998 resultados para Digital-subtraction-angiography


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Regressões nominais logísticas estabelecem relações matemáticas entre variáveis independentes contínuas ou discretas e variáveis dependentes discretas. Essas foram avaliadas quanto ao seu potencial em predizer a ocorrência e distribuição de classes de solos na região dos municípios de Ibirubá e Quinze de Novembro (RS). A partir de modelo numérico de terreno digital (MNT) com 90 m de resolução, foram calculadas variáveis de terreno topográficas (elevação, declividade e curvatura) e hidrográficas (distância dos rios, índice de umidade topográfica, comprimento de fluxo de escoamento e índice de poder de escoamento). Foram então estabelecidas regressões logísticas múltiplas entre as classes de solos da região com base em levantamento tradicional na escala 1:80.000 e as variáveis de terreno. As regressões serviram para calcular a probabilidade de ocorrência de cada classe de solo, e o mapa final de solos estimado foi produzido atribuindo-se a cada célula do mapa a denominação da classe de solo com maior probabilidade de ocorrência. Observou-se acurácia geral (AG) de 58 % e acurácia pelo coeficiente Kappa de Cohen de 38 %, comparando-se o mapa original com o mapa estimado dentro da escala original. Uma simplificação de escala foi pouco significativa para o aumento da acurácia do mapa, sendo 61 % de AG e 39 % de Kappa. Concluiu-se que as regressões logísticas múltiplas apresentaram potencial preditivo para serem usadas como ferramentas no mapeamento supervisionado de solos.

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Three-dimensional free-breathing coronary magnetic resonance angiography was performed in eight healthy volunteers with use of real-time navigator technology. Images acquired with the navigator localized at the right hemidiaphragm and at the left ventricle were objectively compared. The diaphragmatic navigator was found to be superior for vessel delineation of middle to distal portions of the coronary arteries.

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The optimal treatment strategy for patients presenting with an acute coronary syndrome without ST elevation is controversial and different therapeutic approaches are recognized. Currently, given the literature available, it is not possible to recommend a universal systematic invasive approach. It is essential to individually risk stratify patients in order to identify those high risk patients that have been shown to benefit from an invasive strategy. Compared to conservative medical treatment, patients at low risk have not been shown to benefit from an invasive strategy. Urgent coronary angiography remains recommended for those patients with persistent or recurrent ischemic symptoms under optimal medical treatment.

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A key, yet often neglected, component of digital evolution and evolutionary models is the 'selection method' which assigns fitness (number of offspring) to individuals based on their performance scores (efficiency in performing tasks). Here, we study with formal analysis and numerical experiments the evolution of cooperation under the five most common selection methods (proportionate, rank, truncation-proportionate, truncation-uniform and tournament). We consider related individuals engaging in a Prisoner's Dilemma game where individuals can either cooperate or defect. A cooperator pays a cost, whereas its partner receives a benefit, which affect their performance scores. These performance scores are translated into fitness by one of the five selection methods. We show that cooperation is positively associated with the relatedness between individuals under all selection methods. By contrast, the change in the performance benefit of cooperation affects the populations' average level of cooperation only under the proportionate methods. We also demonstrate that the truncation and tournament methods may introduce negative frequency-dependence and lead to the evolution of polymorphic populations. Using the example of the evolution of cooperation, we show that the choice of selection method, though it is often marginalized, can considerably affect the evolutionary dynamics.

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No presente estudo, foi realizada uma avaliação de diferentes variáveis ambientais no mapeamento digital de solos em uma região no norte do Estado de Minas Gerais, utilizando redes neurais artificiais (RNA). Os atributos do terreno declividade e índice topográfico combinado (CTI), derivados de um modelo digital de elevação, três bandas do sensor Quickbird e um mapa de litologia foram combinados, e a importância de cada variável para discriminação das unidades de mapeamento foi avaliada. O simulador de redes neurais utilizado foi o "Java Neural Network Simulator", e o algoritmo de aprendizado, o "backpropagation". Para cada conjunto testado, foi selecionada uma RNA para a predição das unidades de mapeamento; os mapas gerados por esses conjuntos foram comparados com um mapa de solos produzido com o método convencional, para determinação da concordância entre as classificações. Essa comparação mostrou que o mapa produzido com o uso de todas as variáveis ambientais (declividade, índice CTI, bandas 1, 2 e 3 do Quickbird e litologia) obteve desempenho superior (67,4 % de concordância) ao dos mapas produzidos pelos demais conjuntos de variáveis. Das variáveis utilizadas, a declividade foi a que contribuiu com maior peso, pois, quando suprimida da análise, os resultados da concordância foram os mais baixos (33,7 %). Os resultados demonstraram que a abordagem utilizada pode contribuir para superar alguns dos problemas do mapeamento de solos no Brasil, especialmente em escalas maiores que 1:25.000, tornando sua execução mais rápida e mais barata, sobretudo se houver disponibilidade de dados de sensores remotos de alta resolução espacial a custos mais baixos e facilidade de obtenção dos atributos do terreno nos sistemas de informação geográfica (SIG).

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The case of a professional tennis player presenting exercise-induced hand pain with late appearance of digital blanching is reported. A bilateral hypothenar hammer syndrome and stenosis of the common palmar digital arteries close to the head of the metacarpals where the racket handle exerts its maximal force was observed with arteriography. As the patient decided to stop tennis practice, the condition improved without any medication. Six months after stopping tennis he was symptom free. Three conclusions can be drawn from this case report: 1) arteries of both hands can be injured by intense tennis practice, 2) pain in the dominant hand during tennis practice can be due to arterial insufficiency even in the absence of digital blanching which is a sign of severity, 3) hypothenar hammer syndrome is the main cause but stenosis of the common palmar digital arteries can possibly contribute to the ischemic phenomenon. Early recognition is important to avoid ineffective treatment and permanent symptoms. Therefore, we recommend an arterial examination in tennis players suffering from exercise-induced hand pain even in the absence of digital blanching which can be only a late manifestation.

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PURPOSE: To determine the lower limit of dose reduction with hybrid and fully iterative reconstruction algorithms in detection of endoleaks and in-stent thrombus of thoracic aorta with computed tomographic (CT) angiography by applying protocols with different tube energies and automated tube current modulation. MATERIALS AND METHODS: The calcification insert of an anthropomorphic cardiac phantom was replaced with an aortic aneurysm model containing a stent, simulated endoleaks, and an intraluminal thrombus. CT was performed at tube energies of 120, 100, and 80 kVp with incrementally increasing noise indexes (NIs) of 16, 25, 34, 43, 52, 61, and 70 and a 2.5-mm section thickness. NI directly controls radiation exposure; a higher NI allows for greater image noise and decreases radiation. Images were reconstructed with filtered back projection (FBP) and hybrid and fully iterative algorithms. Five radiologists independently analyzed lesion conspicuity to assess sensitivity and specificity. Mean attenuation (in Hounsfield units) and standard deviation were measured in the aorta to calculate signal-to-noise ratio (SNR). Attenuation and SNR of different protocols and algorithms were analyzed with analysis of variance or Welch test depending on data distribution. RESULTS: Both sensitivity and specificity were 100% for simulated lesions on images with 2.5-mm section thickness and an NI of 25 (3.45 mGy), 34 (1.83 mGy), or 43 (1.16 mGy) at 120 kVp; an NI of 34 (1.98 mGy), 43 (1.23 mGy), or 61 (0.61 mGy) at 100 kVp; and an NI of 43 (1.46 mGy) or 70 (0.54 mGy) at 80 kVp. SNR values showed similar results. With the fully iterative algorithm, mean attenuation of the aorta decreased significantly in reduced-dose protocols in comparison with control protocols at 100 kVp (311 HU at 16 NI vs 290 HU at 70 NI, P ≤ .0011) and 80 kVp (400 HU at 16 NI vs 369 HU at 70 NI, P ≤ .0007). CONCLUSION: Endoleaks and in-stent thrombus of thoracic aorta were detectable to 1.46 mGy (80 kVp) with FBP, 1.23 mGy (100 kVp) with the hybrid algorithm, and 0.54 mGy (80 kVp) with the fully iterative algorithm.

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The decay of an unstable state under the influence of external colored noise has been studied by means of analog experiments and digital simulations. For both fixed and random initial conditions, the time evolution of the second moment ¿x2(t)¿ of the system variable was determined and then used to evaluate the nonlinear relaxation time. The results obtained are found to be in excellent agreement with the theoretical predictions of the immediately preceding paper [Casademunt, Jiménez-Aquino, and Sancho, Phys. Rev. A 40, 5905 (1989)].

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The impact of navigator spatial resolution and navigator evaluation time on image quality in free-breathing navigator-gated 3D coronary magnetic resonance angiography (MRA), including real-time motion correction, was investigated in a moving phantom. Objective image quality parameters signal-to-noise ratio (SNR) and vessel sharpness were compared. It was found that for improved mage quality a short navigator evaluation time is of crucial importance. Navigator spatial resolution showed minimal influence on image quality.

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The region of greatest variability on soil maps is along the edge of their polygons, causing disagreement among pedologists about the appropriate description of soil classes at these locations. The objective of this work was to propose a strategy for data pre-processing applied to digital soil mapping (DSM). Soil polygons on a training map were shrunk by 100 and 160 m. This strategy prevented the use of covariates located near the edge of the soil classes for the Decision Tree (DT) models. Three DT models derived from eight predictive covariates, related to relief and organism factors sampled on the original polygons of a soil map and on polygons shrunk by 100 and 160 m were used to predict soil classes. The DT model derived from observations 160 m away from the edge of the polygons on the original map is less complex and has a better predictive performance.

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A cardiac-triggered free-breathing three-dimensional balanced fast field-echo projection magnetic resonance (MR) angiographic sequence with a two-dimensional pencil-beam aortic labeling pulse was developed for the renal arteries. For data acquisition during free breathing in eight healthy adults and seven consecutive patients with renal artery disease, real-time navigator technology was implemented. This technique allows high-spatial-resolution and high-contrast renal MR angiography and visualization of renal artery stenosis without exogenous contrast agent or breath hold. Initial promising results warrant larger clinical studies.