60 research outputs found
The cross-section of Asia-Pacific mortality dynamics: Implications for longevity risk sharing
We study the dynamics of longevity risk across a subset of cou ntries in the Asia-Pacific (APAC) region. We use hand-collected and existing data on age-spec ific mortality rates from emerging and developed economies, to understand how secular changes in mortality vary within and across APAC countries. We use our results to identify cross-hedging opportunities among longevity risk exposures in the APAC region. We also introduce k -forward contracts, which offer natural risk sharing opportunities to hedgers in different countries. We consider the example of Korea and Japan as a case stud
A Partitioning Methodology for Accelerating Applications in Hybrid Reconfigurable Platforms *
Abstrac
Simultaneous 13N-Ammonia and gadolinium first-pass myocardial perfusion with quantitative hybrid PET-MR imaging: a phantom and clinical feasibility study
Background
Positron emission tomography (PET) is the non-invasive reference standard for myocardial blood flow (MBF) quantification. Hybrid PET-MR allows simultaneous PET and cardiac magnetic resonance (CMR) acquisition under identical experimental and physiological conditions. This study aimed to determine feasibility of simultaneous 13N-Ammonia PET and dynamic contrast-enhanced CMR MBF quantification in phantoms and healthy volunteers.
Methods
Images were acquired using a 3T hybrid PET-MR scanner. Phantom study: MBF was simulated at different physiological perfusion rates and a protocol for simultaneous PET-MR perfusion imaging was developed. Volunteer study: five healthy volunteers underwent adenosine stress. 13N-Ammonia and gadolinium were administered simultaneously. PET list mode data was reconstructed using ordered subset expectation maximisation. CMR MBF was quantified using Fermi function-constrained deconvolution of arterial input function and myocardial signal. PET MBF was obtained using a one-tissue compartment model and image-derived input function.
Results
Phantom study: PET and CMR MBF measurements demonstrated high repeatability with intraclass coefficients 0.98 and 0.99, respectively. There was high correlation between PET and CMR MBF (r = 0.98, p < 0.001) and good agreement (bias − 0.85 mL/g/min; 95% limits of agreement 0.29 to − 1.98). Volunteer study: Mean global stress MBF for CMR and PET were 2.58 ± 0.11 and 2.60 ± 0.47 mL/g/min respectively. On a per territory basis, there was moderate correlation (r = 0.63, p = 0.03) and agreement (bias − 0.34 mL/g/min; 95% limits of agreement 0.49 to − 1.18).
Conclusion
Simultaneous MBF quantification using hybrid PET-MR imaging is feasible with high test repeatability and good to moderate agreement between PET and CMR. Future studies in coronary artery disease patients may allow cross-validation of techniques
Multicentre evaluation of MRI variability in the quantification of infarct size in experimental focal cerebral ischaemia
Ischaemic stroke is a leading cause of death and disability in the developed world.
Despite that considerable advances in experimental research enabled understanding
of the pathophysiology of the disease and identified hundreds of potential
neuroprotective drugs for treatment, no such drug has shown efficacy in humans. The
failure in the translation from bench to bedside has been partially attributed to the
poor quality and rigour of animal studies. Recently, it has been suggested that
multicentre animal studies imitating the design of randomised clinical trials could
improve the translation of experimental research. Magnetic resonance imaging (MRI)
could be pivotal in such studies due to its non-invasive nature and its high sensitivity
to ischaemic lesions, but its accuracy and concordance across centres has not yet been
evaluated.
This thesis focussed on the use of MRI for the assessment of late infarct size, the
primary outcome used in stroke models. Initially, a systematic review revealed that a
plethora of imaging protocols and data analysis methods are used for this purpose.
Using meta-analysis techniques, it was determined that T2-weighted imaging (T2WI)
was best correlated with gold standard histology for the measurement of infarctbased
treatment effects. Then, geometric accuracy in six different preclinical MRI
scanners was assessed using structural phantoms and automated data analysis tools
developed in-house. It was found that geometric accuracy varies between scanners,
particularly when centre-specific T2WI protocols are used instead of a standardised
protocol, though longitudinal stability over six months is high. Finally, a simulation
study suggested that the measured geometric errors and the different protocols are
sufficient to render infarct volumes and related group comparisons across centres
incomparable. The variability increases when both factors are taken into account and
when infarct volume is expressed as a relative estimate. Data in this study were
analysed using a custom-made semi-automated tool that was faster and more reliable
in repeated analyses than manual analysis.
Findings of this thesis support the implementation of standardised methods for the
assessment and optimisation of geometric accuracy in MRI scanners, as well as image
acquisition and analysis of in vivo data for the measurement of infarct size in
multicentre animal studies. Tools and techniques developed as part of the thesis show
great promise in the analysis of phantom and in vivo data and could be a step towards
this endeavour
Private information in currency markets
Using daily abnormal currency returns for the universe of countries with flexible exchange rates, we show local currency depreciations ahead of unscheduled, public sovereign debt downgrade announcements. Consistent with the private information hypothesis, the effect is stronger in lower institutional quality countries and holds after we control for concurrent public information and for publicly available rumors about the forthcoming downgrades. Our results persist when abnormal currency returns are adjusted for global carry and dollar risk factors, world equity and bond returns, as well as local stock market returns. Finally, the currency depreciations are permanent, providing evidence for a link between fundamentals and currency markets
Mispricing of debt expansion in the eurozone sovereign credit market
We find evidence consistent with risk mispricing in the eurozone sovereign credit market for crisis and non-crisis countries alike, using a novel variable of sovereign debt expansion (DE) that we construct. DE predicts increased default probability, but panel regressions from 2002 to 2017 show a negative association with risk premia, even when controlling for risk appetite and the known determinants of sovereign risk premia. As expected, the negative association was only briefly interrupted by the 2010 Deauville Summit, but it resumed by the onset of the 2011 eurozone crisis. The introduction of quantitative easing in 2015 mutes the negative association, raising the concern of what will happen once quantitative easing ends. Our finding is robust to several model specifications
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