaging has its root in nuclear medicine and gene therapy monitoring. Therefore, recent progress in the development of non-invasive imaging technologies, particularly nuclear medicine, should allow molecular imaging to play a major role in the field of gene therapy. These tools have recently been validated in gene therapy models for continuous quantitative monitoring of the location, magnitude, and time-variation of gene delivery and/or expression. This article reviews the use of radionuclide imaging technologies as they have been used in imaging gene delivery and gene expression for gene therapy applications. The studios published to date lend support that noninvasive imaging tools will help to accelerate pre-clinical model validation as well as allow for clinical monitoring of human gene therapy.