• 대한방사선기술학회지:방사선기술과학
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• 제42권5호
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• pp.351-356
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• 2019

This study aimed to determine whether there was a difference in measurements between North American Symptomatic Carotid Endarterectomy Trial(NASCET) and Warfarin-Aspirin Symptomatic Intracranial Disease(WASID) methods that measure the middle cerebral artery stenosis in Digital Subtraction Angiography (DSA) and Magnetic Resonance Angiography (MRA). It involved 24 patients who had completed both DSA and MRA among patients with Middle Cerebral Artery (MCA) stenosis. The Middle Cerebral Artery (MCA) stenosis was measured using the NASCET and WASID methods through a retrospective analysis. For the NASCET and WASID methods, they performed measurements on normal blood vessels located far from and close to the stenosis, respectively. The mean value and standard deviation of the Digital Subtraction Angiography (DSA) measured by the NASCET method were 59.23% and 13.27%. On the other hand, those of the Digital Subtraction Angiography (DSA) measured by the WASID method were 66.64% and 12.47%. And, the mean value and standard deviation of the Magnetic Resonance Angiography (MRA) measured by the NASCET method were 49.82% and 12.06%. By contrast, those of the Magnetic Resonance Angiography (MRA) measured by the WASID method were 56.63% and 10.67%. All the p-values obtained by the Pearson and Spearman correlation tests in the Digital Subtraction Angiography (DSA) and the Magnetic Resonance Angiography (MRA) were <0.01. In conclusion, this study suggests that both the NASCET and WASID methods to measure the middle cerebral artery stenosis in the Digital Subtraction Angiography (DSA) and the Magnetic Resonance Angiography (MRA) can be used if they are not used interchangeably.

• 정보처리학회논문지B
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• 제12B권5호
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• pp.543-552
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• 2005

본 논문은 조영 영상에서 유동적인 배경의 텍스쳐 분석을 통한 DSA(Digital subtraction Angiography: 디지털 혈관조영술)기반의 관상동맥 검출방법에 대해 기술한다. DSA 방법은 조영제를 투입하기 전에 촬영된 마스크 영상과 조영제 투입 후의 혈관 대비가 나타나는 라이브 영상과의 차이를 이용하여 빠르게 혈관 영역만을 검출하는 방법이다. 이 방법의 큰 단점은 배경의 움직임에 민감하고, 두 영상간의 지역적인 배경 명암 분포의 변화에 따라 오검출이 발생할 수 있다. 따라서 본 논문에서는 배경 텍스쳐의 유사도를 분석하여 움직임의 차이가 가장 작은 영상을 선택함으로써 배경의 움직임으로 인한 구조적인 문제를 해결하고, 선택된 영상의 지역적 명암 보정을 통해 혈관 영역만을 효과적으로 추출할 수 있는 방법을 제안한다. 실험 결과에서는 성능 평가를 위하여 다섯 환자의 임상 관상동맥 조영 영상을 사용 하였다. 제안하는 방법은 기존의 방법보다 배경을 혈관으로 인식하는 오 인식률에서 약 $2\%$정도의 안정적인 결과를 보여주며, 정확도는 증가하였음을 알 수 있다.

• 제어로봇시스템학회:학술대회논문집
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• 제어로봇시스템학회 1987년도 한국자동제어학술회의논문집; 한국과학기술대학, 충남; 16-17 Oct. 1987
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• pp.684-689
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• 1987

Digital Subtraction Angiography(DSA) technique has been widely used to detect vascular diseases and hemodynamic parameters noninvasively. However, there are few quantitative studies on the factors in fluencing the resultant DSA image quality. In this paper, several important factors are suggested to improved the DSA image quality based on mathematical analysis. Experimental DSA images for different filters are shown and also discussed the difference between original and processed image quality.

• Journal of Korean Neurosurgical Society
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• 제47권3호
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• pp.185-190
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• 2010

Objective : The aneurysm remnants rate was evaluated via three-dimensional digital subtraction angiography (3D-DSA) in the postoperative evaluation of clipped aneurysms. Methods : Data on surgically clipped aneurysms of anterior circulation obtained via postoperative 3D-DSA from February 2007 to March 2009 were gathered. The results of the postoperative 3D-DSA and of two-dimensional digital subtraction angiography (2D-DSA) for the detection of aneurysm remnants were compared, and an investigation was performed as to why 2D-DSA had missed some aneurysm remnants that were detected in the 3D-DSA. Various surgical factors that revealed aneurysm remnants in the 3D-DSA were also evaluated. Results : A total of 39 neck remnants of 202 clipped aneurysms (19.3%) were confirmed in 3D-DSA, and these were classified according to Sindou's classification of aneurysm remnants. Patients with only a neck remnant found in the 3D-DSA represented 17.3% (35/202 aneurysms) of the whole series, and those with a residuum of neck plus sac found in the 3D-DSA represented 1.9% (4/202 aneurysms). The causes of aneurysm remnants were no full visualization (14/39, 35.9%), parent and perforator artery protection (10/39, 25.6%), clip design problems (8/39, 20.5%), and broadnecked aneurysm (7/39, 17.9%). Conclusion : Patients with ${\leq}2$mm aneurysm remnants showed an increased risk of undetectable aneurysm remnants in the 2D-DSA. The most frequent location of the missed aneurysm in 2D-DSA was the anterior communicating artery. 3D-DSA showed more aneurysm remnants than what is indicated in the existing literature, the 2D-DSA.

• Journal of Korean Neurosurgical Society
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• 제42권2호
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• pp.103-111
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• 2007

Objective : We evaluated the accuracy of multislice computerized tomographic angiography (MCTA) in the postoperative evaluation of clipped aneurysms by comparising it with three dimensional digital subtraction angiography (3D-DSA). Methods : Between May 2004 and September 2006, we included patients with ruptured cerebral aneurysm of the anterior circulation that was surgically clipped and evaluated by both postoperative MCTA and postoperative 3D-DSA. We measured the diagnostic performance and calculated the sensitivity and specificity of postoperative MCTA compared to 3D-DSA in the detection of aneurysm remnants. Results : A total of 11 neck remnants among the 92 clipped aneurysms (11.9%) were confirmed by 3D-DSA. According to Sindou's classification of aneurysm remnants, 8.7% of clipped aneurysms (8/92) had only neck remnant on 3D-DSA and 3.2% (3/92 aneurysms) had residuum of the neck and sac on 3D-DSA. There were 12 (13.04%) equivocal cases that were difficult to interpret based on the postoperative MCTA. The reasons for the equivocal cases included multiple clips (6 cases, 50.0%). beam-hardening effect (4 cases, 33.3%), motion artifact (1 case, 8.3%), fenestrated clip (1 case, 8.3%) and other combined causes. The sensitivity and specificity of the postoperative MCTA was 81.8% and 88.9%, respectively by ROC curve (p=0.000). Conclusion : MCTA is an accurate noninvasive imaging method used for the assessment of clipped aneurysms in the anterior circulation. If the image quality of postoperative MCTA is good quality and the patient has been treated with a single titanium clip, except a fenestrated clip, the absence of an aneurysm remnant can be diagnosed by MCTA alone and the need for postoperative DSA can be reduced in a large percentage of cases.

• 대한방사선기술학회지:방사선기술과학
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• 제24권2호
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• pp.23-28
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• 2001

The purpose of this study is to compare the 3-dimensional MR angiography(MRA) with digital subtraction angiography(DSA) for the evaluation of pedal artery. MR angiography was performed using three-dimensional FISP acquisition before, and four sequential acquisitions after the injection of gadolinium(0.2 mmol/kg, 3 ml/sec). MRA was compared with DSA for a correct identification of the arterial segment. Out of 168 segments, 32 segmints were invisible in both MRA and DSA. At the level of ankle, 48 segments were visible in both examinations, and 18 segments were visible only in MRA. In the foot area, 34 segments were visible in MRA, but not in DSA. Three arterial segments were visible only in DSA. 3D MRA is comparable to DSA for the evaluation of pedal artery, thus it gives additional Information for the planning of treatment in lower extremity artery.

• 대한자기공명의과학회:학술대회논문집
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• 대한자기공명의과학회 1997년도 제2차 추계학술대회 초록집
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• pp.28-28
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• 1997

• 인터넷정보학회논문지
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• 제7권4호
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• pp.33-43
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• 2006

본 논문에서는 조영 영상을 받아들여 관상동맥을 효과적으로 추출하는 방법을 소개한다. 혈관 추출에 일반적으로 사용되는 디지털 혈관조영술(DSA : Digital Subtraction Angiography)은 조영제 투입 전에 촬영된 마스크 영상과 조영제 투입 후의 혈관 대비가 나타나는 라이브 영상과의 차이를 이용하여 빠르게 혈관 영역만을 검출하는 방법이다. 그러나 이 방법은 배경의 움직임에 민감하고 두 영상간의 지역적인 배경 명암 분포의 변화에 따라 오 검출이 발생할 수 있다는 단점을 가진다. 따라서 본 논문에서는 배경 텍스쳐의 유사도를 분석하여 움직임의 차이가 가장 작은 영상을 선택함으로써 배경의 움직임에 기인하는 구조적인 문제를 해결하고, 선택된 영상의 지역적 명암 보정을 통해 혈관 영역만을 효과적으로 추출하는 방법을 제안한다. 실험 결과는 제안된 방법이 기존의 방법보다 오 인식률은 감소하고 정확도는 증가함을 보여준다.

• 대한의용생체공학회:의공학회지
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• 제8권2호
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• pp.189-198
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• 1987

Digital Subtraction Angiography(DSA) technique has been widely used to detect vascular diseases and hemodynamic parameters noninvasively. However, there factors in fluencing the resultant DSA image quality. In this paper, several important factors are suggested to improve the DSA image quality based on mathematicical analysis. Experimental DSA images for different filters are shown and also dicussed the difference between original and processed image qualities.

• The Korean Journal of Pain
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• 제28권2호
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• pp.105-108
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• 2015

Background: The most definitive diagnosis of neck pain caused by facet joints can be obtained through cervical medial branch blocks (CMBBs). However, intravascular injections need to be carefully monitored, as they can increase the risk of false-negative blocks when diagnosing cervical facet joint syndrome. In addition, intravascular injections can cause neurologic deficits such as spinal infarction or cerebral infarction. Digital subtraction angiography (DSA) is a radiological technique that can be used to clearly visualize the blood vessels from surrounding bones or dense soft tissues. The purpose of this study was to compare the rate of detection of intravascular injections during CMBBs using DSA and static images obtained through conventional fluoroscopy. Methods: Seventy-two patients were included, and a total of 178 CMBBs were performed. The respective incidences of intravascular injections during CMBBs using DSA and static images from conventional fluoroscopy were measured. Results: A total of 178 CMBBs were performed on 72 patients. All cases of intravascular injections evidenced by the static images were detected by the DSAs. The detection rate of intravascular injections was higher from DSA images than from static images (10.7% vs. 1.7%, P < 0.001). Conclusions: According to these findings, the use of DSA can improve the detection rate of intravascular injections during CMBBs. The use of DSA may therefore lead to an increase in the diagnostic and therapeutic value of CMBBs. In addition, it can decrease the incidence of potential side effects during CMBBs.