Image post-processing corrects for cardiac and respiratory motion (MoCo) during cardiovascular magnetic resonance (CMR) stress perfusion. The study analyzed its influence on visual image evaluation.
Materials and methods
Sixty-two patients with (suspected) coronary artery disease underwent a standard CMR stress perfusion exam during free-breathing. Image post-processing was performed without (non-MoCo) and with MoCo (image intensity normalization; motion extraction with iterative non-rigid registration; motion warping with the combined displacement field). Images were evaluated regarding the perfusion pattern (perfusion deficit, dark rim artifact, uncertain signal loss, and normal perfusion), the general image quality (non-diagnostic, imperfect, good, and excellent), and the reader’s subjective confidence to assess the images (not confident, confident, very confident).
Results
Fifty-three (non-MoCo) and 52 (MoCo) myocardial segments were rated as ‘perfusion deficit’, 113 vs. 109 as ‘dark rim artifacts’, 9 vs. 7 as ‘uncertain signal loss’, and 817 vs. 824 as ‘normal’. Agreement between non-MoCo and MoCo was high with no diagnostic difference per-patient. The image quality of MoCo was rated more often as ‘good’ or ‘excellent’ (92 vs. 63%), and the diagnostic confidence more often as “very confident” (71 vs. 45%) compared to non-MoCo.
Conclusions
The comparison of perfusion images acquired during free-breathing and post-processed with and without motion correction demonstrated that both methods led to a consistent evaluation of the perfusion pattern, while the image quality and the reader’s subjective confidence to assess the images were rated more favorably for MoCo.
Measurements of the polarization effects in multimirror experiments by using a dual photoelastic modulator are described. The effect of single and multiple mirrors in polarization measurements in two and three dimensions is discussed, and experimental results show how symmetrical placement of mirrors in three-dimensional geometry can eliminate changes in the polarization. Calibration procedures for a dual photoelastic modulator and potential error sources such as misalignment of analyzer, signal dc offset, and neglect of aperture size are presented. Mirror-surface evolution and how it can disturb the polarization measurement are also addressed. 相似文献
Pediatric obstructive sleep apnea has significant negative effects on health and behavior in childhood including depression, failure to thrive, neurocognitive impairment, and behavioral issues. It is strongly associated with an increased risk for chronic adult disease such as obesity and diabetes, accelerated atherosclerosis, and endothelial dysfunction. Accumulating evidence suggests that adult-onset non-communicable diseases may originate from early life through a process by which an insult applied at a critical developmental window causes long-term effects on the structure or function of an organism. In recent years, there has been increased interest in the role of epigenetic mechanisms in the pathogenesis of adult disease susceptibility. Epigenetic mechanisms that influence adaptive variability include histone modifications, non-coding RNAs, and DNA methylation. This review will highlight what is currently known about the phenotypic associations of epigenetic modifications in pediatric obstructive sleep apnea and will emphasize the importance of epigenetic changes as both modulators of chronic disease and potential therapeutic targets. 相似文献
The 100 kV bushing of the Diagnostic Neutral Beam (DNB) injector is a cylindrical feedthrough which forms the interface between the gas insulated transmission line and the torus primary vacuum and provides all necessary services to the beam source. All conventions for safety, voltage holding requirement, vacuum compatibility and the choice of materials have been addressed in the design. Finite Element Analyses (FEAs) for the electrostatic and the structural configuration is carried out to validate the design of the High Voltage Bushing (HVB). Several iterations and optimizations of the stress shields are carried out to meet electrostatic criteria, especially at the triple point (the ceramic, metal and vacuum joint), which is critical for good voltage holding. Structural analyses is carried out to assess the stress distribution in the fiber reinforced plastic insulator, the alumina insulator and the integrated HVB for different load cases like operational orientation (horizontal), normal operation and accidental case. Design is further validated for seismic conditions for Seismic Loading-2 (SL-2). 相似文献
This paper examines the capacity and performance characteristics of the digital video broadcasting (DVB)/Digital Audio-Visual Council (DAVIC) cable television protocol for the delivery of low rate isochronous streams for a cable population of up to 700 nodes. Streams (ranging from 8 to 128 kbps) suitable for timing critical services such as compressed/uncompressed voice (e.g., VoIP: G711 and G.7231), audio and low quality video, were considered in order to study the effects on channel capacity when using reservation and fixed access for the delivery of timing critical services. The analysis focuses on the,performance of the upstream channel, which is the limiting factor of community antenna television (CATV) networks and is critical in the delivery of services to individual subscribers on demand. Simulation results indicated that such streams, within the given protocol limitations, can be supported for a particular system population with trade-offs in terms of system throughput and channel utilization. Network capacity, in terms of the number of simultaneous streams supported and link utilization, is significantly affected by packet size. Analysis of the results indicated that for different streams, packet sizes and combined with header suppression, the benefits from the use of fixed access is essential for the support of timing critical services. 相似文献
