scholarly journals Prosedur Pemeriksaan MRI Leher pada Kasus Karsinoma Nasofaring di Instalasi Radiologi RS Ken Saras Kabupaten Semarang

2021 ◽  
Vol 7 (1) ◽  
pp. 48-58
Author(s):  
Yeti Kartikasari ◽  
Emi Murniati ◽  
Muhammad Sakur

Background: Magnetic Resonance Imaging (MRI) is a diagnostic imaging modality that can generate slices anatomy body multiplanar by contrast in a very good resolution. The results of the  of an MRI description is more accurate for diagnosing Carcinoma of the nasopharynx. On examination of of the neck MRI  with the case of carcinoma, after infusion of contrast Moeller and Reif (2003) suggested to use T1 TSE Coronal and axial sequence  and using the 4 mm slice thickness , but in Radiology instalation of  Ken Saras Hospital using  T1 and T1 TSE TSE Fat Saturation Coronal, sagittal and axial sequence as well as using slice thickness 2 mm in axial slices. The purpose of this research is to know the procedure of examination of of the neck MRI  in the case of Carcinoma of the nasopharynx, justifying  T1 Fat Saturation sequence after infusion media kontaras and reasons of  wearing slice thickness 2 mm in axial slices.Methods: This type of research is qualitative research with case studies approach. Data retrieval is done by  observation, documentation, interviews with two specialists in radiology, 2 radiografer and 1 doctor who send the patient.  The data obtained  analized  by using the table  categorisation and coding.Result: The results of the research showed that MRI examination procedure of the neck in the case of Carcinoma of nasopharynx in Radiology Installation of  Ken Saras hospital using  T1 TSE multi planar (coronal, sagittal and axial), T2 TSE multi planar and T2 TSE Fat Saturation multi planar sequences before infusion of contrast media,  T1 and T1 TSE TSE Fat Saturation multi planar sequences after infusion contrast and using the slice thickness 2 mm in axial slices. Addition sequence T1 TSE Fat Saturation after infusion of contrast aimed to clarify the limits of the tumor with surrounding tissue and image of  Lymphadenopathy.Conclusion: While using 2 mm slice thickness  in axial slices aims to show the abnormalities or nodules-small nodules on the nasopharynx and to see the expansion Stadium in the  surrounding area of the nasopharynx. 

2004 ◽  
Vol 12 (3) ◽  
pp. 238-243 ◽  
Author(s):  
Elisa Emi Tanaka ◽  
Emiko Saito Arita ◽  
Bunji Shibayama

Occlusal stabilization appliances or splints are the most widely employed method for treatment of temporomandibular disorders (TMD). Magnetic Resonance Imaging (MRI) is the most indicated imaging modality to evaluate the components of the temporomandibular joint (TMJ). Forty patients with signs and symptoms of temporomandibular disorders were treated with splints for a mean period of 12 months, comprising regular semimonthly follow-ups. After stabilization of the clinical status, occlusal adjustments and MRI evaluation were performed. It was concluded that the success of this kind of treatment are related to the total (70%) or partial improvement (22.5%) of painful symptomatology and to the functional reestablishment of the craniomandibular complex. The MRI allowed evaluation and also the conclusion that the splints provide conditions for the organism to develop means to resist to the temporomandibular disorders by means of elimination of several etiologic factors. Moreover, after treatment the patients are able to cope with disc displacements with larger or smaller tolerance.


2021 ◽  
Vol 25 (02) ◽  
pp. 203-215
Author(s):  
Andrea B. Rosskopf ◽  
Mihra S. Taljanovic ◽  
Luca M. Sconfienza ◽  
Salvatore Gitto ◽  
Carlo Martinoli ◽  
...  

AbstractTendon injuries represent the second most common injury of the hand (after fractures) and are a common scanning indication in radiology. Pulley injuries are very frequent in rock climbers with the A2 pulley the most commonly affected. Tendon and pulley injuries can be reliably evaluated using ultrasound (US) and magnetic resonance imaging (MRI). US can be postulated as a first-line imaging modality, allowing dynamic examination. MRI is essential for cases with ongoing diagnostic doubt post-US and also for preoperative pulley reconstruction assessment.


2019 ◽  
Vol 12 (3) ◽  
pp. 137 ◽  
Author(s):  
Julia Greiser ◽  
Wolfgang Weigand ◽  
Martin Freesmeyer

This article reviews the use of metal complexes as contrast agents (CA) and radiopharmaceuticals for the anatomical and functional imaging of the liver. The main focus was on two established imaging modalities: magnetic resonance imaging (MRI) and nuclear medicine, the latter including scintigraphy and positron emission tomography (PET). The review provides an overview on approved pharmaceuticals like Gd-based CA and 99mTc-based radiometal complexes, and also on novel agents such as 68Ga-based PET tracers. Metal complexes are presented by their imaging modality, with subsections focusing on their structure and mode of action. Uptake mechanisms, metabolism, and specificity are presented, in context with advantages and limitations of the diagnostic application and taking into account the respective imaging technique.


1987 ◽  
Vol 5 (10) ◽  
pp. 1663-1669 ◽  
Author(s):  
C Hagenau ◽  
W Grosh ◽  
M Currie ◽  
R G Wiley

Spinal involvement by systemic malignancy is common, and often leads to extradural compression of the spinal cord and/or nerve roots by metastases. Rapid, anatomically accurate diagnosis is essential to the successful management of these patients. We compared spinal magnetic resonance imaging (MRI) with conventional myelography in a series of 31 cancer patients being evaluated for myelopathy (N = 10), or back/radicular pain (N = 21). All patients were evaluated between April 1985 and July 1986, and underwent both studies within ten days of each other (median, two days). MRI was performed on a 0.5 Tesla Technicare unit with a body surface coil, and results compared with standard contrast myelography. All studies were reviewed separately and in a "blinded" fashion. MRI and myelography were comparable in detecting large lesions that produced complete subarachnoid block (five of ten patients with myelopathy, three of twenty-one patients with back/radicular pain). In 19 of 31 patients, smaller but clinically significant extradural lesions were found. In nine of 19 cases, these lesions were demonstrated equally well by both modalities; in nine of 19 cases, these lesions were demonstrated by myelography alone; in one of 19, a lesion was demonstrated by MRI alone. Given our current technology, myelography appeared superior to MRI as a single imaging modality. However, MRI may be an alternative in patients where total myelography is technically impossible or unusually hazardous.


2008 ◽  
Vol 90 (1) ◽  
pp. 25-28 ◽  
Author(s):  
S Blyth ◽  
A Blakeborough ◽  
M Peterson ◽  
IC Cameron ◽  
AW Majeed

INTRODUCTION The aim of this study was to evaluate the sensitivity of magnetic resonance imaging (MRI) in the detection of colorectal liver metastases. PATIENTS AND METHODS Pre-operative MRI scanning of the liver was performed by a single radiologist and the size and number of definite liver metastases were recorded. Patients then underwent hepatectomy with routine intra-operative ultrasonography (IOUS) and resected specimens were sent for histopathology. Pathology findings were compared with those of MRI scans to determine the sensitivity of this imaging modality. Exclusions were patients undergoing hepatic resection more than 4 weeks after the MRI scan, those undergoing chemotherapy at the time of the scan, and those with conglomerate unilobar metastases. RESULTS Complete data were available for 84 patients. There was total agreement between MRI, IOUS and histology in 79 patients (101 metastases). MRI missed 5 metastases in 5 patients that were found on IOUS (or palpation of superficial lesions) and subsequently confirmed by histological examination. These measured 5 mm or less (4 patients) and 7 mm (one patient). The sensitivity of MRI in the detection of colorectal liver metastases was thus 94% for all lesions and 100% for lesions 1 cm or larger in diameter. CONCLUSIONS MRI of the liver is a non-invasive technique with an extremely high degree of sensitivity in the detection of colorectal liver metastases and should be considered as the ‘gold standard’ in the pre-operative imaging of these patients.


1996 ◽  
Vol 110 (12) ◽  
pp. 1129-1132 ◽  
Author(s):  
K. V. Ravi ◽  
S. C. Wells

AbstractMagnetic resonance imaging (MRI) is the imaging modality of choice in diagnosing vestibular schwannoma (VS). Perceived high costs have prevented clinicians from using it as a screening investigation, although MR scanners are now widely available in the United Kingdon. In a retrospective study, the clinical records of all the patients who presented to the ENT department of Taunton and Someerset NHS Trust with suspected symptoms of VS during the year 1994 were analysed. The cost of confirming or refuting the diagnosis of VS in each patient ranged from £220.72 to £580.31 depending on the number of hospital visits and investigations performed. This study shows that the routine use of MR scanning for detection of VS is cost effective and more effective than the use of conventional tests.


2015 ◽  
Vol 1 (1) ◽  
pp. 36-43
Author(s):  
Akhmad Haris Sulistiyadi ◽  
Ari Suwondo ◽  
Sugiyanto Sugiyanto

Background: Fat saturation is an alternative technique to improve image information in T1 WI post contrast MRI of brain tumor. It can increase lesion conspituity by suppressing normal tissue’s signal. To optimize image information by using fat saturation, selection of Fat Saturation type and Time Repetition (TR) value are important.Objectives: to analyze the differences in T1 WI post-contrast image information in MRI of brain tumor in various type of Fat Saturation and TR value.Methods: Experimental study with factorial design conducted in  Telogorejo Hospital-Semarang. Nine combinations (9 groups) of three Fat Saturation types (none, weak, and strong) by three TR values (700 ms, 750 ms, and 800 ms) were given to 12 patients of MRI brain tumor. Image informations were assessed by measuring  SNR (white matter, gray matter, lesions, surrounding tissue), CNR (white matter- gray matter, white matter-CSF, gray matter-CSF, lesion- surrounding tissue), lesion conspituity, artifacts, and contrast image in general.Results: The results showed that there were significant differences in SNR of white matter, gray matter, and in surrounding tissue (p 0.05); CNR of white matter-CSF, gray matter-CSF, lesion-tissue surrounding tissue (p 0.05); and lesion conspituity (p 0.05) between groups with no sat fat, weak fat sat, and strong fat sat. There were significant differences in SNR of white matter, gray matter, and surrounding tissue (p 0.05); and CNR of white matter-CSF, gray matter-CSF, and lesion- surrounding tissue (p 0.05) between group TR 700 ms, TR 750 ms, and TR 800 ms.Conclusion: Combination of strong fat saturation and TR 700 ms can produce the most optimal image information.


2021 ◽  
Vol 27 (2) ◽  
pp. 88-90
Author(s):  
Jaewoong Jung ◽  
Juhui Park ◽  
Yang Hoon Chung ◽  
Won Seok Chae

Magnetic resonance imaging (MRI) is a useful and safe imaging modality for examining preterm infants. However, MRI examination requires careful precautions, and infants and children are likely to require deep sedation or anesthesia to keep them still during the examination. Sedation has various risks and the greatest concern of sedation is cardiorespiratory events. In addition, delicate titration is also necessary for preterm infants because propofol pharmacokinetics is different from those in older children. We successfully completed sedation of a preterm neonate (gestational age, 32+1 weeks; birth weight, 1,970 g) with a history of frequent apnea through careful assessment and continuous monitoring. We want to suggest alternative options for airway management of the high risk of respiratory complications.


2021 ◽  
Vol 15 ◽  
Author(s):  
Runze Hu ◽  
Rui Yang ◽  
Yutao Liu ◽  
Xiu Li

Magnetic resonance imaging (MRI) is an essential clinical imaging modality for diagnosis and medical research, while various artifacts occur during the acquisition of MRI image, resulting in severe degradation of the perceptual quality and diagnostic efficacy. To tackle such challenges, this study deals with one of the most frequent artifact sources, namely the wrap-around artifact. In particular, given that the MRI data are limited and difficult to access, we first propose a method to simulate the wrap-around artifact on the artifact-free MRI image to increase the quantity of MRI data. Then, an image restoration technique, based on the deep neural networks, is proposed for wrap-around artifact reduction and overall perceptual quality improvement. This study presents a comprehensive analysis regarding both the occurrence of and reduction in the wrap-around artifact, with the aim of facilitating the detection and mitigation of MRI artifacts in clinical situations.


2020 ◽  
Vol 27 (3) ◽  
pp. 352-361 ◽  
Author(s):  
Silvanose Biju ◽  
Tatjana N. Parac-Vogt

Paramagnetic Lanthanide ions incorporated into nano- architectures are emerging as a versatile platform for Magnetic Resonance Imaging (MRI) contrast agents due to their strong contrast enhancement effects combined with the platform capability to include multiple imaging modalities. This short review examines the application of lanthanide based nanoarchitectures (nanoparticles and nano- assemblies) in the development of multifunctional probes for single and multimodal imaging involving high field MRI as one imaging modality.


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