• Title/Summary/Keyword: MRI

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Diagnostic Performance of Breast MRI in the Evaluation of Contralateral Breast in Patients with Diagnosed Breast Cancer

  • Saeed, Shaista Afzal;Masroor, Imrana;Beg, Madiha;Idrees, Romana
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.17
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    • pp.7607-7612
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    • 2015
  • Aims: The purpose of our study was to evaluate the diagnostic performance of breast magnetic resonance imaging (MRI) in the evaluation of contralateral breast in patients with diagnosed breast cancer. A secondary objective was to determine accuracy of breast MRI in diagnosing multi-focal and multicentric lesions in the ipsilateral breast. Materials and Methods: Using a non-probability convenience sampling technique, patients with histopathologically diagnosed breast cancer with MRI of breast performed to exclude additional lesions were included. MRI findings were correlated with histopathology. In addition, follow-up imaging with mammography and ultrasound was also assessed for establishing stability of negative findings and for the detected of benign lesions. Results: Out of 157 MRI breast conducted during the period of 2008 to 2013, 49 were performed for patients with diagnosed breast cancer. The sample comprised of all females with mean age $50.7{\pm}11.0years$. The patient follow-up imaging was available for a period of 2-5 years. The sensitivity, specificity, and positive and negative predictive values of MRI in the detection of multifocal/multicenteric lesions was 85.7%, 88.8%, 60% and 96.6% respectively and for the detection of lesions in the contralateral breast were 100%, 97%, 83.3% and 100% respectively. Conclusions: Our study highlights the diagnostic performance and the added value of MRI in the detection of multifocal/multicenteric and contralateral malignant lesions. In patients with diagnosed breast cancer having dense breast parenchyma and with infiltrating lobular carcinoma as the index lesion MRI is particularly useful with excellent negative predictive value in the exclusion of additional malignant foci in the ipsilateral and contralateral breasts.

Use of magnetic resonance imaging for evaluation of therapeutic response in breast cancer-related lymphedema: A systematic review

  • Forte, Antonio Jorge;Boczar, Daniel;Kassis, Salam;Huayllani, Maria T.;McLaughlin, Sarah A.
    • Archives of Plastic Surgery
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    • v.47 no.4
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    • pp.305-309
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    • 2020
  • Breast cancer treatment-related lymphedema (BCRL) is a common comorbidity in breast cancer survivors. Although magnetic resonance imaging (MRI) is widely used to evaluate therapeutic response of patients with various medical conditions, it is not routinely used to evaluate lymphedema patients. We conducted a systematic review of the literature to identify studies on the use of MRI to evaluate therapy for BCRL. We hypothesized that MRI could provide information otherwise not possible through other examinations. On October 21, 2019, we conducted a systematic review on the PubMed/MEDLINE and Scopus databases, without time frame or language limitations, to identify studies on the use of MRI to evaluate therapy for BCRL. We excluded studies that investigated other applications of MRI, such as lymphedema diagnosis and surgical planning. Of 63 potential articles identified with the search, three case series fulfilled the eligibility criteria. In total, 53 patients with BCRL were included and quantitatively evaluated with MRI before and after manual lymphatic drainage. Authors used MRI or MR lymphagiography to investigate factors such as lymphatic vessel cross-sectional area, tissue water relaxation time (T2), and chemical exchange saturation transfer. The only study that compared MRI measurement with standard examinations reported that MRI added information to the therapy evaluation. MRI seems to be a promising tool for quantitative measurement of therapeutic response in patients with BCRL. However, the identified studies focused on only manual lymphatic drainage and were limited by the small numbers of patients. More studies are necessary to shed light on the topic.

Experimental Study of Chemical Shift Artifacts at 1.5T and 3.0T MRI using Gradient Echo Pulse Sequence (GE 펄스시퀀스을 이용한 1.5T와 3.0T MRI의 화학적 이동 인공물의 실험적 연구)

  • Cheol, Kweon Dae
    • Journal of the Korean Society of Radiology
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    • v.10 no.7
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    • pp.531-537
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    • 2016
  • An experimental study was to use the parameter to determine the MRI artifact of chemical shift that occurs in water and fats. Scanning the image according to the encoding parameter and the bandwidth and change in 1.5T and 3.0T MRI to the SNR, we compared the CNR. In the image was confirmed that the occurrence of artefacts in the chemical shift of the water and oil. 3.0T more image artifacts in the 1.5T was confirmed that the relatively reduced. The width of the bandwidth it could be confirmed that according to the honeycombs artifacts decrease. Therefore, in order to reduce the artifacts in the MRI scan of the chemical shift runners weak field strength, is thought to be appropriate to widen the width of the bandwidth.

Clinical Study on Gadolinium-DPTA enhanced MRI of Bell's palsy (구안와사(口眼喎斜) 환자(患者)의 Gadolinium-DPTA enhanced MRI 소견(所見)에 대한 임상적(臨床的) 고찰(考察))

  • Kim, Jae-Soo;Choi, Woo-Suk;Kim, Yong-Suk;Koh, Hyung-Kyun;Kang, Sung-Keel;Kim, Chang-Hwan
    • Journal of Acupuncture Research
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    • v.17 no.3
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    • pp.87-98
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    • 2000
  • This study is designed to evaluate the clinical implications of Gd-DPTA (Gadolinium-diethyl enetriamine pentacetic acid) enhanced MRI(Magnetic resonance imaging) in Bell's palsy and find it's usefulness in Oriental Medicine In this study, 25 outparients with Bell's palsy were studied that MRI was performed. To evaluate degree of facial palsy, H-B(House-Brackmann) Grade was used. In Oriental Medical therapy, Acupuncture and Herbal medicine were treated. Subjective cause was divided into exposure to chill, fatigue, stress, mixed cases. Enhanced site was compared with symptoms which were disorder of eye, hearing, taste, and facial muscle palsy. Also, Relation between time which was performed MRI and enhancement was analyzed. The enhanced lesion in MRI was divided into five segments; Internal audiitory canal, Labyrinthine segment, Geniculate ganglion, Tympanic segment, Mastoid segment. In Bell's palsy, 20 of 25 patients(80%) had abnormal contrast enhancement of the facial nerve. The H-B grade and interval performed MRI from onset were directly proportionate to enhancement. That is to say, Severe facial palsy short interval show high possibility of enhancement. There was no relation between subjective causes and enhanced site of facial nerve in MRI. Also Clinical symptoms didn't coincide with MRI findings.

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A Study on Abdomen MRI Scan Using Metronome (메트로놈을 이용한 복부 MRI 검사에 대한 연구)

  • Park, Ho-Sung;Kim, Jae-Seok
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.24 no.9
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    • pp.1138-1143
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    • 2020
  • MRI scans in the abdominal area are difficult to achieve optimal images due to artificial respiration. Among 45 patients (male:female = 30:15) who underwent abdominal MRI examination, a metronome-based examination method was studied for patients whose breathing is difficult and difficult to examine. The images examined without using a metronome were divided into group A, and the images examined using a metronome were divided into group B. Image quality improvement (30%) and inspection time (approximately 50 seconds) were reduced in images using metronome. During abdominal magnetic resonance imaging (ABD MRI), the images examined using a metronome had differences in quality and examination time compared to the unused images. It is more effective to use a metronome brace that controls the patient's respiratory rate during abdominal magnetic resonance imaging under respiratory induction in patients with difficulty in respiratory-gated.

Mucoid Degeneration of Anterior Cruciate Ligament: Correlation between MR Imaging and Pathologic Findings in Patients with Osteoarthritis of the Knee (앞십자 인대의 점액 변성: 슬관절 퇴행성 관절염 환자에서 MRI 소견과 병리소견의 연관)

  • Ryu, Jeong-Ah;Liew, Hyun-Jeong;Kim, Sung-Moon;Shin, Myung-Jin;Shin, Hee-Jung;Cho, Kyung-Ja;Cho, Woo-Shin;Kang, Chang-Ho;Lee, Min-Hee;Kim, Mi-Sung;Park, Noh-Hyuck;Lee, Sang-Hoon
    • Investigative Magnetic Resonance Imaging
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    • v.11 no.1
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    • pp.27-32
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    • 2007
  • Purpose : To evaluate the mucoid degeneration (MD) of the anterior cruciate ligament (ACL) of the knee by correlation of MRI findings with pathology, in the patients with osteoarthritis (OA). Materials and Methods : This study included 17 patients (mean 68.8 years old) who underwent preoperative MRI. In proton density-weighted sagittal and coronal images ACLs were evaluated for the thickness and signal intensity (SI). Total knee replacement arthroplasty was performed and the pathologic findings of ACL were evaluated. MD was classified as 3 grades according to the degenerated amount in microscopy. Thickness and SI was evaluated as normal or increased on MRI. Results : All of the 4 patients who showed thickened ACL showed increased SI on MRI. All of the 8 patients with increased SI of the ACL on MRI had MD in the ACL. However, remained 9 patients also had MD, in spite of their normal thickness and SI on MRI. Calcification was seen in 5 patients. Conclusion : Eight cases who showed ACL thickening or increased SI on MRI were well correlated with MD, however, because the other nine cases who showed normal thickness and normal SI of ACL on MRI also showed MD in pathology, normal MRI finding should not exclude the possibility of MD of ACL.

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Gradient Noise Reduction in EEG Acquired During MRI Scan (MRI와 동시 측정한 뇌전도 신호에서 경사자계 유발잡음의 제거)

  • Lee H.R.;Lee H.N.;Han J.Y.;Park T.S.;Lee S.Y.
    • Investigative Magnetic Resonance Imaging
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    • v.8 no.1
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    • pp.1-8
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    • 2004
  • Purpose : Information about electrical activity inside the brain during fMRl scans is very useful in monitoring physiological function of the patient or locating the spatial position of the activated region in the brain. However, many additional noises appear in the EEG signal acquired during the MRI scan. Gradient induced noise is the biggest one among the noises. In this work, we propose a gradient noise reduction method using the independent component analysis (ICA) method. Materials and Methods : We used a 29-channel MR-compatible EEG measurement system and a 3.0 Tesla MRI system. We measured EEG signals on a subject lying inside the magnet during EPI scans. We selectively removed the gradient noise from the measured EEG signal using the ICA method. We compared the results with the ones obtained with conventional averaging method and PCA method. Results : All the noise reduction methods including the averaging and PCA methods were effective in removing the noise in some extent. However, the proposed ICA method was found to be superior to the other methods. Conclusion : Gradient noise in EEG signals acquired during fMRI scans can be effectively reduced by the ICA method. The noise-reduced EEG signal can be used in fMRI studies of epileptic patients or combinatory studies of fMRI and EEG.

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The effectiveness of MRI evaluation after anterior cruciate ligament reconstruction using hamstring tendon autograft (자가 슬괵건을 이용한 전방십자인대 재건술 후 결과 판정에 있어 MRI 검사의 유용성)

  • Kim, Jin-Goo;Kim, Young-Woo;Lee, Soo-Won;Shim, Jae-Chan;Oh, Soo-Jin
    • Journal of the Korean Arthroscopy Society
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    • v.12 no.1
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    • pp.32-39
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    • 2008
  • Purpose: To evaluate the effectiveness of MRI after ACL reconstruction with femoral tunnel at 10 o'clock position. Materials and Methods: MRI findings of 29 patients after ACL reconstruction using hamstring tendon autograft were evaluated. The mean period from operation to MRI was 18.9 months($7{\sim}40$ months). Signal intensity, morphology and continuity of graft, femoral insertion, graft angle, roof impingement, cross pin breakage and position were evaluated. Those findings were compared with KT-2000, Lysholm knee score and pivot shift test. Results: There was no significant correlation between signal intensity of graft and the duration to MRI. Most common pattern of the morphology was straight, and the continuity was well-preserved. 13 cases of femoral tunnel insertion were zone 4 and 16 were zone 3. There were no roof impingement. 10 cases showed cross pin breakages, of which 5 were found at the outside of distal femoral posterior cortex. 9 showed cross pin directed posteriorly in axial view. There was no significant correlation between clinical results and cross pin breakage. Conclusion: MRI examinations after ACL reconstructions are useful to evaluate the graft status, position of the graft and cross pins. Since the direction of the cross pin is important especially in 10 o'clock femoral position, care should be taken to avoid cross pin breakage.

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Comparative Study between MRI and pain, duration, physical examination in 20 patients with knee joint pain (20례 슬통환자의 통증, 이환기간, 물리적 검사법과 MRI소견과의 비교 고찰)

  • Yang, Myung-bok;Jang, Byung-sun;Lee, Dae-yong;Lee, Seung-hoon;Hwang, Byung-chun;Park, Jung-un;Guk, Ui-suk;Lee, Geon-mok
    • Journal of Acupuncture Research
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    • v.19 no.6
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    • pp.221-233
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    • 2002
  • Background and Purpose : MRI(Magnetic Resonance Imaging) has become one of the most sensitive diagnostic tool no evaluate problems of the knee, because it enables us to identify not only osseous tissue but also soft tissues including muscle, fascia, tendon, ligament, meniscus and fat around the knee joint. Objective : To compare between MRI reading and pain, duration, physical examination in patients with pain of knee joint. Methods : 20 patients with pain of knee joint included in this study. This study researched pain-degree, duration, physical examination with pain of knee joint. Using MRI(Horizon Lx 1.0T-GE), we obtained the results. Results : 1. In the distribution of sex; Female rate was 80.0% and male rate was 20.0%. In the distribution of age, above sixty group was the largest group by each 55.0%. 2. In the distribution of MRI reading; 'Meniscus horm tear' was 70.0%, 'Osteoarthritis' was 55.5%, 'ACL partial tear' was 15.0%, 'Bone bruise at tibia, femur' was 15.0%. 3. Correlation between duration of pain and MRI reading showed that acute and subacute stage related various MRI reading, that chronic stage related 'Osteoarthritis' and 'Meniscus horn tear' by each 69.2%, 92.3%. 4. Correlation between pain and MRI reading showed that severe pain(GVI) related 'ACL partial tear, PCL partial tear' by each 100%, that mild pain(GII) related 'Osteoarthritis, Meniscus horn tear' by each 70.0%, 80.0%. 5. Correlation between physical examination and MRI reading showed that Drawer test related ACL partial tear by each 60.0%, that McMurray test related 'Meniscus horn tear' by each 75.0%. 6. Correlation between effect of treatment and MRI reading showed that 'Osteoarthritis, Meniscus horn tear' related good effect, that ACL partial tear related poor effect. Conclusions : These results suggest that acute and sever pain relate 'ACL partial tear, PCL partial tear', that chronic and mild pain related 'Osteoarthritis, Meniscus horn tear'. So it is responsibility to use MRI as a sensitive diagnostic tool in the knee problems.

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Cancellation of Motion Artifact in MRI (MRI에 있어서 체동 아티팩트의 제거)

  • 김응규
    • Proceedings of the IEEK Conference
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    • 1998.10a
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    • pp.899-902
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    • 1998
  • 임상진단에 있어서 종종 문제가 되고 있는 호흡에 따른 두뇌부분의 가상적인 상하이동을 고려해서 위상 엔코드 축인 Y 방향만의 강체의 평행이동을 취급한다. 종래의 발견적인 축차 근사 반복처리에 의한 제거방법과는 달리, 본 연구에서는 MRI 촬상과정과 화상특성의 해석에 근거한 MRI 신호중의 체동성분과 화상성분을 단순한 대수연산에 의해 분리할 수 있는 새로운 구속조건을 도출한다. MRI 신호에 대해서 X 방향의 1차원 푸리에 변환을 행한 후의 Y 방향의 스펙트럼 위상값은 화상자신의 성분과 체동성분의 합이 되고 있다. 한편, 두뇌부위 등의 단층상에 있어서 주위의 피하지방 부분의 밀도는 거의 균일한 것 알려져 있어 이 부분위의 Y 방향의 1 라인 밀도분포를 대칭이라고 간주할 수 있다. 밀도함수가 대칭인 경우 스펙트럼의 위상은 그 위치에 대하여 선형적으로 변화한다. 따라서 이 선형함수로부터 벗어난 성분을 체동성분으로 분리할 수 있다. 이러한 구속조건에 기초를 둔 근거가 명확한 아티팩트의 제거방법을 제안한다. 아울러 본 방법의 유효성을 확인하기 위해 호흡에 의한 주기성의 체동을 가진 MRI 화상에 대해서 시뮬레이션을 행하였다.

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