• Title/Summary/Keyword: MR safety

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Gadolinium Deposition in the Brain: Current Updates

  • Jin Woo Choi;Won-Jin Moon
    • Korean Journal of Radiology
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    • 제20권1호
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    • pp.134-147
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    • 2019
  • Gadolinium-based contrast agents (GBCAs) are commonly used for enhancement in MR imaging and have long been considered safe when administered at recommended doses. However, since the report that nephrogenic systemic fibrosis is linked to the use of GBCAs in subjects with severe renal diseases, accumulating evidence has suggested that GBCAs are not cleared entirely from our bodies; some GBCAs are deposited in our tissues, including the brain. GBCA deposition in the brain is mostly linked to the specific chelate structure of the GBCA: linear GBCAs were responsible for brain deposition in almost all reported studies. This review aimed to summarize the current knowledge about GBCA brain deposition and discuss its clinical implications.

흉부대동맥류의 혈관내치료 도중 좌측 쇄골하동맥 폐색이 뇌혈류역동에 미치는 효과: 2차원 위상차 대조 자기공명영상을 이용한 혈류 측정 2례 보고 (The Effect of Left Subclavian Artery Coverage During Endovascular Repair of the Thoracic Aortic Aneurysm on Cerebral Hemodynamics: Two Cases of Flow Measurement by using 2D Phase Contrast Magnetic Resonance Imaging)

  • 백승훈;윤성원;김호균;권오춘;이섭;이종민
    • Investigative Magnetic Resonance Imaging
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    • 제16권2호
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    • pp.159-168
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    • 2012
  • 흉부대동맥류는 좌측 쇄골하동맥에 가까이 위치해 있어서 흉부대동맥내치료를 시행할 때 좌측 쇄골하동맥의 폐색이 불가피한 경우가 많다. 좌측 쇄골하동맥 폐색의 안전성과 좌측 쇄골하동맥 재생술의 필요성에 대해 논란이 계속되고 있음에도 불구하고, 좌측 쇄골하동맥의 폐색후 뇌혈류역학적인 변화에 대한 기존의 체계적인 연구는 없었다. 저자들은 좌측 쇄골하동맥폐색을 동반한 흉부대동맥내치료의 대상이 되는 2명의 환자에서 치료 전후의 2차원 위상차 대조 자기공명영상을 시행하였다. 좌측 쇄골하동맥의 폐색 후 좌측 쇄골하도주가 발생하였으며, 이로 인한 뇌혈류의 소실을 양측 경동맥과 주된 부행혈류인 오른쪽 추골동맥이 적절하게 보상하였다. 전체 뇌혈류는 감소하지 않았으며 이는 임상적으로 뇌졸증이나 척수마비의 증상이 나타나지 않은 것과 잘 일치하였다. 2차원 위상차 대조 자기공명영상은 좌측 쇄골하동맥 폐색을 동반한 흉부대동맥내치료의 뇌혈류역학적인 평가와 좌측 쇄골하동맥 재생술이 필요한 환자의 선별에 유용할 것으로 사료된다.

FLNG개념설계 단계에서 SMR 및 DMR 액화공정의 잠재적 폭발위험도 비교 (Potential Explosion Risk Comparison between SMR and DMR Liquefaction Processes at Conceptual Design Stage of FLNG)

  • 유원우;채민호;박재욱;임영섭
    • 한국해양공학회지
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    • 제32권2호
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    • pp.95-105
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    • 2018
  • An FLNG (floating liquefied natural gas) or LNG FPSO (floating production, storage and offloading) unit is a notable offshore unit with the increasing demand for LNG. The liquefaction process on an FLNG unit is the most important process because it determines the economic feasibility, but would be a hazard source because of the large quantity of hydrocarbons. While a high efficiency process such as C3MR has been preferred for onshore liquefaction processes, a relatively simple process such as the SMR (single mixed refrigerant) or DMR (dual mixed refrigerant) liquefaction process has been selected for offshore units because they require a more compact size, lighter weight, and higher safety due to their space limitation for facilities and long distance from shore. It is known that an SMR has the advantages of a simple configuration, small footprint, and lower risk. However, with an increased production rate, the inherent safety of SMR needs to be evaluated because of its small train capacity. In this study, the potential explosion risks of the SMR and DMR liquefaction processes were evaluated at the conceptual design stage. The results showed that an SMR has a lower overpressure than a DMR at the same frequency, only with a small production capacity of 0.9 MTPA. With increased capacity, the overpressure of the SMR was higher than that of the DMR. The increased number of trains increased the frequency in spite of the small amount of equipment per train. This showed that the inherent risk of an SMR is not always lower than that of a DMR, and an additional risk management strategy is recommended when an SMR is selected as the concept for an FLNG liquefaction process compared to the DMR liquefaction process.

뇌하수체 종양의 방사선 수술 시 영상 융합 프로토콜이 실제 PTV와 OAR 선량에 미치는 영향 (The Dosimetric Effect on Real PTV and OARs at Various Image Fusion Protocol for Pituitary Adenomas)

  • 이경남;이동준;서태석
    • 한국의학물리학회지:의학물리
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    • 제21권4호
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    • pp.354-359
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    • 2010
  • 뇌하수체 종양의 치료 계획 시 다양한 영상 융합 프로토콜이 실제 PTV (planning target volume) coverage 및 OAR (organ at risk) 보호에 미치는 선량학적 영향을 확인하고자 하였다. 선량 체적 히스토그램(DVH, dose volume histogram)을 이용하여 각 프로토콜 별 실제 PTV의 coverage 및 그 변화 그리고 시각경로(optic pathway) 및 뇌간(brainstem)의 최대 흡수 선량과 임계 선량을 초과한 체적을 획득하였고 축상면(axial plane)과 관상면(coronal) 영상을 함께 사용하여 S-I (superior-inferior) 방향의 불확정도를 보정한 영상 융합 프로토콜이 축상면 만을 이용한 경우보다 시각경로 및 뇌간의 최대 흡수 선량과 임계 선량을 초과한 체적 모두 감소된 수치를 보임을 확인 하였다. 본 case에 한해 축상면 그리고 관상면 영상을 함께 사용하는 것이 OARs 보호에 가중치를 둔 방사선 수술 치료 계획 수립에 도움을 줄 수 있다.

교차로 교통상충기준 개발 및 평가에 관한 연구 (Development and Evaluation of Traffic Conflict Criteria at an intersection)

  • 하태준;박형규;박제진;박찬모
    • 대한교통학회지
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    • 제20권2호
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    • pp.105-115
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    • 2002
  • 현재까지 교차로 위험도 측정 방법은 실제 사고 자료를 이용한 분석을 통해 이루어져 왔다. 하지만 사고기록 자료의 수집에 많은 시간이 소요되고 사고기록자료의 신뢰성과 정확성의 결여로 인하여 사고기록자료를 통해 신속하고 정확한 교차로의 위험정도와 안전대책을 결정하기란 매우 어렵다고 할 수 있다. 따라서, 보다 신속하고 정확하게 교차로의 위험도를 예측할 수 있는 기법이 요구되는 바, 그 대안으로 교통상충기법이 제시되고 있다. 하지만 상충측정시 측정기준이 명확하지 않아 조사자의 주관적 판단에 의존하게 되므로 상충자료의 신뢰성에 문제점이 제시되고 있으며, 이에따라 객관적인 상충측정기준 수립에 관한 필요성이 대두되고 있다. 본 논문에서는 교차로에서 발생하는 상충유형을 선행차량과 후행차량의 진행방향별 상충특성을 중심으로 후미추돌, 측면충돌, 직각충돌, 그리고 대향좌회전충돌유형의 4가지로 분류하고, 공학적인 이론을 기반으로 정확하고 객관적인 상충측정기준을 정립하였으며, 정립된 상충기준에 의한 상충조사자료와 사고자료의 상관관계 분석을 통해 본 연구에서 제시한 상충기준의 적합성을 검증하였으며, 사고-상충, EPDO-상충간의 단순선형회귀분석을 실시하여 상충조사를 통하여 교차로의 위험도를 예측할 수 있음을 밝혔다. 교통상충측정시 본 연구에서 제시한 상충측정기준을 적용한다면 보다 신속하고 정확한 교차로 위험도 예측이 가능할 것이며, 이를 통해 교차로 운영개선효과와 위험교차로의 선정 및 관리 등에 효율적으로 활용될 수 있을 것으로 기대된다. 향후 본 연구에서 정립된 상충기준의 타지역 타교차로에 확대 적용 및 검증과 더불어, 본 연구에서 제시하는 유형에 포함되지 않는 기타 유형에 대한 상충기준의 개발이 필요할 것이다.에 가까운 우수한 해를 얻을 수 있다는 것을 알 수 있다. 비록 프로그래밍 과정이나 이론의 정식화가 유한요소법에 비해 상당히 어려운 점은 있으나 무요소법은 요소의 정보를 필요치 않으므로 사용자 입장에서는 매우 편리할 것이다. 앞으로 경계조건을 효과적으로 만족시키는 문제를 해결하고 효과적인 알고리즘이 개발된다면 실용적으로 유한요소법을 대신할 수 있는 좋은 대안이 될 수 있을 것이라 생각된다.ead up 되었을 때 3~6dB 정도 높게 나타났다.. 5. 마라도 주변해역의 추.동계 방어채낚기어장은 한국연안역으로부터 월동장 내지 산란장으로 남하하는 방어어군이 마라도 주변에 나타나는 연안계수와 외양계수(대마난류) 간에 형성되는 수온.염분전선, 섬주변의 소규모 와, 강한조류 및 지형적 특성(불규칙한 해저지형 및 고립도서)에 의해 이루어지는 왕성한 수평 및 연직 혼합 등과 같은 어장학적 호조건에 의해 마라도 주변에 체류하게 되고, 이들 체류어군은 조류방향에 따라 섬의 조상 측에 농밀군을 형성하는 섬의 조상측 어장이다.향을 주지 않는 것으로 나타났으므로 청소년 각자의 식습관 및 식품 섭취에 대한 관심을 고취시킬 필요가 있다고 생각된다.d with an MR peak in the vicinity of the coercive field. The low-field tunnel-type MR characteristics of thin films deposited on different substrates originates from the behavior of grain boundary properties. 않고 단지 안전 보호측면에서의 연구가 이루어졌을 뿐이었다. 따라서 서열환경하에서 머리부분의 쾌적성을 고려한 다양한 작업

제약회사 영업사원의 면담 품질(Call Quality) 향상을 위한 퍼실리테이션(Facilitation) 교육법의 효과 (The Effectiveness of Facilitation Education for Call Quality of Medical Representative in Pharmaceutical Industry)

  • 임형식;강신국;이광수;홍진태
    • 보건의료산업학회지
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    • 제13권4호
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    • pp.215-228
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    • 2019
  • Objectives: The purpose of this study is to figure out that Facilitation education can affect significant improvement in sales staff's understanding of precise pharmacokinetics, benefits, safety, and side effects, etc. and eventually lead to increase in call after taking courses. Methods: Data utilized in this study was collected from 413 sales staffs who completed Facilitation course for 5 months. This study used statistical methodologies, paired t-test, exploratory factor analysis, and logistic regression model in order to identify change in Call and after Facilitation courses. Results: The result shows that there are statistically significant increases in CALL quality after Facilitation courses based on the result of pared t-test. Moreover, Facilitation education is more effective in average time of one-time detail than average number of visits per day and average number of doctors per day from the result of logistic regression. Conclusions: In order for MR in pharmaceutical company to improve CALL quality, the education for precise pharmacokinetics, benefits, safety, and side effects is necessary. In addition, various professional training required for detail, including disease education, Selling Skills education, and literacy education are essential. Therefore, Facilitation education would be desirable choice in terms of pharmaceutical marketing strategy.

플룸분할 및 멀티스레딩을 통한 소외사고영향 분석시간 최적화 연구 (A Study on the Optimization of Offsite Consequence Analysis by Plume Segmentation and Multi-Threading)

  • 김승환;김성엽
    • 한국안전학회지
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    • 제37권6호
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    • pp.166-173
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    • 2022
  • A variety of input parameters are taken into consideration while performing a Level 3 PSA. Some parameters related to plume segments, spatial grids, and particle size distribution have flexible input formats. Fine modeling performed by splitting a number of segments or grids may enhance the accuracy of analysis but is time-consuming. Analysis speed is highly important because a considerably large number of calculations is required to handle Level 2 PSA scenarios for a single-unit or multi-unit Level 3 PSA. This study developed a sensitivity analysis supporting interface called MACCSsense to compare the results of the trials of plume segmentation with the results of the base case to determine its impact (in terms of time and accuracy) and to support the development of a modeling approach, which saves calculation time and improves accuracy. MACCSense is an automation tool that uses a large amount of plume segmentation analysis results obtained from MUST Converter and Mr. Manager developed by KAERI to generate a sensitivity report that includes impact (time and accuracy) by comparing them with the base-case result. In this study, various plume segmentation approaches were investigated, and both the accuracy and speed of offsite consequence analysis were evaluated using MACCS as a consequence analysis tool. A simultaneous evaluation revealed that execution time can be reduced using multi-threading. In addition, this study can serve as a framework for the development of a modeling strategy for plume segmentation in order to perform accurate and fast offsite consequence analyses.

Mixed Reality System for Virtual Chemistry Lab

  • Duan, Xiaoyun;Kang, Shin-Jin;Choi, Jong In;Kim, Soo Kyun
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제14권4호
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    • pp.1673-1688
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    • 2020
  • This paper presents a new method for improving teaching aids with the design and development of a chemistry education platform - the Mixed Reality (MR) Chemistry Lab. Our system provides a new educational experience in which students can simulate a chemistry experiment in a virtual lab and interact with objects using Oculus Helmet-Mounted Displays (HMD) and hand controller devices. The proposed system aims to familiarize students with experimental procedures and safety knowledge before conducting actual experiments. Moreover, students will be able to observe microscopic atomic structure models in three dimensions. Our research also includes a five-part, quantitative evaluation system user tests perform using a quantitative questionnaire consisting of five items, including hardware equipment, immersion, education, interaction sense of control, and degree of difficulty. The evaluation results confirm that this system will be helpful to the educational experience of conducting chemistry experiments with scientific evaluation methods, and the proposed system is also expected to have a broad range of applications in many other subjects.

MR Brake를 이용한 공압근육매니퓰레이터의 지능제어 (Performance Improvement of Pneumatic Artificial Muscle Manipulators using Magneto-Rheological Brake)

  • 안경관;;안영공
    • 한국소음진동공학회:학술대회논문집
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    • 한국소음진동공학회 2005년도 춘계학술대회논문집
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    • pp.572-575
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    • 2005
  • A novel pneumatic artificial muscle actuator (PAM actuator), which has achieved increased popularity to provide the advantages such as high strength and high power/weight ratio, low cost, compactness, ease of maintenance, cleanliness, readily available and cheap power source, inherent safety and mobility assistance to humans performing tasks, has been regarded during the recent decades as an interesting alternative to hydraulic and electric actuators. In order to realize satisfactory control performance, a variable damper Magneto Rheological Brake (MRB), Is equipped to the Joint of the manipulator. Superb mixture of conventional PID controller and a phase plane switching control method brings us a novel controller. This proposed controller is appropriate for a kind of plants with nonlinearity, uncertainties and disturbances. The experiments were carried out in practical PAM manipulator and the effectiveness of the proposed control algorithm was demonstrated through experiments, which had proved that the stability of the manipulator can be improved greatly in a high gain control by using MRB with phase plane switching control method and without regard for the changes of external inertia loads.

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원전 기기의 기능적중요도결정 방법론에 대한 연구 (A Study on the Functional Importance Determination Methodology for Components in Nuclear Power Plants)

  • 송태영
    • 한국압력기기공학회 논문집
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    • 제9권1호
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    • pp.1-7
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    • 2013
  • In around 2000, the U.S. NPPs have developed the various advanced engineering processes based on the INPO AP-913(Equipment Reliability Process Description) and showed the high performance in availability. With these benchmarking cases, the Korean NPPs have introduced the advanced engineering technology since 2005. The first step of the advanced engineering is to analyze and determine component importance for all components of a plant. This process is called Functional Importance Determination(FID). These results are basically utilized to determine the priority with limited resources in various areas. However, because the consistency of FID results is insufficient despite applying the same criteria in the existing operating NPPs, the degree of application is low. Therefore, this paper presents the improved methodology for FID interfacing system functions of Maintenance Rule Program and results of Single Point Vulnerability(SPV). This improved methodology is expected to contribute to enhance the reliability of FID data.