급성 뇌경색 진단에는 환자에 따라 관류강조영상과 조영증강 자기공명혈관영상이 동시에 촬영되는 경우가 있으며, 이 과정에서 MRI 조영제인 가돌리늄의 T1 단축 효과가 발생하여 동맥과 정맥의 신호 겹침이 빈번히 발생한다. 특 히, 3D T1 경사에코 기법을 사용한 CE-MRA에서 첫 번째 조영제 주입(PWI) 후 연속적으로 발생하는 T1 감소 효과로 인해 혈관의 정확한 묘사에 한계가 있었다. 본 연구에서는 이러한 문제를 해결하기 위해 마스크 영상의 획득 시점을 조정하여 새로운 방법(B)을 제안하였다. 기존 방법(A)에서는 관류강조영상 이전에 마스크 영상을 획득했지 만, 새로운 방법(B)에서는 관류강조영상 이후 마스크 영상을 획득하여 동맥과 정맥 신호 겹침을 효과적으로 줄였다. 연구 결과, S상 정맥동과 내경정맥에서 새로운 방법이 기존 방법보다 유의미하게 낮은 대조대잡음비를 보였으며, 신호 겹침이 줄어들어 정맥 신호의 억제 효과가 극대화되었다(p<0.05). 본 연구의 새로운 방법은 기술적으로 추가적 인 복잡성 없이 효율적으로 정맥 신호를 제거하여 CE-MRA 영상의 진단적 정확성을 향상하는 유용한 기법으로 평 가된다. 향후 연구에서는 더 다양한 환자군을 대상으로 본 방법의 유용성을 검증하고, 최적의 방안 모색을 할 필요가 있다.

Purpose - Customer loyalty and citizenship behavior are key success factors of franchise system. They make the management of franchisee more effective and efficient. Prior studies, however, mainly dealt with only acquisition utility of customer, such as perceived product/service quality and brand reputation to explain customer loyalty and citizenship behavior, which explains only on one side. We tried to investigate the effect of exchange utility of customer, such as relationship strength and psychological obligation together with the acquisition utility. In addition, we tried to investigate the relationship between customer loyalty and citizenship behavior in franchise context. Research design, data, and methodology - This study used data collected from the dining franchisee managers of 342 franchisors in South Korea. The franchisors consist of more than ten franchisees, the majority of which participated directly in the transaction with franchisor and have worked for more than six months. To test the hypotheses, the study used structural equation model analysis. Results - H1-1, 1-2, 1-3 predicted that acquisition utility would increase customer loyalty to franchisee. In support of H1-1, 1-2, 1-3, the results indicated that acquisition utilities such as perceived product value, perceived service value, and franchise brand reputation had positive effects on customer loyalty. H2-1, 2-2 predicted that exchange utility would increase customer loyalty to franchisee. In support of H2-2, the result indicated that psychological obligation had positive effects on customer loyalty like other acquisition utilities. However, H2-1 was not supported. Relationship strength had no significant effect on customer loyalty. H3 predicted that customer loyalty would increase customer citizenship behavior. In support of H3, the results indicated that customer loyalty had positive effect on customer citizenship behavior. Overall, the evidences generally supported the hypotheses. Conclusion - The results of the study show that not only acquisition utility but also exchange utility increases customer loyalty to franchisee and also show that customer loyalty increases customer citizenship behavior. Interestingly, however, relationship strength has no significant effect on customer loyalty. These results have two implications. The one is that increasing exchange utility can improve customer loyalty as acquisition utility can. The other one is that both of customer utilities can improve customer citizenship via customer loyalty.