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    3D_Merge

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    54 views4 pages

    3D Merge

    Uploaded by

    drpravinpadalkar

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 4

    CLINICAL VALUE MSK IMAGING

    "3<4A64)
    0A^Qdbc0XS
    c^B_X]P[8\PVX]V
    By Jang-Gyu Cha, MD, Assistant Professor, Department of
    Radiology, Soonchunhyang University Hospital, Bucheon

    DcX[XiX]VVaPSXT]caTRP[[TSTRW^6A4bT`dT]RTbX]<AX\PVX]V
    P[[^fU^aVaTPcTa TgXQX[XchX]PSYdbcX]V2B5R^]caPbcP]S ^f
    bT]bXcXeXchfXcWC!fTXVWcTSC!f6A4cTRW]X`dTbQTX]V
    a^dcX]T[hdbTSU^acaP]beTabT<AX\PVX]V^UcWTRTaeXRP[b_X]T
    FWX[TcaPSXcX^]P[cWaTTSX\T]bX^]P["36A4\TcW^SbWPeTcWT
    VT]TaP[PSeP]cPVT^UPR`dXaX]VSPcPfXcWXb^ca^_XRe^gT[bP]S
    ePaXPQ[TaTR^]bcadRcX^]b[XRTcWXRZ]TbbcWThbdUUTaUa^\P[PRZ
    ^UR^]caPbcR^\_PaTSfXcWb_X]TRW^P__a^PRWTb
    5^aQTccTacXbbdTR^]caPbcP]ScWX]]Tab[XRTbePaX^db_d[bT
    bT`dT]RTbX]R[dSX]VSdP[TRW^bcTPShbcPcT34BBX\PVX]V
    P]SQP[P]RTSbcTPShbcPcTUaTT_aTRTbbX^]BB5?WPeT
    aTRT]c[hQTT]STeT[^_TS<4A64<d[cX4RW^ATRP[[TS
    6aPSXT]c4RW^P]Tf<AcTRW]X`dTUa^\647TP[cWRPaT
    XbP\^SX
    RPcX^]^UcWTC!fVaPSXT]cTRW^_d[bT
    bT`dT]RTfWTaTbXV]P[bUa^\cWTTRW^TbPRa^bb
    cWTC4PaTaTR^\QX]TSc^STRaTPbTX\PVTPacXUPRcb
    aTbd[cX]VX]X\_a^eT\T]cbX]cXbbdTR^]caPbcPbR^\
    _PaTSc^RdaaT]cVaPSXT]cTRW^bT`dT]RTb

    26 BXV]P?D;B4~B_aX]V!(
    <B:8<068=6 2;8=820;E0;D4

    T2 image 3D MERGE

    Figure 1. "3<4A64aXVWcbW^fb;#$SXbR[TbX^]SXb_[PRTaXVWc;$]TaeTa^^cbd_Ta^[PcTaP[[hfWXRWXb]^cbW^f]^]
    cWTPgXP[C!X\PVTb[TUc

    The widely used 2D MERGE has been modified to provide <A\hT[^VaP_WhRP]ST\^]bcaPcT^][hcWT]TaeTa^^c


    3D capabilities. The 3D MERGE sequence also has the "3<4A64X\PVX]VXbP]TU
    RXT]cfPhc^bX\d[cP]T^db[h
    _^cT]cXP[c^^eTaR^\TcWTbW^acR^\X]Vb^UR^]eT]cX^]P[ PbbTbbQ^cW]TaeTa^^cbP]SSXbR\PcTaXP[5XVdaTb c^"
    "3VaPSXT]cTRW^X\PVX]V0Q^eTP[[<4A64_a^eXSTbTgRT[[T]c
    8]PSSXcX^]fTWPeTU^d]ScWPc"3<4A64RP]QTdbTUd[U^a
    UPcbd__aTbbX^]P]SQaXVWcTabXV]P[X]cT]bXchUa^\ dXScWP]
    cWTTeP[dPcX^]^UWT\Pc^[^VXR\P[XV]P]RXTb7T\Pc^[^VXR
    the conventional GRE sequence.
    ]T^_[Pb\X]R[dSX]V\TcPbcPbXb\PhQTbWPa_[hST\PaRPcTS
    8]^daR[X]XRP[_aPRcXRTcWT"3<4A64cTRW]X`dTWPbQTT] Ua^\]^a\P[Q^]T\Paa^fX]cWT"3<4A64X\PVTb
    dbTS_aX\PaX[hU^ab_X]TX\PVX]VP]ScWXbPR`dXbXcX^]Xb]^f 5XVdaTb#$0[b^dbX]V \\"3aTR^]bcadRcTSX\PVTb
    X]R[dSTSX]^daa^dcX]T_a^c^R^[U^aRTaeXRP[cW^aPRXRP]S \PhX\_a^eTSTcTRcPQX[Xch^U^RRd[cUaPRcdaTb^UcWTb_X]T
    [d\QPab_X]P[X\PVX]V which is not typically shown in conventional sequences
    5XVdaT%
    ?aX^ac^"3<4A64PbbTbbX]VcWTaT[PcX^]bWX_QTcfTT]cWT
    disc materials and nerve root on conventional spin-echo 8]R^]R[dbX^]"3<4A64X\PVX]V\Ph_a^eXSTPa^Qdbc
    bT`dT]RTbfPbPcX\TR^]bd\X]VP]ScTSX^dbf^aZU^a \TcW^Sc^PRRdaPcT[hSXPV]^bTb_X]P[[TbX^]b5^acWT
    aPSX^[^VXbcbQTRPdbT^UcWT[X\XcTS]d\QTa^Ub[XRTb?[db aPSX^[^VXbccWXbcTRW]X`dT\PhbPeTcX\TP]S_aTbT]c
    a precise way to interpret spinal diseases. „

    0647TP[cWRPaT<A_dQ[XRPcX^]~B_aX]V!( 27
    CLINICAL VALUE MSK IMAGING

    T2 image 3D MERGE

    Figure 2.C  cW^aPRXRb_X]P[SXbR[TbX^]^]bPVXccP[[TUcPgXP[C!\XSS[TP]S"3<4A64aXVWc

    T2 image 3D MERGE

    Figure 3.FWX[TcWT2$%SXbR[TbX^]XbbW^f]fXcWcWTC!X\PVTcWTaT[PcX^]bWX_QTcfTT]cWTSXbR[TbX^]
    P]S]TaeTa^^cXbR[TPa[heXbdP[XiTSX]cWT"3<4A64X\PVTb

    28 BXV]P?D;B4~B_aX]V!(
    <B:8<068=6 2;8=820;E0;D4

    T1 enhanced

    Dr. Jang-Gyu Cha

    9P]V6hd2WP<3XbP]PbbXbcP]c_a^UTbb^aX]
    3D MERGE axial reconstruction cWT3T_Pac\T]c^UAPSX^[^VhPcB^^]RWd]WhP]V
    D]XeTabXch7^b_XcP[1dRWT^]7TaTRTXeTSWXb
    \TSXRP[STVaTTP]SP<PbcTab^U<TSXRX]TUa^\
    B^^]RWd]WhP]VD]XeTabXch2Wd]V]P\P]S
    R^\_[TcTSWXbX]cTa]bWX_P]SaPSX^[^VhaTbXST]Rh
    PccWTD]XeTabXch{bW^b_XcP[3a2WPR^\_[TcTS
    PaPSX^[^VhUT[[^fbWX_PcB^^]RWd]WhP]V
    D]XeTabXch7^b_XcP[1dRWT^]P]SXbP\T\QTa
    ^UcWTAB=0:^aTP]APSX^[^VXRP[B^RXTch:^aTP]
    B^RXTch^UD[caPb^d]SX]<TSXRX]T:^aTP]B^RXTch
    ^U<dbRd[^bZT[TcP[APSX^[^VhP]S:^aTP]B^RXTch
    ^U<PV]TcXRATb^]P]RTX]<TSXRX]T

    Figure 4."3<4A64X\PVTST_XRcb\d[cX_[Tb_X]P[X]e^[eT\T]c^U\d[cX_[T\hT[^\PR^\_PaTSfXcW
    ^cWTabT`dT]RTb

    T1 T2 Diffusion 3D MERGE

    About the facility


    B^^]RWd]WhP]VD]XeTabXch1dRWT^]W^b_XcP[
    Xb[^RPcTSX]1dRWT^]RXchfWXRWXb#Z\Ua^\
    BT^d[P]SWPbP_^_d[PcX^]^U^]T\X[[X^]CWT
    W^b_XcP[fPbTbcPQ[XbWTSX]9P]dPah! PbcWT
    U^dacWQaP]RW^UB^^]RWd]WhP]V<TSXRP[2T]cTa
    Figure 5."3<4A64X\PVTST_XRcb\d[cX_[Tb_X]P[X]e^[eT\T]c^U\d[cX_[T\hT[^\PR^\_PaTSfXcW
    ^cWTabT`dT]RTb CWTW^b_XcP[WPb" b_TRXP[chR[X]XRbP]S
    'bdQR[X]XRbcWPcf^aZX]cP]ST\c^TU
    RXT]c[h
    Rdbc^\XiT_PcXT]ccaTPc\T]cC^_a^eXSTcWT
    QTbc\TSXRP[bTaeXRTB^^]RWd]WhP]VD]XeTabXch
    T1 T2 Diffusion 3D MERGE 1dRWT^]TbcPQ[XbWTSb_TRXP[RPaTRT]cTabc^
    STP[fXcWb_TRX
    RSXbTPbTbP]SSTeT[^_TSP]
    PSeP]RTS\TSXRP[P]STSdRPcX^]UPRX[Xch
    X]R[dSX]VPccaPRcX]VWXVW[h`dP[X
    TS\TSXRP[
    _Tab^]]T[8]9P]dPah!&cWTUPRX[XchX]bcP[[TS
    PBXV]P73g"CcWT
    abcX]bcP[[PcX^]^UP"C<A
    bRP]]TaX]0bXPP]SPBXV]P73g $CbRP]]Ta

    Figure 6."3<4A64X\PVTaTeTP[bUaPRcdaT[X]TfXcWQ^]TQadXbTb^[XSPaa^fbfWXRWXb]^cbTT]X]C 
    ^aC!R^]eT]cX^]P[bT`dT]RTb0]cTaX^aT_XSdaP[WT\^aaWPVTXbfT[[eXbdP[XiTSR^\_PaTSfXcW^cWTa
    bT`dT]RTbSPbWTSPaa^f

    0647TP[cWRPaT<A_dQ[XRPcX^]~B_aX]V!( 29

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