1.Complex Hemangioma of the Breast: Case Report, with Imaging Findings.
Joo Yeon LEE ; Joo Hee CHA ; Hak Hee KIM ; Hee Jung SHIN ; Eun Young CHAE ; Woo Jung CHOI ; Min Jeong SONG
Investigative Magnetic Resonance Imaging 2015;19(2):131-135
Vascular tumors in the breast are rare, and most can be classified as being either angiosarcomas or hemangiomas. Hemangiomas are benign vascular tumors that are usually identified incidentally. Here, we are reporting on a case of a complex hemangioma of the breast, and describing the mammography, ultrasonography, and magnetic resonance imaging findings for this patient.
Breast*
;
Hemangioma*
;
Hemangiosarcoma
;
Humans
;
Magnetic Resonance Imaging
;
Mammography
;
Ultrasonography
2.Ductal Carcinoma in situ with Multicystic Changes in a Patient with Interstitial Mammoplasty via Paraffin Injection: MRI and Pathological Findings.
Jiyoon PARK ; Ok Hee WOO ; Chungyeul KIM ; Kyu Ran CHO ; Bo Kyoung SEO
Investigative Magnetic Resonance Imaging 2015;19(2):127-130
Direct injection of foreign material, such as liquid paraffin and silicone, into the breast can induce a foreign body granulomatous reaction and fibrosis, resulting in hard, nodular breast masses and architectural distortion that can mimic neoplasm. Conventional methods, including physical examination, mammography, and ultrasonography are of little use to differentiate between foreign body-induced mastopathy and breast cancer. In patients with foreign body injection such as breast augmentation, dynamic contrast enhanced MR imaging is an excellent imaging modality. Here, the authors report the MR imaging and pathological findings of ductal carcinoma in situ (DCIS) with multicystic changes in a 41-year-old woman with a previous history of interstitial mammoplasty by paraffin injection.
Adult
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Breast
;
Breast Neoplasms
;
Carcinoma, Intraductal, Noninfiltrating*
;
Female
;
Fibrosis
;
Foreign Bodies
;
Humans
;
Magnetic Resonance Imaging*
;
Mammaplasty*
;
Mammography
;
Mineral Oil
;
Paraffin*
;
Physical Examination
;
Silicones
;
Ultrasonography
3.Imaging Features of Madelung's Disease: Case Report.
Hyun Jung KANG ; In Sook LEE ; Won Jae CHA ; Hak Jin KIM ; You Seon SONG ; Jin Young KO
Investigative Magnetic Resonance Imaging 2015;19(2):122-126
Madelung's disease, or benign symmetric lipomatosis, is an uncommon disorder that is characterized by massive symmetrical deposits of adipose tissue in the upper trunk, neck and head, and is usually associated with alcohol abuse; as such, patients usually complain of cosmetic issues. Historically, Madelung's disease is usually encountered in men between 30 and 60 years of age, and is more prevalent in the Mediterranean population. In this case study, we describe a rare case of Madelung's disease, in an Asian patient who presented with symmetrically located bilateral masses in the anterior neck, which grew progressively larger over a period of seven years.
Adipose Tissue
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Alcoholism
;
Asian Continental Ancestry Group
;
Head
;
Humans
;
Lipomatosis
;
Lipomatosis, Multiple Symmetrical*
;
Male
;
Neck
4.Chordoid Glioma Originating in the Intrasellar and Suprasellar Regions: Case Report.
Jisun HWANG ; Aleum LEE ; Kee Hyun CHANG ; Ah Rim MOON ; Sun Chul HWANG ; Hyun Sook HONG
Investigative Magnetic Resonance Imaging 2015;19(2):117-121
Chordoid glioma is a rare, low-grade brain neoplasm typically located in the third ventricle. Herein, we report an unusual case of histologically confirmed chordoid glioma located in the pituitary fossa and suprasellar region, not attached to the third ventricle. A 57-year-old woman presented with a 2-month history of headache and visual disturbance. Magnetic resonance imaging revealed an ovoid mass in the pituitary fossa and suprasellar region, compressing the optic chiasm without involvement of the third ventricle. The tumor showed low signal intensity on T1-weighted images and iso- to high signal intensity on T2-weighted images, with strong and homogenous contrast enhancement. Subtotal resection was performed via the transcranial approach, and the patient subsequently received adjuvant gamma knife radiosurgery. However, the residual mass showed disease progression 5 months after the initial surgery.
Brain Neoplasms
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Disease Progression
;
Female
;
Glioma*
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Headache
;
Humans
;
Magnetic Resonance Imaging
;
Middle Aged
;
Optic Chiasm
;
Radiosurgery
;
Third Ventricle
5.Lack of Myelination in the Anterior Limbs of the Internal Capsule Associated with Cri-du-Chat Syndrome: Case Report.
Hyo Jin LEE ; Sun Kyoung YOU ; So Mi LEE ; Hyun Hae CHO
Investigative Magnetic Resonance Imaging 2015;19(2):114-116
A 21-month-old girl with cri-du-chat syndrome in conjunction with developmental delay underwent brain magnetic resonance imaging (MRI). The MRI showed hypoplasia of the brain stem, a normal cerebellum, thinning of the corpus callosum, and a lack of myelination in both anterior limbs of the internal capsule. She also had neonatal bilateral subependymal cysts. We believe that the symmetrical lack of myelination in both anterior limbs of the internal capsule could be a diagnostic clue of cri-du-chat syndrome.
Brain
;
Brain Stem
;
Cerebellum
;
Corpus Callosum
;
Cri-du-Chat Syndrome*
;
Extremities*
;
Female
;
Humans
;
Infant
;
Internal Capsule*
;
Magnetic Resonance Imaging
;
Myelin Sheath*
6.Findings Regarding an Intracranial Hemorrhage on the Phase Image of a Susceptibility-Weighted Image (SWI), According to the Stage, Location, and Size.
Yoon Jung LEE ; Song LEE ; Jinhee JANG ; Hyun Seok CHOI ; So Lyung JUNG ; Kook Jin AHN ; Bum Soo KIM ; Kang Hoon LEE
Investigative Magnetic Resonance Imaging 2015;19(2):107-113
PURPOSE: Susceptibility weighted imaging (SWI) is a new magnetic resonance technique that can exploit the magnetic susceptibility differences of various tissues. Intracranial hemorrhage (ICH) looks a dark blooming on the magnitude images of SWI. However, the pattern of ICH on phase images is not well known. The purpose of this study is to characterize hemorrhagic lesions on the phase images of SWI. MATERIALS AND METHODS: We retrospectively enrolled patients with ICH, who underwent both SWI and precontrast CT, between 2012 and 2013 (n = 95). An SWI was taken, using the 3-tesla system. A phase map was generated after post-processing. Cases with an intracranial hemorrhage were reviewed by an experienced neuroradiologist and a trainee radiologist, with 10 years and 3 years of experience, respectively. The types and stages of the hemorrhages were determined in correlation with the precontrast CT, the T1- and T2-weighted images, and the FLAIR images. The size of the hemorrhage was measured by a one-directional axis on a magnitude image of SWI. The phase values of the ICH were qualitatively evaluated: hypo-, iso-, and hyper-intensity. We summarized the imaging features of the intracranial hemorrhage on the phase map of the SWI. RESULTS: Four types of hemorrhage are observed: subdural and epidural; subarachnoid; parenchymal hemorrhage; and microbleed. The stages of the ICH were classified into 4 groups: acute (n = 34); early subacute (n = 11); late subacute (n = 15); chronic (n = 8); stage-unknown microbleeds (n = 27). The acute and early subacute hemorrhage showed heterogeneous mixed hyper-, iso-, and hypo-signal intensity; the late subacute hemorrhage showed homogeneous hyper-intensity, and the chronic hemorrhage showed a shrunken iso-signal intensity with the hyper-signal rim. All acute subarachnoid hemorrhages showed a homogeneous hyper-signal intensity. All parenchymal hemorrhages (> 3 mm) showed a dipole artifact on the phase images; however, microbleeds of less than 3 mm showed no dipole artifact. Larger hematomas showed a heterogeneous mixture of hyper-, iso-, and hypo-signal intensities. CONCLUSION: The pattern of the phase value of the SWI showed difference, according to the type, stage, and size.
Artifacts
;
Axis, Cervical Vertebra
;
Hematoma
;
Hemorrhage
;
Humans
;
Intracranial Hemorrhages*
;
Magnetic Resonance Imaging
;
Retrospective Studies
;
Subarachnoid Hemorrhage
7.Factors Influencing the Background Parenchymal Enhancement in Follow-Up Breast MRI after Adjuvant Endocrine Therapy.
Ji Hyun YOUK ; Eun Ju SON ; Jeong Ah KIM
Investigative Magnetic Resonance Imaging 2015;19(2):99-106
PURPOSE: To investigate factors influencing the evaluation of background parenchymal enhancement (BPE) at follow-up breast magnetic resonance imaging (MRI) after adjuvant endocrine therapy. MATERIALS AND METHODS: One hundred twelve women with breast cancer and MRI of the contralateral unaffected breast before and after endocrine therapy were identified. Two readers in consensus performed blinded side-by-side comparison of BPE (minimal, mild, moderate, and marked) before and after therapy with categorical scales. Age, body mass index, menopausal status, treatment regimen (selective estrogen receptor modulator or aromatase inhibitor), chemotherapy, follow-up duration, BPE at baseline MRI, MRI field strength before and after therapy, and recurrence were analyzed for their influences on decreased BPE. RESULTS: Younger age, premenopausal status, treatment with selective estrogen receptor modulator, MRI field strength, and moderate or marked baseline BPE were significantly associated with decreased BPE. In multivariate analysis, MRI field strength and baseline BPE showed a significant association. CONCLUSION: MRI field strength and baseline BPE before and after therapy were associated with decreased BPE at post-therapy, follow-up MRI.
Antineoplastic Agents
;
Aromatase
;
Body Mass Index
;
Breast Neoplasms
;
Breast*
;
Consensus
;
Drug Therapy
;
Estrogen Receptor Modulators
;
Female
;
Follow-Up Studies*
;
Humans
;
Magnetic Resonance Imaging*
;
Multivariate Analysis
;
Recurrence
;
Selective Estrogen Receptor Modulators
;
Weights and Measures
8.Measurement of Apparent Diffusion Coefficient Values from Diffusion-Weighted MRI: A Comparison of Manual and Semiautomatic Segmentation Methods.
Seong Ho KIM ; Seung Hong CHOI ; Tae Jin YOON ; Tae Min KIM ; Se Hoon LEE ; Chul Kee PARK ; Ji Hoon KIM ; Chul Ho SOHN ; Sung Hye PARK ; Il Han KIM
Investigative Magnetic Resonance Imaging 2015;19(2):88-98
PURPOSE: To compare the interobserver and intraobserver reliability of mean apparent diffusion coefficient (ADC) values using contrast-enhanced (CE) T1 weighted image (WI) and T2WI as structural images between manual and semiautomatic segmentation methods. MATERIALS AND METHODS: Between January 2011 and May 2013, 28 patients who underwent brain MR with diffusion weighted image (DWI) and were pathologically confirmed as having glioblastoma participated in our study. The ADC values were measured twice in manual and semiautomatic segmentation methods using CE-T1WI and T2WI as structural images to obtain interobserver and intraobserver reliability. Moreover, intraobserver reliabilities of the different segmentation methods were assessed after subgrouping of the patients based on the MR findings. RESULTS: Interobserver and intraobserver reliabilities were high in both manual and semiautomatic segmentation methods on CE-T1WI-based evaluation, while interobserver reliability on T2WI-based evaluation was not high enough to be used in a clinical context. The intraobserver reliability was particularly lower with the T2WI-based semiautomatic segmentation method in the subgroups with involved lobes < or = 2, with partially demarcated tumor borders, poorly demarcated inner margins of the necrotic portion, and with perilesional edema. CONCLUSION: Both the manual and semiautomatic segmentation methods on CE-T1WI-based evaluation were clinically acceptable in the measurement of mean ADC values with high interobserver and intraobserver reliabilities.
Brain
;
Diffusion*
;
Edema
;
Glioblastoma
;
Humans
;
Magnetic Resonance Imaging*
9.Effect of Manganese Content on the Magnetic Susceptibility of Ferrous-Manganese Alloys: Correlation between Microstructure on X-Ray Diffraction and Size of the Low-Intensity Area on MRI.
Sung Won YOUN ; Moon Jung KIM ; Seounghoon YI ; Hyun Jin AHN ; Kwan Kyu PARK ; Jongmin LEE ; Young Cheol LEE
Investigative Magnetic Resonance Imaging 2015;19(2):76-87
PURPOSE: There is an ongoing search for a stent material that produces a reduced susceptibility artifact. This study evaluated the effect of manganese (Mn) content on the MRI susceptibility artifact of ferrous-manganese (Fe-Mn) alloys, and investigated the correlation between MRI findings and measurements of Fe-Mn microstructure on X-ray diffraction (XRD). MATERIALS AND METHODS: Fe-Mn binary alloys were prepared with Mn contents varying from 10% to 35% by weight (i.e., 10%, 15%, 20%, 25%, 30%, and 35%; designated as Fe-10Mn, Fe-15Mn, Fe-20Mn, Fe-25Mn, Fe-30Mn, and Fe-35Mn, respectively), and their microstructure was evaluated using XRD. Three-dimensional spoiled gradient echo sequences of cylindrical specimens were obtained in parallel and perpendicular to the static magnetic field (B0). In addition, T1-weighted spin echo, T2-weighted fast spin echo, and T2*-weighted gradient echo images were obtained. The size of the low-intensity area on MRI was measured for each of the Fe-Mn binary alloys prepared. RESULTS: Three phases of alpha'-martensite, gamma-austenite, and epsilon-martensite were seen on XRD, and their composition changed from alpha'-martensite to gamma-austenite and/or epsilon-martensite, with increasing Mn content. The Fe-10Mn and Fe-15Mn specimens comprised alpha'-martensite, the Fe-20Mn and Fe-25Mn specimens comprised gamma+epsilon phases, and the Fe-30Mn and Fe-35Mn specimens exhibited a single gamma phase. The size of the low-intensity areas of Fe-Mn on MRI decreased relative to its microstructure on XRD with increasing Mn content. CONCLUSION: Based on these findings, proper conditioning of the Mn content in Fe-Mn alloys will improve its visibility on MR angiography, and a Mn content of more than 25% is recommended to reduce the magnetic susceptibility artifacts on MRI. A reduced artifact of Fe-Mn alloys on MRI is closely related to the paramagnetic constitution of gamma-austenite and/or epsilon-martensite.
Alloys*
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Angiography
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Artifacts
;
Constitution and Bylaws
;
Magnetic Fields
;
Magnetic Resonance Angiography
;
Magnetic Resonance Imaging*
;
Manganese*
;
Stents
;
X-Ray Diffraction*
10.Evaluation of Hippocampal Volume Based on Various Inversion Time in Normal Adults by Manual Tracing and Automated Segmentation Methods.
Ju Ho KIM ; Dae Seob CHOI ; Seong Hu KIM ; Hwa Seon SHIN ; Hyemin SEO ; Ho Cheol CHOI ; Seungnam SON ; Woo Suk TAE ; Sam Soo KIM
Investigative Magnetic Resonance Imaging 2015;19(2):67-75
PURPOSE: To investigate the value of image post-processing software (FreeSurfer, IBASPM [individual brain atlases using statistical parametric mapping software]) and inversion time (TI) in volumetric analyses of the hippocampus and to identify differences in comparison with manual tracing. MATERIALS AND METHODS: Brain images from 12 normal adults were acquired using magnetization prepared rapid acquisition gradient echo (MPRAGE) with a slice thickness of 1.3 mm and TI of 800, 900, 1000, and 1100 ms. Hippocampal volumes were measured using FreeSurfer, IBASPM and manual tracing. Statistical differences were examined using correlation analyses accounting for spatial interpretations percent volume overlap and percent volume difference. RESULTS: FreeSurfer revealed a maximum percent volume overlap and maximum percent volume difference at TI = 800 ms (77.1 +/- 2.9%) and TI = 1100 ms (13.1 +/- 2.1%), respectively. The respective values for IBASPM were TI = 1100 ms (55.3 +/- 9.1%) and TI = 800 ms (43.1 +/- 10.7%). FreeSurfer presented a higher correlation than IBASPM but it was not statistically significant. CONCLUSIONS: FreeSurfer performed better in volumetric determination than IBASPM. Given the subjective nature of manual tracing, automated image acquisition and analysis image is accurate and preferable.
Adult*
;
Brain
;
Hippocampus
;
Humans