• Title/Summary/Keyword: clinical MR

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Development of MR Compatible Coaxial-slot Antenna for Microwave Hyperthermia (초고주파 가열치료를 위한 MR 호환 동축 슬롯 안테나의 개발)

  • Kim, T.H.;Chun, S.I.;Han, Y.H.;Kim, D.H.;Mun, C.W.
    • Journal of Biomedical Engineering Research
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    • v.30 no.4
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    • pp.333-340
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    • 2009
  • MR compatible coaxial-slot antenna for microwave hyperthermia was developed while its structure and size of each part were determined by computer simulation using finite element method(FEM). Its local heating performance was evaluated using tissue-mimic phantom and swine muscles. 2% agarose gel mixed with 6mM/$\ell$ $MnCl_2$ as a biological tissue-mimic phantom was heated by the proposed antenna driven by a 2.45GHz microwave generator. The temperature changes of the phantom were monitored using multi-channel digital thermometer at the distance of 0mm, 5mm, 10mm and 20mm from the tip center of the antenna. Also muscle tissue of swine was heated for 2 and 5minutes with 50W and 30W of microwave generator powers, respectively, to evaluate the local heating performance of the antenna. MRI compatibility was also verified by acquiring MR images and MR temperature map. MR signals were acquired from the agarose gel phantom using $T2^*$ GRE sequence with 1.5T clinical MRI scanner(Signa Echospeed, GE, Milwaukee, WI, U.S.A.) at Pusan Paik Hospital and were transferred to PC in order to reconstruct MR images and temperature map using proton resonance frequency(PRF) method and laboratory-developed phase unwrapping algorithm. Authors found that it has no severe distortion due to the antenna inserted into the phantom. Finally, we can conclude that the suggested coaxial-slot antenna has an excellent local heating performance for both of tissue-mimic phantom and swine muscle, and it is compatible to 1.5T MRI scanner.

Assessment of Malignancy in Brain Tumors by 3T MR Spectroscopy

  • 최보영;전신수;이재문;정성택;안창범;오창현;김선일;이형구;서태석
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2003.09a
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    • pp.76-76
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    • 2003
  • Purpose: To assess clinical proton MR spectroscopy (MRS) as a noninvasive method for evaluating tumor malignancy at 3T high field system. Methods: Using 3T MRI/MRS system, localized water-suppressed single-voxel technique in patients with brain tumors was employed to evaluate spectra with peaks of N-acetyl aspartate (NAA), choline-containing compounds (Cho), creatine/phosphocreatine (Cr) and lactate. On the basis of Cr, these peak areas were quantificated as a relative ratio. Results: The variation of metabolites measurements of the designated region in 10 normal volunteers was less than 10%. Normal ranges of NAA/Cr and Cho/Cr ratios were 1.67$\pm$018 and 1.16:1:0.15, respectively. NAA/Cr ratio of all tumor tissues was significantly lower than that of the normal tissues (P=0.005). Cho/Cr ratio of high-grade gliomas was significantly higher than that of low-grade gliomas (P= 0.001), Except 4 menigiomas, lactate signal was observed in all tumor cases. Conclusions: The present study demonstrated that the neuronal degradation or loss was observed in all tumor tissues. Higher grade of brain tumors was correlated with higher Cho/Cr ratio, indicating a significant dependence of Cho levels on malignancy of gliomas. This results suggest that clinical proton MR spectroscopy could be useful to predict tumor malignancy. Acknowledgement: This study was supported by a grant of the Mid and Long Term Nuclear R/D Plan Program, Ministry of Science and Technology, Republic of Korea.

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Representation Techniques for 4-Dimensional MR Images

  • Homma, Kazuhiro;Takenaka, Kenji;Nakai, Yoshihiko;Hirose, Takeshi
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2002.09a
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    • pp.429-431
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    • 2002
  • Metabolic analysis of biological tissues, the interventional radiology in MRT (Magnetic Resonance Treatment) and for clinical diagnoses, representation of 4-Dimensional (4D) structural information (x,y,z,t) of biological tissues is required. This paper discusses image representation techniques for those 4D MR Images. We have proposed an image reconstruction method for ultra-fast 3D MRI. It is based on image interpolation and prediction of un-acquired pictorial data in both of the real and the k-space (the acquisition domain in MRI). A 4D MR image is reconstructed from only two 3D MR images and acquired a few echo signals that are optimized by prediction of the tissue motion. This prediction can be done by the phase of acquired echo signal is proportioned to the tissue motion. On the other hand, reconstructed 4D MR images are represented as a 3D-movie by using computer graphics techniques. Rendered tissue surfaces and/or ROIs are displayed on a CRT monitor. It is represented in an arbitrary plane and/or rendered surface with their motion. As examples of the proposed representation techniques, the finger and the lung motion of healthy volunteers are demonstrated.

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MR Imaging of Internuclear Ophthalmoplegia due to Cerebrovascular Diseases (뇌졸중에 의한 핵간 안운동 마비 6례 : 자기공명영상 소견을 중심으로)

  • Kim, Suk-Hee;Lee, Young-Ki;Hah, Jung-Sang;Byun, Young-Ju;Park, Choong-Suh;Kim, Sun-Yong
    • Journal of Yeungnam Medical Science
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    • v.8 no.1
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    • pp.220-230
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    • 1991
  • Internuclear ophthalmoplegia is a conjugated gaze disorder characterized by impaired adduction on the side of a lesion involving the medial longitudinal fasciculus with dissociated nystagmus of the other abducting eye. Six patients with INO(who had clinical cerebrovascular diseases) underwent MR imaging and the results were as follows : 1. The MLF lesions were identified by MR imaging in 5 cases 2. The ratio of unilateral INO to bilateral INO was 5:1 3. The nature of lesions was infarction in 4 cases and hemorrhage in 1 case 4. The sites of MLF lesion were in the midbrain in 4 cases and in the pons in 1 case 5. All 5 cases of INO identified by MR imaging had other lesion sites in addition to MLF lesion.

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Late Onset Postpartum Seizure and Magnetic Resonance Image Findings

  • Hwang, Sung-Nam;Park, Jae-Sung;Park, Seung-Won
    • Journal of Korean Neurosurgical Society
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    • v.37 no.6
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    • pp.453-455
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    • 2005
  • Two young women were brought to the Emergency room with generalized tonic and clonic seizures. Seizure developed seven and ten days after delivery respectively without the clinical signs of pre-eclampsia throughout the pregnancies. Magnetic resonance(MR) image of the brain showed characteristically symmetrical abnormal signals in the parietal and occipital regions. After several days of medical treatment, they were discharged without neurologic sequelae and follow-up MR images taken three months after discharge showed complete disappearance of the previous abnormal signals.

Assessment of Malignancy in Brain Tumors by 3T MR Spectroscopy

  • 최보영;전신수;김범수;이재문;정성택;안창범;오창현;김선일;이형구
    • Proceedings of the KSMRM Conference
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    • 2003.10a
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    • pp.84-84
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    • 2003
  • Purpose: To assess clinical proton MR spectroscopy (MRS) as a noninvasive method for evaluating tumor malignancy at 3T high field system. Materials and methods: Using 3T MRI/MRS system, localized water-suppressed single-voxel technique in patients with brain tumors was employed to evaluate spectra with peaks of N-acetyl aspartate (NAA), choline-containing compounds (Cho), creatine/phosphocreatine (Cr) and lactate. On the basis of Cr, these peak areas were quantificated as a relative ratio.

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CONTRAST-ENHANCED MR ANGIOGRAPHY : PRINCIPLES, IMPLEMENTATION, AND APPLICATIONS

  • Riederer, Stephen J.
    • Proceedings of the KSMRM Conference
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    • 2002.11a
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    • pp.117-122
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    • 2002
  • Contrast-enhanced MR angiography has become a widely used method useful for clinical diagnosis. Early studies identified a number of technical issues, and many of these have been addressed with various MRI physics innovations over the last several years. The quality of the results is high enough that CE MRA is replacing conventional x-ray angiography methods at many institutions. Ongoing research is expected to provide further improvements in performance, most notably in additional reductions in examination time, in time-resolved 3D imaging, and in improved imaging of the peripheral vasculature with extended fields of view.

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Sacral Meningeal Cyst Detected during Caudal Epidural Block (미추 경막외차단 도중 발견된 천추 수막낭 -증례 보고-)

  • Kang, Mi-Suk;Lim, Young-Jin;Lee, Sang-Chul
    • The Korean Journal of Pain
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    • v.12 no.2
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    • pp.258-262
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    • 1999
  • Sacral meningeal cyst is usually asymtomatic, but may be responsible for sciatic pain syndromes and other clinical symptoms. Sacral meningeal cyst might be suspected when definite explanation for the clinical symptom, such as herniation of the intervertebral disc or spinal stenosis is not found. Plain films and CT may suggest the presence of sacral meningeal cyst, but MR is the current imaging study of choice. Evaluation of the correlation between the symptom and the cyst is as important as detection of it. We have experienced a case of sacral meningeal cyst detected during caudal epidural block. The patient complained of low back pain radiating to thigh. Plain films and lumbar spine CT showed no remarkable finding except disc bulging. During caudal epidural needle insertion, there was leakage of clear CSF, and intrasacral cystic shadow was visualized by dye injection. MR confirmed sacral meningeal cyst.

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Interpretation of MR Imaging of Spinal Metastasis: Focus on the Understanding of Its Pathophysiology and the Next Step toward a Further Clinical Approach Using MRI Findings

  • Lee, Kyung Ryeol
    • Investigative Magnetic Resonance Imaging
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    • v.20 no.1
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    • pp.1-8
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    • 2016
  • The spine is the most common location for skeletal metastases, and the incidence of spinal metastasis shows an increasing tendency. Because metastatic spinal tumors progress from an anterior element to a posterior element resulting in continuing destruction of the pedicles, epidural extension and involvement of neural structures of the metastatic tumor are eventually visible. Therefore, it is clinically significant for radiologists to understand the pathophysiology of spinal metastasis and to assess the involvement of neural structures and the disintegration of spinal instability related to the pathophysiology. As MRI is also the best imaging modality for diagnosing spinal metastasis, radiologists should accurately assess spinal metastasis and provide practical information to physicians. Therefore, we will describe some analysis points focusing on the understanding of pathophysiology of spinal metastasis and the next step toward a more extensive clinical approach using MR imaging.

A Study on the Residual Astigmatism Appeared after Operating ICL Lens (ICL 렌즈 시술 후 나타나는 잔류난시에 대한 연구)

  • Kim, Dook-Hoon;Lee, Dong-Hee
    • Journal of Korean Ophthalmic Optics Society
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    • v.13 no.4
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    • pp.155-160
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    • 2008
  • Purpose: To develop a program for analyzing the condition of implanted ICL lenses in case the residual astigmatism appears after the implantation. Methods: From analyzing the measured residual astigmatism after operating ICL lens, we could induce formulas that produce the rotating angle and the corresponding MR prescription of the implanted ICL lens. Using the Delphi 6.0 language, we could develop a program by which we conveniently confirm, in the window screen visually, the rotating angle and the corresponding MR prescription of the implanted ICL lens calculated by these formulas. Results: We induced formulas that produce the rotating angle and the corresponding MR prescription of the implanted ICL lens by analyzing the measured residual astigmatism after operating ICL lens and developed a program which can analyze the condition of the implanted ICL lens. By this program we could easily analyze the condition of the implanted ICL lens. Conclusions: Judging from the results of applying this program to many clinical cases, we could conclude that this program is very effective in analyzing the condition of implanted ICL lenses.

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