• 제목/요약/키워드: guided

검색결과 3,966건 처리시간 0.034초

The Impact of Fractional Flow Reserve on Clinical Outcomes after Coronary Artery Bypass Grafting: A Meta-analysis

  • Yoonjin, Kang;Heeju, Hong;Suk Ho, Sohn;Myoung-jin, Jang;Ho Young, Hwang
    • Journal of Chest Surgery
    • /
    • 제55권6호
    • /
    • pp.442-451
    • /
    • 2022
  • Background: This meta-analysis was conducted to evaluate the effect of fractional flow reserve (FFR) on clinical outcomes after coronary artery bypass grafting (CABG). Methods: Five online databases were searched for studies that (1) enrolled patients who underwent isolated CABG or CABG with aortic valve replacement and (2) demonstrated the effect of an FFR-guided strategy on major adverse cardiac events (MACE) after surgery based on a randomized controlled trial or adjusted analysis. MACE included cardiac death, acute myocardial infarction (MI), and repeated revascularization. The primary outcomes were all MACE outcomes and a composite of all-cause death and MI, and the secondary outcomes were the individual MACE outcomes. Publication bias was assessed using a funnel plot and the Egger test. Results: Six articles (3 randomized and 3 non-randomized studies: n=1,027) were selected. MACE data were extracted from 4 studies. The pooled analyses showed that the risk of MACE was not significantly different between patients who underwent FFR-guided CABG and those who underwent angiography-guided CABG (hazard ratio [HR], 0.80; 95% CI, 0.57-1.12). However, the risk of the composite of death or MI was significantly lower in patients undergoing FFR-guided CABG (HR, 0.62; 95% CI, 0.41-0.94). The individual MACE outcomes were not significantly different between FFR-guided and angiography-guided CABG. Conclusion: FFR-guided CABG might be beneficial in terms of the composite outcome of death or MI compared with angiography-guided CABG although data are limited.

A Comparison of Guided Missile Simulations Between EADSIM and SADM in Composite Combat Mission Planning Simulation Environments

  • Kim, Jingyu
    • 한국멀티미디어학회논문지
    • /
    • 제23권8호
    • /
    • pp.1066-1074
    • /
    • 2020
  • High Level Architecture/Run-Time Infrastructure (HLA/RTI) is used to connect individual simulators on networks in order to interoperate heterogeneous simulators. In defense domain, Ship Air Defense Model (SADM) and Extended Air Defense Simulation (EADSIM) are two of most advanced simulation tools. To interoperate these SADM and EADSIM, this paper attempts to use HLA/RTI that helps to support a Composite Combat Mission Planning Simulation Environment (CCMPSE). The CCMPSE allows us to analyze a group of simulations for comprehensive and accurate experiments. For the first time, this paper analyzes guided missile simulations in EADSIM and SADM by comparing related simulation models in their parameters and considerations. It presents characteristics of these models in view of guided missile simulation perspectives. For the contributions of this paper, it provides insights to select guided missiles between SADM and EADSIM on the CCMPSE according to specific simulation purposes.

Variable Angle Beam Guided Wave Probe Design for Tubing Based on Solid Mechanics

  • Cho, Youn-Ho
    • 비파괴검사학회지
    • /
    • 제23권6호
    • /
    • pp.594-604
    • /
    • 2003
  • A State-of-art methodologies on implementing conventional piezoelectric and flexible PVDF elements for generating ultrasonic guided waves in a tubing are presented. Comb transducers with PVDF can be efficiently applied to selectively excite a guided wave mode by wrapping around any size pipe while a conventional immersion type piezo-elements can be also possibly used with a modification of transducer fabrication. Technical comparisons between the use of angle beam probe and comb one will be also discussed in detail. The presented technique can be easily applied to NDE for a long range inspection of tubular structures.

Development of an Array of EMAT for a Long-Range Inspection of a Pipe Using a Torsional Guided Wave

  • Cheong, Yong-Moo;Jung, Hyun-Kyu
    • 비파괴검사학회지
    • /
    • 제27권3호
    • /
    • pp.239-245
    • /
    • 2007
  • A torsional guided wave mode in a tubular structure has many advantages in obtaining a higher sensitivity and lower attenuation for a defect, because it shows no dispersion characteristics and no radial displacement for a tubular structure. Many attempts have been made to excite and receive torsional guided waves by conventional piezoelectric transducers, but only a few examples are used during a practical field inspection. In this study, an array of electromagnetic acoustic transducers (EMATs) were for an excitation and reception of the torsional guided waves in a pipe was designed and fabricated. The signal patterns were analyzed based on various beam path length. The feasibility of detecting the defects was investigated through a series of experiments with artificial notches on a pipe.

Design and Fabrication of the Spiral Coils for Guided Wave Magnetostrictive Transducers

  • Choi, Myoung-Seon;Heo, Won-Nyoung;Jun, Jong-Kil
    • 비파괴검사학회지
    • /
    • 제28권6호
    • /
    • pp.496-503
    • /
    • 2008
  • We propose rectangular type spiral coils with folded comers for the applications to low frequency guided wave magnetostrictive transducers and describe a method for making the proposed coils from insulated electrical wire such as enameled copper wire. Expressions for the electrical properties of the coils are also presented and compared with experimental measurements. An overlapped-2-channel folded-comer spiral-coil array is fabricated and applied to a magnetostrictive strip transducer generating and detecting fundamental torsional mode guided waves. From the results we conclude that the design and fabrication method make it possible to use the magnetostrictive transducers optimized for various guided wave applications and also will greatly help engineers gain easy access to the optimized transducers.

유도초음파기법을 이용한 튜빙 결함측정에 관한 연구 (A Study for Tubing Pipe Flaw Sizing by Using Guided Ultrasonic Wave)

  • 주경문;천근영;이정석
    • 한국압력기기공학회 논문집
    • /
    • 제5권1호
    • /
    • pp.20-24
    • /
    • 2009
  • There is extensive tubing pipe in the nuclear power plant under high temperature and pressure. Erosion and corrosion defects are expected on this tubing pipe due to environmental and mechanical factors. In this study, Guided Ultrasonic Wave technique was applied to detect defects. The technique explores the advantages of the Guided Ultrasonic Wave method that inspects along the wall of the pipe and can travel long distances, providing rapid collection of data. This paper presents a case study of the Guided Ultrasonic Wave testing of 3/8" tubing pipe. This study offers to understand detected signals through correlation between amplitude and depth of defects.

  • PDF

A New Hybrid Algorithm for Invariance and Improved Classification Performance in Image Recognition

  • Shi, Rui-Xia;Jeong, Dong-Gyu
    • International journal of advanced smart convergence
    • /
    • 제9권3호
    • /
    • pp.85-96
    • /
    • 2020
  • It is important to extract salient object image and to solve the invariance problem for image recognition. In this paper we propose a new hybrid algorithm for invariance and improved classification performance in image recognition, whose algorithm is combined by FT(Frequency-tuned Salient Region Detection) algorithm, Guided filter, Zernike moments, and a simple artificial neural network (Multi-layer Perceptron). The conventional FT algorithm is used to extract initial salient object image, the guided filtering to preserve edge details, Zernike moments to solve invariance problem, and a classification to recognize the extracted image. For guided filtering, guided filter is used, and Multi-layer Perceptron which is a simple artificial neural networks is introduced for classification. Experimental results show that this algorithm can achieve a superior performance in the process of extracting salient object image and invariant moment feature. And the results show that the algorithm can also classifies the extracted object image with improved recognition rate.