1.MR Classification of Tear Types and Popliteous Muscle Attachments in Lateral Disccid Menisci.
Journal of the Korean Radiological Society 1995;33(6):967-973
PURPOSE: To determine the types of meniscal tears and type of popliteal muscle attachment in lateral disccid menisci. MATERIALS AND METHODS: MR images from 40 patients with arthroscopically proven disccid meniscal tears were reviewed. The type of capsular attachment of the popliteal muscle in these patients was compared with 100 normal controls. Fourteen men and 26 women were included in this study ranging in age from 8 to 52 yea rs. RESULTS: Disccid mensical tears were divided into five types. Arthroscopic cor- relation revealed that thirty-six cases(90%) of disccid meniscal tears were cor- rectly diagnosed using MR imaging. Peripheral tear wasthe commonest tear type occurring in 13 patients. In 9 of these the meniscal fragment was displaced. Hori- zontal tears occurred in 5, longitudinal tears in 4 and transverse tears in 2 patients. Multiple tears were present in 16 patients with the commonest combi- nation of peripheral and horizontal. Popliteal capsular attachments of disccid mensical tears were more prominent than in the normal control group. CONCLUSION: The types of tears in disccid menisci were different from normal meniscal tears. Peripheral detachment with displacement of torn segments was a very frequent finding in disccid mensical tears. Prominent capsular attachment of popliteal muscles is probably an associated finding in disccid menisci.
Classification*
;
Female
;
Humans
;
Magnetic Resonance Imaging
;
Male
;
Muscles
2.MR Imaging of Avascular Necrosis of the Femoral Head: Evaluation of the Prognostic Factors.
Yup YOON ; Myung YOO ; Kyung Nam RYU ; Uk JIN
Journal of the Korean Radiological Society 1994;31(1):151-156
PURPOSE:To evaluate the factors influencing the prognosis in avascular necrosis(AVN) of the femoral head by MR. MATERIALS AND METHODS:Radiographic and MRI findings of twenty-three patients(30 cases, aged 23-67 years) with AVN identified clinically and radiologically were evaluated. The radiography included follow up study for at least 6 months. The mean age of these patients was 43 years and M: F ratio was 20: 3. MR imaging was performed at 1. 5T unit using T1- and T2-weighted coronal and Tl-weighted sagittal and axial spin echo sequences. We categorized the changes of the femoral head on radiographic follow-ups to three grades of mild, moderate and severe. We also analyzed the changes of the signal intensity and sizes of the lesion at sagittal and coronal MR images. On MR imaging we classified the extent of AVN of the fernoral head to 2 grades according to the size of lesion. RESULTS:In the cases of mild changes in fernoral head on radiography, the mean age of the patient was 37 years and the extent of AVN was below 1/2 in eleven out of seventeen cases. In the cases of moderate changes, the mean age was 43 years and the extent was above 1/2 in five out of seven cases. In the cases of severe changes, the mean age was 60 years and the extent was above 1/2 in all 6 cases. With 95% confidence coefficient, comparisons in the age and necrosis extent revealed statistical significance in severe versus moderate changes and in severe versus mild changes. Comparisons in the change of signal intensity on T1 and T2 weighted images showed no statistical relationship between each other. CONCLUSION: We conclude that if patient is younger and has smaller extent of the AVN, bone destruction is slower that these factors may be helpful in predicting the prognosis of AVN. However, the modes of the changes of the signal intensity on T1- and T2- weighted images may not be useful in predicting the prognosis of AVN.
Follow-Up Studies
;
Head*
;
Humans
;
Magnetic Resonance Imaging*
;
Necrosis*
;
Prognosis
;
Radiography
3.MR Findings of Meniscal Cysts.
Hye Won LEE ; Jin Whan AHN ; Kyung Narn RYU
Journal of the Korean Radiological Society 1995;32(4):633-637
PURPOSE: To characterize MR findings of meniscal cysts of the knee. MATERIALS AND METHODS: We retrospectively reviewed knee MR images of surgically confirmed eighteen meniscal cysts. The location and shape of meniscal cysts were evaluated. RESULTS: Six of 18 cases were medial meniscal cysts and 12 of 18 cases were lateral meniscal cysts. Horizontal tears were present in all cases(100%). Four of 18 cases had rounded cysts and 14 of 18 cases had elongated cysts. In 3 of 6 medial meniscal cysts, cysts had dissected into the soft tissues distant from the meniscus, and connecting stalks were visualized. Three of 6 medial meniscal cysts were located adjacent to a meniscal tear. All of the lateral meniscal cysts occurred immediately adjacent to the meniscal tear. CONCLUSION: Meniscal cysts are associated with horizontal meniscal tear. The shapes of meniscal cysts tend to be elongated rather than rounded. Medial meniscal cysts occurred distant from or adjacent to the meniscal tear according to location of the tear. Lateral meniscal cysts occurred adjacent to the meniscal tear.
Knee
;
Retrospective Studies
4.MR Findings of Meniscal Cysts.
Hye Won LEE ; Jin Whan AHN ; Kyung Narn RYU
Journal of the Korean Radiological Society 1995;32(4):633-637
PURPOSE: To characterize MR findings of meniscal cysts of the knee. MATERIALS AND METHODS: We retrospectively reviewed knee MR images of surgically confirmed eighteen meniscal cysts. The location and shape of meniscal cysts were evaluated. RESULTS: Six of 18 cases were medial meniscal cysts and 12 of 18 cases were lateral meniscal cysts. Horizontal tears were present in all cases(100%). Four of 18 cases had rounded cysts and 14 of 18 cases had elongated cysts. In 3 of 6 medial meniscal cysts, cysts had dissected into the soft tissues distant from the meniscus, and connecting stalks were visualized. Three of 6 medial meniscal cysts were located adjacent to a meniscal tear. All of the lateral meniscal cysts occurred immediately adjacent to the meniscal tear. CONCLUSION: Meniscal cysts are associated with horizontal meniscal tear. The shapes of meniscal cysts tend to be elongated rather than rounded. Medial meniscal cysts occurred distant from or adjacent to the meniscal tear according to location of the tear. Lateral meniscal cysts occurred adjacent to the meniscal tear.
Knee
;
Retrospective Studies
5.Significances of trochanteric intra-osseous venography for the prediction of prognosis and treatment in early Legg-Valve-Perthes' disease.
Seung Koo RHEE ; Hun Ho CHANG ; Jin Kyung RYU
The Journal of the Korean Orthopaedic Association 1991;26(6):1812-1819
No abstract available.
Femur*
;
Phlebography*
;
Prognosis*
6.Acute Tears of the Anterior Cruciate Ligament:Analysis of the Tear Site and the Degree Using MR Imaging.
Eui Jong KIM ; Yup YOON ; Kyung Nam RYU ; Jin Whan AHN ; Uk JIN
Journal of the Korean Radiological Society 1995;32(5):813-817
PURPOSE: To evaluate the sensitivity of MR imaging in determining tear sites and degrees in acute anterior cruciate ligament tear. MATERIALS AND METHODS: MR imagings were undertaken in 19 patients who had trauma on their knee joints. All imaging studies were performed within 2 weeks after trauma and compared with operative findings. The degrees of ligament tear were divided into complete and incomplete, and sites of tears were divided into superior middle and inferior portions. MR findings were compared with operative findings. RESULTS: There were 14 cases of complete ligament tear and 5 cases of partial ligament tear. We could diagnose correctly in all 14 cases with complete tear and in 3 of 5 cases with partial tear. The tear sites were correctly predicted in 10 of 14 cases with complete tear(71%) and 1 of 5 cases with par In complete tears, MR findings were transversely or obliquely coursed band-like high signal intensity within the ACL or abrupt Switch over to as indistinct signal intensity. In partial tears, the tear sites could not be evaluated mostly and the tear appeared as linear low signal intensity lesions in posterolateral bundles of AC/. CONCLUSIONS: MR revealed higher sensitivity in determining the degree and sites of ACL tear in complete tear as compared with partial tear.
Anterior Cruciate Ligament
;
Humans
;
Knee Joint
;
Ligaments
;
Magnetic Resonance Imaging*
7.Radioimmunoscintigraphy Using (99m)Tc-anti-CEA F(ab')(2) Fragment in Rectal Cancer and a Pilot Study for Radioimmunoguided Surgery.
Jin Sook RYU ; Jin Choen KIM ; Chang Nam KIM ; Gyung Yub GONG ; Lee Kyung LEE
Korean Journal of Nuclear Medicine 2000;34(3):243-251
PURPOSE: This prospective study was performed to evaluate the usefulness of preoperative radioimmu-noscintigraphy and intraoperative scintimetric examination (radioimmunoguided surgery: RIGS) using (99m)Tc-anti-CEA F(ab')(2), fragment. MATERIALS AND METHODS: Nineteen patients with rectal cancer underwent preoperative whole body planar scintigraphy at 4 hours after injection of (99m)Tc-anti-CEA F(ab')(2), fragment and SPECT imaging at 18 hours. Surgical operation was performed at 24 hours after injection. During laparotomy, radioactivities from intraabdominal viscera were measured by gamma probe. The radioac-tivities from excised tumor and lymph nodes were also measured and compared with pathology. RESULTS: All nineteen patients were confirmed to have adenocarcinomas in the rectum. Twenty-seven of 97 excised lymph node groups had metastasis and 2 patients had liver metastasis in pathology. Preoperative radioim- munoscintigraphy detected primary tumors in 11 patients (sensitivity 55%) and it couId not detect any lymph nodes or liver metastasis. All patients showed high radioactivity in the kidneys, liver, spleen, and major vessels in intraoperative measurement by gamma probe, and tumor activity was not discriminated from background activity. However, ra4ioactivity from excised tumor was higher than normal rectum (T/B ratio; 3.47+/-2.25). When excised lymph node activity/background activity ratio > 1,5 was considered as positive criteria of metastasis, sensitivity, specificity, positive and negative predictive values were 78.6%, 73.9%, 55.0% and 89.5%, respectively. CONCLUSION: Radioimmunoscintigraphy using (99m)Tc-anti-CEA F(ab')(2). has no additional value for preoperative staging and use of early RIGS using (99m)Tc-anti-CEA F(ab')(2)is inappropriate. For early RIGS using (99m)Tc labeled antibodies in rectal cancer patients, further development of more specific antibodies and methods to reduce background activity are needed.
Adenocarcinoma
;
Antibodies
;
Humans
;
Kidney
;
Laparotomy
;
Liver
;
Lymph Nodes
;
Neoplasm Metastasis
;
Pathology
;
Pilot Projects*
;
Prospective Studies
;
Radioactivity
;
Radioimmunodetection*
;
Radionuclide Imaging
;
Rectal Neoplasms*
;
Rectum
;
Sensitivity and Specificity
;
Spleen
;
Tomography, Emission-Computed, Single-Photon
;
Viscera
8.MR Findings of Cystic Acoustic Neurinomas.
Seung Jae LIM ; Yup YOON ; Kyung Nam RYU ; Woo Suk CHOI ; Mi Jin SONG
Journal of the Korean Radiological Society 1994;30(6):981-986
PURPOSE: The purpose of this study was to evaluate the spectrum of MR characteristics of cystic acoustic neurinomas and to correlate with pathologic findings. MATERIALS AND METHODS: We retrospectively reviewed the MR findings of 12 patients with cystic acoustic neurinomas. The signal intensity and enhancement pattern of the cystic components as well as the location relative to the tumors were analyzed. RESULTS: A total of 30 cysts were found in 15 acoustic neurinomas;28 were intratumoral cysts and the remaining two were extratumoral cysts. The signal intensity of all 28 intratumoral cysts was higher than that of CSF on Tl-weighted images, and isointense to CSF on T2-weighted images, while the signal intensity of the two extratumoral cysts was same as CSF on both Tl-weighted and T2-weighted images. Rim enhancement was seen in 27 of 28 intratumoral cysts but in none of the two extratumoral cysts. CONCLUSION: We concluded that intratumoral cyst was due to tumoral necrosis, hemorrhage or degenerative change and extratumoral cyst due to secondary arachnoid cyst formation.
Acoustics*
;
Arachnoid
;
Hemorrhage
;
Humans
;
Necrosis
;
Neuroma, Acoustic*
;
Retrospective Studies
9.A Comparative Study of Nutrient Intakes and Health Status with Body Size and Weight Control Experience in Adolescent Females.
Korean Journal of Community Nutrition 2000;5(3):444-451
This study was conducted to investigate how body size and weight control experience affect the nutrient intakes and the health status of adolescent females. The survey was carried out by self-questionnaires with 463 female high school and college students in Daegu. Analysis of data was done by using a t-test, and ANOVA with the SAS computer program. The average height, weight and BMI of the subjects were 161.2 cm, 53.4 kg, and 20.51 kg/m2 respectively. However, 25.1% of the subjects belonged to the underweight group when we divided the subjects into 3 groups- underweight, normal-weight, overweight-according to their present body size. The average Fe intake of the subjects was less than 50% of the Korean recommended dietary allowances. The dietary intakes of energy and Vit. A were significantly higher in the underweight group than in other groups. However, no significant differences among body size groups were observed in the dietary habit score and the nutritional knowledge score. It also appeared that the dietary habit score and the nutritional knowledge score of the weight control attemptees were worse than those of the non-attemptees. The physical health status of the subjects significantly differed according to weight control experience, and the psychological health status of the subjects differed with present body size. The physical health condition of the weight control attemptees was worse than the non-attemptees. and the psychological health condition of the overweight group was worse than other groups. The results indicated that unnecessary weight control in adolescent females induces unhealthy food behavior which is linked to undesirable health status.
Adolescent*
;
Body Size*
;
Daegu
;
Female*
;
Food Habits
;
Humans
;
Overweight
;
Recommended Dietary Allowances
;
Thinness
10.A Comparative Study of Nutrient Intakes and Health Status with Body Size and Weight Control Experience in Adolescent Females.
Korean Journal of Community Nutrition 2000;5(3):444-451
This study was conducted to investigate how body size and weight control experience affect the nutrient intakes and the health status of adolescent females. The survey was carried out by self-questionnaires with 463 female high school and college students in Daegu. Analysis of data was done by using a t-test, and ANOVA with the SAS computer program. The average height, weight and BMI of the subjects were 161.2 cm, 53.4 kg, and 20.51 kg/m2 respectively. However, 25.1% of the subjects belonged to the underweight group when we divided the subjects into 3 groups- underweight, normal-weight, overweight-according to their present body size. The average Fe intake of the subjects was less than 50% of the Korean recommended dietary allowances. The dietary intakes of energy and Vit. A were significantly higher in the underweight group than in other groups. However, no significant differences among body size groups were observed in the dietary habit score and the nutritional knowledge score. It also appeared that the dietary habit score and the nutritional knowledge score of the weight control attemptees were worse than those of the non-attemptees. The physical health status of the subjects significantly differed according to weight control experience, and the psychological health status of the subjects differed with present body size. The physical health condition of the weight control attemptees was worse than the non-attemptees. and the psychological health condition of the overweight group was worse than other groups. The results indicated that unnecessary weight control in adolescent females induces unhealthy food behavior which is linked to undesirable health status.
Adolescent*
;
Body Size*
;
Daegu
;
Female*
;
Food Habits
;
Humans
;
Overweight
;
Recommended Dietary Allowances
;
Thinness