• Korean Journal of Radiology
• /
• 제25권6호
• /
• pp.575-588
• /
• 2024

Objective: Differentiating intracranial aneurysms from normal variants using CT angiography (CTA) or MR angiography (MRA) poses significant challenges. This study aimed to evaluate the efficacy of proton-density MRA (PD-MRA) compared to high-resolution time-of-flight MRA (HR-MRA) in diagnosing aneurysms among patients with indeterminate findings on conventional CTA or MRA. Materials and Methods: In this retrospective analysis, we included patients who underwent both PD-MRA and HR-MRA from August 2020 to July 2022 to assess lesions deemed indeterminate on prior conventional CTA or MRA examinations. Three experienced neuroradiologists independently reviewed the lesions using HR-MRA and PD-MRA with reconstructed voxel sizes of 0.25³ mm³ or 0.2³ mm³, respectively. A neurointerventionist established the gold standard with digital subtraction angiography. We compared the performance of HR-MRA, PD-MRA (0.25³-mm³ voxel), and PD-MRA (0.2³-mm³ voxel) in diagnosing aneurysms, both per lesion and per patient. The Fleiss kappa statistic was used to calculate inter-reader agreement. Results: The study involved 109 patients (average age 57.4 ± 11.0 years; male:female ratio, 11:98) with 141 indeterminate lesions. Of these, 78 lesions (55.3%) in 69 patients were confirmed as aneurysms by the reference standard. PD-MRA (0.25³-mm³ voxel) exhibited significantly higher per-lesion diagnostic performance compared to HR-MRA across all three readers: sensitivity ranged from 87.2%-91.0% versus 66.7%-70.5%; specificity from 93.7%-96.8% versus 58.7%-68.3%; and accuracy from 90.8%-92.9% versus 63.8%-69.5% (P ≤ 0.003). Furthermore, PD-MRA (0.25³-mm³ voxel) demonstrated significantly superior per-patient specificity and accuracy compared to HR-MRA across all evaluators (P ≤ 0.013). The diagnostic accuracy of PD-MRA (0.2³-mm³ voxel) surpassed that of HR-MRA and was comparable to PD-MRA (0.25³-mm³ voxel). The kappa values for inter-reader agreements were significantly higher in PD-MRA (0.820-0.938) than in HR-MRA (0.447-0.510). Conclusion: PD-MRA outperformed HR-MRA in diagnostic accuracy and demonstrated almost perfect inter-reader consistency in identifying intracranial aneurysms among patients with lesions initially indeterminate on CTA or MRA.

• Korean Journal of Radiology
• /
• 제23권2호
• /
• pp.246-255
• /
• 2022

Objective: To determine the usefulness of Silent MR angiography (MRA) for evaluating intracranial aneurysms treated with stent-assisted coil embolization. Materials and Methods: Ninety-nine patients (101 aneurysms) treated with stent-assisted coil embolization (Neuroform atlas, 71 cases; Enterprise, 17; LVIS Jr, 9; and Solitaire AB, 4 cases) underwent time-of-flight (TOF) MRA and Silent MRA in the same session using a 3T MRI system within 24 hours of embolization. Two radiologists independently interpreted both MRA images retrospectively and rated the image quality using a 5-point Likert scale. The image quality and diagnostic accuracy of the two modalities in the detection of aneurysm occlusion were further compared based on the stent design and the site of aneurysm. Results: The average image quality scores of the Silent MRA and TOF MRA were 4.38 ± 0.83 and 2.78 ± 1.04, respectively (p < 0.001), with an almost perfect interobserver agreement. Silent MRA had a significantly higher image quality score than TOF MRA at the distal internal carotid artery (n = 57, 4.25 ± 0.91 vs. 3.05 ± 1.16, p < 0.001), middle cerebral artery (n = 21, 4.57 ± 0.75 vs. 2.19 ± 0.68, p < 0.001), anterior cerebral artery (n = 13, 4.54 ± 0.66 vs. 2.46 ± 0.66, p < 0.001), and posterior circulation artery (n = 10, 4.50 ± 0.71 vs. 2.90 ± 0.74, p = 0.013). Silent MRA had superior image quality score to TOF MRA in the stented arteries when using Neuroform atlas (4.66 ± 0.53 vs. 3.21 ± 0.84, p < 0.001), Enterprise (3.29 ± 1.59 vs. 1.59 ± 0.51, p = 0.003), LVIS Jr (4.33 ± 1.89 vs. 1.89 ± 0.78, p = 0.033), and Solitaire AB stents (4.00 ± 2.25 vs. 2.25 ± 0.96, p = 0.356). The interpretation of the status of aneurysm occlusion exhibited significantly higher sensitivity with Silent MRA than with TOF MRA when using the Neuroform Atlas stent (96.4% vs. 14.3%, respectively, p < 0.001) and LVIS Jr stent (100% vs. 20%, respectively, p = 0.046). Conclusion: Silent MRA can be useful to evaluate aneurysms treated with stent-assisted coil embolization, regardless of the aneurysm location and type of stent used.

• 무역학회지
• /
• 제45권2호
• /
• pp.17-29
• /
• 2020

This study analyzed that the effects of AEO MRA benefit on decreasing of trade cost and the strategies for expanding of trade. It uses the system GMM for effective solutions of endogenous matter with lagged dependent variable. In terms of the result of analysis, AEO MRA has a positive effect on decreasing of trade cost, especially this study proved the result of previous study AEO MRA expanded the trade through improving the time required for customs clearance and deregulation of non-tariff barriers. In conclusion, this study proposes the policy fo AEO MRA by analyzing the trade cost of AEO MRA by using the system GMM.

• Journal of applied mathematics & informatics
• /
• 제16권1_2호
• /
• pp.621-632
• /
• 2004

Multiresoluton analysis(MRA) of space of square integrable functions defined on whole entire line has been well-known. But for many applications, MRA on bounded interval was required and studied. In this paper we give a MRA for $L^2$(0, 1) by means of periodic wavelets based on regular MRA for $L^2$(R) and give the convergence of partial sums.

• 한국유기농업학회지
• /
• 제26권4호
• /
• pp.775-787
• /
• 2018

본 연구는 반추동물의 메탄 감소에 효과가 있는 합성첨가제를 대체 할 수 있는 천연첨가제를 찾고자 연구를 실시하였다. 첨가제인 MRA-1(파), MRA-2 (SLS), MRA-3 (SDS), MRA-4(파+탄닌산)를 만들어 발효시간대별(3, 6, 9, 12, 24 및 48 h) in vitro 시험을 실시하였다. pH는 발효시간동안 적정범위였으며, 건물소화율은 모든 발효시간대별 모든 처리구에서 대조구와 유의적(P>0.05)인 차이를 보이지 않았고, 미생물성장량에도 부정적인 영향을 미치지 않았다. 메탄 발생량은 발효 24시간대 MRA-1구를 제외한 나머지 처리구에서 대조구에 비해 유의적(P<0.05)으로 낮게 측정되었으며, 특히 이산화탄소 발생량은 MRA-4 첨가구에서 발효 9, 24, 48시간대에서 유의적(P<0.05)으로 낮았다. 메탄생성량 감소에 영향이 있는 프로피온산 함량은 발효 24시간대 MRA-4구에서 대조구에 비해 유의적(P<0.05)으로 높았다. Ciliate-associated methanogens은 발효 24시간대 MRA-1, MRA-3 및 MRA-4구에서 대조구에 비해 유의적(P<0.05)으로 낮게 측정되었다. 따라서 파와 탄닌산은 반추위 내 메탄 저감 효과가 있는 합성첨가제를 대체 할 수 있어 반추동물용 천연 메탄 저감제로서의 활용 가능성이 있을 것으로 사료된다.

• 한국멀티미디어학회:학술대회논문집
• /
• 한국멀티미디어학회 2002년도 춘계학술발표논문집(상)
• /
• pp.286-289
• /
• 2002

뇌 혈관 영상은 2D로 되어있어 임상에서 뇌의 이상 유무와 질병의 진행 정도를 판별하는데 어려움이 있다. Volume Rendering은 2차원 데이터를 3차원 영상으로 재구성하여 오브젝트의 내부 모습을 3차원으로 볼 수 있게 해주는 장점이 있어 진단에 도움을 줄 수가 있다. MRA(Magnetic Resonance Angiography) 는 MRI(Magnetic Resonance Imaging)을 이용하여 Vascular Imaging 하는 기법이다. MRA 혈관 영상을 가시화하는 방법으로 MIP(Maximum Intensity Projection)를 이용하였다. 본 논문에서는 256×256 크기의 MRA영상 48장을 MIP 로 볼륨 랜더링하여 뇌 혈관 영상을 3차원으로 가시화 하였다.

• 정보처리학회논문지:소프트웨어 및 데이터공학
• /
• 제2권3호
• /
• pp.161-172
• /
• 2013

메타데이터 레지스트리(Metadata Registry, MDR)는 데이터베이스 간 데이터 교환 및 공유를 위해 ISO/IEC에서 개발한 국제 표준이며, 의료 서비스, 서지, 환경 등 다양한 도메인에서 데이터 공유 및 통합을 위해 사용되고 있다. 그러나 MDR 표준은 메타데이터 등록 및 저장을 위한 메타모델만을 정의하고 있기 때문에 이 시스템들은 서로 다른 물리적 구조를 가지게 된다. 이로 인해 MDR 시스템 간 불일치가 발생하고 메타데이터의 상호운용을 위해 추가적인 비용이 발생한다. 이러한 문제를 해결하기 위해 ISO/IEC 13249-8 Metadata Registry Access (MRA)가 개발 중에 있으며, MRA는 상이한 MDR 시스템에 일관된 방법으로 접근할 수 있는 표준 인터페이스이다. 그러나 MRA는 MDR 표준에 정의되어 있는 개념 즉, 클래스 간 관계성을 고려하지 않는다. 이는 부정확한 결과를 생성할 수 있으며, 각 MDR 시스템의 물리적 구조를 고려하여 질의를 모델링하고 재작성하는 추가적인 비용이 발생한다. 이 논문에서는 클래스 간 관계성을 고려한 확장된 인터페이스 eMRA(Extened MRA)를 제안하며, 비교 평가를 통해 확장 인터페이스의 장점을 기술한다. eMRA는 MDR의 개념간 관계성을 정의하여 질의 모델링과 시스템의 참조무결성 측면에서 MRA보다 우수한 성능을 가진다.

• 모자간호학회지
• /
• 제2권1호
• /
• pp.5-20
• /
• 1992

This study was undertaken to identify the levels and affecting factors of the maternal role attainment(MRA) in the primipara during the postpartum period. The healthy ninety primiparous from the one university hospital and two local clinics in KwangJu city were selected and two Semantic Differential Scales (SD-Myself as Mothers, SD-My Baby) and the Pharis Self Confidence Scale were used in this study. Questionnaires were distributed at the 3rd days and the 4-6 weeks of the primiparous not showing any complication after normal delivery. The data collected were analysed statistically using t-test, Pearson's Product Moment Correlation Coefficient and ANOVA. The results obtained were summarized as follows; 1) On the 3rd day after the delivery, the scores of SD-myself as mother, SD-baby and Pharis Self Confidence were 70.6 points, 73.6 points and 78.6 points, respectively, showing the low level of MRA. 2) On the 4-6 weeks after delivery, the score of SD-myself as mother, SD-baby and Pharis Self Confidence were 72.8 points, 77.9 points, and 86.9 points, respectively, indicating the moderate level of MRA. 3) The mean scores of the SD scale and the Pharis Self Confidence during the postpartum periods were higher than those of the 3rd days, showing the SD-myself as mother (t=-2.09, P<.05), SD-baby(t=-4.12, P<.001), Pharis Self Confidence(t=-6.59, P<.001), respectively. 4) Positive correlations (r=.24$\sim$.69) were shown in the concepts related to the MRA and the cognitive-motor skill components and cognitive-affective skill components of the MRA became harmonious over time. 5) The relationships between the score of the MRA and the demographic and obstetric variables were as follows ; a) the score of the MRA in the twenties was higher than those of the thirties. b) the group with higher educational background showed higher MRA socres than the group with lower one. c) those who wanted pregnancy sustenance had higher MRA scores than those who did not. d) the group that did think of festus-feature represented higher MRA scores than those who did not. e) the group of mothers who have the daughters showed higher MRA scores than those who have boys. It can be concluded from the results that the MRA in the primiparous increased gradually, and that the cognitive-motor skills and cognitive-affective skills became harmonious over time. The level of the MRA was affected partly by the mothers general, obstetrical variables. Following suggestion were made oil the basis of the present study ; a) The longitudinal study on the MRA is needed. b) Multivariate analyses should be done for the identification of the factors influcening on the MRA. c) Education program for primiparous mother should be designed and developed to improve the MRA.

• 한국조명전기설비학회지:조명전기설비
• /
• 제8권2호
• /
• pp.41-45
• /
• 1994

본 논문은 MRA PWM 기법을 응용한 Sub-MRA PWM 기법을 디지털 신호 처리용 프로세서를 이용하여 구현하였다. Sub-MRA PWM기법을 디지털 신호처리 함으로서 아날로그의 불안정한 요소를 감소시킬 수 있었다. 이를 검증하기 위하여 시뮬레이션을 통하여 고조파를 분석하였다. 디지털 제어의 단점인 시간 지연은 고속 연산을 이용하여 극소화 할 수 있었다. 그러므로, 유도, 전동기를 실시간으로 제어할 수 있었다.

• Advances in concrete construction
• /
• 제10권6호
• /
• pp.537-546
• /
• 2020

Exterior walls in buildings are exposed to various forms of thermal loads, which depend on the positions of walls. Therefore, one of the efficient methods for improving the energy competence of buildings is improving the thermal properties of insulation plaster mortar. In this study, lightweight fine aggregate (LWFA) and micro rubber ash (MRA) from recycled tires were used as partial replacements for sand. The flow ability, unit weight, compressive strength, tensile strength, thermal conductivity (K-value), drying shrinkage and microstructure scan of lightweight rubberized mortar (LWRM) were investigated. Ten mixtures of LWRM were prepared as follows: traditional cement mortar (control mixture); three mixes with different percentages of LWFA (25%, 50% and 75%); three mixes with different percentages of MRA (2.5%, 5% and 7.5%); and three mixes consisting both types with determined ratios (25% LWFA+5% MRA, 50% LWFA+5% MRA and 75% LWFA+5% MRA). The flow ability of the mortars was 22±2 cm, and LWRM contained LWFA and MRA. The compressive and tensile strength decreased by approximately 64% and 57%, respectively, when 75% LWFA was used compared with those when the control mix was used. The compressive and tensile strength decreased when 5% MRA was used. By contrast, mixes with determined ratios of LWFA and MRA affected reduced unit weight, K-value and dry shrinkage.