scholarly journals A Thymic Hyperplasia Case without Suppressing on Chemical Shift Magnetic Resonance Imaging

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Tuan Phung ◽  
Thach Nguyen ◽  
Dung Tran ◽  
Nga Phan ◽  
Hung Nguyen
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Chemical Shift ◽  
Thoracoscopic Surgery ◽  
Tumor Resection ◽  
Lymphoid Hyperplasia ◽  
Resonance Imaging ◽  
Chemical Shift Mri ◽  
Magnetic Resonance Imaging Mri ◽  
One Year

A 22-year-old woman with myasthenia gravis (MG) presented with ptosis and mild muscle weakness symptoms for one year. Computed tomography (CT) presented a diffuse bilobulate enlargement gland with a high density of soft tissue. Magnetic resonance imaging (MRI) showed the gland with no suppression on the opposed-phase chemical shift. After the thymic tumor diagnosis, she underwent thoracoscopic surgery for tumor resection. The postoperative histopathological finding was thymic lymphoid hyperplasia. This case suggests chemical shift MRI is not enough in distinguishing, and supplementary examination is essential to avoid unnecessary thymic biopsy and surgery.

Could we assess the functional status, of hormone secreting, or non-secreting of the adrenal masses regarding their Magnetic Resonance Imaging (MRI) characteristics?

2021 ◽  
Vol 22 ◽  
Author(s):  
Gamze Akkus ◽  
Ferhat Piskin ◽  
Barış Karagun ◽  
Murat Sert ◽  
Mehtap Evran ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Chemical Shift ◽  
Functional Status ◽  
Signal Intensity ◽  
Adrenal Mass ◽  
Resonance Imaging ◽  
Intensity Index ◽  
Adrenal Masses ◽  
Magnetic Resonance Imaging Mri

Background: Diagnostic imaging techniques including magnetic resonance imaging (MRI) should also perform on all patients with incidentalomas. However, there is a limited study whether the quantitative measurements (signal intensity index, adrenal to spleen ratio) in MRI could predict the functional status of adrenal adenomas. Material-Method: Between 2015-2020; 404 patients (265 females, 139 males) with adrenal mass who were referred to the university hospital for further investigation were included. After detailed diagnostic hormonal evaluation, all patients underwent MRI 1.5 T device (Signa, GE Medical Systems; Milwaukee, USA). The signal intensities of the adrenal lesions on T2W images were qualitatively evaluated and noted as homogenous or heterogeneous in comparison with the liver signal intensity (SI). A chemical-shift SI index and chemical shift adrenal-to-spleen SI ratio were also calculated. Results: While 331(81.9%) of the patients had nonfunctional adrenal mass, the rest of them (n=73, 18.1%) were patients with functional (autonomous cortisol secretion-ACS, cushing syndrome-CS, pheochromocytoma, primary hyperaldosteronism-PA) adrenal masses. In phase vs phase values of patients with NFAI, Pheo(n=17), ACS (n=30), CS (n=11), and PA (n=15) were 474.04±126.7 vs 226.6±132.4, 495.3±182.8 vs 282.17±189.1, 445.2±134.8 vs 203.3±76.2, 506.8±126.5 vs 212.2±73.6 and 496.2±147.5 vs 246.6±102.1, respectively. Mean signal intensity index (SII) and adrenal to spleen ratio (ASR) of all groups (NFAI, Pheo, ACS, CS, PA) were 52.0±24.8 and 0.51, 44.9±22.5 and 0.55, 49.5±24.5 and 0.53, 56.2±16.4 and 0.43, 47.6±25.1 and 0.54, respectively. Based the current accepted measurements in the case of ASR and SII, all lesions were similar and shown as fat rich adenomas (p*= 0.552, p** = 0.45). Conclusion: The quantitative assessment (SII, ASR) of intracellular lipids in an incidentally discovered adrenal tumour could only help distinguish adrenal masses in case of adenomas or non-adenomas As initial diagnostic evaluation, clinical and laboratory assessment ,to distinguish hormone secretion, should be taken in all patients with adrenal incidentalomas.

scholarly journals NIMG-33. CHANGES IN MAGNETIC RESONANCE IMAGING AFTER PROTON BOOST THERAPY FOR GLIOBLASTOMA WITH AND WITHOUT TUMOR TREATING FIELDS THERAPY

2020 ◽  
Vol 22 (Supplement_2) ◽  
pp. ii155-ii155
Author(s):  
Hanna Goett ◽  
Alexandra Jensen ◽  
Tobias Struffert ◽  
Eberhard Uhl ◽  
Marco Stein
Keyword(s):  
Magnetic Resonance Imaging ◽  
Radiation Therapy ◽  
Magnetic Resonance ◽  
Contrast Enhancement ◽  
Median Overall Survival ◽  
Progressive Disease ◽  
Tumor Resection ◽  
Resonance Imaging ◽  
Tumor Treating Fields ◽  
Magnetic Resonance Imaging Mri

Abstract BACKGROUND Tumor treating fields (TTFields) are an approved glioblastoma (GBM) treatment modality that demonstrated a significant improved median overall survival in newly diagnosed GBM patients. Data about morphologic changes in serial magnetic resonance imaging (MRI) for patients with a combination therapy of TTFields and proton boost therapy does not exist. METHODS Twenty-two patients were included in this study. All patients were treated with initial tumor resection followed by combined chemo- and radiation therapy. Radiation therapy was performed with 50.0 Gy photons and a proton boost with 10 Gy equivalent (Gy(RBE)). 11 patients were additionally treated with TTFields. RESULTS A new increase in contrast enhancement and/or a progress in the T2 FLAIR hyperintensity was observed in 54.5% (N=12) at 3 months and in 31.8% (N=7) at 6 months. No differences were observed between patients with and without TTFields therapy at 3 months [63.6% (N=7) vs. 45.5% (N=5); P=0.392] and at 6 months [27.3 (N=3) vs. 36.3% (N=4); P=0.647). By the RANO criteria a progressive disease (PD) was observed in 6 patients (27.3%) at 3 months and in 7 patients (31.8%) at 6 months. Pseudoprogression (PP) was observed in in 36.4% (N=8) at months and in 27.3% (N=6) at 6 months. Neither for PD at 3 months [36.4% (N=4) vs. 18.2% (N=2); P=0.338] or at 6 months [36.4% (N=4) vs. 27.3% (N=3); P=0.647), nor for PP at 3 months [45.5% (N=5) vs. 27.2% (N=3); P=0.375] or at 6 months [18.2% (N=2) vs. 36.4% (N=4); P=0.338] differences for patients with and without TTFields therapy were found. CONCLUSION Increased contrast enhancement and/or increased T2 FLAIR MRI hyperintensity after proton boost therapy are common. Furthermore, the rates for new contrast enhancement, PD, and PP after photon therapy with and without additional TTFields therapy are comparable.

Diagnostic Use of Magnetic Resonance Imaging and Magnetic Resonance Arthrography for Intra-Articular Pathologies of the Hip Joint

2019 ◽  
Vol 158 (06) ◽  
pp. 586-596
Author(s):  
Solveig Lerch ◽  
Janne Lorenz ◽  
Andreas Kasperczyk ◽  
Oliver Rühmann
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Hip Joint ◽  
German Population ◽  
Resonance Imaging ◽  
Diagnostic Use ◽  
Medical Referrals ◽  
Precise Diagnosis ◽  
Magnetic Resonance Imaging Mri ◽  
One Year

Abstract Introduction In no other country magnetic resonance imaging (MRI) is as frequently used as in Germany. The studyʼs aim is to analyse a daily referral procedure for hip MRI in German healthcare and to estimate ineffective costs for the healthcare system. Material and Methods Over one year 203 consecutive MRIs of the hip joint were analysed retrospectively. Referrals were reviewed for their indications, e.g. prevalence of MRIs to detect intra-articular pathologies in the German population was estimated with data of three health insurances. Results No indication was noted on 21% of the referrals to MRI. On 66% of the referrals a reasonable indications could be identified. There were more uncertainties of the indications for arthrographies. Collecting data concerning the prevalence of MRI for intra-articular hip pathologies is difficult due to the lack of precise diagnosis and procedure coding. The expendable costs caused by MRI of the hip joint amount from 800,000 to 2.4 million € during a one year period. Discussion Medical referrals should be used thoroughly for communication between referrers and radiologists. Contribution of the letter of referral to health economics is underestimated. To improve estimation of prevalences in the diagnostics of intra-articular hip pathologies, precise diagnosis and procedure codings are needed.

scholarly journals Noninvasive Localization of Petroleum-derived Spray Oil in Plants with Chemical Shift Selective Magnetic Resonance Imaging

HortScience ◽  
2005 ◽  
Vol 40 (3) ◽  
pp. 720-725 ◽  
Author(s):  
B.L. Tan ◽  
N. Reddy ◽  
V. Sarafis ◽  
G.A.C. Beattie ◽  
R. Spooner-Hart
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Chemical Shift ◽  
Mineral Oil ◽  
Resonance Imaging ◽  
Outer Cortex ◽  
Peak Resolution ◽  
Oil Deposits ◽  
Magnetic Resonance Imaging Mri

Nuclear magnetic resonance (NMR) spectroscopy and magnetic resonance imaging (MRI) were used to detect petroleum-derived spray oils (PDSOs) in citrus seedlings and trees. The NMR spectrum of the phantom containing 10% (v/v) of a nC24 agricultural mineral oil (AMO) showed the resonance of the water protons at δ ≈ 5 ppm, while the resonance of the oil protons at δ = 1.3 to 1.7 ppm. The peak resolution and the chemical shift difference of more than 3.3 ppm between water and oil protons effectively differentiated water and the oil. Chemical shift selective imaging (CSSI) was performed to localize the AMO within the stems of Citrus trifoliata L. seedlings after the application of a 4% (v/v) spray. The chemical shift selective images of the oil were acquired by excitation at δ = 1.5 ppm by averaging over 400 transients in each phase-encoding step. Oil was mainly detected in the outer cortex of stems within 10 d of spray application; some oil was also observed in the inner vascular bundle and pith of the stems at this point. CSSI was also applied to investigate the persistence of oil deposits in sprayed mature Washington navel orange (Citrus ×aurantium L.) trees in an orchard. The trees were treated with either fourteen 0.25%, fourteen 0.5%, four 1.75%, or single 7% sprays of a nC23 horticultural mineral oil (HMO) 12 to 16 months before examination of plant tissues by CSSI, and were still showing symptoms of chronic phytotoxicity largely manifested as reduced yield. The oil deposits were detected in stems of sprayed flushes and unsprayed flushes produced 4 to 5 months after the last spray was applied, suggesting a potential movement of the oil via phloem and a correlation of the persistence of oil deposit in plants and the phytotoxicity. The results demonstrate that MRI is an effective method to probe the uptake and localization of PDSOs and other xenobiotics in vivo in plants noninvasively and nondestructively.

scholarly journals Cerebral X-linked adrenoleukodystrophy: follow-up with magnetic resonance imaging

2006 ◽  
Vol 64 (4) ◽  
pp. 1033-1035 ◽  
Author(s):  
Emerson L. Gasparetto ◽  
Juliana Mecunhe Rosa ◽  
Taísa Davaus ◽  
Arnolfo de Carvalho Neto
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Brain Mri ◽  
Resonance Imaging ◽  
Mri Findings ◽  
Magnetic Resonance Imaging Mri ◽  
One Year ◽  
Occipital Lobes ◽  
The Brain

OBJECTIVE: To report a case of childhood cerebral X-linked adrenoleukodystrophy (X-ADL), emphasizing the magnetic resonance imaging (MRI) findings at initial evaluation and at the follow-up. CASE REPORT: Five year-old boy, who was asymptomatic, presented with diagnosis of X-ADL for MRI evaluation. The initial brain MRI showed a focal area of enhancement at the splenium of the corpus calosum. One year later, the follow-up MRI showed a progression of the corpus calosus lesion, as well as other lesions in the parietal and occipital lobes. CONCLUSION: The brain MRI follow-up of patients with X-ADL is important to show the progression of the lesions.

scholarly journals Decision Making Processes for a Patient with Cardiac Pacemaker Admitted to the Accident and Emergency Undergoing Magnetic Resonance Imaging – A Case Study

2017 ◽  
Vol 32 (2) ◽  
pp. 133
Author(s):  
F. P. Raditya
Keyword(s):  
Magnetic Resonance Imaging ◽  
Decision Making ◽  
Magnetic Resonance ◽  
Cardiac Pacemaker ◽  
Resonance Imaging ◽  
Processing Theory ◽  
Prescriptive Model ◽  
Magnetic Resonance Imaging Mri ◽  
One Year

This case study aims to apply the processes of decision-making for magnetic resonance imaging (MRI) as a diagnostic examination for a patient with cardiac pacemaker admitted to a private hospital in the capital of Indonesia. It also aims to examine and evaluate the case of a 53-year-old mother who had a heart abnormality that has a pacemaker for one year and was diagnosed to do an MRI examination because of a suspected tumor on the wrist area.The three basic models of decision-making — the descriptive, prescriptive and normative — were applied. The prescriptive used the information processing theory, while the normative used decision trees as decision options and lastly, the descriptive used intuition and pattern recognition.Dominantly, the prescriptive model for decision-making is more appropriate for this case.  The descriptive decision-making model, using intuition however, helped in supporting the intuitive hypothesis.  Lastly, the normative model of decision-making played an important role but was not likely effective.

scholarly journals The usefulness of chemical-shift magnetic resonance imaging for the evaluation of osteoid osteoma

2018 ◽  
Vol 51 (3) ◽  
pp. 156-161 ◽  
Author(s):  
Flávia Martins Costa ◽  
Clarissa Canella ◽  
Filipa Gomes Vieira ◽  
Evandro Miguelote Vianna ◽  
Walter Meohas ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Bone Marrow ◽  
Magnetic Resonance ◽  
Chemical Shift ◽  
Osteoid Osteoma ◽  
Signal Intensity ◽  
Resonance Imaging ◽  
Relative Signal Intensity ◽  
Chemical Shift Mri ◽  
Intensity Ratios

Abstract Objective: The purpose of this study was to determine whether chemical-shift magnetic resonance imaging (MRI) could be useful in the diagnosis of osteoid osteoma when clinical and radiological tumor features are inconclusive. Materials and Methods: This retrospective study included 17 patients who underwent chemical-shift MRI for the evaluation of osteoid osteoma. For all patients, two musculoskeletal radiologists independently recorded signal intensities on in-phase and out-of-phase images in the nidus of the tumor, in abnormal-intensity bone marrow surrounding the lesion, and in normal-appearing bone marrow. For each region, relative signal intensity ratios were calculated by dividing out-of-phase by in-phase values. Relative ratios > 1 were considered indicative of neoplastic lesions. Statistical analysis was carried out to analyze the sample. Inter-observer and intra-observer agreement for each imaging method were assessed using intraclass correlation coefficients according to the Fleiss method and a value > 0.65 was considered to indicate substantial agreement. Results: The mean relative signal intensity ratios were 1.2 (range, 0.9-1.4) for the nidus and 0.35 (range, 0.11-0.66) for the surrounding tissue; these values differed significantly from the relative signal-intensity ratios for normal-appearing bone marrow (p < 0.05). Conclusion: Chemical-shift MRI is useful for the diagnosis and evaluation of osteoid osteoma.

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