• Investigative Magnetic Resonance Imaging
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• 제26권2호
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• pp.96-103
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• 2022

Purpose: The survival of organisms critically depends on avoidance responses to life-threatening stimuli. Information about dangerous situations needs to be remembered to produce defensive behavior. To investigate underlying brain regions to process information of danger, manganese-enhanced MRI (MEMRI) was used in olfactory fear-conditioned rats. Materials and Methods: Fear conditioning was conducted in male Sprague-Dawley rats. The animals received nasal injections of manganese chloride solution to monitor brain activation for olfactory information processing. Twenty-four hours after manganese injection, rats were exposed to electric foot shocks with odor cue for one hour. Control rats were exposed to the same odor cue without foot shocks. Forty-eight hours after the conditioning, rats were anesthetized and their brains were scanned with 9.4T MRI. Acquired images were processed and statistical analyses were performed using AFNI. Results: Manganese injection enhanced brain areas involved in olfactory information pathways in T1 weighted images. Rats that received foot shocks showed higher brain activation in the central nucleus of the amygdala, septum, primary motor cortex, and preoptic area. In contrast, control rats displayed greater signals in the orbital cortex and nucleus accumbens. Conclusion: Nasal delivery of manganese solution enhanced olfactory signal pathways in rats. Odor cue paired with foot shocks activated amygdala, the central brain region in fear, and related brain circuits. Use of MEMRI in fear conditioning provides a reliable monitoring technique of brain activation for fear learning.

• Journal of Korean Neurosurgical Society
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• 제66권2호
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• pp.172-182
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• 2023

Objective : The blood-brain barrier (BBB) is an obstacle for molecules to pass through from blood to the brain. Focused ultrasound is a new method which temporarily opens the BBB, which makes pharmaceutical delivery or removal of neurodegenerative proteins possible. This study was demonstrated to review our BBB opening procedure with magnetic resonance guided images and find specific patterns in the BBB opening. Methods : In this study, we reviewed the procedures and results of two clinical studies on BBB opening using focused ultrasound regarding its safety and clinical efficacy. Magnetic resonance images were also reviewed to discover any specific findings. Results : Two clinical trials showed clinical benefits. All clinical trials demonstrated safe BBB opening, with no specific side effects. Magnetic resonance imaging showed temporary T1 contrast enhancement in the sonication area, verifying the BBB opening. Several low-signal intensity spots were observed in the T2 susceptibility-weighted angiography images, which were also reversible and temporary. Although these spots can be considered as microbleeding, evidence suggests these are not ordinary microbleeding but an indicator for adequate BBB opening. Conclusion : Magnetic resonance images proved safe and efficient BBB opening in humans, using focused ultrasound.

• 한국감성과학회:학술대회논문집
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• 한국감성과학회 2009년도 추계학술대회
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• pp.183-185
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• 2009

As imaging technology develops, magnetic resonance imaging (MRI) techniques have contributed to the understanding of brain function by providing anatomical structure of the brain and functional imaging related to information processing. Manganese-enhanced MRI (MEMRI) techniques can provide useful information about functions of the nervous system. However, systematic studies regarding information processing of pain have not been conducted. The purpose of this study was to detect brain activation during painful electrical stimulation using MEMRI with high spatial resolution. Male Sprague-Dawley rats (250-300 g) were divided into 3 groups: normal control, sham stimulation, and electric stimulation. Rats were anesthetized with 2.5% isoflurane for surgery. Polyethylene catheter (PE-10) was placed in the external carotid artery to administrate mannitol and MnCl2. The blood brain barrier (BBB) was broken by 20% D-mannitol under anesthesia mixed with urethane and a-chloralose. The hind limb was electrically stimulated with a 2Hz (10V) frequency while MnCl2 was infused. Brain activation induced by electrical stimulation was detected using a 4.7 T MRI. Remarkable signal enhancement was observed in the primary sensory that corresponds to sensory tactile stimulation at the hind limb region. These results suggest that signal enhancement is related to functional activation following electrical stimulation of the peripheral receptive field.

• Journal of Korean Neurosurgical Society
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• 제42권2호
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• pp.92-96
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• 2007

Objective : The authors have speculated that metastatic brain lesions from renal cell carcinoma (RCC) show diverse radiological patterns and tumor responses after Gamma knife surgery (GKS), and have hypothesized that these can be predicted from tumor radiological characteristics. The goal of the current study was to identify the radiological characteristics of RCC brain metastases and the predictors of initial radiosurgical response after GKS. Methods : A retrospective analysis was performed on 48 lesions in 18 patients with RCC brain metastasis treated by GKS. The radiological characteristics of these lesions in magnetic resonance images (MRI) were classified into 3 categories according to enhancement patterns in T1-weighted images and signal intensity characteristics in T2-weighted images. Responses to GKS were analyzed according to these categories, and in addition, other potential predictive factors were also evaluated. Results : MRI findings in the three categories were diverse, though numbers of the lesion were comparable. At 2-month MRI follow-ups after GKS, response rate was 54% and the local tumor control rate 83%. T2 signal intensity was found to be the principal predictive factor of response to GKS, namely negative predictive factor. Other variables such as age, sex, tumor volume, dose, duration from initial diagnosis to GKS, and previous systemic therapies failed to show significant relationships with treatment response by multivariate analysis. Conclusion : Careful evaluation of the radiological characteristics of brain metastases from RCC is important prior to GKS because MRI heterogeneity has predictive value in terms of determining initial tumor response.

• 한국지능시스템학회논문지
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• 제23권2호
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• pp.172-177
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• 2013

BCI (Brain Computer Interface)는 인간의 뇌에서 측정된 EEG (Electroencephalogram)를 활용하여 의수와 같은 기기를 조종할 수 있는 좋은 방법 중 하나이다. 본 논문에서는 EEG와 힘과의 관계를 알아보고자 최대수축악력 (MVC)의 25%, 50%, 75%로 3개의 등급으로 나누어 EEG 변화를 측정하였다. 얻어진 EEG data를 FFT와 power spectrum analysis로 ${\alpha}$, ${\beta}$, ${\gamma}$파로 나누어 각 파형의 파워 값을 구한 뒤, 구해진 EEG 파워 값을 PCA와 LDA를 사용하여 특징 추출 및 분류를 하였다. 실험 결과 25%의 악력을 가할 때 보다 75%의 악력 때 더 높은 EEG 파워의 증가를 확인하였고, 왼손과 오른손은 각각 52.03%와 77.7%의 분류율을 나타내었다.

• Journal of Korean Neurosurgical Society
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• 제44권6호
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• pp.401-404
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• 2008

Primary intracranial squamous cell carcinoma is extremely rare, with most cases arising from a preexisting benign epidermoid cyst. We report a rare case of primary intracranial squamous cell carcinoma in the brain stem with a cerebellopontine angle (CPA) epidermoid cyst. A 72-year-old female suffered from progressive left hemiparesis, difficulty in swallowing, and right hemifacial numbness. Diffusion-weighted magnetic resonance imaging revealed a high signal intensity (SI) lesion in the CPA region and an intra-axially ring-enhanced cystic mass in the right brain stem with low SI. Whole-body positron emission tomography showed no evidence of metastatic disease. The histological findings revealed a typical epidermoid cyst in the CPA region and a squamous cell carcinoma in the brain stem. We speculate that the squamous cell carcinoma may have been developed due to a chronic inflammatory response by the adjacent epidermoid cyst. The patient underwent a surgical resection and radiotherapy. After 12 months, she had no evidence of recurrence.

• 대한자기공명의과학회:학술대회논문집
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• 대한자기공명의과학회 2003년도 제8차 학술대회 초록집
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• pp.24-24
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• 2003

Purpose： It is known that diffusion-weighted MR imaging (DWI) is helpful in the evaluation of malignancy grading in brain tumor. This study was to evaluate the DWls with different b-values of various brain tumors in order to determine optimal b-values on 3T MR unit. Method： On a 3T MR unit, DWls with b-values of 1, 000, 3, 000 and 5, 000 s/mm2 were obtained in 20 patients of pathologically-proven brain tumors (7 metastases, 4 high grade gliomas, 2 Iymphomas, 2 low grade gliomas, 2 germinomas, and one each of germinoma, meningioma, hemangioblastoma and central neurocytoma. The overall image quality, contrast between normal brain parenchyma and tumor and signal intensities of solid and cystic components were comparatively evaluated among DWls with different b-values by visual inspection.

• Journal of Korean Neurosurgical Society
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• 제29권12호
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• pp.1682-1687
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• 2000

Progressive multifocal leukoencephalopathy(PML) is a fatal demyelinating disease that occurs in immunocompromised hosts. We report a case of PML that developed in patient with T cell lymphoma of head and neck. During chemotherapy for lymphoma, she was confused and had memory impairment. A magnetic resonance imaging of the brain revealed confluent signal change at white matter of the frontal lobe, insula, and anterior limb and genu of internal capsule. The lesion was confirmed with brain biopsy and the histopathological finding was compatible with PML.

• 정보처리학회논문지B
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• 제16B권1호
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• pp.63-70
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• 2009

BCI 기술은 생체신호인 뇌파를 수집하여 신호처리를 거친 후 실질적인 기기제어 및 통신 시스템 등을 제어하는 시스템 관련 기술이다. BCI 시스템 구현을 위해서는 뇌파의 특성을 실시간으로 분석하여 학습 시키고 학습된 뇌파의 특성을 적용하는 단계가 요구된다. 본 논문에서는 EEG 데이터를 효율적으로 분석하기 위해 점진적으로 갱신되는 주성분 분석을 이용하여 왼손/오른손 동작에 영향을 미치는 EEG 신호의 특징을 찾고, 이를 반영하여 데이터의 차원을 축소한다. 입력 자료의 특징을 충분히 포함하면서 낮은 차원을 가지는 데이터를 이용한다면 분류를 위한 계산량을 감소시킬 수 있을 뿐만 아니라 불필요한 특징을 제거함으로써 분류 성능을 향상 시킬 수 있다. 본 논문에서는 점진적으로 갱신되는 주성분 분석을 이용하여 데이터의 차원을 축소하고 이에 대한 효율성을 검증하기 위해 K-NN분류기를 이용하여 분류 정확도 측정을 수행하였다. 그 결과 주성분 분석을 이용하여 특징을 추출하고 분류율을 측정한 경우보다 평균 5% 높은 분류 정확율을 보였다.

• 한국의학물리학회지:의학물리
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• 제24권2호
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• pp.108-118
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• 2013

동맥스핀표지(Arterial Spin Labeling: ASL) 뇌 관류 자기공명영상법을 이용한 뇌 관류영상기술이 일반적으로 환자의 질병진단에 일반적으로 사용하기 어려운 이유는 영상을 얻을 때 여러 인자들을 최적화시켜야만 좋은 질의 영상을 얻을 수 있기 때문으로 생각된다. 따라서, 본 논문의 목적은 동맥스핀표지 자기공명영상의 뇌 관류영상을 최적화 하기 위하여 필요한 여러 인자들의 변화에 따른 동맥스핀표지 신호변화를 3.0 테슬라 자기공명영상에서 관찰하는 것이다. 특히, 동맥시 핀표지 자기공명영상 신호 변화가 이들 인자에서 뇌 세포(brain tissues)의 영역에 따라서 어떻게 변화하는가를 평가하였다. 정상 성인 남성 5명을(평균연령 36세; 29세~41세) 대상에서 STAR (Signal Targeting with Alternating Radiofrequency) 동맥스핀표지 방법을 이용하여 3T 자기공명영상에서 영상을 얻었다. 실험은 첫째 영상획득 영역과 라벨링 영역간의 간격 변화에 따른 신호 변화 평가 실험, 둘째 라벨링 후의 시간 변화에 따른 신호 변화 평가 실험, 셋째 라벨링 두께의 변화에 따른 신호 변화 평가 실험, 넷째 슬라이스 획득 순서에 따른 신호 변화 평가실험을 하였다. 획득한 영상의 분석은 회백질과 백질, 전두엽, 측두엽, 후두엽, 두정엽에서의 관류신호변화를 얻어 분석하였다. 본 연구결과는 아래와 같았다: 1) 영상획득 영역과 라벨링 영역간의 간격 변화에 따른 관류 신호 변화 연구결과 전체 절편의 평균 값을 보면 회백질에서 좌측과 우측 모두에서 라벨링 간격이 증가할수록 신호가 낮아지는 경향을 보이고 있다. 라벨링 간격의 변화에 두정엽이 가장 영향을 적게 받고 후두엽이 가장 많은 영향을 받았다. 2) 라벨링 후의 시간 변화에 따른 관류 신호 변화 연구결과 회백질은 라벨링 지연시간 400 ms까지 양쪽 모두 감소하다가 라벨링 지연시간이 1,000 ms까지 증가하였다. 3) 라벨링 두께의 변화에 따른 관류 신호 변화 연구 결과 라벨링 두께가 증가에 따라 회백질과 백질의 신호강도는 점차적으로 증가하다가 120 mm 두께 이후에는 감소하였다. 4) 절편 획득 순서에 따른 관류 신호 변화 연구 결과 절편 획득 순서에 따른 백질과 회백질의 관류신호강도 값은 회백질과 백질 모두 머리의 꼭대기부터 영상을 획득하는 descend에서 신호강도가 높았다. 본 연구에서는 각 실험 조건에 따라서 관류신호 강도가 크게 변화를 하는 것을 보여 주었고, 따라서 실제 환자를 대상으로 관류 영상을 얻고자 할 경우에는 실제 임상 적용 전에 최적화된 프로토콜을 만든 후에 사용을 해야 할 것으로 생각한다. 특히 백질의 뇌 관류영상을 얻는 것은 아직 문제가 있는 것으로 생각이 된다.