• 한국임상수의학회지
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• 제37권6호
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• pp.317-323
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• 2020

The aims of this study were to describe the appearance and size of the normal canine prostate using magnetic resonance (MR) imaging and to calculate the apparent diffusion coefficient (ADC) values. MR images were obtained from seven intact male beagle dogs using a 1.5 T MR unit. The sequences included pre- and post-contrast T1- and T2-weighted imaging with and without fat saturation. The signal intensity of the prostate was compared with the adjacent musculature, fat, and urine in the urinary bladder. We recorded the mean prostatic length, width, and height and the length of the sixth lumbar vertebral body (L6). In addition, the prostatic length (rL), width (rW), and height (rH) ratios to L6 were calculated. Diffusion-weighted images of the prostate were obtained and ADC values were calculated. The prostate was bilobed and oval-shaped, homogenous on T1-weighted images, and heterogeneous with radiating lines on T2-weighted images. Post-contrast T1-weighted sequences showed contrast enhancement of the central and radiating striations. The prostatic capsule was clearly identified on post-contrast T1-weighted images with fat saturation. The ADC values were 1.72-2.04 × 10-3mm2/sec (mean, 1.88 × 10-3mm2/sec). Knowledge of the normal appearance of the prostate on MR images is essential to assess prostatic diseases in dogs.

• Journal of Korean Neurosurgical Society
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• 제50권4호
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• pp.388-391
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• 2011

A lesion that is hyperintense on diffusion-weighted imaging (DWI) and hypointense on the apparent diffusion coefficient (ADC) map is a characteristic magnetic resonance imaging (MRI) finding in acute ischemic infarction. In some cases, however, these findings can persist for a few months after infarct onset. It is thought that these finding reflect the different evolution speeds of the infarcted tissue. We report a patient with a right middle cerebral artery territory infarction with persistent hyperintensity on DWI and hypointensity on the ADC map for over 8 months. To our knowledge, this is the most persistent case of hyperintensity lesion on DWI and the serial MRI images of this patient provide important information on the evolution of infarcted tissue.

• Investigative Magnetic Resonance Imaging
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• 제23권3호
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• pp.270-275
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• 2019

This study presents a case of diffuse large B cell lymphoma (DLBCL) in a 58-year-old man showing unusual manifestations mimicking chronic osteomyelitis. In this case review, we describe the imaging findings of DLBCL which mimics chronic osteomyelitis and review existing reports regarding the differential diagnosis of bone involvement of lymphoma and osteomyelitis through imaging and laboratory findings and diffusion-weighted magnetic resonance imaging (DWI) such as the advanced MRI sequence.

• Investigative Magnetic Resonance Imaging
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• 제25권1호
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• pp.23-34
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• 2021

Purpose: Differentiating between glioblastoma and solitary metastasis is very important for the planning of further workup and treatment. We assessed the ability of various morphological parameters using conventional MRI and diffusion-based techniques to distinguish between glioblastomas and solitary metastases in tumoral and peritumoral regions. Materials and Methods: We included 38 patients with solitary brain tumors (21 glioblastomas, 17 solitary metastases). To find out if there were differences in the morphologic parameters of enhancing tumors, we analyzed their shape, margins, and enhancement patterns on postcontrast T1-weighted images. During analyses of peritumoral regions, we assessed the extent of peritumoral non-enhancing lesion on T2- and postcontrast T1-weighted images. We also aimed to detect peritumoral neoplastic cell infiltration by visual assessment of T2-weighted and diffusion-based images, including DWI, ADC maps, and exponential DWI, and evaluated which sequence depicted peritumoral neoplastic cell infiltration most clearly. Results: The shapes, margins, and enhancement patterns of tumors all significantly differentiated glioblastomas from metastases. Glioblastomas had an irregular shape, ill-defined margins, and a heterogeneous enhancement pattern; on the other hand, metastases had an ovoid or round shape, well-defined margins, and homogeneous enhancement. Metastases had significantly more extensive peritumoral T2 high signal intensity than glioblastomas had. In visual assessment of peritumoral neoplastic cell infiltration using T2-weighted and diffusion-based images, all sequences differed significantly between the two groups. Exponential DWI had the highest sensitivity for the diagnosis of both glioblastoma (100%) and metastasis (70.6%). A combination of exponential DWI and ADC maps was optimal for the depiction of peritumoral neoplastic cell infiltration in glioblastoma. Conclusion: In the differentiation of glioblastoma from solitary metastatic lesions, visual morphologic assessment of tumoral and peritumoral regions using conventional MRI and diffusion-based techniques can also offer diagnostic information.

• 대한의생명과학회지
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• 제10권4호
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• pp.367-373
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• 2004

Evaluated the hyperacute embolic effects of triolein and oleic acid in cat brains by using MR image and electron microscopy. In fat embolism, free fatty acid is more toxic than neutral fat in terms of tissue damage. T2-Weighted imaging, diffusion-weighted imaging, and contrast-enhanced T1-weighted imaging were performed in cat brains after the injection of triolein (group 1, n=8) or oleic acid (group 2, n=10) into the internal carotid artery. MR image were quantitatively assessed by comparing the lesions with their counterparts on T2-weighted images, apparent diffusion coefficient (ADC) maps, and contrast-enhanced T1-weighted images. Electron microscopic findings in group 1 were compared with those in group 2. Qualitatively, MR images revealed two types of lesions. Type 1 lesions were hyperintense on diffusion-weighted images and hypointense of ADC maps. Type 2 lesions were isointense or mildly hyperintense on diffusion-weighted images and isointense on ADC maps. Quantitatively, the signal intensity rations of type 1 lesions in group 2 specimens were significantly higher on T2-weighted images (P=.013)/(P=.027) and lower on ADC maps compared with those of group 1. Electron microscopy of type 1 lesions in both groups revealed more prominent widening of the perivascular space and swelling of the neural cells in groups 1. MR and electron microscopic data on cerebral fat embolism induced by either triolein or oleic acid revealed characteristics suggestive of both vasogenic and cytotoxic edema in the hyperacute stage. Tissue damage appeared more severe in the oleic acid group than in the triolein group.

• Investigative Magnetic Resonance Imaging
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• 제20권2호
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• pp.88-94
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• 2016

Purpose: Fluid-attenuated inversion recovery (FLAIR) imaging can be obtained faster with shorter repletion time (TR), but it gets noisier. We hypothesized that shorter-TR FLAIR obtained at 3 tesla (3T) with a 32-channel coil may be comparable to conventional FLAIR. The aim of this study was to compare the diagnostic value between conventional FLAIR (TR = 9000 ms, FLAIR9000) and shorter-TR FLAIR (TR = 6000 ms, FLAIR6000) at 3T in terms of diffusion-weighted imaging-FLAIR mismatch. Materials and Methods: We recruited 184 patients with acute ischemic stroke (28 patients < 4.5 hours) who had undergone 5-mm diffusion-weighted imaging (DWI) and two successive 5-mm FLAIR images (no gap; in-plane resolution, $0.9{\times}0.9mm$) at 3T with a 32-channel coil. The acquisition times for FLAIR9000 and FLAIR6000 were 108 seconds (generalized autocalibrating partially parallel acquisitions [GRAPPA] = 2) and 60 seconds (GRAPPA = 3), respectively. Two radiologists independently assessed the paired imaging sets (DWI-FLAIR9000 and DWI-FLAIR6000) for the presence of matched hyperintense lesions on each FLAIR imaging. The signal intensity ratios (area of DWI lesion to contralateral normal-appearing region) on both FLAIR imaging sets were compared. Results: DWI-FLAIR9000 mismatch was present in 39 of 184 (21.2%) patients, which was perfectly the same on FLAIR6000. Three of 145 patients (2%) with DWI-matched lesions on FLAIR9000 had discrepancy on FLAIR6000, showing no significant difference (P > 0.05). Interobserver agreement was excellent for both DWI-FLAIR9000 and DWI-FLAIR6000 (k = 0.904 and 0.883, respectively). Between the two FLAIR imaging sets, there was no significant difference of signal intensity ratio (mean, standard deviation; $1.25{\pm}0.20$; $1.24{\pm}0.20$, respectively) (P > 0.05). Conclusion: For the determination of mismatch or match between DWI and FLAIR imaging, there is no significant difference between FLAIR9000 and FLAIR6000 at 3T with a 32-channel coil.

• Journal of Yeungnam Medical Science
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• 제18권1호
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• pp.30-38
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• 2001

본 연구는 골 전이암에 대한 치료에 통상적으로 이용되는 방사선치료 후 치료반응을 객관적으로 평가하는 데 필요한 새로운 영상진단 방법의 적용 가능성을 확인하기 위하여 시행되었다. 척추에 혈행성 전이를 일으킨 21명의 환자를 대상으로 방사선치료 전 후에 확산 강조 자기공명 영상을 시행한 10명의 환자에서 방사선치료 전 후에 골수 조직의 신호 강도의 변화가 현저하였으므로 기존의 진단방법인 단순 X-선 촬영, 방사성 동위원소 골 주사, 전산화 단층 촬영 및 스핀 에코 자기공명 영상진단을 보완할 수 있다는 가능성을 확인하였다. 그렇지만 대상 환자의 숫자가 적고 추적기간이 짧기 때문에 이 촬영기법이 척추에 혈행성 골 정기가 의심되는 환자에서 기본적인 검사방법으로 자리잡기 위해서는 더 많은 화자를 대상으로 가능한 병리조직학적 검사를 병행하여 장기간에 걸쳐 전향적인 검토가 필요하다고 생각되었다.

• 방사선산업학회지
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• 제10권4호
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• pp.227-230
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• 2016

DWI of biological effects are independent of magnetic field strength in various regions. High field strength, however, does affect the signal to noise ratio (SNR) and artifacts of diffusion weighted imaging (DWI) images, which ultimately will influence the quantitative of diffusion imaging. In this study, the effects of field strength on DWI are reviewed. The effects of the diseases also are discussed. Comparing DWI in cerebellum, WM, GM, Hyperacute region measurements both as a function of field strength (1.5T and 3.0T). Overall, the SNR of the DWI roughly doubled going from 1.5 T to 3.0 T. In summary, DWI studies at 3.0 T is provided significantly improved DWI measurements relative to studies at 1.5T.

• Annals of Clinical Neurophysiology
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• 제21권2호
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• pp.102-104
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• 2019

Transient global amnesia is a syndrome of temporary loss of short-term memory and is not accompanied by any other neurological deficit. Diffusion-weighted imaging is useful to improve the diagnostic accuracy of transient global amnesia. We report a 68-year-old woman with multiple lesions on diffusion-weighted imaging in the right corpus callosum and left hippocampus. To the best of our knowledge, this is the first case of a diffusion-weighted imaging lesion in the body portion of the corpus callosum.

• 한국방사선학회논문지
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• 제2권2호
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• pp.31-38
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• 2008

0.32 T 자기공명영상시스템에서 선주사영상기법(line scan imaging)을 이용한 확산강조영상(diffusion weighted imaging; DWI) 펄스열(pulse sequence)을 개발하였다. 선주사영상은 단면선택 경사자장과 함께 90도 펄스를 가하여 단면을 선택한 후 y 방향으로 경사자장을 가한 후 180도 라디오파 펄스를 가하여 단면영상의 y-방향 픽셀크기와 같은 너비의 x축에 평행한 띠를 따라 에코가 발생하게 한 뒤 x-방향으로 주파수부호화해서 1차원 k-공간 데이터를 획득하며 이를 1차원 푸리에변환하여 영상을 재구성하였다. 또한 선주사확산강조영상(line scan diffusion weighted image)을 위해서 한 쌍의 사다리꼴모양의 경사자장을 선주사영상기법의 180도 펄스 전후에 대칭으로 배치하였으며 사용된 확산경사자장기울기의 최대값은 G = 15 mT/m 이었고 최대 b 값은 $301.50s/mm^2$이었다. 본 연구에서 개발된 선주사확산강조펄스열을 이용하여 0.32 T 자기공명영상 장비에서 트리아실글리세롤 팬텀(triacylglycerol, TAG) 및 염화나트륨 수용액 (NaCl = 0.1w/v%) 팬텀 영상을 획득하였다. 또한 1.5 T 자기공명영상시스템에서 단일여기에코평면영상화(single shot echo planar imaging)로 동일한 팬텀의 확산강조영상을 구하였다. 선주사확산강조영상은 가장 널리 이용되고 있는 에코평면영상을 이용한 확산강조영상과 비교하여 자화율차이에 의한 영상왜곡이나 화학이동에 의한 허상들이 없음을 확인하였다. 특히 선주사확산강조영상에서 측정한 염화나트륨 수용액 팬텀의 확산계수($963.90{\pm}79.83{\times}10^{-6}mm^2/s$)는 1.5 T에서 계산된 확산계수($956.77{\pm}4.12{\times}10^{-6}mm^2/s$)와 오차범위 내에서 일치하였다.