1.Asymptomatic human rotavirus infections during infancy and preschool period.
Hye Lim JUNG ; Byoung Hoon YOO ; Tae Sub SHIM
Journal of the Korean Pediatric Society 1989;32(11):1482-1488
No abstract available.
Humans*
;
Rotavirus Infections*
;
Rotavirus*
2.Radiological Diagnosis for Posttraumatic Olfactory Dysfunction.
Jung Yong AHN ; Jin Yang JOO ; Tae Sub CHUNG
Journal of Korean Neurosurgical Society 2000;29(12):1570-1576
No abstract available.
Diagnosis*
3.MRI of the internal derangement of temporomandibular joint: Comparison with arthrographic and operation.
Mi Hye KIM ; Dong Ik KIM ; Hyung Gon KIM ; Jung Ho SUH ; Tae Sub JUNG
Journal of the Korean Radiological Society 1993;29(4):665-672
We retrospectively reviewed the MRI findings of 100 temporomandibular joints in 78 patients who had complained temporomandibular joint dysfunction. MRI findings were classified according to Wilke's staging criteria. And these findings were compared with arthrographic findings in 22 joints and surgical findings in 44 joints. According to Wilkes's staging. They were classified into 6 stages of abnormality: stage 0 (33 cases), stage I (19 cases), stage II (10 cases), stage III (18 cases), stage IV (6cases), stage V (14 cases). Among the 22 cases in which arthrography and MRI were done, both studies were well correlated in 10 joints. In 7 joints, MRI was superior to arthrography, which correctly demonstrated the meniscal displacement in 2 joints and . Meniscal deformity in 5 joints. In 5 joints, arthrography was superior to MR, which demonstrated the perforation (1 joint), adhesion (2 joint) and recapture of meniscus (2 joints). Compared with surgical findings, MRI correctly demonstrated the displacement of meniscus in all 44 joints. However, in case of the 10 meniscal perforation, MRI demonstrated the meniscal discontinuity in only 4 joints. Retrospective MR findings in 10 proven cases were the defect in posterior attachment in 4, far anterior meniscal displacement without recapture in 8m condylar spur in 4, and close bone to bone contact in 1. In conclusion, MRI as a primary Fiagnostic modality of temporomandibular joint derangment, is superior for the grading of displacement and deformity of meniscus but inferior for the evaluation of perforation, adhesion and recapture of meniscus to conventional arthrography. In case of the suspected meniscal perforation, arthrographic correlation is recommanded preoperatively.
Arthrography
;
Congenital Abnormalities
;
Humans
;
Joints
;
Magnetic Resonance Imaging*
;
Retrospective Studies
;
Temporomandibular Joint*
4.Imaging diagnosis of venous malformation in head and neck.
Doo Hee HA ; Dong Ik KIM ; Jung Ho SUH ; Tae Sub JUNG
Journal of the Korean Radiological Society 1992;28(6):831-838
The venous malformation in head and neck is a developmental vascular disease which arises from the arrest in the certain stage of vascular embryogenesis. However, the lesion extends along the fascia and has a tendancy to recur after incomplete therapy. Retrospectively, the authors reviewed radiologic studies of 20 patients diagnosed as venous malformation during the last 5 years. The diagnosis was verified by histopathology (5 patients) and direct puncture angiography (15 patients). The radiologic studies included. CT with intravenous contrast injection (20 patients), RI angiography with 99m Tc-pyrophosphate (6 patients), and direct puncture angiography (15 patients). Multiplicity of venous malformation was noted in 9 patients. On CT scan, the lesions had lobulated irregular shape, with heterogeneous appearance, showed delayed enhancing characteristics, and had the phleboliths(21 lesions). The venous malformations were located at the masticator space (including masseter muscle) (n=12), retrobulbar space(n=6), submandibular space(n=4), paravertebral space(n=3) and so on. In two cases, the lesions were very extensive involving entire neck and parapharynx. On RI angiography using 99mTc-pyrophosphate, all of the lesions showed persistent and delayed uptake. With direct punture angiography the lesions could be classified as acinar pattern (n=17) and mixed pattern (acinar and saccular) (n=2). Venous connections were noted in 10 lesions. In conclusion, if a soft tissue mass on head and neck shows a heterogeneous attenuation density with or without calcified phlebolith on CT scan, RI angiography is recommended as a next diagnostic study. If it shows delayed persistent uptake, venous malformation can be suspected. Finally direct puncture angiography can verify the nature and extent of the lesions.
Angiography
;
Diagnosis*
;
Embryonic Development
;
Fascia
;
Female
;
Head*
;
Humans
;
Neck*
;
Pregnancy
;
Punctures
;
Retrospective Studies
;
Technetium Tc 99m Pyrophosphate
;
Tomography, X-Ray Computed
;
Vascular Diseases
5.Radiologic evaluation of globus symptom
Tae Sub CHUNG ; Jong Tae LEE ; Hyung Sik YOO ; Jung Ho SUH ; Ki Whang KIM ; Tae Young JANG ; In Yong PARK
Journal of the Korean Radiological Society 1986;22(6):999-1004
The globus symptom is a condition in which a patient, often middle aged women, complains of a lump andchocking sensation in the throat, Functional disturbance of the cricopharyngeal muscle, rendering it incapable ofrelaxing during swallowing, has long been recognized as a cause of globus symptom and dysphagia. We wanted to findout how often and to what extent distrubed relaxation of the cricopharyngeal muscle can be seen in patients withglobus symptom with routine examination and video esophagogram. The results were as follows: 1. Male : femaleratio was 1:2.4. 2. Globus symptom was most frequent in the age group between 30-39 of female. 3. Organic lesionswere seen in 43.6%(24 Pts) of globus patients. 4. Cricopharyngeal muscle was visualized in 29.1%(16Pts), esophageal diverticulum in 3.6%(2 Pts) and degenerative spondylosis in 3.6%(2 Pts). 5. Incidence of visualizationof cricopharyngeal muscle were higher in male group (50%) than female one (20.5%). 6. Cricopharyngeal muscle wasmost frequently visualized on early swallowing phase(12/16 Pts).
Deglutition
;
Deglutition Disorders
;
Diverticulum, Esophageal
;
Female
;
Humans
;
Incidence
;
Male
;
Middle Aged
;
Pharynx
;
Relaxation
;
Sensation
;
Spondylosis
6.MRI of Epidural Cavernous IVlalformations of the Spine: Correlation with Surgical and Histopathologic Findings.
Dong Ik KIM ; Choon Sik YOON ; Pyeong Ho YOON ; Tae Sub CHUNG ; Jung Ho SUH
Journal of the Korean Radiological Society 1994;30(3):411-415
PURPOSE: The purpose of this study is to describe Magnetic Resonance(MR) findings of two epidural cavernous malformations of the spine. MATERIALS AND METHODS: MR imaging was performed in 2 patients(29-year-old man and 54-year-old woman). Sagittal T1 -, T2-weighted images and Gadolinium (Gd)-enhanced axial and sagittal images were acquired. Two patients had surgery and MR findings were compared with surgical and histopathological findings. RESULTS: MR imaging showed high- and low-signal intensity components of these lesions that were characteristic of an epidural cavernous malformation in one case. The other case showed a high signal intensity on T2- and strong enhancement on Gd-enhanced T1 -weighted images. We think that the former may be due to mixed subacute and chronic hemorrhage and the latter may be due to blood within the endotheliumlined sinusolds without hemorrhage. CONCLUSION: These findings were well correlated with the surgical and histo-pathological findings of cavernous malformation.
Gadolinium
;
Hemorrhage
;
Humans
;
Magnetic Resonance Imaging*
;
Middle Aged
;
Spine*
7.CT evaluation of inverted papilloma in nasal cavity and paranasal sinuses.
Eun Young KIM ; Dong Ik KIM ; Jung Ho SUH ; Tae Sub CHUNG
Journal of the Korean Radiological Society 1991;27(2):206-212
No abstract available.
Nasal Cavity*
;
Papilloma, Inverted*
;
Paranasal Sinuses*
8.MR Findings of IVledulloblastomas and the Significance of Contrast Enhanced MR of Brain and Spine for the Staging.
Dong Ik KIM ; Jae Joon CHUNG ; Tae Sub CHUNG ; Jung Ho SUH ; Yeon Hee LEE
Journal of the Korean Radiological Society 1994;30(4):771-777
PURPOSE: The purposes of this study were to analyze the MR findings of medulloblastoma, and to evaluate the subarachnoid dissemination and the significance of contrast enhanced MR of brain and spine for tumor.. MATERIALS AND METHODS: The preoperative brain MR studies of 18 patients (9 males, 9 females;mean age, 9.4 years) with surgically proved medulloblastomas were retrospectively reviewed to characterize these neoplasms with regard to their location, size, MR signal intensity, appearance after contrast enhancement, presence of cyst and necrosis, subarachnoid dissemination, and other associated findings. In 14 patients postoperative spine MR studies were evaluated for staging and therapeutic planning. RESULTS: The most frequent location of medulloblastoma was the inferior vermis and the mean tumor size was 4.1 x 3.6 x 3.9 cm. On Tl-weighted image, medulloblastomas generally had low to intermediate signal, predominantly hypointense relative to white matter. On T2-weighted image, medulloblastomas showed modetately high signal, hyperintense relative to white matter. Inhomogeneous contrast enhancement was demonstrated in 13 patients(72.2%) after injection of gadopentetate dimeglumine(Gadolinium). Cyst and necrosis within the tumor were visualized in 15 patients(83.3%). Subarachnoid disseminations of medulloblastomas were noted in 11 patients(61.1%), of which 6 demonstrated intracranial and 2 intraspinal dissemination. Three had both intracranial and intraspinal dissemination. In nine cases with intracranial lesions, there were intraparenchymal mass formation(7), subarachnoid nodules(5), infundibular lesions(2) and diffuse gyral enhancement(I). In five cases with intraspinal lesions, there were extramedullary intradural small nodules(3), central canal nodules(2), intradural masses(I)and fine nodular and sheet-like leptomeningeal enhancement(1). Other associated findings included intratumoral hemorrhage(11.1%), per/tumoral edema(44.4%), tonsillar herniation(44.4%), hydrocephalus(88.9%) and calcification(44.4%). CONCLUSION: Medulloblastomas revealed low to intermediate signal intensity on Tl-weighted image and intermediate to moderately high signal intensity on T2-weighted image, relative to cerebellar white matter. Medulloblastomas were solid tumors with cystic necrosis, which showed inhomogeneous enhancement and subarachnoid disseminations to the intracranial and intraspinal spaces after Gd-DTPA enhancement. Gd-enhanced MR of brain and spine was an useful diagnostic modality in preoperative diagnosis and in staging of postoperative cases of medulloblastomas, which was superior to postcontrast CT or precontrast MR.
Brain*
;
Diagnosis
;
Gadolinium DTPA
;
Humans
;
Male
;
Medulloblastoma
;
Necrosis
;
Retrospective Studies
;
Spine*
9.In vivo31P MR Spectroscopy of Breast Tumors: Preliminary Results.
Sang Seol JUNG ; Kyung Sub SHINN ; Tae Suk SUH ; Hak Hee KIM ; Bo Young CHOE
Journal of the Korean Radiological Society 1995;33(3):465-470
PURPOSE: To evaluate the various phosphorus metabolism' of breast tumors with use of in vivo phosphorus-31 (31P) M R spectroscopy (MRS) MATERIALS AND METHODS: Five patients with breast tumor (benign in two, malignant in three) and three normal healthy volunteers participated in this study. All in vivo31P MRS examinations were performed on 1.5 Twhole-body MRI/MRS system by using a Free Induction Decay (FID) pulse sequence. Tl-weighted MR images were used for localization of tumors. Peak areas for each phosphorus metabolite were measured using a Marquart algorithm. RESULTS: Breast carcinoma had a substantially larger phosphomonoester (PME) and a smaller phosphocreatine (PCr) peak intensity than normal breast tissue. This was reflected in the relatively higher PME/PCr ratio of breast carcinomas as well as phosphodiester (PDE)/PCr, inorganic phosphate (Pi)/PCr, and adenosine triphosphate (ATP)/PCr ratios, compared with normal controls. The mean pH value of breast tumor demonstrating the alkaline nature was higher than that of normal controls. Spectral patterns between benign breast disease and normal breast tissue were quite similar, and differentiation was not established. CONCLUSION: Our preliminary study suggests that in vivo 31P MRS is a noninvasive examination which may be useful in the early differentiation of malignant breast tumors from normal and benign conditions. However, normal control and benign conditions could not be characterized on the basis of the phosphorus metabolite ratios.
Adenosine Triphosphate
;
Breast Diseases
;
Breast Neoplasms*
;
Breast*
;
Healthy Volunteers
;
Humans
;
Hydrogen-Ion Concentration
;
Magnetic Resonance Spectroscopy*
;
Phosphocreatine
;
Phosphorus
;
Spectrum Analysis
10.MRI findings of acute disseminated encephalomylitis.
Sei Ik OH ; Jung Ho SUH ; Dong Ik KIM ; Tae Sub CHUNG ; So Jin LEE
Journal of the Korean Radiological Society 1993;29(4):607-612
Acute disseminated encephalomyelitis (ADEM) is a demyelinating disease of probable autoimmune etiology. The MR images of patients with clinically suspected ADEM were retrospectively reviewed. The clinical symptoms occurred 5 days to 1 month after viral upper respiratory infection (4) and Coxsakie viral infection(1). The symptoms had begun with fever(3), headache(3), sore throat(1), and drowsy mental state (1), which progressed with monophasic course to altered mental change(2), extremity weakness(2), seizure(1) and/or cerebellary symptom(I) MRI findings of ADEM showed patchy(4), nonhemorrhagic(5), asymmetric(5) high signal intensity lesions on T2-weighted images. The number of the lesions was mostly multiple(4). The lesions mainly involved the brain stem(3) and subcortical white matter(3). Follow-up MR images of 13 days to 20 days after high dose steroid therapy showed marked improvement in two of three, which well correlated with clinical manifestations. MR findin of multiple, patchy, nonhemorrhagic and asymmetric lesions in subcortical white matter and brain stem on T2-weighted images seem to be characteristic features of ADEM, but nonspecific. Therefore, clinical correlation is required in evaluating ADEM.
Brain
;
Brain Stem
;
Demyelinating Diseases
;
Encephalomyelitis, Acute Disseminated
;
Extremities
;
Follow-Up Studies
;
Humans
;
Magnetic Resonance Imaging*
;
Retrospective Studies
;
White Matter